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23D-147 (3) BP-2023-1623 105 HINCKLEY ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23D-147-001 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-2023-1623 PERMISSION IS HEREBY GRANTED TO: WINDOWS 2023 I Exterior Res Project# 08/24/2023 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 13950 MASS INC 115719 Const.Class: Exp.Date:04/30/2025 Use Group: Owner: DUFFY DEBERAH &CHRISTINE M GAGNE Lot Size (sq.ft.) Zoning: URB Applicant: WINDOW WORLD OF WESTERN MASS Applicant Address Phone: Insurance:, 641 DANIEL SHAYS HIGHWAY (413)485-7335 C56098598 BELCHERTOWN, MA 01007 ISSUED ON:11/17/2023 TO PERFORM THE FOLLOWING WORK: REPAIRS TO PORCH 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 es, • • >9 - (NT Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner RECE!VE j The Commonwealth of Massachusetts NO V ?W6 Board of Building Regulations and Standa ds OR �� iNl ,LYA lTY Massachusetts State Building Code, 780 • R SE n � Building Permit Application To Construct, Repair,Ren• - Orr O l mfa IN,P:. ' Ma, 2011 One- or Two-Family Dwelling if,TON,MA 01060 NS This Section For Official Use Only Building Permit Number:/ ' 'O-13 - itm.3 Date A lied: K (4-) lj�os7 /� - /�/ 1 1 I7 ZbZ3 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 f Properly , Ildr �i I' l 5r 1.2 Assessors Map&Parcel Numbers 1.la Is this an accepted street? es .lj no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) i 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❑ Private 0 Zone: Outside Flood Zone? _ Municipal ❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2 1 Owner'of Record: CGSr(5fit1e .4-. /7(,e bu'ffy r/o ice /`f 4 0/06 Name(Print) / City,State,ZIP /05 /1)P0 CC/ i 1- 1113917/6 'V rr /06 e, 12154 , co1,u No. and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building', Owner-Occupied ',, Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other L/Specify: VI/06ii_rt,rfle'Vt Brief Description of Proposed Work2: Replace pas- d IN1 rapp �/� ill 1'1V+ aczel(, SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ /3, q' 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost; (Item 6)x multiplier_ x _ 3. Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Suppression) $ Total All Fees:1 r , Check No.)b 7 Check Amount: kl° Cash Amount: 6. Total Project Cost: $ 0/ q.y-- 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) r C.SV (‘.S 11 11 •1[�,,)4;;, 1� `�\ 1�A O\OL,b 'c'en`j\e., License Number Expiration Date Name of CSL Holder List CSL Type(see below) U No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) 0)1°c_S"� 4]���v"1 ` N CA L�-11 R Restricted I&2 Family Dwelling City/Town,S IP M Masonry x..._ RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances CIAC3)1-%S VA Q,2,c-,er...V ; &JD\A.Ae_7014, AAA u°l I Insulation Telephone Email address' D Demolition 5.2 Registered Home Improvement Contractor(HIC) w '.\ ^ " HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name lLll—\\ )C�\V..2Q S\(1Lt .V 't'C�`,k VC'rrht1a^-.a !�a 1.tAirOc':it_A :, _,;st N .and Street )c_ct OA 0�s- �w7)01• .C1t�k_C.IW1 -k{3)L (j.c:A.. 5 Email address _ City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AN'ADAVIT(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 liY` No .0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize \KA, Lo: -)c)-,) to act on my behalf,in all matters relative to work authorized by this building permit application. if/R-)/02 Print ner's Name(Electronic Signature) Date SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained' this ap ' 'ati is true and accurate to the best of my knowledge and understanding. `/(/O/`2 1 Print O er' o Authors A s Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton Massachusetts r` h: ty' DEPARTMENT OF BUILDING INSPECTIONS p 212 Main Street • Municipal Building v, l H w� Northampton, MA 01060 s*},!L 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: 0(150\a `+A. 'L 4;:4_�, • ai4 The debris will be transported by: Name of Hauler: �� ��, \ 0 X //A 0 702 3 Signature of Applicant: Date: City of Northampton o,: MAM ` '� - ~` Massachusetts '`'� • y DEPARTMENT OF BUILDING INSPECTIONS ?; : ' 212 Main Street • Municipal Building ram"'-w t ' \ "+ Northampton, MA 01060 HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, Oh r11 ' 'e arid 9 bb J' ,b&/ (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. 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. I qualify under the State Building Code's definition of"homjeowner"as defined at 780 CMR 110.R5.1.2: Person(s)who owns a parcel of land on which he/she firesides 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 qualifii 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. Signed under the pains and penalties of perjury on this "� day of �a vc ✓Y+ �N� ,20a St 0 �. . l (St ature) The Commonwealth of Massachusetts I)epart►►zent of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 j '" .P www.mass.gov/dia `" Workers' Compensation Insurance Affidavit:Builders/Contractors/Plertrieiaut/Plumbers. TO BE FILED WITH THE PERMITTING.AU'i noRrrv, Applicant Information Please Print Legit* Name(Business/Organisation/Individual): Window World of Western Mass Address: 641 ganiel Shays Hwy City/State/Zip:Beichertown MA 01007 phone#: 413 485 7335 Are you an employer?Check the appropriate box; ° Type of protect (recitai red l; I l am a employer with. employees(full and/tn port.lirne)."` rdi 7, New construction 2.0.1 am a sole proprietor or partnership and have no employees working for me in { 8. D Remodeling nny.capacity.[NO workers'comp.insurance required.) ( . • 0I am a homeowner doing all work myself.(No workers'comp.insurance required.l '' v �). lDemolition. 4.0I not a homeowner and will be hiring contractors to conduct all work on my property. I will 1 J Building cld'ticrn i ensure that all contractors either have workers'compensation insurance or are sole 11.77 Electrical repairs or addition, i proprietors with no employees. s -• I 12.111Minhing r repairs or midi tiow, • 5,01 am a general ccnatractor and 1 have hired t he sub-contractors listed on the attached sheet, $ These suh•coniractors have employees and have workers'comp,insurance. { !�, Roarrt pnirc • ' 14,R Other_Replacement i 6.0 We are a,corporation and its officers have exercised their right of exemption per MOL e. ...... '., 152,*I(4),and we have no employees.(No workers'comp,insurance required,l '"Any applicant that checks bsnt#1 must also fill out the section below slowing their workers'compensation policy in thri it to, 1'hhsmeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit al new urt'kill viI indicating mall 'rContructor•s that check this box must attached an additional sheet showing the none of the sub-contractors and state whether or not thl,.r tapir ies bn,t: employees, tithe 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 Joh site information, Indemnity Insurance Co.of North America Insurance Company w.., ,.. C56098598 10/01/2024 Policy#or►elf»ins•.l,ic,#:____ J/�� _ __ Expiration Date:_ ___.__ ,....,,.,, Job Site Address: / i Gw -�1-- Cit. /Stale/Zi f//0 d 6.�7 Attach a copy of the workers'ct mpensatiolt olicy declaration page(showing the policy number and erpiratlott ditto), Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up It'SI,S(x:),i'x and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDI'R runt1 a fine of up to Ii210,O(!a day against the violator.A copy of this statement may be forwarded to the Office of investigations of the`)IA for insurottc coverage verification.i Raj-,,-,.voi..0.4,,...c, 4,-, .1 do hereby cer an .er the pains a d'penttl 'es of perjury that the information provided abo1ve is true and correct. Signature: 1 /L•� Date: . __.._.,... Phone#: 413 485.7335 »..... „. .._ , Official use only.'Do not write in this area,to be completed by city or town official. City or Town: { Permit/License#_ �.-- ,. Issuing Authority(circle one): i 1.Board ot:flealth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector11 6.Other, li Contact Person: Phone#: �' 'r i,.. .. ,.P. ,,. a' "s..-.� ,......,.-'. •a..'e.q.,. ,,..,� 3 .. DATE(MM/DD/YYYY) 09/220022 �-- CERTIFICATE OF LIABILITY INSURANCE Acct#:297D777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON "TIE CERTIFICATE HOLDER. THI:, CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POL.ICIE: BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. II IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorser;._ E If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement rwi this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT LOCKTON COMPANIES,LLC PHON E --- -- PHONE I FAX 3657 BRIARPARK DR.,SUITE 700 we,No_EXt):88B-828-8365 (A/C.Na): H USTON,TX 77042 E-MAIL ADDRESS: INSPERITYCERTS&LOCKTONAFFINITY.COM __. INSURER(S)AFFORDING COVERAGE NAIC R INSUREIR/i:Tndeme(tJnsu�nce co.of North America _ _ 4'Ki75 INSURED INSURERB: WINDOW WORLD OF WESTERN MASSACHUSETTS INC. 641 DANIEL SHAYS HWY INSURERC: BELCHERTOWN,MA 01007.9529 INSURER D_ INSURER E: INSURER F: i 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 PF.RIOf INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT To WHICH THIN CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILT R TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP- LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/OD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS- OCCUR PREMISES_(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY [PRO- LOC PRODUCTS-COMP/OP A GG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 4'—_-"-"-- JEe_aecldent, ANY AUTO BODILY INJURY(Par parson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Pop accdeni) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY _(Per.accident). " UMBRELLA LIAB OCCUR EACHOCCURRENCE S EXCESSUAB CLAIMS-MADE AGGREGATE DED RETENTION$ WORKERS COMPENSATION PER r LOTH- . AND EMPLOYERS'LIABILITY Y& L _XJ_STATUTE I ER ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? —N/A X C56098598 10/01/2023 10/01/2024 E.LEACHACCIDENT 1,000,000 (Mandatory in NH) If yes,describe under EL.DISEASE-EA $ 1,000,000 DESCRIPTION OF OPERATIONS below _ - E.L.DISEASE-POLICY LIMIT $ 1,0I)0,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) - n • CERTIFICATE HOLDER CANCELLATION 2970777 ---.. .,......._. ..-.......,..... Town fo Northampton Building Dept SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 212 Main St BEFORE THE EXPIRATION LATE THEREOF,NOTICE WILL or DCLIVERI.'D IP: Northampton,MA 1060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights rear tln^<p. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD A`co�rn CERTIFICATE OF LIABILITY INSURANCEDATE(MMlDD/YYYY) _ _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 DIE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING 1NSURER(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 he endorsrri. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement-ors this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCERpsI EMAIL CONTACT 4..._- _. .... .__ ._ (A/C,No):( —^-- '�--. Laura Misseri Phillips Insurance Agency,Inc. PHONE i 97 Center Street (A/C,No,Eat):( 13 594-591344.1 3 592.g/x D.3 Chicopee,MA 01013 ADDREss:laura@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIL it INSURER A:EMCASCO Insurance Co INSURED INSURER B:Employers Mutual Casualty Company Window World Of Western Massachusetts Inc INSURER C: 641 Daniel Shays Highway INSURER D Belchertown,MA 01007 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NU VI ___ 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 WVD POLICY NUMBER (MM/DD/YYYY)I(MM/DO/YYYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,00 CLAIMS-MADE X I OCCUR 6Q44324 4/9/2023 4/9/2024 _PREMISES_.Eaoccu ence) $ 500,0(P0 MED EXP(Any one person) I$ 10,000 GENERAL AGGREGA ERY j$ 1,000,000 GEN'L AGGREGATE LIMIT APPLIESPER: S 2,000,000 X POLICY X I.X J LOC PRODUCTS-COMP/OP AGG I$ 2,000,0(I0 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 ANY AUTO 6Z44324 4/9/2023 4/9/2024 _�Ea L i BODILYY INJURY(Per person) I$ OWD A TOS ONLY X AUTOSULED - - BODILY INJURY(Per accident)I$ X HIRED X NON-OWNED PROPERTY AMAGE AUTOS ONLY AUTOS ONLY (Per accident) i$I B X UMBRELLA LIAB X OCCUR I OOC,O"D EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE 6J44324 4/9/2023 4/9/20241,OQQ,Q[;,n� AGGREGATE $__ _. DED l X l RETENTION$ 10,000 AND WORKERS EMPLOYERS'COMPENSATION LIABILITY YIN .___J PER I._.._1 ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT-., $ ._ OFFICER/MEMBER EXCLUDED? Li N/A _._ ._ ._.._ _.. (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$ If yes,describe under DESCRIPTION OF OPERATIONS below E.L_DISEASE-POLICY LIMIT $ ___, DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space Is requl.ad) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED ;es, ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 212 Main Street __—.___---_.__j Northampton,MA 01060 AUTHORIZED REPRESENTATIVE I j ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 17j..E COl'ilt29 NWEALTH OF►r?ASS ACHU ETTS ofii s-•s Corgi spans-of airs&P.-usiness Peculation Registration !8G fCr inCV:::t8,'ass on!):before the HOWIE IMPROVMENT CONTR.4 CTOR expiration date, if found return to •i•YP€s tndividuai Office of Consumer Affairs end Business Regulation Registration Fxpitition 1000 Washington Street -Suite 710 291721.6 0412712025 Boston,MA 02116 .isJ!-rnicS DrOS- ViCi-fOLA.S DROST • „ , 102 CAKRiDGE OWE - ..9'G ,/e.G4Ho4' - 3EI..CHERTOWN.MA 01(107 t - Undersecretary Not valid without signature TM COMMONWEALTH OF MASSACHUSETFS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:' arporatioe r Reuistratifi ESc ation 16 _ ; 03.L.1.4 024 j Commonwealth of Massachusetts -_.. SniiNDOW WORLD OF•b11�€S_f RIJ jJ{ASSQCHUSEi-TS,INC. Division of Professions!Licensors t :'—: .T. `ii : i Board of Building Regulations and Standards i.1 �� _ is ConstrutttlA,ril§i5 r+ris _='=� _—lf� i CS-115719 t or TIMOTHY DROST K_J` .,4 5 641 DAi@iEl SNAPS }.Y ia.es'er t a �r>fe ,- Ewlc�sires:04130/202 .,�- NICHOLAS TpfiOST s $ELCHERTOVYhI,ibtA 01007 Undersecretary 102 OAKRJDGE DR Undersecretary i MA4-0100Tr - 1 , i. .4A '00IYS T-1C - t#` Commissioner {;ue# f; f;u ,.,_ Window World of Western Massachusetts vErenwn•Pp «_T comm no 641 Daniel Shays,Hwy,Belchertown, MA Wi:,, �O 01007 W """"�" 975 North Road,Westfield,MA 01085 ,q�, Office: (413)485-7335 CARE www.WindowWorldofWesternMA.corn ) Christine and Debbie Duffy Install Address: 105 Hinckley St Florence, MA 01062 Contract Name: Christine and Debbie Duffy-Sales- Other Design Consultant: Tim Drost Measured By: Measure Approved Date: 11/10/2023 Status: Quote Payment Method: Lender: Contract Type: Sales Comments: Product Description Txbl Qty Price Extension Permit& Permit&Administrative Fee N 1 $200.00 $200.00 Administrative Fee Setup and landfill disposal fee- Setup and landfill disposal fee-Windows N 1 $250.00 $250.00 Windows Misc labor- Replace existing post with pressure treated wood and wrapping Misc labor- Siding in azek (1/4in) as well as adding one additional post, any structural work that N 9 $1,500.00$13,500.00 is needed would be additional) Total Information Unit Total: 1 Subtotal: $13,950.00 Tax Rate: 0% Tax: $0.00 Total: $13,950.00 Amount Financed: $0.00 Payment Method: Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $13,950.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: 1955 RRP Signed Date: Window World of Western Massachusetts UtTiFIWIS 0n1'1e1'commo ° 641 Daniel Shays,Hwy,Belchertown, MA BlZ+.Ltitfl 01007 975 North Road,Westfield,MA 01085 WINDOW woRLo i'l ! C tfa Office: (413)485-7335 CARE ') www.WindowWorldotWesternMA.com -- Product Acknowledgements • I have received a copy of the lead hazard information pamphlet informing me of the potential risk of the lead hazard exposure from renovation activity to be performed in my dwelling unit. I received this pamphlet before work began. Primary Homeowner Secondary Homeowner CyJ.ao..ti S Window World of Western Massachusetts ve- P41p rcnans P� rcdnma.no 641 Daniel Shays,Hwy, Belchertown, MA r�,:7 01007 •.. �p� '975 North Road,Westfield,MA 01085Window (� Office: (413)485-7335 CARE www.WindowWorldofWesternMA.corn 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 lft 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 he 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 he provided for the Homeowner to clan after the final inspection is complete. Please make sure that any corrections have been made before the installer leaves the job site. When the job is complete, we ask that you pay the installer the remaining balance due on your contract. !� 1 10. METHOD OF PAYMENT: Our installers will accept your final payment in the form of check, money order, Wells Fargo financing, or Visa/MasterCardiDiscover 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 ClkA. c..e Secondary Homeowner Design Consultant EPA "Renovate Right" Brochure can be viewed and printed from here: Renovate Right Brochure \NW of`'ti/. Massachusetts anticipates starting this work on and being substantially completed in days.Any deposit required in acivance 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 pi oject 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 cj neral 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 of duals 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 1.12,4., 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. Ti tIS IS A CUSTOM ORDER NOT FOR RESALE This Window World® Franchise is independently owned and operated by Window World of Western M.is;c,chusetts, Inc.under license from Window World, Inc.