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24D-287 (5) BP-2023-1689 172 CRESCENT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24D-287-001 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-2023-1689 PERMISSION IS HEREBY GRANTED TO: Project# windows 2023 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 3172 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: V PATER JOSEPH Lot Size (sq.ft.) Zoning: URA/URB Applicant: V PATER JOSEPH Applicant Address Phone: Insurance: 172 CRESCENT ST NORTHAMPTON, MA 01060 ISSUED ON: 11/30/2023 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: ICI 6 . c r,, • 1 Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Buildinc Commissioner / iri) / ' its ; . The Commonwealth of Massachus s Ov Board of BuildingRegulations and StInddards `?0 OR 'r <90 U CIP lTY J� Massachusetts State BuildingCode, 780�'M o� &-,Z._Vi_n�N US Building Permit Application To Construct,Repair,Renovate Or sk R ised ar 2011 One-or Two-Family Dwelling •Mq o�r�'°Nc Th. tion For Official Use Only Building Permit Number: P Date Applied: / 0 6 J<05; /�W >t 30 200 I Building Official(Print Name) Signature ___ Date_ _1 SECTION 1:SITE INFORMATION _I 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers /72 Cresceti F .5I 1.la Is this an accepted street?yes A' 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❑ Zone. : Outside Flood Zone? Municipal 0 On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: // i.Jvl H� 0/06tiZ � oc° Potter 4JOrrl/iq`''''/� — e(Print) City,State,ZIP /7a Crc .c111 .5f 4/338i 773 f /ere 0mas5 .e,du , No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(chedk all that apply) New Construction 0 Existing Building' Owner-Occupied 1$1, Repairs(s) ❑ Alteration(s) ❑ Addition 0 Demolition ❑ Accessory Bldg. ❑ Number of Units V, Other Specify:'IC•C;)Vile o..t.Ile.t v , Brief Description of Proposed Work2: I, V j��(� /fU�Q(,G YYl (. /T ,v .149t Lr'Yu'4¢,... ( SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 31 / 7a 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2.Electrical $ ❑Total Project Cost3(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Total All Fees: $ Suppression) Check No.5f74Check Amount: Cash Amount:___ 6.Total Project Cost: $ 3 I ' Jai 0 Paid in Full 13 Outstanding Balance Due: — SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 1� ;� \ (.S._. \‘- ';'.1 11 6k-i,hi,+ .1(',:)":, `�J\�•c\0\o „\c'0 U�- License Number Expiration Date Name of CSL Holder • List CSL Type(see below) ►` No.and Street Ca Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) "VM0)`Ck\( --A1 x`(�‘ c_, CA 0dA R Restricted I&2 Family Dwelling City/Town,S IP M Masonry R._ . RC Roofing Coveririg WS Window and Siding r SF Solid Fuel Burning Appliances 6°o)k4S-1V)S Q.zr,er.A-5 c ONAAMCI itILW.I,il I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date' HIC Company Name or HIC Registrant Name (LILA\ �CL,0.R.Si S\Ncc 0...15 v...:s-` CJ�t�r rn.1. _ « 1,_.�n c ".,,, r . r, and Street ` `� :' 2C Email address City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes lEV 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 .1..) , L.1,1 'f C3 ,•! to act on my behalf,in all matters relative to work authorized by this building permit application. ///030/01 Print O�ner's Name El r ni( ect o c Signature) Date SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained' this ap icatit9 is true and accurate to the best of my knowledge and understanding. ,........„ ,,,,,,o,a , Print er' o 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" City of Northampton Massachusetts r • ir.r DEPARTMENT OF BUILDING INSPECTIONS1' i„ } ` 212 Main Street • Municipal Building 1.•( INorthampton, MA 01060 ���. p 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: �� ,ti .