Loading...
BLD-23-004412 TWO FAMILY ONLY- BUILDING PERMIT • RFCEIVED 1023 Town of Yarmouth Building Department of r FEB 1146 Route 28,South Yarmouth,MA 02664-4492 7 508-398-2231 ext. 1261 Fax 508-398-0836 ' .. BUILDING u1 PARTMLNT Massachusetts State Building Code,780 CMR ■ By -- __— 't 'emit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: eil.,t -23—'O 17, Date Appli • lt.-. SPAcs ,,-1-1 -- ,-3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 P opert�'Adddr�ess: 1.2 Assessors Map&Parcel Numbers nrlvr e 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided I 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public EL_ Private 0 Zone: _ Outside Flood Zone? Municipal&On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner' f Record:I k ( �n 1141 ' e..v1 d l J D Imo- e'Y'Ati,a)724a• Name(Print) City,State,ZIP 'V7O'Drc/v, r 977 o2P4 333P '1 net"7Dl y7pjkg;1.cv No.and tract Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building 0 Owner-Occupied 0 I Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other i....Specify:•Rq/bite i Brief Description of Proposed Work2: • ielCf C(;S,(t --t'i,c.�, �," At. nek) awnJ/ta -h a- Weil Xys-eik— , SECTION 4: ESTIMATED CONSTRUCTION COSTS. • Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ r 54 O . 1. Building Permit Fee:$A S 0) Indicate how fee is determined: III Standard City/Town Application Fee 2.Electrical $ 3 ❑Total Project Cost (I)m 6)x multiplier- x �, 3.Plumbing $ 2. Other Fees: $ -3 5 ,�A� `0 4.Mechanical (HVAC) $ List: \ �` 5.Mechanical (Fire Suppression) $ Total All Fees:$ . . 0 Check No. Check Amount: Cash Amo V\ 6.Total Project Cost: $ j 01 4,4 3.0-0 p Paid in Full Eli Outstanding Balance Du : 1\5 L, w i SECTION 5: CONSTRUCTION SERVICES 4 Construe ion Supervisor License(CSL) e� � uo3umbe I� p 1�/Gt� License Number Expire on Date Name of C Holder 4 0 1 e d,,vc)l` • - + List CSL Type(see below) No,and Street �1G�d 1 Type Description Fr U I Unrestricted(Buildings up to 35,000 Cu.ft.)_ City/Town ZIP Dd?3 R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding -5-0 p q -s 7 /�- 5F Solid Fuel Burning Appliances G' / �r 1 insulation Telephone Ema address D I Demolition registered Home Improvement Contractor(HIC) eOdvre if 1,579021ii 1SI S HIC Co any Name or HIC strant Name HIC Registration Number Expiration Date � N . -d5treet__- `1 b i,l•COWt.- address Dn 0a.73r t OS--93.2,5ei 47 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 Q1 ' No 0 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 �j t p olD( 4\, to act on my behalf,in all matters relative to work authorized by this building permit a lication. Jt.irl 114_ kt•Lek ,ediew..... 4 str Print Owner'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 application is true and accurate to the best of my knowledge and understanding. 7GD 0a, iii.r lWt7r -‘ Q- •ZJ Print Owner's or Authorized ent's Name(Electr Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.aov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" _ The Commonwealth of Massachusetts = =r, I, Department of Industrial Accidents inf.—.7--1� 1 Congress Street,Suite 100 y A Ann Boston, MA 02114-2017 ,"Noe •••• www.mass.gov/dig Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual) Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: - Type of project (required): I.❑i am a employer with employees(full and/or part-time).* 7. ❑New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in ca aci8. 0 Remodeling an y p ty.[No workers'comp,insurance required.] 3.0 I am a homeowner doing all work myself. [No workers'comp.insurance required.]t 9. ❑Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on m property.y I will 10 ❑ Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑ Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.[ 13.0 Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. I4•❑Other 152,§1(4),and we have no employees.(No workers'comp.insurance required.] *Any applicant that checks box Rl must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. (Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and jab site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: the t,ummunweuttn uj lnussucnusetts Department of Industrial Accidents "= ' Office of Investigations - �� Lafayette City Center 2 Avenue de Lafayette, Boston,MA 02111-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):Theodore Bailey Address:58 Delano Rd. APT 1 City/State/Zip:Marion Ma 02738 Phone#:508-932-5447 Are you an employer?Check the appropriate box: 1.❑ I am a employer with 4. ElI am a general contractor and I Type of project(required): employees(full and/or part-time).* have hired the sub-contractors 6 El New construction 2.® I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. 9• ❑Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL insurance required.]t c. 152, §1(4),and we have no 12 ❑Roof repairs employees. [No workers' 13.® Other Replace existing with new comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer(hat is providing workers'compensation insurance for my employees. Below is the policy and job site information. =����-C�1 t� WAILkietInsurance Company Name: 1 Policy#or Self-ins. Lic.#: Ai 9 2 Pvd yi/9 ration Expiration p Date: ��cLk/Aj� `7 Job Site Address: 7 ao in , e City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ertify under the pains and penalties of perjury that the information provided above is true and correct: Signature: Date: /0 4/022j Phone#: 508-932-5447 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(check one): 10Board of Health 20 Building Department 30City/Town Clerk 4.0 Electrical Inspector 51:Plumbing Inspector 6.0Other Contact Person: Phone#: tat §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-22* ext..1261 Fax 508-398-0836 Office of the Building Commissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Ch. 40, §54 and 780 CMR- Section 105.3.1. #4. I hereby certify that the debris resulting from the proposed work/demolition to be conducted at 47 0,1,,t � Work Address Is to be disposed of oat the followinglocation: .25 If „L,5 i 6r4rA( hc P urr��I l.� Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. 2/.2.7 Signa re of Application Date Permit No. OWN OF YARMOUTH . BUILDING DEPARTMENT („:" �.4, ..,,.E 4.,E 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: /� JOB LOCATION: Jcnnc� .tet kp Lvt. ' 17 eor-Jon e__ NAME STREET ADDRESS SECTIO OF TOWN "HOMEOWNER" ' ,O4,t-33°!D NAME HOME PHONE W'i'K PHONE PRESENT MAILING ADDRESS - 4 4 t_ CITY OR TOWN S •TE ZIP CODE The current exemption for--`Homeowner' was extended to include o, er-occupied dwellings of one or two units and to allow such homeowners to engage an individual for hire w . does not possess a license,provided that such homeowner shall act as supervisor. (State Building Code Secti,n 110 R5.1.3.1) Definition of Homeowner: Person(s)who owns a parcel of land on which he/she resi•es or intends to reside,on which there is or is intended to be, a one or two family attached or detached structure as•essory to such use and/or farm structures. A person who constructs more than one home in a two-year period sh, not be considered a homeowner;such"homeowner"shall submit to the building official,on a form acceptable • the building official,that he/she shall be responsible for all such work performed under the building permit. ( -ction 110 R5.1.3.1) The undersigned `homeowner' assumes respo•sibility for compliance with the State Building Code and other applicable codes,by-laws, rules and regulatio s. The undersigned 'homeowner' certifies t t he / she understands the Town of Yarmouth Building Department minimum inspection procedures and r-•uirements and that he / she will comply with said procedures and requirements. HOMEOWNER"S SIGNATURE f lts ".-r APPROVAL OF BUILDING OF• CIAL INSURANCE COVERAGE: I have a curre ' ility ins ance policy or its substantial equivalent, which meets the requirements of MGL Ch.142. Yes N• If you have checked ves, • ease indicate the type coverage by checking the appropriate box. A liability insurance poi' Other type of indemnity Bond OWNER'S INSU' • CE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent h:homeownrlicexemp AC Ra® CERTIFICATE OF PROPERTY INSURANCE DATE(MM/DDIYYYY) �►^' 06/08/2022 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 A4.TER 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. PRODUCER CONTACT NAME PHONE 844 WC,No,EMI: ( )472-0967 MC WC, (203) 654-3613 BIBERK e"MAIL salessu P.O. Box 113247 PRODUCER PPort@biberk.com Stamford, CT 06911 CUSTOMER ID INSURER()AFFORDING COVERAGE NAIC O _ INSURED .INSURER A:Berkshire Hathaway Direct Insurance Compel 238130 _ INSURER B: Theodore Bailey 58 Delano Rd Apt 1 INSURERC: Marion, MA 02738-2011 INSURER 0: INSURER E: INSURER F; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: LOCATION OF PREMISES!DESCRIPTION OF PROPERTY(Attach ACORD 101,Addttional Remarks Schedule,if more space is required) Location: 58 Delano Rd,apt 1 Marion, MA 02738-2011 Bldg #001: Carpentry- 7422101 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED 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. INSR TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE(MWDD/YYYY) DATE(MWDD/YYYY) COVERED PROPERTY LIMITS X PROPERTY BUILDING $ 0 CAUSES OF LOSS DEDUCTIBLES _ PERSONAL PROPERTY BASIC BUILDING N9BP424491 04/28/2022 04/28/2023 BUSINESS INCOME $ BROAD 250 CONTENTS EXTRA EXPENSE $ X SPECIAL RENTAL VALUE EARTHQUAKE BLANKET BUILDING $ n/a WND BLANKET PERS PROP $ n/a FLOOD BLANKET BLDG&PP $ n/a INLAND MARINE TYPE OF POLICY CAUSES OF LOSS NAMED PERILS POLICY NUMBER , CRIME $ TYPE OF POLICY BOILER&MACHINERY EQUIPMENT BREAKDOWN $ $ SPECIAL CONDITIONS!OTHER COVERAGES(ACORD 1111,Additional Remarks Schedule,may be attached if more space is required) * ALS up to 12 months. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Theodore Bailey THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 58 Delano Rd Apt 1 Marion, MA 02738-2011 AUTHORIZED REPRESENTATIVE 42, tl- ' ©1995-2015 ACORD CORPORATION. All rights reserved. ACORD 24(2016/03) The ACORD name and logo are registered marks of ACORD Division Licensulii Board of Building R =g and Standards Co Isom CS-10O386 ;* fSitpires:10/01/2023 THEt3OORE 1 , ) .;,:i; 58 DELANO ." AID'1 Q MARION MA 07 #` ?1.MOI.LYdi�� Commissioner 4. Weoiati,. J R. .T K pc. iiuvripee7 l of:Il4.:.se74/„«r/1.) Office of ConsumerAffairs&Business Regulation HOME IMPRO EMENT CONTRACTOR T( l ;individual Expiration it 1 T_agitatt 2` -11/18/2023 THEODORE J BAILE THEODORE BAILEYS f , . 58 DELANO RD APT 1 MARION,MA 02738 Undersecretary 76/4.9 xiiir/4 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Individual Registration Expiration 185792 11/18/2023 THEODORE J BAILEY THEODORE BAILEY ,I 58 DELANO RD APT 1 c{ .t . MARION,MA 0273E Undersecretary NOLAN 47 GORDON LANE YARMOUTH MA 02675 978-204-3390 SCOPE OF WORK EXISTING FLOOR PLAN UNCHANGED REMOVING 32X60" BATHTUB INSTALLING NEW 32 X60" BATHTUB AND WALL LINER rE 4 . Bath Fitter Bridgewater Inc. 25 TURNPIKE ST, TYPE:Contract BATH WEST BRIDGEWATER,MA,02379 FITTER DATE:2023-01-12 REF a:375-LCSOQTAD-RSE Tel:508-521-2700 Fax:508-588-4303 BFU375@bathfitter--com CUSTOMER BILLING ADDRESS SERVICE ADDRESS Jenna&David Nolan 47 Gordon Lane, 47 Gordon Lane, Yarmouth,Massachusetts,02675 Yarmouth,Massachusetts,02675 Tel: 978-204-3390 Tel: Email: jennanolan47@gmail.com ,)ESCRIT(„)Ni G1x PRICE Free Standing Bathtub/Empress/Utopia While Right/32 inches/60 inches 1 INCLUDED Drams/Bath Tub/Pop-up stopper a Chrome 1 INCLUDED overflow PLU 191,PLU386,PLU444 One Piece Seamless Wall/Savona White 901N X 1321N(68-5/81N X 131.3/81N) 1 INCLUDED I Subway Tile Pattern Organizational Items/Corner Shelf/ White 1 INCLUDED Oxford Double Corner Shelf organizational Items/Shelves/Ball- White 1 INCLUDED Shelf 25in x 5m ,_1s0 Faucets/Moen Tub&Shower Faucet Chrome/2.5 GPM Set/W mlord M-Core Tub and Shower 1 INCLUDED '"iI Faucets/Moen Valves/M-Core Valve /N/A N/A 1 INCLUDED ,.t U140CIS/PLU0662 Faucets/Delta Mandhelos/In2hlon,5- Chrome/1.75 GPM Function $h0wer 1 1 INCLUDED Doors&Curtains/Rods/Straight Chrome 661N 1 INCLUDED ( . Permtt 1 INCLUDED Relocate Dram -------- 1 INCLUDED N/A Bath Fitter Bridgewater Inc. a `%. 25 TURNPIKE ST, TYPE:Contract BATH WEST BRIDGEWATER,MA,02379 DATE:2023-01-12 FITTER' REF g:3754 CS0OTAD-RSE Tel:508-521-2700 Fax:508-588-4303 BFU375@bathfitter.com DESCRIPTION Qrf PRICE Remove Existing Tub and Wall 1 INCLUDED Wall Preparation 1 INCLUDED window 1 INCLUDED Wall Repair Wan Repair 1 INCLUDED Plumber Building Remit 1 INCLUDED Sub Total $10,443.00 3-10 weeks to install Customer will have electric removed Customer will pay$4000.00 at install — -_ $5443.00 To Wells Fargo TOTAL $10'443.00 Deposit/Payment $1'("'00 Balance due on completion $9'443'00 • /Balance Financed 1018-Special Rate of 0%APR with 48 equal monthly payments understand that Bath Fitter and its representatives are not qualified to advise me on mold detection or cleanup.t have been offered a slip-resistant coating as an option for an additional cost.The following (attached)terms and conditions establish my rights and obligations under this agreement,including those provided for by the applicable consumer protection legislation.Estimate valid for 30 days, E-SIGNED by Rich Serino E-SIGNE ! r en r. s-vid Nolan on 20 3-01 2 22:54:00 GMT on 20 !• :42:' GMT Richard Serino Signature of Property Owner or Duly Authorized by Property Owner Bath Fitter Bridgewater Inc. n Bath Fitter Bridgewater Inc.(Bath Fitters")-Terms and Conditions—Massachusetts I. Contract Dominants The contract documents consist of this agreement (the Wall.floor or ceiling damages in or adjacent to the immediate work area may occur "Agreement"),the attached Order,all written modifications of the Agreement or the during installation.Such damages could include,without limitation,the loosening or Order pursuant to Section 6 below,any required notices and any separate warranty cracking of adjacent tiles,paints or joints,caused by the removal and replacement of information provided by Bath Fitter*,(collectively."the Contract Documents"). existing materials.Bath Fitter®cannot be held responsible for these damages 2. Scope of Wprtr Bath Fitterit agrees to provide all the labor and to do all the things should they appear.Moreover,in the case of bath liner or wall only installations, necessary for the proper installation and completion of the project set forth in further damage may occur to the existing bathtub or wall tiles; Bath Fitter® is not detail on the attached Order(the"Project"). responsible for minor damages,due to imperfections in any bathtub or wall tile that 3. .Owner agrees that Bath Fitter®shall have complete use of and access to the may result from the Bath Fitter® installation, and Owner remains responsible Project location during regular business hours,upon reasonable advance notice to to maintain the grout/silicone on existing walls.Should Bath Fitter*be required to send a technician for a service call that is the result of inadequate maintenance,Owner Owner.Owner shall remove all obstacles such as furniture and appliances lion the installation area and Owner shall provide all heat and lighting for Bath Fitter1 to will be invoiced at the current service rates. perform the Project.During the installation,Bath Finer*shall properly dispose of 17. Marbled colors or patterns mayvary.remnants and wrap material relating to the Project.If a defect is alleged in either s`�shebowls or accessories.cannot rt guarantee the workmanship or product,immediate notification must be made and Bath Fitter® consistency of the color patters throughout the tub,walls or must be allowed ready access in order to assess and/or make any repair of the alleged I n. alb Fin°r k Rbht to Suspend or Terminate_limitation of Liability Bath defects. Finer®is not responsible for legal encumbrances,building/zoning code violations, 4. Axistisa Plumbing.It is expressly understood by the parties that neither Bath plumbing or structural deficiencies.or the discovery of or removal of asbestos,mold, Fitter®nor any Bath Fitter*.employee,agent or subcontractor isa licensed architect lead paint or other hazardous or toxic substances or materials.If Owner breaches the or professional engineer.Bath Finer®is not responsible for inspecting,servicing,or Contract Documents,or if Bath Fitter*discovers any of the above,Bath Fitterl4 may modifying your existing plumbing fixtures and facilities. Because the existing 1°t°immediately terminate the Contract Documents without further obligation to Owner plumbing at the Project location may be old,corroded,or in need of repair or br,in its d/orentire applicable pli a le,discontinue work on the ali fed pendingmst Owners ex on e. replacement,Bath Fitter*cannot be responsible for damage to the chrome finish, breach a top pay at correction by properly qualified firms at Owner's expense. blocked drains or plumbing below or behind the tub,including shut-off valves,or for Owner agrees to Bath Finer/t the costs of materials,labor and services provided any damage caused by faulty plumbing. Bath Fitter recommends replacing old by Bath Fitter*through the date/time of termination,plus any other amounts allowed under applicable law.fixtures when installing a new wall system. 5. Contract Price.Owner agrees to pay Bath Fitter®the amount set forth on the IF BATHH FITTER®IS UNABLE TO COMPLETE.THE PROJECT FOR ANY attached Order,unless otherwise mutually agreed upon between the parties hereto by REASON UNRELATEDTOAREFUND TO OWNER,BATH'SFITTERPOSI LIABILITY SHALL virtue of a written change order. BE LIMITED TO A OF OWNER'S DEPOSIT. BATH FITTER® 6. Chaaat Orders. Any alteration ordeviation from the above contractual CANNOT BE HELD RESPONSIBLE FOR CLAIMS OF INCONVENIENCE OR ANY OTHER HARM. specifications that results in a revision of the contract price will be executed only 19 Bath Fitter®'will not be liable to the(honer or any third upon the patties entering in to a written change order detailing such changes and the party for special,indirect,cans antral,axe b orpunitive resulting change to the contract price.Each change order shall become part ol'theeq° f p rYdamages or costs Contract Documents. All work shall be performed under the same terms and wingowledgut°for refuctothe gesorcoect or stsanConnectDocuments,even damigeseparties conditions as specified herein unless mutually agreed in writing. have knowledge of such damages or costs and whether or not such damages or costs are foreseeable. 7. Method of Payment-The method of payment of the contract price shall be as set 20 Warranty,The only warranty offered on the material you purchased in accordance forth in the attached Order.Immediately upon completion of the Project,the Owner with the Contract Documents is the manufacturer's warranty.For silicone or any like agrees to pay to Bath Fitter®the balance of the total agreed upon price,less the initial substance joints'seals a 12-month warranty from installation date is offered.The deposit.If payment is not made,all discounts will be reversed and an adjusted invoice above warranties are not transferable and are for your personal benefit only.The will be sent to Owner.Owner shall indemnify and reimburse Bath Fitter*for all warranties offered in relation to this Agreement and the remedies set forth therein reasonable costs of collection associated with late payment or nonpayment including are exclusive and in lieu of all other warranties,remedies and conditions,whether but not limited to reasonable attorneys'fees.A late charge of 11 i%per month shall oral,written,statutory,express or implied.Bath Fitter disclaims all statutory and be added to all overdue balances(nominal annual percentage rate of 111%).There implied warranties including without limitation,legal warranties of quality and will be a$25.00 fee for any returned check. fitness for a particular It. Payment Ontioms.Bath Fitter®offers third financingforqualified buyers.If purpose and warranties against hidden or latent defects.Bath PartyY Fitter limits the duration and remedies of such warranties to the duration of the you choose to finance your purchase and your application is approved a third party warranties contained therein. finance contract will prevail and may provide for a different monthly payment 21. integration and Severabi itv. The Contract Documents contain the entire amount and term than shown in the Contract Documents,The option of financing agreement between the may only be selected at the time you place your order. parties here" and supersede all prior oral or written understandings,Should any part of the Contract Documents for any reason be found 9. rennin,Owner shall furnish and pay for,at their own expense,taxes,permits and invalid,such a determination shall not affect the validity of any remaining portion of licenses,including without limitation,local and municipal permits and licenses, the Contract Documents.If the Order and this Agreement are in any way inconsistent required by law or any applicable regulations to perform the work in accordance with with each other,this Agreement shall govern. these Contract Documents. You hereby agree to defend,indemnify and hold Bath 22. political* Law and Dbmute Reaotutiog. The Contract Documents shall be Fitter harmless,of,from and against any claims,liability,suits,damages,expenses, governed and construed in accordance with the laws of the State of Massachusetts. costs(including reasonable attorney fees),fines and penalties attributable to your For any claims.dispute or other matter in controversy arising out of or related to failure to comply with the above obligation.In all instances where Bath Fitter would these Contract Documents,or the breach of any provision thereof.Bath Fitter®may determine,in its discretion,it would provide any of the abovementioned permits or submit the dispute to a private arbitration firm which has been approved by the heroics, it will notify you and the permit/license fee including reasonable Director of the Office of Consumer Affairs and Business Regulation("OCABR") administrative costs will be added to the contract price. Bath Fittertt cannot be held and Owner shall be required to submit to such arbitration as provided in MGL, responsible for any permit related delays. Chapter 142A.The non-prevailing party in the arbitration shall pay the prevailing 10. Dolan.Although Bath Finer*makes every effort to do so,Bath Fitter®cannot party's reasonable attorney fees,costs,and expenses. guarantee that your installation will be completed in one day.In addition,on occasion Bath Fitter*will be forced to postpone the start date of a project whether due to E-SIGNE Jen D d Nolan scheduling conflicts,labor or material shortages.It is Bath Fitter*policy to notify on 2 :45: MT 2023-01 Iz the customer as soon as any change is known.You will be informed of the reason for Owne Owners Signature Date the delay and the revised installation date.If the installation is delayed or takes more E-SIGNED by Rich Serino than one day,Bath Finer*cannot be held responsible for any reimbursement, discount or any other type of compensation to you for claims of inconvenience oron 20 3 0 2 22:54:02 GMT any other harm.Unnecessary delays experienced by our technician caused by Owner Bath Fitter*Signature _-.pate______ will result in an additional charge, 11. NOTICE OF ANf'PI 1 charge. MAY CANCEL THIS 23. Use of E-mail for Customer Feedback,From time to time,Bath Fitter®(or any of TRANSACTION AT ANY TIME PRIOR THE OWNERRHT OF THEA THIRD THIS its third party strategic partners and service providers)may wish to contact you at the e-mail address set forth on the attached Order You hereby authorize Bath Fitter*. BUSINESS DAY AFTER THE DATE OF THIS AGREEMENT.BECAUSE BATH (or any of its third party strategic partners and service providers)to use your email FITTER'S PRODUCTS WILL BE CUSTOM MADE FOR YOU,BATH FITTER*. CANNOT REFUND YOUR DEPOSIT AFTER THE CANCELLATION PERIOD communicate with you for the purport of improving Bath 's products, IIAS EXPIRED. services and marketing,including obtaining your feedback and conducting customer 12. HOME SOLICITATION.YOU MAY CANCEL THIS AGREEMENT IF IT HAS and satisfaction surveys. BEEN SIGNED A IA N.PARTY MAYTHERETONE A PSAG AGREEMENT EN IF AN '� I agree with the use of my e-mail for these purposes ADDRESS OF THE SELLER, WHICH MAY BE HIS MAIN OFFICE OR 24' subcontractorgrants,tradesman or material supplier who is not paid can record a lien on propertyease being improved If not discharged by payment,this mechanics'lien will AT HIS MAIN OFFICE OR BRANCH BY ORDINARY MAIL POSTED.BYthe TELEGRAM SENT OR BY DELIVERY.NOT LATER THAN MIDNIGHT OF 25 become a security like a mortgage on the property. THE THIRD BUSINESS DAY FOLLOWING THE SIGNING OF THIS and All contractors and subcontractors must be registered by the OCABR, and any inquiries about a contractor or subcontractorrelating to a registration should AGREEMENT.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. be directed to OCABR. 13. Force Majrore Bath Fitter®shall not be held liable for any loss,damage ordelay Do not sign this Agreement if there are any blank spaces. in connection with this agreement due to delays in transportation of materials, I understand and agree to the terms and conditions above,including without accidents,theft,fire,labor disputes,insurrection,acts of God,or any other cause limitation the terms of the attached Order dated and all other beyond Bath FitterS's control. Contract Documents oilman date. Exi 14. Hamad sttag Ftztores,Bath Finer is not responsible for the removal and/or Dated at Ysrmouai •Massachusetts on be t m' day of Jan r reinstallation of fixtures,including electrical fixtures.Bath Fitter will not remove 20" and/or reinstall any of your existing fixtures,including.without limitation,shower doors.In the event that the doors will no longer fit,Bath Fitter*cannot be held • E-SIGNEa ,eO I-vier Nolan responsible for any reimbursement,discount,or any other type of compensation to on 20 �:4 :• GMT you for replacement of these fixtures. Signature of Property Owner or Duly Authorized by Property Owner 15. not Mold occurs naturally in almost all indoor environments.Mold spores enter Jenne&David Ndan homes through doorways,windows and a variety of other ways.A Bath Fitter® installation may include the removal of wet,loose,defective,discolored or odorous 47 Name of Property Owner or Duly Authorized by Property Owner(Please Print) surfaces and the washing of remaining surfaces with a household bleach solution. Yard Bath Fitters and its representativesttaegachulatb,t12675 make no warranty or representation of any kind, express or implied,regarding the presence or absence of mold.or regarding the effectiveness of any biocide designed for reducing the presence,effect or growth of Address of Property Owner or Duly Authorized by Property Owner mold,and make no warranty or representation with respect to,and cannotbe held Bath Fitter Bridgewater Inc' responsible for,the presence of mold in your home subsequent to the Bath Finer® E-SIGNED by Rich Serino 16. IualgllgttYlt,If.during the installation phase,Bath Fitter®is required to perform Per: on 20 3.01 2 22:54:04 GMT repairs to existing walls,additional charges will apply at the current service rates. Name of Consultant Richard Serino 160 NOTICE OF CANCELLATION FORM FOR HOME SOLICITATION SALE Date of Transaction:2023-01-12 Ref 11:375-LCSOQTAD-RSE l a Date this contract is signed: Ref It: You may cancel this transaction,without any penalty or obligation,within three business days from the above date. If you cancel,any property traded in,any payments made by you under the agreement,and any negotiable instrument executed by you will be returned within ten business days following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel,you must make available to the seller at your residence,in substantially as good condition as whew received,any goods delivered to you under this agreement;or you may,if you wish,comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. If you do make the goods available to the seller and the seller does not pick them up within twenty days of the date of your notice of cancellation,you may retain or dispose of the goods without any further obligation.If you fail to make the goods available to the seller,or if you agree to return the goods to the seller and fail to do so,then you remain liable for performance of all obligations under the contract. To cancel this transaction,mail or deliver a signed and dated copy of this cancellation notice or any other written notice,or send a telegram,to: Bath Fitter Bridgewater Inc. 25 TURNPIKE ST, WEST BRIDGEWATER,MA, Not later than midnight of 2023-01-17 I hereby cancel this transaction. Date: Signature of Property Owner or Duly Authorized by Property Owner: