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25C-192 (6) BP-2024-0626 27 HIGHLAND AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25C-192-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2024-0626 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2024 Contractor: License: WINDOW WORLD OF WESTERN Est.Cost: 4922 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: PHILLIPS CHRISTOPHER S& STACEY PHILLIPS Lot Size (sq.ft.) Zoning: URC Applicant: WINDOW WORLD OF WESTERN MASS Auplicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 C56098598 BELCHERTOWN, MA 01007 ISSUED ON: 05/17/2024 TO PERFORM THE FOLLOWING WORK: 4 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/Z... Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner i.- ------ 1EC ivED , 14 The Commonwealth of Massachusetts + MAY 1 6 C^� ^ Board of Building Regulations and Standards F \\ Massachusetts State Building Code, 780 CI R•_ � M NICiALITY e sun USE n nr'r pc T sed ar 2011 Building Permit Application To Construct, Repair,Renovate.Or Demo 1, c� 5 One- or Two-Family Dwelling `-- i}s WO For Official Use Only Building P rmit Number: 6ii )�' WY.1' Date Applied: Lev ix..) 5- //2 5.17-Zozy Building Official(Print Name) Signaturc Date SECTION 1:SITE INFORMATION 1.1 Pr�pekty,A Tess: au v� fl 1. 1.2 Assessors Map& Parcel Numbers la IsIs this aan accepted street?yes 41 no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: Outside Flood Zone? — Municipal 0 On site disposal system 0 I Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of R rd• Name(Prin City,State,ZIP aT li4kalAd 0vt AO3ga33579 iv NSc OrWiCtt`ICAO(tl No.and Street Telephone "Email AddresJ 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 V.. Other (Specify:'s( ��G;C";tit, s 1 Brief Description of Proposed Work2: 6/ w 11do s real)aCe Ill F WI T Nem crt5a(.r11144_/ — SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) I. Building $ Li ` q a d 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees' Check No. q eck Amount: Cash Amount: 6.Total Project Cost: $ I- .6?a a 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) c.s" tkk-..5'I 11 bLt -io .1 o.)t ,z\( � ,,Y--L>�\., License Number Expiration Date Name of CSL Holder `� (- 1 V) C�QQ -�,J List CSL Type(see below) �� No.and Street J�1 �J Type Description U Unrestricted(Buildings up to 35,000 Cu.ft.) - �' CS.c�y �` '��1 `� �� -� R Restricted I&2 Family Dwelling City/Town,S M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances .-kk��4�S-1151A 'RP•clr..V'_. to}\‘‘l�un,�it:k`i$ (::44% I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) W\1 0>� a I IIC Registration Number Expiration Date' HIC Company Name or HIC Registrant Name to Lk k \)C�a.‘frt\ Sic 'to,J-k Va-lr�r.4 �--/ I. \i�� t4A--i,.,•�l.�°t.0 NQ.and 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 GY 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 �).,:‘\!\h ,Lk-,, `,. ic,,,;\.N to act on my behalf,in all matters relative to work authorized by this building permit application. (--7)_e_e_ e ,,--,--,vv-r, ei,) 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 lication is true and accurate to the best of my knowledge and understanding. Print er'ii Authori dA s Name(Electronic Signature) Date t s NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(I lIC)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 s s, Massachusetts , _1'0 `'' 4- '. DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building 9v� CDC yn/ Northampton, MA 01060 e,i. •. ,�o 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 0` 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: et1,-)o \NC\c1 tA ` The debris will be transported by: Name of Hauler: VO‘r oN/c Signature of Applicant: Date: Y City of Northampton 7 0 /l °'L ,.S .,. s4. . -'0F Massachusetts �2 ' _ e 5,01 ti c 4y r 41;`� DEPARTMENT OF BUILDING INSPECTIONS we [+ `\•J ��� iI 212 Main Street • Municipal Building �J., obi` .—u` ��� Northampton, MA 01060 sp - ��� HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, S fa c j P h it I lip,p D (insert full legal name), born _ (insert month, day, year), hereby depose and state the following: 1. 1 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 3 day of M ,20 / c?r, 4C'1l�.� ,fecu r l (St ature) The Commonwealth of Massachusetts a —' Department of Industrial Accidents s-_ 11�t_ ;;ii,_ 1 Congress Street, Suite 100 • 4 Boston,MA 02114-2017 .4 S0 ri www.ntass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Eleetricianc/Plumbers. . TO BE FILED WITH THE PERMITTING AUTHORI"i'Y. Applicant Information Please Print Legibly Window World of Western Mass • NMme(Business/Organization/Individual): Address:641 Daniel Shays Hwy City/State/Zip:Belchertown MA 01007 Phone#: 413 485 7335 t Are you en employer?Check the appropriate box: _• Type of project(required:. ',Ellamaemployer with 50 employees(full and/or part-time)." 7. New construction 2.01 am a sole proprietor or partnership and have no employees working for me in s 8. 0 Remodeling any capacity.[No workers'comp.insurance required.] 1 9. D Demolition i3.❑i urn e a homeowner doing all work myself.(No workers'comp.insurance required.] e . i 4.❑1 am a homeowner and will be hiring contractors to conduct all work on my property. I will 1 lb 0 Building addition i ensure that all contractors 1 o II. Electrical repairs or additi,,t proprietors with no employees. d 12.❑Plumbing repairs or:ulclrr;.,t•,, i 5.01 am a general contractor and i have hired the sub-mulattoes listed on the attached sheet. 13,a Roof repairs 1 base sub-contractors have employees and have workers'comp.insurance. Replacement 6.0 We arc a corporation and its officers have exercised their right of exemption per MQl c. 14.Q()ther�_T _ .. 152.11(4).and we have no employees.[No workers'comp.insurance required.] 1 *Any upplicuntthal checks bum.#1 must also fill out the section below showing their workers'compensation policy information. s Homtenwners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such 5Contt•uctors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or ma those entities have employees. If the sub-contractors have employees,they must provide their workers'amtp,policy number. l am an employer.that is providing workers'compensation insurance for my employees. Below is the policy and job,site information. ormation. Indemnity Insurance Co.of North America Insurance Company Name: y _ C56098598 10/01/2024 Policy#or Self-ins.Lie.#: Fxpiration Date: Job Site Address: C9 / " 1�h 16) a e' l ✓e City/Stale/Lip: NOr Attach a copy of the workers'rtnpensation policy dedaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$251),()0., day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the 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; Vif'�l Date; �3�`ve _....,W.._______ Phone#: 413 4857335 __ _ Official use only. Do not write in this area,to be completed by city or town official. City or Town: ! Permit/License# ___ ..,..._ Issuing Authority(circle one): 1.Board of.NeaBh 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing inspector 6.Other . Contact Person: _._ Phone#:_,_,-,µ,_.__.._..._-.-__.__.... _ t DATE(MMIDDIYYYYI AC--C)I? � n9n4/Zo2� 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 PHONE FAX 3657 BRIARPARK DR.,SUITE 700 (A/CC,No,Ext):888-828-8365 I FAX 3657 HOUSTON,TX 77042 E-MAIL ADDRESS: INSPERITYCERTSOLOCKTONAFFMNTY_COY INSURERS)AFFORDINO_COVERAGE NAIC IT I INSURER A:Indemnity Insurance Cc of North America_ , 43575 INSURED INSURER B: WINDOW WORLD OF WESTERN MASSACHUSETTS INC. - -- _--'— — --- 641 DANIEL SHAYS HWY INSURERC: _ BELCHERTOWN,MA 01007-9529 INSURER D: INSURER E_ INSURER F _ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POI.ICY 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 1 HE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LIC TYPE OF INSURANCE ADDL SU R - _. POLICY EFF POLICY MCP LTR INSD WVD POLN:YNUMBER (MYUDD/YYYY) (MMA YY) COMMERCIAL GENERAL LIABILITY _EACH OCCURRENCE S I CLAIMS �,OCCUR DRMAGE TO RENTED S PREMISES(Es occurrence) VIED EXP(Any ono warm) S j PERSONAL&ADV INJURY $ GENE AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE I S rouCY l O r}OC - - IFr:7 PRODUCTS-COMP/OP AGG $ OTHER: s AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1Ee.eocwenll ._-- _ ._. ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per acdclonl) S __ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE _ AUTOS ONLY ,AUTOS ONLY 1Per accident) S --- UMBRELLA UAB OCCUR EACH OCCURRENCE EX LIAR CLAIMS-MADE AGGREGATE S DED RETENTION 9 S --..- .—. WORKERS';'5151cIPENSATION OTH- AND EMPLOYERS'LIABILITY VW_ XJ AUTE_I .._ I ER A ANYPROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? _N/A EL EACH ACCIDENT $ 1,000,000 (Mandatory In NH) x C56098598 10101/2023 1010112024 _ - . It yes,describe under EL DISEASE- EMPLOYEE $ 1,OOO.000 DESCRIPTION OF OPERATIONS below -— - EA - - E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached R more space Is required) CERTIFICATE HOLDER CANCELLATION _ 2970777 Town to Northampton Building Dept SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 212 Main St BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILT- BE DELP/ERED IN Northampton,MA 1060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE — ©1988-2016 ACORD CORPORATION. All rights ,esnrve'l. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD �'....1 WINDWOR-01 - _LAUR . A�ORl� CERTIFICATE OF LIABILITY INSURANCE DATE 4/9 Iz4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDE :.'THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE"(ILICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTI It oRIZED 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 r n lorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A stet);lent on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). _- --- PRODUCER CONTACT Laura Misseri NAME: 97 Phillips nter Street Insurance Agency.Inc. PHONE A°NLo ErdL(413) 594-5984 _ I dry,Hog(413)59�-4499 Chicopee,MA 01013 .ADDRESS_laura@phillipsinsurance.com_ INSURER(S)AFFORDING COVERAGE NAI(.I' INSURER A:EMCASCO Insurance CO '2IP'07 i INSURED INSURERB:EmpLoyers Mutual Casualty Company 121h 15 Window World Of Western Massachusetts Inc INSURERC: 641 Daniel Shays Highway INSURER D: _ Belchertown,MA 01007 INSURER E: INSURER F: _ _ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: __ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLII Y 'ERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI Ili:H THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THL 'ERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I TR TYPE OF INSURANCE IL POLICY NUMBER ( D YYYt MI pin UNITS - ____ A X COMMERCIAL GENERAL LIABILITY 1,000.000 .JplpC�,fH OCCURREN( S CLAIMS MADE Xl OCCUR 6A44324 4/9/2024 4/9/2025 ENTED _P_RFJN SEAGE S(Ea_ocu rrence) . $ 500,000 .MED EXP(My one person) S 10,000 _PERSONAL&ADV INJURY S OQO,OOO GENT.AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE S 000,000 LX] ',00a,aoo X POLICY X J X LOC PRODUCTS-COMP/OP AGG 5 OTHER: $ • _ B AUTOMOBILE EDIBILITY COMBINED SINGLE LIMIT 1,000,000 (EaANY AUTO 6Z44324 4/9/2024 4/9/2025 BODILY accident) o S INJURNJYLPerpersn) S 1,000,000 OWNED SCHEDULED AUTOS ONLY X AUTOS yy�� _BODILY INJURY(Per accident) S X AUTOS ONLY X AUTOS ONL� PRn�ae Dt). . S J ) .000,000 B X UMBRELLA UA8 X OCCUR EACH OCCURRENCE EXCESS LIAR .CLAIMS-MADE 6J44324 4/9/2024 4/9/2025 AGGREGATE--- S ,000.000 DEO X I RETENTIONS 10,000 ! S _ WORKERS COMPENSATION I STATUTE I. LER._ _ AND EMPLOYERS'LIABILITY ANY ICROP IETORIPPARTNER/E?ECUT� YIN NrA E.L.EACH ACCIDENT_. ... S andeto'y In NHI E,L Q_ISFASE_EA EMPLOYEE S If yea,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached iI more space Is required) CERTIFICATE HOLDER CANCELLATION __- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEI)NEFORI THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVI RED IN Town of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE i/u'V ,,, ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All right'; cserved. The ACORD name and logo are registered marks of ACORD • / Commonwealth of Masenclrusetts ifyDrve.ion of Profustllonal Licensure Board of ftulldinfi Rr.fauU Lions and Standardo Cun::tru pSr Op wiser I CS•I15719 i; E,,x 1rof::04J30J2( 6 NICHOLAS T' 1+t i1 J� 102 OAKRIDGE OR�'t- .r : ••,'A• ft:LCHERTOtiifJ MA " t' ,''' T1 Commissioner ett,_ei Ji $ 4..rru,a. ' . THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&business Regulation Registration valid for Individual use only beton a flu, HOME IMPROVE1qgtVT'CONTRACTOR expiration date. II round return lu: TYPE nrJvltlival. Oilicu of Consumer Affairs and I7usiuos�Flag'nation .09tl�tteliAn- , 'gispiOttsal Iona Washington Street -Suite 710 201146-- ,:.04i27t20Z5 Boston, MA 02118 NICHOLAS DNOST ' , : ' /� t,s'i • i�� I' r VICI id}LJ1S DiA051 r/y /' I k r I ID2OAK1iIOGE DRIVE'' r/�,,,rfU'. '•ivGfAEb' ; :f ,, r/� L1r i 3ELC1•IERTOWN.MA 010�Y., - t)cldorsocrnlai Not valid without signature THE COMMONWEALTH OF MASSACHUSETTS office of Coosumor Affairs 1.Outlines::/Ovulation Itoubtrauon raud for Indivnwal use aUy Lo$We tht HOME IMPROVEMENT CONTRACTOR expiration Liao. If found return to: TYPE;Coipa.n:w• Office of Consumer Affairs end Business Royuluurm Rag► on ' FxplratIa11 1000 Washington stroot -Saito 710 165841 0311412026 Ho•:tcvn,MA 02118 WINDOW WORLD OF WESTERN MASSACHUSEITS.INC. TIMOT11Y DROST 641 DANIEL SHAYS HWY 0LLCtIERTOWN,MA 01007 Undwaeuel.nry Not valid without signature ..-T �^- �. MI Windows And Doors 1 suf(lftnt,or � ! i141 ■ 850Viole�t Market St Mi Windows An• Danis N.FRC � Gratz,PA 17030 •or destroythe �,��.* j 850 Wed Markin 9t 1� ,� �. ILl A Gritz,pA 1703Q f 4850 "' • DHMNYI No Grids ioiCral i P!)0R�E3o!1 Arr,,4`,• 1685 RsC�igcantle PanNld2:t.ita9:(t/I".quar,LOE,Adtttat«t1:Lite,2: 3f 11 Ft2mNYLJtlNds =WV tlfr,Claar,NONE,Annealed);Argon:3712X37 ficutt to t�tablaf Fet Panel itd:Chad:(418", laat,U IE 45 ir2 x 45 in s that can be 0 (1(8"le cleaner, .CleOf,{EOI ,Antteaf°del Pm MH}t�tso3W1-0oOot fndlWdu.t prods otay SSa suDj►ct to vuiseipn to Aorformarxe )n far errernt iiiiiiiiiiiii fRa.42t4 ENERGY PERFORMANCE RATINGS :and doors tndMauw product,nay diddle tO Warfttlen lap.r(prntu'ce 11-Factor 'then usinga (U.S./1-P) Solar Heat Gain Coefficient 'Glows on the EN (u.S. PERFORMANCE RATINGS .�� �t U•i:acEar(U.S.PI.3�) Solar Heat Gala Coefficient • 1 f.2g ADD'dONAL-PERFORMACCE RATif�aS- 1 Ire generally 0.27 0.26 • Visible Transmittance .och ct cer- Air Leakage(U.SJI-P) tocatioautn ADDITIONAL PERFORMANCE RATINGS ,�,G <a.3 Visible'Transmittance Air Leakage(11.S.11"P) my..�C,_ u_stotr trattMYttY+Of eM ..4,0.4,0.altNFRCAruLtaurs fllatttag enOeN >415. r Al (/.�� K.^.xes rfOtfeta+NwraRoinas aaYalloao.emcrmMeanr.has ietaerHlrorwsertsray+omprKaraa es'�6epw:c s= t't,bake - ° v r3 • '4 +�aene roreor.rrproQ,enY �rK�suwa ea.ea t'r malias Pme'ct wwmcora { �u n 0� s,..r,�,� tn.weaaaK r � r • ENFfr:r STAR,,'Certified in High(i9hied Regions. mrtxnrarra�t °rro a= ,ris.Use a �" Ccrtsfi-:a(1-3 Or ENERGY STAB An 1as tegiones resattattas. t f of ft,V CM-4 rtt't'rst s't tityt4s4t jttt:d l;i•tyinc':;- I i•rnh:.14 pr.t FNFRGY SIAR on la:.ropof0i. r..4t,tles ;,•f • a .�,w��a�t oil _ �' . . ..., . -.. • '1�1. „ . . 1. ;.., . v.4 yam{ ,� ,��.„..: h LNERG}';•R "C • _ ='-/. :�!/S, nnergrttuSt+twiatona W _.. • •^ �•` fvr(ad iafarn:sS' Cedt5edlCetWicato ElsiEBV S IAA ,o. wp:w i�bes an prodr,_t Para informacibo corrpkra caaanttar Ia aigs eta del prarivcm. .n=tprottentwintovet a Caftdied/Catt fieade — for te4tittit+rn�tine,taatabaioayadasl. PasiCar3dfn .p p D)—y---- , Is owes del prottueto. LC-PG35' P(ASD) Water Paraiskroacibn • • 1sta.eatuiltar 35.30 59.13 V 5.43 -1+ /"1 MaxiastSize Re ort# -/ +DP ASD `DP • D y 6.08r 40.00 X?2 pp at3t2.ptosdy ro midistDip I- �[ pa Glade y ) ____ ,,, i. �+ t 3.._. _ 35.E __,,.i-_._.___ ._��` -�^.-- / '_ *195 are far individual windows and doors orgy. Fot }X YSL, i~ r stacked units,Page contact information regartft±'p moAed ` na fest sire.Tas sel to AA - saJe6 re' ------e.Pos and t.4eg DP fretted by 72.04 X BO:' • moped r� _E1__L A__e Ito et may bcM SeAi t01/t.S A440-05 Glas bead or s tdel4to k litter For {Lttltlfls arE for i vidufil window$afld d00R ell' ref e'rrnati°reQudrt� >� d6arorral intotmatiatt r rri ed Y D B kt stacked unRs,pieaea eotrtact your stales repreeerthRm Pos and Ale9 DP 5r'bted by �- ega ng installation instructions,pease vist www.rrrwd.com- urtt last site.Tscted to AAMNWD11 alai.2tA�ItT-05 AAf�4A rt m1y be +678 6 u3. " . Y the oanoatted by pbt>dn0 be=d>�toll is tBer.for a4tittat�uti4ssmat<an rege rdtRg 7 Printed on c,nail yatatatiDniftfdsuttirsns,pteasa'ric>wee.ttrfvtd.com. 8112122. s:t0:12 mei Printed on 26772468.1.1.1 716/20913ADIDPta Window World of Western Massachusetts _�/,^ 641 Daniel Shays,Hwy,Belchertown, MA =" uLhLlflf/ 01007 975 North Road,Westfield, MA 01085 Wred Office:(413)485-7335 w M1,c; AO, www.WindowWorldofWesterriMA.com Stacey Phillips Phone: 4139238579 Install Address: 27 Highland Ave Email: 4vegans@gmail.com Northampton, MA 01060 Contract Name: Stacey Phillips-Sales-Windows Design Consultant: Valmore Willhite Measured By: Measure Approved Date: 4/22/2024 Status: Contract Payment Method: Credit Card 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 Setup and landfill disposal fee N 1 $250.00 $250.00 4000 Series DH Solarzone 4000 Series DH Solarzone white, 1/2 screens, no grids N 4 $849.00 $3,396.00 Full Exterior Capping Full Exterior Capping --Color: white N 4 $184.00 $736.00 EPA Lead Containment EPA Lead Containment insulate weight pockets with fiberglass N 4 $85.00 $340.00 Total Information Unit Total: 9 Subtotal: $4,922.00 Tax Rate: 0% Tax: $0.00 Total: $4,922.00 Amount Financed: $0.00 Payment Method: Credit Card Deposit Amount: $2,461.00 Balance Paid to Installer upon Completion: $2,461.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: 0 RRP Signed Date: Window World of Western Massachusetts 1"Li< < ommoacin 641 Daniel Shays, Hwy,Belchertown,MAlrA y..�..��r T 01007 ��a 975 North Road, Westfield, MA 01085 Wardpiii �[& Office: (413)485-7335 CARES) 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 Secondary Homeowner Window World of Western Massachusetts n �� conwrono 641 Daniel Shays,Hwy, Belchertown, MA �T��^' � . With/ 01007 ;. ',►`v lin `e��sw 975 North Road,Westfield, MA 01085 (yL(,� Office: (413)485-7335 winCARE 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 out 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 t contract. that you pay the installer the remaining balance due on your 10. METHOD��PAYMENT: Our installers will accept Visa/MasterCard/Discover PAYMENT: Card au installers p your final payment in the form of check, money Cash. As a courtesy and to ensure the safe order,a Wells Fargo financing,or safety of our installers;please DO NOT pay your fins!payment In 11. REFERRALS:Our goal is that you are pleased with the work we have done and will ffi referral tee for each person you refer who Purchases 8 or more windows. Please have office. refer r f your friends and name when You l receive a your referral mention your name contacting our We trust that your remodeling experience will be a pleasant one. If for some reason Your comme!+t5 are welcomed and will be used to better serve You are not completely satisfied, please contact our office. you. Thank you for your business! Primary Homeowner 1:><libi* OAA,V—__ r .....---- Secondary Homeowner Design Consultant _________c: VL____ 1:PA "Renovate Right" Brochure can be viewed and printed from here: Renovate Right Brochure It'd'of�'• itraisachusetts anticipates starting this work on and being substantially completed in days. ``lvanc'nt 't a special riot the work custom-made naexceedT ture, whichh must be orderedy Any deposit re 33 1/3%of the total contract price OR the actual cost of'anyrequired in I q offer t wall p'acted on schedule. No final a in advance of the start of the work tassure or 1 �rties. All p,,n�e improvement contractors and payment shaji subcontractors demanded until the contract is co �,nties l ll I T me improvement to the owner ctof a re that the completed to the satisfaction of all ning of t'ntt'aJ laH ; Is required to a 1 copy of such contract, % o registered, us work shall ro in prior to pp y for and obtain all construction-relat df e Massachusetts under Massachusetts h Chapter g gA deemedd the i"spon�ciblt. f�,1'delays in the work described this agreement caused by re ulat i 4d+vrcl tals.Nilift notice. ff the PURCHASER(S)o iniths his own agreement permits., WW of m antingagencies, shall not o , or<1'deals wit i office:unregistered ed contractors, the PURCHASERS g ery twit granting described,under thiss, r a z.deal\rlen the PURCHASER(S)gredcontractors, will not be entitled to make a econstruction related permits rrrtits for the work described this agreement is hereby advised that in the event ofa dispute judgement and i 1.'A, M e ` claim or collection from the You the guaranty fund established by chapter hover may cancel this transaction at any time prior to midnight of the You the ho v Noticer may o cancellation ratransaction be ]n writingird business g postmarked no later midnightthan h o('the fol�o�n9 third of this 1 HI:S IS:1(21 5!'fJM ORDER NOT FUR RESALE This Window VYorld� rant business tk t issa t'u'et?, inc.under license from Window World, inc. Franchise�independently owned and operated by Window World of Western /