�.; � l Z �c� �c2 ��Q�e �p4�lp `C`t1CL�c� �... The debris will be transported by: Name of Hauler: \ r\A, / /oW/02 \ � a Signature of Applicant: Date: City of Northampton �tvim ,- 4' '�+,� /v '=� Massachusetts r ;- {(+ . i t DEPARTMENT OF BUILDING INSPECTIONS e .5 *''r tti' -� 212 Main Street • Municipal Building ,,_�; pert V 400. t+tr' Northampton, MA 01060 HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, jd e Pal e (insert full legal name), horn (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 qualifi,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. c 20 A/0(/ ee 023 Signed under the pains and penalties of perjury on this day of �20 r te ek (Sa ature) c The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, .Suite 100 w Boston, MA.02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/i5ltttmhers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print I e 9AY Window World of Western Mass Name(Business/Organization/Individual): _ • Address:641 Oaniel Shays Hwy City/State/Zip:Belchertown MA 01007 Phone#: 413 485 7335 } Arc you an employer?Check the appropriate box; 1 Type of project (required): • 1, j.!am a employer with 50 employees(full and/or part-time).* 7, D New construction 2,01 am a sole proprietor or partnership and have no employees for me inRemodeling,i,.,.,t 1 Iworking R. ;� ony.capacity.(No workers'comp.insurance required.,] 1 , 3.01 am a homeowner doing all work myself,(No workers'comp,insurance required.] ' j 9. 1.)ctnolit ir,r, l0 s 1 Building,addition { 4,01 am a homeowner and will be hiring contractors to conduct all work on my property. I will r ensure.that all contractors either have workers'compensation insurance or are sole 1 11.71 Electrical repairs or,additions • i proprietors with no employees. i -• ] 12.0 Plumbing repairs or additions' 5.D 1 ant a general contractor and I have hired the sub-contractors listed on the attached sheet, $ These subcontractors have employees and have workers'comp.insurance..c { I3,Q Roof repairs 7 14.( Other Replacement i 6.0 We are a:corporation and its officers have exercised their right of exemption per MUc. �__---.---_.__.__ 152,§1(4),and we have no employees.(No workers'comp,insurance required.] I *Any applicant that checks box til must also fill out the section below showing their workers'compensation policy information, l•iomeownrs who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new afl'idavir indicating•.!!c'h IContrnetor's that check this box must attached an additional sheet showing the name of the sub-contractors and state whether in not chose entities have employees. If the subcontractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. ilelow is the policy and job ON information, lnstlrancc CcrrnperltyNanie Indemnity Insurance Co.of North America Policy#or Self-ins,.i,ie.#: C56098598 Expiration I;atr�.: ,12 24___ _ _ . Job Site Address: /702 CreXCet f Sf City/State/Zip:A/O ham /0943/76( Attach a copy of the workers'compensation policy declaration page(showing the policy number and oxpiration date). Failure to secure coverage as required under MGL e. 152,§25A is a criminal violation punishable by:a fine up to S1,:$1)0,gt. and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER kind a fine of up to$:5(1,110.t day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the I>IA for insurance coverage verification. l do hereby cer un .er the pains a d penal es of perjury that the information provided above is true and correct, Signature; 1 it--? hate; __ ..-- Phone#: 413 485.7335 _ Official use only.'Do not write in this area,to be completed by city or town official. j . l t, City or Town: ! Permit/License#_ -__..— 1! .Issuing Authority(circle one): il 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical inspector S.Plumbing Inspector 6.Other 1 Contact Person• .