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29-157 (15) BP-2024-0704 55 BRIERWOOD DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-157-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2024-0704 PERMISSION IS HEREBY GRANTED TO: Project# DOOR 2024 Contractor: License: YANKEE HOME IMPROVEMENT Est. Cost: 27029 INC 066324 Const.Class: Exp.Date:03/28/2025 Use Group: Owner: J BOMBARD WILLIAM R& SANDRA Lot Size (sq.ft.) Zoning: WSP Applicant: J BOMBARD WILLIAM R& SANDRA Applicant Address Phone: Insurance: 55 BRIERWOOD DR FLORENCE, MA 01062 ISSUED ON: 06/05/2024 TO PERFORM THE FOLLOWING WORK: REMOVE AND REPLACE 4 ENTRY DOORS 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: 772_ Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner / r--- R ;� The Commonwealth of Massachusetts dip �CJ' Board of Building Regulations and St dards/Y • FOR •> ; /• Massachusetts State Building Code,rW T R 4 ("ON ICIPALITY USE Building Permit Application To Construct, Repair,RentivBt!tOr. olish vised Mar 2011 One-or Two-Family Dwelling t'CT This Section For Official Use Only Building PermitNumber: 4i. .`J— 7 U 5( Date Applied: /iL.-I/i ) . /,CpzS /�' 6"--7-zaZ1 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 tro_pellyAddress• L��nu Md 1.2 Assessors Map& Parcel Numbers �5 fl►IWo4Z. De. Flamm 1 It earl 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 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 Record: Sw Asi l4 0c,s Goibo c2 c loanc c , MA O i Vol Name(Mnt) City,State,ZIP 55 (3.6a/ fool On 413-531. 5542 0boMhcid Q. 14s4 .coal No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building Or Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: 601°5 cb.r reeWeer* Brief Description of Proposed Work': RGM0.JL Q/kl (eeta'& Aur tusk G doors . Two in WIC Pony, hi si4c Ca J aAl N �c A1bcwi &ors 1fdivale�. En Fry doors it) Of_ CCOace d t t ll nevi ;0 -lca+cja SlVeel cln o CS, SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 21,OZ l 1. Building Permit Fee:$ Indicate how fee is determined: 2. Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) , Total All Fees:1$ �, 019 Check No. j I 1 1 Check Amount,J v!� Cash Amount: 6.Total Project Cost $ ❑Paid in Full ❑ Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 `^� Construction Supervisor License(CSL) �` aLI r1 1 i C e, �C C61-10k License Number Expiration Date Name of CSL Holder n -Dr ' List CSL Type(see below) No.and Street Type Description .. (�{(� r I U Unrestricted(Buildin s u to 35.000 cu. ft.) ( c���P ) ' ' `1 f 0 I R Restricted 1&2 Family Dwelling City/Town,State.ZIP j M Masonry RC Roofing Covering WS Window and Siding '2�(• — �j� ,�V �, i SF Solid Fuel Burning Appliances 1i3 1+ M5 1 '1S r k thS yet tcee,h.om L' .C)M Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) G 1 �`t(%P t7 tom';e, �t%s� r HIC Registration Number Expiration Date H Company Name or HIC Registrant Name of,i'i`l1 ?iO 6—)L/t nr e 1r^.?, N and Street I 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 Issuuance of the building permit. Signed Affidavit Attached? Yes tV' No . 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT i.e.CONTRACTOR AjP�PLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize �� a �s i ��' i�tZ,t l t to act on my behalf,in all matters relative to work authorized by this building permit application. Sands j 1)1\11c" Bo+r>6Ar8 (T rkt QC—: * _ 5 .30 - Z4 l Print Owner's Name SIGNATURE Date SECTION 7b: OWNER1 OR AUTHORIZED AGENT(CONTRACTOR) 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. DUI iLhael ere.rA >ir 5.70- v t Print Owner's or Authorized Agent's(Contractor's)Name S NATURE 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!dos 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths , Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. Solar projects:Total#of Panels ,Total SF of Each.Panel , Total kW /'..4, YANKHOM-01 BROOKE '4��RNfl. CERTIFICATE OF LIABILITY INSURANCE DAT/2812D23YY) 9/28/2023 _ 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 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 rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Brooke Barre NAME: Phillips Insurance Agency,Inc. PHONE FAx 97 Center Street (Arcp,�N�o,Ext):(413)594-5984 I irc,No):(413)592-8499 Chicopee,MA 01013 Al