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30A-001 (7) BP-2023-1690 228 FLORENCE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 30A-001-001 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-2023-1690 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2023 Contractor: License: WINDOW WORLD OF WESTERN Est.Cost: MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: BROOKS JOSEPH E Lot Size (sq.ft.) Zoning: WSP Applicant: BROOKS JOSEPH E Applicant Address Phone: Insurance: 228 FLORENCE RD FLORENCE, MA 01062 ISSUED ON: 11/30/2023 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 � o ra >9 • 1-'s Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner R-. -..C-Olik: -- The Commonwealth of Massachus tts r Board of Building Regulations and St ndar s NO I/ 3 0 _ F R .° Massachusetts State Building Code, 7 0 C R 2023 M NIC PALL"l'Y pN SE Building Permit Application To Construct, Repair, enova` Or- �N '' i a vise Mar 2011 One- or Two-Family Dwelling nrNgk,i4•NG.iMa 6...�pNs Thii Section For Official Use Only __ Building Permit Number: 4a A 3-/046 Date Applied: --_—_ ___ tJ / 5 Z *--Z I l- 36,ZJZ Building Official(Print Name) Signature Date ____ SECTION 1: SITE INFORMATION 1.1 Pxopgr AdF/ ,� J 1.2 Assessors Map&Parcel Numbers 1.1a Is thisan accepted street?yes A' no Map Number Parcel Number I 1.3 Zoning Information: 1.4 Property Dimensions: J 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 I — 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public ID Private❑ Zone: Outside Flood Zone? Municipal CI On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: 3e io h 13 roods flO rem GC H a 0/O6. N me(P it) City,State,ZIP as g Flo►e GC no 8g ga uc9 (but'd t �� IMQA 1, c044 No.and Street Telephone &nafil Mafess SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building't Owner-Occupied 'I , Repairs(s) 0 Alteration(s) Cl I Addition 0__ Demolition 0 Accessory Bldg. ❑ Number of Units 1, Other Y'Specify: \i'a?.t3)'��r.( . ;;:La_�. Brief Description of Proposed Work2: 6 N ( vl oho IA) S rho10GN v1 evt 1 biew .0-,AAr--I( 41 SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ b (,f a (f 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ I 0 Standard City/Town Application Fee 0 Total Project Cost (Item 6)x multiplier _x --- 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: ._ 5. Mechanical (Fire $ — Suppression) Total All Fees �$ � I ' ll Check Nob 1 lJ/ ( Check Amount: l()Cash Amount: "7 6. Total Project Cost: $ € } 2 7 0 Paid in Full 0 Outstanding Balance Due: _! :_1 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C. , {y Mt E .`Y ,, — License Number Expiration bate Name of CSL Holder List CSL Type(see below) 1, No.and Street (', Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) -"ND�C 's..(1 'cAtF'•' `" S\ `T\f1 ca- • CA0(.. --k R Restricted I&2 Family Dwellin_g_ ___ City o ,S IP M Masonry r/ RC Roofing Covering WS Window and Siding _ t : � SF Solid Fuel Burning Appliances `�k3�^k41S-+\1j?)S cA2,Cly.A�S 1A31 (DIC%IZ0 ,1-3'n• I Insulation Telephone Email address D Demolition _� 5.2 Registered Home Improvement Contractor(HIC) \ � t r.- a > t' W\S'C pp 5 C1,6 3,J( W-'\C HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name and Street VcorEN i_, i.4' ,r�A,...,,.:•r,. , a Email address y `) 5q3) 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 Ct}V 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 ‘1\A. i,�\ �"t,t-,r,:i. i ., to act on my behalf,in all matters relative to work authorized by this building permit application. ( C in�, eJ ) ii/a I Print Owner'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 fedi is true and accurate to the best of my knowledge and understanding. _ Print er' o Authon 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.masgv/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" i City of Northampton i%ja}'' ' ,4 a Massachusetts ��5� `'� VA' ` FF ,may 6 , DEPARTMENT OF BUILDING INSPECTIONS w s Y,w 212 Main Street • Municipal Building r `� ffY Northampton, MA 01060 5,,k • ram CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition cf 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: O ��� �� �Q _ l��l� �1�1 �n ` A The debris will be transported by: Name of Hauler: ‘f\(J,m,L) \Ac r — , / / /al g Signature of Applicant: Lea' __________ _____ Q�y City of Northampton _� ifv*" '" ' �`'' Massachusetts .fil. � y � u 4 �� t v"r^ ``3 DEPARTMENT OF BUILDING INSPECT"TANS �; w 'R ��� 212 Main Street • Municipal Building a , . ►� Northampton, MA 01060 ., • HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, jO5ph i3 roo s (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"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 fi r 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 t day of Ahlierkib&r , 20cT SOY"' C\ x\. -rLe., . (... (Signature) • • The Commonwealth of Massachusetts Department of Industrial Accidents l I Congress Street, Suite 100 "" $ Boston, MA 021.14-2017 ' i www.tnass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Coutract[,>`M;llr".lectriciaus/Plumbers. TO BE FILET)WITH THE PERMITTING AUTHORITY. Applicant"information Please Print Legibiy_ Window World of Western Mass Name(Business/Organization/Individual): _ _____. .. 641 ganiel Shays Hwy City/State/Zip:Beichertown MA 01007 • Phone #: 413 485 7335 t _._........_ . _•...�.._._._....._.- Are you an•employer?Check the appropriate box; Type of project(required i. i 1,Ell am a employerwith_._ employees(full and/or part-time).* 1 7, J New Construction t i 2.01 am a tattle proprietor or partnership and have no employees working for me in 8. 0 Remodeling any capacity.[No workers'comp.insurance required..) I• ' 9. ,,...)Demolition 3.01 um homeowner doing all work myself.iNo workers'comp,insurance rcquired,,i ' . i 1 i 10 0 Building addition 4.0I am a homeowner and will be hiring contractors to conduct all work on my property. I will $ ensure that all,contractors either have workers'compensation insurance or are sole A Ii,C)Electrical repairs of.tclilitiiat1 • i proprietors with on employees. • r I 12.0 Plumbing repairs or Aciiiiotar. S,0 i am a general contractor and i have hired the sub-contractors listed on the attached sheet, `These sub-contractors have employees and have workers'comp,insurance.s A1 1. Roof repairs 14.[ Other Replacement 6.0 we are ac corporation and its officers have exercised their right or exemption per MU c. _._... 152,§1(4).and we have no employees,INo workers'comp,insurance required:I '"Any applicant-that checks box 01 roust also fill out the section below showing their workers'compensation policy information, 1 Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit ii new Lade vir indicating Nucll 'i'Contr'actor's that check this box must attached an additional sheet showing the mune of the sub-contractors and state whether or not thdx'w entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the poir'(y and Jo!:,tiff' information, Insurance•Cott>ptrtiyNutme: Indemnity insurance Co.of North America Policy#or Self-ins..Lic.#: C66098598 Expiration.Dates_0!01l2024.� �.M M,N ,^ Job Site Address: j og S r l U Y CC kd City/State ip:_rI°,re NCe_ ?!?9C/06 .2 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration(NO). Failure to secure coverage as required under MOL e. (5.2,§25A is a criminal violation punishable by a fine up to ail a;;011,,7t' ft1dior one-year imprisonment,as well as cavil penalties in the form of a STOP WORK ORDTTR and a fine of up to$1:q h' day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for in:tiutr .de coverage verification. I do hereby cer • un er the pains a d penal 'es of perjury that the information provided above is trr,a and corm%r, Signature; lit•-e Date: i��7/02 3 _.. .._._,... Phone#: 413 485.7335 M M w j.. -y.. ,- -- ,-• ,. A,.2 d,- -•" =,.._._. ., _ ._ �... • ; •r e,r7 ia,;:iv.it Official us.only.'Do not write in this area,to be completed by city or town official ;I City or Towns: I, Permit/License# _____..w,.•.� !f Issuing Authority(circle one): I.Board of:Eleahh 2,Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing inspector !! 6►,Other i Contact Person: Phone '' ....""'` rr DATE(MM!DDIY 09/22IliC3 )R CERTIFICATE OF LIABILITY INSURANCE Act#:297on7 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAT2 HOLDER. 71I1f, CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POL.RCIE7 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE'r2(S), At1TG OTUZEi REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. • IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provlslcns or be endorsed If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement or this certificate does not confer rights to the certificate holder in lieu of such endorsement(o). PRODUCER CONTACT '---- - LOCKTON COMPANIES,LLC NAME`--— 3657 BRIARPARK DR.,SUITE 700 (aC o,Bet):888.828.836,' I FAX HOUSTON,TX 77042 E-MAIL ADDRESS: L(aC Nei: INSPERITYCERTS rGJLOCKTONAFFINfrY.COM_ _ INSURER(S)AFFORDING COVERAGE NAlR tf - - - - ----- ----- -.- INSURER A:In4emnityjnsuranca_Co,gf-NorthAmerica t35T.+ INSURED INSURER B: WINDOW WORLD OF WESTERN MASSACHUSETTS INC. — - - I • 641 DANIEL SHAYS HWY INSURER C: I 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 TILE POLICY Pr'R101 INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OP.OTHER DOCUMENT WITH RESPECT TO WHICH TH!`, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALI.11-1E.TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP ' - --- INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I$ DAMAGE TO RENTED CLAIMS- OCCUR PREM.ISES(Ea occurrence) $ --- MED EXP(Any ono paean) :6 ------ PERSONAL&AD"iN.11.1RY III$ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE I$ POLICY I PRO- LOC -- - --_---- .IFCT PRODUCTS-COMP/OPP.GG $ OTHER'. .. ._..... -- AUTOMOBILE LIABILITY COMBINED SINGL2 Lim i AEA amider)tl ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Por accldonl) ;G AUTOS ONLY ___AUTOS ( HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY - AUTOS ONLY .1Per accident) ._ _-___ • UMBRELLA LIAB �._..-L,_..,... ......._.._._. ...OCCUR EACH OCCURRENCE 9; EXCESS UAB CLAIMS-MADE AGGREGATE 4, DED RETENTION$ T. WORKERS COMPENSATION IH AND EMPLOYERS'LIABILITY YEN X PER I .ER J A ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? —N/A x C56098598 10/01/2023 10/01/2024 E.L EACH ACCIDENT $ 1,000,000 (Mandatory in NH) (_ _ I If yes,describe under I DESCRIPTION OF OPERATIONS below E L.DISEASE-EAEMPLOYEEI fro1,(Y)0,000 E.L.DISEASE-POLICY LIMIT I g 1,DIiO,!106 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more spar-is.r.;qi.,ed) CERTIFICATE HOLDER CANCELLATION 2970777 Town fo Northampton Building Dept SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE GANCFl 111:i 212 Main St BEFORE THE EXPIRATION DAMTHEREOF,NOTICE WILL i1C i)F;)..IVfS?'tL5!p Northampton,MA 1060 ACCORDANCE WITH THE POUCY PROVISIONS AUTHORIZED REPRESENTATIVE 1988-201 F ACORD CORPORATION. A!I ri ihl.l e'%ervs•:.' ACORD 25(2016/03) The ACORD name and logo are registered marks or ACORD ----"••■ol WINDWOR-U'i rs r__. ._. AI i E-, AC"CAR CP DATE(fl /PD'1 Y) 411%......."----, CERTIFICATE OF LIABILITY INSURANCE 4/14/2021 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 TOE COVERAGE AFFORDED BY THE POLIC(F£ BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER.('3),AUTI-IGRIZEP 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). _ _— _ _I PRODUCER CONTACT Laura Misseri NAME: Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (A/C,No,Ext):(413)594-5984 1 (A/c,No):(413)592•0499 -M EIL (aura surance.com Chicopee,MA 01013 AODAREss @phillsins P _-... I INSURER(S)AFFORDING COVERAGE I -.. NAIC N INSURERA:EMCASCOInsuranceCo 1 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 _-- -----_--1_ ._. 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, EXCLUSIONSAN D 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 (MM/DD/YYYY) (MM/DD/YYYY) LIMfr3 __ A X COMMERCIAL GENERAL LIABILITY T I,OOO nr _ EACH OCCURRENCE '0")O DAMAGE TO r ENTED S .500,000 CLAIMS-MADE f X J OCCUR 6Q44324 4/9/2023 4/9/2024 pgFMl_�Es(Ea o currence) s-_ MED EXP(Any one person) $ 10,0f10 _ PERSONAL&ADV INJURY I$_ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE If$ 2,000,0G0 X POLICY IX]JE X J LOC PRODUCTS-COMP/OPAGG i$ 2,000,00 OTHER: _—_ i$ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT j— 1,000,0fOi (Ea accident) I$.. ANY AUTO 6Z44324 4/9/2023 4/9/2024 _BODILY INJURY(Per person) I$ AUTOSDONLY X AUTOSULED _BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE -___ AUTOS ONLY AUTOS ONLY _1 ) $ .. _. 1y B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE. :$_. - 1,000,0(+9 EXCESS LIAB CLAIMS-MADE 6J44324 4/9/2023 4/9I2024 1,000,U(O AGGREGATE $ _ - DED I X1 RETENTION$ 10,000 1-1— WORKERS COMPENSATION PER I I OTH- AND EMPLOYERS'LIABILITY ___. STA!UTc i _._E 1$ i - _. .. YIN ANY PROPRIETOR/PARTNER/EXECUTIVE _E.L EACH ACCIDENT. _ I (MandatoryOFFICER/MEMBER BE EXCLUDED? N/A E.L.DISEASE-FA FMPLOYF $ I If yes,describe under Ei DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ ..____ ._ ______{ 1 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 P ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 212 Main Street -- --.___—_ --- Northampton,MA 01060 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1983-2015 ACORD CORPORATION. AN rights reserved. The ACORD name and logo are registered marks of ACORD CAISNFI,.LTi OF MASS..kGilUSFITS 4"::Ipil'S.8:S..,s!r;esr;Recuitto, Re,.-i'.::;trstioo .'17::!,.!;";:sr'!,1-.1!1.,;.,1v,-,,i Lc:a ',.,..ny bryfc7e_ft.-i. ,-iriroF,FV.P110yE-VjgNer CMJTIR,ArTOR SY.Ctr?til,r!este. if.Found retu,r to. TYPE;Irititvieuei Office of Cwsurner Affairs e-rid Busirees Peculation aegisfriittion - By piration IfiCil Wsenington Street -Suite 710 201749 _ 04127/2075 i.-.7inster,!,.41i, 0211P sg,C101 AS 3ROS.7- -- - ------ `1CLia_AS DROST . , . ir.,..:„:akie.9[1.--3,=orriP /- ..,,,,-, __„,,,,,. . .„10.2,31,7 4,7..,•i/.1..--• . 3ELCHEPTOWN. MA 010:77 Undersecretary Not valid without signature 114E COMMONWEALTH OF MASSACHUSETTS Cffica of Conisurcer Affairs&Business Regulation HOME IMPROVEMENT:CONTRACTOR TYEE:rapfiratiork Realstr01100.7ri--_.F.ILti211 ,•- ,. 1650tit-':----- -031114/2024 W of Massachusettsiift);i-i.,LUSETTS,INC. Commonwealth . 