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37-005 (5) BP-2024-0934 589 FLORENCE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 37-005-001 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-2024-0934 PERMISSION IS HEREBY GRANTED TO: Project# DOOR 2024 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 4748 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 SILVAINE, SAM PRANGER &MACLEOD, Use Group: Owner: MARGARET Lot Size (sq.ft.) Zoning: SR Applicant: WINDOW WORLD OF WESTERN MASS Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 C56098598 BELCHERTOWN, MA 01007 ISSUED ON: 07/30/2024 TO PERFORM THE FOLLOWING WORK: PATIO DOOR 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: !��/�"_._i��� - Fees Paid: $60.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner / / II'EstIE.40 The Commonwealth of Massach setts 2 3 2Ue4 w Board of Building Regulations and and' f dsoF OR Massachusetts State Building Code, 780 r q4;°iwG,Np UN 'IPALl1'Y To,� Eor� USE Building Permit Application To Construct,Repair,Renovate Or Demo 'A ' o evi.ed Mar 2011 One-or Two-Family Dwelling ,,,�,, This Section For Official Use Only Building Permit Number: !i'Y41" Q3 y Date Applied: I<J ) 74 7��� 7-Z9-26Z( Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 1.1a Is this an accepted street?yes ,' 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 lrovided 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 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record:, 3n m a Nag 5° i C Iv c I 0e .Pove 1-1 CJ. MO p 0 06 c Name(Print) v City,State,ZIP .5 8c) ficrevice Rd630j $5-030 I snvl . 5%`ltin/ vie . Qrn�. �.C,<xvl No.and Street Telephone Email Address V SECTION 3: DESCRIPTION OF PROPOSED WORKZ(check all that apply) New Construction 0 Existing Building'l. Owner-Occupied '[. Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units \.. Other f1'Specify:ti('..2Voc 4s.{ 1c k\ Brief Description of Proposed Work2: p 1 l'e -1 to r p 1 a GC vrleii I-- New ,ettier—ter,¢..I SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Mate ials) 1. Building $ 4 7 Cf 1. Building Permit Fee: $ indicate how fee is determined: ❑Standard City/Town Application Fee 2. Electrical $ ❑Total Project Cost3 (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: r t a 7 y Check No. O -t Check Amount: Ulu Cash Amount: 6.Total Project Cost: $ �i ° 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) a � C.S— \V.:) -let 1 A0.)- , \L► ill-A ‘- „•rt> License Number Expiration Date Name of CSL Holder List CSL Type(sec below) 0 No.and Street <J Type Description U Unrestricted(Buildings up to 35,000 Cu.ft.) VM CA,C S- .'>1\ t�``c\(1 C . Al ` R Restricted 180 Family Dwelling City/Town,S. , IP M Masonry i RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances ()-lt-)7.)(AS-1 5 6?422Y`ir..V N th.?\A.c"),u']L 1.1:0'dyk tJ a. I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) w o HIC Registration Number Expiration Date' HIC Comp-any Name or HIC Registrant Name L't_\\ - )Q'-`si.ZQ S\v b \'c ') t~ land Street ce v-irv..�-S n✓ u,A rva rvi a.t.1e►. .,rlc S.l':•tie c(t t �n •tin. -�:v. 1 -: 3) 1VA5 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 Es-' No...........❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize ��\f\h,Q,u\ k' C.`3 (\, _ to act on my behalf,in all matters relative to work authorized by this building permit application. Print(4-14.Le---1- C.i._.;'C'l VV1\ C 4c—) 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 'cation is true and accurate to the best of my knowledge and understanding. Print er' Authon Ag s Name(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 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 oa - S Massachusetts om: W(ft , DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building p, 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 o in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: O[t.30 kQ \OG; (0%ln \NActArN CCV• T.1.4 ��'�c. \ k. The debris will be transported by: Name of Hauler: ))‘1\b.cw,0 X. Signature of Applicant: � `. Date: __ City of Northampton Massachusetts �,� DEPARTMENT OF BUILDING INSPECTIONS 7� �'y'► 212 Main Street do Municipal Building 5�ti, 1"" Northampton, MA 01060 .40:1'' HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT ()m o� l Ic 1 e [5. ✓a e (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. 1 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 61 day of GAG y ,204V LJ (Sae C.-YN\-t rut A (St ature) 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/I 1ectricians/Plunahers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant:Information Please Print Legibly Name(Business/Organization/Individual): Window World of Western Mass Address:641 Daniel Shays Hwy City/State/Zip:Belchertown MA 01007 PhO11e#: 413 485 7335 1. Are you an employee:Check the appropriate box: Type of project(required): • am a employer with 50 employees(full and/or part-time).* 7. New construction 2.C31 am a sole proprietor or partnership and have no employees working for me in i 8. 0 Remodeling any capacity.[No workers'comp,insurance required.] i i Demolition 9. 3.❑I am a homeowner doing all work myself.(No workers'comp,insurance required.] ' ] 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property, I will r I00 Building addition ensure that all contractors either have workers'co pensation insurance or arc sole # 11.0 Electrical repairs or add i ti.+t 1 proprietors with no employees. 12.❑Plumbing repairs or addtli++t 5.01 am a general contractor and I have hiral the sub-contractors listed on the attached sheet. { These sub-contractors have employees and have workers'comp,insurance.s j 13.0 Roof repairs ` 6.0 We are a corporation and its officers have exercised their right of exemption per MO 1 4.[Other Replacement.e. { 152,§1(4).and we have no employees.[No workers'cemtp,insurance required.I *Any applicant that checks box*I must also fill out the section below showing their workers'compensation policy information t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such 'Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and stale whether or not Those entities leave employees. If the sub-contractors have employees,they must provide their workers'cornp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and fob site information. insurance Company Name: Indemnity Insurance Co.of North America Policy#or Self-ins..Lic.#: C56098598 Expiration Date:10/01/2024 __- Flo►evicenog ',Tee{ r �� M� e0/ 607 Job Site Address: J 8� City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expirations dale). 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 OtZDI'sR and a fine of up to$250.00 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 pedury that the information provided above is true and correct. Signature:(,. -e --� � Date: 7/9/ay /t Phone#: 413 485.7335 ammensomrs 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): I.Board ofHeal(h 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Y DATE(MMNWYYYY) nC C)Rli 0912V2023 CERTIFICATE OF LIABILITY INSURANCE Acct#: 2970777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed ' If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). �—PRODUCER CONTACT LOCKTON COMPANIES,LLC NAME: -_._ PHONE I FAX 3657 BRIARPARK DR.,SUITE 700 (A/C,No,Eat):888.828 6383 (A/C.No) HOUSTON,TX 77042 F.MAIL ADDRESS: I V SPERITYC E RTS gLOCICTOMAFF INITY.COM INSURER(S)AFFORDING COVERAGE NAIC 1) _ 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: 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 II'F_ TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INOR - ADOLSUBR — OLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (YMIDOIYYYY) (MMIDO/YYYY) l IMITS I COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE $ l T lCLAIMS- OCCUR PREMISES Es occurrence) $ MED EXP(Any non pnceon) $ PERSONAL&ADV INJURY $ BENLAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ IiI POLICY RA? O-T LOC PRODUCTS•COMP/OP AGG S �I IIIF( —11'ER: S AUTOMOBILE LIABILITY COMBINED SINUELIMIT S (EaacciCenU_ _ -. ANY AUTO BODILY INJURY(Pot pOrson) $ OWNED SCHEDULED BODILY INJURY(Por accidonl) $ AUTOS ONLY AUTOS $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY ___ . AUTOS ONLY _IPer accident) $ ` UMBRELLA LIAR OCCUR EACH OCCURRENC_E $ _ — EXCESS LIAR CLAIMS-MADE AGGREGATE S DED I RETENTIONS _— — S WORKERS MPENSATION X'PER T )) AND EMPLOYERS'LIABILITY Y _ SSTTATUTE , __I E A IANYPROPRIETOR/PARTNERIEXECUT1VE OFFICEWMCMBCR EXCLUDED? E.L.EACH ACCIDENT $ ir�QrO00 NIA X C56098598 10101I2023 10/01f2024 I(Mandatory In NH) ___. .... _. ._ _..... If yes,describe under EL.DISEASE-EAEMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below ----—— - EL.DISEASE-POLICY LIMIT $ 1,000,000 - T DESCRIPTION Or OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Addllional Remarks Schedule,may be attached if more space is required) '_- CERTIFICATE HOLDER CANCELLATION -.._ 2970777 Town to Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Building Dopl 212 Main St BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Northampton.MA 1060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE l_ — -may ©1998-2016 ACORD CORPORATION. All rights ieserval. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD /....N WINDWOR-01 LAURA A�--- CERTIFICATE OF LIABILITY INSURANCE OAT4/9/2E 1>nTYYY) 4191'1.024 ___ _ -_ 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(les)must have ADDITIONAL INSURED provisions or be•'n,lorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A stalol lent on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). ______ _ PRODUCER CONTACT Laura Misseri _NAME: Phillips Insurance Agency,Inc. PHONE HO No E>n; 413 594-5984FAX 97 Center Street ( L ) _ I(die,No):(413)592 8499 Chicopee,MA 01013 Ao"R'6.laura@phillipsinsurance.com _ ___ INSURER(S)AFFORDING COVERAGE NAM a INSURER A:EMCASCO Insurance Co 2 L'07 INSURED INSURER B:Employers Mutual Casualty Company 21, 15 Window World Of Western Massachusetts Inc INSURER C: 641 Daniel Shays Highway INSURERD: 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 NAMLD ABOVE FOR THL POLII Y PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI11 :H THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TII IERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INBR ADOLTYPE OF INSURANCE INSD SUER POLICY NUMBER POUCY E� PWDD EXP LIMITS - __ _ LTR INSD VYVD 1&IMIDD/YYYYI IMMIDD/YYYYI A X COMMERCIAL GENERAL LIABILITY1,000,000 EACH OCCURRENCE _ I$ CLANS-`.IA_^.� X OCCUR 6A44324 4/9/2024 4/9/2025 DAMAGE TO RENTED 500,000 . i_�OAISEs(Ea Oowrrenr8)—. $ 10,000 MED EXP(Any one pompon)__. $ PERSONAL R ADV INJURY $ 1,000,000 GENE AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE S :!,000,000X 1 POLICY X1 l X LOC PRODUCTS•COMPIOP AGO_ S 2,000,000 OTHER $ _ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 1Eaaccdom) ANY AUTO 6Z $ 44324 4/9I2024 4/9/2025 BODILY INJURY per personL S 1,000,000 OWNED SCHEDULED __ AUTOSIOE ONLY X AUUOTNNOS EEpp BODILY INJURY(Per accident) $ X AUT S ONLY X AUTO ONNLY iIIer exbentrMAGE..._... $ B X UMBRELLA UAB 'X f OCCUR EACH OCCURRENCE - - S •OOO,OOO EXCESS LIAB ` CMS-MADE 6J44324 4/9/2024 , 4/9/2025 ,AGGREGATE __ __._ $ ,000,000CLAIMS-MADE DED X I RETENTION$ 10,000 $ WORKERS COMPENSATION PER I OH- RETENTION EMPLOYERS'LIABILITYSTAIUIli ANY PROPRIETOR/PARTNER/EXECUTIVE YTN E.L EACH ACCIDENT, __ $ aCtRMM©N EXCLUDED? N/A E.L DISEASE-EA EMPLOYEE $ II yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION _ - -------- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED IIEFORI: 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 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All right•;i sserved. The ACORD name and logo are registered marks of ACORD 4, Commonwealth of Maa111 Iruslate fjWtnion Of r rorur;Jrional t.icensure • Board of t;uddiiiq rioyuloltionf.and Standards Construttarll i}pervitsnr CS•r1521s 041'30J2425 NJCHOL Af r: noST`'•; (.++ 102 OAKRIDGE DR r ; :;;1 M x BULCHERTOWyI MA 01p107, ./` r t� .• 1 Y a '� ('yt i 1r r� Sl • Commissioner <Xode21 THE COMMONWE:AL:rH OF MASSACHUSETTS Offico of Consumer Attairsa Business Regulation Registration valid for Individual use only befoi a tlrr• HOME IMPROVEMENT expiration dale. It found return to: TYPEC•Indlvakual O811ce at Consumer A6lulrs and 13uslnesca Rewiinf..1r' 8.001.6.1(61011 Expiratitan 1dllt)VJ:ishlnutnn Street -Sulfa 710 20IY46 ': 04477/2025 Boston, MA 02116 NICHOLAS DHOTI • ' 1 / ' :• ,v VICHOLAS DROST 'r /1`. I „; r 1 IO2OAKRIDGE DRIVE .: �,,+fGF °i„6�n. tfii7( / !f .h LC1•IL TOWP,G,MA OIOt ;. Undnrsecrnl:tr y Not valid without signature THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business KoUuration KoplslraMan valid for Individual use only Isola,'the tIOME IMPROVEME;NT,CONTRACTOR expiration date. If found return to: TYPE:d:oporisiun Office of Consumer Affairs end ESuslrwss Rogulauon BOiiKra►on 11121=011 1000 Washington Strout •Suite 710 tp 811 . 03/1412026 Roston,MA 02118 WINDOW WORLD OF WESTERN MASSACHl1SE1TS,INC. TIMOTHY DROST • 641 DANIEL SHAYS HWY. OELCI•IERTOWN,MA 01007 11inforseuelaay Not valid without signature N.. `.4• 1'7.4,, windcua world .4NEac; -- lie Stavast A II-;\- WithWtR.es60.0.NC ia6V: 4fl00,,0p'ape.c.., DMVINYLNo G' icis 4iCO�c:s Paul1Ll lN.•t;le CtwJtt7c761�.-w•,.i.• - f -• :fi E- ('ors:llbw NONt.AMvaLQJ:Apo.:3111X.4. .K.)1.4`4.-xeiaoa;- ` ENERGY PERFORMANCE RATINGS U-Factor(U.S.I-P) "Solar Heat Gain Coefficient 0,27 0.28 ADDITIONAL PERFORMANCE RATINGS —Visible Transmittance '—Air Leakage(U.S.1•P) 0.51 <_ 0.3 --. ....,__— ..-r-....Ilse...-..sw.e.\•K...IOW NM•.,q.,,,Y-- ...,WO ..ca.:•s..•raw.'...r.•...e..•.w......._.!N•.o..M•.•••••, ....•.._ vw:xu...row t n s..v..e aa.-s r-..r...r..F via.s......•...-.:•... G.•4J.M.M4F. ..1•d aY>.RP rMW.Y.M+oa• .w..ec-4 ENERGY SEAR'Certified as H.groi$1eo Regions fii.ebc ado pea ENERGY STAR ra as,cgco.c s rt.saRadas. V I ENERGY STAR ill �T- M inkorn.c..a c a.Mro.toassM laaw•w N.P.s.w Pori Grade ^.DP(ASO) -OP(AO) Water ) A-P010• 60,1 55t 60 • Max Tat Sue Report! Fiorlda 10 STC.OITC ) 36.00 X 60.00 0'9`e'.'t*.n.V r T0810 T7.0 21.0 ) r P,.v2s NLY 6.c w'..cns v0:a>s car '_ __.._xc M•-Nr..u.y stada ,Ail,CrAfa OC '1J.t4*.K/KK LW..Pas I s:►...,:a7....eh mvAec i S/Aau't6suAte,.,: .rpoUten Fr:'A..,:•lr0r p/,AstA SOW L9A•.•�. M.y�.Kan y rc stagy' 5 cirt a er3AtF)?eie 0'TM r Nr co.f'k eJYirro' ..... ...m.re�.a car Window World of Western Massachusetts wnnwm•` ���commnno 641 Daniel Shays, Hwy, Belchertown, MA '1� Z-_l 01007 i, l 975 North Road,Westfield, MA 01085 %�Wàrw t�,(� Office: (413)485-7335 wirCARE www.WindowWorldofWestcrnMA.com Sam and Maggie Silvaine Install Address: 589 Florence Rd Florence, MA 01062 Contract Name: Sam and Maggie Silvaine-Sales- Doors Design Consultant: Tim Drost Measured By: Measure Approved Date: 6/26/2024 Status: Quote Payment Method: Lender: Contract Type: Sales Comments: Product Description TxbiQty Price Extension Permit&Administrative Fee Permit&Administrative Fee N 1 $300.00 $300.00 Setup and landfill disposal fee Setup and landfill disposal fee N 1 $250.00 $250.00 5-6 Ft. Patio Door-casing+capping DOUBLE 6 Ft. Patio Door-casing+capping DOUBLE PANE N 1 $4,198.00 $4,198.00 PANE right Total Information Unit Total: 2 Subtotal: $4,748.00 Tax Rate: 0% Tax: $0.00 Total: $4,748.00 Amount Financed: $0.00 Payment Method: Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $4,748.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: 0 RRP Signed Date: Window World of Western Massachusetts ►►R /� 641 Daniel Shays,Hwy,Belchertown, MA 11 KUIXU 01007 //"/ 975 North Road,Westfield, MA 01085 C 7f.(.L Office: (413)485-7335 WINDOW WORLD ) ww WindowWorldofWesternMA.com CARE w. 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 i-, , '-' SAmi Window World of Western Massachusetts W 1•RRT• r1 t.(,r,Trlrir Sri, 641 Daniel Shays,Hwy,Belchertown, MA ? __ 01007 %•(,' �s�975 North Road,Westfield, MA 01085 Wardow �fa Office:(413)485-7335 CARED � 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 s50 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 (VW CM/it Design Consultant EPA "Renovate Right" Brochure can be viewed and printed from here: Renovate Right. Brochure 1VW of W. D'a.,sachusetts anticipates starting this work on and being substantially completed in days.Any deposit required in i:clvanc:e of he 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 l roject will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all parties. All leme improvement contractors and subcontractors shall be registered. No work shall begin prior to the signing of the e ontract and transmittal to the owner of a copy of such contract. WW of W. Massachusetts under provision of Chapter 142A of the :eneral law; is required to apply for and obtain all construction-related permits.WW of W. Massachusetts shall not be deemed responsible for delays in the work described in this agreement caused by regulatory, permit granting agencies, authorities, or i.,dividuals. Notice: If the PURCHASER(S) obtains his own construction related permits for the work described under this agreement <+r deals wit i unregistered contractors, the PURCHASER(S)is hereby advised that in the event of a dispute,judgement and ronpaymen., the PURCHASERS) will not be entitled to make a claim or collection from the guaranty fund established by chapter l42A, M.G.I.. You the bu ver may cancel this transaction at any time prior to midnight of the third business day after the date of this Iransact.iott. Notice of cancellation must be in writing postmarked no later than midnight of the following third business play. IlLS IS A CI S fOM ORDER NOT FOR RESALE This Window World® Franchise is independently owned and operated by Window World of Western P iassac:huseus Inc.under license from Window World, Inc.