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29-426 (5) 71 GOLDEN DR BP-2020-0262 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:29-426 r CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:window replaced BUILDING PERMIT Permit# BP-2020-0262 Project# JS-2020-0004481 Est.Cost: $18995.00 Fee:$100.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ' WINDOW WORLD/ROBERT E BUSHEY JR 57011 Lot Size(sq.ft.): 10149.48 i Owner: WHEELER MARY L&MELISSA E MATUSEWICZ Zoning: Applicant: WINDOW WORLD/ROBERT E BUSHEY JR AT: 71 GOLDEN DR , I Applicant Address: 4 Phone: i Insurance: 1029 NORTH RD (413) 485-7335 O WC WESTFIELDMA01085 ISSUED ON:8/30/2019 0:00:00 TO PERFORM THE FOLLOWING WORK:SIDING SOFFIT & FASCIA, REPLACE 5 WINDOWS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Servicer Meter: Footings: Rough: Rough:4' House# Foundation:. Driveway Final: Final: Final: II Rough Frame: f ' Gas: Fire Department Fireplace/Chimney: I Rough: Oil:' Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. I Certificate of Occupancy Signature: r FeeType: . Date Paid: Amount: Building 8/30/21019 0:00:00 $100.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner City of Nort am ton tusYbf Pemit y Building De art ent C ki Cu ©rreway�Permat �f� "� < 212 M 2019 Mai Stre t AUG 9 S Wer �pttc Aaiia6rlity Axl �i Ro(o 100 a @r ell/�Vaita�lhty r Y k 1 ¢ Nortl'amp to e M ,rvfi ww � rW_ phone 413-587-124 4 APPLICATION TO CONSTRUCT,ALTER,`REPAIR,RENOVATE OR DE Sli A ONE OR TWO FAMILY DWELLING _ I � SECTION 1',--'SITE'INFORMATION " .. 1.1 Property Addres, section to be com et d bar office C��ide� �VeJ 1 1 y 'plOVe rlc , fri1 r Map t Unit Zone a � ,Overlay District >I,' 5 1 �- E St`°District �- ' ICB District SECTION 2 •PROPERTY OWNERSHI 2.1 Owner of Record: awrvarne(rn ) �a�'eX�CC ;"11� U'(rlp�— Signature (—� Cu�ren�Maih�,�dI((��re§�u� I� Seg ofily Telephone 2.2 Authorized Agent: i 1(�2q r �d " SY D Ia 55 Nam' 'Pd #) �' f Current Mailing Address: f 1 ignature -` Telephone SECTION3 `ESTIMATED.CONSTRUCTION:COSTSy Item Estimated Cost(Dollars)to be Official Use,Only com leted hv nprrit a licant 1. Building (a)'Building Permit Fee 2. Electrical x (b)Esfimated Total Cost,of •Con'struction from 6, 3. Plumbing Buildmg Permit Fee 4. Mechanical(HVAC) / G � 5. Fire Protection 6. Total=(1 +2+3+4+5) .� . Check Number , J , This Section For bff10'a, User`Onl Building Per 'I umber: IDssued { Signature Buildmg Com missioner/Inspector.of Buildings:- Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 5•DESCRIPTION OF PROPOS (check"all'aPOIcablel, New House [] Additlon ❑ Replacement indows Alteration(s)'i ❑ Roofing ❑ Or Doors AccessoryBldg. ❑ Demolition ❑ New Signs 1[3] Decks [Q Siding Other[CM Brief Description of Proposed I CA ` r Work: 1(� l W Alteration of existing bedroom Yes No Adding new bedroom Yes X, N Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet sa. If�New�,house'sand,orreaddtor`iex�stiha,hciu`slna,°cornlSiete'the`following• a. Use of building:One Family I Two Family Other j b. Number of rooms in each family unit) Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new co I struction. Dimensions e. Number of stories? _s f. Method of heating? Firepla es o�oodstoves Number of each g. Energy Conservation Compliance. /Masscheck Energy Compliance form attached? h. Type of construction � I. Is construction within 100 ft.of wetla ds,?/� Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor6elow finished grade k. Will building confo ri;o the Building land Zoning regulations? Yes No. I. Septic Tan City Sewer Private well City water Supply SECTION 7a--.OWNER AUTHORIZATION 'T6 BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR AbPLIES,,FOR BUILDING:PE i property ,\,�b_ ,as Owner of the subject hereby authorize 1 X 6,hw I y aoo an d to act on my behalf,in all matters relative to wff k authorized by this building permit application. see, Gdlniyo c k) l g I a ))g Signature of Owner Date i I' 0 1A'r as Owner/Authorized Agent hereby declare that the statementd and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. PrintMme ;,,� Signature f.Owner/Agent Date j f� . SECTION:B-CONSTRUCTION SERVICES 8.1 Licensed Construction SupervisoCr: INot Applicable ❑ Name of License Holder., RQ 1,t Bt.Js"e_U License Number Ln <�mwazlick MIN to -1 X 011 Address /1 expiration Date ' Surf re Tele hone. '�,` 1, ;,..� Not Applicable ❑ ARob-ir,r�- 6�3t�isYlP�I I b5 b��-I Company Name Registration Number 9 li�ndi���i i�00A of ke, � �n MASS i�1c. Address Expiration Date 02 4� Irl 91 V11JQS�fl'P� d��A 01lephone '13'74 5 J335 - � f k SECTION 10 WORKERS',COMPENSATION INSURANCE AF'F'IDAVIT(M G.L c.152 §25C(li)) , 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....... No...... ❑ i 151:=;Home�O�rri�eirsE .... "e�nb�ion The current exemption for"homeowners"was extended to include Owner-occupied Dwellines of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780 Sixth Edition Semon 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one r two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who con truets more than one home in a two-year period shalI not be considered a homeowner. Such"homeowner"shall subnut to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildinepermit As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,You may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts Ge eral Laws Annotated. Homeowner Signature The Commonwealth of Massachusetts ' Department of IndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www massgov/dia Workers'Com �ensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY,Applicant Information Please Print Legibly Name(Business/Organization/lndividual):Window World of Western MA Address:1029 North Road City/State/Zip:Westfield, MA 01085 Phone 013-485-7336 Are you an employer?Check the appropriate box: 1.Q✓ I am a employer with 20 employees(full and/or part-time).* Type of project(required): �`. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in any capacity.[No workers'comp,insurance required.] g'• Remodeling 3.E]I am a homeowner doing all workkmysel£[No workers'comp.insurance required.]t 9. ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 1 0[:]Building addition ensure that all contractors either have workers'compensation insurance or are sole 1 .Q Electrical repairs Or additions proprietors with no employees. 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 1 �]Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.$ 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. I4.12 Other Replacement Window. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must ilubmit a new affidavit indicating such. $Contractors that check this box must attached 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. I an employer that is providi information. ng workers'compensation insurance for my employees. Below is thepolicy and job site Insurance Company Name.Liberty Mutual Insurance Policy#or Self-ins.Lic.#:WC2-�1 S-377947-020 /� a � Expiration Date:05/07/20 Job Site Address:—q 1la � l� � City/State/Zip:Vtoyt—ice MAC ()[(02. Attach a copy of the workers'couxpensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby ertify under th antsI Date: h and penalties ofperjury that the information provided above is true and correct Si a t2 i (, • I€ Phone#:413-485-7335 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: G 110 ..1 " alp I�c�ils r Ar lC/T y jNSUR�,q IONONLYAND.CONFER NCE DATE�MM/DO/yyyyl 1 S NO R/GHFS UPON THE CERT/FICATE HOLDER. TH/S ff ft ki► U �YAMEN� EXTEND ORALTER TyECOVER,gGEAFFORDED BY THE POLICIES oz's Co CONTRACT BETWEEN THE ISSUING INSURER(S), 12 DAIRY LNr i y /' TE HOLDER. RER(S),AUTHORIZED w 1 I , FF `" if :. . SOUTHWICK'Mp 01077f� SURED,the pOlicy(ies)must have ADDITIONAL INSURED provisions or be endorsed. t nditions of the policy,.certain policies may require an endorsement. A statement se ,��� a� der in lieu of such endorsement(s). ` on /S 3ai) is t'. NAME: ,i CommissionerPHONA/C No Ext E 493.858-2680, I FAX A/c No): 413-858-2685 ADDRESS: mn VERAGE NAIC#scA t 4 2ar1�s/n INSURERA: ASURANCE CO.INSURER B:iIURANCE CO. .%� riv�iniriliiwi��n�,•�1�rrhlrr�aSr.�� I Office of ConsumerAffalrs&Business Regulation INSURER C: HOME IMPROVEMENT CONTRACTOR INSURER D: TYPE.'CwDoratlon INSURER E Registra$on:*, Expiration 165641';'"'--71; 03/14/2020 INSURERF: WINDOW WORLD-OFINESTPR MASS INC REVISION NUMBER: BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD rix:• _ .'' ONDITION OF ANY CONTRACT.OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ROBERTBUSHEY!JR:. }" Y;i' . ��n ,� =AFFORDED 3Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 1029 NORTH RD —""�` ,NN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WESTFIELD,MA 01065+ " Undersecretary IOLICYNUMBER MM/DD/YYYY MM/DDS LIMITS CLA �Y� EACH OCCURRENCE $ 1,000,000 IMS-MADE I �I OCCURDAMAGE TO RENTEIT-- I PREMISES Ea occurrence $ 100,000 A MED EXP(Any one erson $ 10,000 7520025998- .04/09/19 04/09/20PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY❑PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER; l $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ A OWNED AUTOS ONLY X SCHEDULED X HIRED AUTOS 1020063881 04/09/19 04/09/20 BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE $ Per accident $ X UMBRELLA LIAB X OCCUR A EXCESS LIAB. CLAIMS-MADE 4600055451 EACH OCCURRENCE $ 1,000,000 04/09/19 04/09/20 AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A Certificate To Foll0 V.':; E.L.EACH ACCIDENT $ (Mandatory in NH) 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 I CANCELLATION. . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE:EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town Of Northampton ACC"ORDANCE WITH THE POLI ICY PROVISIONS. 212.Main Street Northampton,Ma.01060 AUTHORIZED REPRESENTATIVE Attention: Building Department U_A ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) �he ACORD name and logo are registered marks of ACORD� A►�R�® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDlYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONGERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THEPOLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: O the certificate holder is an ADDITIONAL INSURED,she policy(les)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). P). PRODUCER FORREST INSURANCE AGENCY ch encr 603 NORTH MAIN STREET NAME: E LONGMEADOW, MA 01028 P"c°N o Ex FAX E-MAIL A/C Not: ADDRESS: INSURER(S)AFFORDING COVERAGE INSURED INSURER A: LibertyMutual Fire Insurance NAIC# 1029 WINDOW WORLD OF WESTERN MASSACHUSETTS INC INSURER B: 23035 OAD WESTFIIELD MA 011085 INSURER C INSURER D; INSURER E: COVERAGES CERTIFICATE NUMBER: 48525637 INSURER F: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD REVISION NUMBER: 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 R OTHER DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED CI PAID CLAIMS. INSR LTR TYPE OF INSURANCE A 4 R COMMERCIAL GENERAL LIAPOLICY NUMBER POLICY EFF POLICY EXP BILITY MM/DD/YWY MM/DD LIMITS CLAIMS-MADE D OCCUR EACH OCCURRENCE $ D E ED PREMISES Ea occurrence $ MED EXP(Any one person) $ GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&A POLICY❑PRO- DV INJURY $ JECT LOC GENERAL AGGREGATE $ OTHER: PRODUCTS.COMP/OP AGG $ AUTOMOBILE LIABILITY $ ANY AUTO COMBINEDitSINGLE LIMIT $ OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS ONLY AUTOS HIRED NON-OWNED BODILY INJURY(Per accldent) $ AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAR $ OCCUR EXCESS LIAR CLAIMS-MADE EACH OCCURRENCE $ DED I RETENTION$ AGGREGATE $ A WORKERS COMPENSATION WC2-31S-377947-019 $ AND EMPLOYERS'LIABILITY 5/7/2019 5/7/2020 PER VIM- OFFICER/MEMBER YIN II ✓ STATUTE ER (Mandatory In N REXCLUDED7 N/A E.L.EACH ACCIDENT (Mandatory In NH) f $1000000 If yes.describe tinder DESCRIPTION OF OPERATIONS below E.L.DISEASE-EA EMPLOYEE $ E.L.DISEASE-POLICY LIMIT $1000000 I DESCRIPTION OF OPERATIONSILO IONS/VEHICLES (ACORD 101,Additional Remarks Schedale,maybe attached If more apace is required) WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA. This certificate cancels and supersedes all previously issued certificates,only es they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION TOWN OF NORTHAMPTON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 212 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. NORTHAMPTON MA 01060 AUTHORIZED REPRESENTATIVE Jon Smith ACORD 25(2016/03) The ACORD name and logo are registered ma arks of ACORDORD CORPORATION. All rights reserved. 48525637 1 1-377947 1 19-20 WC n0270258 1 5/5/2019 7:59:45 PV (PDT) I Page 1-of 1 Y R I I, AFFIDAVIT In accordance with the provisions of MGL c 40, §54, 1 acknowledge, as a condition of then Building permit, all debris resulting from construction activity governed by this Building Permit shall be disposed of at I I ; . I , (NAME OF FACILITY) ` a properly licensed solid waste facility d,"fined b GL C 1.11 §150A. Date Signature of Permit,'Appficant L-- i I I 1 PRINT OR TYPE THE FOLLOWING INFORMATION: I I ` PQ0bM`I" E. f ,cS)Ww !' (NAME OF PERMIT PPL CANT), WI(yj6W5 161d " MGu F (TYPE OF MAT RIAL TOJOE DISPOSED OF) t '� ► -cul +1 orence- AA (PROPERTYADDRESS) i it 0U1jjcrenr,or _ r ; Y isWindows oldest oYthe Mi WindowsArtld'Doors ■ And Doors 650 West Market St � � Gra W�t Market St NFRC IL Gratz,PA 17030 A 17030 1685 - 1650 ` &.MRnsftbon D Wcukto SLWER2MNYUGrids Ram ey p 182: N1'UNo Grids �eanike� Panel ld,2:Lite-1:(VB■,cinr,LMAtmealed);Lite-2: .mss.,,. (1/8;Clear,a tV� neSair.L ' �e�'ate 2: RaCQtQ SnCl ® (1B;Cloar,NONE,Anneaied);Argon;45112 X 45112 � L NO d):Argon;37 7!2 X;Ute m for differnt rndivldual37 MEtA-216 M�,0.,476-00l➢2�D002 products ✓hen using a btdividual proms nny be sub)aet to varlatton in pMormann ENERGY pE RW be subket to varlattor,to parforrrranea rdows on theRFORMgNCE RATINGS ENERGY PERFORMANCE RATINGS U-Factor(U.S./I-p U-Factor(U.SJI-Pj Solar Heat Gain Coefficient Solar Heat Gain Coefficient re27 generatiy ' -- V■27 -- - - Ort -- - - �■ IO - — -- L29---- locations ------ 6 � ADDITIONAt,PE locations in D.. R"NANCE RATINGS' ADDITIONAL PERFORMANCE RATINGS � Visible Transmince ors. Visible Transmittance Air Leakage(U.S.H-Pj 0.52 e� Air leakage{U.g�!-p} ■ < � 3 it,bake 0e46 03 ar u�m„uaatissyrmeu R 1c sr � S+rIQ �DscoraormtoaFABeaateNFRC a a • reern�a re+nearorar,�saot Pmceearesrara pn r�RCtptwararautin�ror�t��lar��uraaibproaua °A"m' re '�mr`d'QII�dp4yuna"m`°r'°mans""a ZifNpfCQvlt�faaognotwllntrlttirB�Yl�GyafMYPraatitttOr�llyepee�euse.Consua w Q: Parmoranie�tprao jpra `s use cc:.,,� td RC ae01 rmtneatllrm 6 ts.Usea • - . man�ca+rtu<rfraru�aororamu�aauClpaAotmtnrrWntm�60n. w11111i j •r _ •F C(-rlific,ido pot ENERGY STAR an ]as rogionos rosaltadas. �. rs i t t ''+`- l:, � energrs�ovlwiadacvs =13 � �Cettifred,'Ce� emrgluaryoaAviadoare Furtallinformatan.sea-labetaniar� -moo ®Cett�edJCerttTeedo _ —Para inforrnaegn -- eaupleta consnirar is etr uet del productQ Far full ilrtomration,cell lileei■a pradtud, q Pare i demtai:Mn complete.cansuhar la etiquette del pradacto. Perf Grade 11 oftimliIiiiiiiii milli +DP(ASD Pelf Grade +DP ASD -DP ASD Water ft LC-PG35* 35.30 ) -DP(ASD) Water t ) /1 Max Test Size 50.13 Repo 5.43 LC-PG35 35.08 35.09 6.06 — 40.00X 72.00 A4V2. o1•tos�� Florida ID _ Max Test ize eport# - STC WTC 20840 72.00 X m9 F of 4 •M - 29124 � .atings are for individual wind -/' I stacked units,please contact and doors only. For irtfornmtion re Ratings are for individual windows and doors only. For inform lon regarding mulled nk test size Tested to gq matt Y sales representative.Pos and e-ardt9 mulled or stacked units,please cordal your sales representative.pas and Neg DP lim2ed by i� d of a� orr n4o4 n label may be c aj d ti jl S•2/A440-05,31 e O��ed by e unit test size.Tested to AAMANVOM OSA 10111.8.21A440.05 AAMA label may be 9arding lnstapation in Y 9lazin bead or track ccaffler For c ii concealed by glaitng bead or track Nor.For addih'onal information regarding 'La 7836� 1. structions,please visit 1101 miwd com. installation krstructions,please*1 www.mlwd.com. ■V 3 1 1 ■ 26772468.1.1.1 Pd°rt pMtadon 8112/2p1s 8:90:12 qkr L37lel21016 3:69.W PM i Window World Of Western MA 1029 North Road 413-485-7335 westernmass@windowworld.com Mary Wheeler tdrosthomeservices@gmail.com Estimate: Front o house Bill Address: I Install Address: Estimate#E1 56681 9651 1 44 71 golden dr, '71 golden dr, Florence,Ma Florence,Ma Date of Estimate:8/26/2019 01062 01062 Valid Until:9/25/2019 i DESCRIPTION CITY UNIT- • I 4000 Series DH 5 619.00 3,095.00 t TOTAL AMOUNT $3,095.00 CUSTOMER Check Amount $1.00 TOTAL PAID $1.00 CUSTOMER DUE $3,094.00 *No extra work if not in writing *Customer Comments: *Installer Notes:Removing 2 small bows in front and install one triple mulled unit and 1 double mulled unit..NO GRIDS.:MHITE UNITS Design Consultant-Tim Drost HIC:165641 FEID#27-1993659 Customer ID Details Id Type* Id Card Issued by Stat lig Id#* Grjk Id Issue State* Gfet Id Expiration Date 23 Sales Rep Recommended: (VA c n, lulu kl� r Interior Stops rv,' Exterior Capping i Customer Declined: kV1 I Interior Stops Ci Exterior Capping Pre 1978 built homes: My home was built in the year 1978 (initial) (Y1 of i�1u�l9 h (initial)I decline third party verification (initial)I have received 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.The EPA"Renovate Right"brochure was received before the work began. The EPA-Renovate Right'brochure can be viewed and printedlfram here:h11p3:l1goo.g11chD3JG 5:Arrival and Departure Times.We will advise you of the expected arrival time for our crew at the time we set up the installation date with you.We generally stay till the job is done,unless it will be a 2 or 3-day job,in which case we may work as long as there is daylight.It is our policy that our installers get a sign-off form and collect the outstanding balance at the completion of the job.We ask that you be available to approve the job and make final payment at the time of completion.If this is not convenient for you,we need to know before we start the job.Inclement weather and other unforeseen hindrances are a fact of life and as such we ask that you understand if the weather,traffic,etc.cause a delay or cancellation of an Installation appointment.We typically do not schedule more than a day or two in advance to try to avoid such issues. 6.Our Work-site.We like to set up our work-site as close to your windows and doors as possible and generally your driveway is the best spot.If using the driveway will block a garaged car,please be ready to pull it out upon arrival. 7.Alarm Systems.For those of you who have alarm systems,the alarm company should be notified and advised of our job.They will be responsible for the disconnection and reconnection of your alarm system. 8.Where do we start?Upon arrival,the crew leader will survey the job and determine where to begin.If you have a preference,feel free to advise us and we will accommodate to the best of our ability.Because we work in stages(i.e.,removal of old windows,setting the new window,wrapping of exterior,etc.),we don't complete the job one window at a time.The job moves along in a rolling progression where each operation is done on all windows at the same time.This produces a quality job. 9.If the job takes more than a day,will there be any openings in my house?Of course not.We only remove that which can be reinstalled in the same day. Although there may not be a complete window,it will be weather-tight and secure for overnight.(Please no critiquing at this time). 10.Pets.We love fury,four-legged creatures;however,we need your help in supervising them.We are not always able to close a gate or door behind us when carrying a window,so please keep them in a safe place.Our job description does not include scampering down the street after Fido with new found freedom.Many people say,do not worry,he doesn't bite,but many installers have been bitten.So please secure dogs that have an aggressive bark towards strangers. 11.Expect some dust,noise and general disruption of your living space.Construction work can sometimes be messy depending upon the scope of your job.It's an unfortunate reality of remodeling,but we do our best to keep,things under control.We appreciate your patience and understanding,during the job and until everything is finished.Even after we have cleaned up,it is advisable to survey the areas for something we may have overlooked(Le„kids rooms,baby's room). 12.*Damage to walls and old trim stops.For those of you who have old aluminum and steel windows and are replacing them due to sweating and damaging of the walls be advised that all water damage plaster will most likely fail out.in addition,all the patch works you have done over the years will fall out also.This is normal; however,we are not plaster experts,so the repair to those wails would best be left to the experts.In some cases,due to out of square openings,new trim is required to make the window look good."Unless noted on the contract new trim will not be provided or installed by us.You can expect to do some touch up painting on the trim after the installation of your new windows.This is not always necessary and is usually minor if it occurs.if your trim stops around your sashes are very old,dry,and brittle,they may snap and crack upon removal.If this happens,we can leave them off if you please,or for a small up charge,replace them with newer ones.Many of the old-style stops are no longer available so we would replace the entire window with newer style stops.Should we discover any hidden damage to the frame or wall area we will advise you before we proceed.Should you decide to replace or repair anything,the price will be added to your balance. 13.Relax and enjoy the show.After we've been introduced to your home,feel free to nun errands,take a walk,or just relax.If a question should arise;ask the crew leader for clarification.We enjoy people who are interested in what we do,and most customers are intrigued with the process.We do get nervous,however,when a customer constantly hovers over our shoulder.Like any professional,we're always happy to answer questions,but we appreciate being able to concentrate on our work without interruptions and distractions.This ensures a safe and quality installation. 14.Past Due Balances are subject to a service charge of 1.5%per month.In the event that this amount is placed in the hands of an attorney for collection,the purchaser agrees to pay all costs of collection,including a reasonable attorney fee.Return check fee is$50(fifty dollars). P.S.Now would be a good time to review contract with the salesman to be sure of your order options and work to be done.Only the items and services on the contract will be done.If you have any questions whatsoever,now is the time to ask. Window World of Western Massachusetts may not require an acceleration of payments as specified in the payment section(front)for the reason that he deems himself or the payments to be insecure.However,where the contractor deems himself to be insecure he may require as a prerequisite to continuing said work that the balance of funds due under the contract,which are in possession of the owner,shall be placed in a joint escrow account requiring the signatures of the home improvement contractor and the owner for withdrawal. Arbitration;Window World of Western Massachusetts and the PURCHASERS)hereby mutually agree in advance that in the event Window World of Western Massachusetts has a dispute concerning the contract,Window World of Western Massachusetts may submit such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the consumer shall be required to submit to such arbitration in M.G.L.c 142A. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Customer Signature Sales Rep Signature NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor.The owner may initiate dispute resolution even"where this section is not signed separately by the parties." This Window World@ Franchisees independently owned-and operated by Window World of Western Massachusetts,Inc.under license from Window World,Inc. ,I Window World Of Western MA 1029 North Road 413-485-7335 western mass@wind owworid.com Mary Wheeler tdrosthomeservices@gmail.com Estimate:Whole house Bill Address: Install Address: 71 golden dr, i 71 golden dr, Estimate#E1566818696077 Florence,Ma Florence,Ma Date of Estimate:8/26/2019 101062 01062 Valid Until:9/25/2019 DESCRIPTION • • Siding Soffit and Fascia 1 15,900.00 15,900.00 TOTAL AMOUNT $15,900.00 CUSTOMER Check Amount $1.00 TOTAL PAID $1.00 CUSTOMER DUE $15,899.00 *No extra work if not in writing *Customer Comments: *Installer Notes:D4 VICTORIAN GRAY.....INSTALL SIDING ON ALL WALLS EXCEPT GARAGE...ALL ROTTED WOOD WILL BE REPLACED....ESPECIALLY CHIMNEY NEEDS SHEATHING REPAIR... I i I P.S.Now would be a good time to review contract with the salesman to be sure of your order options and work to be done.Only the items and services on the contract will be done.If you have any questions whatsoever,now is the time to ask. Window World of Western Massachusetts may not require an acceleration of payments as specified in the payment section(front)for the reason that he deems himself or the payments to be insecure.However,where the contractor deems himself to be insecure he may require as a prerequisite to continuing said work that the balance of funds due under the contract,which are in possession of the owner,shall be placed in a joint escrow account requiring the signatures of the home improvement contractor and the owner for withdrawal. Arbitration;Window World of Western Massachusetts and the PURCHASERS)hereby mutually agree in advance that in the event Window World of Western Massachusetts has a dispute concerning the contract,Window World of Western Massachusetts may submit such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the consumer shall be required to submit to such arbitration in M.G.L.c 142A. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Customer Signature Sales Rep Signature NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor.The owner may initiate dispute resolution even"where this section is not signed separately by the parties." This Window World®Franchisees independently owned-and operated by Window World of Western Massachusetts,Inc.under license from Window World, Inc.