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30A-011 (2) 340 FLORENCE RD BP-2020-0503 cls#: COMMONWEALTH OF MASSACHUSETTS Man:Block:30A-011 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-2020-0503 Project# JS-2020-000858 Est.Cost: $2924.00 Fee:$40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: WINDOW WORLD/ROBERT E BUSHEY JR 57011 Lot Size(sq.ft.): 17249.76 Owner: SLATTERY JANE M Zoning: URA(100)/WSP(100)/ Applicant: WINDOW WORLD/ROBERT E BUSHEY JR AT. 340 FLORENCE RD Applicant Address: Phone: Insurance: 1029 NORTH RD (413) 485-7335 O WC WESTFIELDMA01085 ISSUED ON:10/22/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL 6 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: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: 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. Certificate of Occupancy sig(nature: FeeTvne: Date Paid: Amount: Building 10/22/2019 0:00:00 $40.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-11272 Louis Hasbrouck—Building Commissioner Department use only City of NortharCfpton f Permit: Building Depattme C t%Dn way Permit 212 Main Stree QCT 2 Sewer epti Availability Room 100 .)p, ��� Wat /Well vailability Northampton, MA 01.I��OGU, Tw Sets f Structural Plans phone 413-587-1240 Fax 41 -jp ' PI t/Site sans \: 1Qp N Aga oo r1 her ecify APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR ISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION "Ad, :�7; 0­6 1.1 Property This section to be completed by office Map L� Lot O Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: _ r (�. TAJ ltsrcnc� Qd �(o►�P�c� 1�1�4 Name(Print) urr t NVri@j Ad ss: Sec. con t1 a(� 1 Telephone Signature 2.2 Authorized Agent: 1�(ibcrt &ff'.1V'1 1 C lci N©QVi k6 Vk�--A f if\A MA DWI,', Name,'�Prmt) Current Mailing Address: -0-- 4SS A335 Signature' Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 3(I ,` (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = 0 +2+3 +4+5) — Check Number This Section For Official Use Only Building Permit Number: DateIssued: Signature: 10 10 f Building Commissioner/Inspector of Buildings n Date n EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 5-DESCRIPTION OF PROPOSED WORK(check all aanlicable) New House ❑ Addition [] Replacemenkondows Alteration(s) r--J Roofing Or Doors /®- Accessory Bldg. ❑ Demolition ❑ New Signs [p] Decks [Q Siding[L7] Other[Q Brief Description of Proposed &P)a(zWork: 0,1 &yjw{ cJ��Clow 2 (UUt��l�e- r iU-�1 Gvl �C.1Gt j Alteration of existing bedroom Yes No Adding new bedroom Yes _�No. Attached Narrative Renovating unfinished basement Yes _ X No Plans Attached Roll -Sheet 68.If:New house and or addition to existing housing,complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Sc�e, coatrar�-� to 1k,0419 Signature of Owner Date I, Fes,C)YA,r.A- 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. Pnnt;I'm e ' !' 1 Signature df Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:— Ro ts Bushe.A License Number 1'Z DG _ n `L�A1 hN�rk M� OlUl -1 ��1011 Address Expiration Date Vign �re Telephone 9.Registered Home lmyrbvement Contractor: Not Applicable ❑ Rc�b�,rt �t,ls�ne�i I by b 4 I Company Name Registration Number W rydow World cif Wt,�tt'�rr\ MASS Anc, 314 /20 Address Expiration Date H2O N o fth Q.& V\1 eStGA d hA 0JQ &Iephone 443-4&-13735 SECTION 10-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....... No...... ❑ 1l. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings 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 Section 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 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 homeowner. Such"homeowner"shall submit 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 building permit 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 General Laws Annotated. Homeowner Signature The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Aoalicant Information Please Print Leeiblv Name(Business/Organization/Individual):Window World of Western MA Address:1029 North Road City/State/Zip:Westfield, MA 01085 Phone#:413-485-7335 Are you an employer?Check the appropriate box: Type of project(required): 1.Q I am a employer with 20 employees(full and/or part-time).* 7. New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 3.�I am a homeowner doingall work myself. t 9. El Demolition y [No workers'comp,insurance required.] 4.[:]l am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.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. 12. 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. 14.[D 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 submit 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 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Liberty Mutual Insurance Policy#or Self-ins.Lic.#:WC2-31 S-377947-020 Expiration Date:05/07/20 Job Site Address:My HUYU'1(� 9 1 • City/State/Zip:AQY�U f r I A Olt) 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 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido herRc rtify under t pains and penalties of perjury that the information provided above is true and correct Si atur Date: Ab I Phone#:413485-7335 Official use only. Do not write in this area,to be completed by city or town official, City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: AFFIDAVIT In accordance with the provisions of MGL c 40, §54, 1 acknowledge, as a condition of the Building permit, all debris resulting from construction activity governed by this Building Permit shall be disposed of at (NAME OF FACILITY) a properly licensed solid waste facility dpefin/ed by MGL C 111, §150A. Date—� Signature of Permit Applicant PRINT OR TYPE THE FOLLOWING INFORMATION: 1WKfz - E &5"Viv-Ta- (NAME OF PERMIT APPL(CANT) ids 0) a l (TYPE F MATERI L TO BE DISPOSED OF) - ady-6 (PROPERTY ADDRESS) t Commonwealth of Massachusetts "Division of Professional Licensure Board ofBuilding Reyu►atiORSand$Id/1dAldf EOFLIABILLIABILITY C411BfCt f t1�St#ps+tvisor DATE fMM/DD/YWY) 1 IATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CS-057Q11 •" �pires:06/28/2021 :LY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ROBERT E BySHE1 CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED 12 DAIRY LN., * iTE HOLDER. SOUTHMCKIt) A 01 NSURED,the policy(ieS)must have ADDITIONAL INSURED provisions or be endorsed. mditions of the policy,certain policies may require an endorsement. A statement on t��1S4 1A Ider in lieu of such endorsement(s). GUN IAQT Commissioner � NAME:�— PHONE AIC No Ext). 413-858-2680 A/C No: 413-858-2685 ADDRESS: SCA 1 4 20M4WI7 INSURER(S)AFFORDING COVERAGE INSURER A: ARBELLA PROTECTION INSURANCE CO. Nalc a INSURER B; LIBERTY MUTUAL FIRE INSURANCE CO, Ofilce of Consumer Affairs 3 BuMMM Regulation HOME IMPROVEMENT CONTRACTOR INSURER C: TYPE.CorDOfatIon INSURER D 165641 03/1 INSURER E: WINDOW WORLD OF WESTERN MASS INC INSURER F: BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AB REVISIONEFONR HE POLICY PERIOD ROBERT BUSHEYJIR: :ONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 1029 NORTH RD =AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, WESTFIELD,MA 01085 Undersecretary NN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY OLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS �Y� EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE I �I OCCUR ��— PREMISES Ea occurrence $ _100,000 A MED EXP An one arson $ 10,000 7520025998 04/09/19 04/09/20 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREt LIMIT APPLIES PER: POLICY PRO LOC GENERAL AGGREGATE $ 2,000,000 OTHER: PRODUCTS-COMP/OPAGG $ 1,000,000 AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT ANYAUTO Ea accident $ 1,000,000 A OWNEDANTION HEDULED BODILY INJURY(Per person) $ AUTOS OTOS 1020063881 04/09/19 04/09/20 BODILY INJURY(Per accident) $ X HIREDWOWNED AUTOS OTOS ONLY PROPERTY DAMAGE $ PeraccidentXUMBRELLOCCURA EXCESS LCLAIMS-MADE 4600055451 EACH OCCURRENCE $ 1,000,000 04/09/19 04/09/20 AGGREGATE $ UED WORKERS COMPENSATION 'PE R TH- $ AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ OFFICLR/MEMBER EXCLUDED? N/A Certificate To Follow (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 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town Of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. 212 Main Street Northampton,Ma.01060 AUTHORIZED REPRESENTATIVE Attention: Building Department, 1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD , 6- _ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/Yni YYY) 5/512019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOL19 DER 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(SI, 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 FORREST INSURANCE AGENCY CONTA T 603 NORTH MAIN STREET -"AME: LONGMEADOW, MA 01028 (ac N FAX — - - - E-MAIL __– --- (A/C N1_-- _ADDRESS_— ---- INSURER SAFFORDING COVERAGE NAIc INSURERA: Liberty Mutual Fire Insurance ---- ------ __-- --- - 23035 INSURED --�------ WINDOW WORLD OF WESTERN MASSACHUSETTS INC INSURERS: — 1029 NORTH ROAD INSURERC: WESTFIELD MA 01085 INSURER D: INSURER E COVERAGES INSURER F CERTIFICATE NUMBER: 48525637 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 AD L LTR TYPE OF INSURANCE POLICY EFF POLICY EXP COMMERCIAL GENERAL LIABILITY POLICY NUMBER MM/DD/YVYY MM/DD/YYYY LIMITS EACH OCCURRENCE $ CLAIMS-MADE OCCUR YOTE�TT€ PREMISES Ea occurrence $ MED EXP(Any one persat) $ GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ POLICY❑PRO- ❑LOC GENERAL AGGREGATE $ OTHER: PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT $ ANY AUTO Ea accident OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS ONLY ___ AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ Per accident UMBRELLA LIAR $ OCCUR EXCESS LIAB EACH OCCURRENCE $ CLAIMS-MADE DED AGGREGATE $ RETENTION$ A WORKERS COMPENSATION WC2-31S-377947-019 5/7/2019 5/7/2020 PER orH- $ AND EMPLOYERS'LIABILITYANYPROPRIETORIPARTNEY/N ✓ STATUTE ER OFF CR ER/MEMBEEXCLUDED? a NIA E.L.EACH ACCIDENT $1000000 (Mandatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYE $ QOQO.O DESCRIPTION OF OPERATIONS below -- E.L.DISEASE-POLICY LIMIT $1000000 i DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedulo,may be attached if more space 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 as 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 40525637 1 1-377947 1 19-20 WC I n0270258 1 5/5/2019 7:59:45 PM (PDT) I Page 1 of 1 sufficient,or - f,t MI Windows And Doors MI Vtest Market or destroy the And Doors 650 West Market St NgrtC t ra West Market St QRC Mt Gratz,PA 17030 Gratz,- 17030 7685 1650 Gat ralF Vaiot DHNINYL/No Grids ficuitto SLIDERVVINYUGrids RamtQC Panet18,2:►ate-t.(1/8••,Ciea,,LOEAnneale s that can be Natix;Fenesnfai Panel 182:Lite-1:(1B',ClearLOE,AnnoWed);Lite-2: (1/8-,clear,NoNE Anneale�� �;Lite-2- •e cleaner, Raft Couri ills (1/8',C1ear,N0NE,Annealed);Argon;451/2 X 451!2 Argon;371/2 X 37 in for differnt P M1SEI-A-216-034n3-0dCo1 MEI A @Sn-00392-00002 Intltviduat products may be sub act to v and doors individual products may be subject to variation in performce variation to Perrormanee an then using a ENERGY PERFORMANCE RATINGS dows on the ENERGY PERFORMANCE RATINGS U-Factor(U.S.11-p) Solar Heat Gain Coefficient U-Factor(U.S./1-P) Solar Heat Gain Coefficient 0 7 i/a�� Vo�( Oe�V re uct cerfiy 0.27 0.26 ADDITIONAL P oduct cer- V ERFORMANCE RATINGS` locations in ADDITIONAL PERFORMANCE RATINGS Visible Transmittance ois. Visible Transmittance Air Leakage(U.SJI-P) 0.52 e2 Afr Leakage(U.S.l1-P) /� . < 0 3 It,bake Q 46 < A ( GeV baurer s rywates tnatfime raL ps eoraor r ro a _ . � �/■ R �'nLe.kFRC Ratu05 are aetermme°fur PRtca°�e NFR pr�eoures!orae , '��es not recDrrerxno a. a taco set of erNirorn Wm�,n F 'yYRroauttaraeoesrrotxarrant tnmtconauorsarros_ ytwrwte'c'ot manufacturer eepuunt mattnusra5npa conform to appecams hFRC proeetwnafor oetermtNnp wrote proouet Ran4racuners!,teran,rc rcrotne, r�s"'�e°Aty of ar7 Procuct to.sn .`s pertormance.rgRC Rt31nQs an detem�neo for a teas aat at armronmet�l rontttnane eno s epacme pro°uet atre. i P ouctperrormancevtormatwn. y*eu7x 4.e e[.".='r, i NFRC tloaa nOt neOtrrtllnd any aril C°ta rlCt waReift 7fa atdL011ay 01 ally proauC for"epee(fie use.consua wrMMrC.pra 'is.use a mmuleeMara Kimura for aver prom 4pedamarxs tnPotmat✓On. wtr.Mf"A i - 1 poi ENERGY STAR on las rogiones I "C'_ � enar�star.4ovlwiodows *t� a lr� ,1 certirietUt:enihcado etnrgystar.9or/windowe Certifiedlr�enifieado Para intomFanouticompl awcons®ra6e1 on product trot full infomtstion,"a label as product d N la etiyueta def producm Para infomiacibn completa,consultar la etiquem del producto. Perf Grade i LC-P1335* *D38(0 D) -DP(ASD) Wafer Pelf Grade +DP(ASD) •DP(ASD) Water Max Test Size Re o 50.13 5.43 P Florida ID LC-PG35 35.08 35.08 6.06 40.00X 72,00 A43r2.o1.109.47-ro Max Test Size Report# - STC I OJT C == 20840 72.00 X 60.00 01'1�� - 29124 I/ attngs are for individual windows and doors on i r stacked units, tease conour sales re resentative.Pos and Ne DP lim ted b n t test size.Tested to Y P For information regarding mulled Ratings are for individual windows and doors orgy. For information regarding mulled .ST"E1300. "MAtabCMA/CSbe. A 10Slt g 21pagp_05 Glass According to Y or stacked units,please contact your sales representative.Pas and Nag DP limited by 6 d oral information re a;i� sta rlrenl nsby glazin please visit wN^ y glazln btie unit test size.Tested to AAMA/WDMA/CSA 10111.S.2/A440 05 AAMA label maybe g 9 ead or track fiNer. For sail concealed by glazing bead or track filler.For additional information regarding )6785673.1.1.1 783 h 73 m.rn wd.com. installation instructions,please visit www.miwd.com. l b ' ' Punted on tnc 26772468.1.1.1 Printed on 8!72!2016 8:1Q12 AM !D33 716=6 3:69:03 PM Window World Of Western MA 1029 North Road 413-485-7335 westernmass@windowworld.com Jane Slattery jmslattery1 @comcast.net Estimate : Partial Bill Address: Install Address: Estimate#E1571164480125 340 Florence Rd, 340 Florence Rd, Florence,MA Florence,MA Date of Estimate: 10/15/2019 101062 01062 Valid Until: 11/14/2019 DESCRIPTION • • Basement Hopper 4 409.00 1,636.00 D 11400 no Solarzone 2 429.00 858.00 EPA Lead Containment 2 65.00 130.00 Permit&Administrative Fee 1 200.00 200.00 Setup and landfill disposal fee 1 100.00 100.00 TOTAL AMOUNT $2,924.00 CUSTOMER PAYMENT DETAIL I Check Amount $1,500.00 TOTAL PAID $1,500.00 CUSTOMER DUE $1,424.00 *No extra work if not in writing *Customer Comments: *Installer Notes: Design Consultant-Tim Drost HIC:165641 FEID#27.1993659 Customer ID Details Id Type I Driver's license Id#* S24rt Id Issue State* Mass Id Expiration Date 23r6y Sales Rep Recommended: r Interior Stops r Exterior Capping 9T---"� Customer Declined: r' Interior Stops r Exterior Capping Pre 1978 built homes: covering removed prior to our installation.We are not responsible for removing or re-installation of these items and are not responsible for damage resulting in the removal and re-installation.We also are not responsible for any window covering alterations that may be required to reinstall them. 4.Plants and Bushes.Occasionally we need to work in planters and other landscaped areas of your home that are adjacent to the windows and doors.Please survey your yard prior to us arriving and look for potential problems. Some trees and vigorous bushes need to be pruned back to give us access to your windows.Delicate plants and shrubs in areas right below a window should be temporarily relocated if they cannot survive being stepped on and you want to preserve them.We strive to be careful when working around vegetation,but our priorities are to focus on our work,your windows and our safety while working on your property.We are not responsible for any damage to plants,shrubs or landscaped areas. 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 furry,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 waifs 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 flame 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 run 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.