� . _ Phone#• L11/INOIMOR-01 LAURA A�oRo CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYV) 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 he 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 NAME: Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (A/c,No,Eat):(413)594-5984 (A/C,No):(413)592-8499 Chicopee,MA 01013 ADDRESS:laura@phillipsinsurance.com .._ INSURER(S)AFFORDING COVERAGE I NAIC II INSURER A:EMCASCO Insurance Co INSURED INSURER B:Employers Mutual Casualty Company Window World Of Western Massachusetts Inc INSURER C: 641 Daniel Shays Highway INSURERD: 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 MUCH 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 J.113_____ TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYYJ LIMITS A X COMMERCIAL GENERAL LIABIUTY 1,000,000 EACH OCCURRENCE .., $ CLAIMS-MADE X J OCCUR f E 6Q44324 4/9/2023 4/9/2024 DAMAGE_ TO RENTED _PREMISE.1(Fa ocairrence) : 500,000 --- MED EXP(Any one person) $ _ 10,000 --.--- PERSONAL&ADV INJURY $ I,000'000 GEN'L AGGREGATE LIMIT PO APPLIES PER: GENERAL AGGREGATE $ 2,000,03f� X POLICY( X J E T I X I LOC 2,000,000 PRODUCTS-COMP/OP AGG $ _ OTHER: $ B COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY _(Ea BG:IdOpt) ._. $ 1'000,�n® ANY AUTO 6Z44324 4/9/2023 4/9/2024 BODILY INJURY(Perperson) $ _ OWNEDAUTOS ONLY X AUTOSULED pNA BODILY INJURY(Per accident) $ X AIUREOS T ONLY X AUTOS ONLYEp PROPERTY accident)DAMAGE $ 1$ B X UMBRELLA UAB X OCCUR EACH OCCURRENCE -__--.!$__.. 1,000,000 EXCESS LIAB CLAIMS-MADE 6J44324 4/9/2023 4/9/2024 1,000,000 DED X RETENTION$ 10,000 AGGREGATE _-_ I$ — WORKERS COMPENSATION I PER I I OTH- I$ AND EMPLOYERS'LIABILITY Y/N _.._J STATUTE L__1..ER. ANY PROPRIETOR/PARTNER/EXECUTIVE ,EL.EACH ACCIDENT _. $N/AO FCRoMryEMNR EXCLUDED? If yes,describe under _EL.DISEASE-EA EMPLOYE $ DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT I I I I __ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 212 Main Street ---------- - -- ----- - --- Northampton,,MA 01060 AUTHORIZED REPRESENTATIVE I -- I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD DATE(MMIUDIYYYV) .''�C-C 1� D9122/2117.3 `.- 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 POLICIE., BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUIN1 INSURER(S), AUTHORIZEti REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. _ + IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL!NSURED provisions or he 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). _ f PRODUCER CONTACT LOCKTON COMPANIES,LLC N PHONE 3657 BRIARPARK DR.,SUITE 700 (NC,No,Eat):888-828-8365 I(NC,No): HOUSTON,TX 77042 E-MAIL ADDRESS: NSPERITYCERTSULOCKTONAFFINRY.COM INSURER(S)AFFORDING COVERAGE NAIC rk ------- ------ INSURERA;.IROMMY.103_Mrapce_Co.of North America_ 43576 I - INSURED INSURER B: WINDOW WORLD OF WESTERN MASSACHUSETTS INC. 641 DANIEL SHAYS HWY INSURERC: _ BELCHERTOWN,MA 01007-9529 INSURER D: INSURER E: !i i 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 F'ERIOC' INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CON TRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI1: CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY- EFF POLICY EXP LTR INSR WVD POLICY NUMBER (MMIDD/YYYY) (MMIDD LIMITS • COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAFAAGE-TO RENTED CLAIMS- OCCUR ,PREMISES(Ea occurrence) $ MED EXP(Any ern.person) PERSONALS ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER:POUCY IFr:T �I LOC GENERAL AGGREL GALTM $ PRODUCTS-COMP/O AGG a OTHER: S _AUTOMOBILE LIABILITY COMBINED SIR. 4 IUaeocidenl)____- ANY AUTO BODILY INJURY(Par person) $ OWNED SCHEDULED B I BODILY INJURY(Par accidonl) $ HIRED ONLY NON-O PROPERTY DAMAGE HIRED NN•OWNED $ ' AUTOS ONLY ,AUTOS ONLY .(Per acOdentl__ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS VAB CLAIMS-MADE —_-- - AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION ; AND EMPLOYERS'LIABILITY Y'�L _X�STATUlEI IERH-_. A ANYPROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? —N/A X C56098598 10/01/2023 10/01/2024 EL EACH ACCIDENT $ 1,Qt')O 000 (Mandatory in NH) If yes,describe under EL.DISEASE-EAEMPLOYEEI$ 1,000,000 DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICYLIMIT $ 1,0t10,1)00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) • • CERTIFICATE HOLDER CANCELLATION 2970777 Town fo fo Northampton ' Building Dept SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 272 Main St BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Northampton,MA 1060 ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE o 1988-2016 ACORD CORPORATION. All rights reserve I. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD TF1 COWMONWEAL TH OF MASSACHUSETTS Off!. of Consumer Affairs&S'.'siners Reaulat!cn Registration Yale fc-i:tdlv'idual use only cefors the !-TOME IMPROVEMENT CONTRACTOR expiration date. it fount'l return to! TYPE;Iitd'iviiivai Office of Consumer Affairs and Business Regulation Recistratiort Iiipicatioll 1000 Washirtgton Street -Suite 710 201746 O4(07l20E5 Boston.MA 02118 \!i`'-OLAL DOS NICHOLAS DROST 102 O..AKRIDGE DRIVE • - .„t,�`%.0 • 3ELCHERTOWN.MA 01007 • -s. --- Undersecretary Not valid without signature THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HONE 1MPROVEMENt CONTRACTOR TAT E:torporatioq ReatstalticlffM?. ablration Commonwealth of Massachusetts 16584'- f,03_t4�2024 Division of Professional Licensure WINDOW WORLD OF;WESTERN t�IASSACHUSETTS,INC. Board of Building Regulations and Standards I' t 4 �'_ i i Constr sttMrd�iip�rvisor �`-y 1 - ; .} G8-11S719 <. __: /I TIMOTHY DROST 44<,, =_ iM_ I. ` = 'Y•.>.- Oc"pires:04/3012025 641 DANIEL SHAYS HW'- "- „I lc � I �i`` NICHOLAS T'DROST a' r r BELCHERTOWN,MA 0100T ,_ _: Undersecretary 102 OAKRIDGE DR r 1 — BELCHERTOt+yt�t d Mq '01007 '' •t 15 •i& 3,r•s' Commissioner ' a, Quote Date: 8/9/2023 awkw Winxxv � enid Customer Name: Project Name: Unassigned Project Address: Quote Name: Unassigned Quote Quote Number:4818686 Phone: Order Date: Quote Not Ordered Fax: PO Number: Customer Information: Comments: RO size for Flange is for standard lx buck with precast sill. Please contact your supplier for other Flange opening RO's. ITEM&SIZES LOCATION/TAG PRODUCT DESCRIPTION UNIT PRICE/EXTENDED PRICE Line Item: 100-1 None Assigned ***PRODUCT*** Quantity: 1 Row 1 1280 2 Lite Single Slider-XO-1 Units-30W x 12H ***DIMENSIONS*** RO Size: 30.5"X 12.5" 30W x 12H Unit Size: 30"X 12" ***FRAME*** East,Vinyl,Frame Type-Finless,Foam Tape,Exterior Color-White ***GLASS*** Glazing Type-Insulated,Glass Tint-Clear,Low-E,Argon Gas,Glass Strength-DSB ***SCREEN*** -- -A -- Screen-Rollform Half,Screen Mesh Type-Clarity ll ***WRAPPING*** I • Extension Jambs-None ***NFRC*** Series 1200::SingleSlider,U-Factor::0.3,SHGC::0.3,VT::0.57 F — ***Performance*** Series 1200::SingleSlider,Calculated Positive DP Rating::25.06, Calculated Negative DP Rating::35.09,DP Rule ID::3580 SLIDER2, Rating Type::DesignPressure, Performance Grade::R-PG25*,Water Rating::3.76,FL ID::13349,STC Rating::27,OITC Data::22 1280 2 Lite Single Slider-XO-No Call Width-No Call Height Units are viewed from the Exterior Total Unit Count: 1 Submitted By: Accepted By: _ Signature: Signature: Date: Date: Quoted by: Window World Western Quote Number: 4818686 Pages: 1 of 1 Print Date: 8/9/2073 1:02:30 Phi tol8ysachussetts Window World of Western Massachusetts v4tennn■P!R41R1 comply nn 641 Daniel Shays,Hwy,Belchertown, MA �� .Y , :1' 01007 �.,-'975 North Road,Westfield, MA 01085 WardOW Office: (413)485-7335 WINDOW w07LE) * www.WindowWorldofWesternMA.com CARE J� Joe Pater Phone: 4133875173 Install Address: 172 Crescent St Email: magdaoiry@gmail.com Northampton, MA 01060 Contract Name:Joe Pater- Sales-Windows Design Consultant: Tim Drost Measured By: Measure Approved Date: 11/12/2023 Status: Contract Payment Method: Credit Card Lender: Contract Type: Sales Comments: Product Description Txbl Qty Price Extension Permit&Administrative Permit&Administrative Fee N 1 $200.00 $200.00 Fee Setup and landfill disposal fee Windows Setup and landfill disposal fee -Windows N 1. $50.00 S50.00 Basement Slider- 1 panel (Min 11.5") OR Basement Slider- 1 panel (Min 11.5") OR Fixed Unit N 3 $599.00 $1,797.00 Fixed Unit . Reframe/Retrim replace rotted sills and wrap complete frame with Reframe/Retrim aluminum wrap around conduit on driveway side on right buck frame , N 3 $375.00 $1,125.00 REPLACE ALL SILLS Total Information Unit Total: 7 Subtotal: $3,172.00 Tax Rate: 0% Tax: $0.00 Total: $3,172.00 Amount Financed: $0.00 Payment Method: Credit Card Deposit Amount: $1,500.00 Balance Paid to Installer upon Completion: $1,672.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: RRP Signed Date: r Window World of Western Massachusetts „e ,s WpuRTcommnno 641 Daniel Shays,Hwy,Belchertown,MA141117 01007 975 North Road 1 =� + ,Westfield,MA 01085 WUt L(� � OfHce: (413)485 7335 WINDOW WORD www.WindowWorldofWesternMA.com �AR E Product Acknowledgements • i have received a copy G,,the scat+ 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 rreaan•P(^"Rrrom�,no 641 Daniel Shays OH O Belchertown, MA _ ard. 975 North Road,Westfield,MA 01085 WINDOW WORT D Q ,Q� Office:(413)485-7335 CARE www.WindowWorldofWesternMA.com Preparing for Your New Windows and Doors Thank you for choosing Window World to complete your home improvement project.This letter is designed to simplify your upcoming installation experience by letting you know what to expect. 1. HOW LONG DOES IT TAKE? It takes approximately 4-20 weeks to receive your custom-made window order from the factory following your final measurement and your job exiting the Massachusetts State three day rescission period. A Window World associate will contact you shortly after your products have arrived to schedule the installation. Please note that we will make every effort to install your products within a reasonable time after they have arrived, but weather(rain, snow, high winds and extreme cold), high volume sales periods or other conditions(factory production delays,factory closure for holidays,shipping delays,etc.) beyond our control may govern the installation date. Homeowner understands and agrees that any such delays will not result in a discount from their contract total. 2. HOMEOWNER REQUIREMENTS: I understand that by signing this, I am certifying that I am the owner of the property listed on the contract. I agree that a property owner will be present for the duration of the installation to ensure that the work is performed to my satisfaction and to inspect the work completed. If a property owner is not present,the contractor will be released of liability for any installation issues.This allows us to better satisfy our customers and ensures that the windows or materials are installed in the correct openings. Customer must sign off on completion certificate and leave final payment with installer if he/she wishes to leave the job site prior to completion.Customer understands that by not being present at the time of installation may result in the automatic charging of the final payment to the credit card used for deposit. 3. UNFORESEEN CIRCUMSTANCES: If during the installation process a condition is found that would prohibit properly installing a window(i.e. wood rot, termite or other hidden damages, etc.),the installer will promptly notify the Homeowner as well as the Window World office of the problem.Any additional work that is required to properly complete the job will be discussed with the Homeowner and billed on a time and materials basis. In the event we have received the incorrect or damaged window for your job(due to an incorrect measurement or factory error), Window World will reorder the proper window and will schedule the installation as soon as possible.Window World expects payment on the work completed to date at the time of installation that is not affected by warranty issues. 4. WHAT YOU NEED TO DO PRIOR TO OUR STARTING THE INSTALLATION: • You will need to remove all curtains, shades, blinds, window air conditioning units etc.from the existing windows. • We also ask that you remove any pictures mirrors, etc. on nearby walls and tables. • Move all furniture away from the area around each window leaving approximately 3 ft in front of the window and ift on either side of the window to be replaced. • Secure any pets(and children)for their own safety and for the safety of our installers. 5. ALARM SYSTEMS: It is the responsibility of the Homeowner to inform the alarm company of the upcoming window or door installation and to arrange reconnection after installation is complete. 6. EPA-LEAD SAFE GUIDELINES: Homeowners of homes built before 1978 have received a copy of the lead hazard information pamphlet informing the Homeowner of lead hazard exposure from renovation activity to be performed in their home. The Homeowner understands and agrees to indemnify and hold Contractor,Contractor's representatives, and employees harmless for any lead paint health issues. 7. INSIDE INSTALLATION (Normal): If the windows are to be installed from the inside, the interior stop moldings will be removed from the existing windows and reused after the new windows are installed. Please note that the paint or stain on the trim/moldings may get chipped and would need to be touched up by the homeowner. 8. OUTSIDE INSTALLATION (Special): If the windows are to be installed from the outside, the existing window's wood "stops"will need to be removed. In addition, if there are existing storm windows in place outside of your current windows,these will need to be removed as well. Please note that the area(s)where the wood "stops"and/or storm windows were removed will need to be patched and painted by the Homeowner unless the exterior trim is to be installed by Window World. 9. UPON COMPLETION OF INSTALLATION:After the installation is complete,you will be asked to inspect the entire project with our Installer.An evaluation sheet will be provided for the Homeowner to cinn after the final incnertinn is rmmDleta Pleace make cure 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 tYLD(-)--) 11.1',A "Renovate Right" Brochure can be viewed and printed from here: Renovate Right Brochure WO of\A'. i,la,sachusetts anticipates starting this work on and being substantially completed in days.Any deposit required in di:ve !;c,' ut tIi ;t1ar t of the work SHALL NOT exceed 33 1/3%of the total contract price OR the actual cost of any material or ecjt.;i ;n;ont of a special order or custom-made nature, which must be ordered in advance of the start of the work to assure that the p,u; 'i a: •i&l Ili ocfed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all ,ail home improvement contractors and subcontractors shall be registered. No work shall begin prior to the signing of the ci n! • .:t :+i.,l 1 r:dismthal to the owner of a copy of such contract. WW of W. Massachusetts under provision of Chapter 142A of the g;•+. ,_; ca>rc required to apply for and obtain all construction-related permits.WW of W. Massachusetts shall not be deemed r+ l tot :._elays in the work described in this agreement caused by regulatory, permit granting agencies, authorities, or it, if the PURCHASER(S) obtains his own construction related permits for the work described under this agreement o: c;.s,11s ;'ill: unregistered contractors, the PURCHASER(S)is hereby advised that in the event of a dispute,judgement and n,•n; ,,y:,, r;;., tie !'UltCHASER(S)will not be entitled to make a claim or collection from the guaranty fund established by chapter i 1),.. •'1.1 J.1,. S'4,t1 Bite buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this t.� io'+al:doo. Notice of cancellation must be in writing postmarked no later than midnight of the following third business d; A. 1 l JS rc)N1:+;tDER Not FOR RESALE This Window World® Franchise is independently owned and operated by Window World of Western " r . fto. !-:odor license from Window World, Inc.