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17A-041 (5) BP-2024-0320 196 BRIDGE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17A-041-001 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-2024-0320 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS/DOOR 2024 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 18222 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: LAURIE MATHERS JOSEPH & Lot Size (sq.ft.) Zoning: RI/URA Applicant: WINDOW WORLD OF WESTERN MASS Applicant Address Phone: 1 Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 C56098598 BELCHERTOWN, MA 01007 ISSUED ON: 03/25/2024 TO PERFORM THE FOLLOWING WORK: 10 WINDOWS AND 1 REPLACEMENT DOOR POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 172. Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner �C\ 6a e The Commonwealth of Massachusetts t'a Ne�y J` Board of Building Regulations and Standards a ,' FOR E Massachusetts State Building Code, 780 CMR^;,,, le MUNICIPALITY ,,,. USE Building Permit Application To Construct, Repair,Renovate Or Oenjolish a Revised Mar 2011 One- or Two-Family Dwelling This Section For Official Use Only Building Permit Number: jl oACI' i 0 Date Applied: 41./`^-'Z-) // 3 z5-zazif Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Pro arty AcJ,dress:, 1.2 Assessors Map&Parcel Numbers iqb1.1a Is this an accepted3'treet?yes its no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Arca(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!: 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: 6ed-1 lr1�c° MGt-� HerS Par 4ce Hi 0/ 77cl 1. ame(Print) City,State,ZIP lab rl‘d e kj 4/1.'56 OS38' rhCt-thers ` re , �uo ,ccwl No. and Street V Telephone Etil Adtl4ss SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction 0 Existing Building 1 , Owner-Occupied '171,, Repairs(s) 0 Alteration(s) 0 Addition ❑ Demolition 0 Accessory Bldg. ❑ Number of Units 1, Other /Specify:V..Q..061,C. 1_.('flQ V . Brief Description of Proposed Work2: 10 w l'14 do w 5 0�d /c r yr p 14 Ce L4'7 -i 1- iveA. ,( ,efte_r'kr,_.I SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ / 0 619 a 1. Building Permit Fee: $ indicate how fee is determined: 2. Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost3 (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All gees: 440 n Check N Check Amount: I Cash Amount: 6. Total Project Cost: $ / 3'i of 9 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL)` ` 711 C.5— k\-.5 1 1° Ll •�U-4 ` 3 C9v10\OL.: C `r2�U}.. License Number Expiration bate Name of CSL Holder p List CSL Type(see below) U No.and Street Type Description �O���A r-' x��vti �\O . (�\ , U Unrestricted(Buildings up to 35,000 Cu.ft.) City/To ,S 1P R Restricted l&2 Family Dwelling M Masonry x__ RC Roofing Covering WS Window and Siding r \ SF Solid Fuel Burning Appliances \3)��S•1 c Q.2..C'rr.. toNA.c�u` Li:ovAti. (, ,k I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) \�tS��I 01 t41 ;.)c,� '� ..)...7)(3"�� HIC Registration Number Expiration DateHIC Company� Name or HIC Registrant Name 1pt-\\ )c1t\.RQ S\t s.1/4S vJy ve.Y'tr.�S tihruci ,v34,04.'.-14,4.l°i 4, A Land Street Email address 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 EY' 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 \Xcy.0 tom\ '\. f(:)\)k& to act on my behalf,in all matters relative to work authorized by this building permit application. 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 ialibt is true and accurate to the best of my knowledge and understanding. Print er' o uthon Apes 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 �4,_ �., ,;� f� y { � DEPARTMENT OF BUILDING INSPECTIONS 40 212'' 212 Main Street • Municipal Building J < �,: -* Northampton, MA 01060 { )%° 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(1.50 \.a Q4e_ (Au \N1CtLvN `\,.. \�,4 \t,,,t.c k \ ` •c,. '0 'z 1 x The debris will be transported by: Name of Hauler: \ ► 1‘f\ cyq,C \A � 2 / 6a/6917 Signature of Applicant: Date: r-� City of Northampton Massachusetts r it � al 4 4 ( DEPARTMENT OF BUILDING INSPECTIONS try± 212 Main Street • Municipal Building a P.. „-,5,- Northampton, MA 01060 `, W' HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, Joe ci- &xi r1 c H 7 c kG'rs (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 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. HelSigned under the pains and penalties of perjury on this /"3 day of re/4 ,20a i (Sig9oro C ie•-• ruel, nature) , The Commonwealth.of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 . / Roston, MA.02114-2017 • www.mass.govldia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers, TO BE NILt?I)WITH'CHi PERMITTING AUTHORITY. Applicant:Information Please Print Legibly Name(Business/Organization/Individual): Window World of Western Mass Address:641 Daniel Shays Hwy City/State/Zip: Beichertown MA01007 Phone#: 41 3 485 7335 I Are you ?C an employerheck the appropriate box: Type o#'project.(required): b I. .i am a employer with 50 employees(full and/or part-time).* 7, D New construction 7 2.01 am a sole proprietor or partnership and hove no employees working for me in i , -•� 4 8. Remodeling any,capacity..(No workers'comp,insurance required.) !-� i�.D� 1 ein a homeowner doing all work myself. No workers'comp,insurance required.] { Demolition 1 10 T.]Building addition t 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. 1 will I ensure that all:contractors either have workers'compensation insurance or are sole i 11,'j Electrical repairs or additions • 1 proprietors with no em• ployees. � i 12.0 Plumbing repairs or adtliii ato 5.0 i am a general contractor and I have hired the sub-contractors listed on the attached sheet, # These subcontractors have employees and have workers'comp.insurance.r I:i, Roof repairs i 14.Rohe'. Replacement 6.0 We are a:corporation and its officers have exercised their right of exemption per MOL c. 3 ._—.—._._.. .,-. ..n. 152,§I(4),and we have no employees,[No workers'comp,insurance required.] 1 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy in Ioriiinl in •p Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must stlbntit a new affidavit indicating such 1(Anlruct rs that check this box must attached an additional shout showing the name of the sub-contractors and state whether or not ill v :entities have.' employees, If the.suh-contractors have employees,they must provide,their workers'comp.policy number. area. . lam an employee that is providing workers'compensation insurance,for my employees. Below is the policy and job,sits' information. lnstirance CornpttnyName: indemnity insurance Co.of North America — • folic #or Self-ins,tic.#: C56098598 10/01/2024 Y Expiration Date__.___.._...,..... . �. .,.w.,.,., Job Site Address: l9 8 ri�0 e Rd City/State/'zip: /��Or_o e /g 0/D6 aZ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Ma,c. 152, §25A is a criminal violation punishable by a fine up to S1,500,00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDE,R and a fine of up to$250,(1()a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the I.DIA for insurance coverage verification. I do hereby cer un .er the pains a d penal es of perjury that the information provided above is true and correct. signature; i Date: J 1 0172 Phone#: 413 485.7335 ' Official used.only.•Do not write in this area,to he completed by city or town official. • v City or Town: rI Permit/License#,., Issuing Authority(circle one): I.Board of.liealth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing inspector 6.Other Contact Person: w ,.w,.� ,.. Phone#: . __ ._..,..._.._... .._......... - -> Ai A _,.., _._a nee A.. -:.-.: DATE(MMIDD/YYYY) p, 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 NAME. LOCKTON COMPANIES,LLC PHONE I FAX 3657 BRIARPARK DR.,SUITE 700 (A/C,No,Eut):888-828-8365 (A/c.No): HOUSTON,TX 77042 E-MAIL ADDRESS: INSPERITYCERTSQLOCKTONAFFINITY.COM INSURER(s)AFFORDING COVERAGE.__. NAIC# INsuRE_RA:Indemnity tn_suneice g2,_41Narth ARlertca__. __.._. - 43575 INSURED INSURER B: WINDOW WORLD OF WESTERN MASSACHUSETTS INC. 641 DANIEL SHAYS HWY INSURER C: I B E LC H ERTO W N,MA 01007-9529 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADM SUER POPOLICY NUMBER (MMIDD(YYYY) (MY EFF M DD YY YYY) LIMITS LTR INSD NND ^COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I$ DAMAGE TO RENTED CLAIMS- OCCUR REMISESAE_Ecocglrrern_cg)_. $ MED EXP(Any ono person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE_ $ POLICY l PRO- �OC PRODUCTS-COMP/OP AGG $ II IFCT OTHER: $ _ AUTOMOBILE LIABILITY COMBINED STNGLE TM IT $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIA6 CLAIMS-MADE AGGREGATE $ ., DED I RETENTION$ _ �/ - - _ $ ---' WORKERS COMPENSATION X STATUTE _I_ERH AND EMPLOYERS'LIABILITY Y A ANYPROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A X C56098598 10/01/2023 10/01/2024 -(Mandatory in NH) -- If yes,describe under EL DISEASE-EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below — ----" E.LDISEASE-POLICYLIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION 2970777 Town fo Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Building Dept IN 212 Main St BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED Northampton,MA 1060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ,��-1 WINDWOR-01 LAURA ,al►tCORo CERTIFICATE OF LIABILITY INSURANCE DATD/VYYV) �,,,,-ram 4/14/2023 14/2_-_ 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),AU IHORIZED 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 Philli s Insurance Agency,Inc. PHONE 97 Center Street (A/c,No,Ext):(413)594-5984 1 FAX (NC,No)(413)592-8499 E-Mq IL laura hilll aInsurance.com Chicopee,MA 01013 ADDREs$__ GP P INSURER(S)AFFORDING COVERAGE NAIC# INSURER a:EMCASCO Insurance CO INSURED INSURER B:Employers Mutual CasualtyCompany Window World Of Western Massachusetts Inc INSURER C: 641 Daniel Shays Highway INSURER D: Belchertown,MA 01007 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR I TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYYI (MM/DD/YYYYt UNITS 1,000,000 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE - DAMAGE TO RENTED 000,000 CLAIMS-MADE I X I OCCUR 6Q44324 4/9/2023 4/9/2024 pREMIs(Ea2�drlen�l_ _$. MED EXP-(Any one person)__ $_...._ 10,000 PERSONAL&ADV INJURY _$_ --. 1,000,000 GE 'I_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE_.._--_.{_____ 2'000'000 X POLICY[xi Flaf X LOC PRODUCTS-COMP/OP AGG $__ 2,000,000 OTHER: $ — B COMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE LIABILITY (EaaccideMl _.-._.. 5 __. ._ .._._. .. ANY AUTO 6Z44324 4/9/2023 4/9/2024 BODILY INJURY Per Rersoj $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILYO INJURYp (Per accident) $ X HIRED X NON-OWNED P Oac g AMAGE $ AUTOS ONLY -- AUTOS ONLY -.- -- -- $ B X UMBRELLA LIAB X I OCCUR EACH OCCURRENCE — $ ,.-___ 1,000,000 EXCESS LIAB CLAIMS-MADE 6J44324 4/9/2023 4/9/2024 AGGREGATE 1,000,000 DED X RETENTIONS 10,000 $ WORKERS COMPENSATION PER _ I 1OTH- AND EMPLOYERS'LIABILITY TATUT _. ES.._�. YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT .$__ QFFICER/MEMBET EXCLUDED? L J N/A -- - andatory in NH) E.L.DISEASE-EA EMPLOYEE,_$__ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT_J $ 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, NOTICE WILL BE DELIVERED IN Town of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • V Coonnonwelailat of Ntanzl ocletsotts 1TM On ets Ion:of Proros lanai Lit;ort oro fit>wt'cJ of 0tsfl J11n Fero+,iaalattIortd anrl.1Iroadprcly, C unst,,tttt r1 ftikp vitartr f1 CS-11s21 l ”i'44-41 Olt airift:04130J2 N25 tdJCHOL Ar T;f io 0, „h 11k.�I ar 1ffz oAKruous q- P' 4''l 4 OaLCifiERT0110I MA p ra , .. j' ';,r ro A' Y • f}itg.i.it. 'ht( 't, at ,' t`.4 „t Corn/mist:loner egeoll !; .,r ro,„ THE COMMONWEALTH OF r,1ASSSACHNJSETTS Office o1 ConsumorAllalrsIssiffuststiln:sn Regulation Registration urntdtJ for IndivIdud usertnly l r�.fori=the: HOME 11MJxw'HOVE 'g,Nd ONTCTOR e://piratlrtn date, It hound return rw: TYPE In.+'ult004,4l 01000 of Cansurnor Affairs and Curti now;RovillJ;tiinit FIO tr k° 1000 Wa:slhlnpton Street -Suite.740 at)1 .46 , .' 04107120'''PL. Boston,MA O21110 VICHOLAS DROST ' t',," 1 r l I i NICFIO AS DROST 4 ;.;, �+/, I .�,t';M I t72 OAKT31DC. DRIVE ! 901 i 3ELCHERTOWN,MA 0100. r Ur del'ecrollty Not valid with out sigInataure THE COMMONWEALTH OF MASSACHUSETTS Office of ConsuniorMfaatrs&auslnor;,s Reputation kuplrstrauort vatld for Individual use only butoro tho HOME 1MPROVEMENT`CONTRACTOJt uxplration data, 11 found return to: TYPE.Oor'pOralion Office of Consumer Affairs end rttaslnoss Regulation Rapist/attar' Expiration 1000 Washington Strout -Suite 718 186841 O0J14t2026 Easton,MA 02'118 WINDOW WORLD OF WESTEf*I Mr1SSACFAJSErTS,INC. "i i TIMOTHY DROST 1^ c,A r i,a 641 DANIEL I IAYS FIW'Y • 1.3ELC-tE:RICA N,MA 01007 - — LHndorseerettry Not vatic!without. signature at' ; :t 5 I ,T1 ix tt i.t is fit 1 f'` K Best-in-Class Features: 1 2 Q Welded, heavy-duty vinyl construction provides superior strength and durability. 5 ©High-density foam enhancement throughout the mainframe offers superior t thermal protection. Ai 0 SolarZone TG2T"and SolarZone TK2" triple-pane insulating glass enhanced -` Y 11 with Low-E coating and argon(TG2)or krypton (TK2)gas ensures the elements .•M'" won't make an impact on the comfort of your home. I Q A Duralite warm-edge spacer system further improves energy efficiency. ©The beveled exterior edge provides style and curb appeal to an already sleek 0 design. 4 +QRecessed, opposing cam locks secure your window without interrupting sight I a lines. Q Heavy-duty weatherstripping and interlocking sashes help to keep weather and to wind outside. 0 Balance channel covers ensure a polished look. Q Spring-loaded, push-button vent latches allow for overnight ventilation while giving you added peace of mind. ® '5,:,,,' 4 6 0 Full-length, integrated ergonomic lift rails provide convenient, easy operation. Bevel on bottom rail enhances grip. -=r' 12..;) 0 Metal reinforcement in the meeting rail enhances strength and protection 7 against wind and weather. ,. e Recessed tilt latches can be released to tilt both top and bottom sashes into the 4 " home for easy cleaning. w ,' 0 Welded combination sill featuring a deflection leg offers rigid structure and a 'r five-degree sloped sill that directs water away from the home and eliminates unsightly weep holes. 0 An easily removable latching half screen gives you the freedom to let air in while ; keeping pests out. Featuring Clarity"mesh,the screen allows you to focus on ' y what's important: the view. -• ,Z.- e Detent clip keeps the top sash from drifting while an inverted-coil balance _k ,', system ensures both sashes will stay where you put them, no matter the position. 0 0 Series consists of double-hung,double slider,casement, awning, picture, and architectural shape windows. 15 Energy-Saving Glass Packages: Our SolarZoneT" insulated glass packages help you save on heating and cooling costs while also keeping your home more comfortable. In warm weather, rrinse-pane glass and a foam-r?Il rl SolarZone reduces solar heat gain, minimizes interior glare,and lowers inside glass permainforframeresuttsmance. in sup'nor ttur•1 ,.I 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. THERMALPERFORMANtECOMPAR150N' 1 Window values are based on single-strength SolarZone TG2:Triple•pane,simlie teems!, glass,standard 6000 Series offering.values vary glass with two coatings of Low at depending on grids and optional glass thicknesses enhancement,warm-edge spar r cvctcn.,'ICI DOUBLE-HUNG upgrades(1/4"laminated,l/P'tempered,3/16" foam- enhanced mainframe decorative glass etc)ST and HP performance values SolarZone 11(2:Triple-pane,sirs ft'"trenntl U-FACTOR SHGC are also available. glass witU two coabnys of Low hi Vptun 2 TK20dt Loire TG2 0.21 0.25 double slidingble on windows sonl series doubte•hun9 and enhancement, foam-enhanced mmnframc,�rc .r,,tor,,�,id !i0litf20ne IG2 W/Grids 0.22 02Z I own LdumcemanL ro,im uni',. ,,r: infected into the mainLame,d+ ,'II,.n !ndar/One TK2 0.17 0.25 Plavidi,y inrrro;,al Ur9utr u, DocuSign Envelope ID:60EBB578-AACD-4485-B7A9-D4AE25BF9B1D Window World of Western Massachusetts Vatdow 641 Daniel Shays Hwy. • Belchertown, MA 01007 Phone (413) 485-7335 • Fax (413) 315-3714 Wild® www.WindowWorldofSpringfield.com Joe and Laurie Mathers Customer: Phone (h) _ Install Address: 196 Bridge Road, Florence, MA 01062 Phone (w) Bill Address: E-mail Contract Number: S305616 Original Contract Amount: $18,322.00 Remove Obscure Glass as window will not meet "Most Efficient" : -$100.00 New Contract Amount: $18,222.00 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,Inc. LDocuSigned by: ?t, M ,t,yS 3/11/2024 Eta r.007—" Date Anna Drost 3/11/2024 Salesman Date Owner Date Window World of Western Massachusetts 641 Daniel Shays,Hwy, Belchertown, MA 01007 975 North Road,Westfield, MA 01085 W11UlOSL' fl,� Office: (413)485-7335 JCARtE www.WindowWorldofWesternMA.com ) Joe and Laurie Mathers Install Address: 196 Bridge Rd Florence, MA 01062 Contract Name:Joe and Laurie Mathers-Sales - Windows Design Consultant: Tim Drost Measured By: Measure Approved Date: 3/5/2024 Status: Quote Payment Method: Financed Lender: Need to Finalize 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 Entry Door, Casing + Capping Entry Door, Casing + Capping 4 panel fan lite N 1 $3,712.00 $3,712.00 6000 DH Triple Pane Most Energy 6000 DH Triple Pane- Most Energy Efficient NO GRIDS N 7 $1,049.00 $7,343.00 Efficient NO GRIDS 6000 PW Triple Pane- Most Energy 6000 PW Triple Pane- Most Energy Efficient NO GRIDS , N 1 $1,549.00 $1,549.00 Efficient NO GRIDS new construction 6000 DH Triple Pane - Most Energy 6000 DH Triple Pane- Most Energy Efficient NO GRIDS new N 2 $1,449.00 $2,898.00 Efficient NO GRIDS construction Mull to form multi unit Mull to form multi unit N 2 $85.00 $170.00 Install Interior Casing Install Interior Casing clamshell 3 inch just dpd on front N 1 $450.00 $450.00 Tempered Glass-Full Tempered Glass- Full N 1 $250.00 $250.00 Obscure Glass - Full Obscure Glass- Full N 1 $100.00 $100.00 Remove existing Bay/Bow Remove existing Bay/Bow/skirt patch siding , homeowner N 1 $900.00 $900.00 will handle all painting . 6" Gutter(NO LEAF PROTECTION) 6" Gutter(NO LEAF PROTECTION)just on addition above N 1 $500.00 $500.00 bay Total Information Unit Total: 17 Subtotal: $18,322.00 Tax Rate: 0% Tax: $0.00 Total: $18,322.00 Amount Financed: $16,490.00 Payment Method: Financed Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $18,322.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: DoD cl mte• Window World of Western Massachusetts ,r',r 641 Daniel Shays,Hwy Belchertown,MA ��npp�. j comma no 01007 �' Virldf" 975 North Road,Westfield,MA 01085 Office: (413)485-7335 WIND( WORLD CAR E$�) www.WindowWorldofWesternMA.com Product Acknowledgements I have received a copy of the lead hazard information pamphlet informing me of the potential risk of the lead hazard exposure from renovation activity to be performed in my dwelling unit. I received this pamphlet before work began. Primary Homeowner tcliP tit Jpr5 Secondary Homeowner Window World of Western Massachusetts 641 Daniel Shays,Hwy, Belchertown, MA _��� �- -� 01007 *palmy 975 North Road,Westfield, MA 01085 Office: (413)485-7335 W N w(,:� www.WindowWorldofWesternMA.com CARE 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 _..�i..��..... �M....4..,ill he. f,,,tho 1-Inmcn.unor to cinn after the final incnection 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 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 1111041-"-ri �Up Secondary Homeowner Design Consultant EPA "Renovate Right" Brochure can be viewed and printed from here: Renovate Right Brochure WW of W. Massachusetts 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 1 L A of the general laws is required to apply for and obtain all construction-related permits.WW of W. Massachusetts shall not be ceemed responsible for delays in the work described in this agreement caused by regulatory, permit granting agencies, authorities, or individuals. Notice: If the PURCHASER(S) obtains his own construction related permits for the work described under this agreement or deals with unregistered contractors, the PURCHASER(S) is hereby advised that in the event of a dispute,judgement and nonpayment, the PURCHASER(S) will not be entitled to make a claim or collection from the guaranty fund established by chapter 142A, M.G.L. You the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Notice of cancellation must be in writing postmarked no later than midnight of the following third business day. THIS IS A CUSTOM ORDER NOT FOR RESALE This Window World® Franchise is independently owned and operated by Window World di Western Massachusetts, Inc.under license from Window World, Inc.