hss:brooks©phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC I INSURER A:Selective Insurance Co of Amer 12572 INSURED INSURER B:Selective Ins Co Of South Carolina 19259 Yankee Home Improvement,Inc. INSURER C: 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 REQU.REMENT, 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. INTR TYPE OF INSURANCE INS°wvDD POLICY NUMBER POLICY EFF POLICY EXP LIMITS IMM/DD/YYW I IMM/DD/YYW I A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE X OCCUR S 2517693 10/1/2023 10/1/2024 DAMAGE TO RENTED 1,000,000 PREMISES Me occurrence S MED EXP(Any one person) S 15,000 PERSONAL&AOV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 3 2,000,000 RPOLICY n SYR [LOG PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: ECT S B COMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE UABILITY (Ea sodden)) S X ANY AUTO A 9106918 10/1/2023 10/1/2024 BODILY INJURY(Per person) S OWNED — SCHEDULED AUTOSRE� ONLY _ AUTOS BODILY BODILY INJURY(Par accident) S AUTOS ONLY — AUTO ONLY ( (PERJY_DAMAGE S oertt) S A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 1,000,000 EXCESS LIAB —^ CLAIMS-MADE S 2517693 10/1/2023 10/1/2024 AGGREGATE S 1,000,000 OED X RETENTIONS 0 S A WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY Y I N WC 9099267 10/1/2023 10/1/2024 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE ri N/A Et EACH ACCIDENT 3 (Ma nddaatoryIn BH)EXCLUDED? E.L.DISEASE-EA EMPLOYEE S 1'000'000 If yes.describe under 1,000,000 DESCRIPTION OF OPERATIONS below _E L.DISEASE-POLICY LIMIT S 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,NY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Commonwealth upation of Massachusetts Division of Occal Licensure • Board of Building Rea lu`ations and Standards Const,�i l idrt[S 4rYPHlsor CS-066324 z • E'�ic�ires: 03/28/2025 MICHAEL P EIRA • t PO BOX 10 -n WARREN MA': 1083. • 41��J.�3:Y� • Commissioner cti!. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration r Type: Corporation YANKEE HOME IMPROVEMENT INC Registration: 80584 0 Expiration: 8I1112024 36 JUSTIN DR. CHICOPEE,MA 01022 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 Expiratiop 1000 Washington Street -Suite 710 160584 08/11(2024 Boston,MA 02118 'ANKEE HOME IMPROVEMENT INC 3ERARD RONAN s6 JUSTIN OR, >IICOPEE.MA 01022 Undersecretary Not valid without signature The Commonwealth of Massachusetts .. Department of Industrial Accidents t,; Office of Investigations Lafayette City Center SW 2 Avenue de Lafayette, Boston, MA 02111-1750 ' WWW.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): N c& 1 -How Address: 3(o Just') D(_ City/State/Zip: Phone #: q1 q I--52 Are you an employer? Chec the appropriate box: Type of project (required): 1.Ell I am a employer with 26 4. ❑ I am a general contractor and I ❑ employees (full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' p tY 9. 0 Building addition [No workers' comp. insurance comp. insurance., required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 1.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §I(4),and we have no employees. [No workers' 13.0 Other 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. 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. I Insurance Company Name: Sp lee-L LVCR nI�_J�.ranc4 Policy#or Self-ins. Lic. #: WC. 1 oGa ltl1 Expiration Date: I DI I / 21-1 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1.500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify nder h 'ns and penalties of perjury that the information provided above is true and correct. Signature: Date: (�J Phone#: I I —31-1 I f5-09-C1 Official use only. Do not write in this area, to he completed by city or town official. City or Town: Permit/License # Issuing Authority (check one): 10Board of Health 20 Building Department 30City/Town Clerk 4.0 Electrical Inspector SJklumbing Inspector 6.0Other Contact Person: Phone#: City of Northampton ✓'� Massachusetts w�S`5 k ;�` l ( 4• DEPARTMENT OF BUILDING INSPECTIONS y z •,r.' •L 212 Main Street • Municipal Building Jti OD mow ''. Northampton, MA 01060 s�W. To, 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: ON -kol'lbke ()\oyo The debris will be transported by: Name of Hauler: USA 0SVc. Re�Gla� Signature of Applicant: t• Date: 5- 30 - 211 Page 1 of 11 /. 