HomeMy WebLinkAboutBLDR-23-9951 ow
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y 10 125 aGoittrotAY----
ONE &TWO FAMILY ONLY-BUILDING PERMIT
Town of Yarmouth Building Department ,''c r
1146 Route 28,South Yarmouth,MA 02664-4492
508-398-2231 ext. 1261 Fax 508-398-0836 ' i.. .
Massachusetts State Building Code,780 CMR
Building Permit Application To Construct,Repair, Renovate Or Demolish ,:.•'
a One-or Two-Family Dwelling
C R a z3 _.79 This Section For Official Use Only ' RECEIVED
Building Permit Number: 8 L.I)- (2 ' -0n5-46i Date Appl'
—\m SOc5 -3-3‘-13 MAR 27 2023
Building Official(Print Name) Signature Date-_-
gtll{eif443 DCPiki2TMENT
SECTION 1:SITE INFORMATION By: _ I .
1.1 Property f
f.- /� J 1.2 Assessors Map&Parcel Numbers
• 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
Or
1.6 Water Supply:(M.G. c,40,454) 1.7 Flood Zone Informati n: 1.8 Sewage Disposal System:
Public 0 Private El
_ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes0
SECTION 2: PROPERTY OWNERSHIPt
2.1 Owner'of Record: / ��
-eName(Print)iinny- Ct�_Onn5--1 1 ,ei LISP
�7 S o cJ ma o 2(l1
City,
rcif)yd Lone -rig, 2 I(o 2679 I JSti901/Mrv41) 1710
No.and Street Telephone Email Address (fir/-1/1I (!)�
SECTION 3:DESCRIPTION OF PROPOSED WORK'"(check all that apply) f
New Construction❑ Existing Building 0 Owner-Occupied ❑ I Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition ❑ Accessory Bldg.0 Number of Units Other Specify:
Brief Description of Proposed Work': Qi2 m()VI i1. Cyrt` is h ! _i 4
�C3(11j (.,&)Ce-P (.,&) *'1 u t o " T;& r-1- I!V r t e 15 iCM .
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and M. erials)
1.Building $ /9/y 1. Building Permit Fee:$1 SO Indicate how fee is determined:
`19 Standard City/Town Application Fee
2.Electrical $ 0 Total Project Cost3(Item 6)x multiplier x
3.Plumbing $ 1195 2. Other Fees: $—3S
4,Mechanical (HVAC) $ List: P'1O4?i/ Order (�`� (�
5.Mechanical (Fire $ Total All Fees:$ v \`
Suppression)
<l Check No. Check Amount: Cash t:
6.Total Project Cost: $ ?g V if 0 Paid in Full Outstanding Balance ue: I i'5
L . 14
EStiCi
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.. • •
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SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
�' �', �Q Cs - 1
Name ofCxi t Hold J .i1 `r License Number j Expir io ate
e JL? i lafio led List CSL Type(see below) U
No.and Street Type Description
!mil {rjQ j� to d U Unrestricted(Buildings up to 35,000 Cu.ft)
City/Town,State,ZIP R Restricted 1 dc2 Family Dwelling
M Masonry
RC Roofing Covering
WS Window and Siding
T } /, ,� /(� SF Solid Fuel Burning Appliances
K „ ` ,�.M I Insulation
ephone mail ad resa D Demolition
5.2 Registered Home Improvement Contractor(HIC)
i['1PndD,- ' LT 3.1r(1�4/�-- �1o51on �1�i���3
HIC Company Name or HIC Re tr t Name HIC Registration Number Expiration Date
No.and Street - J" .1 tv hrt� C�rna t1 keti
MQ 1(166 MCA O? 73 `J 4 L�' )5`"t(i`i3O- ErrSail addressf J
City/Town,State,ZIP Te ephone Tt v
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 Issu ce of the building pet-mit,
Signed Affidavit Attached? Yes No a
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 j2 (y-1 01.1 I f 1
to act n my behalf,in all matters rela' e to w,i-k author zed by a is b i ing permit application,
/i ) 41111.11.r ./ 3A 7)0262,3
Print Owner's Name(Electronic Signature)
ate
• 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 an cur e to the best of my knob': and understanding,
or Authorize Agent's Name Electr i 1 1 3
( onic igna Date
NOTES:
I. An Owner who obtains a building permit to do his/he-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.sov/oca Information on the Construction Supervisor License can be found at www.mass.tov/dos
