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HomeMy WebLinkAboutBLD-23-000162 pA 1 vo /7/L ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department 1146 Route 28, South Yarmouth,MA 02664-4492 fik.508-398-2231 ext. 1261 Fax 508-398-0836 { : :.\\ Massachusetts State Building Code,780 CM . : �• •"�`.. Building Permit Application To Construct, Repair, Renovate Or Demolish , Dwelling a One-or Two-FamilyQ ' This Section For Official Use Only Building Permit Number: b 3-b (12, Date Applied: Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION TR E C E I V E D 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers s7 , ✓erjrc.er) .54- 5. �*wJ --__-- _-- 1.1 a Is this an accepted street?yes ✓ no Map Number Parcel Number JUL()8 2022 1.3 Zoning Information: 1.4 Property Dimensions: BUILDING DEPARTMENT ZoningDistrict Proposed Use �y — -- ---.P Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) 5 pS Front Yard Side Yards Rear Yard InOna) Required I Provided Required Provided Required Provided 3SUD 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private 0 Zone: _ Outside Flood Zone? it I ZOL4 Check if yes❑ Municipal El On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Oyvner'of Record: Name(Print) ~ramrcr, City,State,ZIP .57 .i' 78I- 1'35- 7Ja,1 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK^(check all that apply) New Construction 0 Existing Building❑ ( Owner-Occupied ❑ I Repairs(s) 0 ! Alteration(s) a. I Addition 0 Demolition 0 I Accessory Bldg. 0 ) Number of Units- 1 Other 0 Specify: Brief Description of Proposed Work2: - ceb h0 e^ w, 4 ekv (tra �_ 9t-- ,/Shoes t- 9— s s J ,y SECTION 4: ESTIMATED CONSTRUCTION COSTS, Item Estimated Costs: l �C (Labor and Materials) Official Use Only 1.Building $ 1. Building Permit Fee:SI _Indicate how fee is determined: '(' 2.ElectricaI $ .Standard City/Town Application Fee Ut 3.Plumbing - 0 Total Project Costa(Item 6)x multiplier x t' 1� $ 2. Other Fees: $ t' U\ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Suppression) $ Total All Fees:$ - 6.Total Project Cost: $ (.�' 7,° Check No. Check Amount; Cash unt• �j / 0 Paid in Full 25 Outstanding u \ \\ ,1(/ a. ONE or TWO FAMILY— BULDING PERMIT APPLICATION REGULATORY APPROVALS NOTICE Address of Proposed Work: 7 r fri 3, i• ies<-1kixt..2)-4 Scope of Proposed Work: iAye e.XtS' el *T Lass 1-4Dj-5 i r w,n — 1,01 r, n tat) ;e 'rv. )s(i,otze.r- ci— 1DetA St.5 54tPt, Date: Based on the scope of work described above, the applicant is required to obtain approval sign- offs from the following departments as checked-of below: Health Dept. —508-398-2231 ext. 1241 Conservation —508-398-2231 ext. 1288 Water Dept. —99 Buck Island Road, 508-771-7921 Old Kings HWY. Hist. Comm. —508-398-22631 ext. 1292 Engineering Dept. —508-398-2231 ext. 1250 Fire Dept. —Kevin Huck/Scott Smith, 96 Old Main Street, SY Note: Please call Fire Department for an appointment. 508-398-2212 Other Appropriate plans and/or application shall be provided to each departments checked-off above. Each of these regulatory authorities has their own requirements outside the jurisdiction of the Building Department. All applicable approvals shall be obtained prior to submitting a building permit application to the Building Dept. Thank you for your cooperation. Receipt Acknowledgement: ,D .Z4. Applicant's Signature Da e Rev. Jan. 2019 SECTION 5: CONSTRUCTION SERVICES 1 Construction Supervisor License(CSL) c,i, ,,vt CDc Ar S_ IPP "A seNumb f t0`►la3 w.t License Number Expiration Date Name of CSL Holder --b List CSL Type(see below) NLt -cvv- andStreet Type.+ ` Type Description ription aa�3�r I Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP Restricted 1&2 Family Dwelling M Masonry • RC I Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances •S0k^9sa-Sys��,�P 'mY1� '1t1��I I Insulation Telephone Email address D I Demolition Registered Home Improvement Contractor(HIC) �cn A,a rC, S 1 a 1��i Ste,f�3 I-lIC Co y dame or HIC egistrantfilame HIC Registration Number Ekpiration Date rGt J O l� rd Street p , , b/u\tj•ceosiT 6 o. n@iiitr.• C.1?Nt vl(1 04— Da73fr 614-13a--5 147 •! 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 ❑ No Cl • 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 'heocctC _ :\ to act on my behalf,in all matters relative to work authorized by this building permit—pplication. Print Owner's Name(Electro3sid Signature) Date • SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Y tained+n—. A. Print Owner's or Aut orized Acr is Name(Electronic Signature 4 f�D/°Z 3 } Date NOTES: l. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program), will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program can be found at www.mass.aov/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.) Number of-fireplaces Habitable room count of bathrooms Number of bedrooms Number Number of half/baths Type of heating system Type of cooling system Number of decks/porches Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" • The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 .•�°� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/lnditridual): Address: City/State/Zip: Phone #: Are you an employer?Check the appropriate box: _ Type of project (required): I. I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp. insurance required.] 3.0 I am a homeowner doing all work myself. (No workers'comp. insurance required.]t I. Demolition I am a homeowner and will be contractors to conduct all work on my10 ❑ Building addition 4. ❑ hiring property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.[ Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.t 13.[Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.0 Other 152,§1(4),and we have no employees. [No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a Fine of up to$250.00 a day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: r ® DATE(MM!DD!YYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 06/08/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: BIBERK PHONE 844-472-0967 FAX 203 654 3613 P.O. Box 113247 (A/C,No,Extt: (A/C,No): Stamford, CT 06911 E-MAIL customerservice@biBERK.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: �J$ Berkshire Hathaway Direct Insurance Company 1U391 (Ileolp�ore Bailey INSURERB: INSURER C: 58 Delano Rd Apt 1 INSURERD: Marion, MA 02738-2011 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYYI IMM/DD/YYYY! X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTE CLAIMS-MADE X OCCUR PREMISES(Ea occur ence) $ 50,000 A N9BP424491 04/28/2022 04/28/2023 MED EXP(Any one person) $ 5,000 PERSONAL&ADVINJURY $ Included GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- POLICY JT LOC PRODUCTS-COMP/OPAGG ,$ 2,000,000 X OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (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$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Professional Liability (Errors & Per Occurrence/ Omissions): Claims-Made Aggregate DESCRIPTION OF OPERATIONS!LOCATIONS/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 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACORE? CERTIFICATE OF PROPERTY INSURANCE DATE(MM!DDTYYYY) 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. PRODUCER CONTACT NAME: PHONE (844) 472-0967 FAX IA/C,No,Ext): (A/C,No): (203) 654-3613 BIBERK E-MAIL P.O. Box 113247 ADDRESS: salessupport@biberk.com PRODUCER Stamford, CT 06911 CUSTOMER ID: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A:Berkshire Hathaway Direct Insurance Compel 238130 INSURER B: Theodore Bailey 58 Delano Rd Apt 1 INSURER C: Marion, MA 02738-2011 INSURERD: INSURER E: INSURER F: COVERAGES 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 NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE(MM/DD/YYYY) DATE(MM/DD/YYYY) COVERED PROPERTY LIMITS X PROPERTY BUILDING $ 0 CAUSES OF LOSS DEDUCTIBLES PERSONAL PROPERTY BASIC BUILDING N9BP424491 04/28/2022 04/28/2023 BUSINESS INCOME $ BROAD 250 CONTENTS EXTRA EXPENSE $ X SPECIAL RENTAL VALUE $ EARTHQUAKE BLANKET BUILDING $ n/a 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 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 ©1995-2015 ACORD CORPORATION. All rights reserved. ACORD 24(2016/03) The ACORD name and logo are registered marks of ACORD 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 xr4lGG(aifte i' MARION,MA 02738 Undersecretary ( Commonwealth of Massachusetts Division of Occupational Licensure I Board of Building Regqul !Tations and Standards I Cons' Ion \ fvisor CS-10C386 z E�,cpires: 10/01/2023 THEODORE BAILEY A 58 DELANO RD APT 1 "� MARION MA 0738 ..... ;, rt. Commissioner dia ct fi. UCur�Vln I Bath Fitter Bridgewater Inc. 25 TURNPIKE ST, TYPE:Contract BATH WEST BRIDGEWATER,MA,02379 FITTER` DATE:2022-05-21 REF#:375-L3G46SSA-JCL Tel:508-521-2700 Fax:508-588-4303 BFU375@bathfitter.com CUSTOMER BILLING ADDRESS SERVICE ADDRESS Clare Hanagan 57 Evergreen Street, 57 Evergreen Street,South Yarmouth,Massachusetts,02664 Yarmouth,Massachusetts,02664 Tel: 781-835-7124 Tel: r Email: clarehanagan16@gmail.com DESCRIPTION OTY PRICE Free Standing Bathtub/ Pearl Right/32 inches/60 inches 1 INCLUDED Duchess/Aristocrat(4-6') Drains/Bath Tub/Pop-up Chrome INCLUDED stopper&overflow PLU 191, PLU386,PLU444 One Piece Seamless Wall/ Pearl 90IN X 1321N(901N X 1321N) 1 INCLUDED Torino-Smooth Wall Organizational Items/Corner Pearl 1 INCLUDED Shelf/Oxford Double Corner j ( Shelf .; , Faucets/Moen Tub&Shower Chrome/2.5 GPM Tub and Shower t INCLUDED Faucet Set/Chateau- Positemp Faucets/Moen Valves/ /N/A N/A 1 INCLUDED Positemp Valve 2570/PLU182 With Shut Off Doors&Curtains/Rods/ Chrome 66IN 1 INCLUDED liil Straight Permit 2 INCLUDED Relocate Drain 1 INCLUDED Remove Existing Tub and Wall 7 INCLUDED Wall Repair 3 walls of repair t INCLUDED N/A Bath Fitter Bridgewater Inc. • 25 TURNPIKE ST, TYPE:Contract BATH WEST BRIDGEWATER,MA,02379 DATE:2022-05-21 FITTER` REF#:375-L3G46SSA-JCL TeL508-521-2700 Fax:508-588-4303 BFU375@bathfitter.com DESCRIPTION QTY PRICE I Sub Total $8,657.00 This is a soaker tub 1st floor customer knows we are out 16 weeks 41 Lantern Lane Arlington,Ma 02474 customer needs this job done by the end of August TOTAL $8,657.00 Deposit/Payment $1'000.00 Balance due on completion' $7,657.00 /Balance Financed Cash i understand that Bath Fitter and its representatives are not qualified to advise me on mold detection or clean-up.t have been offered a slip-resistant coating as an option for an additional cost.The following (attached)terms and conditions establish my rights and obligations under this agreement,including those provided for by the applicable consumerprotection legislation.Estimate valid for 30 days. 20.&ei yt2r3r, 2 1� 9EDT r Signature of Property Owner or Duly Authorized by Property Owner Jerry Close Bath Fitter Bridgewater Inc. NOTICE OF CANCELLATION FORM FOR HOME SOLICITATION SALE Date of Transaction: 2022-05-21 Ref#: 375-L3G46SSA-JCL Date this contract is signed: 2022-05-21 Ref#: 375-L3G46SSA-JCL 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 2022-05-25 I hereby cancel this transaction. Date: Signature of Property Owner or Duly Authorized by Property Owner Bath Fitter Bridgewater Inc.("Bath Fitter®")-Terms and Conditions—Massachusetts s 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 Fitter®(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 Fitter® is not detail on the attached Order(the"Project"). responsible for minor damages,due to imperfections in any bathtub or wall tile that may result from the Bath Fitter® installation and Owner remains responsible 3. Access.Owner agrees that Bath Fitter®shall have complete use of and access to the to maintain the grouv'silicone on existing walls.Should Bath Fitter®be required to Project location during regular business hours,upon reasonable advance notice to 3ebe a technician for a service call that is the result of inadequate maintenance,Owner Owner.Owner shall remove all obstacles such as furniture and appliances from the will be invoiced at the current service rates. installation area and Owner shall provide all heat and lighting for Bath Fitter®to perform the Project.During the installation,Bath Fitter®shall properly dispose of 17. Colon Marbled colors or patterns may vary.Bath Fitter®cannot guarantee the remnants and scrap material relating to the Project.If a defect is alleged in either consistency of the color patters throughout the tub,walls or accessories. workmanship or product,immediate notification must be made and Bath Fitter® IS )lath Fitter*Right to Suspend or Terminate:Limitation of Liability Bath must be allowed ready access in order to assess and/or make any repair of the alleged Fitter®is not responsible for legal encumbrances,building/zoning code violations, defects. plumbing or structural deficiencies,or the discovery of or removal of asbestos,mold, 4. j alsting Plumbing.It is expressly understood by the parties that neither Bath lead paint or other hazardous or toxic substances or materials.If Owner breaches the Fitter®nor any Bath Fitter®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 andior 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 shutoff valves,or for by Bath Fitter®through the date/time of termination,plus any other amounts allowed any damage caused by faulty plumbing.Bath Fitter recommends replacing old under applicable law. fixtures when installing a new wall system. IF BATH FITTER®IS UNABLE TO COMPLETE THE PROJECT FOR ANY 5. Contract Petty.Owner agrees to pay Bath Finer®the amount set forth on the REASON UNRELATED TO OWNER,BATH FITTER®C S LIABILITY SHALL attached Order,unless otherwise mutually agreed upon between the parties hereto by BE LIMITED TO A REFUND OF OWNER'S DEPOSIT. BATH FITTER® virtue of a written change order. CANNOT BE HELD RESPONSIBLE FOR CLAIMS OF INCONVENIENCE OR 6. Change Orders. Any alteration or deviation from the above contractual ANY OTHER IIARM. specifications that results in a revision of the contract price will be executed only 19. Conseauentlal 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 terms 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 die 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 Finer®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 L'6%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 1)1%).There implied warranties,including without limitation,legal warranties of quality and will be a S25.00 fee for any returned check. fitness for a particular purpose and warranties against hidden or latent defects.Bath K. 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 term than shown in the Contract Documents.The option of financing agreement between the parties hee' and supersede all prior oral or written may only be selected at the time you place your order. understandings.Should any part of the Contract Documents for any reason be found 9. EC170M L Owner shall furnish and pay for,at their own expense,taxes,permits and invalid,such a determination shall not affect the validity of any remaining portion of licenses,including without limitation.local and municipal permits and licenses. the Contract Documents.If the Order and this Agreement are in any way inconsistent required by law or any applicable regulations to perform the work in accordance with with each other.this:Agreement shall govern. these Contract Documents. You hereby agree to defend,indemnify and hold Bath 22. Applicable 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 permtuhcense 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 MOL, Chapter 142A.The non-prevailing party in the arbitration shall pay the prevailing responsible for any permit related delays. C 10. Delay®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 ,,^220222--05 1 T13:24:4SEDT Bath Fitter®will be forced to postpone the start date of a project whether due to r c p�p5.2t scheduling conflicts,labor or material shortages.It is Bath Fitter®policy to notify the customer as soon as any change is known.You will be informed of the reason for Owner's Signature Date the delay and the revised installation date.If the installation is delayed or takes more 2022-05-21TI3:25:05EDT than one day.Bath Fitter'cannot be held responsible for any reimbursement, - ..�. . xon•os•2t discount,or any other type of compensation to you for claims of inconvenience or _ _ any other harm.Unnecessary delays experienced by our technician caused by Owner Bath Fitter®Signature Date will result in an additional charge. 23. Use of E-mail for Customer Feedback From time to time.Bath Fitter®(or any of 11. NOTICE OF CANCELLATOQj(. THE OWNER MAY CANCEL THIS its third party strategic partners and service providers)may wish to contact you at the TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD(3RD) e-mail address set forth on the attached Order.You hereby authorize Bath Fitter® BUSINESS DAY AFTER THE DATE OF THIS AGREEMENT.BECAUSE BATH (or any of its third party strategic partners and service providers)to use your email FITTER®PRODUCTS WILL BE CUSTOM MADE FOR YOU,BATH Ft I I ER® to communicate with you for the purpose of improving Bath Fitter®'s products, CANNOT REFUND YOUR.DEPOSIT AFTER THE CANCELLATION PERIOD services and marketing,including obtaining your feedback and conducting customer HAS EXPIRED. research and satisfaction surveys. 12. jIOME SOLICITATION.YOU MAY CANCEL THIS AGREEMENT IF IT HAS V I agree with the use of my e-mail for these purposes BEEN SIGNED BY A PARTY THERETO AT A PLACE OTHER THAN AN 24. Liens.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 lien on BRANCH THEREOF,PROVIDED YOU NOTIFY THE SELLER IN WRITING the property being improved.If not discharged by payment,this mechanics'lien will AT HIS MAIN OFFICE OR BRANCH BY ORDINARY MAIL POSTED,BY become a security like a mortgage on the property. TELEGRAM SENT OR BY DELIVERY.NOT LATER THAN MIDNIGHT OF 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 be directed to OCABR. FOR AN EXPLANATION OF THIS RIGHT. Do not sign this Agreement if there are any blank spaces. 13. Foree Majeurr.Bath Fitter®'shall not be held liable for any loss,damage or delay I understand and agree to the terms and conditions above,including without in connection with this agreement due to delays in transportation of materials, limitation the terms of the attached Order dated 2022.05-21 and all other accidents,theft,fire,labor disputes,insurrection,acts of God,or any other cause Contract Documents of same date. beyond Bath Fitter®'s control. Dated at Yanwuri ,Massachusetts on the 21st day of May . 14. gewaytilLyziaugrumua.Bath Fitter is not responsible for the removal and/or 2022 and/or ll fixtures,including uie,includis.ng, without Fitterli will not remove -- 2M; ,,c 4 DT andtor reinstall any of your existing fixtures, without limitation,shower l'!(rfGGLj. . doors.In the event that the doors will no longer tit,Bath Fitter®cannot be held responsible for any reimbursement,discount,or any other type of compensation to Signature of Property Owner or Duly Authorized by Property Owner you for replacement of these fixtures. Signature Hanna, ;,Jg(15. I.Mold occurs naturally in almost all indoor environments.Mold spores enter Owner or DulyAuthorized by Property Owner(Please Print) homes through doorways,windows and a variety of other ways.A Bath Fitter® Name of Property installation may include the removal of wet.loose,defective,discolored or odorous 17 ugreeae�chu South surfaces and the washing of remaining surfaces with a household bleach solution. 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 Address of PNivel iy Owner or Duly Authorized by Property Owner effectiveness of any biocide designed for reducing the presence,effect or growth of Bath Fitter Bridgewater Inc. mold,p and make no warranty or ito representation with respect to,t ato cannot be held V.20 yt2:7 �_ responsible for,the presence of mold in your home subsequent to the Bath Fitter® G installation. Per: 16 Installation.If,during the installation phase,Bath Fitter®is required to perform Name of Consultant repairs to existing walls,additional charges will apply at the current service rates. Jerry Close .