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469 Sylvester RdThe Commonwealth of Massachusetts Board of Building Regulations and Standards Massachusetts State Building Code, 780 CMR. Building Permit Application To Construct, Repair, Renovate Or Demolish a One- or Two -Family Dwelling FOR MUNICIPALITY USE Revised Mar 2011 This Section For Official Use Only !Building Permit Number: Date Applied: Building Official (Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: S I b �. f 1.2 Assessors Map & Parcel Numbers Map Nulnber Parcel Number . l.la Is t11is an cepted street? yes no 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: 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.O.L, c. 40, §54) Public ❑ Private ❑ 1.7 Flood Zone Information: Zone: _ Outside Flood Zone? Check if yes❑ 1.8 Sewage Disposal System: Muaicipal ❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2. k Owncr' of Rcc d: -0106 Name (Print) City, State, ZIP // - 1 ves/car ...lay 1%9a No. avid Stred- Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction ❑ Existing Building''4 Owner -Occupied 'l l� Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units �„ Other VSpecify: `f, e-m 'q L� k 2 . , Brief Description of Proposed Work z. l SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: labor and Materials Official Use Only 1. Building $ 10 1. Building Pon -nit Fee: $ Indicate how fee is determined.: ❑ Standard City/Town Application Fee ❑ Total Project Cost' (Item 6) x multiplier x 2. Other Fees: $ List:. 2. Electrical $ 3. Plumbing $ 4. Mechanical (HVAC) $ 5. Mechanical (Fire Su cession $ Total All Fees: $ Check No. Check Amount: Cash Amount: 0 Paid in Full 0 Outstanding Balance Due: 6. Total Project Cost: $ Jail -o6q SECTION 5. CONSTRUCTION SERVICES 5.1 Construction Supervisor License (CSL) �p Cis— S Om-' 4 l ' t.-� °� a License Number Expiration Date c� List CSL Type (see below) H Name of CSL Holder ...... �.�...._... () �cT Type Description escrp No, and Street °, 'k U Unrestricted(Buildings up to 35,000 cu. tt. R Restricted 1&2 Family Dwelling Cltj+/ I owily S , Ili M Masonry c• RC Roofing Coverin WS Window and Siding SF Solid Fuel Bursting .Appliances 1. Insulation Tele llpne Email address D Demolition 5.2 Registered Home Improvement Contractor (HIC) _ �Number 1 .14 C Registration Expiration Ida' HIC Company Name or HIC Registrant Name C').J`.� and Street Email address City/Town, State, ZIP Telephone SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c.152, § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes .......... a" 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 r.,�r` 4� VN,-3,�) �& 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 livit is true and accurate to the best of my knowledge and understanding. d Lly a� Print O er' o Autllori A s Name (Electronic Signature) Date NOTES. l . 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. ovg /oca Information on the Construction Supervisor License can be found at www.mass. *off v/dt?s 2, When substantial work is planned, provide the information below: Total floor area (sq. ft.) (including garage, finished basement/attics, decks or parch) 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" maybe substituted for "Total Project Cost" City of Northampton Massachusetts DEPARTMENT OF BUXIDXNG 2N'SPECTT0NS 212 Main Street a Municipal Building Northampton, mA o106o wi �srdlli 3d7�h�� CONSTRUCTION DEBRIS AFFMAVIT (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 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: Date: City of Northampton Massachusetts DEPARTMENT OF BUTZDTNG INSPECTIONS 212 Main Street 0 Municipal Building Northampton, MA 01060 •. two HOMEOWNERS' EX: E1' PTION ELIGIBILITY AFFIDAVIT 'Pa Undr'r/t ILO day, year), hereby depose and state the followin; (insert full legal name), born (insert. month, g I am seeking a building permit pursuant to the homeowners' exemption to the permit requirements of the Massachusetts State Building Code, codif parcel of land to which I bold legal title. 'fled at 780 CMR 110.R5.1.3.1, in connection with a project or work on a 2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners' exeinptian, 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 h.e/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 sha[l. 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 far 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. �. 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 su pervisor far said project or work. Signed under the pains and penalties of perjury on this / �/ day of ti�(�C , 20 c"? (Signature) Phone #: 413 485 7335 Are you as employer.? Check the appropriate box: L M I ain a employer with 50 4. ❑ I an, a general contractor and I employees (full and/ar pa tt-tune). * have hired the sub -contractors ?. ❑ I aan 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' cor.np, insurance camp. insurance. I - required.] 5. ❑ We are a cor ornt' 1 3. ❑ 1 am a homeowner doing all work myself [No workers' comp. insurance .required.] f f, rots a.nc ri s officers have excrei.sed their right of exemption per MGL C. 152, § 1(4), and we have no e.kliployces. [No workers' comp, insurance required ] Type of project (retpdre: i)i 6, ❑ New constructioii 7. [] Remodeling 8. 0 Demolition 9. ❑ 131i.i1ding addition 10.0 Electrical relmir5 cr iclilt�i� ; I LE) Plumbing rc17":ir;s o� ,.driitwo!n 12.❑ Roof repairs 13.M Otherreplacerner7, *Any applicantthat checks box 91 must also fill out tlje sectio lTon Ue]ow showing kheir workers' compensation policy inti�rnfatioo. +- ~ n�eowner;h wa suUiriit this affidavit indicating they arc doing all work and then hire outside contractors must su.bMitri now o-if'iidsivit i,tcliciilit uctt. C:ontractors that check this box mist attached an additional sheet showing the name of the sub -contractors and state whc:tlier oa- not tlursr, ei3fis,ies employees. If the sub -contractors have employees, they must provide their wcrrlccrs' c01111p, policy number. l am an emtployer that is providing workers' compensation insurance inforratation. for hzy employees. Below is tire polic;t arrcl. , Insurance Company Name: Indemnity Insurance Co. of North America Policy 4 or Self-ins..Lic. #: C72408342 1neuommunWatrnofIlvra suenuseus Department of Industrial Accidents Office of Investigations Lafayette City Center 2 Avenue de .Lafayette, .Boston, MA 02.1.1.1-1750 www.rriass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/911tin oE Name (Business/organization/Individual): Window World of Western Mass Address:641 Daniel Shays Hwy Bel chertown MA 01007 Expiration Date.,10101120 - Job Site Address: Xcity/stale/Zip: 10,1t111C,& lyl�7 01'4? Attach a copy of the workers' compensation Policy declaration page (showing the policy number and expira6it H Failure to secure coverage as required under Section 25A ofMGL c. 152 can lead to the impos.itiorz of crimiiiiii pcaia i fine up to $1,5o0.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK. 0ltD T of upto $250.00 ., day against the violator. tie advised that a copy of this statement may be forwarded to t11c Q )fficC :investigations of the DIA for insurance coverage verifica.tiotr. aA%iiw.a'.u:.LMi4Su:1'u:u+aY-Y ::wW A. do hereby c I t?gip, rrnrlrrr tirrr irarios rrad�rnnaltir � raf p,nrlary than tlrr. in�rrraa�rtlrrnprr>wide� alro�➢, �� r., rA° T raurs ,,, r , l�atc: ',hota t 413-485-7335 Official use only, Do not write in this area, to he eo*!pletedby city or tow' gfJia ial, CRY or Town: ts'suing.Authorit:y (check on(A): I %hoard of f ea.lth 211 Building Department Inspector 6,00ther Contact Person.— -- t"e�'�l�iR/lt.Acertuse 300ty/Town Cler&,#.®:l+�lect;rictrl:a:Rttilrectarr ,�ilhlwrmrnfl iiu;ii,. Pborlu #: •- — -- - - -- - -- _ - — _ _ __- ---- — Acct#: zyrorrl utrr�ritui•H 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), AIITHORI,ZED 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 liar of ­„-r, PRODUCER LOCKTON COMPANIES, LLC 3657 Briarpark Dr., Suite 700 Houston, TX 77042 INSURED WINDOW WORLD OF WESTERN MASSACHUSETTS 641 DANIEL SHAYS HWY BELCHERTOWN, MA 01007-9529 Ext : 888-828-a365 FAX - —"-- A1C No ; insperityceris@locktonaffinity.com _ -------- ._ INSURERS AFFORDING COVERAGE j NAIC id A: Indemnity Insurance Company of North America 43575 D : CERTIFICATE NUMBER: ------ THIS IS REVISION TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDAM D ABOVEB INDICATED. OR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT' OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 155UD OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL. 1 FIE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Z TYPE OF INSURANCE A DI, BR POLICY EFF POLICY EXP - - POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY C.J I I OAMAUOE TO REACH RFNT i1i--""-I $ ENGE CLAIMS-rnaDE occuR AGGREGATE LIMIT APPLIES PER: POLICY ❑ JE O LOC OTHER: LIABILITY ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS UMBRE=LLD LIAB OCCUR BXCESS LIAR CLAIMS -MADE MED EXP {Any one person) $ GEN'L AUTOMOBILE PERSONAL & ADV INJURY GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG — - $ $ COMBINED SINGLE LIMIT Ea accident $ $ _ -- $ BODILY INJURY (Par person) BODILY INJURY(Peraccldenl) PROPERTY DAMAGE Per awldent EACH OCCURRENCE - $ ----�..... $ $ DEO RETENTION $ AGGREGATE A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y ! N OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) V yes, describe under DESCRIPTION OF OPERATIONS below NIA C72408342 10/01/2024 10/01/2025 X STATUTE 'ER'H _ $ 3,oco,naa S t,40ll,no0 E.L.EACHACCIDENT E.L. DISEASE - EA EMPLOYE E.L. DISEASE -POLICY LIMIT $ 1,000,000 j DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Sohedulo, may he attached If more spaca is raqulrad) TE HOLDER Town fo Northampton Building Dept 212 Main St Northampton MA 1060 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE WINDWOR-01 [NIIVIII�D! YAU CERTIFICATE OF LIABILITY INSURANCE —;ATE r.»tircr+ n� A MA I I ltK OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDE 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. UMIAL lH must If SUBROGATION IS WAIVED, subject to the terms and conditi conditions ofthe certain 7 policies ADDITIONAL may require an endorsement. A stainment on . this certificate does not confer rights to the certificate holder in llou of Such endorsement(s). PRODUCER CONT CT Laura Misseri - Phillips Insurance Agency, Inc. -NAM 97 Center Street PHONE {AIC, No, Exl : 413 594-5984 — �.mm FAx Chicopee, MA 01013 -E-MAI �- —- l (±�1c,_No):{473) 592 E34�J9 nooRcc• IaUraCr�ehillibSinsuranrn rnm INSURED Window World Of Western Massachusetts Inc 641 Daniel Shays Highway Belchertown, MA 01007 211107 npany2 i 15 -- a.crci Irl�.v r t IVtJM13ER: REVISIQN NUMBER. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLE( Y PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI Ib'H -f H1;. CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TI IC f'ERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IR TYPE OF INSURANCE ADDL SUER . —__..._..-�__....__,.- ----- POLICY NUMBER POLICY EFF POLICY EXP l X COMMERCIAL GENERAL LIABILITY ' LIMiTS EACH OCCURRENCE _ g 1,ODO,D' CLAIMS -MADE [K OCCUR 4/9/2024 4/9/2025 _ 5000 6A44324 DAMAGE TO RENTED _P_L?EL1SI5_(Ea_accurmwe),_.. MED EXP {Any onn prrsanj_T $. , 1 5 10,000 GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL R, ADV I_NJUI7Y,.,...-, .$ .. 1,000,000 X POLICY ❑X PRO � LOC JECT rqr:RALFlGGREGATE_ $ . t,ODO,DDD OTHER: OPR4DUCTS_CMPIOPAGG $ '�,000,000 13 AUTOMOBILE LIABILITY $ . COMBINED SINGLE LIMIT ANVAUTO $ I,�Q�,OL10' OWNEDSCHEDULED AUTOS ONLY X 6Z44324 41912024 4/9/2025 —. __......_ 9001LYINJURY erpersan)_... — _. 5 1,000,000 AUTOS X MRS ONLY X AUTOS ONLY BOGILY.INJURY,(I?er accident) nMAGE S PROPERTY Per accldentg. B X UMBRELLA LIAR X OCCUR 4/9/2025 - RRENC_ E AGGREGATE --_ ......_..__.. EXCESSLlAB CLAIMS -MADE 6J44324 4/9/2024 3 DDD.DDD ,$1,000,000 ._.. . OED X RETENTION $ 10,000 WORKERS COMPENSATION OTH- AND EMPLOYERS' LIABILITY ANYPRRROIPRIIETO�RR/PARTNEPJEXECUTiVE Y� $7ATllTE (Maud fary In NRJ EXCLUiJED7 N f A _E.L. EACH ACCIDENT_„__..,..__.,. $ .. DESIf ea, describe Under CRIPTION OF OPERATIONS below E,L_DISGAE�E _SA EMPLOYE - $ E.L.DISEASE- POLICYLIMI-T S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES {ACORD 101, Additional Remarks Schedule, may be allached It more space Is required) r rr rvn r r- nvL_i1CK CANCELLATION _----. -.-, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED J MFORE Town of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVF RI-D IN Attn: Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 212 Main Street Northampton, MA 01060 AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights I r!served. The ACORD name and logo are registered marks of ACORD c:all, ivullL7t warm air Ddlalww.w.,,wtrzotIr; lVilm1011OfFArQrgtNj;ikIjQLprlr.cli`l. ,k9R H0iM od,r1 gldfl•rTI Hr/a,gqgplldtliuuv ;a,^,q�i'wlclnrrltg, Ott ,�eS ■q�y/ may} �µ�"�y`y��yy A NICHOF.J'i`} 1'Y41S14.i'�"1L1 10Z OAKRID *t.' 'r�,.r�i4fi�i°L��'�ywti 'l1• , � fi�,k,� THE COIh91VIC,1rkMi£9FAlA SACt!#'USEn" I�MOD 09 0*r4s,turnot' Alfales,& 011 !FI:OMCIMPROVI daft:NT Cot+.7nAr's',nr.7 lr Vltall�k"sIIf a - " I OP QAK R� rjF , y .3�I..G�1°ILH6"MM!.4aNA dd71NR!�l•+la �71C.n1✓ij+J'A,t-1 'l'FIE COMli9ONW EAl.'I'II Or MASSA HUSLYMI off1co Or GollsulmorAtfalwa su¢Inost, f{n{tr: iare HOME IMPR0V MI4NT!C0RTRAC;T0:R Tt1ve,r.. 'oe oitin�trto-�ru.J 4VIaarJQWbVtJI';I-Cs QC?i'JL�Sl�IiS I, Ir1�Jk$�all�klll i r? TIMOTHY t}f;IaS 641 DAP114 SHAYS I Ip.fi BI21WCI'IERTOWN, NIA I]iM..' — - T ' �I�nQ�ar�urrrr�k�rwj+ Ffiogilssitraa!i vtl'l'icl Ifur Irfrlfuftkuaau raga• ruirl}' Iarf.rar, tfrr VWPIMUon dall'rfi If Ifoomtl Ttlgltrm w: 0I'410 00 COIWLlirrrur, Gia]ex 'a,l'at'I IDLipSI'tra x I�tc, Uign�tliayr'+ T000 AT,NSWill fPton Strar:t - S.I.M.0 710 5J'ror].too, .MA 02110, 'ail �rl✓i� `*' '11 Ralglstrutionr Wand far Individw;il fjsar-oatl,y Is ftgr�r tha u.xWlrntgoat Vat% If r(IMM raltoarl irr. OMC4? 011CO suaaratr Affirlra nd �Su&Irtoss I2talgtrlultYar7 i�4tl WaeSPrlrrcbtrsrr trwat �Suttn 710 NoMort, MA 02119 NOt Valid wllh0Ut Glgni3trlra � L O N � Ltj W o a d C W N p � O aT Q p a z o �" Q v-) 00 M Q� ra w� cc nz d Cd � a3 3 41 Q Q z a2 U 0 a� �i7R!il � 6� Lin 0 cl r-- n t— oo N 3 v (. o n cD co x x wO a) 2� N co i N � 4=- m W (9 � J o ❑ H Ln M LI) M p_ � as � f9 i a) U C 7 p O> N QI CD o a) ro0S � c Q O -5�F_ a,..m mcn a o Q L V) •Q i� aS M I a'� oQN � tip W anon? o C N e j N U Q z Cn 0 a) Q " J U¢ c�UEU Y _ E co 65 W E m y CD ED co �n Lo p p Q 10 O N �- Z in 3 o (D C 5 cs3 [D M N O O 6 C/) O j ate+ N N O. () Ch X Q o EL. Q] - N 'a to •2:—RN M O in Y h 'S J J o E2 p W Lo U) a)Cn a LL It 0 low World of Western Massachusetts Daniel Shays, Hwy, BelcherLown, MA 01007 75 North Road, Westfield, MA 01085 Office: (413) 485-7335 ,ww.WindowWorldo(WesternMA.coin .................... .. ... Diane Palladino Install Address: 469 Sylvester Rd Florence, MA 01062 Contract Name: Diane Palladino - Sales - Windows Design Consultant: Tim Drost Date: 11/11/2024 Payment Method: Credit Card Contract Type: Sales Comments: Product Description Permit & permit & Administrative Fee Administrative Fee Setup and landfill Phone,4135848690 Email: diane_p@icloud.com Measured By: Measure Approved Status: Contract Lender: disposal fee Setup and landfill disposal fee Windsor Revive Windsor Revive Replacement dh unfinished interior, white exterior 40 top Replacement 60 bottom cottage TEMP ON BOTTOM SASH RRP Pamphlet Provided Date: Year Home Built: RRP Signed Date: Ihl if VCY�pli115 f� [Vlrifllll SlU �a �41 xSl$ W INOOW +N -)R L0 CARE ..) Txbl Qty Price Extension N 1 $300.00 $300.00 N 1 $50.00 $50.00 N 2 $2,460.00 $4,920.00 Total Information Unit Total: 3 Subtotal: $5,270.00 Tax Rate: 0% Tax: $0,00 Total: $5,270.00 Amount Financed: $0.00 Payment Method: Credit Card Deposit Amount: $2,500.00 Balance Paid to Installer upon Completion: $2,770.00 Renovation, Repair and Print Act (RRP) Compliance I�� 12iGM mG(IhFIM �tlilWUlO]rS�3N1H 5VtlL3+ Kw ul pawio;gad eq. : Am ay;;a aw 6ulur.r 1401 uro:)' VWUJD13—aAAPPl-*� v GlF ui 580L0 vw `Pl�—.5ram `�l?0N'4i &OM VNI 'UM03aatla-) 7 ' s;�asniloessey� �a�sapq ja Dkm a,1a.q3q;alyd-ed slN] panla A wnu} tlnsodxa pieze4 peal a c4ul pilze4 peal a43;- AdOD e 5;uawa6pa� :V9 1Gepuoaas A.+ewl.Jd i 1 •4lun 6ulllamp 4o Asia lei;ua;od nla:aa ane4 I :)u3j:)d pnpoad I �7 Window World of Western. Massachusetts vc er nns arri' r eurmm�na 541 Daniel Shays, Hwy, BelclierLown, MA 01007 'Fr 975 North Road, Westfield, MA 01085 Office: (413) 485-7335 CARE www,lVindowWorldofWesLernMA.co)n 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. 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, 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. 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 witl 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, B. 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. 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