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"
I
:.�':, t he Uummunweuun of wtuss'ucnus'etts•
ri. ; Department ' Industrial Accidents
Are Office Investigations
Lafay rite City Center
' 2Avenue de Lafaye e, Boston,MA 02111-1750
www ass.gov/dia
Workers'Compensation Insurance Affid vit: Builders/Contractors/Electricians/Plumbers
A licant Information
Please Print Le ibr
Name(Business/organization/Individual):Theodore Bail y
Address:58 Delano Rd.APT 1
Ci /State/Zip:Marion Ma 02738
Are you an employer?Check the appropriate box; Phone#:508-932-5447
1.0 I am a employer with 4. 0 I am a neral contractor and 1 Type of project(required):
2.® employees(full and/or part-time).* have hi d the sub-contractors ❑New construction
I am a sole proprietor or partner- listed o the attached sheet. 7. []Remodeling
ship and have no employees These s b-contractors have
employ: s and have workers'
working for me in any capacity. g' El Demolition
[No workers' comp.insurance comp. i surance.? ❑Building addition
3.❑ required.] 5. [l We are . corporation and its 10.0 Electrical repairs or additions
I am a homeowner doing all work officers ave exercised their
myself. [No workers' comp, right of:xemption per MGL 11'0 Plumbing repairs or additions
insurance required.]t C. 152,§t(4),and we have no 12.❑Roof repairs
employe.s. [No workers' 13.a Other Replace existing with new
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showi g their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work a d then hire outside contractors must submit a new affidavit indicating such.
leontractors that check this box must attached an additional sheet showing t e name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their orkers'comp.policy number.
I am an employer that is providing workers'compensation i=:surance for my employees. Below is the policy and job site.
information.
Insurance Company Name: rib I D e r "
r.
Policy#or Self-ins. Lie.#: q IS P 44
�j' a Expiration Date:_ 0
43
Job Site Address: 1 Strc C� tC � �(�� ���°
City/State/Zip:_(�iamiumt. ma ortoAS
Attach a copy of the workers'compensation policy declare ion page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of GL 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 iv
il penalties in the ER and
of up to$250.00 a day against the violator. Be advised that a •opy of this statement form
umay be forwarded to the O�c of a fine
Investigations of the DIA for insurance coverage verification.
I do hereby ertify under the pains and penalties ofperjury that the information provided above is true and correct.
Signature:
— Date: t1 .� ______ ____
Phone#: 508-932-5447
Official use only. Do not write in this area,to be completed by city or town official. _T
City or Town:
Permit/License#
Issuing Authority(check one):
1OBoard of Health 20Building Department 3DCity/Town Clerk 4.0Electrical Inspector 5E'1umbin
Inspector 61:Other g
Contact Person:
Phone#:
°£'BAR 40-
TOWN OF YARMOUTH
.444 BUILDING DEPARTMENT
i 1146 Route 28,South Yarmouth,MA 02664
� •• `6,a 508-398-2231 ext. 1261 Fax 508-398-0836
BUILDING DEPARTMENT
DEMOLITION DEBRIS DISPOSAL AFFIDAVIT
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Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR,Chapter 1,Section 111.5,
I hereby certify that the debris resulting from the proposed work/demolition to be
conducted at ) S tycrf j r- 1 (a he, GLYY}1 Ur„J -)(
Work Address l
Is to be disposed of at the following location: Gt C—
25- -acme c_ 1
Said disposal site shall be a licensed solid waste facility as ty defined . M.G.L.
Chapter 111, Section 150A.
3)c)-1 2_3
;6
S gnature of Application /
Date
Permit No.
{
I
Office of Consuner Affairs$Business Regulation
HOME IMPROVEMENT CONTRACTOR
CVPE:Individual
Regl oration Expiration
1R5792 11/1812023
THE000RE J BAILEY
THEODORE BAILEY
59 DELANO RD AP 1 „✓,f LF�dr'a
MARION,MA 02738
_...._
Undersecretary 6
r
1
4
!�^'6,/i[!//ry/U• , r '.f4 a f,,,,://c:
Office of Consu or Affairs&Business Regulation
HOME IMP .VEMENT CONTRACTOR
YPE;Individual
Re<i• _gtion Expiration
16 792 r 11/18/2023
THEODORP.BAIL.Y
� f
THEODORE BALE
53 DELANO RD AP 1 yikri y • !.1r
MARION;MA 0273 Undersecretary
•
I
I
Ill.', Commonwealth'oftviassoohusetts
Division of Occupational Licensuee
Board of Budding Re Utations and Standards
COdS*Ad
CS-18 386 E`Xpires:10/0/12023
THEODORE 4 3AtLEi
68 DELANO RI)
APT 1
MARION MA 02733 ' 4
Commissionerx+'-
jRD CERTIFICATE OF PROPERTY INSURANCE
DATE(MMlDDIYYYY)
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.
PRODUCER CONTACT
NAME
PHONE (844)472-0967 •FAX
N
BIBERK E-MAIL
� - I(Ammo (203)654y3613
P.O.Box 113247 ADDRESS: salessupport@biberk.com
PRODUCER --
Stamford,CT 06911 + —-
CUSTOMERID:
INSURED —' - --- INSURER(S)AFFORDING COVERAGE -}f.. N;41Ci
INSuRER A:Berkshire Hathaway Direct Insurance Compel 1238'30
Theodore Bailey INSURER B_ .---_._
58 Delano Rd Apt 1 _ —INSURER _-
Marion,MA 02738-2011 INSURER 0:
INSURER E:
INSURER F: - I
COVERAGES CERTIFICATE NUMBER:
LOCATION OF PREMISES/DESCRIPTION OF PROPERTY(Attach ACORD 101,Additional Ramer s Schedule,if more space is required) REVISION NUMBER: '..
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 H' E BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITIO OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORD:D BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.LIMITS SHOWN MAY E BEEN REDUCED BY PAID CLAIMS.
;Ise .__—
TYPE OF INSURANCE POLICY EFFECTIVE ppLICY EXPIRATION
LTR ._._. POLICY NUMBER �—`—_.--`...__'— t
DATE(MM/DIWYYY) DATE(mmicowyTY) COVERED PROPERTY LIMITS X I PROPERTY
CAUSES OF LOSS DEDUCTIBLES BUILDING E 0
PERSONAL PROPERTY�eAslc BUILDING N9BP424491 04/28/2022 04/28/2023 ;-- 0
1 BROAD 250 - BUSINESS INCOME E --
CONTENTS
X i SPECIAL EXTRA EXPENSE E —y�
RENTAL EN'TAL VALUE EARTHQUAKE $
VNND BLANKET BUILDING E n/a
BLANKET PERS PROP
FLOOD • '--` ..___..
, BLANKET BLDG A PP $ n/a
E
INLAND MARINE TYPE OF POLICY - E
CAUSES OF LOSS I( $
NAMED PERILS POLICY NUMBER �-- E
—
$
CRIME !
TYPE OF POLICY E
E
BOILER&MACHINERY! E ...
EQUIPMENT BREAKDOWN
E i
$ i
i
$ I
$
SPECIAL CONDITIONS I OTHER COVERAGES(ACORD 101,Additional �onai Remarks Schedule,maybe pI��xhed 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
58 Delano Rd Apt 1 ACCORDANCE WITH THE POLICY PROVISIONS.
Marion,MA 02738-2011
AUTHORIZED REPRESENTATIVE
e01''0.-4,1—' n
ACORD 24(2016/03) The ACORD name and logo are registered arks of AC RDORD CORPORATION. All rights rese I ed.
Bath Fitter Bridgewater Inc.
25 TURNPIKE ST,
BATH WEST BRIDGEWATER,MA,02379 TYPE Contract
FITTER* GATE:2023 oa-os
Tel:508.521-2700 Fax:508-588-4303 BFU375@bathfitter,com REF#:375-LF07836J-RSE
CUSTOMER BILLING ING ADDRESS
SERVICE ADDRESS
Eleanor O'Connell 7 Stratford Lane. 7 Stratford Lane.
Yarmouth.Massachusetts,02675 Yarmouth,Massachusetts,02675
is 774-313-6600
F rt dii; eisteadman1764(Logmail.com
Free Standing eathtuD I Empress White
1tM'32 irzr0ds'dCmd•c; 1 INCLUDED
Duna:oath Tun:P5 rV$tapper& Ch!Ume
overlww Pw 19!.Pwaea.Pwa4a 1 INCLUDED
(b e Psea Seamless Wall T;nnn-Smooth White 9eIN X t32!N 1955N X 1321N;
Mt 1 INCLUDED
0rgan:aatnmarItems t Comer She+l- While
0xtad Uoubie Corner Shell 1 INCLUDED
Shower Faucet Ch:a!ne'2.b UPM Tun and Shower d� getrWyntora>za-Core t INCLUDED
Faucets r Moon YarvcS M-Core valve 1 N?A
ul4ccisrpwae,2 NA I INCLUDED
Forcers!hero cornfields l In2,t on 5- Chrome r I;5 GSM Slower
Ft'ciw^ 1 INCLUDED
1.
rI
/
Doers a Curtamt,t Reds;Curved Chrome G+IN
1 INCLUDED
t INCLUDED
Relocate Drain
1 INCLUDED
Remove Exrst ng Tub and Wail -
t INCLUDED
NIA
Bath Fitter Bridgewater Inc.
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25 TURNPIKE ST, TYPE:Contract
BAT I-1 WEST BRIDGEWATER,MA.02379 DATE_2023 03 09
F;tT E R".. REF#,375-LF07836J-RSE
Tel:508-521-2700 F.1-:508-588-4303 BFU375@bathfitter.c0m
INCLUDED
W a±Piaparatiai
Wn Repair wa;Repan I INCLUDED
iivrrbe• eukto3 f'r^"NI 1 INCLUDED
Sui>T+t.zi $9,804.00
3-10 weeks to install
84000.00 paid at install
S4808.00 to Wells Fargo
Top.I $9,804.00
=r_{ St.000.00
$8.804.00
4079-Special rate of 0 APR with 24 equal monthly payments
E-SIGNED Rich enno ED by Ele onn
0 . 3-13 1: 4- GMT 1
Richard Serino �:,rstu F er:.ed by Props tzy Owner
Bath Fitter Bridgewater Inc.
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Bath Fitter Bridgewater Inc.("Bath Fitter®')-Terms and Conditions—Massachusetts
•
i. Contract Documents.The contract doxurnxms consist of this agreement toe
"Agreement"),Ow attached Order,all written modifications of the Agreement or the Wall,root la ceiling damages in or adjacent to the immediate work area may oceur Order'moment to Section 6 below,any required notices and an dating cracking ofof adjace Sulk,paints Dint,r ause.by din emha l n,re lac eventg of
y spume woman y xitn materials-g er tileBats,Fitms or joints,be
eshe by the removal and replacement of
information provided by Bath FTtrrR�(collectively,"the Cantrcnet Docurxnis").
_. Scone of Work Bath Fitters agrees to provide all the labor and to do all the.things should they appear.Moreover.inte cannot
ease el bath littld er or wall for
nstalla damages ns.
necessary for the proper installation and completion oldie project set limp in thither (Mange may occur to the existing bathtub or wall tiles; Bath Fiftieth- is not
detail on the attached Order(the"Project''). responsible tie minor damages,due to imperfrctlon.a in my bathtub or wall tile that
3. Access.Owner agrees that Batt Fittertt'shall have complete use el'andaccess to tie my resultniom the Bath Fitters instatagon, and Owner remains responsible
Project location during regular business hours,upon reasonable advance notice N m maintain the ee r se ihicmtc on existing walls,Should Had Bath Pinrrk be required to
Owner.Owner shall remove all obstacles such as tarniture and appliances from doe send a technician for a service call that is the insult of inadequate maintenance.(hence
• installation area and Owner shall provide all heat and lighting for Bath Fitters:to will be Invoiced at the current serene rates.
perform the Project.During the installation.Bath Firers:shall properly-dispose o f
remnants and scrap material relating to the Project.If a defect is alleged in either
17. Colors,Marbled rotors or pattersderpatterns may vary.Bath walls rat cannot guarantee the
workmanship or product immediate notification must be made and Bath Fitera consistency of the toot throughout the tub, or scresaoics.
must be allowed featly access in order to assess;mJ•o make any repair of the alleged h g- Bath Fitters Right to Suspend or.
Deitch Finer*is net respunsJd Mr r legal eneuntbrances.huildingtzoning code violation
4. Existing Plumbing.it is expressly understood byte parties that neither Bath
plumbing or aurxtumld hrtencirx,wtlnc discovery oiur removal o(asbcna:,mold,
Fitter*nor any Bath Fiery employee,agent or subcontractor k a licensed whiten
lead paint or other hazardous or toxic substances or y of the
If Owner breaches the
or professional engineer,Bath Fitter*is not responsible for inspecting,servicing.n Contract Documents,terminate
ts,or if BathContract
Documents
discovers any ottfu above.Bath Fitto Owner modifying your existing plumbing fixtures and!acidities.Because doe existin t Immediwely temm�nte the('onvav't Documents withmn further obligation to Owner plumbing at the Project Distant may be old,rurrodest,or in aced of repair o• or.in its cream applicable discontinue work on the qualified
firms
proper rare of the replacement,Bath Fitters cannot he responsible for damage to the chronic finish breach midair agrees
toa ,ii correction by properly genial,labor at Owner's rx blocked drains or plumbing below or behind the tub.including shut-offvalves.or fa by Bath towed
any damage caused by faulty plumbing.Bath Fitter mex,mnnetds replacing ok •
nder Fphc hl through tlh¢Aalehitx of
c trm nntatou,apkisan xhtra nun I services MF C±�J fixtures when installing a new wall system. under applicable law.
5. S'ontract Pries.Owner agrees to pay Bath Firers:the amount set forth on theIF BATH FITTER*:IS UNABLE TO COMPLETE,THE PROJECT FOR ANY attached Order,unless otherwise mutually agreed upon between the panics hereto by REASON UNRELATED T()UWNER,BATH OWNER'SFt DI R't'S LIABILITY SHALL •
v'inut of a written change Doter. BE LIMBED TO A REFUND OF FORCLAIMS
OF INCONVENIENCE
BATH FITTEItR
6. (limner Order,. Any alteration' or deviation from the shave cmnnttuai ('ANNtTT BE HELD RESPONSIBLE, OF INCONVENIENCE OR
apecifieaeinnx thin results in a resister of the contract prier will be executed only ANY OTHER HARM.
upon the parties erring:in to u written change order detailing such changes and the f9. C try for special.
Damages,Bath Fittrr'N will not he liable to the Owner or any coots
re-suiting change to the contract price.Each change order shall become pan M`the party for special.indirect.a ttemmt oriah,exemplary or punitive damages or coots
Contract Documents.All work shall he performed under the same tenor.and arising out erne related to the Proieut or these Contract Documents,even tithe parties
conditions as specified herein unless mutually agreed in writing. arc knowledge o1-such damages or costs and whether Diner ouch damages or costs
7. Method of Payment.lire method of payment of the contract price shall be tw set are foeaecahk-
torth in the attached Order,hnmdtately upon completion of the Project,the Owner 20- N with Ilia 6•The only warranty offeredhu on the material you purchnacd in oar morn thcr
agrees to pay to Bath Fitters the balance of the total agreed upon priest,less the initial the Contract Documents is the manufacturer's warranty.For silicone or any like
deposit If partner t is not made,all disc-Hunts will he reversed and an adjusted invoice
substance jottiet are a I_'mmtth warranty from personal
duty is offered.The
will be sent to Owner,Ownt shall ftdeinnify and reimburse Bath Fitterh for all above warranties are not transferable and air for your personal benc(it only.The
reasonable tsars of collection associated with late payment or nonpayment including warranties offered in relation to this Agreement and the remedies set forth therein
but not limited to reasonable attorneys fees.A late charge of 1 t%pet month shall are exclusive and in lieu of all other rii waromioat remedies and cs all statutory
whether be added to all overdue balances(nominal anneal percentage rota of 12t°:s).There oral written,statutory,express or implied-Bath Finer disclaims all statutory and
will bea S25 lit fee for any returned check. implied warranties,ateuincluding wdd woe limitation,terga legal warranties of erects and
R. Payment Options.Bath Fillent(offers third party financing for qualified buyers,If fitness for a particular tnnp(nde and warranties against hidden or knot(defects.Bath
you choose to finance your purchase and your application is a oved,a third art wtain limitsiscontained the n t erei not comedies of such w•arramies to the durmion of the
finance contract will prevail and nnay provide for a differ:ntt monthly paymem wararatioiStlieruhi
amount and terns that shown in the Contract Documents,"net option of financing 21. ageIntermest n and Srvtrai T re Contract Documents s contain the entire
Wray only be scanted at the time you place your order. agreement between the parties here'"and snpccyede all prior oral or written
`), Permits.Owner slat furnish and pay for,at their own expennse,taxis,permits and understandings.Should any part of the Contract Documents fix any reason he fond
licenses.including without limitation,local and municipal permits and licenses, invalid,such a determination shall no Whet the validity of any remaining minion of
required by!ascot any applicable regulations to perform the work in accordance widn the Contract Documents.Agreemen If thet
Order and this Agreement are in anywayim:osu:istrnt •
these Contras Documents. You hereby agree to defend,indemnify and hold Bath 22 with each other,.this Agrrenlcnt shaRll govern.
Fitter harmless,of front and against any claims,liability.suits,damages,expenses, Applicable m Lass and oraccordance
Dispute ancowith the The;of the DocumentsrtM shall is
•
rasa(including reasonable attorney tors),tints and governed and s. wed in aeconlmutt with laws of the Slate of l or Massachusetts.
penahies attributable to your For any claims.oatcadispute or other matter in any'provision
arising our of or teric to
iuilure n comply with the above obligation.In all instances where Bath finer would these Contract Dew meats.or the breach of any provision thereof,Bath Fitter%may
detennme in its discretion it would provide any of the ahovementiontd rains or
licenses, it will rota'• P submit the dthe(l to a private sccr A ion firm which has been approved by the
•
udminisntive CUse1 will be added to the contract dl ace.Bath Fittera'ng camux she able held acid Osr of the It Ice remitted.of Con.umcr Affairs and Business Regulm vi ed .BR"1
respxmsihle fo any pxmtit related(klaya and Oxnher shall le Chapter 142A.The ec o submit to sock arbitration as provided in 41GL,
10. Debora_Although Bath Fillerit makes every effort to do so,Bath Filter?t•canna patty's reasonable^attorney fees,casailing ts,and a d expety in thenses. •
out shall pay the prevailing
guarantee that your installation will be completed in one day.In addition.on occasion 6.tT�r,t •
Bath Enters':will be forced to postpone the man date of a project whether due to L ry
1.03
ED by Ele Con
scheduling rootlets.labor or material shortages-It is Bath Fitter-re policy to notify 3 ' T
2021
the customer as soon as any change is known.You will be infinned of the reach Inc Owner' Signamm. Date to
s .'. ...... ,
nt
the delay and the revised installation date.If the installation is delayed orsn takes ore
than one day,Bath Filters-cannot he held responsible fix any reimbursement, E 3 Ri ch corn •
discount compensation or any other type of compeation to you for claims of inconvenience a 2023- 3.13 21:36:25 GMT •
charge.
Signature any other harm.I'ancecsxary delay.+exp etteoecd by onetednician caused by Owner -' ---
Bath Ffitrrk .
•
•
will remit in an additional Dale
1 I. NOTICE OF CANCELLATION; THE OWNER MAY CANCEL THIS23. line of Email for Customer Feedback.Front time to time,Bath Entente(or any of •
its third pang strategic partners and service providers) wish to contact you at the
TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD 13tu1 •
BUSINESS DAY AFTER THE DATE OF THIS AGREEMENT-BECAUSE BATlf e-mail address sr forth on the attached Order.Yell hereby providers)
t to Bath renc,ut •
FITI'ER�IE PRODUCTS WTId.BE CUSTOM MADE FOR YOU,BATH FITTER,* our any of its Hurd party a lire partners and service proyidcrs)to use your acts,CANNOT REFUND YOUR DEPOSIT AFTER'WP.CANCELLATION PERIOD
to communicatee with you fi>r the purpose of improving Bath educit"s products. •
HAS EXPIRED. services and marketing,including obtaining your feedback and conducting customer
12. jIOMESOLICITATION,YOU MAY CANCEL TINS AGREEMENT IF ITIlAS remit atdsatistaeion surveys.
BEEN SIGNED BY A PARTY THERETO AT A PLACE OTHER THAN AN 7• I agree with the use...Willy e-mail for these purposes
ADDRESS OF THE SELLER, WHICH MAY BE HIS MAIN OfT'it'E OR 4 subcontractor.
IeJtte s law grunts lien rigger to builders.Any cunstnictims contractor,BRANCH THEREOF,PROVIDED YOU NOTIFY TIIE SELLER IN WRrTING suhcontractu,tradesman our material supplier who is not paid can record a lien on
AT THIS MAIN OFFICE OR BRANCH BY ORDINARY MAIL POSTED,BY the papery being imps cat od If not discharged by payment,this mechanics"lien will TELEGRAM SENT OR BY DELIVERY.NOT LATER THAN MIDNIGHT or become a security like a mortgage ou the property.
TIIE THIRD BUSINESS DAY FOLLOWING 'DIE SIGNING OF THIS �5' Registration.All rannrhrs and auixnnrract<ads must he registered e by the(K'AHR.
AGREEMENT.SEE TILE ATTACHED NOTICE OF CANCELLATION FORM and any inquiries ulxnut a rnnnacmr or subconvacto relating to•a regisu'atinn sltotlU
FOR AN EXPLANATION OF THIS RIGHT. be directed to O('ABR.
13. Fora Majeure.Bath Finerfr shall not be held liable for any loss,damage or delay u not sign this Agreement if there are any blank.spaces.
in connection with this agreement dire to delays in transportation of tnatrials, I understand and agree he the corms and dated
above,including withoutother
accidents,theft,fire,labor disputes,insurrection.acts of God or any other rause limitation the terms of the a ducbce!Order dated and all other
beyond Bath Fitterii:'s content. Contract Documents of same date. --
14. Rrmmoxa elF'eon,g EIssurgs Bath Fitter is not responsible for the removal auto Dated our Y"^"n`an ,Massachusetts an the ° ' day of March
reinstallation of fixtures,including electrical Fixtures,Bath Fitter will not remove 2023 -- '
and'or reinstall any of your existing fixtures.including,without limitation,shower
doors.to the event that the doors will no longer tit,Bath hitherto no he held ED by Ele
1: r. p
responsible for any reimbursement,discount or any other type of compensation to
you for replacement of these fixttircx. Signature of Property Owner or Duly Authorized by PropertyOwner - •
-
15. mud.Mold occurs naturally in almost all indoor envimamtcnts.Mold spores enter Eleanor O'Connor
homes duough dooways,.windows and a variety of other ways.A Bath Fitter*: -- i
installation may include the removal of wet,loose,defective.discolored or odorous Name of Property Owner our Duly Authorized IN'Property Owner(rktee Priori)
e tame,
surfaces and the washing of remaining surfaces with a household bleach solution. Yamnsith Massachasosn,aeon
Bath Fittcrtt and its representatives stake no warranty or representation of any kind
express or implied,regarding the presence or absence of mold.or regarding the — -��
effectiveness of any biocide deigned for reducing the presence.effect or growth of ath ohs o1 Pmperty ten or Duiy Ambwrizcd Ay Property Owner-- `
moll,and make no warranty or representation with re Bath Fdtar Bndgenxafar are.
spurt to,and cannot be held
responsible for,the presence ofmokl in your horse subsequent to the Bath Fifteen
installation.
21:3 GMT
16, Installation If;during the installation phase,Bath Fitment is perform to pem Per o 202' 13 216;30 GMT
Name of Consultant
•
•
repairs to existing walls,additional charges will apply at the convent service roles,
rectumSerino- - :
•
1
NOTICE OF CANCELLATION FORM FOR HOME SOLICITATION SALE
Date of Transaction:
2023 03-09
Ref 0:375-LF07836J-RSE
Date this contract is signed:
Ref If:
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 when
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 Filter Bridgewater Inc.
25 TURNPIKE S-r,,
WEST 13RIDGEWATER,MA,
2023.03-15
Not later than midnight of
I hereby cancel this transaction.
Date:
Signature of Property Owner or Duly Authorized by Property Owner: