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25 Dana St
s The Commonwealth of Massachusetts Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780 CMR MUNICIPALITY USE 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 Applic& Building Official (Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Propert Address: 1.2 Assessors Map & Parcel Numbers 5_ _ a vt Q 2-51 l , l a is this an accepted street? yes—A.11o Map Niunber Marcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Ga (sq li) Frontage (ft) 1.5 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Prnvidcd 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? Check ifyes ❑ Municipal. ❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner' of R ord: Mrs v i a rw e_�G �� Garr�f� d r-� acw� �/} C� �� Name (Print) City, state, ZIP j .s i/IGt LI1. Jr 1�%0�� riC .JVIArS Ctil•C No, and Stiect Telephone Email Addres SECTION 3: DESCRIPTION OF PROPOSED WORK' (check all that apply) New Construction ❑ 1✓xist7ng Building'' Owner -Occupied 'ill,,, Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition © Accessory Bldg. ❑ Number of Units �, Other I�7�Spccify: Y. ,. ;) "l.( g' Brief Description of Proposed Workz: , t " A.A - - r SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Labor and Materials Official Use Only I. Building $ 1, Building Pit Fee; $ Indicate how fee is determined: 2. Electrical $ ❑ Standard City/Town Application Fee ❑ Total Project CosO (Item 6) x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: S. Mechanical (Fire Suppression) $ Total All Fees: $ 6. Total Project Cost: $ 5� Q Check No. Check Amount: Cash Amount: i ❑ Paid in Full 0 Outstanding Balance Due: AM SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License (CSL) C^V License Number E,xpirhtion bate Name of CSL Holder No, and street a�1... City/Town, S t , I ,�,c,un Email address 5.2 Registered Home Improvement Contractor (HIC) HIC. Company Name or LUC Registrant List CSL Type (see below) Type Description U Unrestricted (Buildings up to 35,00 -cu. ti. R Restricted 1 &2 Family Dwelling M I, --- RC U o r Coverin WS Window and Siding SF Solid Fuel Burning Appliances :t 1 Insulation D Demolition HIC RegistrationNurrrber Exoir�Dat�''I 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 .......... EP " . ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN WNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner of the subject property, hereby authorize ,, a'�,. to act on my behalf, in all matters relative to work authorized by this building permit application. Print OWt: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 in this apuli'U"LE0 t is true and accurate to the best of any knowledge and understanding. Name (Electronic Signature) NOTES: Date 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 foundat www.mass. ov/oca Information on the Construction Supervisor License can be found at www.Inass'gov/dps 2. When substantial work is planned, provide Total floor area (sq. ft.) Gross living area (sq. fi.) Number of fireplaces Number of bathrooms Type of heating system Type of cooling system ow: (including garage, finished basement/attics, decks or porch) Habitable room count Number of bedrooms Number ofhalf/baths Number of decks/ porches Enclosed Open 3. "Total .Project Square Footage" may be substituted for "Total Project Cost" City of Northampton f Massachusetts DEP,sIRi'MENT OF BUILDING X.USPECTX0KS � 212 Main Street a Municipal Building Northampton, MA 01064 knd'iir•••• ,,i< 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 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: I, Ha rl'e 14 ara4 e de k day, year), hereby depose City Of Northampton Massachusetts DEPARTWNT OF BUXLDING INS gCT.ToNS 212 Main Street ® Municipal Building Nortbampton, MA 01060 HOMEOWNERS' EXEMPTION ELIGIBILITY AFFIDAVIT s &ccc we,t F the following; (insert full legal name), born — (insert month, 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirement,, of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a Parcel of land to which I hold legal title, 2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners' exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3. 3. 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 s.h.a.11 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 "194 day of A6up- ` "20 (Si ature) L ne Lom► unwea►rn Qj mussaenuserr Department of'IndustrialAccidents Office of Investigations Lafayette City Center 2Avenue de Lafayette, .Boston, MA 02.1.1.1,1750 www mass gor/dra Workers' Compensation Insurance Affidavit: Builders/Cont.ractors/Electricians/III tj i », ; A licanit Information Vleare Name (Busit>ess/Orga•nixation/Individual): Window World of Western Mass N Address, 641 Daniel Shays Hwy City/State/Zip: Belchertown MA 01007 .Phone #: 413 485 7335 Are you an employer? Check the appropriate box: 1. 0 I am a cnployer with 50 4. ❑ I any a general contractor and I employees (full and/or part -tune).* have hired the sub -contractors 2. ❑ I ant a. sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for rite in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 3. ❑ I am a homeowner doing all work officers have exercised their myself: [No workers' comp. right of exemption per M.GL insurance required.] t c. 152, § 1. (4), and we have no employees. [No workers' comp. insurance re uired ] Type of project (requirer F. ❑ New construction 7, ❑ Remodeling 8. ❑ .Demolition 9. ❑ Building additiott I0.❑ Electrical rcmiir,s oi pdilttrun; 1I.❑ PIumb ng rep7airs o, . �Idif olii; 1.2. [] Roof repairs 13.0 Othcrrepiacrirrreni *Any applicalttthat cliecks box #I must also fill out the section below showing their warl�rs' aatt�l,tcnsatioI policy itaformation_ 1 Homeowners who submit this af�d.avit indicating they are doing all work and their hire outside contvactors must stfbtnit a now ,:, rridavit iIIdic,tiI 1Contr-11otors that check this box must attached all additional sheet showing the name of the sub -contractors and state whother or irot diose cntit.ics .. ernPloyces. If the sub -contractors have employees, they trrust provide their workers' comp. policy trtutlber. I am an employer that is providing workers' compensation insurance far my ers:ployees. Below is the pols'c.;p information. Insurance Col"pany Name: Indemnity Insurance Co. of North America Policy # or Self -ins. Lie. #: C72408342 Expiration Date: 1010112025 Job Site Address: S Attach a copy of the workers' cnmpeusatian policy declaration page (showing the policy number and cxpirat* ai 1W Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of erirnina f ln;rru I � (.)I' fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDYT 0, filW Of up to $250.00 a day against the violator. Boadvised that a c01)y of this statcment may bo forwardcd to the a )I"licc 3 Investigatiolts of the DIA for insurance coverage verification. 1 do lserebll eert!jo assd r the, Gins andpenaltlev as f'pe�jul^y th ,�, ,tsar nsri��r �r:c ' tlat tle�� isfaarsssast�'rrn,trscrv1'erX above i. f//62,2/J C'- l'hrs c �: 413-485.7335 Wc'ial a,,;e only. Do not write in thiN area,, to be completed by city or t.vwn of City or Towle: Issuing Aoth()I ity (clreck one): 1 ❑13oord of I:Iea.lth 20 B"ilding Department 111spector 6Q01her Contact, Persoji: i� �I 300ty/"I"ow11 ClerkPhone �.❑ IJRs�at;a'ictaa :Itltipectaor� S�Ifnllusi�irnllrii;a �; d: f �'a�ratn.al/.l�iee�use �� ys"' _ ...,... .. _ __ _ .�.. _ _ � •.. �,,,, „� _�_ .. .. __' T -.,.. ACCIiP: 291U(11 1707G (!LS}.G4 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 13Y 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 pollcy(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: 3657 Briarpark Dr., Suite 700 PHONE 888-828-8365 FAx — -- - — Houston, TX 77042 ! c e I xt AIC No : EMAIL �..-...___ _. ARerltvicerlsPinrktnnafflni+v rnm INSURERS AFFORDING COVERAGE NAIC it INSURED [INSURER ER A ; Indemnity Insurance Companv of North America 43575 WINDOW WORLD OF WESTERN MASSACHUSETTS ER 8:-- 641 DANIEL SHAYS HWY ER c ; BELCHERTOWN, NIA 01007-9529 DER E : THIS IS TO CERTIFY THAT THE; POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDS NAMED NU VISION ABOVEBER- OR 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 DDL B R TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP - - -- --- YY COMMERCIAL GENERAL LIABILITY MMIDDIYY MMlnolYYYY LIMITS EACH OCCURRENCE $ CLAIMS -MADE OCCUR MA R- TEED ---- PREMISES Mee occurrence $ MED EXP (Any one person) $ -� — GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL & ADV INJURY S --------, POLICY E � LOC GENERAL AGGREGATE $ OTHERPRODUCTS - COMPIOP AGG $ AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT $ - ANY AUTO Ea accident _ ALL OWNED SCHEDULED BODILY INJURY (Per person) $- AUTOS AUTOS NON -OWNED BODILY INJURY (Per accident } $ HIRED AUTOS AUTOS PeOPERTYtDAMAGE - UMBRELLA LIA13 OCCUR - EXCESS LIAR CLAIMS -MADE EACH OCCURRENCE $� DEED RETENTION $ AGGREGATE $ WORKERS COMPENSATION $ AND EMPLOYERS' LIABILITY YIN x PTATUTE OTH - j A ANY ECUTIVE OFFICER/MEMBER EXCLUDD7 ❑ N / A {Mandatary In NH} C72408342 10/01/2024 10/01/2025 E.L.EACHACCIDENT $ 1Aon,nOo j If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYE $ 1,000,000� E.L, DISEASE - POLICY LIMIT $ 1,000.000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Addltlonol Romarks Sohodulo, may bo affaahod If morn spaoo Is roquirod) CERTIFICATE HOLDER Town to Northampton Building Dept 212 Main St Northampton MA 1060 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL LED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE WINDWOR-01 gip, .�11��.R'!�►' DATEwuuln>I�rvvvvl �- CERTIFICATE OF LIABILITY INSURANCE F Dnr„„,4.,�e I NIs CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDE1.; 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(!es) roust have ADDITIONAL INSURED provisions or be t nciorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statn.Ioent on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTA aMUcCT Laura MisSeri --�� Phillips Insurance Agency, Inc, — _ 97 Center Street pHONt--—� -- -- FAx Chicopee, MA 01013 {A:uer,rc, No, E W (413) "a94.5984 (Arc, No}:(413) 592, fl499 F INSURED Window World Of Western Massachusetts Inc 641 Daniel Shays Highway Belch ertown, MA 01007 rr?.—_ _....__ ._. :RAGE _.._, NAIC 4 y_CorrtpanY2iA15 IvumrsCK: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLI( Y PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI !I, :rl TFUS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TI1C: PERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R TYPE OF INSURANCE ADVL SUBR--'--__.._— -----—__..__._ ...... POLICY NUMBER POLICY EpF POLICY EXP X COMMERCIAL GENERAL LIABILITY ' LIMITS CLAIMS -MADE OCCUR EACH OCCUI2RE(VCE _ ;� _ 1,000,000 BA44324 4/9/2024 41912025 DAMAGEETO RENTED 500 000 MAD EXP,(Any_[ngr. parson) $ 10,000 GEN'L AGGREGATE LIMIT APPLIPS PER: PCRSONAL 7 ASV IN.IUI3Y i,000,000 _ — X POLICY JEC LOG GENERALAGGREGATE $ 400,0()0 OTHER; AROAUCTS.COMPIOpAGG. g 1,000,000 � - _-. . B AUTOMOBILE LIABILITY 8 ANYAUTV 8Z44324 COMBINED SINGLE LIMIT I,000,Ob0 {E{1.�fc:.idpLll).....T....,,--._..---- $ ... OWNED SCHEDULEp AUTOS ONLY FAX AUpTOpSy� 4/9/2024 4/9/2025 BOoILY_INJURY(Perperson)_. $ I1000,000 p X AUp5 ONLY X AUT05 ONLY ._BODILY IN,Ei1RY (Per a_cc_Iclent) $ PROPERTY AMAGE _{Per acGd_e_rW $ B X UMBRELLA LIAR X OCCUR 5 EXCESS LIAR CLAIMS -MADE 6J44324 4/9/2024 EACH OCCURR KrG g 'l,000,000 4/9/2025 .... - DED X RETENTION $ 10,000 AGGREGATE _ YY 'r,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER OThI- ANY PROPRIETORIPARTNER/EXECUTIVE Y 1 N (p R/ E �� Mandatary In NH) EXCLUDE07 N/A STj174T -_ _FR E.LEACH /ICCINENT_.,,_ _ g Uyes, desodbe under DESC IPTION OF OPERATIONS below E.L. DISEAS - EA EMpLnY[E $ _ E,L. DISEASE • POLICY LIMIT .$ DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, may be allachod if more space is required) Town of Northampton Attn: Building Department 212 Main Street Northampton, MA 01060 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED ; WFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DFLIVI IRI:,I] IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE f ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All right!,; I "!.';0rvecl. The ACORD name and logo are registered marks of ACORD PJ, mr. nrp ej Nd *7 rjy, 1p 2426 04.1 J� R THE COTAMIONWEAL31H WMASSACHUSETTS OfJ1100 W CORSOMOf HOME 110-K-11-As 1111,0ST QAKRIDC,:aF DRIV MA L/1-11y, 14 Lol-1— Undc'm1ocrov Iry '1111C COMMONWEIAUT'It Of MASDACHumn,rs Offico of ConsumorMlftilra,,& gtj[;ijjou.s R4)qFAjIcktjOvj HOMr- IMPRGVCMqNrr, CIYOR ONTRAC v INC, TfUeOTHY DRO$T 641 DANIEL SHAYS ITAIY WCHLRTOWN, MA 6607, b.11CAV1.661all wu'owy Offico Qr 1'tO) W01411 I'll WOO 6OPQ1 • Surto. 740 Somtoi), rdA. ID21-10, .... .. ..... ... 010t validwithout signauirro R13f11WIZOOK VaLlid Yoe invividwini use o,jly jjajopp jlk,� "W"t'"I CiRtO- Ir 1'01111d YO1 U10 to' OMOD OTC0112UMOr Afairs maki auGlilm 14juUlamm -SVftO7jf) BOS1101), MA 021.18 Not Valid wIthout Agntiture Beat-ln-Class Features: Q Welded, heavy-duty vinyl construction provides superior strength and durability. 0 High -density foam enhancement throughout the mainframe offers superior thermal protection, 0 solarzone TG2T" and SolarZone TK2T" triple -pane insulating glass enhanced with Low-F coating and argon (TG2) or krypton (TK2) gas ensures the elements won't make an impact on the comfort of your home. Q A Duralitee warm -edge spacer system further Improves energy efficiency, � The beveled exterior edge provides style and curb appeal to an already sleek design. Recessed, opposing cam locks secure your window without interrupting sight Sines. © Heavy-duty weatherstripping and interlocking sashes help to keep weather and wind outside, 10 Balance channel covers ensure a polished look. 0 Spring -loaded, push-button vent latches allow for overnight ventilation while giving you added peace of mind. FW-length, integrated ergonomic lift nails provide convenient, easy operation. Bevel on bottom rail enhances grip, Metal reinforcement in the meeting rail enhances strength and protection against wind and weather, Recessed tilt latches can be released to tilt both top and bottom sashes into the home for easy cleaning. Welded combination sill featuring a deflection leg offers rigid structure and a five -degree sloped sill that directs water away from the home and eliminates unsightly weep holes. ® An easily removable latching half screen gives you the freedom to let air in while keeping pests out. Featuring Clarity mesh, the screen allows you to focus on what's important: the view, Detent clip keeps the top sash from drifting while an inverted -coil balance system ensures both sashes will stay where you put them, no matter the position. Q series consists of double -hung, double slider, casement, awning, picture, and architectural shape windows. Energy -Saving Glass Packages: Our 5olarZone'm insulated glass packages help you save on heating and cooling costs while also keeping your home more comfortable. In warm weather, 56t-arZone reduces solar heat gain, minimizes interior glare, and lowers inside glass temperature to save energy and keep you cool. In cold weather, SolarZone helps to control the heat inside your home by providing thermal protection that keeps (ho inside glass panel warmer. PERFORMANCETHERMAL • DOUBLE -HUNG U-FACTOR SHGG 5d,3r7.00e TG2 0.21 0.25 Solor/_one T32 w/ Grids 0.22 022 Six/,onelK2 0.17 025 Triple -pane tllass and a foarn•ejihancrd mainframe results in superior thermal performance. 1 Window values are bated oh single-srenglh aim. sfandald 6000 Series offering. Values vary depending on grids and optional glass thicknesses uparades 014" laminafkd, 1/0" tompomd, 3J16" decorative glass etc) Si and HP porfafmanee values arcnlsaavallable. 2 TX2 is available oh 6000 uric doub;e+ang and double sliding windows only. SolarZone TG2. Triple pane, single -strength olms with two coatings of Law-E, nrpnr enhancement, warm -edge spacer system, and foam-anharceed mainframe SolarZone 71(2: Triple -pane, single -strength glass with two coatings of Low-E, krypton enhancement, warm•odgc spacer system, aid loam -enhanced mainframe Foam Enhar"ment Foam enhancement Is Injected into the malnhame of the window, providing Increased peyferrnanco Docusign Envelope ID: BCC8A5E9-E260-4lB5-92C2-3B26F5426671D rzo .._.__.._.__-__..... _..._-_.... j Window World of Western Massachusetts �cvcnn, s A jai � • cnmm m. 641 Daniel Shays, Hwy, Belchertown, MA • 01007 Viiy- 975 North Road, Westfield, MA O1O85 • wiNflnow w -�RLn Office: (413) 485-7335 CARE www.WindowWorldofWesLernMA.com (25-27 Dana St) Marie Marchese and James Garrett Phone: 413570592 4 Install Address: 25 Dana St Phone: 4137278470 Northampton, MA 01060 Email: marie.s.marchese@gmail.com Contract Name: (25-27 Dana 5t) Marie Marchese and James Garrett - Sales - Windows Design Consultant: Tim Drost Date: 11/20/2024 Payment Method: Cash Contract Type: Sales Comments: Measured By: I...' Measure Approved Status: Contract Lender: Product Description Txbl Qty Price Extension Kermit & Administrative Fee Permit & Administrative Fee N 1 $300,00 $300,00 Setup and landfill disposal fee Setup and landfill disposal fee N 1 $50.00 $50.00 6000 Series DH Triple Pane 6000 Series DH Triple Pane first floor back bedroom N 1 $989.00 $989.00 Full Exterior Capping Full Exterior Capping -- Color: cameo N 1 $219.00 $219.00 Total Information Unit Total: 3 Subtotal: $1,558.00 Tax Rate: 0% Tax; $0.00 Total: $1,558.00 Amount Financed: $0.00 Payment Method: Cash Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $1,558.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: 0 RRP Signed Date: JaunnoauaoN fuepuooas �lh� -s t n,I ,aaunnoaMOH Ajew1Jd •ueGaq Niom aao;aq;algdwed snp pan1839a l •alun 6ulllaMp Aw ul powsopad eq o; A41nspe uos;enouai woa; eansodxa piezetl peal aya;o )Isla lel;ua;od ay;;o am bulwso;ul ;alydused uos;ewao;ul pezey peal ay;;o Ado:) a panlaDaa aneLj I , s4uawa6polMou>l3V IDnpoad ucoa dlnluJaasaopl eoMMopulM nsn m WINOAA mooNinn 99010 VW `Plag1saM'pe0t1 WON SL6 �,L0010 /s?O ' ''y' 11y l 'unno�ailoloq 4Sev H 's�Cut{S lalueQ C 9 Qunwu,oa C.rnn� suuuaaan silosngaessEW xrxa;saM 3o PROM MOPWAI E eL99Z7S39Z8E Z8Z6 981t-09Z3-639VUO9 ©I adolanu3 U51Snooq Docusign Envelope ID: BCC8A5E9-E260-4lB5-92C2-3826F542667D Window World of Western Massachusetts. 641 Daniel Shays, Hwy, Belchertown, MA 01007 975 North Road, Westfield, MA 01085 Office: (413) 485.7335 www.WindowWorldofWesternMA.com Preparing for Your New Windows and Doors �cxcnnns n„rt,r , cormm�no WINDOW W ',RLL CARE 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. 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 'ouj 'p1.10M nnoputM ulosl asuaot[japun •Dui 's1 a,ny�t>ss itii uaolsaM3o p1joM moputM ,Cq pale.tado pue paumo YCIluapuedeput si astyoueaH pppoM MoputM sigj, H'1dS221 laod .Cold HH H0 1�101.Sa r: V S1 Sl €-1.1 ',Arp ssoutsnq paiq-46urnaollol aql 3o agj5TupIui uegq .xa;el ou pax uiulsod bullrs,ra ui oq }snort uoxare[lo3ue3 ,Io aalloAl 'uoI t3usue.rl s>!q o a ep aq xa a Cup ssauisnq pjgj oqz 3o ailfilupltu of solid auul; Sue iu uonaesueAl s>ql Iaauua Aeui .zaSticl aql naps .za;dsgo Aq pagstlqu;sa putg AluutunB agI tuoij uopoolloo -ro uz[elo P a51uui of pappua aq lou 111m (S)UHSdH0Uf1d agI '1(1�IWAvdit n PUB IuauzoBpnC'alndsrp e Jo Juana agI ut legl p2stnpt? 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