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35-099 (3) BP-2024-0429 79 DREWSEN DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 35-099-001 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-2024-0429 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2024 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 10288 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: MELISSA DANGORA, KRISTEN R.& Lot Size (sq.ft.) Zoning: WSP Applicant: WINDOW WORLD OF WESTERN MASS Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 C56098598 BELCHERTOWN, MA 01007 ISSUED ON: 04/12/2024 TO PERFORM THE FOLLOWING WORK: 9 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: !�s� Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner A The Commonwealth of Massalchus tts APR 1 1 2024 i n Board of Building Regulations and Sta dards FOR E _,...1 MUNICIPALITY Massachusetts State Building Code, 78 -CMR UEPI'.OF BUILDING INSPECTIONS USE Building Permit Application To Construct,Repair,.Reno iibi�5 si'0 —-Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: op. ;..i•Pligaf Date Applied: /5tr-xx t._) /055 11 y-12-ZDZL1 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 79 ..brew h �r 1.la Is this an accepted street?yes ." 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 CI Private El Zone: — Outside Flood Zone? Check if yes❑ Municipal 0 On site disposal system 0 P, SECTION 2: PROPERTY OWNERSHIP' 2.1Owner'A-f nett t t 5 5(4 i'l r q 7 /O/ M({° / /� /+(Z oS n5 ✓� � Name(Print) City,State,ZIP fig , rcwSe(A )r 97,98769v5- krt' fevtalaiNprGL QYnC,oYCotit No.and Street Telephone Email ddress V SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building' Owner-Occupied 'I ,, Repairs(s) 0 Alteration(s) 0 Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units t. Other IV Specify: V.P�()VA C_k. i 110 V t Brief Description of Proposed Work2: , A'div Melt.er-ur,.I SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ to a g g' 1. Building Permit Fee: $ Indicate how fee is determined: / ❑Standard City/Town Application Fee 2.Electrical $ 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All F s: PP ) 1 �,/ Check No. 'heck Amount: 61 Cash Amount: 6. Total Project Cost: $ l0, a6 0 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C.S— ` --S. 91C .� U . U,:) ., o `l „Nc'-i>��r License Number Expiration Date Name of CSL Holder U List CSL Type(see below) IC) l Lu Ne-scA Q ..`<"—\ve No.and Street a Type Description �aves\c� „)� 1 G Q` �, U Unrestricted(Buildings up to 35,000 cu.ft.) City/To ,S 1 R Restricted l&2 Family Dwelling M Masonry i 4. _, RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 6C3)k-k%5'tl , s?4,2_,rw...v5 c1 trJvAt)v`Z�k 4,cV. t,s. L I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) V.)\r4 G ---AA \c_ (4.3t--11 01 t c-q ;)r: ?el HIC Registration Number Expiration Date HIC Company^ Name or HIC`Registrant Name 1 1 (ot-1\ )Ck. �`(Yc S..‘b "C'4)`'` O4!Y'Y'h.t.-`a!+✓ I., Ai l.---k -c;�{`L-t. ' - wr Land Street ` 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 LiV 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 ��\kA, Lo. \s ')v\,) & to act on my behalf,in all matters relative to work authorized by this building permit application. Print O�ner's Name(Electronic 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 in this ap . ati is true and accurate to the best of my knowledge and understanding. Print er' o Authors 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 ,'ea. Mp / rod\\ AA Massachusetts ?' j'{ DEPARTMENT OF BUILDING INSPECTIONS 7E , 212 Main Street • Municipal Building 0\ .i.+�*. Northampton, MA 01060 'Ph• ;.. tea 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: 04S0\ \QS1Q lo% `Mc�.\c\ "a\. ���;c 4 �,1,_c rC 'fir. The debris will be transported by: Name of Hauler: \cam \A X, i//V Signature of Applicant: Date: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 .- T' Boston, MA 02114-2017 ;i,k' www.mass,gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. • TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual): Window World of Western Mass • • Address:641 Daniel Shays Hwy City/State/Zi.p: Belchertown MA 01007 phone#. 413 485 7335 # Arc you an•employer?•Check the appropriate box: i Type of project(required): • '; l. .1 am a employer with 50 employees(full and/or part-time).* , 7, New construction t 2,Qt am a sole proprietor or partnershipand have no employees workingfor mein I u P� P Y� t $, ;�Remodeling • nny.eapacity.(No workers'comp.insurance required.,l g t. 3, i am a homeowner doingall work myself.(No workers'cone,insurance required.) ` • + Demolition �Y >t.' q 4,01 am a homeowner and will be hiringcontractors to conduct all work on my10>�Building addition Pr�rtY• twill ensure that all contractors either have workers'cdx»pensatlon insurance or are sole # I 1.0 Electrical repairs or addition, . i proprietors with no employees. t �—, b 12.0 Plumbing repairs or additions, ' 5.L..,:i am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sulrcontraetors have etnlaloyees and have workers'comp.insurance.t j 13• Roof repairs• 14.r- Other Replacement i 6.0 We are a:corporation and its officers have exercised their right of exemption per MOL c, -- "" """ 152,§I(4).and we have no employo es.iNo workers'comp,insurance requit ed.1 "Any applicant that checks box*I must also fill out the section below showing their workers'compensation policy information, M R Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating smelt tContructor's that check this box must attached an additional sheet showing the name ot'the sub-contractors and state whether or not those entities have employees. If the sub•eonitactors have employees,they must provide their workers'comp,policy number. ..rffttettfetTOCZNIMINACOU l am r an employer that is providing workers'compensation insurance for my employees. Below is the policy and job she information, Insurance Company Name: Indemnity Insurance Co.of North America — Policy#or Self-ins..Lic.#: C56098898 Expiration Date:10/01/2024 w M» Job Site Address: 79 _bre kJ3( 0 Lb r City/State/Zip: 17ore1Ce Mg 5 010602 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL e. 152,§25A is a criminal violation punishable by a fine up to'il,R(X),4 O and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$21().(1().1 day against.the violator.A copy of this statement may he forwarded to the Office of Investigations of the L)IA for ins:in:nee coverage verification. .1 do hereby cer ,un er the pains g9a��d penal 'es of perjury that the information provided above is true and eorr•eer. Signature: ' / bate: �/ 02 V _. Phone#: 413 485,7335 — Official use only. Do not write in this area,to he completed by city or town officrial. City or Towia: 1 Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5. Plumping Inspector 6.Other i Contact Perstt►t: _. Phone#:M..w....,._._.....,._..._.._._____ ^� DATE IMM/DD/YYYY) 09/22/2023 ACTc)RL, CERTIFICATE OF LIABILITY INSURANCE Acct#:2970777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS! CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.! If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT LOCKTON COMPANIES,LLC NAME: PHONE FAX 3657 BRIARPARK DR.,SUITE 700 (A/C,No,Ext):888-828-8365 (NC,No): HOUSTON,TX 77042 E-MAIL ADDRESS: — — — — I N SPERITYCERTS@LOCKTONAFFINITY.COM INSURERIS)AFFORDING COVERAGE NAIC# INSURER A;Indemftttylnsurance.Ce of NortliAmerica_-__._.._- 43575 INSURED INSURER B: WINDOW WORLD OF WESTERN MASSACHUSETTS INC. 641 DANIEL SHAYS HWY INSURER C BELCHERTOWN,MA 01007-9529 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 1HE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ..__ — INSR ADDL 9UBR POLICY EFF POLICY EXP LT TYPE OF INSURANCE LTR INSD WVD POLICY NUMBER IMM/DD/YYYY) (MM/DD/VYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE DAMA E TO RENTED CLAIMS- OCCUR PREMISES(E@occurrence)_ $ --- MED EXP(Any onojorson)- $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY I �RO- D- OC PRODUCTS-COMP/OP AGG $ OTHER: ._ - - AUTOMOBILE LIABILITY COMBINED-SINGLE LIMIT - $ ocldenl) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY accident) $ AUTOS ONLY _AUTOS (Por HIRED NON-OWNED PROPERTY DAMAGE $ - AUTOS ONLY AUTOS ONLY _(Per accident).___ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE _ $ BED RETENTION$ $ _ WORKERS COMPENSATION X I STATUTE I_ I ERH A AND EMPLOYERS' NYP OPRIEE OR/PARTNELR/EXECUTIVE Y1L OFFICER/MEMBER EXCLUDED? —N/A EL EACH ACCIDENT $ 1,000,000 (Mandatory in NH) x CS8098S98 10101/2023 10l0112024 _ If yes,describe under EL DISEASE-EAEMPLOYEE DESCRIPTION OF OPERATIONS below S 1,000,000 EL DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/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 272 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 reservers. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • W I N D W O R-01 DATE(MMIDD/YYYY) .a►�oko CERTIFICATE OF LIABILITY INSURANCE 4/14/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Laura Misseri Phillips Insurance Agency,Inc. PHONE 97 Center Street (A/c,No,Ex (413)594-5984 I�e FAX No):(413)592-8499 Chicopee,MA 01013 q oR' ss;laura@phillipsinsurance.com INSURER)AFFORDING COVERAGE _ NA IC# —_.— INSURER A_EMCASCO Insurance Co INSURED INSURER e_: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 Tlf 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 TC 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 (MM/DD/YYYYI (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILJTY EACH OCCURRENCE __ 1'000,000 CLAIMS-MADE PO OCCUR 6Q44324 4/9/2023 4/9/2024 pRAEM13E$(ERB oo u ante)_ $_ — 500,000 MED EXP(Any-one person)__ $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY L xj jpa I.X J LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: COMBINED O C B AUTOMOBILE LIABILITY MB SINGLE LIMIT CO BIKED 1,000,000 ANY AUTO 6Z44324 4/9/2023 4/9/2024 BODILY INJURY(Per personZ_ AUTOS ONLY X AUTOSULED BODILY INJURY(Per ecciden) $____. ory oyy ED pR D _.. _ . A WOS ONLY X AUTOS ONNLY (Perr ac dent)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 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N _STATUTE _—_ER .._.____-_._...__.._ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N/A $---- - - - (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE,Y_ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 212 Main Street — Northampton,MA 01060 AUTHORIZED REPRESENTATIVE yyr." ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD , —- Cummorminailla of Ma 9.11114:11itiottitr- . DINIISI01101.PtortfainiWahl lite enrolee •• k3emrl of hulJiiiinfi Hie.944itiont,and.tliontiottie Co flai,t944f;r-§Opprvinor , '1 ., r,),931irat:011)30J2026 NICHOLAS TA110.64:; '' dAlc• -•..„. iy;,1,.1J..,:i,-,,uterl• 102 OAKRIDGE OR F,,'.,MAY '', .•:." L'i-''' ,.rit' ' •'' •rilwri'll'`,",^',,,,t. BELCH EHT0b9/4 NuttOpO' • ' .--1.- ,!.',,o..0 (I,) i, ••,, .14-4y '1..i. I•11:07` ,,,.,, ,,, $.4.,4•i,,,,;.4 Commissioner e.,..t,„„ja i.,,, ... ....._ .......... THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Allnirs&Ovalness Regulation Registration valid for individual use only note;il•ttin HOME IMPROVE9gNrCONTRACTOR expiration date. II iound return tu: PiTgilaii;idyni Mice 01 Consumer Affairs and'Business Negi lotion lieglattatigig,trfagirotion, 1000 Vita shin olo n Street -Suns 740 :::191,:":41S144)464M7.0q.P.5 Boston, MA 02110 NIICHOLAS DAMP ro I.:1 It .i .4.,'•••4' ,... / ,o., 7 \ I " •,' v,41•!i":.• • ' /1 i •,::' 1. ,'#1'''''' "..., 110-10LAS DROS1 :;1:. 'T...,...:' .":1 / 102 OAKRIDGE DHIVE - A,74,„„„,esi:I',...:,0,4400.6. 3ELCI1ERTUAW,MA CHOOZ ': . : " ., • ,.. .r * . Undorsocrotary Not valid without signaturo .... THE COMMONWEALTH OF MASSACHUSETTS Office of Consunier Affairs&au liteu s ketirdation Registration valid ler Individual use only Uefore the 110ME IMP ROVEMEN r,CONTRACTOR expiration date. If'Wood raisin'lo: TYPE:.Cot powhoit Office or CallSUI1UN A•tialre arid LitIGIIIOSS Regulation Registration Expiration 1000 Washington Street -Suits 710 lastlo . 03/141026 Uw,ion,MA ovris WINDOW WORLD OF WESTERN MASSACk lUsET I'S.INC. . . . TIMOTHY DROST .' , • ,. c-,4; 4 -4,4,, r, .k.,I., 641 DANIEL CII•lAYS HWY -, , - 8 ELCHERTOWN,MA 01007 — - Unr.1,!:q sec:Jet:11'v Not%/aid without signature Window World of Western Massachusetts 641 Daniel Shays,Hwy, Belchertown, MA 01007975 North Road,Westfield, MA 01085 Window ,(,t Office: (413)485-7335 wm,n/-�v w,» www.WindowWorldofWesternMA.com C~ E Kristen Dangora Phone: 9789876905 Install Address: 79 Drewsen Dr Email: kristendangora@gmail.com Florence, MA 01062 Contract Name: Kristen Dangora - Sales-Windows Design Consultant: Tim Drost Measured By: Measure Approved Date: 3/26/2024 Status: Contract Payment Method: Financed Lender: Contract Type: Sales Comments: Product Description Txbl Qty Price Extension Permit&Administrative Fee Permit&Administrative Fee N 1 $200.00 $200.00 Setup and landfill disposal fee Setup and landfill disposal fee N 1 $250.00 $250.00 Full Exterior Capping Full Exterior Capping --Color:just living room and kitchen N 3 $184.00 $552.00 Mullion Removal Mullion Removal KITCHEN N 1 $60.00 $60.00 Remove existing Bay/Bow Remove existing Bay/Bow N 1 $600.00 $600.00 Mull to form multi unit Mull to form multi unit living room N 1 $85.00 $85.00 6000 Series DH Triple Pane 6000 Series DH Triple Pane N 9 $949.00 $8,541.00 Total Information Unit Total: 14 Subtotal: $10,288.00 Tax Rate: 0% Tax: $0.00 Total: $10,288.00 Amount Financed: $0.00 Payment Method: Financed Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $10,288.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: RRP Signed Date: Window World of Western Massachusetts „■..q,,,,■W""°r commnno 641 Daniel Shays,Hwy,Belchertown, MA t � 1007 975 North Road,,West Westfield, MA 01085 ) VII144944/ j Office: (413)485-7335 WINDOW WORLD CARE 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 /Vp7 Secondary Homeowner Window World of Western Massachusetts it m LfTiRRRf°� )CORIfIm11D 641 Daniel Shays,Hwy, Belchertown, MAf', A 01007 975 North Road,Westfield, MA 01085 Watdow tU Office: (413)485-7335 CA RE 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 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 VV. Massachusetts anticipates starting this work on and being substantially completed in days.Any deposit required in advance of the start of the work SHALL NOT exceed 33 1/3% of the total contract price OR the actual cost of any material or equipment of a special order or custom-made nature, which must be ordered in advance of the start of the work to assure that the project will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all parties. All tome 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 lam•, is required to apply for and obtain all construction-related permits. VVW 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 nonpaymen;, 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 CL'S fOM 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.