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HomeMy WebLinkAboutBLD-23-000163 pa 'i 1 (1 /2 Z ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 ilk Massachusetts State Building Code,780 CMR �' Building Permit Application To Construct, Repair, Renovate Or Demolish '-:: o t a One-or Two-FamilyQ 'Dwelling This Section For Official Use Only Building Permit Number: jC.D 2343Q)1(o3 I Date Applie . � l i �ECEIVED 1 -ramp;S r Building Official(Print Name) • attire ' J �i Dat1[Jj 08 2022 SECTION 1:SITE INFORMATION 1.1 Pro erty Addr s: 0 i . 1.2 Assessors Map&Parcel Numbers i BUILDING CEPARTMENT 1.1 a Is this an accepted street?yes N no Map Number Parcel Number u.S PS 1.3 Zoning Information: 1.4 Property Dimensions: fl) Jj Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) 5 Front Yard Side Yards I Rear Yard ) I) ( 3 Required I Provided Required Provided Required `�/ I _ q Provided 1.6 Water Supply: (1vi.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Check if yes❑ Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' Ov�r'of Ijfe�o�rd.SDn y4/� t/ Name(Print) �} �""�"�''�' ' }�- 0OZ.44 7' .73 r1 kJd City,State,ZIP q �{ No.and Str t )`_ t �{1 7- g q?'�Q�!1`� err axe Amon p 2„.4..a.,D Telephone Email Ad re �` SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building❑ I Owner-Occupied ❑ i Repairs(s) k I Alteration(s) ❑ I Addition ❑ Demolition Cl Accessory Bldg. 0 I Number of Units Other ❑ Specify; Brief Description of Proposed Work2: . S ez,-V- p SS-I �l�-toed -�a SECTION 4: ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: (Labor and Materials) Official Use Only I.Building $ 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee P4\4( 3.Plumbing $ ❑Total Project Costa(Item 6)x multiplier x /2. Other Fees: $ _ '+) 4.Mechanical (HVAC) $ List: c( C \ 5.Mechanical (Fire `` Suppression) $ Total All Fees:$ 6.Total Project Cost: $ Check No. Check Amount; Cash tint >`�53 ❑Paid in Full 0 Outstanding b Balance Du : 11 V1 SECTION 5: CONSTRUCTION SERVICES Snstruction Supervisor License(CSL) he o ore l License Number — � Name of CSL Holder License Number Expiration ate .5� E-1 AiYI 2\- -*, List CSL Type(see below) LA No.and Street Type ( Description tit C�/r'i v n NIA. 7S U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP R Restricted 1&2 Family Dwelling M Masonry • RC j Roofing Covering WS Window and Siding IpY., 1I/,,, SF Solid Fuel Burning Appliances `td e4.Co✓!s> I Or1 p1rytsca,,.v I Insulation Telephone Email address 5.2 Registered Home Improvement Contractor(HIC) D Demolition HIC omp �arite or HIC Re ist• #t Name HIC Registration Number Expiration Date No. d Street ��t. kd / l I / ev C-0ns r &ipn(D I ye,.Ccw� 1ia�lan IV/� a 73S1 $ 9 Email address City/Town, State,ZIP Telephone SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes ro No SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this it application. 4)C,csoa- Print Ppwin 7 Owner's Name(Electronic Signature) �( . Datee • 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. Pant o'r Authorized Agent's Vu )" 7/ Z. Agt's Name(Electronic Signature) ! ieJa 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)Program), will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A. Other important information on the inc 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.) ig (ncludinb garage,finished basementlattics, decks or porch) Gross living area(sq.ft.) Number of fireplaces Habitable room count Number of bathrooms Number of bedrooms Type of heating system Number of half/baths Type of cooling system Number of decks/porches Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" / DATE(MMIDDIYYYY) ADO D CERTIFICATE OF LIABILITY INSURANCE 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 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 PRODUCER NAME: FAX 203-654-3613 BIBERK PHONE 844-472-0967 (AIX,No): (A/C,No,Ext): P.O. Box 113247 E-MAIL customerservice@biBERK.com Stamford, CT 06911 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Berkshire Hathaway Direct Insurance Company 1U391 � INSURER A: ( I eoaIore Bailey INSURER B: INSURER C: 58 Delano Rd Apt 1 INSURERD: Marion, MA 02738-2011 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: ICY PEROD ITHIS IS TO ND CATED.CNOTTWITHSTANDING OALNYERIFY THAT THE I REQUIREMENT, TERM OR COND ES OF INSURANCE LISTED BELOTIONHAV OF ANY CONTRACT OR OTHER DOCUMENT WIE BEEN ISSUED TO THE INSURED NAMED TH RESPECT TO FOR THE LW WHICH THISI 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 (MMIDDIYYYY) (MMIDDIYYYY) 1,000,000 X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED $ 50,000 CLAIMS-MADE i X OCCUR PREMISES(Ea occurrence) A N9BP424491 04/28/2022 04/28/2023 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ Included GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: �, 2 00� 00� RO- PRODUCTS-COMP/OPAGG ,,$ POLICY JECT LOC $ X OTHER: COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $_ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ I $ PER OTH- WORKERSCOMPENSATION STATUTE ER IP AND EMPLOYERS'LIABILITY Y I N ANYPROPRIETORARTNERIEXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N I A E.L.DISEASE-EA EMPLOYEE $ (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below Professional Liability (Errors & Per Occurrence/ Omissions): Claims-Made Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Theodore Bailey ACCORDANCE WITH THE POLICY PROVISIONS. 58 Delano Rd Apt 1 Marion, MA 02738-2011 AUTHORIZED REPRESENTATIVE .1A Yi4CL ` � ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD '4�oizo� CERTIFICATE OF PROPERTY INSURANCE DATE(MMlDD/YYYY) 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 FAX BIBERK (A/C,No,Ext.): ( ) 472-0967 E-MAIL (A/c,No): (203) 654-3613 P.O, Box 113247 ADDRESS: salessupport@biberk.corn Stamford, CT 06911 PRODUCER CUSTOMER ID: INSURED INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Berkshire Hathaway Direct Insurance Compai 238130 Theodore Bailey INSURER B: 58 Delano Rd Apt 1 INSURERC: Marion, MA 02738-2011 INSURERD: INSURER E: COVERAGES INSURER F: CERTIFICATE NUMBER: REVISION NUMBER: LOCATION OF PREMISES/DESCRIPTION OF PROPERTY (Attach ACORD 101,Additional 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 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 TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER COVERED PROPERTY DATE(MM/DD/YYYY) DATE(MM/DD/YYYY) LIMITS X I PROPERTY BUILDING $ 0 CAUSES OF LOSS DEDUCTIBLES BASIC BUILDING N9BP424491 04/28/2022 04/28/2023 PERSONAL PROPERTY $ 0 BROAD 250 BUSINESS INCOME $ * CONTENTS EXTRA EXPENSE $ * X SPECIAL RENTAL VALUE $ EARTHQUAKE BLANKET BUILDING $ n/a WIND 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 101,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 58 Delano Rd Apt 1 ACCORDANCE WITH THE POLICY PROVISIONS. Marion, MA 02738-2011 AUTHORIZED REPRESENTATIVE 4::fi ©1995-2015 ACORD CORPORATION. All rights reserved. ACORD 24(2016/03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts IlitDivision of Occupational Licensute Board of Building,,.•,Reequlations and Standards ConstOr 4 on SUKrvisor N... •y CS-10C386 c spires: 10/01/2023 THEODORE *BAILEY m 58 DELANO RD ' APT1 MARION MA 62738 ; `' la, 4rit.I,v,{' Commissioner d K. 0Cartata- 4 • %i- i,,,,v. n/(oprcW.ny7. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Individual Registration Expiration 165792 11/18/2023 THEODORE J BAILEY THEODORE BAILEY /) 58 DELANO RD APT 1 / MARION,MA 02738 Undersecretary §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-22311 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,33 y 1y 31 1i Work Address Is to be disposed of oat the following location: J �� Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. 7 * 2.Z Signature pplication Date Permit No. Bath Fitter Bridgewater Inc. 25 TURNPIKE ST,'-----—- TYPE:Contract BATH WEST BRIDGEWATER,MA,02379 DATE:2022-03-09 FITTER` REF#:375-LOJUZOPY-MCO Tel:508-521-2700 Fax:508-588-4303 BFU375@bathfitter.com CUSTOMER BILLING ADDRESS SERVICE ADDRESS Brian Alexson 33 captain daniel rd., 33 captain daniel rd., South Yarmouth,Massachusetts, South Yarmouth,Massachusetts, 02664 02664 Tel: 617-997-6614 Tel: Email: brianalexson@gmail.com DESCRIPTION OTY PRICE Bathtub Over Bathtub/ White 2 Pieces/Left 1 INCLUDED Standard/Aristocrat(4-6') Drains/Bath Tub/Pop-up Chrome INCLUDED stopper&overflow PLU 191, PLU386,PLU444 Organizational Items/Corner White 1 INCLUDED Shelf/Oxford Double Corner Shelf Faucets/Moen Tub&Shower Chrome/2.5 GPM Tub and Shower 1 INCLUDED Faucet Set/Chateau- Positemp 1 �f Faucets/Moen Valves/ /N/A N/A 1 INCLUDED Positemp Valve 2570/PLU182 With Shut Off Doors&Curtains/Rods/ Chrome 601N 1 INCLUDED Curved One Piece Seamless Wall/ White 841N X 1321N(831N X 131IN) 1 INCLUDED Palermo 6"X6"Tile Pattern Wainscoting/Beadboard White 1 INCLUDED Organizational Items/Towel White 1 INCLUDED Bars/Oxford Towel Bar Organizational Items/Toilet White 1 INCLUDED Paper Holders/Oxford Toilet Paper Holder Permit 1 INCLUDED N/A Bath Fitter Bridgewater Inc. 25 TURNPIKE ST, TYPE:Contract' • BATH WEST BRIDGEWATER,MA,02379 DATE:2022-03-09 FITTER' — — REF#:375-LOJUZOPY-MCO Tel:508-521-2700 Fax:508-588-4303 BFU375@bathfitter.com DESCRIPTION QTY PRICE Remove and Dispose Door 1 INCLUDED Wall Preparation 1 INCLUDED Window 1 INCLUDED Wall Repair Wall repair 1 INCLUDED Plumber Remove and reinstall toilet 1 INCLUDED and vanity new Same day purchase -$300.00 Sub Total $9,353.00 Customer knows we are 18-20 weeks out TOTAL $9,353.00 Deposit/Payment $1'°°(/'00 Balance due on completion $8,353.00 /Balance Financed Cash I understand that Bath Fitter and its representatives are not qualified to advise me on mold detection or clean-up.I have bean 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. (2o -03- T/3:2 :42EST 202 -09T1 .2 :24 ST Mario Conde Signature of Property Owner or Duly Authorized by Property Owner Bath Fitter Bridgewater Inc. Bath Fitter Bridgewater Inc.("Bath Fitters")-Terms and Conditions—Massachusetts I. Contract Documents 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 Finer®(collectively.'the Contract Documents"). existing materials. Bath Fitter®cannot be held responsible for these damages 2. Scope of Work. Bath Fitter®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 Fitted[ is not detail on the attached Order(the"Project"). responsible for minor damages,due to imperfections in any bathtub or wall tile that 3. Access,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 aa service call that is the result of inadequate maintenance,Owner Owner.Owner shall remove all obstacles such as furniture and appliances from the installation area and Owner shall provide all heat and lighting for Bath Fitter®to will be invoiced at the current service rates. perform the Project.During the installation,Bath Fitter®shall properly dispose of 17. Colors,Marbled colors or patients may vary.Bath Finer®cannot guarantee the remnants and scrap material relating to the Project.If a defect is alleged in either consistencyof the colorpatters workmanship or product,immediate notification must be made and Bath Fitters throughout the tub,walls or accessories. must be allowed ready access in order to assess and/or make any repair of the alleged 18. Bath Fitter®Right to Suspend or Terminate:Limitation of Liability Bath defects. Fitter®is not responsible for legal encumbrances,building/zoning code violations, 4. F feces Plumbing. It is expressly understood by the parties that neither Bath plumbing or structural deficiencies,or the discovery of or removal of asbestos.mold, lead paint or other hazardous or toxic substances or materials.If Owner breaches the Fitter®nor any Bath Fitters employee,agent or subcontractor is a licensed architect Contract Documents,or if Bath Fitter®discovers any of the above.Bath Fitter®may or professional engineer.Bath Fitter®is not responsible for inspecting.servicing,or immediately terminate the Contract Documents without further obligation to Owner modifying your existing plumbing fixtures and facilities. Because the existing or,in its entire discretion,discontinue work on the Project pending proper cure of the plumbing at the Project location may be old,corroded,or in need of repair or breach and/or applicable correction by properly qualified firms at Owner's expense. replacement,Bath Fitter®cannot be responsible for damage to the chrome finish, Owner agrees to pay Bath Fitter®the costs of materials,labor and services provided blocked drains or plumbing below or behind the tub,including shut-off valves,or for by Bath Fitter®through the date/time of termination,plus any other amounts allowed any damage caused by faulty plumbing. Bath Finer recommends replacing old under applicable law. fixtures when installing a new wall system. 5. Sonlract Price.Owner agrees to pay Bath Fitter®the amount set forth on the IF BATH FITTER®IS UNABLE TO COMPLETE THE PROJECT FOR ANY attached Order,unless otherwise mutually agreed upon between the parties hereto by REASON UNRELATED TO A REFUND TO OWNER,BATH FITTEROSI LIABILITY SHALL virtue of a written change order. BE LIMITED TO A OF OWNER'S DEPOSIT. BATH FITTER® CANNOT BE IIELD RESPONSIBLE FOR CLAIMS OF INCONVENIENCE OR 6. Chance Orders. Any alteration or deviation from the above contractual ANY OTI(ER HARM. specifications that results in a revision of the contract price will be executed only 19 Conseaueutiel Damages,Bath Fitter®will not be liable to the Owner or any third upon the parties entering in to a written change order detailing such changes and the party for special,indirect,consequential,exemplary or punitive damages or costs resulting change to the contract price.Each change order shall become part of the arising out of or related to the Project or these Contract Documents,even if the parties Contract Documents.All work shall be performed under the same terra and have knowledge of such damages or costs and whether or not such damages or costs conditions as specified herein unless mutually agreed in writing. 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 I ti per month shall oral.written,statutory,express or implied.Bath Finer 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 525.00 fee for any returned check. tinges for a particular purpose and warranties ag ainst hidden or latent defects.Bath g. Payment Options.Bath Fitter®offers third party financing for qualified buyers.If 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 Severability. The Contract Documents contain the entire amount and temi than shown in the Contract Documents.The option of financing agreement between the parties here`° and supersede all prior oral or written may only be selected at the time you place your order. understandings,Should any y part of the Contract Documents for any reason be found 9. Permits,Owner shall famish 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. Amslicable Law and Dispute Resolution. 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 licenses, it will notify you and the pert ut/hcense fee including reasonable Director of the Office of Consumer Affairs and Business Regulation("OCABR") administrative costs will be added to the contract price. Bath Finer®,cannot be held and Owner shall be required to submit to such arbitration as provided in MGL, responsible for any permit related delays. Chapter I42A.The non-prevailing party in the arbitration shall pay the prevailing 10. Delays,.Although Bath Fitter®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 -03-09T 1 3: : EST Bath Finer®will be forced to postpone the start date of a project whether due to \ scheduling conflicts,labor or material shortages.It is Bath Fitter®policy to notify i/v-"'"' 2022.03-09 the customer as soon as any change is known.You will be informed of the reason for "'--- a----------- Own2op-o3-o9 --Date the delay and the revised installation date.If the installation is delayed or takes more (�2022.03-09T1 ji:20:48EST than one day,Bath Fitter®cannot be held responsible for any reimbursement, ✓/ discount,or any other type of compensation to you for claims of inconvenience or ��'`� ` -'� - 2022-03-09 any other harm.Unnecessary delays experienced by our technician caused byOwner il Bath Fitter®Signature Date will result in an additional charge. 1 1 I. NOTICE OF CANCEL!ATIOIY. THE OWNER 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 TO MIDNIGHT OF THE THIRD(3R0) its third party strategic partners and service providers)may wish to contact you at the e-mailaddress set forth on the attached Order.You hereby authorize Bath Fitter® BUSINESS DAY AFTER THE DATE OF THIS AGREEMENT.BECAUSE BATH FITTER PRODUCTS WILL BE CUSTOM MADE FOR YOU,BATH tl l 1 tR'ff (or any of its third party strategic partners and service providers)to use your email CANNOT REFUND YOUR DEPOSIT AFTER THE CANCELLATION PERIOD to communicate with you for the purpose of improving Bath Fitteu®'s products, HAS EXPIRED. services and marketing,including obtaining your feedback and conducting customer 12. HOME SOLICITATION.YOU MAY CANCEL THIS AGREEMENT IF IT HAS research and satisfaction surveys. BEEN SIGNED BY A PARTY THERETO AT A PLACE OTHER THAN AN I agree with the use of my e-mail for these purposes 24, Liggi.Massachusetts law grants lien rights to builders.Any construction contractor, ADDRESS OF THE SELLER, WHICH MAY BE HIS MAIN OFFICE OR subcontractor,tradesman or material supplier who is not paid can record a lienon BRANCH THEREOF,PROVIDED YOU NOTIFY THE SELLER IN WRITING AT HIS MAIN OFFICE OR BRANCH BY ORDINARY MAIL POSTED,BY the property being improved.If not discharged by payment,this mechanics'lien will TELEGRAM SENT OR BY DELIVERY,NOT LATER THAN MIDNIGHT OF become a security like a mortgage on the property. 25. Registration.All contractors and subcontractors must be registered by the OCABR, THE THIRD BUSINESS DAY FOLLOWING THE SIGNING OF THIS and any inquiries about a contractor or subcontractor relating to a registration should AGREEMENT.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. be directed to OCABR. Do 13. Force Maieurg.Bath Fitters shall not be held liable for any loss,damage or delay 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(rod,or any other cause limitation the terms of the attached Order dated 2022'03-Os and all other beyond Bath FitterS's control. Contract Documents of same date, 14. Removal of Fxisti Fixtures, Dated at South Ya,mosds ,Massachusetts on the t190, day of March Rg Bath Finer is not responsible for the removal andL'or reinstallation of fixtures,including electrical fixtures.Bath Fitter will not remove 202 • and/or reinstall any of your existing fixtures,including,without limitation.shower 2022209T 1 ei 2 EST doors.In the event that the doors will no longer fit.Bath Fitter®cannot be held responsible for any reimbursement,discount,or any other type of compensation to ,/vim' you for replacement of these fixtures. Signature of Property Owner or Duly Authorized by Property Owner 15. Mold.Mold occurs naturally in almost all indoor environments.Mold spores enter Brian Meissen 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 Name of tain darnel Property Owner or Duly Authorized by Property Owner(Please Prior/ surfaces and the washing of remaining surfaces with a household bleach solution. 3Sw3 m Yarmouth.th(Massachusetts.02864 Bath Fitter®and its representatives 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 cannot be held Bath Finds Brdgewater Inc. responsible for,the presence of mold in your home subsequent to the Bath Fitter® -J(�� -�/�,9 3: •50EST 16. lBptallatloa,If,during the installation phase,Bath Fitter®is Per: re' repairs to existing walls,additional charges will apply at the curreenteservicerrates. -- repairs Conde Consultant NOTICE OF CANCELLATION FORM FOR HOME SOLICITATION SALE Date of Transaction: 2022-03-09 Ref it: 375-LOJUZOPY-MCO Date this contract is signed: 2022-03-09 Ref#: 375-LOJUZOPY-MCO 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 Fitter Bridgewater Inc. 25 TURNPIKE ST, WEST BRIDGEWATER. MA. 02379 Not later than midnight of 2022-03-14 I hereby cancel this transaction. Date: Signature of Property Owner or Duly Authorized by Property Owner: