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17C-187 (19)
BP-2024-0047 62 CHESTNUT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17C-187-001 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-2024-0047 PERMISSION IS HEREBY GRANTED TO: Project# 2024 WINDOWS Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 7818 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 DELLA PENNA CRAIG P& KATHLEEN A GRIFFIN Use Group: Owner: DELLA PENNA 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: 01/18/2024 TO PERFORM THE FOLLOWING WORK: REPLACE 2 WINDOWS (NON STRUCTURAL) 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 TILE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner The Commonwealth of Massachusetts Board of Building Regulations and Standards FOR Ih' Massachusetts State Building Code, 780 CMR MUNICIPALITYUSE Building Permit Application To Construct, Repair,Renovate Or Demolish a Revised Mar 2011 One- or Two-Family Dwelling This Section For Official Use Only Building Permit Number: 1312 20 td -Oow7 Date Applied: /tti a,, /_/7-zozi-/ Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: // 1.2 Assessors Map&Parcel Numbers iC�d (/v�e5a<Ylwt 51- 17c-/37-oo l 1.la Is this an accepted street?yes .lj' no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: t j i 3 ,2,63 acre_ 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 0 Private 0 Zone: _ Outside Flood Zone? Check if yes❑ Municipal ElOn site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Crct t o br',(IC1 1evi ti q Fiore ii c& ($4- i06 Name(Whit) City,State,ZIP 3C hoc Cke5-tvlut 5f I/ 51.5-07g77 CraiC� ( d v►lc i ( .GOwl 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 I /Specify: V.:e.10\Qt,(_N_111€2 iv+ Brief Description of Proposed Work2: of kl/ VI ve,pl a ( of e /Yew . 04 r-Iu I SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only 1. Building $ I 1. Building Permit Fee: $❑ Standard City/Town Application IndicateFee how fee is determined: 2. Electrical $ ❑Total Project Cost3 (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical Suppression) ical (Fire Total All Fees: $ PP ) o Check No.�3/1 Check Amount: Cash Amount: 6. Total Project Cost: $ 1 b 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Number Expiration Date Name of CSL Holder �` Q List CSL Type(see below) V No.and Street L, J Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) �t� R Restricted 1&2 Family Dwelling City/Town,S IP Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances `'��3)��S`l'�'a� Qzr•�..�s t,J�nc1z.Tx)1zoy-V. (,..4,k I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) Au: � 'a—A c\ HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Nine k S\ \ C�4LY rh. 5 ZL\csA t".tlC.erA t 1,r( and Street \ Email address i( y&_ CkW1 �`-k‘3) 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 IiY ' 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 L\ \`lvN.)\? , to act on my behalf,in all matters relative to work authorized by this building permit application. / l /a y. Print 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• this ap • alt is true and accurate to the best of my knowledge and understanding. �/9 /ay Print er' o uthon 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(H1C)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms _ Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton K - � / S S w.- .,'a te+ Massachusetts or. !,re lit y DEPARTMENG NSI Df �' r „ 212 MainNT StreetOFBUILDI• MunicipaIl BuildingPECTONS �'` '.� :�<» Northampton, MA 01060 sE•J%' 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: O',r150 \a \,6Q,\-e _ 4Al0 ct...\c, `b\r„ k-\1/4-J•k\;k .l '''� >,. ( Y1/4,1Y,._k 0 The debris will be transported by: Name of Hauler: W r\ci-0 \A C3Nrk X. Signature of Applicant: ;�/'"tG. ) Date: City of Northampton OQ'��AMprO. / " '` Massachusetts 4$y s�r4 f 1 T k W 1t Ati . •.7 DEPARTMENT OF BUILDING INSPECTIONS 7 j !{- �, �' ' ir; 212 Main Street • Municipal Building y0..• ti` Northampton, MA 01060 HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT , I, Cr ► a be Pp Fhpig (insert full legal name), born _ (insert month, day, year),kireby 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 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 ‘p«(-IQ�y , 2007 4/ c(St ature) CtN • The Commonwealth of Massachusetts t Department of Industrial.Accidents 1 Congress ,S"treet, Suite 100 5 Boston, MA 021.14-2017 www.n:ass.gov/die Workers' Compensation Insurance Affidavit:Builders/Contrac.tors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Window World of Western Mass Name(Business/Organization/Individual): • Address:641 4a'niel Shays Hwy City/Stale/Zinc Belchertown MA 01007 • phone#, 413 485 7335 Are you an omlrlovor;Check the appropriate box: } Type of project.(required): i. .i am a employer with employees(full and/or part-time).* 7, D New construction • t 2.01 am a sole proprietor or partnership and have no employees working for me in 8, 0 Remodeling any capacity.[No workers'comp.insurance required.] , 3..01 am a homeowner doing,all work myself.[No workers'comp,insurance required.] ' t9. Demolition 1 a 10 0 Building addition 4,0 i 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 i i 1.0 Electrical repairs or addition,: f proprietors with no employees. i ^� . 12.[]Plumbing repairs or additions 5,D i em a general ccnrtractor and i have hired the sub-contractors listed on the attached sheet, j { Th • ese sulwcantractors have crrrployees and have workers'comp,insurance..r { 13. Roof repairs 6.0 We are a corpulatian and its officers have exercised their right of exemption per MGI.c. • 14.[. Other Replacement M..._._ 152,§I(4),and we have no employees,[No workers'comp.insurance required.I *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information, r.Homeowners who:submit this affidavit indicating they are doing all work and then hire outside contractors;Oust submit a new affidavit indicating i•iicIr rcon(rectors that check this box must attached an additional sitteet showing the name of the Ub.etlnlrnrso,'s and stale whether or not(now e11(ili:c isi'i; employees. If the.sub-contractors have employees,they must provide their workers'comp.policy number. +- car„=„,„ar,, 1 an:an employer.that is providing workers'compensation insurance for my employees. Below is the policy and job slit' inf0rmatian, Insurance•Con)pany Name: indemnity insurance Co.of North America —,--._ Policy#or Self-ins.L,ic.#: C56Ug8598 Expiration Date:10/01/2024 ...... Job Site Address: 6� w/6-5T 72LG / jr City/State/'lip:1k�0 271.24 O70e5 2 Attach•acopy 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$l.M00,00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.()();1 day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the IAA for instlruncc coverage verification. I do hereby car un er the pains a d penal 'es of perjury that the information provided atbov is true and correct, Signature ' " l i 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: I Permit/License#_ Issuing Authority(circle one): I.Board otHealth 2.Bantling Department 3.City/Town Clerk 4.Electrical inspector 5.Plumbing inspector 6.Other ' Contact Person:_. _ _. _ _ ._._._ t ., z +..e —y-••",.i �` „GW 'V .+... as . .-r, r ....... DATE(MM/DDIYYYY) 09/22/2023 CERTIFICATE OF LIABILITY INSURANCE Acct#: 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 NAME:-- _ PHONE 3657 BRIARPARK DR.,SUITE 700 (A/C,No,Ext):8884284365 1(NC,No): H USTON,TX 77042 E-MAIL ADDRESS: I N S PE RITYC ERTS@LOCKTONAFFINITY.COM INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Indemnity Insurance Co.of North metcaa____ 43575 INSURED INSURER B: WINDOW WORLD OF WESTERN MASSACHUSETTS INC. ------ --- - - 641 DANIEL SHAYS HWY INSURER C: BELCHERTOWN,MA 01007-9529 INSURERD: 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 1HE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL 9UBR POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ S DAMAGE TO RENTED CLAIMS- OCCUR PREMISES(Ee occurrence]- $ MED EXP(Anions Person) $ PERSONAL&ADV INJURY $ GE AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY RO- LOC — F r.T PRODUCTS-COMP/OP AGG $ OTHER: $ -- AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ -AUTOS ONLY AUTOS ONLY (Per as0Ldet1tL -_ - $ UMBRELLA UM OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE J $ DED RETENTION$ $ _ WORKERS COMPENSATION X STATUTE 0TH A NYPROPRIEETOR/PARAD EMPLOYERS' ITNELR/EXECUTIVE ITY YEN OFFICER/MEMBER EXCLUDED? N I AEL EACH ACCIDENT s 1,000,000 (Mandatory in NH) x C56098598 10/01/2023 10/01/2024 If yes,describe under E.L DISEASE-EA EMPLOYEE $ 1 000 000 DESCRIPTION OF OPERATIONS below r r E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION 2970777 Town fo Northampton Building Dept SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 212 Main St BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Northampton,MA 1060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C-i_`_-3"- ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD WINDWOR-01 LAU-A ,acorry CERTIFICATE OF LIABILITY INSURANCE DATDIYYYY) 4/14/214/2023 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 CONTACT Laura Misseri NAME:.... Phillips Insurance Agency,Inc. PHONE OON o,Ext 413 594-5984 FAX 41 ) 97 Center Street ( ):( ) (A/c,No):( 3 592-8499 Chicopee,MA 01013 lass;laura@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE .,_ —__ __ _ NAIL• 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 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 NUMBER POLICY EFF POLICY EXP LIMBS LTR INSD WVD IMMIDD/YYYY1 (MMIDD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE LX1 OCCUR 6Q44324 4/9/2023 4/9/2024 DAMAGE TO SESO rrence) 500,000 MED EXP(Any one person) S 10,000 —� — PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _$ 2,000,000 X POLICY L)5J 78, x LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: _ $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 JE.a accident).--------__-$-- - ANY AUTO _ 6Z44324 4/9/2023 4/9/2024 BODILY INJURY(Per person $ OWNED AUTOS ONLY X SCHEDULED AUUTNOS ED pBOODILY INJURY(Per accident) $__. X_ AUVOS ONLY X AUTOOS ONNLY (Peraccldent)AMAGE B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE 6J44324 4/9/2023 4/9/2024 AGGREGATE $ 1,000,000 --- -- ------ DED X FRETENTION$ 10,000 WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? 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/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, Town of Northampton ACCORDANCE WITH THE POLICY PROVISIONSCE WILL BE DELIVERED IN Attn:Building Department 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE 1 I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All right::reserved. The ACORD name and logo are registered marks of ACORD THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:thdfvidual Office of Consumer Affairs snit Raciness Regulation Registration Expiration 1000 Washington Street -Suite 710 /. 20.174 7 6 Boston,MA 02118 NICHOLAS DROST . . L_- NICHOLAS DROST •,- ,•_12 1 '----- 102 OAKRIDGE DRIVE a_i% -' 3ELCHERTOWN,MA 018 4 • Undersecretary Not valid without signature THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT TRACTOR TYEE� orporation,CON Reaistr`ation „EXP 3tion t6,5g4 = 03F14/2024 Commonwealth of Massachusetts ` iop WINDOW WORLD OF WES7fiRN SACHUSETTS,INC, Division of Professional Licensure Board of Building Regulations and Standards F.: \- :1 =' i= Constro&t3iil§iip9rvisor '. , J,�° --• CS-11S7�9 TIMOTHY DROST `<. "�;' --j _ s#r E:x�sires:(li3fl12i125 641 DANiEL SHAYS HAT +„! 1� ' 'Q� �`� N1CHOtAS T DROST iF BELCHERTOWN,MA 0100T.:, Undersecretary 102 OAKRIDGE DR tl, ra. , 'j;-�„: — BELCHERTOi V MAV0100Tr .'1 i ••> ' Commissioner deptIG g Eitntb,, DocuSign Envelope ID: 1 F6D4552-F5D8-4215-832D-ODB5FD53D28A Window World of Western Massachusetts Watckjw 641 Daniel Shays Hwy. • Belchertown, MA 01007 Phone (413) 485-7335 • Fax (413) 315-3714 www.WindowWorldofSpringfield.com Craig Della Penna Customer: Phone (h) 413-5 75-22: 62 Chestnut Street, Florence, MA Install Address: Phone (w) Bill Address: Same E-mail Contract#S305347 Original Contract Amount: $7,318.00 Add: Primed Finish 2 @ $250 + $500.00 New Contract Total: $7,818.00 Less: Deposit - $3,659.00 Amount Due at Install: $4,159.00 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,In DocuSigned by: tom+' P P 1/9/2024 mn — Date Anna Drost 1/8/2024 Salesman Date Owner Date Window World of Western Massachusetts ,nuo 641 Daniel Shays,Hwy, Belchertown, MA cifRRnf ' rcnmmRnn 01007 975 North Road,Westfield, MA 01085 WindCW Office: (413)485-7335 WINO ACARE www.WindowWorldofWesternMA.com Craig Della Penna Phone: 4135752277 Install Address: 62 Chestnut St Email: craigdp413@gmail.com Florence, MA 01062 Contract Name: Craig Della Penna -Sales-Windows Design Consultant: Tim Drost Measured By: Measure Approved Date: 12/22/2023 Status: Contract 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 -Windows Setup and landfill disposal fee - Windows N 1 $100.00 $100.00 Windsor Pinnacle Windsor Pinnacle Select REVIVE UNIT, PINE INTERIOR , RED EXTERIOR N 2 $3,509.00 $7,018.00 Select TWIN CASEMENT WITH SIMULATED DIVIDED LITES COLONIAL PATERN Total Information Unit Total: 3 Subtotal: $7,318.00 Tax Rate: 0% Tax: $0.00 Total: $7,318.00 Amount Financed: $0.00 Payment Method: Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $7,318.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: RRP Signed Date: Window World of Western Massachusetts „■.■,,,,,,■yeUR.common 641 Daniel Shays,Hwy,Belchertown,MA - ''- �._1/_,., ,lest /Ll�l1sV 975 North Road,Westfield,MA 01085 C1 q Office:(413)485-7335 WIN DOW WORLD CARE $ www.WindowWorldotWesternMA.com Product Acknowledgements t 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 Window World of Western Massachusetts 641 Daniel Shays,Hwy, Belchertown, MA F.•AA�6 <,m„„�, 01007 975 North Road,Westfield,MA 01085 f,Vindow b�,G�WN Office: (413)485-7335 What; WuwCAR E` www.WindowWorldofWesternMA.com Preparing for Your New Windows and Doors Thank you for choosing Window World to complete your home improvement project.This letter is designed to simplify your upcoming installation experience by letting you know what to expect. 1. HOW LONG DOES IT TAKE?It takes approximately 4-20 weeks to receive your custom-made window order from the 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 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 eketesf..,,n he nrnsArie,i f,,,fhn unmcn,•,ncr to cinn after tha final incnartinn is rmmnlete. 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 office. We trust that your remodeling experience will be a pleasant one. If for some reason you are not completely satisfied, please contact our office. Your comments are welcomed and will be used to better serve you. Thank you for your business! Primary Homeowner Secondary Homeowner Design Consultant EPA "Renovate Right" Brochure can be viewed and printed from here: Renovate Right Brochure WW of W. Ma;sachusetts anticipates starting this work on and 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. I\otice: 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 CUS COM 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. Windsor Pinnacle Select Lin€. Triple Glazed Energy Efficiency Table 2023 Pane .W Product IG Thickness Glass Type U-Value St ; Thickness Select Casement 3.1mm 11/4" 366/180/Air 0.24 0.t' Triple 366/180/Argon 0.22 0 rrE. Select Awning 3.1mm 11/4" 366/180/Air 0.24 0. Triple 366/180/Argon 0.22 !)..''i, Select Casement 13./4" 366/180/Air 0.23 C?_2i., 3.9mm Picture Triple 366/180/Argon 0.20 11.. 11/4" 366/180/Air 0.23 0 211 Clad Direct Set 3.9mm Triple 366/180/Argon 0.20 :J.2'i1 Clad Radius& 3.9mm 11/4" 366/180/Air 0.21 0.221 Low-Profile Direct Set Triple 366/180/Argon 0.18 I!.22I