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30A-006 BP-2023-0619 312 FLORENCE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 30A-006-001 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-2023-0619 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2023 Contractor: License: WINDOW WORLD O i WESTERN Est.Cost: 6235 MASS INC 115719 Const.Class: Exp.Date: 04/30/2021 GIOR PANO LISANN C &R JONATHAN LACROIX Use Group: Owner: TRUSTEES Lot Size (sq.ft.) Zoning: WSP Applicant: WINDOW WORLD OF WESTERN MASS Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 C5186654A BELCHERTOWN, MA 01007 ISSUED ON: 05/10/2023 TO PERFORM THE FOLLOWING WORK: 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: 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 ' le. . i . yo . cfrJc.ft 4 Fees Paid: S40.00 212 Main Street,Phone(413)587-1240,Fa : (413)587-1272 Office of the Building Commis 'oner / ---. '' The Commonwealth of Massachusetts "'4r l 0 !' WBoard of Building Regulations andStandards, ?0 FOR Massachusetts State Building Code, 780.GM, ''n NaUNIIPALITY • Ha,//l�, SE Building Permit Application To Construct,Repair,Renovate Or ;Revised Mar 2011 One-or Two-Family Dwelling --'"'''''O^/s This Section For Official Use Only Building yermit Number:Nu 4 j 4/5,lj ("I Date Applied: Lvij7 ►�o-,s 1/' 5- i0-ZOZ3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Pro erty Address: 66. Ad 1.2 Assessors Map& Parcel Numbers 1.la Is this an accepted street?yes .i 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 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record• oafhc40 OtOCrc1X 1,orvic,e MO ) / QCa ame(Print) City,State,ZIP 3IA floc vice 124 1//3 &95 1/9/5- joiii,liscicowiCaslavla No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building` Owner-Occupied 10., Repairs(s; 0 Alteration(s) 0 Addition 0 ^ Demolition ElAccessory Bldg. 0 Number of Units ` Other Specify:\C Vil_eiL!'f1P �� Brief Description of Proposed Work': Os h/ , t7 CIO W S rtr lq ce(N1 e vl ,dN fral6c e_ —tc.n4._ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ C 1 a 3 5' 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ 0 Standard City/Town Api lication Fee 0 Total Project Cost3 Otero 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees O Check No. Check Amount: Cash Amount: 6. Total Project Cost: $ 6` a 3 5 ❑Paid in Full 0 Outstanding Balance Due: City of Northampton c0.HA• Massachusetts ( J DEPARTMENT OF BUILDING INSPECTIONS W ' �✓ 212 Main Street • Municipal Building Northampton, MA 01060 ' . `��� gr-1 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: 045.0\Q MGL _ lP%lp Rk.Q_1N<N-ck OlOutO The debris will be transported by: Name of Hauler: �;,� riv0 \ c)" _-, Signature of Applicant: Date: /of �oZ J SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License )License(CSL) C c at© 5N\CMk\OL �)S�- nse Number Expiration Name of CSL Holder List CSL Type(see below) U No.and Street cte `,-<-`J Q Type Description ).�1� �� `�\Q. Q\O.�t U Unrestricted(Buildings up to 35,000 cu.ft.) D R Restricted l&2 Family Dwelling City/To ,S IP M Masonry RC Roofing Covering - WS Window and Siding r SF Solid Fuel Burning Appliances `'AC3)kA9S5•T S Q/2..rre..1.se til1n.Ac7k)izo•ristk I,AAI I Lisulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) s.. 0,,Jwic3rAA \cQ Lt 1 0'31 I L-q ao r HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name (oLkk )CL A.A 5 i_vS Nc'4\ t3�r-r,r,.�-S r lad A and Street \ n c30tLIcT,rl�1_e,p(Y) Email address eNno ). -s.f.; ..Ol01)9 �-k 3)L &`-133S 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 wish this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes lie/ 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 W‘Ac, tJ.\ k--)c.) a, to act on my behalf,in all matters relative to work authorized by this building permit application. /tee. C...in4,1c.e-rx .) /a Print O er'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'I this ap► ' . •; is true and accurate to the best of my knowledge and understanding. r .1_ s y /ar /c2 Print • er',: •uthonvA A. a s Name(Electronic Signature) Date NOTES: I. 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 Lot 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 cats 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 bbdrooms 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 w2~ Department of Industrial Accidents _,?i 1.-- .3 1 Congress Street,Suite 100 Boston,MA 02114-2017 www,mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/EIectririanc/Piumbers. TO BE FILED w.im/Ilk PERMUTING 48THOR1TY. Applicant Information 1N�Or (f�,�1 Please Print Legibly Name(Business/Org mizationllndividuat): • t"ahay S 641 Dalziv Mpg O1 O7 Address: Bet 001r City/State/Zip: Phone#: if/3 '/85 7 J 3 • Are you an employer?Check the appropriate box: Type of project(required): 1.[F(1 am a employer with 5 4/ employees(full andlorpaht-time).* 7. ❑New construction 2.0 I am a solo proprietor or partnership andhave no employees working forme in S. 0 Remodeling any capacity.[Na workers'comp.insurance requires.] 3.0 I a a homeowner doing all work myself[No workers'comp.insurance required.]t 9. El Demolition m ura 4.0 I am a homeowner and will he,hiring contractors to conduct ail work on my property. I will 10 El Building addition ensure that all contractors either have workers'compensation insurance or am sole 11.[]Electrical repairs or additions proprietors with no employees. 12.[J Plumbing repairs or additions 5.11 I am a general contractor and r have hired the sub-contractors listed on the aitachad sheet 13.0 Roof repairs These sub-contractors have employees and have workers'comp.insurance, oY P 6.0 We area corporation and its officers have exercised their right of exemption per'VOL c. 14.( 'Other Ref lee(°fine / 152,§1(4),and we have no employees.[No workers'comp.insurance required•:] *Any applicant that checks box#1 most asp fill out the section below showing their workers'compensation policy ir>sormadan. t Homeowners who sutimit this affidavit indicating they are•doing ati wdrk and then him outside cdittactbrs must submit a new affidavit indicating such. tContractors that check this box must atrnchwd an additional sheet showing the name of the sub-contractors end state whether or not thorn entities have employees. If the sub-contractors have employees,they must provide their wackier'comp.policy number I am an employer that is providing workers'compensation insurance far my employees. Below is the policy and job site information. Insurance Company Name: PC E. / y}'1 e r I co li] /✓1 S U YC Policy#or Self-ins.Lie.#: C�" / 6 k Expiration Date: /0/0//C Job Site Address: 1 a r'O v�vi C:e Rid City/state/Zip: Flo i 0 q 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 farm 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 nce coverage v I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si natte #4, j ),1 Date: 1//a( /a 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(check one): 10Board of Health 20 Building Department 3L]City/Town Clerk 4.0 Electrical Inspector 5Ek'lumbing Inspector 6.0Other Contact Person: Phone#: City of Northampton Massachusetts a�S' .c'' tt '• y f, ° w ' DEPARTMENT OF BUILDING INSPECTIONS V( !S 212 Main Street • Municipal Building yJ'•, 141!.6* A y� Northampton, MA 01060 �'p'• HOMEOWNERS'EXEMPTION ELIGIBI 1'TY AFFIDAVIT I, nai oc i7/(,k- (i sert full legal name), born (insert month, d , year),hereby depose and state the following: 1. I am seeking a building permit pursuant to the homeowners' emption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5. .3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners'exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3. 3. 1 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 resid 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 ne home in a two-year period shall not be considered a home owner. 4. I do not hold a valid Massachusetts construction supervision lic se and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requir ents for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work involving construction, reconstruction, alteration, repair, removal or demolition involving any activity regulated by any provision of the Massachusetts State Building Code. 5. If I engage any other person or persons for hire in connection with the aforementioned project or work on my parcel,I acknowledge that I am required to and will act as the supervisor for said project or work. Signed under the pains and penalties of perjury on thi•s day of g19r1 i/ 2023I cS� 0��. T (Si iature) LA WINDWOR-01 DATE(MMIDD/Y AURA A 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 NANTACT Laura Misseri Phillips Insurance Agency,Inc. PHONE - — ------ ------ 97 Center Street (Auc,No,EA:(413)594_5984 la,No):(413) 592-8499 Chicopee,MA 01013 E I (aura hilli sinsurance.com AD"�t�ss: @P P INSURER(S)AFFORDING COVERAGE NAIC INSURER A:EMCASCO Insurance Co INSURED INSURER B:Employers Mutual Casualty Company.- - - Window World Of Western Massachusetts Inc INSURERC: 641 Daniel Shays Highway INSURER D: Belchertown,MA 01007 — INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILT R TYPE OF INSURANCE ADDL SUBR (MMID POUCY EFF (MOMIDD EXP UMfTS Lilt INSD POUCY NUMBER A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 6Q44324 4/9/2023 4/9/2024 PREMISES Ea occu ence) $ 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 X a X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: B $ AUTOMOBILE LIABILITY (Ea accident)D SINGLE LIMIT $ 1,000,000 ANY AUTO 6Z44324 4/9/2023 4/9/2024 BODILY INJURY(Per person) $ AUTOS ONLY NED X AUTOSUTULED BODILY INJURYD (Per accidenti $ X AUTOfRE� Y X AUTpN S ONLOpS ON p Y (ftrr amide t)e AMAGE $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE] 6J44324 4/9/2023 4/9/2024 AGGREGATE1,000,000 DED X RETENTION$ 10,000 $ ERS 3 AND EMPLO ERS'LEIABILIIT!SATIO STATUTE I ERH 1 ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ (Mandatory in NH)EXCLUDED? N/A! E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POUCY UMIT $ 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 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYYY) ACC)IRO8 02/10/2023 `.-- CERTIFICATE OF LIABILITY INSURANCE At:t:t#: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 NAMEPHONE: FAX 3657 BRIARPARK DR.,SUITE 700 (A/C,No,Ext):888-828.8365 (NC,No): HOUSTON,TX 77042 E-MAIL ADDRESS: INSPE RITYC ERTSQLOCKTONAFFINITY.COM INSURER(S)AFFORDING COVERAGE , NAIC A INSURER A:Ace American Insurance Co. 22667 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 THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSD INVD POLICY NUMBER (MM/DD/YYYY) (MM/DO/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS- OCCUR I PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY I 117 O- IMC PRODUCTS-COMP/OP AGG $ OTHER: AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILYINJURY(Per ) AUTOS ONLY AUTOSaccident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LUB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y�L X STATUTE ER A ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? _N/A C5186654A 12/25/2022 10/01/2023 E.L.EACH ACCIDENT $ 1,000,000 (Mandatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 1,000,000 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) CERTIFICATE HOLDER CANCELLATION 2970777 Town fo Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Building Dept BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 212 Maln St ACCORDANCE WITH THE POLICY PROVISIONS. Northampton,MA 01060 AUTHORIZED REPRESENTATIVE cry,-�,t ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairk&Business Regulation Registration valid for individual use only before the HOME IMPROVE'i-xis ONTRACTOR expiration date. If found return to: _ Office of Consumer Affairs and Business Regulation R-e' _ ' ` i•n 1000 Washington Street -Suite 710 ram: ,; Boston,MA 02118 VICHOLAS DROST :: 1 . 0. ; , VICHOLAS DROST j*t 38 �'--✓ / 102 OAKRIDGE DRIVE"- f, Lam^""a! irk ' 1 I` 3ELCHERTOWN,MA 01. ;.� x Undersecretary Not Valid Without signature THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEIiMENT CONTRACTOR ri'11 .poration f list i ti9 ==: 5.4--0 3(-1412024 tf35ti47 - RN SSACFIUSETTS,INC. Commonwealth of Massachusetts WINDOW WORLD Ol;:WsESJT �..! 'IOC Divis�n of Professional Lieensure r—_ 7 Board of Building��R��egiurlations and Standards 1_.`.�``.I -= :1 ConstruttMr4�ispprvis or TIMOTHY DROST ``�. ' �lu.e I 641 DANiEL SHAYS HWX ..: G i CS•115719 ^•_ , ryt trey;n413012025 f , f BELCHERTOWN,MA 01007 Undersecretary NICHOLAS T;ORB ,�� ,. � � ` 102 OAKRIDGE DR r. BELCHERTOVgt1 MA;Ibis J i Afr is �/ Commissioner cla„ a / Df�nda,., T s-:ad.41:.• M1 Windows And Doors strffk16t1L or f' ME 050 West Market St i 1U41 WiRdaws An• Doof5 -da 1VFRCa. Gratz,PA 17030 or destroy the 1-•t+ . Di i ,650 West Mtrket fit 1I � ` . 111:110v� - Gratz,DA17030 r •;! 1650:viralF'enestaionDHN(NY650 Grids �e 1685 • pal,NCo.oalf) 1'anel1&2:Life-1:(t/a•,ttear,LGE.annealed);Lite-2: >�r, ` SLIDERVVINYUG rids HEWN (1/r,Clear,NME,Anneated);Argon;371r2 X 37 ttcultm itsbnalFenestabx Panel 1i2:Llte-1:(110",CtetrAEJu°MA— LiLite'it s that can be ( q (VS",tnefr,NOta,Mmalett Ares,40112 45 7@ eta aatsaswamoor tedlwQual Pred RIS rraY w subject to raristton In performardee n'cleaner, -�.-�--�--~~�"" on for dt7ferniNM= ate atttt�oaoo2 ENERGY PERFORMANCE RATiHGS :and doors tndhtidurl produbta rat),b•*tippet to Vanden In awe -----_-� Then using U-Factor((j.$ S-P) Solar Neat Gain Coefficient tdows on the ENERGY PERFOitMANCE RATINGS {,1 a 11-Factor(U.S.1l�P) Solar Heat Gain Coefficient • 11 *Z{� 0.26 ADt?17lONAL PERFORMANCE RATI�iQS' ire generally ■27iTbe ransmittance •odu tcer- �ryy Air Leafage(U.SJ1-P) locations in ADDITIONAL PERFURMANGE RATINGS O. ■ � Air Lsakage(U.S.11-P) a 91:, >ots. 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Pdt.L `1t' J EIVERGkSTAF'i .. , Lel }ter`.- � eneMranste,/rratears_ • L, " v For ht1 inrarnsatian see on prodacteNCertiFicarto C(dE.�talf 51AR '�� Prlraintorm ar»ryY a u.ea ardri n/e dr t a terttliedfSerdfieado a rt eompk4t rnasrthar is trig'era del P a+tacle. far tell intetnrtiea,tee label ee►redset Perf Grade +pp(qg0) -ID:(ASD} Water Para bloom y&ceropleta.mutate la wince der ran ,a. — � LC-AG35' 35.33 54.f3 5.43 -DP(A-D ater Max lest Size Repo i Florida 1D Pe Grade +DP(A8D) 35.09 y 6.OS d0.00 X 72pp A+srz.ot•to9 e�ro 20840 I Lir.PG36 35.09 s.,. C stings are for individual windows and doors only. For uttormatlan regardetq muHetl SIC 4a. et It2ermriri:122=11 s } - 25124 r stacked unos,Please ronptN your 72.00_ X gp,pp o. 1, 'n� ni test tire.Tasted to fW Fief rety� ative.Pos and Nag DP Firrtied by - SrAtE1we TasMAIabe(rn JcealedbY lazing bead or track ar ,Forrto , Rafts ors for irrdhiduai windy and doors onN• For usforrnation ro9ar q mt+ilad tidaional information r rtf or stacked unke,Abate coreaet your caiee rapre6ettdRtve.Pus and Nag DP raw bf .r nF'negation instructions,please visa, ,�rtiwd.com. unit teat site.Tested to AAM trsok A1CSA to1A.S.21A4fo 05 As►fd+A atlel may be ,67$5 V 73. .I Fretted on t the agrtc■ated by g ,g btud tx track fier.For adtfitiottal information rogardirt9 :,nail inets@atinn irtctrustiene.R{elf a V Ct py/ylf.nlwd.CtY1r, 8r7?12016 8:10:12 Ard Prktt.a en 26772468e1 a1.1 imams=54AaPM Best-in-Class Features: 1 2 Q Welded, heavy-duty vinyl construction provides superior strength and durability. ,; s 0 High-density foam enhancement throughout the mainframe offers superior }, thermal protection. SolarZone TG2"and SolarZone TK2T" triple-pane©- insulating glass enhanced � with Low-E coating and argon (TG2)or krypton (TK2)gas ensures the elements . won't make an impact on the comfort of your home. 0 A Duralite warm-edge spacer system further improves energy efficieincy. 0 The beveled exterior edge provides style and curb appeal to an already sleek - ; 9 design. 0 Recessed, opposing cam locks secure your window without interrupting sight ` 3 lines. Q Heavy-duty weatherstripping and interlocking sashes help to keep weather and 10 t wind outside. Q Balance channel covers ensure a polished look. Q Spring-loaded, push-button vent latches allow for overnight ventilation while giving you added peace of mind. 6 a 0 Full-length, integrated ergonomic lift rails provide convenient,easy operation. Bevel on bottom rail enhances grip. m Metal reinforcement in the meeting rail enhances strength and protection ' 7 against wind and weather. ®Recessed tilt latches can be released to tilt both top and bottom sashes into the n ; home for easy cleaning. ®Welded combination sill featuring a deflection leg offers rigid structure and a ,' five-degree sloped sill that directs water away from the home and eliminates unsightly weep holes. 0 An easily removable latching half screen gives you the freedom to let air in while keeping pests out. Featuring Clarity®mesh,the screen allows you to focus on what's important:the view. ®Detent clip keeps the top sash from drifting while an inverted-coil balance system ensures both sashes will stay where you put them, no matter the position. n 0 Series consists of double-hung,double slider, casement, awning, picture, and architectural shape windows. 15 Energy-Saving Glass Packages: Our SolarZone"insulated glass packages help you save on heating and cooling costs while also keeping your home more comfortable. In warm weather, Triple-pane glass and a foam-enhanced SolarZone reduces solar heat gain, minimizes interior glare,and lowers inside glass mainframe results in superior thermal temperature to save energy and keep you cool. In cold weather, SolarZone helps performance. to control the heat inside your home by providing thermal protection that keeps the inside glass panel warmer. THERMAL PERFORMANCE COMPARISON' 1 Window values are based on single-strength SolarZone TG2:Triple-pane,single-strength glass,standard 6000 Series offering.Values vary glass with two coatings of Low-E,argon depending on grids and optional glass thicknesses enhancement,warm-edge spacer system,and DOUBLE-HUNG upgrades(1/4"laminated,1/8"tempered,3/16" foam-enhanced mainframe decorative glass etc)ST and HP performance values SolarZone TK2:Triple-pane,single-strength U-FACTOR SHGC are also available. glass with two coatings of Low-E,krypton 2 TK2 is available on 6000 series double-hung and enhancement,warm-edge spacer system,and SolarZone TG2 0.21 0.25 double sliding windows only. foam-enhanced mainframe SolarZone TG2 w/Grids 0.22 0.22 Foam Enhancement:Foam enhancement is injected into the mainframe of the window, SolarZone TK2 0.17 0.25 providing increased performance Window World of Western Massachusetts pa�:pain•c«� �o 641 Daniel Shays,Hwy,Belchertown,MA atdOW, 01007 975 North Road,Westfield,MA 01085 WINDOW WORLD 0 Office: (413)485-7335 CARE Jonathan Lacroix Phone: 4136954915 Install Address: 312 Florence Rd Email:joniisa@comcast.net Florence, MA 01062 Contract Name:Jonathan Lacroix-Sales-Windows Design Consultant: Tim Drost Measured By: Measure Approved Date: 4/10/2023 Status: Contract 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 6000 Series DH Triple Pane 6000 Series DH Triple Pane N 5 $899.00 $4,495.00 4000-2 Lite Slider 4000-2 Lite Slider N 1 $1,290.00 $1,290.00 Total Information Unit Total: 7 Subtotal: $6,235.00 Tax Rate: 0% Tax: $0.00 Total: $6,235.00 Amount Financed: $0.00 Payment Method: Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $6,235.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: 1953 RRP Signed Date: Window World of Western Massachusetts VETERRIIS P R� COTTRRD 641 Daniel Shays, Hwy,Belchertown,MA ( /4 ,_, 01007 975 North Road,Westfield, MA 01085 Office: (413)485-7335 WINDOW WORLD GARS www.WindowWorldofWestemMA.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 L>iTo L.-6,, z.(74.0,„, Secondary Homeowner Window World of Western Massachusetts veregpgs P�q���T commann 641 Daniel Shays,Hwy,Belchertown,MA _ WUtd.o U 01007 v /� / 975 North Road,Westfield,MA 01085 WINDOW WORLD Gf.CG Office:(413)485-7335 GAREr) www.WmdowWorldofWesternMA.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 du 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 • 14.ix Secondary Homeowner Design Consultant 1 EPA "Renovate Right" Brochure can be viewed and printed from here: Renovate Right Brochure WW of W. Massachusetts anticipates starting this work on ano 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 home improvement contractors and subcontractors shall be registered. No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract.WW of W. Massachusetts under provision of Chapter 142A of the general laws is required to apply for and obtain all construction-related permits. WW of W. Massachusetts shall not be deemed responsible for delays in the work described in this agreement caused by regulatory, permit granting agencies, authorities, or individuals. Notice: If the PURCHASER(S)obtains his own construction related permits for the work described under this agreement or deals with unregistered contractors, the PURCHASER(S) is hereby advised that in the event of a dispute,judgement and nonpayment, the PURCHASER(S)will not be entitled to make a claim or collection from the guaranty fund established by chapter 142A, M.G.L. You the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Notice of cancellation must be in writing postmarked no later than midnight of the following third business day. THIS IS A CUSTOM 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.