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44-123 (7) BP-2022-1363 1 123 FLORENCE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 44-123-001 CITY OF NORTHAMPTON Pennit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING. PERMIT Permit # BP-2022-1363 PERMISSION IS HEREBY GRANTED TO: Project# DOOR Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 4730 MASS INC 115719 Const.Class: Exp. Date: 04/30/2025 BLUME DEBORAH A& SANDRA J SIRACO Use Group: Owner: TRUSTEES Lot Size (sq.ft.) Zoning: SR/WSP Applicant: WINDOW WORLD OF WESTERN MASS Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 ECC-600-4001086-2022A BELCHERTOWN, MA 01007 ISSUED ON: 10/20/2022 TO PERFORM THE FOLLOWING WORK: REPLACEMENT DOOR 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 • y . Fees Paid: $40.00 212 Main Street,Prone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner i The Commonwealth of Massachusetts / OCT 2 C FQ W Board of Building Regulations and Standards 2i7Z MtJNlG1PALtTY Massachusetts State Building Code, 780 CM SE ";, r1ll nrn! Building Permit Application To Construct, Repair,Renovate E'r_,e_ �l wc;,oly vise!Mar 2d11 One-or Two-Family Dwelling �._. This Section For Official Use Only Building Permit Number: 6 , - I i , Date Applied: /1L1ti0 „Oss /7 M 1ZZ Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Ma &Parcel Numbers i gc23 areice Rd /9 1.la Is this an accepted street?yes A no Map Number Parcel Number • 1.3 Zoning Information: 1.4 Property Dimensions: iI 1 Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) lI I 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' 2.1 Owne 'of Record: �h � (�� �5cit 40(rc'i 6, ra c o f i7 C 6 t fV n a Name(Print) City,State,ZIP /Ia 3 -FI arc 0 f2.C1 k133O14O33 ridocthsOkl COnG5�1 "lei No. and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building*, Owner-Occupied 'l.. Repairs(s) 0 Alteration(s) ❑ Addition 0 Demolition ❑ Accessory Bldg. 0 Number of Units \. Other III/Specify: '02 \(;l0, (1-W Wx.„ ---- Brief Description of Proposed Work2: f-1ro c(a)r rep lacevne A/cN ,ekti!r-In,5L( SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) . Building $ % /743 0 l. Building Permit Fee: $ Indicate how fee is determined: i ❑ Standard City/Town Application Fee 2. Electrical $ ❑Total Project Cost; (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire _ Suppression) $ Total All Fees: $ Check No.312 -heck Amount: *40 Cash Amount: 6. Total Project Cost: $ 0 Paid in Full 0 Outstanding Balance Due: City of Northampton 0.R=� i Ov/- �-,OH\ SAS • . dt� �' Massachusetts Si' - 'C'' x Wj 't.!d A .Ji ' x, 'k 4 `? DEPARTMENT OF BUILDING INSPECTIONS re ,, Ue tf it 212 Main Street • Municipal Building O'er" 4�O `" C Northampton, MA 01060 "" �14 HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, .5a ii pir ct Si ra Go (insert full legal name), born _ (insert month, day, year),hereby depose and state the following: 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. 1 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. p/ Signed under the pains and penalties of perjury on this I day of ak er , 20 c2,a ( `.jeE? 0<c"Yx,`---crt....c. ) (Signature) City of Northampton 7 a, '. Massachusetts A./ _< i;1 it DEPARTMENT OF BUILDING INSPECTIONS ?A. ;s " 212 Main Street • Municipal Building �,,,_' O� °V:.;t Northampton, MA 01060 4.'..v3cq 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. 1 The debris will be disposed of in: Location of Facility: OE1.)0 \a \i6Q (.U(A., `CNc\cL\c� cbV, \:4 \\, . 1/4.C'Ro The debris will be transported by: Name of Hauler: W t\< .rr \A X, V- ' . Signature of Applicant: -'" ` Date: Id / -o2a SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C \(!)4,o\i `c 0 License Number Expiration Date Name of CSL Holder List CSL Type(see below) . `'ii V) C 4, \."+2 Type Description No.and Street } U Unrestricted(Buildings up to 35,000 cu.ft.) oi"'1/4,1/41.Th�"1 `i1C\ C� Aod—k R Restricted 1&2 Family Dwelling City/Town,State, TP \ M Masonry RC Roofing Covering ' WS Window and Siding SF Solid Fuel Burning Appliances ", t.l`t",` s .�� a�r�.1 c��J t.�\a�c u�� 1 �' r Lwik, I Insulation Telephone Email.address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name g t k )C1yV,4...r4 C';\l`wn kt.) '�'c 1`� ,1[1�-,��`� til\1�Cll'-ar3t.,:r Ng.and Street Email address LC' < ��j►"\6 ?"� 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 . G}'� No .❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize u.\ to act on my behalf,in all matters relative to work authorized by this building permit application. �!�/� ( 5 /071 Print Owner's Name(Electronic Signature) Dat 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 'atiop is true and accurate to the best of my knowledge and understanding. • Print er' o Authors A s NameDht (Electronic Signature) e 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(H1C)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" The Commonwealth of Massachusetts - l Department Of industrial Accidents " :70fi Office of Investigations ; , Lafayette City Center ,�,„..., 2 Avenue de Lafayette, Boston, MA 021.1.1-1750 1' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/ 'lumbers Applicant information Please Print Legibly Name (Business/Organization/Individual):Window World of Western Massachusetts .__.__— ___..._ Address:641•Daniel Shays Hwy City/State/Zip:Belchertown, MA 01007 Phone #:413-485-7335 r ^- Are you an employer? Check the appropriate box: Type of project(required): • 1.[ I am a employer with 40 4. 0 I am a general contractor and I: employees (hill and/or part-time).* have hired the sub-contractors6 ❑New constru tiotr listed on the attached sheet. 7. ElRemodeling 2.❑ l am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. 0 Demolition workingfor me in anycapacity. employees and have workers' [No workers' comp. insurance comp.insurance.t 9. Building a.dcitior►. required.] 5. D We area corporation and its 10.0 Electrical repairs or additions 3.0 1.am a homeowner doing all work officers have exercised their 11..0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per 1V1.GL p 12.0 Roof repairs insurance required.] * c. 1.52, §1(4), and we have no 1.3.� Others Replapement employees. [No workers' _._. comp. insurance required.] *Any applicant that chocks box#1 must also fill out the section below showing their workers'compensation policy information, 1. t to inoowners 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;/�,�,. j► r>° e 4,1 ek, : IZZir¢-aC, . �. ,tr Policy#or Self-ins. Lic. #:,�" .-.60,0... '90©/am w, Z.4- Expiration Date: .�/7/2.s°'° Job Site Address:. (I a b f f C2r e k1 CG Rd City/State/Zip:;_f f2P1'( /g Q/Ca Attach a.copy of the workers' compensation policy declaration page(showing the policy number and e. piration date). Failure to secure coverage as required under Section 25A o;f:M:GL c. 152 can lead to the imposition of crir.' l penalties of a line up to$1,500.00 and/or one-year imprisonment, as well:as civil penalties in the form of a STOP WORK RDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. ' ^µ I do hereby certify under the pains and penalties of perjury that the information provided above is true an correct. Similar : .,aAlie .AA ( Date: /o/ l 0io — l'hone#: 413-485-7335 Offlicial use only. Do not write in this area, to be completed by city or town official. City or Town: - Permit/License # issuing Authority(check one: r—� 1 DBoard of Health 20 Building Department 30City/Town Clerk 4.0 Electrical Inspector 51:1 lumbing Inspector 6.DOther Contact Person: Phone#: ---...N WINDWOR-01 LAURA XI C -4c3mt, CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) +t.....,_-- 4/28/2022 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS j CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES FsELOW- THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER( ),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. iidIPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisiont13) or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsemen A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT Laura Misseri Phillips Insurance Agency,Inc. 97 Center Street 4AIC,No,Eat):(413)594-5984 FAX No):( 592-8499 Chicopee,MA 01013 AD RESS:laura@phillipsinsurance.com INSURERS)AFFORDING COVERAGE NAILS_ , INSURER A:EMC Insurance Companies 21415 -_ INSURED INSURERS:New Hampshire Employer Insurance Company Window World of Western Massachusetts,Inc. INSURERC: _ 1029 North Rd INSURERD: Westfield,MA 01085 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMM/DD/YYYY) IMM/DD/YYYYI LIMITS A X ,COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 J CLAIMS-MADE 1X1 OCCUR D531150 4/9/2022 4/9/2023 DAMAGE TO RENTED 500,000 ---_— PREMISES(Ea OCQUIM1ce) $ --_- _-- -- _-- _.. MED EXP(Any one person) $ -_ 10,000 PERSONAL S ADV INJURY $ 1,000,000 GEN'L AGGREGATE NI: APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X 1 POLICY X T: X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ A AUTOMOBILE LIABILITY E eBINE ccide SINGLE LIMIT $ 1,000,000 _ ANY AUTO 2531150 4/9/2022 4/9/2023 BODILY INJURY(Per person) $ _ OWNED ONLY I ^ SCHEDULED SSyUyLEDp BODILYB� INJURYp (Per accident) $ X__ AUTOS ONLY X AUTOS ONE V PROPERTY)AMAGE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE J531150 4/9/2022 4/9/2023 AGGREGATE $ 1,000,000 DErX-JRETENTION$ 10,000 B WORKERS COMPENSATION X I PER I I OTH- $ AND EMPLOYERS'LIABILITY YIN STATUTE ER __ ANY PROPRIETOR'PARTNER/EXECUTIVE ECC-600-4001086-2022A 5/7/2022 5/7/2023 1,660,000 OFFICER/MEMBEREXCLUDED? N N I A E.L EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYES 1'000'000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers Compensation Coverage Includes the following 3A States:MA,CT This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. 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 ;{. 1.'1 6'i,.-7,,, ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts ` 1) Division of Professional Licensure Board of Building Regulations and Standards Co nstrutAri'ilpprvis or CS•115719 '` y. spires:0413012025 NICHOLAS T DROST 1 102 OAKRIDGE DR� r' 1 BELCHERTO t MAk0j0 • Commissioner dap Office of Cnnsumor Affnirs a Ot olnoss Rcgutnlion HOME IMPROVEMrNT C NTRACTOR TYPE:lntlivid al _I nastrntiQf •- t?ltfllI9.t1 201746 r /27P2023 NICHOLAS DROST NICHOLAS DROST ��a • • 102 OAKRIDGE DRIVE iz• BFLCHERTOWN.MA 01007 Undersecretary . THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs B Business Regulation t HOME IMPROVEMENt CONTRACTOR T,-YPE:torppratiorl Realstr;itionz�`x- c: • 165644T-` ' '03114I2024 WINDOW WORLD OF„WES_1 R SACHUSE"iTS.INC, •I TIMOTHY DROST 641 DANIEL SHAYS I-t V. ` '' •' BELCHERTOWN,MA 010b7.;-';y; Undersecretary �T T nt,or =a�..>�. z f_ a ! I Windows An;cE3oors fI Wintiaws,4nd I3� or destroy-tile all. 65Q West Market St .a NFRC% 141111 fia5rra0 q� pet St m►1 , �' Gratz.,PA17Q3Q 1 {''yil-N. 1.A �`7 1685 - 'aaral Feneslrarnn DHAIltVY • .. .: L/No Grids ItcultYa SLIDER2NINYLIOridsPanNid.2:Lice-[-{its•txear t s that can he Meisel Fen84l OM Panel 1&2:Lita-1:(11r,Cfear,L0E,Anneaied);Lite-2: :1,11.__________ f18;Cleo,NgN£Rze oF_AR t�};L1e,2;le leaner, Re*Xi°tele" (1B",Cteer�N0W,Anne d) Argon;45112 X d5 ti2Argon;3Tv2X e3nfor differnt ing�u awls worzo and doors individual prcduots[a• l+�jM3 variation in performance p70 Is elY to subjact to variatbn In porfaX 3 ENERGY PERFORftA Vtten using a U-Factor i onthe ENERGY PERFORMANCE RATINGS (U•SJf-P) Solar Ga Coefft U-Fatttor(U.S,fi-P) Solar Heat Gain Coefficient +��r n cient i'mina ter- re generally 0e27a26 J DflIONAt_-I`+�RFpRfVtANCE totations in ADDITIONAL PERFORMANCE RATINGS Visible Transmittance RATINGS Visible Transmittance Air Leakage(U.S.1I-P) �, Air Leakage(U,SJf-A) ■4� ®1 a _J�w°'nq'meRC A ua a 'd'0--tio.yarn ee ■trt,bake >44 t•9traorNnymuy,p Iff� ansana • r mow rams taros inapt swan p�asaau l7r rote pte1 rn=.''wWtFlCYatryTert:::::1-72.81,0141:73e:10:1S:r " rnrWtiaS far fr.�q are cm entnftrodW iniumnaliz=a osIndg0"t see y rF� w� cr spa,ris.itsEa ten ants osreeassni Iry Wax;and edanCArrM PA artaoogr0 erproast any rpuac tnu mutton M arstar p[a��papaawYrilKAy - ENFflrW STAR _ ions.-•T iti(fir;Y STAR'Certified in 11it}hlrrftrted I: �Jir'its. £crhficatfaperFHVSTAItg n 1as ragioneS resailadas. f.,rrry:minpoi ENERGY.STAR on lin,roil ones ro�altadas: • C /�[� •`�y �•. 4e '� mrorRYmtae.hNofaoz 4� ,i clawatu enhe inlo�et ✓ ®terttlicatertTrtadn Para inrorm '�,sea i i§aAtCettTe�da For full ieferntatfee,sa Ida oe predtol �_ P>�oossrdlu la ei$rrera del prudur Para iafi eeari5e corepW cerurdw to ati eel del producA. Perr Grade LGP6Sg• +D35 30 D} -DP(QSd} Pert Grade +DP(ASD) -DP(ADD} Water rest Size R35 j 59.13 ! LC-PCs35 33•or 35 QB �� X 72 Op aq •�_ Ffarida!D S C 1 Once tos�rta fAax'4ess giie �epttrt - 2oe40 9s a e far R drvi 7100 X t3Q,Q0 tease o1 O2 4NNm 29!24 r stacked units, drill wind. and doors on 1. nit tau pteaFe contact yota safes Far i tftsrmatian regarip rnnr • tts ed Tie�is3 Tasted to A wind. oiyp esentative.PQs and N or star are far iidknitlttel or*.arvs and doors only. Fix intorrr a an repard� �r OD.AAMA cane!ma hrNCSA 1Ovt,S 2! e9 QP Niniedby o cocked eul)<B,Pieass COttttieti� t stee rspresentative.Pas and trap AP Iktlketf t y *Manful Ltbrrnago ° Y. renceared by 9t t ead�7 Accede :ttfie tannest size.Tested to AA iA1t arViCJCSA 141A.S.2/A4403-A kterlabelmagbe y 9gnstd tiara insit:i i please cks�er F� s,rr l concealed by glazing bead or raek trier,For adteiors!ithanrntion regaining '6°7 56/ ; I. +�u'r+rti�vd.rum. int3alletio.1 tangelos,please v tit www.nmvd.orrn, [ 26772468.1 a1 a'I C3PMted en I Protect"' et 2mi 8f7Z207S a:to;�Am >� h6r20t6I59S7 PM Window World of Western Massachusetts ������P,N�,Gs, m ,,�,, /, 641 Daniel Shays, Hwy Belches town,MA � Y <1f,. 01007 W ���/ 975 North Road,Westfield,MA 01085 iK�.V• Office: (413)485-7335 1 WINDOW WORLD o' ', wwWindowWorldofWesternMA.com CARE w. Sandra Siraco Install Address: 1123 Florence Rd Florence, MA 01062 Contract Name: Sandra Siraco-Sales- Doors Design Consultant: Lanea Bushey Measured By: i i Measure Approved Date: 10/12/2022 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 $250.00 $250.00 5-6 Ft. Patio Door-casing+capping 5-6 Ft. Patio Door-casing-l-capping N 1 $3,780.00 $3,780.00 Exterior Color Upgrade (Patio Door) Exterior Color Upgrade (Patio Door) -clay N 1 $500.10 $500.00 Total Information Unit Total: 2 Subtotal: $4,7?0.00 Tax Rate: 0% Tax: $0.00 Total: $4,730.00 Amount Financed: $0,00 Payment Method: Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $4,730.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: 0 RRP Signed Date: Window World of Western Massachusetts UETEHRf1S 641 Daniel Shays,Hwy,Belchertown,MA WO/tidliedCW 01007 975 North Road,Westfield,MA 01085 WINDOW WORLD Office:(413)485-7335 CARE$ www.WindowWorldofWesternMA.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 Sec,,ndary Homeowner 1, Window World of Western Massachusetts verennns r WINDOW WORLD PIF'11Ra r mnn oi nn f����) 641 Daniel Shays, Hwy,Belchertown, MA ' y.1s ' ..:_. 01007 . 975 North Road,Westfield,MA 01085 W��KiiMKW�� Office: ( `LSIj" t^ 413}485-7335 CAR l__!_8 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 fa tory following your final measurement and your job exiting the Massachusetts State three day rescission period.A Window World associate wil 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. I omeowner 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 allow%us to better satisfy our customers and ensures that the windows or materials are installed in the correct openings. Customer ust sign off on completion certificate and leave final payment with installer if he/she wishes to leave the job site prior to completion.Custo er 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 sed for deposit. 3. UNFORESEEN CIRCUMSTANCES: if during the installation process a condition is found that would prohibit properly ins' !ling a window(i.t'.. 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 n a time and materials basis. In the event we have received the incorrect or damaged window for your job(due to an incorrect measure ent or factory error), Window World will reorder the proper window and will schedule the installation as soon as possible,Window World expects •ayment 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 aft on either side of the window :o be replaced, • Secure any pets (and children)for their own safety and for the safety of our installers. i. ALARM SYSTEMS: It is the responsibility of the Homeowner to inform the alarm company of the upcoming window or do r installation and to arrange reconnection after installation is complete. 5. EPA-LEAD SAFE GUIDELINES: Homeowners of homes built before 1978 have received a copy of the lead hazard inform tion pamphlet nforming the Homeowner of lead hazard exposure from renovation activity to be performed in their home.The Homeowner inderstands and agrees to indemnify and hold Contractor,Contractor's representatives, and employees harmless for any lead paint health iss Ies. '. INSIDE INSTALLATION (Normal): If the windows are to be installed from the inside, the interior stop moldings will be re oved from the 'xisting windows and reused after the new windows are Installed. Please note that the paint or stain on the trim/moldings m y get chipped and could need to be touched up by the homeowner, 1. OUTSIDE INSTALLATION (Special): If the windows are to be Installed from the outside,the existing window's wood "sto s" will need to be emoved, In addition, if there are existing storm windows in place outside of your current windows, these will need to be removed as well, Please ote 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 ie exterior trim is to be installed by Window World. . UPON COMPLETION OF INSTALLATION:After the Installation is complete, you will be asked to inspect the entire project with our Installer.An .,all ia}inn..M....F...Ill M.. —.--.:J_J c__._,__ i. - _ _ been made nerore me insianer 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 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 /z G Design Consultant • P • "Renovate Right" Brochure can be viewed and printed from here: Renovate Right Brochure \^. ,f W. Massachusetts anticipates starting this work on and being substantially completed in days.Any deposit required in ! nt r 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 err nt.of a special order or custom-made nature, which must be ordered in advance of the start of the work to assure that the t will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all es Ail home improvement contractors and subcontractors shall be registered. No work shall begin prior to the signing of the u t and transmittal to the owner of a copy of such contract. WW of W. Massachusetts under provision of Chapter 142A of the r ul laws is required to apply for and obtain all construction-related permits.WW of W. Massachusetts shall not be deemed +n,ibl,' for delays in the work described in this agreement caused by regulatory, permit granting agencies, authorities, or i u uals. Notice: If the PURCHASER(S) obtains his own construction related permits for the work described under this agreement ,+i, with unregistered contractors, the PURCHASER(S) is hereby advised that in the event of a dispute,judgement and it, the PURCHASER(S) will not be entitled to make a claim or collection from the guaranty fund established by chapter \on 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 rl.r. - !> n 'uS tirM ORDER NOT FOR RESALE This Window World® Franchise is independently owned and operated by Window World of Western tt; inc. under license from Window World, Inc.