35-213 (4) BP-2023-0635
24 TURKEY HILL RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
35-213-001 CITY OF NORTHAIMPTON
Permit: Exterior Res
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-0635 PERMISSION IS HEREBY GRANTED TO:
Project# roof 2023 Contractor: License:
YANKEE HOME IMPROVEMENT
Est. Cost: 24645 INC 066324
Const.Class: Exp.Date: 03/28/2025
Use Group: Owner: COTTON JOHN E
Lot Size (sq.ft.)
Zoning: SR Applicant: YANKEE HOME IMPROVEMENT INC
Applicant Address Phone: Insurance:
36 JUSTIN DR (413)341-5259 WC 9099267
CHICOPEE,MA 01022
ISSUED ON: 05/16/2023
TO PERFORM THE FOLLOWING WORK:
strip and replace roof
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 VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
�r 1 •
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
rhkQE:111i:.-'-fH,"---- __,
C_ i ?
The Commonwealth of Massach setts MAY 2 217
r Board of Building Regulations and Stan rds IR
Massachusetts State Code 780 IPALITY
Building NOgF C3UlCDow; USE
Building Permit Application To Construct,Repair,Renovate-Or f l ,* d.crr� ise Mar 2011
One-or Two-Family Dwelling 'osc
This Section For Official Use Only
Building Permit Nuber: A 3-036— Date Ap lied:
k 1 4.2r).s ��� S- I 6, 202"
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map 4r Parcel Numbers
a4. T'n tifi.liI to
1.1 a Is this an acc ted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public�J Private❑ Zone: _ Outside Flood Zone? Municipayth On site disposal system 0
Check if yeska
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of R cord:To / J
Torn Co f on F!fie nCe /1A 0106 /2
Name(Print) City,State,ZIP
_4 rt-^K7 N:!! A ot 413-gip_a$' fol��f�.�8Q D, Q «
4O ,
No.and Street Telephone Email Addr
SECTION 3:DESCRIP)WN OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building CT Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other n
Specify: / c o!( `�J
Brief Description of Proposed Work': houve. ri•.J etrl c,(e lb St tor te5 DP re.k..L fin 1.4711'
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: 0 icial Use Only
(Labor and Materials)
1. Building $ a4l 64-5 1. Building Permit Fee: $ Indicate how fee is determined:
❑Standard City/Town A plication Fee
2.Electrical $ ❑Total Project Costa(Ite 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Feel: $iii id
� Check No. ( }'✓check ount: IO Cash Amount:
Q�
6.Total Project Cost: $9. Y Cp/t 5 ❑Paid in Full Outstanding Balance Due:
1
SECTION 5: CONSTRUCTION SERVICES
Construction Supervisor License(CSL) 3 a-r,
(Yi 1 Cl�l 1 I V42l et C� "Ut�ber �
License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
Po 3o.x_ Siu
No.and Street T e Description
n a Y1(p fr 0107.3 U Unrestricted(Buildings up to 35,000 Cu.ft.)
tRestricted l&2 Family Dwelling
City/Town,State,ZIP M _Masonry
RC Roofing Covering
WS Window and Siding
21� �^, rv� `rD r h SF Solid Fuel Burning Appliances
41, 4t,53T1 t ' I t`) 14b nk1'.�I117me.can 1 Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
*Mk of. hint 'i trAe`1 \ii- HIC C.)bony umber Expiration Date
HIC Company Name or HIC Regi trant Name
and Street Email address
111 ,,per di) Ni) a 1)) 1.53-5
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 ❑
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 N an ILte ttlyvy)t p tAnY ni-
to act on-my behalf,in all matters relative to work authorized by this building permit application.
- (�Y1 c cn�1(�l Li"
P 'rtht Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
anrCW.1-
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
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
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
"Total Project Square Footage"may be substituted for"Total Project Cost"
The Commonwealth of.Massachusetts
I I. Department of Industrial Accidents
1 Congress Street,Suite 100
k"' Boston,MA 02114-2017
,,,. "r wwwmass.gov/dirt
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORIT'V,
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): \Ian ityrt. ---cmpm_ ',Ya rIt-
Address: .3(0 'lush n 'Ur
City/State/Zip: Chi co pee_, I W O t Oa Phone#: 14 1 3 3141 5 a 7°
Are you an employer?Check the appropriate box: Type of project(required):
t. f am a employer with employees(full and/or part-tune).*
�� 7. ❑New construction
2. I am a sole proprietor or partnership and have no employees working for me in 8. ID Remodeling
any capacity.(No workers'comp.insurance required.]
3.❑lam a homeowner doing all work myself.[No workers'comp. insurance required.)t
9. ❑Demolition
4.0 I ain a homeowner and will be hiring contractors to conduct all work on my property. 1 wil,
10 0 Building addition
ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions
proprietors with no employees.
12.D Plumbing repairs or additions
5.❑tam a general contractor and I have hired the sub-contractors listed.on the attached sheet. ]3.❑Roof'repairs
These sub-contractors have employees and have workers'comp.insurance.:
6.0 We are a corporation and its officers have exercised their right of exemption per Ma,c. 14.❑Other+r___..____..._—_..-
152,i 1(4),and we have no employees.[No workers'comp.insurance required.)
*Any applicanttbnt checks box 41 must also fill out the section below 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 such.
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: PT li 1 J p5 I n s uranclp y�lie
Policy#or Self-ins.Lic.#: WO ot OC10(0`1 Expiration Date: t o , i I a 3
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$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER.and a tine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certif de the fir and penalties ofperjury that the information provided above is true and correct.
Si nature: / ��e____. Date: >/9! ' 3
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 Realth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone 1#:
1
City of Northampton
�`,, s ., t`,'`
r Massachusetts �, � r'�
J ..
6, )4; l
DEPARTMENT OF BUILDING INSPECTIONS 't'
�� 212 Main Street • Municipal Building v,, i`�
Northampton, MA 01060 J1'�JY '.U'.�C���.
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:
The debris will be transported by:
Name of Hauler: US% h5 J;
Signature of Applicant: �iL G'� Date: 51/I 3
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
', _is: r. ---e
Imo! '" ,w C Type. Corporation
^n Registration: 160584
YANKEE HOME IMPROVEMENT INC
` tt - x Expiration: 08/11/2024
36 JUSTIN DR.
CHICOPEE, MA 01022 \ " J "
t ••••.:w.l.
WO
Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the
HOME IMPROVEMENT CONTRACTOR expiration date. If found return to:
TYPE: Corporation Office of Consumer Affairs and Business Regulation
Registration Expiration 1000 Washington Street -Suite 710
160584 08/11/2024 Boston, MA 02118
'ANKEE HOME IMPROVEMENT INC
3ERARD RONAN
6 JUSTIN DR. �(4/71,.0(6;<,. -
;HICOPEE, MA 01022
A R,Q, YANKHOM-01 JOCEL
eaNyYvi
CERTIFICATE OF LIABILITY INSURANCE a10/122022
THIS CERTIFICATE 15 ISSUED A3 A 10/12/2022
IS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND ORINFORMATION ONLY AND F ALTER THE COVERAGE AFFORDED BY THE POLIERS NO RIGHTS UPON THE CERTIFICATE HOLDER.CIES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)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 ri his to the certificate holder In lieu of such endorsement(s).
rRooucen
Phillips insurance Agency,Inc, ;am"cT Jocelyn M Douglas
97 Canter Street PHONE I FAX
I Chicopee,MA 01013 i IA/C.No,Eazl:__.._._ We.,NO; ......._
1;" _ jocelynephiliipsinsurance.com _��__.
I
INSURERESjAFFORDING_COVERAGE NAtG N
INSURED -��- �`
_ INSURER A:Selective Insurance Co of Amer 12572
INSURER e.Selective Ins Co Of South Carolina 119259
Yankee Home Improvement,Inc.
36 Justin Drive INSURER c: y.--_--
Chicopee,MA 01022 _ _
wsuaEa o
•INSURER E: ._.___..........
COVERAGES i INSURER F
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.
Lt�
TYPE OF INSURANCE ADOLjZSUBR POLICY NUMBER POLICY EFf POLICY EXP LIMITS IMMiOO YYVYI IMM10Q/YYYYY
X COMMERCIAL GENERAL UAe1Lm 1,000,0
A
,.,._�CLAIMS-MADE X}OCCUR I EACHETOEOCCURRENCE
C ! ,S 2517693 10/112022 10/1/2023 DAMA!;E.TO RENTED 500,0
�.'�.E.M#SFS[Eaacwnencei-- f 15,0
MED_EXP tAny one per7pnl__.,,}
PERSONAL&ADV INJURY s 1'000,0
OWL AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE f 2,000.0
POLICY C X !IraLOC 2,000,0
L- PRODUCTS-COMP/OP AGG S ...,,___
1,._,,,, OTHER• - I
f
B
1 AUTOMOBILE LIABILITY
tFs srr COMBINED d SINGLE $LIMIT 1,000,0i
X ANY AUTO A 9106918 10/1/2022 10/1/2023 BODILY INJURY(Per person) S
OWNED ' SCHEDULED
AUTOSRREEDp ONLY AUTOS
NEDU p BODILY INJURY(Per accident) $
AUT[7S ONLY ~� AUTOS ON V �Pl emignrmAGE $ .._....._.
s
A X UMBRELLA LIAR X OCCUR • 1,000,01.
---- EACH OCCURRENCE ¢ _
EXCESS Lu6 CLAIMS MADE S 2517693 10/1/P022 10/1/2023 1,000,01
. AGGREGATE
DED X RETENTIONS 0
_ f
A WORKERS COMPENSATION 1 PER OTH-
AND EMPLOYERS'LIABILITY STATUTE _ ER
ANY PROPRIETOR/PARTNER/EXECUTIVE Y 1 N WC 9099267 10/1/2022 10/1/2023 Et.EACH ACCIDENT f ..............1,000,01
QFfICER1MEMgg R EXt LUDE11 Ni NIA
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE, $ 1,000,01
II yes,describe under 1,000,01
DESCRIPTtON OF OPERATIONS below E L.DISEASE-POLICY LIMIT i f
I
i
' I i 1 I ,
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule may be attached it more space is required)
Workers Compensation coverage is included for the following states:MA,CT,NY
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
f .
/ /.-i.. >. '
ACORD 25(2016/03)
0 1988-2015 ACORD CORPORATION. All rights reserve(
The ACORD name and logo are registered marks of ACORD
Page 1 of 11
/ JIL Yankee Home Improvement MA Lic#160584
CT Lic#0673924
Yal YANKEE 36 Justin Drive RI Lic#33382
HOME Chicopee, MA 01022
413-341-5259 or 877-88-YANKEE
www.yankeehome.com
Customer Information
John Cotton 413-210-2761 Date: 04/19/2023
24 Turkey Hill Road jcotton01062@gmail.com Rep: David Curtis
Florence MA 01062
Locations INCLUDED in scope of work to be performed Single family home attached overhang
Locations EXCLUDED in scope of work to be performed Detached shed in back yard
Job Specifications
Existing Shingles Asphalt
Installed Shingle Type Storm Master Shake
Shingle Color Hearthstone%Color2%
Starter Strip Atlas Pro-Cut Starter Shingles
Install Underlayment Atlas WeatherMaster Ice&Water Underlayment
Install Drip Edge F-8 Heavy Duty Drip Edge
Drip Edge Color White
Hip&Ridge Atlas Pro-Cut Hip&Ridge Shingles
Install Chimney Lead (roof surface meets chimney) in all applicable areas.Quantity: 3
Ventilation
Install Ridge Vent attic ventilation system on all required areas(Length): 0
Special Instructions
All discounts applied.
Customer understands plywood may be necessary at contracted rate should it be necessary at final inspection.
Do Not Do
We do not do any painting or staining.
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Page 2 of 11
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 05/15/2023
Barring delay caused by circumstances beyond Contractor's control,the work will be completed by 08/31/2023
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.
Customer Initials (C)4/
Unforeseen costs that could occur.
Additional cost could arise due to damaged wood not recognized at time of estimate.Any wood replacement will be charged upon the homeowners approval
an additional cost of$85 per sheet of CDX plywood.
Homeowner understands that damaged plywood can only be definitively evaluated after the existing layer(s)of shingle(s)have been removed.
Homeowner has completely read,and fully understands that any and all plywood replacement will be charged in addition to the total amount of this contract.
I understand the additional charges that could occur at time of installation.(Customer Initials) 1521-1
HOA & Condominium Acknowledgement
- Homeowners Association or Condominium approvals, including, but not limited, to contracts and permits, are the
responsibility of the homeowner and will be obtained by the homeowner unless otherwise stated on this contract.
(Customer Initials) 94-4-/
Acknowledgements and Notifications.
Access is needed to driveway where possible.Please have all vehicles removed from driveway to allow for material delivery.
Saw dust and debris can fall inside of the attic during the installation.Homeowner is responsible for the protection of any belongings in the attic and cleanup
for all debris that may fall into the attic.
Homeowner agrees to be home upon job completion in order to do a walk around with job foreman to inspect completed project.
Entire job site will be cleared of all debris upon project completion.
• .'''
I have reviewed and fully understand all of the above.(Customer Initials)
It is agreed and understood by and between the parties that this Specification Sheet, along with the CUSTOM
REMODELING AGREEMENT, constitutes the entire understanding between the parties, and there are no verbal
understandings changing or modifying any of the terms.This Specification Sheet may not be changed or its terms
modified or varied in any way unless such changes are in writing and signed by both Buyer(s)and Contractor. Buyer(s)
hereby acknowledges that Buyer(s) has read the front and reverse of this Specification Sheet.
Aal elcEi5
John Cotton
04/19/2023
Date
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Page 3 of 11
Payment Schedule
YHI agrees to perform the work,furnish the material and labor specified above for the total sum of: $24,645
Form of Payment Finance
Deposit Amount $0
Deposit Type None
Cash Due Upon Completion $24,645
E
David Curtis
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. ���/
9— /"
jeLPV1 ffe4
John Cotton
04/19/2023
Date
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Page 4 of 11
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.
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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 6 of 11
(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.
rie.A., a eg
John Cotton
04/19/2023
Date
Page 7 of 11
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 04/19/2023. You may cancel this Date of Transaction 04/19/2023. 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
e.„47
9 P.,
John Cotton
04/19/2023
Date
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