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HomeMy WebLinkAboutBLDR-23-12810 (2) ONE & TWO FAMILY ONLY- BUILDING PERMIT , Town of Yarmouth Building Department 1146 Route 28,South Yarmouth,MA 02664-4492 /44 508-398-2231 ext. 1261 Fax 508-398-0836 + --11 1% '\ MR Massachusetts State Building Code,780 C I..;;o Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling R E C E I V ? 0 This Section For Official Use Only Building Permit Number: 3 /J } 3 --1 7.d jble Applie . ll it 13 2023 ��a S � )-�—A3 BUILDING DEPAR -MENT c Building Official(Print Name) ignature �Y ____.Ate ---- SECTION 1:SITE INFORMATION 1.1 Property Address: / 1.2 Assessors Map&Parcel Numbers 3\I i VI c'CA}-t i_: 2Y1 1.1 a Is this an accepted street?yes no Map Number Pat cel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 3 1.5 Building Setbacks(ft) Qj\ PFront YardSide Yards Rear Yard quired Provided Required Provided Required I Provided Re IPPY� 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: — Outside Flood Zone? Municipal 0 On site disposal system 0 Public 0 Private 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record:/— , Jr c' W � f'�sa I `�1 (f' n EP �n 1City tate,ZIP N e not �\1 \-ken-v �s u 8 .3[i a -019/� �j OjOJl/-3 7� ovolC - No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 1 Existing Building 0 1 Owner-Occupied 0 1 Repairs(s) 0 1 Alteration(s) Addition 0 Demolition ❑ 1 Accessory Bldg. ❑ 1 Number of Units 1 Other ❑ Specify: Brief Description of Proposed Work2: \f\os�j.\V(V) Last\\) \n pia SECTION 4:ESTIMATED CONSTRUCTION COSTS. • Estimated Costs: Official Use Only Item (Labor and Materials) 1.Building $ Z .. 4 1. Building Permit Fee:$15-U Indicate how fee is determined: AlS,Standard City/Town Application Fee 2.Electrical $ ( 0 Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ 0 List: 3�:dd e 31S3 ' 5.Mechanical (Fire $ Total All Fees:$ Suppression) Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ l 1 s1(‘4 0 Paid in Full 1i Outstanding Balance Due: 1) 1 SECTION 5: CONSTRUCTION SERVICES ( i ".i Construction Supervisor License( SL) t )_ l k 1 I / a � hn ; cab 41 License Number Expiration Date Warne of CSCL H di f� j� List CSL Type(see below) ` '�� �'h n t T e Description No.and Street 1 � U ( Unrestricted(Buildings up to 35,000 Cu.ft.) i �� �'La p1�0 Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I ��r I Insulation Telephone Email address Lam\ D 1 Demolition 5.2 Registered Home Improv ent Contractor(HIC) ' ‘ --1 Y� (,C � Q rio jr't"T,1}t t"oo � HIC Registration Number Expiration Date C Comp y N o Rer istrant ame '��` ec n I -At is ) k Af t nt'nel Q No.and Street��I_(n► 1 I V b a d h- J Email address ,( OrV1 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 the building permit. Signed Affidavit Attached? Yes 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 to act on my behalf,in all matters relative to work authorized by this building permit application. 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 coot ' cd in this ap ication is true and accurate to the best of my knowledge and understanding. ,�,� , -7 /1113 3 Print wner's or thorized Agent's Name(Electronic Signature) Date NOTES: I. 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)Progr'am),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.sov/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" • �'"Q` The Commonwealth of Massachusetts • 1 Department of Industrial Accidents !_ 1 Congress Street, Suite 100 y� Boston, MA 02114-2017 s,- ` 7 www.mass.gov/dig Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information ��p,� Please Print Legibly Name {Business!Organization/Individual)0(,� � la�U I ►TEI ci D 2 Address:`-%teSq Qi ._ City/State/Zip: Ltba, ,(Yl ) \ r1.\t) Phone#: -7 ( 41(-, (-6)- Are you an ployer?Check the appropriate box: Type of project (required): I. am a employer with I ID employees(full and/or part-time).* 7. 0 New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling • any capacity.[No workers'comp. insurance required.] 9. ❑ Demolition 3.0 1 am a homeowner doing all work myself [No workers'comp. insurance required.]t 10 0 Building addition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.D Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet, 13.0 Roof repairs These sub-contractors have employees and have workers'comp.insurance.t liefili 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.g-dtherl � 152,§1(4),and we have no employees. (No workers'comp. insurance required.] *Any applicant that checks box RI 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 job site information. Insurance Company Name: (5 _ fy 1orks Policy 4 or Self-ins.Lic.#: £S )L— a fjD41.(3,'"O� Expiration Date: L4J/`j /O,(.t/ 4 Job Site Address: 3111 t-k e� 1 or R) rj City/State/Zip: fl 11t311 0'1 A bd(lt5 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: 7/(1 00, Phone#: ( L 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#: §TOWN OF YARMOUTII 1146 Route 28, South Yarmouth, MA 02664 508-398-2231i1 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 2( j , -H E'lo'l rut Work Address Is to be disposed of oat the following location: 1 ()rut OW Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. 0144,a Date Signature of-Application Permit No. Castonguay Enterprises, Inc. Castonguay Enterprises, Inc. d/b/a RiteWindow I(OHLER. d/b/a Ritcfditu8 7 Roessler Road 41 Industrial Drive #9 Woburn, MA 01801 WG K 1- I I Bat'l I Exeter, NH 03833 MA HIC#138722 NH Business ID # 359494 CT HIC#0669113 by VT Business ID # 0421887 Federal ID#02-0520578 W i ndoW Bath. A Rite Window Company 1-800-649-3600 Homeowner Information: Joann Kelley (508)362-2914 Date: 06/28/2023 3117 HeatherWood Yarmouth Port jojolk37@comcast.net Product Specialist: Mike Speakman MA 02675 Phone: (774) 269-9854 Email: mspeakman@ritewindow.com THANK YOU AND WELCOME TO THE RITEWINDOW FAMILY! Thank you so much for allowing us to be part of your home improvement project. We look forward to delivering a 5 Star experience that demonstrates the professionalism, care, reputation, and confidence that has earned us numerous accolades and positive reviews. Attached you will find all the documents related to your project. Please review them carefully and keep for your records. If you notice any discrepancies, please notify us immediately. Again, thank you for choosing RiteWindow& Bath. PRICE & PAYMENT Suggested Retail Price $27,998.00 Less Promotional Discount $3000.00 Less Additional Discount $1,250.00 Sell Price $23,748.00 Deposit $11,875.00 Deposit Form of Payment Check Check# 5283 Check Date 06/28/2023 Balance Due Upon Completion $11,873.00 Balance Form of Payment Check THANK YOU AND WELCOME TO THE RITEWINDOW FAMILY! Thank you so much for allowing us to be part of your home improvement project. We look forward to delivering an experience that demonstrates the professionalism, care, reputation, and confidence that has earned us numerous accolades and positive reviews. Attached you will find all the documents related to your project. Please review them carefully and keep for your records. If you notice any discrepancies, please notify us immediately. Please remember, all of our products are custom made exclusively for your home. Orders are are not returnable and cannot be cancelled after the rescission date has expired. In addition, all deposits are non-refundable. If your project is financed, you will be responsible for the deposit. By initialing, I acknowledge that I have read, understand and agree to the above terms and conditions. (Customer's Initials) 1 C` NAY MEN I AU I HUHILAI ION, I EHMS do UUNUI I IONS I/We Joann Kelley, authorize Rite Window to transact payments based on the amount(s) and form of payment(s) outlined above for the Deposit and/or Final Payment. I/We acknowledge the use of the loan and/or credit card to make a purchase will constitute acceptance by all borrowers of the Loan Agreement/Credit Card Cardholder Agreement and instruct them to disburse the proceeds to Rite Window as identified above. Final payment is due on the day of installation when all products included in th,s agreement have been installed ("Substantial Completion"). Substantial completion is defined as when the products ordered and installed can be utilized for their intended use. If there are any outstanding warranty issues or service items such as ripped or torn screens, cracked or scratched glass, and/or mis-measure(s), you may retain an amount equal to the value of the outstanding item(s) or work to be completed, not to exceed 10% of the total Sell Price. By initialing, I acknowledge that I have read, understand and agree to the above terms and conditions. (Customer's Initials) Q NOTICE OF CANCELLATION YOU MAY CANCEL THIS TRANSACTION, WITHOUT PENALTY OR OBLIGATION, WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. YOU HAVE UNTIL THE CLOSE OF BUSINESS ON 07/01/2023 TO CANCEL THIS TRANSACTION. IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE, AND ANY NEGOTIABLE INSTRUMENTS 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 WHEN RECEIVED, ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE; 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 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 RITEWINDOW, AT 7 ROESSLER ROAD WOBURN, MA 01801 NOT LATER THAN MIDNIGHT OF 07/01/2023. I HEREBY CANCEL THIS TRANSACTION. Consumer's Signature Date The below-signed individual(s) acknowledge(s) receipt of the above Notice of Cancellation, and further acknowledges that they were orally informed of their right to cancel this transaction. (Customer's Initials) I tHMS & UUNUI1 IONS Paye 4 of 8 Express Warranty-Is an express warranty being provided by the contractor?No_ Yes_x_(See attached)Subcontractors- The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/ subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this agreement. Contract Acceptance- Upon signing, this document becomes a binding contract under law. Unless otherwise noted within this document, the contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices carefully before signing this contract. Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an alternative to court action)if they have a dispute with a contractor. The same right is not automatically afforded to a contractor, however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract, the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided In Massachusetts General Laws, chapter 142A. Homeowner's Signature Contractor's Signature NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e. MGL chapter 93A)may not be waived in any way, even by agreement. However, homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described, in a timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or prcvides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor, all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose.An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumer/homeowner rights, contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document until all blank sections have been filled in or marked as void, deleted, or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor.Any modification to the original contract must be in writing and agreed to by both parties. Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day recission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. However, in instances where a contractor deems him/herself to be financially insecure, the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you need additional information about the Home Improvement Contractor Law or other consumer rights, or if you wish to obtain a free copy of"A Massachusetts Consumer Guide to Home Improvement,"contact:Consumer Information Hotline Office of Consumer Affairs and Business Regulation 501 Boylston St, Suite 5100, Boston, MA 02116(617)973-8787 or 1-(888)2833757 If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law, contact:Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 1000 Washington St, Room 710, Boston, MA 02118 617-973-8787, 888-283-3757 or visit the HIC website at http://www.mass.gov/ocabr/Go online to view the status of a Home Improvement Contractor's Registration:http://db.state.ma.us/homeimprovement/licenseelist.asp For assistance with informal mediation of disputes or to register formal complaints against a business, call:Consumer Complaint Section Office of the Attorney General(617) 727-8400 AND/OR Better Business Bureau(508)652-4800, (508) 755-2548, (413) 734-3114. By initialing, I acknowledge that I have read, understand and agree to the above terms and conditions. (Customer's Initials) 9__ RENOVATE RIGHT (For Homes Built Prior to 1978) YEAR BUILT 2000 Renovate Right Pamphlet Receipt Page 5 of 8 I hereby acknowledge receipt of the pamphlet, "Renovate Right", a digital form is attached to this contract. This pamphlet informs me of the potential risk of lead hazard exposure from renovation activity to be performed in my home. I confirm that I received this pamphlet before any work began on my home. I acknowledge that I have read, understand and agree to the above terms and conditions. (Customer's Initials) 1. INSTALLATION DAY "WHAT TO EXPECT" "The foundation of a great job begins at the beginning." Unknown. Please read the following carefully. We want to ensure your complete satisfaction. • You will receive a call within 5-7 business days to schedule a final measure. We do this in order to confirm the details of the project;scope of work, colors, location, etc. • Measurements are performed weekdays between the hours of 8am -3.30pm and then submitted for production. • Because each tub/shower system is custom made, we require several weeks to manufacture and deliver. • Your installation will be scheduled as soon as all of your materials arrive at our Woburn facility. • Prior to our arrival please be sure to complete all showering/bathing as the water will be turned off for several hours. In addition, remove all valuables and breakables from the bathroom including soaps, shampoos, toothbrushes, rugs, linens, wall decor, etc. • Please provide a clear path to the bathroom. • Move any furniture that may be in the way. • Remove any pictures from the adjacent walls surrounding the bathroom. •All jetted tubs must be disconnected by a licensed electrician prior to the installation date. Most installations are completed in 1 to 2 days • The installation crew typically arrives between 8,30am and 9am. • Our foreman will meet with you, review the scope of work and answer any questions or concerns you may have. • We will be respectful to you and your property. No Smoking. No Loud Music. No Foul Language. Clean-up and inspection • We vacuum and clean all work areas and dispose of all related debris. • The goal is to leave your property as clean or cleaner than it was before we arrived. • The foreman will conduct a final inspection with the homeowner and address any questions. • Final payment is expected at this time. Our foreman will provide you with the final balance due. • Our foreman needs to meet with the homeowner at the start of the project and to be able to communicate while the work is taking place. At the completion of the project you will review the work, receive a demonstration on how to operate and maintain the tub/shower system and complete any necessary paperwork. Again, final payment is expected at this time. By initialing, I acknowledge that I have read, understand and agree to the above terms and conditions. (Customer's Initials) Q WAHHAN I Y-KVHLtI-( WALK IN I3AI N '"' Page 6 of 8 Your KOHLER Walk In Bath" Warranty Better together. The peace of mind of a trusted brand and coupled with local service, to insure that your new KOHLER Walk In Bath"provides you with years of trouble-free enjoyment. Your new KOHLER Walk In Bath" has been designed and engineered to provide you with a safe and therapeutic bathing experience. Together with our installation and service partner, Rite Window& Bath, we back your purchase with a warranty designed to provide you great service if and when you should ever need it. Your KOHLER Walk In Bath" carries a Lifetime Limited Warranty from Kohler Co. Kohler Co. warrants the KOHLER Walk In Bath" to be free of defects in material and workmanship during normal residential use for as long as the original consumer owns his or her home, provided the KOHLER Walk In BathTM is installed by a Kohler Certified,installer. Our warranty covers manufacturing defects on all bath components including but not limited to the bath, door seal, and any hydrotherapy systems (pumps, motors,jets, BubbleMassageT"", BaskTM heated surface) as well as the KOHLER Faucet and handshower. These warranties only apply to Kohler Walk In Baths" installed in the United States of America and Canada. Local service and support is just a call away: As a Kohler Authorized Dealer, Rite Window& Bath provides a Limited Lifetime Workmanship Warranty for life from the time they installed it in your home. In the event that you require service support, or if you just have a question about your new KOHLER Walk In Bath", give Rite Window& Bath a call and speak with a helpful customer support representative. LIMITED LIFETIME WORKMANSHIP WARRANTY Rite Window& Bath agrees to perform all work in a professional manner to all building code standards using high quality reliable materials. ALL INSTALLATION WORK PERFORMED BY Rite Window & Bath WILL BE FREE OF DEFECTS DUE TO WORKMANSHIP FOR SO LONG AS BUYER LIVES IN THE RESIDENCE WHERE THE PRODUCTS HAVE BEEN INSTALLED. THIS IS ONLY VALID FOR CONTRACTS INCLUDING LIMITED LIFETIME WORKMANSHIP WARRANTY. The Limited Lifetime Warranty is only valid for the buyer. Limited Lifetime Warranty is non-transferrable and will expire when the home is sold, traded or is declared a total loss. Or upon death of primary contract holder. *Some exceptions may apply. This warranty in non-transferable. Warranty is voided in uses of unapproved cleaners and abrasives. This is a non-prorated warranty providing full replacement costs for covered items. It is limited to the home or structure in which the shower or bath components were originally installed. This warranty gives you specific legal rights, and you may also have other rights which vary from state to state. For warranty details, or to activate a warranty replacement or repair, contact the Rite Window& Bath customer service desk at 7 Roessler Road Woburn, MA by calling 800-649-3600 during regular business hours. Warranties must be registered by the Homeowner within 30 days from the installation date in order for them to take effect. Go to www.ritewindow.com/warranty upon completion of your installation to complete the process. By initialing, I acknowledge that I have read, understand and agree to the above conditions. (Customer's Initials) ES" I IMAI tU S IAK I & (AMPLE l IUN UAl t(S)All of our products are custom made exclusively for your home. We are currently running 2-4 weeks from the date of your contract, 06/28/2023, to the initial start of your installation. If a replacement window is included with your project, it will require tempered glass. Please allow 10-12 weeks from the date of your contract, 06/28/2023, to the initial start of your installation. The Company shall have no liability whatsoever if the Start Date is postponed or delayed to circumstances beyond our control such as supply chain disruptions, state or local government stay-in-place orders and workforce disruptions due to the current pandemic (Covid 19). By initialing, I acknowledge that I have read, understand and agree to the above conditions. (Customer's Initials) PLUMBING & DAMAGE DISCLAIMER Removal of the existing tub or shower system requires demolition. We cannot be responsible for existing tile that butts up against the existing tub or shower base. We will do our best to minimize any damage to the existing floor tiles, but due to the age and condition of these tiles, there is a chance of some minor damage. We also recommend that if you are planning to replace your floor, you do so after our installation is completed. In addition, we cannot be responsible for any damage to ceilings, floors and/or walls that may be needed in order to get access to the plumbing/pipes/drain in order to increase the drain size to 2"when converting from a tub to a shower. We will repair the area with like materials, typically sheetrock and tape seams, but finish plaster work is NOT included. RW recommends replacement of mixing valves more than 5 years old. RW is not responsible for damage caused during the removal of existing fixtures including but not limited to spouts, handles, knobs and shower arms due to corrosion, wear and tear or previous improper installation or maintenance. Additional work may be required due to the condition of pipes, fittings, etc. to bring the plumbing up to current code. There will be a separate charge to the homeowner from RW at a rate of$125.00 per hour plus materials. The homeowner will be advised of these conditions prior to any work being performed. Massachusetts State Law requires temperature to be set no higher than 112 degrees for all new mixing valve installations. All showerheads and handhelds provided by RW are in compliance with Massachusetts State Law and deliver no more than 2.5 gallons per minute. All handhelds provided by RW are in compliance with Massachusetts State Law and have a vacuum breaker. We will perform a drain test prior to performing any work. We will fill a 5 gallon bucket and then empty it down your existing drain and time it. Upon completion of your project, we will do the same again. The final drain test should be the same or better than the initial test. We do this in order to insure that drain performance has not been adversely affected by the installation. Customer is responsible for making sure that the water shut off valve works prior to scheduling the installation. All work in Multi-Family/Condo/Apartment Building must include a contact name and phone number/email for the person responsible for coordinating the water shut off. Installations can only be performed if the whole home water feed can be shut off. NO EXCEPTIONS. By initialing, I acknowledge that I have read, understand and agree to the above terms and conditions. (Customer's Initials) 5 -k C:VUC, i uVtIVAIV I & Fitb I lill.I IUP1b anwor 1'1UMtUWIVtI1J AJJVIr. I1tb I NIL; I IUNb (1'IVA) It is the responsibility of the Homeowner to inform RiteWindow, in writing, via certified mail, within 10 cEica` days after the execution of this contract, of any CCR or HOA requirements that could prevent RiteWindow from executing its obligations under this contract. In the event that RiteWindow is prevented from installing the contracted materials due to interference from any, but not limited to the following; city, town, county, historical commission, management company, condo association, etc., the Homeowner will assume the total responsibility of this contract and hold RiteWindow harmless. By initialing, I acknowledge that I have read, understand and agree to the above terms and conditions. (Customer's Initials) 9 FUTURE COMMUNICATIONS Future Communication Regarding Installation, Service, Warranty& Product Update Acknowledgement RiteWindow may contact me in the future about its products and services at the phone number I provided above using an automatic telephone dialing system. I understand I am not required to provide consent as a condition of this Contract and I may revoke this consent by calling 781-491-0419. By initialing, I acknowledge that I have read, understand and agree to the above terms and conditions. (Customer's Initials) . DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Joann Kelley, Homeowner Mike Speakman. Product Specialist &Authorized Agent 06/28/2023 06/28/2023 Date Date DocuSign Envelope ID:C5771DB7-9145-40AE-88C8-EC13BAF7E30B C Q®A CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY)04/17/2023 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),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 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). CONTACT Kennebunk Saving Insurance PRODUCER NAME: Kennebunk Savings Insurance PHONE (207)985-2941 FAX No): (207)985-3122 (A/C,No,Ext): 50 Portland Road E-MAIL — PO Box 770 INSURER(S)AFFORDING COVERAGE NAIC# Kennebunk ME 04043 INSURER A: Mass Bay 22306 INSURED INSURER B: Hanover Insurance Co 22292 Castonguay Enterprises Inc,DBA:Rite Window,LLC INSURER C: Risk Innovations 7 Roessler Rd INSURER D: INSURER E: Woburn MA 01801 INSURER F: COVERAGES CERTIFICATE NUMBER: 23/24 Master 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. INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED 100,000 CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 A ZDPA905169 04/15/2023 04/15/2024 PERSONAL&ADV INJURY $ 1,000,000 2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER'. GENERAL AGGREGATE $ , , PRO- PRODUCTS-COMPlOPAGG $ 2,000,000 POLICY JECT LOC Cyber $ 50,000 OTHER: COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ B OWNED - SCHEDULED AWP-A905294 04/15/2023 04/15/2024 BODILY INJURY(Per accident) $ AUTOS ONLY _ AUTOS PROPERTY DAMAGE HIRED NON-OWNED (Per accident) $ AUTOS ONLY AUTOS ONLY Uninsured motorist BI $ 500,000 X UMBRELLA LIAB - OCCUR S, C�.O 1,000,000 3ACH OCCURRENCE $ B EXCESS LIAB UHPA905172 04/15/2023 04/15/2024 AGGREGATE $ 1,000,000 CLAIMS-MADE DED RETENTION$ WORKERS COMPENSATION PER OTH- STATUTE ER AND EMPLOYERS'LIABILITY Y/N 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y N/A CS-WC-002046-02 04/15/2023 04/15/2024 E.L.EACH ACCIDENT $ C OFFICER/MEMBER EXCLUDED? 1000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ , If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) This Certificate of Insurance is issued as a matter of information only and confers no rights upon the holder and does not amend,extend or alter the coverage afforded by policies designated on the Certificate. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Castonguay Enterprises Inc,DBA:Rite Window ACCORDANCE WITH THE POLICY PROVISIONS. 7 Roessler Rd AUTHORIZED REPRESENTATIVE ,////��� /j� Woburn MA 01801 12.— 711-o I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regi`ations and Standards Cons t t.`�llon S rvisor CS-113111 Escpires:01/27/2025 r CHRISTOPHgR L SM$T114 7 ROESLER ROAD � 7 WOBURN M1 j01801 n••T•7OS.vi."--. Jfwyr. rf. ✓� -- - - -, THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affair- • Business Regulation 1000 Washings ...: - Suite 710 Home Im•ro r=1µ,w ;,;;.ti�=L"'!F1"_e•istration { .,....s1o, r- imming __ cams „1 Type: Supplement Card _ ... -• I -tion: 138722 { CASTONGUAY ENTERPRISES,INC. Weg,ii I �It E i -bon. 05/05/2025 { D/B/A RITE WINDOW ------ ` y1011111r 7 ROESSLER ROAD j* >•1=t= aft - WOBURN,MA 01301 jai 17 zr �'`I M ,,,rib { illi Update Address and Return Card. I ' I I THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affaj1s&Business Regulation Registration valid for individual use only before the HOME IMPROV . TCONTRACTOR expiration date. If found return to: Yr;,,_..,,i -b i Office of Consumer Affairs and Business Regulation Re. st c ,.1, Ltion 1000 Washington Street -Suite 710 { i Wiz--_ _g;;1-77,7' Boston,MA 02118 , ! CASTONGUAY ENT-A'.'* -, i 11�=ie I I DB/A RITE WINDOW . ? f i; { j `� CHRISTOPHER SMITH; 9 = i� 7 ROESSLER ROAD ;; ..it'a( �. i I WOBURN,MA 01801 ti^` =_='^�m`� i { - "-r Undersecretary a(id without signature { Page 1 of 8 Castonguay Enterprises, Inc. Castonguay Enterprises, Inc. d/b/a RiteWindow KOHLER., d/b/a RiteWindow 7 Roessler Road 41 Industrial Drive #9 Woburn, MA 01801 VVa K-I H Bath Exeter, NH 03833 HIC138722 Federal ID#02-0520578 by RiteWindow&Bathe A Rite Window Company 1-800-649-3600 Homeowner Information: Joann Kelley (508)362-2914 Date: 06/28/2023 3117 HeatherWood Yarmouth Port jojolk37@comcast.net Product Specialist: Mike Speakman MA 02675 Phone: (774) 269-9854 Email: mspeakman@ritewindow.com KOHLER WALK_IN BATH WALK-IN BATH-SOAKER ONLY Qty: 1 E,v Finish Polished Chrome Color White Drain Left 4 LUXSTONE WALL SURROUND LUXSTONE WALL SURROUND Qty: 1 Color/Finish White Brick Additional Project Notes: *Images are for informational purposes only. Not reflective of actual product.