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29-299 (9) BPJ2022-0862 315 ACREBROOK DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-299-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-0862 PERMISSIONIS HEREBY GRANTED TO: Project# 2022 SHOWER Contractor: License: YANKEE HOME IMPROVEMENT Est. Cost: 13973 INC 066324 Const.Class: Exp.Date:03/28/2023 Use Group: Owner: COTE THOMAS M &MELISSA M RO:ERTS-COTE Lot Size (sq.ft.) Zoning: WSP Applicant: YANKEE HOME IMPROVEMENT INC Applicant Address Phone: Insurance: 36 JUSTIN DR (413)341-5259 XWO56702381 CHICOPEE, MA 01022 ISSUED ON:07/21/2022 TO PERFORM THE FOLLOWING WORK: REPLACE SHOWER ON 1ST FLOOR POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL• TION OF ANY OF ITS RULES AND REGULATIONS. Signature: I A . 1 • Fees Paid: $182.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner / / The Commonwealth of Massachusetts . yit, r Board of Building Regulations and St ndar s ''2� i FOR Massachusetts State Building Code,/ISO (9a MUNICIPALITY ro ��? USE Building Permit Application To Construct, Repair, Reno F olish a Revised Mar 2011 One- or Two-Family Dwelling MpToti''/.7;, This Section For Official Use Only '1/4q o o>/cIA. Building Permit Number: 6Q- Z- YG Z Date Applied: 41\01L ..9 . .._ ° 6,6 din Building Official(Print Name) Signature Da e SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 315 `1Ec2lc3c 'Dr • 21 Li Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: • 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Re ord: Mel i S0. ( N\O$ of f s i etk- C octx\ce . M a o 101`0 a Name(Print) City,State,ZIP .70\5 C;crthrvvk t>c • 9c3-sag-ILA arfc cccobeck-suo e@ornal\ cDm No.and Street Telephone Email Addr SECTIQN 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition ❑ Demolition , 0 Accessory Bldg.❑ Number of Units Other 0 Specify: `aakhCIt J1Jek 110fLeS. Brief Description of Proposed Work': cc'M Ik Y'2i\Ctct, 210t,AAnelk irub ( de'r 'v)c is w I hey sn L uoac1deta 1 iC. SIN° r e�c\ (').CC2cs c c e s. Li K.t gA\�,r L.i ke • !J n o Sit c uctc-k�i Ch ne . SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ \' ,c — z Co 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2.Electrical $ ❑Total Project Cost3 (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: ((�� 5.Mechanical (Fire $ Total All Fees: $ ldo�•C43 Suppression) 00 Check No.13) C ount: Cash Amount: 6. Total Project Cost: $l� i C\ 13 . ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Number Expiration Date Name of CSL Holder pp List CSL Type(see below) K. P.0 fox DSuo No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) Worr-ems M 0. b I O R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances Cti G1?) 1 51 IOU rlde f IAl(30Ct e°yQRI(-telnorn-c- I Insulation Telephone Email address LOPCI. D Demolition 5.2 Registered Home Improvement Contractor(HIC) UbeJq.Lt - ( -aa at, Cm-N Pc -e1`n a]"k. HIC Registration Number Expiratioi Date HIC Company Name oallC rRe4str t Namh Nci and Street Email address C-tprn C`Ra , okoaa I4121\ til-5a5`A 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 Issu ce of the building permit. Signed Affidavit Attached? Yes No 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING-�- PERMIT I,as Owner of the subject property,hereby authorize "10 r ee �m e Ii-r s-Tm e'(1 e-r'* to act on my behalf,in all matters relative to work authorized by this building permit application. li)\ e See qiokne4 cACt'fnert CL>tl ack- --ao-� — Print Owner's Name(Ekctronic Signature) Date SECTION 7b:OWNER1 OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information containe n this applicatio is true and accurate to the best of my knowledge and understanding. Print Own s or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton Massachusetts hw , DEPARTMENT OF BUILDING INSPECTIONS 9k 212 Main Street • Municipal Building Northampton, MA 01060 4 l� CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: le A-(r\ c-- G 1Daa The debris will be transported by: Name of Hauler: lOor) e- \--) e- 6V ' 's L� Signature of Applicant: Date: The Commonwealth of Massachusetts ►; • Department of Industrial Accidents I Cons ress Street,Suite 100 4=74s'r Boston,MA 02114-2017 •,,• r,nvw mass bov/diu Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information PIease Print Let ibly Name (Business/Organization/Individual): \ 4 �-'1(��1� � -• Address: c��o \ n . Ciry/State/Zip: y c o ff ee Met 01,n-A.- Phone#:LL1k3) 3LFk-5 -59 Are v u an employer?Check the appropriate box: Type of project(required): I. 1 am a employer with d employees(full and"or pan-time)." 7. `J New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in S. El Remodeling any capacity.(No workers'comp.insurance required.] 9. ❑Demolition 3.0 I am a homeowner doing all work myself.(No workers'comp.insurance required.]' 10 []Building addition 4.0 lam a homeowner and will he hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or arc sole 11.0 Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.0(am a general contractor and J have hired the sub-contractors listed on the attached sheet. 13. oof repairs These sub-contractors have employees and have workers'comp.insurance 14. Other_ G�CL ',�f 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. t 152,*I(4),and we have no employees.fNo workers'comp.insurance required.] Its. *Any applicant that checks box R t must also fill out the section bolo'.'showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating atteh. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy namber. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job rite information. 1 Insurance Company Name: II I ��lC�_ G'eIr Policy#or Seli=ins.Lie.y. t �h��D�b �!3�1... Ex iration�ate: — -aa_ y� Job Site Address: t�15 n C f'P brD(* Yam. City/State/Zip: b UN(D D--� - 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, ti25A is a criminal violation.punishable by a fine up to$1,500.00 and/or one-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DLA for insurance coverage verification. 1 do hereby certify u der t e pair nd penalties of perjury that the information provided above is true and correct. jgnature: G Date: t `o).D -aa Phone n: C y\71) :VL11 -5359._._... 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.BuiIding Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing inspector 6.Other Contact Person: Phone#: Page 1 of 10 Yankee Home Improvement MA Lic#160584 p CT Lic#0673924 yz,, 36 Justin Drive RI Lic#33382 YANKEE Chicopee, MA 01022 413-341-5259 or 877-88-YANKEE www.yankeehome.com Customer Information Melissa & Thomas Roberts / (413) 588-1628 (Mobile) Date: 06/25/2022 Cote mrobertscote@gmail.com Rep: Patrick Shaughnessy 315 Acrebrook Dr Florence MA 01062 Replacement Work Details Replace and Dispose of Existing Tub Install Base Base Type Acrylic Shower Pan Single Threshold Base Color White Drain Location LH Wet Area Wall Quantity 1 Type Acrylic Surround Color/Style White Smooth Ceiling Panel Ceiling Panel Qty 1 Ceiling Panel: Yes Color White Bath/Shower Door Door Type Standard Sliding Door- 56 - 60" wide base Door Finish Chrome Glass Type Clear Shower and Bath Accessories Quantity 1 Accessory Tower Caddy w/Shaving Stand Four Shelf Tower Caddy w/Shaving Stand Color White Shower and Bath Seat Accessory Acrylic Corner Seat Description Hexagon 28" wide x 18.5" deep Color White Seat Location Right Hand This space intentionally left bank Page 2 of 10 Hardware Delta Fixture Selection Linden In2ition J , � Shower f." Head Trim Kit Finish if Chrome Temp Assure Valve? Yes, style only I available with temp adjust valve a l : .Pfl Job Specifications Remove existing Drywall/Plaster in the wet area and replace with moisture resistant board per code. Inspect insulation on exterior walls and replace as needed. Inspect Sub-floor under wet area and replace as needed. Replace mixing valve, inspect drain and trap and bring up to code. Scope of Work and Special Instructions 60x32 white base LH drain, white wall enclosure, white ceiling panel, sliding door clear glass chrome finish, corner hexagon bench white rh side, tower caddy white with shaving stand LH side, linden in2ition handheld shower head chrome Do Not Do We do not do any painting or staining. This space intentionally left blank Page 3 of 10 Work Schedule Contractor will not begin the work or order the materials before the third day following the signing of this Agreement, unless specified herein. Contractor will begin the work on or about 07/16/2022 Barring delay caused by circumstances beyond Contractor's control,the work will be completed by 07/25/2022 C The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor including, but not limited to strikes, Acts of God, shortages of materials, accidents, and all other delays beyond its control, shall not be considered as violations of this Agreement. MC (Customer's Initials) 69/ ' Melissa&Thomas Roberts/Cote 06/25/2022 Date x his space intentionally left blank Page 4 of 10 RECOMMENDED ACRYLIC CLEANERS Use only cleaning products whose labels state that they are SAFE FOR ACRYLIC. Always test products on a small area of skirt before applying to complete bath area. • ZEP PROFESSIONAL STRENGTH SHOWER TUB&TILE CLEANER(#1 RECOMMENDED CHOICE) • DAWN DISH DETERGENT • RUBBERMAID COMMERCIAL STRENGTH SHOWER TUB&TILE CLEANER • HOME DEPOT HDX SHOWER TUB&TILE CLEANER • SCRUB FREE ORIGINAL SOAP SCUM REMOVER • KABOOM SHOWER TUB&TILE CLEANER WITH OXY CLEAN • SIMPLE GREEN ALL PURPOSE CLEANERS(ANY SCENT) • SIMPLE GREEN LIME SCALE REMOVER • SIMPLE GREEN NATURAL BATHROOM CLEANER • ALL FORMULA 409 PRODUCTS(EXCEPT PRO 409) • ALL TILEX PRODUCTS • ALL PINE-SOL PRODUCTS • ALL FRAGRANZIA PRODUCTS DO NOT USE the following on your ACRYLIC Bath System The use of the following chemicals will cause a dull surface or chemical cracks.The use of these products will VOID YOUR WARRANTY. • ANY PRODUCT CONTAINING AMMONIA • DOW SCRUBBING BUBBLES • ABRASIVE CLEANERS • AJAX • COMET • FANTISTIK • SOFT SCRUB • MR.CLEAN • NAIL POLISH REMOVER • SCOURING PADS • AMMONIA • TOUGH ACT • POWDER OR CRYSTAL DRAIN CLEANERS • GREENWORKS BATHROOM CLEANER • SCRUB FREE W/BLEACH • SEVENTH GENERATION BATHROOM CLEANER—REGULAR • MAGIC ERASER RECOMMENDED CLEANERS FOR ONYX COLLECTION Regular cleaning can be done with any non-abrasive product made for showers. Always test products on a small area of before applying to complete bath area. If mineral buildup does occur, it can be remedied using white vinegar, a product like Eliminate,or any other mineral removing product that is safe for your drain. Always follow directions on the label. • ELIMINATE SHOWER TUB&TILE CLEANER • REPEL CLEANER&PROTECTANT Page 5 of 10 Payment Schedule YHI agrees to perform the work,furnish the material and labor specified above for the total sum of: $14,993 Form of Payment Finance Deposit Amount $500 Deposit Type Credit Card Cash Due Upon Completion $14,493 Patrick Shaughnessy Notice: No agreement for home improvement contract work shall require a down payment (advance deposit) of more than one-third of the total contract price or the total amount of all deposits or payments which the contractor must make, in advance, to oder and/or otherwise obtain delivery of special order materials and equipment, whichever amount is greater. `—}114, Melissa&Thomas Roberts/Cote 06/25/2022 Date This space intentionally left blank Page 6 of 10 ADDITIONAL TERMS AND CONDITIONS Delay/Unknown Conditions: Contractor's failure to perform any term or condition of this Agreement as a result of conditions beyond its control such as, but not limited to, strikes, fires, floods, acts of God, material shortages, Buyer's inability to qualify for or obtain financing, delays by local government authorities in issuing or otherwise approving inspections, permitting, or other required authorizations do not constitute abandonment and are not included in calculating time frames for performance by Contractor. Contractor and Buyer(s) have determined that a definite completion date is not of the essence to this Agreement. Late Cancellation/Late Payment/Default: If Buyer(s) attempts to cancel or repudiate this Agreement after midnight of the third business day after the date of this Agreement, and Contractor accepts such cancellation, which shall be in Contractor's sole discretion based on economic factors including, but not limited to, the status of Buyer's ordered product, all work under this Agreement will be stopped as promptly as is reasonably possible and Buyer(s) agrees to pay Contractor a cancellation fee equal to 15% of this Agreement's purchase price. Buyer(s) agrees to pay a late fee of 1.5% per month on all amounts due and owing from Buyer(s) to Contractor accruing from the date due and running to the date the payment is made. If Buyer(s) is in default of this Agreement, Buyer(s) agrees to pay Contractor's attorney's fees equal to 15% of the defaulted amount or as otherwise allowed by applicable law. Buyer(s) also agrees to pay any other costs or expenses of repossession or collection as allowed by applicable law. Contractor's Right to Cancel: In the event that Contractor determines that this Agreement cannot be performed as intended by the parties due, for example, to incorrect pricing, unforeseen structural defects, or pre-existing conditions to Buyer's property, Contractor may cancel this Agreement within thirty(30) days of its execution, notify Buyer(s) of such cancellation in writing, and return all monies paid by Buyer(s). No Set-Offs or Retentions: Upon substantial completion of Contractor's work under this Agreement, Buyer(s) shall pay to the installer assigned to the work, all amounts due under this Agreement without any right of set-off or retention. Substantial completion is defined as the job being materially completed, functional as intended, and a final inspection, permit or occupancy certificate, as the case may be, having been obtained. If after paying all amounts due under this Agreement, Buyer(s) alleges that Contractor's work is defective in any respect, Contractor, without waiving any of its rights, shall cause an inspection of the work and perform any remedial work to the extent Buyer(s) is entitled to under this Agreement or Contractor's warranty at no cost to Buyer(s). Buyer's Representations: Buyer(s) represents and warrants that (a) Buyer(s) owns the premises where the products and/or services are being provided by Contractor; (b) Buyer(s)will provide Contractor with reasonable access to the premises, including access to electrical outlets as may be required by Contractor; (c) Buyer(s) shall be responsible for the preparation, moving, and reinstalling of all wiring, water lines, power lines, plumbing, and the moving of any shrubs, plants, or other items as required by Contractor under this Agreement; and (d) Buyer(s) acknowledge(s)that any excess material not used by Contractor shall remain the property of Contractor and will not be considered part of this Agreement. Contractor's Responsibility: Contractor accepts no responsibility for any damage resulting from pre-existing structural or other defects in the property at which work is performed under this Agreement. Contractor is not responsible for remedying structural defects in Buyer's property. Buyer(s) acknowledges that Contractor's products do not correct or cure structural problems. Contractor shall not be responsible for (a) any damages arising in whole or in part from strikes, fires, accidents, floods, governmental actions, or any other causes beyond control of Contractor; (b) any incidental or consequential damages including, without limitation, lost profits or reduction in value of Buyer's property arising from Contractor's delay in performing under this Agreement or due to Contractor's breach of this Agreement; and (c) unintentional damage to flooring, window treatments, landscaping, driveways, sidewalks, gas lines, electrical wiring, plumbing, telephone installations, collateral or incidental damage to interior walls and personal property, it being understood that Buyer(s) is responsible at Buyer's cost for all preparations, protection, and/or moving of such items prior to Contractor's commencement of work. Contractor intends to use subcontractors on all or a portion of the work. This space intentionally(eft blank Page 7 of 10 Condensation, Mold and Related Matters: Condensation, which can form on or within walls or other surfaces (such as on windowpanes), results from pre-existing conditions in a home and internal or external temperatures. Condensation is not a product or workmanship defect. Reducing the humidity in a home will often remedy any condensation problems. Buyer(s) agrees to indemnify and hold Contractor and its employees, agents, and subcontractors harmless from any claims as to the identification, detection, abatement, encapsulation, or removal of mold, asbestos, lead-based products, or other hazardous substances inside or outside of the property at which work is performed. Contractor does not provide mold testing or remediation services. Miscellaneous: No waiver of any breach of this Agreement shall be construed as a waiver of any prior, concurrent, or subsequent breach hereof. The section headings contained in this Agreement are inserted for convenience only and shall not affect in any way the meaning or interpretation of this Agreement. In construing this Agreement, the gender and number of words used may be changed to meet the context. Both Buyer(s) and Contractor agree that this entire Agreement constitutes the entire understanding between them, and that there are no verbal understandings changing or modifying any of the terms and conditions of this Agreement. No alteration to or deviation from this Agreement will be valid without the signed, written consent of both Buyer(s) and Contractor. This Agreement shall be governed by and construed in accordance with the laws of the state in which it is performed, except as may be preempted by federal law.Any part of this Agreement contrary to the law of this state shall not invalidate other parts of this Agreement. If a provision of this Agreement is held to be invalid or unenforceable, this Agreement shall continue in full force and effect and shall be construed as if the invalid or unenforceable provision was omitted. Assignment: Buyer(s) agrees that Contractor can assign any of Contractor's rights under this Agreement without Buyer's consent and that the person to whom Contractor assigns this Agreement shall be entitled to all of Contractor's rights under this Agreement. Buyer(s) understands that Buyer's rights will not be affected by such assignment. Neither this Agreement nor any rights or benefits hereunder are assignable by Buyer(s) without the prior written consent of Contractor. Any such prohibited assignment shall be null and void. Arbitration of Disputes: Contractor and Buyer(s) agree that any and all disputes, claims, or controversies (hereafter referred to as a "Claim") arising under or relating to this Agreement and any related documents, loans, security instruments, accounts, or notes, including by way of example and not as a limitation: (i) the relationships resulting from this Agreement and the transactions arising as a result thereof; (ii)the terms of this Agreement; or(iii)the validity of this Agreement or the validity or enforceability of this arbitration provision may, at the election of either party, be subject to binding arbitration to be determined by one arbitrator, in accordance with and pursuant to the then prevailing Consumer Arbitration Rules of the American Arbitration Association ("AAA), to be held and arbitrated in Hampden County, Massachusetts. Buyer(s) agrees that Buyer(s) will not assert a Claim on behalf of, or as a member of, any group or class. The findings of the arbitrator shall be final and binding on all parties to this Agreement. Each party shall be responsible for its own fees and costs, unless otherwise determined by the arbitrator.This agreement to arbitrate, and any award, finding, or verdict of or from the arbitration, will be specifically enforceable under the prevailing law of any court having jurisdiction. The party asserting a Claim shall file a notice of the demand for arbitration with the other party to this Agreement and with AAA. The demand for arbitration shall be made within a reasonable time after the Claim in question has arisen, and in no event shall any such demand be made after the date when institution of legal or equitable proceedings based on such Claim would be barred by the applicable statute of limitations. Any arbitration proceeding brought under this Agreement, and any award, finding, or verdict of or from such proceeding shall remain confidential between the parties and shall not be made public. Both Contractor and Buyer(s) are hereby potentially agreeing to choose arbitration, rather than litigation or some other means of dispute resolution, to address any grievances or alleged grievances. The parties believe this may allow for a faster and more cost-effective method of addressing a Claim. By entering into this Agreement and this arbitration provision, both parties may be potentially giving up their constitutional right to have any dispute decided in a court of law before a jury, and instead are potentially accepting the use of arbitration.(Massachusetts Sales)Contractor and Buyer(s) hereby mutually agree in advance that in the event that Contractor has a dispute concerning this Agreement, Contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and Buyer(s) shall be required to submit to such arbitration. Page 8 of 10 (Massachusetts Sales)In Massachusetts, all contractors and subcontractors must be registered by the administrator of the Board of Building Regulations and Standards and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Office of Consumer Affairs and Business Regulation, Ten Park Plaza, Suite 5170, Boston, Massachusetts 02116 Telephone: (617) 973-8700. In Massachusetts, Contractor is responsible for applying for and obtaining any and all necessary permitting. Homeowners who secure their own permits will be excluded from the guaranty fund provisions of Massachusetts law. (Connecticut Sales)The owner(s) of the home improvement contractor is or has been a shareholder, member, partner, or owner of the following corporations, limited liability companies, partnerships, sole proprietorships or other legal entities that have been a home improvement contractor during the previous five (5)years: None (Vermont Sales)ACKNOWLEDGMENT OF ARBITRATION. I understand that this Agreement contains an agreement to arbitrate. After signing this document, I understand that I will not be able to bring a lawsuit concerning any dispute that may arise which is covered by the arbitration agreement, unless it involves a question of constitutional or civil rights. Instead, I agree to submit any such dispute to an impartial arbitrator. (New York Sales)Any contractor, subcontractor, or materialman who provides home improvement goods or services pursuant to your home improvement contract and who is not paid may have a valid legal claim against your property known as a mechanic's lien. Any mechanic's lien filed against your property may be discharged. Payment of the agreed-upon price under the home improvement contract prior to filing of a mechanic's lien may invalidate such lien.The owner may contact an attorney to determine his rights to discharge a mechanic's lien. ld � Melissa&Thomas Roberts/Cote 06/25/2022 Date This space intentionally left blank Page 9 of 10 YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. NOTICE OF CANCELLATION NOTICE OF CANCELLATION NOTICE OF CANCELLATION Date of Transaction 06/25/2022. You may cancel this Date of Transaction 06/25/2022. You may cancel this transaction, without any penalty or obligation, within three transaction, without any penalty or obligation, within three business days from the above date. If you cancel, any business days from the above date. If you cancel, any property traded in,any payments made by you under the Contract property traded in, any payments made by you under the Contract or Sale,and any negotiable instrument executed by you will be or Sale, and any negotiable instrument executed by you will be returned within 10 days following receipt by the Seller of your returned within 10 days following receipt by the Seller of your cancellation notice, and any security interest arising out of the cancellation notice, and any security interest arising out of the transaction will be canceled. If you cancel,you must make available transaction will be canceled. If you cancel,you must make available to the Seller at your residence, in substantially as good condition as to the Seller at your residence, in substantially as good condition as when received, any goods delivered to you under this Contract or when received, any goods delivered to you under this Contract or Sale; or you may, if you wish, comply with the instructions of Sale; or you may, if you wish, comply with the instructions of the Seller regarding the return shipment of the goods at the the Seller regarding the return shipment of the goods at the Sellers expense and risk. If you do make the goods available Sellers expense and risk. If you do make the goods available to the Seller and the Seller does not pick them up within 20 days to the Seller and the Seller does not pick them up within 20 days of the date of your Notice of Cancellation, you may retain or of the date of your Notice of Cancellation, you may retain or dispose of the goods without any further obligation. If you fail dispose of the goods without any further obligation. If you fail to make the goods available to the Seller, or if you agree to 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 return the goods to the Seller and fail to do so,then you remain liable for performance of all obligations under the Contract. To liable for performance of all obligations under the Contract. To cancel this transaction, mail or deliver a signed and dated cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice, or copy of this cancellation notice or any other written notice, or send a telegram to Yankee Home Improvement Inc.,36 Justin send a telegram to Yankee Home Improvement Inc.,36 Justin Drive, Chicopee, MA 01022, NOT LATER THAN MIDNIGHT OF Drive, Chicopee, MA 01022, NOT LATER THAN MIDNIGHT OF . (Date) . (Date) I HEREBY CANCEL THIS TRANSACTION. I HEREBY CANCEL THIS TRANSACTION. BUYER'S SIGNATURE BUYER'S SIGNATURE DATE DATE Melissa&Thomas Roberts/Cote 06/25/2022 Date T is space intentionally left blank Page 10 of 10 Ima•e: 1.1 r rc 's. a s, , PIE ; r¢ �, - ',irk , \ \ ' ire' .mow,.,. law- %... wx S 1'2� .�s ^tm� fir:. ,,,,,,s;.> i:,:]" A any. .. DocuSign Envelope ID:7D8E6A95-14FC-4168-A437-CD7BE0B01A4E Page 1 of 1 Yankee Home Improvement MA Lic#160584 p CT Lic#0673924 yYANKEE 36 Justin Drive RI Lic#33382 HOME Chicopee, MA 01022 413-341-5259 or 877-88-YANKEE www.yankeehome.com Customer Information Melissa & Thomas Roberts / (413) 588-1628 (Mobile) Date: 06/29/2022 Cote mrobertscote@gmail.com Rep: Patrick Shaughnessy 315 Acrebrook Dr Florence MA 01062 Addendum to Contract Date of Contract 06/25/2022 Product Shower Original Contract Price $14,993 Contract Price Increase $0 Contract Price Decrease $1,020 New Contract Price $13,973 Deposit $500 Balance Due at Completion $13,473 Description of changes to original contract There a few changes that are being made to this contract. We are no longer moving forward with the bench. I have made the necessary changes which reflect in the price. The customer also is now going to have rain glass instead of clear glass in the door. No bench and we need rain glass for the door. The price decreased by 1020 dollars. Thank you! c—DocuSi ned by: 7837F73CC98B471_. Melissa&Thomas Roberts/Cote 06/29/2022 Date icg\is Patrick Shaughnessy 06/29/2022 Date This space intentionally left blank '#'w`i .traf� ti +� 3,Il nei', ?il g.. =s r3sur Eort:# _ €: lC t1 € � <. t+s, . ' 4 c t r 'd' y • • ICH EL PEREIRA, PO BOX 1056 WARREN 01083 Commissioner N O N Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation Registration: 160584 YANKEE HOME IMPROVEMENT INC Expiration: 08/11/2022 36 JUSTIN DR. CHICOPEE, MA 01022 Update Address and Return Card. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE: Corporation before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 160584 08/11/2022 1000 Washington Street -Suite 710 YANKEE HOME IMPROVEMENT INC Boston, M 02118 GERARD RONAN 36 JUSTIN DR. 'x/4 - CHICOPEE, MA 01022 Undersecretary Not valid without signature �......ok, YANKHOM-01 BROOKE ACC)-- CERTIFICATE OF LIABILITY INSURANCE DA9/23/20221 TE ) 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 Brooke Barre Phillips Insurance Agency,Inc. PHONE Ax 413 592$499 97 Center Street (A/c,No,Ext): (413)594-5984 I F(ac,No):( ) Chicopee,MA 01013 n oRlEss:brooke@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Ohio Security Insurance Co 24082 INSURED INSURER B:Selective Ins Co Of South Carolina 19259 Yankee Home Improvement,Inc. INSURER C:Ohio Casualty 24074 36 Justin Drive INSURER D: Chicopee,MA 01022 INSURER E: 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. INBR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD INVD POLICY NUMBER (MMIDDIYYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR BKS56702381 10/1/2021 10/1/2022 DAMAGETORENTED 300,000 PREMISES(Ea occurrence $ MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PRO-T LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JEC OTHER: $ B AUTOMOBILE LIABILITY (Ea OMBI accidEDen SINGLE LIMIT $ 1,000,000 X ANY AUTO A 9106918 10/1/2021 10/1/2022 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accidenQ $ AUTOS���� ONLY AUTOS Ep p AIRED ONLY AUTO ONLY (Perr accident)AMAGE $ $ C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE US056702381 10/1/2021 10/1/2022 AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 $ C WORKERS COMPENSATION PER OTH- X STATUTE ER AND EMPLOYERS'LIABILITY Y/N XWO56702381 10/1/2021 10/1/2022 1,000,000 ANY OFFICER/MEMBER EXCLUDED?PROPRIETOR/PARTNER/EXECUTIVE N N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Property BKS56702381 10/1/2021 10/1/2022 Building Limit 3,342,468 A Property BKS56702381 10/1/2021 10/1/2022 Personal Property 450,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers Compensation coverage is included for the following states:MA,CT CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD