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20 Winchester Ter applicationThe Commonwealth of Massachusetts r Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780 CMR MUNICIPALITY Building Permit Application To Construct, Repair, Renovate Or Demolish a USERevased Mar 2()T l One- or Two -Family Dwelling This Section For Offrcial Use Only Building Permit Number: Date Applied: Building Official (Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Pro e t vJ 6 ss; 1.2 Assessors Map & Parcel Numbers , cT,,, i�'}� - fP 1, la 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 (it) 1.5 Building Setbacks (ft) Front Yard Side Yards ,Rear Yard Required Provided Required Provided RequiredI 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? CiieclC ifycs❑ Municipal ❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1. Ow or' of R ord: F/o re o Ge M Y� 0106 o? Name (Pti t) City; State, ZIP ow i� r �, 5 k� . Arco r 'c 5&60�r�� No. and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPnCP.n wnurtz toile ,.r, „u +16-+ .....,.,. New Construction ❑ Existing Building t ccupied 'i EN!umSber Repairs(s) ❑ Alteration{s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ of Units `., Other LEI,/Specify: !t! , , g..` I ---- -r---- - A AMFW0 %A YY VA . SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs; Labor and Materials Official Use Only 1, Building —10-5 1. Building Permit Fee: $ Indicate how fee is determined.: 2, Electrical $ ❑ Standard City/Town Application .Fee © Total Project Costa (Item 6) x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ G. Total Project Cast: $ J0 Check No. Check Amount: Cash Amount: ❑ Paid in full 0 Outstanding Balance Due: SECTION S: CONSTRUCTION SERVICES 5.1 Construction Supervisor License (CSL) 12 License Number Fxpiration bate Name of CSL Holder List CSL Type (see below) No. and Street Type Description C r cLoc U Unrestricted (Buildings up to 35,000 cu. ft. R Restricted l&2Family Dwelling City/Town, S IP M Mason Roofin Coverin w WS Window and Sidin SF Solid Fuel Burning Appliances _ - �— .�.r,� -� nJ t�?N•�a.a1L°i.�.� d^ �'v'��_��� 1 lnsulat1011 Tele bone Email address D Demolition 5.2 Registered Home Improvement Contractor (HIC) 2 HIC Registration Number Expiration Datd" - HIC Company Name or HIC Registrant N TI.Q. and Street Email address City/Town, State, ZIP Telephone SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152. § 25C(6)) Workers Compensation Insurance affidavit trust 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 .......... E3-"F 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 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 nay name below, I hereby attest under the pains and penalties of perjury that all of the information contained i this ap 1it✓io is true and accurate to the best of my knowledge and understanding. 1,2� Print 0 , er' uthort d Aga s Name (Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do bis/her own work, or an owner who hires an unregistered contractor (not registered in the liome 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,tnass,gov/oca Information on the Construction Supervisor License can be found at www.iniss.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. 1) Habitable room count Number of fireplaces Nuinber of bedrooms Number of bathrooms Number of half/baths Type of beating system Number of decks/ porches Type of cooling system Enclosed Open 3. "Total Project Square Footage" may be substituted for "Total Project Cost" City of Northampton Massachusetts DEPARTAONT OF BUILDING INSPECTIONS 212 Main Street o Municipal Building Northampton, MA, olofio t CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGM. 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: ate: l omo/ 1d,� City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street 4 Municipal Building NorthamptOO, MA 01060 HOMEOWNERS' EXEMPTION ELIGIBILITY AFFIDAVIT I, ff C1 h La r day, year), hereby depose and r the following: (insert full legal name), born _ (insert month, 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirements of thf_ Massachusetts State ,Building Code, codified at 780 CMR 110.R5,1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners' exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110,R3. 3. I qualify under the State Building Code's definition of "homeowner" as defined at 780 CMR 110.R5.1.2: Person(s) who owns a parcel of Iand 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 $hail 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 any 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 _,�q day of. Oclubc T , 20c,�W (Szenature) r ne uommonweatrn oI MaSNaenuserrs' Department of IndustrialAccidents Office of *In vestigations Lafayette City Center 4 - '2.Avenue de Lafayette, Boston, MA. 02.11.1-1750 www mas.s.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/oail,]Xt�I rs Applicant information Please Print Ig ih?[y Name (Busllless/Orgatlizatioll/Itidlvldtlal): Window World of Western Mass Address:641 Daniel Shays Hwy City/State/Zim Seichertown MA 01007 Phone #: 413 485 7335 Are you an employer? Check the appropriate box: 1.9 I ani a employer with 50 4. E] 1 am a general coat -actor and I employees (full and/or part-time).* have hired the sub -contractors Z. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' [No workers' 'couip. insurance comp. insurance.+' required.] 5. We are a corporation and its 3. ❑ I am a homeowner doing all work myself [No workers' comp. insurance required.] t officers have exercised their right of exemption per.MG.L C. 152, § l (4), and we have no cluployees. [No workers' comp. insurance required.] Type of prosect (re quik era; 6. ❑ New const.ructa011 7. [] Remodeling S. De.11101ition 9, Building additiuU 10.❑ p'lect.l-ic<tl re;p�Fairs �.) i6Ei41c)Iln 11.❑ Plunzl�illl; rul:lairs <��I.riiti<)il�; 12.❑ Roo:( repairs 13.0 Othcrrepiacernen *Any a.pplicalat that checks box # I must also fill out the section below showing their workers' compensation policy in formation. _._.. 1 Homeowners; who submit this affidavit indicating they are doing all work and then lire outside contractors must submit a new afFidavil I dicnt.i i .Contractors that Check this box must attached all additional sheet showing the nalne of the Sul) -contractors a,nd. state wlletller or plot fibs(' Qlll it ic.h • employees. If the sub -contractors have employees, they must provide their workers' crnnp. policy Illtlrlber. I an: an employer that is providing workers' compensation insurance for my employees. Below is thepolicy amij information. nw II- C S'k'rd' Insurance Company Name: Indemnity Insurance Co. of North America Policy # or Self -ins, Lic. #: C72408342 Expiration Date, 10/01 /20'2_5 .lob Site Address: O N, Vi 61/e 5 t' j- 1 c ( 0 i:'.itylStatelZip:_ � �0of o�_e _&Y' 0'1061 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expliraQiu o dm t _ Failure to secure coverage as required under Section 25A ofMGL c. 152 can lead to the imposition of erilniwiI perto ,s 4.)1',, fine; up to $1,500,00 and/or one-year imprisonment, is well as civil penalties in the form of a STOP WORK. 01DFF :. ,t(i I f' o, of up to $250.00 a. day against the violator. Be advised that a copy of this statement may be forwarded to the 4 )lfwc fnvest:iga.tioils of the DIA for insurance coverage; verification. .,�....„.,...,u,.w.� .�.._ p ln hmrasi7 er tdunder r ty G cxty andenalt('el r�th.,� _t..t,..h�rai�form.at�r.�aprovided awb..�o.�ve„ .... x'S 7tl'7iidA'" ?IfnM n] 1' ,.. /21 5-7335 Qfilc>ial use only, ado not write in thin, area, to be completed by city or town of ficia�l.� � � � � ... ....._ ..�__..... .......... � City or Town: Permit/1"icense I:muen Authority (cl l �lt«rrl ot" ll:eali:hu2EI.Building Department 30Cat/1Cwn Clerk R.E]Ele tricap 1xispec.�i._a_r_-.w_....r.....___ I 50I1tijiirr b.iijjo,,. Ilaspector (i,][}t:lter' tllltactPe4sran: Phone #:_................... i .�_ �"- — -- - - -- - — - - - — -- --- - ^- - - -- - — '. _ -- -- - — — Acct#: 2yrU//! VCSr,G!!LU!_'r THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. Tl-IIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY Tiff. 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 beendorsed. 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: 3657 Briarpark Dr., Suite 700 PHONE (AIC No Ext : 8$8-$2$-$365 Houston, TX 77042 onr Ql,cc insperitycerts@locktonaffinity cam m _- INSURED WINDOW WORLD OF WESTERN MASSACHUSETTS 641 DANIEL SHAYS HWY BELCHERTOWN, MA 01007-9529 D: INSURERS AFFORDING COVERAGE — NAIC dl Indemnity Insurance Company of North America 43575 OVERAGES CERTIFICATE NUMBER: 1` REVISION NUMBER: _ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R TYPE OF INSURANCE DDL R POLICY NUMBER MOLIICIYEFF IPOLIC POLICY LIMITS — COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _ CLAIMS -MADE OCCUR DA I R ED - -- _ PREMISES (Ea ogan2nm $ MED EXP (Any one person} $ _ — $ _ — $ $ PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC OTHER: GENERAL AGGREGATE PRODUCTS - COMPlOP AGG AUTOMOBILE LIABILITY ANY AUTO ALI.OWNED SCHEDULED AUTOS AUTOS I IIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT Ea accident $ — BODILY INJURY (per person) BODILY INJURY (Per Accident) $ $ PRPaOPERccDAMAGE raldTYant A UMBRELLA LIAB H XCESS LIAB OCCUR CLAIMS -MADE N/A C72408342 10/01/2024 10/01/2025 EACH OCCURRENCE $ _ --'. $ 1,Oonp00 $ 1,p0u,OQ0 $ 1,000,000 — — R__ AGGREGATE ED RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y 1 N OFFICER/MEMBEREXCLUOED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below X STATUTE ORl [ E. L. EACH ACCIDENT E.L.DISEASE - EA EMPLOYEE E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Sohodule, may ho attaohod If more spans is required) — CERTIFICATE HOLDER CANCELLATION — - Town fo Northampton Building Dept 212 Main St Northampton MA 1060 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL LED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL FJE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (:5�µ —+6a� WINDWOR-01 4 AURA -�� CERTIFICATE OF LIABILITY INSURANCE DATE(MuIA DlYYYY) 41912+)24 _ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLCIEI �. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE "'tkLIGII'_S BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTP1()RI.7ED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certiflcato holder is an ADDITIONAL INSURED, the policy(€es) must have ADDITIONAL INSURED provisions or be n lorsrd. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A stai�)i,:ent can this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Laura Mlsseri -- — — NAME:-----.,� Phillips Insurance Agency, Inc. PHONEFAX 97 Center Street JArC, No, Ext):(413) 594.5984 _ I (Alc, Nn): (413) 59 2-14499 Chicopee, {VIA 01013 0 RIFGs.laura@phillipsinsurance.com._ INSURED Window World Of Western Massachusetts Inc 641 Daniel Shays Highway Belchertown, MA 01007 COVERArFS dICOTrcre+Aric \rr rxlln i-, INSURER(S)_AFFORDINGCOVERAGE- __ __. __ _ NAIL# A:EMCASCO Insurance Co_ __._- _ 2iw107 e:EmployersMutuaICasualtyCompany 21e1;i I: D: E: ISION NUMBER. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLI1 INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO Vt CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU13JECTTO ALL TF EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER --- POLICY EFF ---. POLICY EXP LIMITS A X COMME:RCIAL GENERAL LIABILITY CLAIMS-MADE pCpuR 6A44324 4/9/2024 419/2025 .EACH OCCURRENCE SqS°{,E� gc� e�rt�d.)-^_ p° JM. 6 MEDEXP-(Anyoii�,prrrF�n).,,__ $ PERSONAL %k 11DV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: X NERAL AGGREGATE $ POLICY JECT I-J LOC rPRODUGTS7COMP/ 0PAGGOTHER: _._.. _- B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO NED 6Z44324 4/9/2024 419/202$ BODILY INJUiiY {Per parson) — `6 AUTOS ONLY X AUTOS BODILY 6R0pILY._ENJURY {Per accld_ent} �R p pW E X AUTOS ONLY X AUTOS ONNLYPe�aCcltlenl��M�GE $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S. EXCESS LIAB CLAIMS -MADE 6J44324 41912024 4/9/2025 AGGREGATE ----•--._—_ _. __ _ .__ DED X RETENTION $ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN _,._ STATUTE _„-,..—ORH-- ANFFY PRRROl!PREIETORRIPARTNERIEXECUTIVE j� B EXCLUDED? �j {M,.FICEnda M N I A E.L_EACMi In ePTrbNe under, LDISEA5E--EA EMPLOYE $ ❑If Es SCdsIOOFOERATIONS— below E.L. DISEASE - POLICY LIMIT S OESCRIPT(ON OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Town of Northampton Attn:. Build €ng Department 212 Main Street Northampton, MA 01060 Y PERIOLI '(I-Ila h I'EFtMS, € ,000,000 500,000 10,000 1,000, 000 !I,000,000 ',000,000 I,00l�;a'oo €,000,000 000,000 ,000,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED rU FOR[ THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVF RID IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZE) REPRESENTATIVE ACORD 25 2016103 -- - ( ) ©198$-2015 ACORD CORPORATION. All rigltts The ACORD name and logo are registered marks of ACORD CUM IT111.1%11"ry�IuUffi if iOfa 1l;'1riel;J 4 l ul+ +rl11i laY f�rt�Falq;,lpinrlaniN. cmrrraagr �n�a1rJ �! t�lirllnJlrfiYl ��ira�ItaJtlllllrn� uYlatdlirrrncJnrrlrJ p� "� •y"."�1Mdilr'a�j(u Li��i 4'an".�1�!'�fid�'�I IrllCstllr,��.+iF�'�'��ileJ'.�"4 f`"i 'll I'�I r it?fl. IRMW PRIMitl Mw C.rrj"1'iF�La�i'iy'[}i111�7� t��f��*„1-a �4 4�di'Ti'I::f.fiAR„ � THE COIh9ftllO?+rWEAUq'H Or �G'ASSACHUSFTT ]fY:l0vIs! C011GURIOx'Ag!aiMs A BusIn"s, flee alarTam �101,101LAS MOST 102 QJ+r+rICRIr)GE IOHIV X-L-011L:I f'tr14'0N,MA OfAlt THIS. C[1MMONW EAL111I OF MrWSSACHUS'0111rs, 4JIYlcn OF CollsumorAffilrrs & Suslrlart;s Rojiulatloln I10Mf3IMWRYOVyENTF +CC?IFITRA(:TO3t $tl.SjllflC�iltLL. '' : Ls''1[JflLI fus4?t1" '1:'.1,:a i73M4P40q,G WVI1JWWVW ORLt!Q! �i�LSY I J,I11� `�"II NIrJ"9L1"fa.INC. TIMOTHY DROST tILLCHENTCTWN, MA Oif)E17 " ! • LNnriarue�.r�f�tr� Rt1g3St1I1;01-O n valid 31'Or Ir1idUv1dv-,a 17.E rin:ly �11'f'Csr1e tr,r ['a;ll7ill-ption kJrjllir. IV1t04alvlrl return kn 011100 Or i'll i buisl11ntY=1latfluln[ararl 11100 Wn„I11I'llMCI rtxRT# ' olfiie 71CJ AalpPscrd•MO n +wAM Iar 11nclIVIdUal usn ably Irrlforl, ¢Ina GXPItntlUll Clad!. Irir.,Md rQIIL 1 t0l, Offdcar OfCaimunwv Affi lmnrac! Uucinoss life irillrip 100D Wa,lghbi gtol'[ Slyd1111 -sman 110 rgostarl, MA 02119 Not; vallid without Mgnattrm Window World of Western Massachusetts - ar�renrinr, �rF, " romnirrnu 641 Daniel. Shays, Hwy, Belchertown, MA 01007 975 North Road, Westfield, MA 01.085 wiNnotiv ww -aLn Office: (413) 465-7335 ,�?� www,WindOW WorldonVesternMA.cotn CARE S Ralph Carpenter Install Address: 20 Winchester Ter Florence, MA 01062 Contract Name: Ralph Carpenter - Sales - Doors Design Consultant: Tim Drost Date: 10/28/2024 Payment Method: Check Contract Type, Sales Comments: Product Description Permit & Administrative Permit & Administrative Fee Fee Setup and landfill Setup and landfill disposal fee disposal fee Phone:4135863410 Email: rfc55@comcast.net Measured By: Measure Approved Status: Contract Lender: Txbl Qty Price Extension N 1 $300.00 $300.00 N 1 $700.00 $700.00 Siding (Sq) (NO STRIPPING STRUCTURAL LAYER OF SIDING) **Window World Siding (Sq) (NO is not an electrical contractor, We will remove exterior lights and cap wires STRIPPING as we are installing new siding. Customer is responsible for obtaining an N 1 $17,000.00 $17,000.00 STRUCTURAL electrician to pull a permit (as applicable) and re -install exterior lights at LAYER OF SIDING) their sole cost and expense. ** PEBBLE STONE CLAY, take old siding from basement, NOT REPLACING SOFFIT OR FASCIA FULL VIEW FULL VIEW RETRACTABLE STORM [MANUFACTURER WARRANTY ONLY -NO RETRACTABLE WINDOW WORLD WARRANTY -Manufacturer Defects: Limited Lifetime Frame, STORM (32 or 36 5yr. Screen, lyr. components]NEW ENTRY DOOR , one unit 36 , one one unit N 2 $2,000.00 $4,000.00 width, 80-81 unit 32 both right , white black hardware , need reframe to mount, exsisting height) NEW composite brick mold ENTRY DOOR 6" Gutter & 6" Gutter & DuoPro , white N 1 $3,000.00 $3,000.00 DuoPro Total Information Unit Total: 5 Subtotal: $25,000.00 Tax Rate: 0% Tax: $0,00 Total: $25,000.00 Amount Financed: $0.00 Payment Method: Check Deposit Amount: $12,500.00 Balance Paid to Installer upon Completion: $12,500.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: RRP Signed Date: Window World of Western Massachusetts 641 Daniel Shays, Hwy, Belchertown, MA 01007 975 North Road, Westfield, MA 01085 Office: (413) 485-7335 www,WindowWorldoRVesLernMA.corn Product Acknowledgements f, 1 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 isr= er �erenns P cmnmena w. �®LZR WIrgOOVV VV �R�n '1 CARE Wind 641 i g w ow World of Westerns Nlassaehitsetts Daniel Shays, Hwy, Belchertown, MA 01007 75 North Road, Westfield, MA 01085 Office: (413) 485-7335 ww.WindowWorldofWesLernh4A.com Preparing for Your New Windows and Doors ,suns P5" " Unnm"aln WINgf7W W ­Ln,q \ CARES . 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. fi. 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, s. 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, 3.0. METHOD OF PAYMENT- Our installers will accept your final payment in the form of check, money order, Wells Fargo financing, or Visa/MasterCard/Discover Card authorization. As a courtesy and to ensure the safety of our installers; please DO NOT pay your final payment In Cash. 11. REFERRALS: Our goal is that you are pleased with the work we have done and will refer us to your friends and neighbors. You will receive a $50 referral fee for each person you refer who purchases 8 or more windows, Please have your referral mention your name when contacting our office. We trust that your remodeling experience will be a pleasant one. If for some reason you are not completely satisfied, please contact our office. Your comments are welcomed and will be used to better serve you. Thank you for your business! Primary Homeowner Secondary Homeowner Design Consultant EPA "Renovate Right" Brochure can be viewed and printed from here: Renovate Right Brochure WW of W. Massachusetts anticipates startingthis work on and being substantially completed in days. Any deposit requiroi n advance of the start of the work SHALL NOT exceed 33 1/3% of the total contract price OR the actual cost, of any rnat:eni l r I' equipment of a special order or custom-made nature, which must be ordered in advance of the start of the work to assure ! !sel 1,ho project will proceed on schedule. No final payment, shall be demanded until the contract is completed to the satisfmAjon rr -ill, parties. All home improvement contractors and subcontractors shall be registered. No work shall begin prior I.o 010 signwof t1le contract and transmittal to the owner of a copy of such contract. WW of W Massachusetts under provision of Chap!.er V; ,\ of t.Irc! general laws is required to apply for and obtain all construction -related permits. WW of W. Massachusetts shall not bo tier n uxl responsible for delays in the work described in this agreement. caused by regulatory, permit granting agencies, aut.horit.ic: or individuals. Notice: If the PURCHASER(S) obtains his own construction related permits for the work described under thih r.r iremnonl or deals with unregistered contractors, the PURCHASER(S) is hereby advised that in the event of a dispute, judgement ar d nonpayment, the PURCHASER(S) will not be entitled to make a claim or collection from the guaranty fund established by! I �apk,r 42A, M.G.L. You the buyer may cancel this transaction at any time prior to midnight of the third business day after the dal.-i of this transaction. Notice of cancellation must be in writing postmarked no later than midnight of the following thirst business day. THIS IS A CUSTOM ORDER NOT FOR RESALE This Window World© Franchise is independently owned and operated by Window World of bt os1 ern Massachusetts, Inc. under license from Window World, Inc.