1iNDOW WORLD 0 :.,(itii,E _Mt Division of Professional Licensure Board ot Building Regulations and Standards ConstrottiVA Itiloppvisor ..,., '1. TIMOTHY DROST CS-115719 ;;- ,a5.144„, Opiros:0/MUMS NICH0LAS T:13R.044)1LtImns- --"?. '' 6134EL1 DANCHERIETLOWNSHAY,MSA171067.77,..L.....:. -''';' ‘44".(Undel:ecrl.741e1::IYs 102 OAKRIDGE DR BELCHERToJ MA<170007/ •' ."::: • ' -*or' .., ‘zit.5.7 c 4.4410 0.0.-.1, Commissioner da6A 4 16,n.ifo .-... . , ,T >* - , •.'..• � f�• 1 4 R �+� f • .. ., AID ,r p ,•r Best-In-Class Features: ,. `� ' '' Q Welded,heavy-duty vinyl construction provides superior strength and durability. ©High-density foam enhancement throughout the mainframe offers superior "'=`' ` thermal protection. el SolarZone TG2T"and SolarZone TK2T" triple-pane insulating glass enhanced with Low-E coating and argon(TG2)or krypton (TK2)gas ensures the elements 1. -• , won't make an impact on the comfort of your home. .t k*. Q A Duralite6 warm-edge spacer system further improves energy efficiency. ,"`f' w.*,fi 0 The beveled exterior edge provides style and curb appeal to an already sleek ,.. • ,, design. ,, Q Recessed, opposing cam locks secure your window without interrupting sight . .q lines. 0 Heavy-duty weatherstripping and interlocking sashes help to keep weather and 4 4.. ' ' wind outside. ,. wy 0 Balance channel covers ensure a polished look. 0 Spring-loaded, push-button vent latches allow for overnight ventilation while « `y. giving you added peace of mind. 0 Full-length,integrated ergonomic lift rails provide convenient, easy operation. Bevel on bottom rail enhances grip. • " 'e• 0 Metal reinforcement in the meeting rail enhances strength and protection against wind and weather. . • ' ®Recessed tilt latches can be released to tilt both top and bottom sashes into the s- ' home for easy cleaning. 0 Welded combination sill featuring a deflection leg offers rigid structure and a ;+E►.„ five-degree sloped sill that directs water away from the home and eliminates 0 • f" , unsightly weep holes. 0 An easily removable latching half screen gives you the freedom to let air in while, i s -•,. keeping pests out.Featuring Clarity"mesh,the screen allows you to focus on =„ what's important:the view. O 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 K . position. et - ,max 0 Series consists of double-hung,double slider,casement,awning, picture, and ;.. tr., architectural shape windows. Energy-Saving Glass Packages: • <4a4 w ' Our SolarZoneTM insulated glass packages help you save on heating and cooling costs while also keeping your home more comfortable. In warm weather. TrialP-rimp.11„ss and a!,,,'n, e•,'r i:,:+ , SolarZone reduces solar heat gain, minimizes interior glare,and lowers inside glass n'';ntla'1- „''°-arcs ih s'r'`'' ' '''`"�'' ,rarn,,ancs. temperature to save energy and keep you cool. In cold weather,SolarZone helps to control the heat inside your home by providing thermal protection that keeps the inside glass panel warmer. THERMALPERFORMANCECOMPAR150N' 1Wlndow values are basesinsingle-strength atlatxr•.;WTG2 t i,l(no, 1I 1 't. .', mass,standard 6000 Series or(esl j.ihallwc easy ot,A•v dll two r rin•r••I ,1 i, n depending on grids and opri,nar glass thichrssts eon.,nce:nen6 wrern-e,!.n- ...«r:v.:,., ,,: DOUBLE-HUNG upnrades(1/4"laminated,)/R"te,,, ,',d,:Vte"' !n-,r.i-nntt:wed .-,intt.,tt decorative glass etc)ST and HP parlorm mca valt es U-FACTOR sHGC are also avalhhIe. t:k o.!blob ,,+r nil•L- L I I., I: , 2 TK2Is available on 6000 series doubS'-Inn i at,a h111,•..,er+ rn, 4t a ,, :, SolarZone TG2 0.21 0.25 double sliding windows onvy. nai,.,n,nvur,-nn „,., Wen Zone TG2 w/Grids 0.22 022 In Pop^Intn!hp mair;'r,ni, ,i...," ,, " !eahu'lone TK2 0.17 025 u,:e•id•,y!n,rn-,ppr+p •,.:r-.,"" r Window World of Western Massachusetts Rtre van' 1n% ?COIRRMtIp 641 Daniel Shays,Hwy, Belchertown, MA 01007975 North Road,Westfield,MA 01085 Wl,tdOSt/ Office: (413)485-7335 WINDOW WORLD www.WindowWorldofWesterriMA.com CARE �j Joseph Brooks Install Address: 228 Florence Rd Florence, MA 01062 Contract Name:Joseph Brooks-Sales-Windows Design Consultant: Tim Drost Measured By: Measure Approved Date: 11/14/2023 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 6000- 2 Lite Slider Triple Pane 6000 2 Lite Slider Triple Pane white , white MEI A-215 N 3 $1,499.00 $4,497.00 03414-00001 6000 Series DH Triple Pane 6000 Series DH Triple Pane white , white MEI-A-216-32587 N 3 $999.00 $2,997.00 00001 • Install Interior/Exterior Stops Install Interior/Exterior Stops N 6 $80.00 $480.00 Total Information Unit Total: 7 Subtotal: $8,424.00 Tax Rate: 0% Tax: $0.00 Total: $8,424.00 Amount Financed: $0.00 Payment Method: Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $8,424.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: RRP Signed Date: Window World of Western Massachusetts vs-rowans WR"Pr commaoo 641 Daniel Shays,Hwy,Belchertown,MA 01007 fit f.i,41 975 North Road,Westfield,MA 01085 ,ry WINDOW WORLD Oltd Office: (413)485-7335 CARE ) www.WindowWorldofWesternMA.com -- ^�- - Protiuct Acknowledgements { 1 have received a copy of the lead hazard information pamphlet informing me of the potential risk of the lead hazard exposure r'rom renovation activity to be performed in my dwelling unit. I received this pamphlet before work began. Primary Homeowner -- Secondary Homeowner Window World of Western Massachusetts vnanns P�"""�comnno 641 Daniel Shays,Hwy, Belchertown,MA .-t a = m Window 01007 ``// 975 North Road,Westfield, MA 01085 Q(,�,� Office: (413)485-7335 WIN/ ,t.DAGO www.WindowWorldofWesternMA.com CAR 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 due on your 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 oftic4 . 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 r Secondary Homeowner Design Consultant EPA "Renovate Right' Brochure can be viewed and printed from here: Renovate Right Brochure WW of VtW. Massachusetts anticipates starting this work on and being substantially completed in days.Any deposit required in advance of the e 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 on'Ecct will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all port es. All home improvement contractors and subcontractors shall be registered. No work shall begin prior to the signing of the cr.ntrtcct and transmittal to the owner of a copy of such contract. WW of W. Massachusetts under provision of Chapter 142A of the gc,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 in;li\:iduals. Notice: If the PURCHASER(S)obtains his own construction related permits for the work described under this agreement or EIE'r,ls with unregistered contractors, the PURCHASER(S) is hereby advised that in the event of a dispute,judgement and noupoyn,en.t., thre PURCHASER(S) will not be entitled to make a claim or collection from the guaranty fund established by chapter 1 .,.. M :i.L. I4nr the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this tr dn'5,aciivn. Notice of cancellation must be in writing postmarked no later than midnight of the following third business Ti l'i iS Al CUSTOiMM(.RDER NOT FOR RESALE This Window World® Franchise is independently owned and operated by Window World of Western 19 a°.:chn.rr:etts, Inc.under license from Window World, Inc.