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Nartowicz applicationThe Commonwealth of Massachusetts Board of Building Regulations and Standards Ct AL,lTY MUNlC1P Massachusetts State Building Code, 780 CMR U5E Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 One- or Two -Family Dwelling This Section For Official Use Only Building Permit Number: Date Applied: Building Official (Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Adllre s, 1.2. Assessors Map & Parcel Numbers (� Map Number Parcel Number 1.1a Is this an accepted street? yes' no 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 ❑ Private ❑ Zone: Outside Flood Zone? -- (.,"'hack if yes❑ Municipal ❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIPr r- �� Name (Print) `—City, State, LIP 1 �} e:Li �Ti� 1-f13at��a2S� �t✓! �YJ���i'1�� No. and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORW (check all that apply) :NewConsitructionl:l .Existing Building°o, Owner -Occupied I Repairs(s) 1: Alteration(s) ❑ Additian ❑ Detnalition © Accessory Bldg. ❑ Number of Units k., Other. VlSpecify: 'C=& Brief Description of Proposed Work2:q;4r—�-6r— SECTION 4: ESTIMATED CONSTRUCTION COSTS 0 Estimated Costs: Official Use Only R4.Mechanica1(1HiVAQ Labor and Materials 1. Building Permit Fee: $ indicate how fee is determined: $ f . p Standard City/"Town Application Fee $ ❑'Total Project Costa (Item 6) x multiplier x _ $ 2. Other Fees: al (HVAC) $List: ------------------ al (Fire $ Total All Fees: $ Sup ession) Check No. Chcck Amount: Cash Amount: 6. Total Project Cost: $ I t 0 Paid in Full ❑ Outstanding Balance Due: SECTION 5: CONSTRUCTIONSERVICES — 5.1 Construction Supervisor License (CSL)17- A --pp Cq License Number Expiration Date � List CSL Type (see below) Name of CSL Holder ..,� > Type Description No. and Street U Unrestricted (Buildings up to 35,000 cu. tt.} R Restricted 1 &2 Family Dwelling City/Town, M Masonry RC Rnotin > Covering WS Window and Siding SF Solid Fuel Burning Appliances r t �1�•� �a ; a , ee' 1 Insulation Tel hone, Email address I3 Demolition 5.2 Registered Home Improvement Contractor (HIC) , p HIC Registration Number Expiration Dail" HIC Company Name or HIC Registrant Name 4,yt t�C�V'A9 ;2 a�i`aCG?4..£.'� k145�'°6 p i`�aau^awb. �,.o?�a''ya� a ilea•a 9 C._,i, N and Street Email address City/Town, State, ZIP Tele hone 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 .......... Ev, No ........... 11 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner of the subject property, hereby authorize �,°} ` Z,, to act on my behalf, in all matters relative to work authorized by this building permit application. 17 h. Print O ner's Name (Electronic Signature) Date SECTION 7b: OWNERS 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 irk this ap 1ia�b is 7,7e and accurate to the best of my knowledge and understanding. l I 0 1�. Print (Electronic Date NOTES: 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 in Formation on the HIC Program can be found at www.rnass.gov/oca Information on the Construction Supervisor License can be found at www.mass, *ov/dam 2. Wilen substantial work is planned, provide the Total floor area (sq. b.) Gross living area (sq. ft-) Number of fireplaces Number of bathrooms Type of heating system Type of cooling system Mation below: (including garage, finished basemeirtlattics, decks or porch) Habitable room count -� Number of bedrooms Number of half/batbs -- Number of decks/ porches Enclosed Open .--- ---- "Total Project Square Footage" may be substituted for "Total Project Cost" City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 y„ CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROTECTS) In accordance of the provisions of MGL c 40, 554, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of facility: ����,�_� The debris will be transported by: Name of Hauler: Signature of Applicant: City of Northampton Massachusetts DEPARTMENT oF .BUILDING INSPECTIONS 212 Main Street ® Municipal Building Northampton, MA 01060 HOMEOWNERS' EXEMPTION ELIGIBILITY AFFIDAVIT illy)C k1/7 r(4 (insert full legal name), born __ (insert month, day, year), hereby depose and state the following: 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or 'work on a parcel of land to which I hold legal title. 2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners' exerrcption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR ] 0. R:3. 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 tbere is, or is intended to be, a one -or two-family dwelling, attached or detached structures accessory to sud' 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 17 day of �kW . 20 (Si ature) ' The Commonwealth of Massachusetts " I)elrartment of'l ndustri alAce—i tents l C"oxagress "Street, "Suite .100 Roston, MA 02114-2017 R" 11' IMFmaSA1 Y.govIdia Wor'kertr' iCrantrpera;Intion lusurance A.Ifitltrvit: lfltrStletr sl "rlirrtrnctalrrsll{alc�ctriw i lrst�ll�'Yw>s,ylw r s. TO BE FILED VV1C"1C.H THE MAMJC'T"l"ING AUTHORITY. A l CRrt:Crrforrr otintr PIRarme , irrt .i.,e Name {�uhrtl�w�C;Sc��tnr�¢wtionll�ndir�i[lunl�): Window World of Western Mates cl,r` fis' 641 Danlel Shays Hwy ,,,,,,,, ,,,,,..w,.w _ _,w,.,,,,...,.,,.,..,...,......,.........:.,._......_._..............,,_.................. .. City/St'ate/Zip.: Belchertown MA 01007 Phone Ise 4 4134857385 .,_,..M......,...........,........................_........,.._..._ Arreyo) on the appropriate box.. � w lrtil ar 01111luyOr wills 5Q � ,m .tarnllloyee5 (t'ul.l tandArr parwi nva .* 2,[2101 a Rol prtYpsietar or lrrlr'tncra;ial1) and have no enlployees workhlg For nic in atny c }a>ar sty. C' la workom' t omp, imurranr,�u equirrd.,l i j 3', 1 awrl a hometvnor doing al4 work n'vndC. (Na work on' moil), hwirttncv. raquiretl.l �. +�, I lane a hairrYr owmr r 1rpcJ will ha Kiri n cxrtrtraeu�ra to u,onducl 1l +ern fc <a�a te�y prrrlr�,rty, )Will ettstav, Mint all �Cowraoors alltlaer have vorkers' cx>n1p nsarion inhur(awe or tare sole: loollrieton with 1lnenrl)iYayecs. 5, []r am at generaal ontractrarmul I have hired the xtlh»atrngatetalrs Iste(l On the arauched a1116et, 'Flua, go sub�contrntrton hove erltlt oyeeq rrrlcl have: workers' a,onip, insurtanco. s 6 :3 We.aru 1t:c0rp0rarl:0o Ante ks orricem have exer6mi their right or eumption Per MOO e 152, § 10 ,'and we have ttcl employees, (No workers' coop, hisu.ranve reeµtirYAl, l Type of pmjeci (rcquir ed): 7, New coiistritct.io Reniodefling 10 � w� Building rsdiliov 1 1,[3 Elcetrical repaiv4 trr tulcliticn s 12, Plumbing reparirrf (IV neirlil10W, 13, Rour rctaarirs 14,�(:}flyer, RleplaoerrrentAN� '"Any tlpPl 1ORM C, I httt 01U49 hx* # t riluwal Ir1s a i"I ti ratu tl1e sr cr tun hetow xl�lwi ng rl�i r waYrisera" crrnrpr lrnttti rFn1�r11 i ay i.r11i11°r11r11 i Ysn: "VIt111wow13em wbo ski bailt artla affidavit in(licaling they a're(loing till wt'1rk Y )10 then titre Halt&Idc: Clttrtrnplpra ri1u;�l atil9Flfil sF nu:a+ E1raifraavll intli�.uiirru r+aic'll rvuluaicion dial 01100lt. thix box must Attached an tuld!tiwwl slleat shoving th,e natrie of t.hu sub -contra ctorN unil stab: wholhum or not Ihom! cnl it lux 1rFr.�a r nrlahlyct:w, .IF the hull-cuturactors hove carrtl(syeex, they Irausl provirlcv thek worl<ews' eolup, polivy "wilber. n:mrat...w� 1 tarry eur einplaryer..thert isprovieling wnrlaerc' conrpvrrsatton tinsurance,j"nr nary errrplrryeays. Relaw is the policy arre1,10lb OP.` Indemnity Insurance Co. of North America Folicyl#or r�'i'i»It4s,Uei #° G �Q 8 9 _ _ 1t)IU1/ U 4M�VMp., Job Situ Address: Attach -a copy of the workers' compensation ptrticy declaration clarartion page (showing the ptAicy number rrtrdl t x0rartIM, dilte ), Failure to sctaarre olveraage as requircd t ndor IV OL' c, 152, §25A is ra criminal violation punishable by as t'im u 1) rca'i?I,�i)l:,r,rr(> attrd/ct" one-year irrapiwnilmenit as well a s civil pon aitlos in the form of ar STOP Vi'ORK ()Rt7ER and sI,1'ine of up to $2 0,ilrl :F day argtwinbl the violator. A copy a1 this statement may bo forwarded Io the. Oflim of Investig:aticxrs of thc, .1.)lA foririwlll"tit?< coverage val'illicatif n. el above is true card Correct. ql i � ..... ... .... ........ ---- ,,..., t>I1rinxr # 413 485.7335 Ojjlciral ux,6 only.' 'Do not write in this area, io be completed by city err' tnrurr rr f f triaC. City or Town-. i Permittt,"iccrrse�w.�_.�� ,Wuhig Antlitolity (cilrele one), I. Ifoard t fff-e4ifli 2. B.all4ing Department 3. City/Town Clerk 4. ElectrJeal Inspector 5. Plumbing Cnsp(r ,ctor° 6. Other Contact ................. —.—. Phone DATE (rlMfDDJYYYY) a4n.2J7.n73 CERTIFICATE OF LIABILITY INSURANCE Acct#:2970777 ._ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLIER. THI r CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTENT? 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 bF ondao:sod 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 (AJc,Nn, ExtI 6II8 828•5365 _____._ ...___.___.._. (OVC,No}: HOUSTON, TX 77042 E•MMLADDRESSI I NCPFRITYr:FP7.grM1 n r.kTn NAFFINI'fV.COM INSURED WINDOW WORLD OF WESTERN MASSACHUSETTS INC. 641 DANIEL SHAYS HWY SELCHERTOWN, MA 01007.9529 INSURER B: kNSURER E: NAIL It 4:i575 OVERAGES 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 P0)1,1r.:Y PrrR1017 INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI., CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL. 'I I iE Tt1RMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. —._-'r'OLICY EFF _ ._P041CY E%P __, .-.-....- R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER (MMIDDfYYYY} (MMlDDJYYYY} LIMITS �R INSD WVD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ �_DAM"�� rDREJTEO T CLAIMS- OCCUR PR_EMk$ES{Saoccurrnnce) GEN'L AGGREGATE LIMIT APPLIES PER: POLICY nPRO- �LOC i �tIFCT THER, AUTDMOBILE LIABILITY ANY AUTO OWNED r SCHEDULED 4—AUTOS ONLY AUUT OWNEDREDUTOS ONLY AUTOS ONLYMBRELLA LIAR OCCURXCESS LIAR rI nl�nc_n IPRIETORlPARTNERJEXECUTIVE 1Q10112023 1010112024 IMEMBER EXCLUDED? NIA X C56698598tory in NH)escrlb0 underPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS f LOCATIONS t VHHICLES (ACORD 101, Additional Ramatks Schedule, may bo attachsd IT more space is raqulred) Town to Northampton Building Dept 212 Main St Northampton, MA 1060 ACORD 25 (2016103) MED EXP IAny ann pnrsnn} ? _PERSONAL & ADV INJURY ;S GENERAL AGGREGATE R PRODUCTS-COMPIOPAGG $ F__ �._{Ea.ac.,___._..._.BDDI(Pnr person)BODI(Pnr accidonl) 4PROPF1GE � �;IP.er.a__..... -__EACNCEAGG:6 E.L. EACH ACCIDENT �, 1,Ci(s0,(}OQ E.L. DISEASE - EAEMPLOYEL- $ 1,()0(),000 E.L. DISEASE • POLICY LIMIT $ 1.0110,000 4NCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES H£' CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL OE D}:LIVER1e1) IN ACCORDANCE WITH THE POLICY PROVISIONS, U 1988-2016 ACORD The ACORD name and logo are registered marks of ACORD All riotsresnrve,i WINDWOR-01 Ll URfi '4 R� CERTIFICATE OF LIABILITY INSURANCE DATE 1 4/9/2nxvyrrl r�r.}laz4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLE E'R. 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 he ,.•ndorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A st koment 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 - - FA 97 Center Street 984• 8499 , c Chicopee, MA 01013 E"MAI -AnnaEss:laura@ppL hilli sinsurance.com INSURER(5)AFFOR�INGCOVE_RAGE .-,_ -.. NAICYA _— INSURERA-:.EMCASCO Insurance Co - 2IA07 INSURED ENSURER I51 : Employers Mutual Casualty_Com.pany 21415 Window World Of Western Massachusetts Inc INSURER C : 641 Daniel Shays Highway e chertown, MA 01007 INSURERD: INSURER E : INSURER F C0VERAnP9 rFRTIFI(.ATF MI1Rf rtr-P- I r_%11Q1f)M AII IAIIR170- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLII INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL T1 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE N OCCUR 6A44324 4/9/2024 4/9/2025 _ _ _ _ _ DAMAGE TO RENTED m PREMISES_(E4.ocrurfynr�}--... 3 MEN EXP (Apy emr. p gnQa),._.. PERSONAI. F� ADV INJURY-- — GEN'L AGGREGATE LWIT APPLIES PER: GENERALAGGT�%GATC_ _ S,_ _-_. X POLICY �X ,P1ECT I. i J LOC _PRODUCTs_cnMPlnr_ AGG 3 OTHER: COMBINED SINGLE, LIMIT AUTOMOBILE LIABILITY ANY AUTO 6Z44324 41912024 41912025 soOlL,y IN�utzv (Per,Persan)_ 3 X- OWNED SCHEDULED AUTOS ONLY AUTOS 90gILY_INJ UFiY(Par acpl[lent) S.. _ X H`RED NppN•Dy�N D X AUTOS OILY pP �r PERT M AMAGE (— - 5 AUTOS ONLY $ B X UMBRELLA LIAR X OCCUR EXCESS LIAB CLAIMS -MADE 6J44324 4l912024 4/912025 AGGREGATE.-_, DED X RETENTION $ 10,000 PER OTH- WORKERS COMPENSATION ._,_ TATUTE__._.___�R__ AND EMPLOYERS' LIABILITY Y I N EL._EncH�ccIDENT............. N f A ANFYPRRO�PRIII=7OrR{IPARTNEPIEXECUTIVE �� 5. (Nand tars In NEHj EXCLUDED? E.L�DISE7ISE -_E� CMPL(�YEL= if as, descdba under f)aMP ION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT 5 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space Is required) Town of Northampton Attn: Building Department 212 Main Street Northampton, MA 01060 ACORD 25 (2016103) Y PCRIOD q€,I-I-rl-Ilf, rERMS, .1,000,000 500,000 1op)o 1,000,000 :z,000,00o 2,000,(100 1,000,000 1,000,000 1,000,00( -1.000.00( WNCELLATION - •-----� S 13E 8HOULD DATE THEREOF, NOTICEFWILLcC BEDELINIF1 ED BEFORE IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1986-2015 ACORD CORPORATION. All right' s*0sclvC'd. The ACORD name and logo are registered marks of ACORD ,...�_.._.. _.. _ Cn.rlalpaaa�vl'lYlaNgga i�flW}tltusrvarrr�g4q:� li9Yv1ion o1 f'rtzrurfwgai isr�uC N,yiCyarlrkCrr � �ti�nnrxJ r,��;rrllriEi>511''itd�laal,trCiu,�e, ;,n�l.iN�an��crrrl�y r Pirx;',w W3001--25 `€ ddqvi.IaPi ,'F THE COMPtfCh'NWRAN.IH £11, MA1SSACHUSMS �'}ftNo� �d ��nrpsCur>atlr' �A�MT�,pr�;r� ��uN�;lm�r;�'� 4�e�uulwticaru 3�f.t7CU1L IPAfyFk4k'�E,1+i1�P1I�''Gt��4:TTI�V��'6'(TF� '11,3l,40LAS 1:1-1097 '1101-1008 DROST 102 QA KIRID(V IMWk Aa.f;N4:1211TOWR MA d 11�q� � Yr�,FM17lri� �;.yiFhytp;y'i1w l ' i�G['CINa]II pr 'X'FB1, C4N1hYlOMWE-AL'1'Vt OF.MASSACHUSM"M OtPlao of Ciom4 me-r1'tftrrlrG A Surlrrar a Ragufatioan HOME IMlyROVE;1!hE.;141 CONTRAxCTolt , i�urla I�niun I$onls;'trai�. r : l�f� GYIt 1�7C7W pVC7f2Lk1(f^ 7dLalrN�_I A�4�34"ckila3 fT f 1, INC. TfPAOTHY 1 jkOST BrL(,",V'1cR1,O1NN, MA Cio[i! 11r1r1 r�r�q ruirlry Rioy1 atr-rtion wit Rd lain 1nicfiV1xk4-,0 Ca , n„d N e4tArY^ tf,r ey,pir,011pn dj�WH CI ildkAnd ROW111 trdo: Ol'plw+ f and Mrsln,ow.4 i'Cety[nu;rra�rr�, '11:N01 1I „ sbhll�jttani Rkept - Stafgya 710 B-ontorr, MA, 021.119. 'I Not v'.i 6d wlihWlt signakdWr` 1tafpla4raldnr4 war Id for II1cIIv1rA41:rr u�m q;tly I)OWN Inc OXpIrrltiosr ci�rta. tf V0110111 ralnrri qt1« C. r loo ol'Ct)ryraurjjLK Af[E&S• grid BUG11105s ROOL11111FOra 1000 Wa:o1019ton stroot ySr RU 710 HOS100, MA 11$1!i14 Not: valid without sigtlature 171 � m r v 'o EL � w IDYTIr o r Window World of Western Massachusetts '. 641 Daniel Shays, Hwy, Belchertown, MA 01007 975 North Road, Westfield, MA 01085 Office: (413) 485-7335 i wwwWindowWorldofWesternMA.com i __............._._...__.._.._._.__._.._...._..--------- _..__..._.__.__._..._.__._ _.., Gail Nartowicz and Anne Kingsbury Install Address: 524 Park Hill Rd Florence, MA 01062 Contract Name: Gail Nartowicz and Anne Kingsbury - Sales - Doors Design Consultant: Anna Drost Measured By: Measure Approved Date: 9/10/2024 Status: Quote Payment Method: Lender: Contract Type: Sales Comments: vrrcnnn r m nnn WI No, wnR..n CARE t Product Description TxblQty Price Extension Permit & Administrative Permit & Administrative Fee N 1 $300.Op $300.00 Fee Setup and landfill disposal Setup and landfill disposal fee N 1 $250.00 $250.00 fee Double Entry Double Entry Door Casing + Capping (Therma Tru Smooth Star Single Entry Door, 3/4 lite single panel, Concorde decorative glass black nickel taming, Pre- N 1 $5,070.00 $5,070.00 Door Casing + finished paint custom color TBD, Venture Black Nickel multi -point locking Capping system, composite jamb, composite adjustable sill mill light cap finish) Entry Door with Sidelites, Casing + Caping (Therma Tru Smooth Star Single Entry Door with Entry Door, 1/2 lite single panel, clear glass, Pre -finished Alpine in/out, 3-lite N 1 $4,432.00 $4,432.00 Sidelites, Casing Horizontal SDL, Venture Black Nickel multi -point locking system, composite + Caping jamb, composite adjustable sill mill light cap finish) 4000 - Double N 1 $6,480.00 $6,480A0 Pane Bay/Bow 4000 - Double Pane Bay/Bow wlins. seat casing capping w/ins. seat casing capping Total Information Unit Total• Subtotal: $16,532.0 Tax Rate: 0 Tax: $0.( Total: $16,532.{ Amount Financed: $0•( Payment Method: Deposit Amount: $0•1 Balance Paid to Installer upon Completion: $16,532.+ Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: 0 RRP Signed Date: `,�e VrT ,LL J: Ll JaumoaujoH Ajepuo3as il JaunnoBtUGH Ajeurud •ue6aq NJOM aJo;aq;a14dWed s144 Pantaaaa 1 •;run 6ulllaenp IGLU ul paLUaoiaad aq o; /Cz1nl43e uol;enoua.r LUOJ.4 ajnsodxa P-Ieze4 Peal 04;;0 ){sp lei;ua;od ay;;o aua 6uILUao;ul;al4dLued uol;eLUao}ul P.ieze4 peal a4; #o Rdoa a paniaZ)aa ane4 l s;uauua6palnnou)pV :pnpoad uzoa'dWLLIaIsaAAJoplIoMmOPUlAAA,mm -IUOM MOQNiM SE£L-98V (Elf,) ;GOUJO - 58010'VW 'P[aT3asaM 'PROM 111-ION SL6 LOOM VW auawwo�{yr9dtd xuuu�isn 'UMOIJOT1 l g ' H ' lS 10 -'Q ib9 s;;asnuo-essepq uza}saM 3o PpoM mopulm Window World of Western Massachusetts 641 Daniel Shays, Hwy, Belchertown, MA 01007 975 North Road, Westfield, MA 01055 Office: (413) 485-7335 www.WindowWorldofWosternMA.com Preparing for Your New Windows and: Doors vcrsnn,ex � enmmn,in GARS 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 1ft 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. S. 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. es built before 1978 have received a copy of the lead hazard information pamphlet 6. EPA -LEAD SAFE GUIDELINES: Homeowners of hom 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 ese will need to be removed as well, Please removed. In addition, if there are existing storm windows in place outside of your current windows, th 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 unles 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, _.._­_,.:.... ",. —all �— nrnviriarl fnr the Homeowner to siqn after the final inspection is complete. 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