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12C-020 BP-2024-0693 248 SPRING GROVE AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 12C-020-001 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-2024-0693 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2024 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 1667 MASS INC 115719 Const.Class: Exp.Date:04/30/2025 Use Group: Owner: SPENCER-ROBINSON JULIE &RICHARD DUBUC Lot Size (sq.ft.) Zoning: R1/WSP Applicant: WINDOW WORLD OF WESTERN MASS Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 C56098598 BELCHERTOWN, MA 01007 ISSUED ON:06/04/2024 TO PERFORM THE FOLLOWING WORK: WINDOW REPLACEMENT 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: 72_r Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner f -- • t-iscery .- -_ __ i _______ , , ..., -____L_;_, 7 The Commonwealth of Massachusetts MAY Board of Building Regulations and Standards 3 1 c�Q OR MUNI 'IPA��I'I'Y Massachusetts State Building Code, 780 CMRt,FaT OF . USE ! r� rum Building Permit Application To Construct, Repair, Renovate Oi'5e itt ,50"s _ • d Mai-2011 -One-or Two-Family Dwelling �'A°.-- s ,p This Section For Official Use Only Building Permit Number:mb� l�/'-.a �• 63 Date Applied: 6.,,,,...„ ./. t_,„2,, Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1. Prn er Address: 1.2 Assessors Map& Parcel Numbers 1.1 a Is this an 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?Check if yes❑ Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: r,, / F/o n 6e H 4- O i o6 a ame(Print) r City,State,ZIP l8 Seri 0 j &rove, /4ve. if/ .S 5go2gajapeoct'r►-ob(4,5046>) No.and Street Telephone Email Address am&J7.C2 C ( SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building', Owner-Occupied 'lL Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units k. Other 07"Specify:V..Q.V\ac.a.tw lc ) , 1 Brief Description of Proposed Work2: N/ rid(3 Lv iitij/0Oe-07en 1 mew Crdi4u—kr,¢_I SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ / 6 6 7 1. Building Permit Fee: $ Indicate how fee is determined: i ❑Standard City/Town Application Fee 2.Electrical $ ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4. Mechanical (1-IVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All F � ,,f(1 Check No.h Check Amount: Cash Amount: 6.Total Project Cost: $ 1, 667 13 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) \0,,,Imo,.. 1 ,rl� License Number Expiration bate Name of CSL Holder \ List CST.Type(sec below) 0 1� - ( VI " ' Q �`JQ Type Description No.and Street {a S'l' p U Unrestricted(Buildings up to 35,000 cu.ft.) �otik_Cs.t�O 1.7.) 1 ,c,..sek 0 0\06k. R Restricted I&2 Family Dwelling City/To ,S IP M Masonry RC Roofing Covering ' WS Window and Siding SF Solid Fuel Burning Appliances `)... )4%,S.1 S 4.2rrr..k-sc-t.J\&c?u»?l1 L 'Cwt. 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) W\;.(`.o u� � 44-A A HIC Registration Number Expiration Date HIC Company Name or IIIC Registrant Name (.0L11 ---')t'1.tiv.ASt Svcs S 'irV0 s and Street ` Vt.,lcw- .. -S i.1\rult 1 :4.t rl.t. :;,1' . (t rV�n•c-lv-T-I.s.:%`ti•�1 k.C C�Ii9 -k%?)Lab4A. S \ 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 Cs/7 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 W_‘l kA.,u l '\l'it-") i`, to act on my behalf,in all matters relative to work authorized by this building permit application. Print O 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 i this ap icati is true and accurate to the best of my knowledge and understanding. ldataV Print er' o uthors LAName(Electronic Signature) Date 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(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the 1-IIC 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. 11.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. fl.) 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 �0.S4A N O• . 5 »..: S �/���> ;� Massachusetts <0.* 3:- 1`'e f� DEPARTMENT OF BUILDING INSPECTIONS 2: '`► ` '' i, 212 Main Street • Municipal Building 1J ,•�D� ,nr ., -.� 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 el 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: (t k,,(. \Ct \6Q,fie' , l(`qt, \NAcL\c , ‘A- \\-0- t \t , \ ' The debris will be transported by: Name of Hauler: ‘Vki\RA 0e0 \s.tic4.V . 7.7 -- Signature of Applicant: __ Date: City of Northampton oKTMA v,„ a Massachusetts 4t; �., ••:, (!144 : qc?' 4'iJ DEPARTMENT OF BUILDING INSPECTIONS y "; :4 V �• tcb .�. , 212 Main Street • Municipal Building �.� \`wed k. r Northampton, MA 01060 HOM�//EOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT- /2oV 100071 (insert full legal name), born _ (insert month, day, year),hereby depose and state the following: g 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. 1 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 °2 day of t.t J ,20ay ( C YNN-c-cue s.ke "-) (Signature) The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Fiectricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Le zibl3' Name(Business/Organization/Individual): Window World of Western Mass Address:641 paniel Shays Hwy City/State/Zip: Beichertown MA-01007 Phone#: 413 485 7335 Are you an employer?Check the appropriate box; Type of.project(required): • ' 1.E.!am;t employer with employees(full and/or part-line)." 7. New construction 2.01 am a sole proprietor or partnership and have no employees working for me in li 8. Remodel in g any capacity.[No workers'comp.insurance required.] i • • 9. L Demolition 3. 1 am a homeowner doing all work myself.(No workers'comp.insurance required.] ' • 's 10 fl Building addition 4 4,01 am a homeowner and will be hiring contractors to conduct all work on my property. 1 will , ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or addition • proprietors with no employees. • l 12.[J Plumbing repairs or addition. 5.L''l1 am it general contractor and I have hired the sub-contractors listed on the attached shed. ;t { These sub-contractors have employees and have workers'comp.insurance..c § l •El Roo repairs 14. Other Replacement ^^ 6.0 We are a corporation and its officers have exercised their right of exemption per MOL c. i 152,*I(4),and we have no employees.(No workers'comp.insurance required.] '"Any applicant that checks box#1 must also till out the section below showing their workers'compensation policy information. q.Flomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicatinu.ue:h ?Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or nut those entities have employees. If the sub-contractors have employees.they must provide their workers'comp.policy number. +n I am an ernployenthat is providing workers'compensation insurance for my employees. Below is the policy and fob site information. Insurance Company Indemnity Insurance Co.of North America _+ ^ Policy#or Self-ins..Lie.# C56098598 Expiration Date:10/01/2024 • { 8.spri 6-rove / ' City/State/Zip; Y' io�n ce O/cGC2 Job Site Address: •_. Attach a copy of the workers'compensati&policy declaration page(showing the policy number and expiration date), Failure to secure coverage as required under MGL e. 152, §25A is a criminal violation punishable by a fine up to. 1,500.(Nt and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$25n,0(i day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the IAA for insurttncc coverage verification. 1 do hereby ce un er the pains a dpenal es of perjury that the information provided above is true and correct. � �a � Signature; 1/ Date; _ _. .... .. Phone#: 413 486.7335 w. _. ._. Official use only.'.Do not write in this area,to be completed by city or town official. r3 City or Town: Permit/License#_ Issuing Authority(circle one): I.Board of:Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing inspector 6.Other Contact Person:,_ .• Phone#:_ DATE(MMA IO1YYYY) A / r�r ^'� 09I:'272023 �-- 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 FAX 3657 BRIARPARK DR.,SUITE 700 (NC.No.Ex1):888-8284365 ()VC.No HOUSTON,TX 77042 E-MAIL ADDRESS: INSPERITYCERTS OCKTONAFFINITY.COM _- INSURER(S)AFFORDING COVERAGE HAIL P --_INSURER A Indemnity Insurance Co.of North America 43575 INSURED INSURER B: WINDOW WORLD OF WESTERN MASSACHUSETTS INC. - 641 DANIEL SHAYS HWY INSURER C: BELCHERTOWN,MA 01007-9529 INSURER D -- I INSURER E• INSURER F I _- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLI(T PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHL-ft 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 1111 TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL BUBB _ -- POLICY POLICY EXP LTR MOD MD POLICY NUMBER (MMIDDIYYYY) (MM7DomYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I$ CLAIMS- I OCCUR PREMISES(Ea occurrenCed I$ MEP EXP(Any ono porenn) $ PERSONAL 8 ADV INJURY S GENt AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY f LOC -- — IFCT PRODUCTS-COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT $ ,_/Ea accident) ANY AUTO BODILY INJURY(Per parson) $ OWNED SCHEDULED BODILY INJURY(Par accldonl) S ._ AUTOS ONLY AUTOS HIRED NON•OWNED -PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY ._per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LAB CLAIMS-MADE _AGGREGATE DED I RETENTIONS $ lWORKERS COMPENSATION PER OTfI- AND EMPLOYERS'LIABILITY YLId_, ..STATUTE.-I _-Imo_ A rANYPRCPRIETORIPARTNER,EXECURVE —NIAEL EACH ACCIDENT $ 1,000,000 (Mandatory inOFFICER/MEMBER EXCLUDED? x C56098598 10101/2023 10f0112024 (Mandatory in NH) — -- --- ' 1 11 yes,describe under EL DISEASE-EAEMPLOYEE $ 1,000 000 DESCRIPTION OF OPERATIONS below -- -- ---• EL.DISEASE-POLICY LIMIT $ 1,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule.may be attached It more space Is required) CERTIFICATE HOLDER CANCELLATION 2970777 Iown fo Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE : ANCELLED Building Dept 212 Main St BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE D11 NERED IN Northampton.MA 1060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE -- <<�1988-2016 ACORD CORPORATION. All right;reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD WINDWOR-01 LAUR_A JAC:OHL) CERTIFICATE OF LIABILITY INSURANCE DATE 4/9 YYV) 9/2.12124 __ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDE.t.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 eniorsed If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement of 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 FAX 97 Center Street (Arc,No,Extj:(413)594-5984 (A,c,No)-(413) 592 8499 Chicopee,MA 01013 noolitstl:laura phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC N INSURER A:EMCASCO Insurance Co 21407 INSURED INsuRERB_Employers Mutual Casualty Company 21/15 Window World Of Western Massachusetts Inc INSURERC__ 641 Daniel Shays Highway INSURERD: Belchertown,MA 01007 -" INSURER E: INSURER F: _ --- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POJCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY I'LRI(XI INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RFSPFCT TO WHICH TI Ilt; CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THL TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ INSR ADOL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD %•WD POLICY NUMBER IMMIOD/YYYY I(MM/DDNYYY) LIMITS A X COMMERCIALGENERALUABIUTY I,000,000 EACH OCCURRENCE $ ]CLAIMS-MADE ( X1 OCCUR 6A44324 4/9/2024 4/9/2025 DAEMMAIGSEEOE aRNTDe no9)..... $ 500,000 _MED EXP1Any one porsgq) $ 10,000 PERSONALBADVINJURY $ 1,000,000 GEM.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 000,000 X IPOLICY[ X za n LOC PRODUCTS_COMP/OP_AGG $ ,000,000 OTHER COMBINED SINGLE LIMIT ,000,000 B AUTOMOBILE LIABILITY _(Ea-410d4n1)._ _ $ ANY AUTO 16Z44324 4/9/2024 4/9/2025 BODILY INJURY_(Per person) $ .000,000 AUTOSONLY WNED X SCHEDULED AUTOS BODILY INJURY(Per accident) $ X AUTOS ONLY �X AUTOS ONLY POIa cident4AMAGE $ B X UMBRELLA UAB X OCCUR ECH UR A OCCRENCE S )'000'000 EXCESS UAB CLAIMS-MADE 6J44324 4/9/2024 4/9/2025 AGGREGATE $ 1,000,000 BED X RETENTION$ 10,000 — — $ IPERIUIE_.L. OTH- WORKERS COMPENSATION JI- AND EMPLOYERS'LIABILITY �TA __ R._.... ANY PROPRIETORIPAR7NER,EXECUTNE YIN Et.EACH ACCIDENT_ _ $ OFFICER/MEMBEREXCLUDED', N/A (Mandatory In NH) -f,L,DISEASE-EA EMPLOYEE $ II yes,describe under DESCRIPTION OF OPERATIONS below E,L DISEASE-POLICY LIMIT $ --._.. ... DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION - —.— - - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEI) IEFORL 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 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All right _ �serve.I The ACORD name and logo are registered marks of ACORD • • ,` Commnnwtalth of Mnatulrhucatts of Division of 1 ain:Menai Licensero Roam nr Building Regulations and zlanderds Cunstrutt{tliri rr`$perviaor • c s.t 1 s x l to '4 , A jtwiros:O1J3( 2026 td1CHOu f T'DRt3b(: t 102 OAKFRIUGic OR`:'I�.�,..,t. ` : ffl t-CHI:RTOW.N MA 0y 7, / i f ,`I Comrnist:ionor t'6a,.fia /' Steam. TI.1E COMMONWEALTH OF MASSACHUSETTS Off icy of Consumer Affairs&Business Regulation Registration valid for individual use only befog a tin HOME IMPROVEMENT CONTRACTOR expiration date. II Pound return to: TYPE;Iniliv'idual Olfice et Consumer Affairs ond1 Uusinus:.14091 itlltm:11i Rcta[sttDii9A r/ WQn. 1000 Washington Street -Suite 710 201.746 a4!27(2r,;; Boston,MA 0211E VICHO.AS D)OST • f 1'' VICI IoLAS DROST • a ! I020AK1iIDGE DRIVE ri• F/ '�- L.:SELO it N rOWt&MA 01007. i _...-... tlndorsecrofary Not valid without sigmituro THE COMMONWEALTH OF MASSACHUSETTS Office of Consumes Affairs 11 Business Roliulatlon Rnptslrat on wad for Individual use only betoro the HOME IMPROVEME,NTCONTRACTOR oxplratlon date. If found return to: TYPE:Cot Office of Consunwr Aflalrs and Business Rogulatunt Rc istr t1on E plrat1ati 1000 Washington Street -Siam r10 &Jai1 03/14/202i. Boston.MA 0211E WINDO'v:WORLD Or WES1ER i MASSA01115E1 TS.INC. TIMOTHY DI'tOST 641 DANK•L SHAYS HWY UELCI IERTOWN.MA 01007 . IJndarseC.relani Not valid without signature Window World of Western Massachusetts 641 Daniel Shays, Hwy,Belchertown, MA 01007975 North Road,Westfield, MA 01085 Vatthwu ,(� Office: (413)485-7335 CARE www.WindowWorldofWesternMA.com Julie Spencer- Robinson Phone: 4135882906 Install Address: 248 Spring Grove Ave Email:jspencerrobinson@gmail.com Florence, MA 01062 Contract Name:Julie Spencer- Robinson-Sales-Windows Design Consultant: Tim Drost Measured By: Measure Approved Date: 5/14/2024 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 $0.00 $0.00 4000 Series DH Solarzone 4000 Series DH Solarzone N 1 $899.00 $899.00 Colonial Grids (Contoured) Colonial Grids (Contoured) N 1 $83.00 $83.00 Tempered Glass- Full Tempered Glass- Full bath N 1 $220.00 $220.00 Install Interior Casing-Clear Install Interior Casing -Clear clam shell with stool cap N 1 $265.00 $265.00 Total Information Unit Total: 5 Subtotal: $1,667.00 Tax Rate: 0% Tax: $0.00 Total: $1,667.00 Amount Financed: $0.00 Payment Method: Credit Card Deposit Amount: $800.00 Balance Paid to Installer upon Completion: $867.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: 5/14/2024 Year Home Built: 1970 RRP Signed Date: 5/14/2024 Window World of Western Massachusetts Uf T•RR(1S I<• t 641 Daniel Shays,Hwy,Belchertown,MA . Uf /T1/ 01007 �'��• � �=nff 975 North Road, Westfield, MA 01085 Office: (413)485-7335 CARE 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 ift on either side of the window to be replaced. • Secure any pets(and children)for their own safety and for the safety of our installers. 5.ALARM SYSTEMS: It is the responsibility of the Homeowner to inform the alarm company of the upcoming window or door installation and to arrange reconnection after installation is complete. 6. EPA-LEAD SAFE GUIDELINES: Homeowners of homes built before 1978 have received a copy of the lead hazard information pamphlet informing the Homeowner of lead hazard exposure from renovation activity to be performed in their home. The Homeowner understands and agrees to indemnify and hold Contractor,Contractor's representatives,and employees harmless for any lead paint health issues. 7. INSIDE INSTALLATION (Normal): If the windows are to be installed from the inside,the interior stop moldings will be removed from the existing windows and reused after the new windows are installed. Please note that the paint or stain on the trim/moldings may get chipped and would need to be touched up by the homeowner. 8. OUTSIDE INSTALLATION (Special): If the windows are to be installed from the outside,the existing window's wood "stops" will need to be removed. In addition, if there are existing storm windows in place outside of your current windows,these will need to be removed as well. Please note that the area(s)where the wood "stops"and/or storm windows were removed will need to be patched and painted by the Homeowner unless the exterior trim is to be installed by Window World. 9. UPON COMPLETION OF INSTALLATION:After the installation is complete,you will be asked to inspect the entire project with our Installer.An evaluation sheet will be provided for the Homeowner to sign after the final inspection is complete. Please make sure that any corrections have Window World of Western Massachusetts .0w4,1.ca,,,,,,,,, 641 Daniel Shays,Hwy,Belchertown,MA 01007 975 North Road,Westfield,MA 01085 WindOW Rt Office:(413)485-7335 WINDOW A R�E�S ) 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 lam_, 5V �-- Secondary Homeowner Window World of Western Massachusetts ,•,,,,,,• „,nor,,,,,, 641 Daniel Shays, Hwy,Belchertown, MA Wi tdcw 01007 `�� 975 North Road,Westfield, MA 01085 t(u, Office: (413)485-7335 C A R 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 evaluation sheet will be provided for the Homeowner to sign after the final inspection is complete. Please make sure that any corrections have been made before the installer leaves the job site. When the job is complete,we ask that you pay the installer the remaining balance due on your contract. 10. METHOD OF PAYMENT: Our installers will accept your final payment in the form of check, money order,Wells Fargo financing,or Visa/MasterCard/Discover Card authorization. As a courtesy and to ensure the safety of our installers; please DO NOT pay your final payment In Cash. 11. REFERRALS: Our goal is that you are pleased with the work we have done and will refer us to your friends and neighbors.You will receive a 550 referral tee 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 • I.PA "Renovate Right" Brochure can be viewed and printed from here: Renovate Right Brochure WIN of W. f !a,sachusetts anticipates starting this work on and being substantially completed in days.Any deposit required in s,dvance of lie start of the work SHALL NOT exceed 33 1/3%of the total contract price OR the actual cost of any material or e eluipmcnt id 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 l:;trties. All tome improvement contractors and subcontractors shall be registered. No work shall begin prior to the signing of the untract and transmittal to the owner of a copy of such contract. WW of W. Massachusetts under provision of Chapter 142A of the t'neral l:iH ; is required to apply for and obtain all construction-related permits. WW of W. Massachusetts shall not be deemed i rsponsiblt tor delays in the work described in this agreement caused by regulatory, permit granting agencies, authorities, or i 4livulnals. Notice: ff the PURCHASER(S) obtains his own construction related permits for the work described under this agreement c I•deal., wit >I unregistered contractors, the PURCHASER(S) is hereby advised that in the event of a dispute,judgement and r onpaymen , the PURCHASER(S)will not be entitled to make a claim or collection from the guaranty fund established by chapter ••12A, M.G.... lou 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 clay. -I 1 LIS IS A i a S FOM ORDER NOT FOR RESALE This Window World® Franchise is independently owned and operated by Window World of Western ICI, ,sachusetis, Inc.under license from Window World, Inc. /