Loading...
06-022-044 BP-2024-01_59 48 EVERGREEN RD#312 COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 06-022-044 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-2024-0159 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2024 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 3516 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: D'ASTOUS BRIANNA Lot Size (sq.ft.) Zoning: URA Applicant: WINDOW WORLD OF WESTERN MASS Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 C56098598 BELCHERTOWN, MA 01007 ISSUED ON: 02/16/2024 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: I � I 51-1 Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner s� The Commonwealth of Massachus tts VA) Board of Building Regulations and Sta dar a 202� FOR Massachusetts State Building Code, 78 C M NICI PALITY t� - USE Building Permit Application To Construct,Repair,Rektovate Orpi tnolysbNIFPE gsed Mar 2011 One-or Two-Family Dwelling? _ . 1-C�5ti; +A01060 This Section For Official Use Only Building Permit Number: 0-a''/59' Date Applied: /IUI ) a55 //ice 2- I5ZOZ Building Official(Print Name) Signature Date y SECTION 1:SITE INFORMATION 1.1 Property Address: _/ /3 J 1.2 Assessors Map&Parcel Numbers 1.la Is this an acc ed 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 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2y11 Owner'of Record /_ riQna 1 I re hdq d-Gra?.h)Sliat5 0 �13 N P O/03-3 Name(Print) J City,State,ZIP //8' EVe rq ree11 Rd 3i 3 Ia y/3 02 3 7 50029' „balsa.,Agu 5 /l'/ 3e_gill it ii co 1/1 No.and StreeNJ Telephone Email Address c.j SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building', Owner-Occupied 'q4,, Repairs(s) ❑ Alteration(s) 0 Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units '., Other bSpecify:V `Q e.ii.flip ilk k - Brief Description of Proposed Work2: 1 k /Yew . ke_r-It,v/ / SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only 1. Building $ 3 5/ 6 1. Building Permit Fee: $ Indicate how fee is determined: i ❑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 $ '1 Suppression) Total All Fees: IA t� Check No.6 g( heck Amount: IP Cash Amount: 6. Total Project Cost: $ - i 5 ( 6 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C!,Qv\h�Cl� ` Nc i>S�r License Number Expiration Date Name of CSL Holder List CSL Type(see below) U '.o Ccw \t•-•Nc (*Sz Je No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) G . CAO6A R Restricted I&2 Family Dwelling City/Town,S , It' M Masonry A .__. RC Roofing Covering WS Window and Siding (:r SF Solid Fuel Burning Appliances .. )t'&S.*PjljS Q.t?Y' . �� 0 tA.c401 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) \'\e .t '.-CX +CAA. HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name i.0 S\t\e't \.4 )..Yy G�rrr..� c�\n �.,y�:����;,,11_a':,x and Street Email address eSZ0%.o.r- .ii›Cv.�("Yv&_OlC1t1"1 -‘3) 9q 5 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 G17 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 '`)CsV ?s,, to act on my behalf,in all matters relative to work authorized by this building permit application. 02/ / loqy Print Owner's Name(Electronic Signature) gn afore) 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 itah is true and accurate to the best of my knowledge and understanding. / 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 o THAM a� Massachusetts ,S - tt DEPARTMENT OF BUILDING INSPECTIONS °43al ''� 212 Main Street • Municipal Building J` b, .ram +�" s Northampton, MA 01060 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: 0450\ \i e (.01qe mn The debris will be transported by: Name of Hauler: \‘f\tkr \ , *.> Cif /a1( Signature of Applicant: Date: 4H MY o City of Northampton kf a •-'6, Massachusetts 's' r% (4`. 'ac 1, f, + DEPARTMENT OF BUILDING INSPECTIONS 7� c \,, ,*' 212 Main Street • Municipal Building Ste ` C. _;:vim' Northampton, MA 01060 r"�4 HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, /3 ri a n na, /J re nda d 6jre j ju 3 (insert full legal name), born (insert month, day, year),hereby depose and state the followlg: 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners'exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3. 3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one-or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work involving construction, reconstruction, alteration, repair, removal or demolition involving any activity regulated by any provision of the Massachusetts State Building Code. 5. If I engage any other person or persons for hire in connection with the aforementioned project or work on my parcel, I acknowledge that I am required to and will act as the supervisor for said project or work. Signed under the pains and penalties of perjury on this I day of re4ru ' f, 200?1.1 ( o2 0 C-AN.\--z-c_.e ( nature) Y "a`"`""' _ The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 • Boston, MA 02114-2017 . r� , ,' www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Flectrieians/Plumbers. To BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leiiibly Name(Business/Organization/Individual): Window World of Western Mass Address:641 t}aniel Shays Hwy City/State/Zip: gelchertown MA 01007 phone#: 413 485 7335 . ? Are you an employer?Check the appropriate box' Type of project(required): •r i.e.'am a employer with 50 employees(full and/or ixtrt,time)." 7. 0 New construction 2,DI am a sole proprietor or partnership and have no employees working for me in i 8. 0 Remodeling nny.eapacity.'No workers'comp.insurance required..) t 1.0I am a homeowner doing all work myself.(No workers'cotnp,insurance required,) '' + 9 0 Demolition r 4, I ant a homeowner and will be hiringcontractors to conduct all work on my10 Building addition • ? L..•3 property. twill ensure that all contractors either have workeers'compensation insurance or are sole i 11.0 Electrical repairs or addition' • f proprietors with no employees. • ^^ i 12.C Plumbing repairs or additi,ms 5.0I cat a general contractor and 1 have hired the sub-contractors listed on the attached sheet. These subcontractors have employees and have workers'comp,insurance.t i 13,Q 1Ltx)f repairs • • ( 1 14.1 Other Replacement 6.t_,.a We are a:corporation and its officers have exercised their right of exemption per MI.c. --— 152,§1(4),end we have no employees,iNo workers'comp,insurance required.) Any applicant,that checks hits•#1 must also fill out the section below showing their workers'compensation policy intimation, µ Homeowners who who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such t'Contractors that check this box must nttttched an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the.sub-contractors have employees,they must provide their workers'comp,policy number. 4wtrrwtr 1 am an employer.that is providing workers'compensation insurance for my employees. Below is the policy and job site in 'ortnatlon, lnsurance.Company Name: indemnity Insurance Co.of North America • • Policy• #or Seifins.Lic.#: C56098598 10/01/2024 Expiration.Date: Job Site Address: y g VL rot ree lit Rd /9 p /.34 City/Staterzip:.�( 01 iq a la-5-3 Attache copy of'the workers'amipensation policy declaration page(showing the policy number and expiration dote i. Failure to secure coverage as required under MOL e. 152,§25A is a criminal violation punishable by a line up to$1.500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 4i2,50,(1(1.1 day against.the violator.A copy of this statement may be forwarded to the Office of Investigations of the D1A for insurance coverage verification. I do hereby cer ' an erthe pains a d penal 'e•t of perjrny that the inlnr•nratura provided above iss true and correct. Signatum / � Date: /' /o& •.�„.�,.....,...._. Phone#; 413 485.7335 �/ „___.. ,. �.. .. .. z ��..r , Waal use only.'Do not write in this area,to be completed by city or town(Octal, City or Town: 1 Permit/License #_. Issuing Authority(circle one): r I.Board of1{ealth 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5,Plumbing Inspector j 6.Other Contact Person: Phone#: _._ --•''�� DATE(MMIDDIYYYY) .4'�`J1 W 09/22/2023 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), AIITHORIZED 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 sy:atement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT LOCKTON COMPANIES,LLC NAME; 3657 BRIARPARK DR.,SUITE 700 PHONE FAX (A/C,No,EXt):888-8.28-8385 (NC,No): HOUSTON,TX 77042 E-MAIL ADDRESS: INSPERITYCERTS@LOCKTONAFFINITY.COM INSURER(S)AFFORDING COVERAGE NAIC>k -- _-- -- -- __ INSURER A:Indemnity Insurance Co.of Nor1h America 43 7E INSURED WINDOW WORLD OF WESTERN MASSACHUSETTS INC. INsuRERB: 641 DAN I E L SHAYS H W Y INSURER C: BELCHERTOWN,MA 01007-9529 INSURER D: INSURERS: 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 SUER "- POLICY EFF POLICY EXP - - --- - LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS- OCCUR DAMAGE TO RENTED - - PREMjS$(Ea occurrence)_ $ MED EXP(Any ono poraon) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY nPRO- LOC PRODUCTS-COMP/OP AGG $ IIFCT OTHER: AUTOMOBILE LIABILITY COMBINED-SINGLE-LIMIT $ _SEg_9CCCidenlL_—__—__—. -. ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED - ---- - 8 - AUTOS ONLY _._ AUTOS ONLY PROPERTY DAMAGE _(2eLaccldentl----.-----_ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE _ $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION V PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I ER A ANYPROPRIETOR/PARTNER/EXECUTIVE - - OFFICER/MEMBER EXCLUDED? [—NIA E.L EACH ACCIDENT $ 1,000,000 (Mandatory in NH) x C56098598 10101/2023 10/01/2024 If yes,describe under E.L.DISEASE-EA EMPLOYEE DESCRIPTION OF OPERATIONS below $ 1,000 000 EL.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) CERTIFICATE HOLDER CANCELLATION 2970777 ...�- Town fo Northampton Building Dept SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 212 Main St BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DI LIVERED 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 ACOR[7►' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4/laizo23 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 COONTACT Laura Misseri Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (A/C,No,Ext):(413)594-5984 (A/c,No):(413)592-8499 Chicopee,MA 01013 R-talus:laura@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:EMCASCO Insurance Co INSURED INSURER B: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. L - - -- YOU —" ILT R TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/VYYY) (MM/DD/Y A X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE ;_.. CLAIMS MADE OCCUR 6Q44324 DAMAGE TO RENTED 4/9/2023 4/9/2024 PREMISES Ea ocourr�ncpj__-- $ 500,000 MED EXP(An q a person) J 10,000 PERSONAL&ADV INJURY $ _ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE___ $ 2,000,000 X POLICY X J LX-I LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) ANY AUTO 6Z44324 4/9/2023 4/9/2024 BODILY INJURY(Per person $ OWNED SCHEDULED AUTOS ONLY X AUpTNOS Ep BODILY INJURYp (Per accident) $_.___.,._ ... AUTOS ONLY X AUTOS ONNLY (Perr alxWent)AMAGE B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE 6J44324 4/9/2023 4/9/2024 AGGREGATE $ 1,000,000 DEC-1 X RETENTION$ 10,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT N/A MCtoMryMR EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below , E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE 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 Affpjfis&Business Regulation Registration valid for individual use only before the HOME IMPROVEMEO NTRACTOR expiration date. If found return to: TYPE-fhdly - Office of Consumer Affairs and Business Regulation ;3e r 1000 Washington Street -Suite 710 201 T# Ems, Boston,MA 02118 VICHOLAS DROST — /- VICHOLAS DROST I f. -' 102 OAKRIDGE DRIVE , �a 3ELCHERTOWN.MA 01'007 Undersecretary Not valid without signature THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENY CONTRACTOR T PP torporatior fteaisti'eflOn=`Ig viration 1651-_ 03t1±1t2424 IVY Commonwealth a#Nlassachvsetts Ire--•' Division of Professional Licensure k'thti70 WINDOW WORLD dF WES R SAG�itlSEtTS,INC. i °-i Soarer of Building Regulations and Sanded t --1='i ""�"` L:l Canst�±l r� i5p�rvisor a _til 7.'—'f-i f g #16719 4.ti. TIMOTHY DROST \\ -'=ii '-_ az € .ELM-=.—� ._ rsires:94J31)J2025 641 DANIEL SHAYS HWY • .-,.: ,,.. a.i 0,e¢ NICHOt AS T DROS � :, BELCHERTOWN,MA 01007.-; Undersecretary 102 OAKRIDG DR r - BELCHER7roilU�1 MAf`0I0�47t y � r 1 c Commissioner f sG fi' Stmito I r=_ ,- -___ _ r,, . '�. Ni!Windows And Doors sl`ttfttnt, rvir0:3 85Q West lAttrliet St f+hi Windows An doors J„ �aratz,Pg170Q ar destrrsythe � � ,t1 Esc West'A Aka St t " ir ?.., t�tz,t�A 1'rDsv >>i � 1650 r2iFe son OHNINYUNo Grids y ' 1fi65 1` j ti R C gs Panel Liter[:{era,Ciear,L l % SIDE INYUGrids ( ,Clear,NONE,Anne R""� i;Lie,?: FtculttD • _ �EdT1 Argon;37 v2 X 37 IJa9or,aiFer gt ili21 ted•(118",detr>�E. > %its f2 r �tzssauos s s that can be f 's0 ' ofs",t'eito a nd)1 A tl' tnmasuu products may W sun *cleaner, ....... -- so varfatton in parrcrmxr,ee m for differnt ytta4216.0 a00CEt ENERGY PERFORM and boors trranrceurt products my pa auklaet to ast000n to performance PERFORMANCE RATINGS !1-Factor Alen (U.SJf-la} Solar Heat Gain Coefficient trus on the ENERGY PERFORMANCE RATINGS �r 11-Factor f ti.S,tl-Pj Solar Heat Gain Coefficient 1 0.2 l • 0.29 ADDITIONAL-PERFORMANCE RATINGS` t'oduct ter-generally 0.27 : Visible Transmittance Air Leakage tt.S ll-A (= ims to AD1DiTlONAL pERFORMAWGE RA►TI n ry { ) Visible Transmittance �►ir Leakage(U.S.l1-P} Q, 2 .�! rals. • gyp■ y�l� _ r r&`nac r 'u iv°` mr Mlare.¢3 rl a lz,*pima hr,bake - .: 0°4� s ... .. .. '�-�Esc9artternp pma,¢r tr�r V��`P�oatr,"'riA cc�sw .. o ati�it7mant 'm ire c� :mr °'rtm°p wt w+u„acay 'vao°� C forafield OWN HrA .ae aapa cpr°C+� i te' i rat, amp anreeuatr AIMS nil IlligatiZi ini 6a etrlarma�a anyaRitTs�s.cans�e • ENERt Y STAR Certt#tcd in Hrghiifl led Reg%DaS. Iris.Use a """ ritfi�a<13per ENERGY STAR on Ids.reg'iones resMadas. Ce ! TFI(ff�Y.STAf1 Gc[t>E�ed rtot:.tist�tstt+)ttSi;d hcisstts t r itifi flan: .(t ctf11RGt.STAH r}as rsr�ionvs r©vatt�das: j� 1,* ctterQrsaargr ... 9 .•, • • " racw riauccetcrt aeaE'E"G1 <<T � Forfellinf►r etke,sea label ssa rueafrrL P information corpbra eo45sBrr to di$li del pawl aneryrateceeenciatows S tertfediCett.IfcadC Fat tell inf►nssatiep to tabd oa Pradset Perf Grade i ;DP(ASD) ' Para iatamanra=in tmrsHt+zarwrrttttr:tom tie!prattueA. t C-AG35' `D (ASd�3S.33 3fl.i3Arlastfast Size Re+DP(ASP} D) Water Repo rig Florida ill Pert Grade35,09 644 40.00 X 72DD 72.Qt.so5.d7-ro t songs are far divitfrral Windows and doors ones, Fori<zfarmazxin ragardetp earn add sx est -12* i - " ` ��� M r stacked urns,please contact sots safes represantativ8.Pas and Nag DP firn3ed trY 1411 72,00 X SO ; ►dAAntE)tU1Psa e&tolllse tat wea-Q5 cuss acca r na test size.Tasted to AA and doors olds. F� forrrsifott reflsrc tp tta�ad d TMiartat ink AAMP tabs[maybe concealed try gS.2/A bead or kacki5 xrdFario ltatirtus are for irad tal VAndoWs sates reprsset>s+r M.8os and AIe r QF rerdted trY ra�orr regartirtg instatation insintdrans, kale vest or stat3ced,relic,plaaets Corttr�t Y�+r 101ti.S.21A4d4-D5 AAMA{abet maybe .! p ww,nr.rrawd_smn. ;,nail +�last d b Tested to pAor ratOMtAIC;SA �6�>� � ! . tt>rtoeaied tty giamG bated or tragic t$er.For adtfitiotrrf tpformatton sagardtng 6 Pr-Intact en :.nail yta3aslatin isrtutianc,piessa veto wvrtv.mi+rrd.ea n, art�rzass a:ta:12 eun Prawd on ed axe 26772468.1.1.1 r tt<zS9 PM Window World of Western Massachusetts Ip.�F vrnwwas' T commnno 641 Daniel Shays,Hwy, Belchertown, MA 1 � � �,�,DIV 01007 sy� uc�ssww 975 North Road,Westfield, MA 01085 W Office: (413)485-7335 CARE www.WindowWor]dof We sternMA.corn Brianna and Brenda and George Dastous Install Address: 48 Evergreen Rd Apt 312 Leeds, MA 01053 Contract Name: Brianna and Brenda and George Dastous- Sales- Windows Design Consultant: Tim Drost Measured By: Measure Approved Date: 1/15/2024 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-Windows Setup and landfill disposal fee- Windows N 1 $50.00 $50.00 4000 Series DH Solarzone 4000 Series DH Solarzone N 4 $799.00 $3,196.00 Install Interior/Exterior Stops Install Interior/Exterior Stops N 4 $80.00 $320.00 Total Information Unit Total: 5 Subtotal: $3,766.00 Tax Rate: 0% Tax: $0.00 Total: $3,766.00 Amount Financed: $0.00 Payment Method: Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $3,766.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: RRP Signed Date: Window World of Western Massachusetts 641 Daniel Shays,Hwy,Belchertown, MA VfTi RRRi PInlirT(an RRDD 01007 ; a��--- Cited 975 North Road,Westfield,MA 01085 Office:(413)485-7335 w voow WORLR�D www WindowWorldoflNesternMA.com CARE ) 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 FTGH14(14 ,,' , ,�, ��,������ 641 Daniel Shays,Hwy,Belchertown, MA atdvH! 01007 /t ,f 975 North Road,Westfield,MA 01085 w{N,, 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 o, i iarinn chaor will ha nrnvirlari fnr the Homeowner to sign after the final inspection is complete. Please make sure that any corrections have been made before the installer leaves the job site.When the job is complete,we ask that you pay the installer the remaining balance due on your contract. 10. METHOD OF PAYMENT: Our installers will accept your final payment in the form of check, money order, Wells Fargo financing, or Visa/MasterCard/Discover Card authorization. As a courtesy and to ensure the safety of our installers; please DO NOT pay your final payment In Cash. 11. REFERRALS: Our goal is that you are pleased with the work we have done and will refer us to your friends and neighbors.You will receive a $50 referral fee for each person you refer who purchases 8 or more windows. Please have your referral mention your name when contacting our office. We trust that your remodeling experience will be a pleasant one. If for some reason you are not completely satisfied, please contact our office. Your comments are welcomed and will be used to better serve you. Thank you for your business! Primary Homeowner Secondary Homeowner Design Consultant EPA "Renovate Right" Brochure can be viewed and printed from here: Renovate Right Brochure 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 p•oceed 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 CUS COM ORDER NOT FOR RESALE This Window World® Franchise is independently owned and operated by Window World of Western Massachusetts, Inc.under license from Window World, Inc. /