41 Yankee Home Improvement MA Lic#160584 CT Lic#0673924 yiYANKEE 36 Justin Drive RI Lic#33382 H Chicopee, MA 01022 VT Lic#174.000075 413-341-5259 or 877-88-YANKEE www.yankeehome.com Customer Information Sandy Bombard 413-537-5562 Date: 05/18/2024 William Bombard wrbombard@msn.com Rep: David Musante 55 Briarwood Drive Florence MA 01061 ProVia Entry Doors . ' Legacy Single Entry Door in FrameSaver Frame -36"x 80"Nominal Size -Unit Size:37 9/16"x 81 11/16" Quantity _ -Frame Depth:4 9/16" -2"Standard Brickmold 1;-7_ - -Right Hand Inswing-Inside Looking Out -110 Style 20-Gauge Smooth Steel Door \' -Eclipse Decorative Glass with Zinc Caming(ECZ) \�' -Sterling Gray Inside/Tudor Brown Outside 11682424 -Hardware _ L _ -All Hardware in Satin Nickel Finish _ -Georgian Lockset • -Thumbturn Deadbolt ,.1 ; go -Frame ' ' �► -Sterling Gray Inside Frame . I -Mill Finish ZAC Auto-Adjusting Threshold(5 5/8"Depth) -Satin Nickel Ball Bearing Hinges • I ' -Security Plate 1 Inside View Outside View Door Location Front Door Additional Details Front 1 This space intentionally left blank Page 2 of 11 Legacy Single Entry Door in FrameSaver Frame -36"x 80"Nominal Size -Unit Size:37 9/16"x 81 11/16" Quantity -Frame Depth:4 9/16" -2"Standard Brickmold -Left Hand Inswing-Inside Looking Out -110 le 2 �� EclipseSty Decorative0-Gauge GlassSmooth with ZincSteel CamingDoor (ECZ) -Sterling Gray Inside/Tudor Brown Outside -Hardware 11682424 -All Hardware in Satin Nickel Finish -Georgian Lockset -Thumbturn Deadbolt • -Frame 9 -Sterling Gray Inside Frame -Mill Finish ZAC Auto-Adjusting Threshold(5 5/8` Depth) -Satin Nickel Ball Bearing Hinges -Security Plate it Inside View Outside View Door Location Front Door Additional Details Front 2 Deluxe 394 Provincial -36"x 80"Standard Size -Tudor Brown Quantity -Standard Z-Bar -Pre-Hung -Color Matched Leaf Hinge -Hinge on Right(Viewed from Outside) -1"Color Matched Bottom Expander -Reinforced Kick Panel -Black Contemporary Curve Handleset(DH228) 11682424 -Assign a Random Key Number -Color Matched Heavy Duty Closer(DH219-08) -Standard Sash -Clear Glass -Full Screen with BetterVue Screen Mesh Inside View Outside View Door Location Front Door Additional Details Front 1 This space intentionally left blank Page 3 of 11 • Legacy Single Entry Door in FrameSaver Frame -36"x 80"Nominal Size -Unit Size:37 9/16"x 81 11/16" Quantity -Frame Depth:4 9/16" -2"Standard Brickmold -Left Hand Inswing-Inside Looking Out -110 Style 20-Gauge Smooth Steel Door j, 1pf -Eclipse Decorative Glass with Zinc Laming(ECZ) -Sterling Gray Inside/Tudor Brown Outside -Hardware 11682424 -All Hardware in Satin Nickel Finish -Georgian Lockset -Thumbturn Deadbolt Yi t -Frame -Sterling Gray Inside Frame 4 ' -Mill Finish ZAC Auto-Adjusting Threshold(5 5/8"Depth) �y -Satin Nickel Ball Bearing Hinges -Security Plate •• to • Inside View Outside View Door Location Side Door Additional Details Garage Deluxe 394 Provincial -36"x 80"Standard Size -Tudor Brown Quantity -Standard Z-Bar -Pre-Hung -Color Matched Leaf Hinge -Hinge on Left(Viewed from Outside) -1'Color Matched Bottom Expander -Reinforced Kick Panel -Black Contemporary Curve Handleset(DH227) 11682424 -Assign a Random Key Number -Color Matched Heavy Duty Closer(DH219-08) -Standard Sash -Clear Glass -Full Screen with BetterVue Screen Mesh Inside View Outside View Door Location Front Door Additional Details Front 2 This space intentionally left blank Page 4 of 11 Deluxe 394 Provincial -36"x 80"Standard Size -Tudor Brown Quantity -Standard Z-Bar -Pre-Hung -Color Matched Leaf Hinge -Hinge on Left(Viewed from Outside) -1"Color Matched Bottom Expander -Reinforced Kick Panel -Black Contemporary Curve Handleset(DH227) 11682424 -Assign a Random Key Number -Color Matched Heavy Duty Closer(DH219-08) -Standard Sash -Clear Glass -Full Screen with BetterVue Screen Mesh Inside View Outside View Door Location Back Door Additional Details Garage storm Legacy Single Entry Door in FrameSaver Frame -32"x 80"Nominal Size -Unit Size:33 9/16"x 81 11/16" Quantity -Frame Depth:4 9/16" -2"Standard Brickmold -Left Hand Inswing-Inside Looking Out -4 Panel 420 Style 20-Gauge Woodgrain Textured Steel Door -ComforTech DLA -Oak Inside and Outside -Hardware 11682424 -All Hardware in Satin Nickel Finish -Georgian Lockset(2 3/8"Backset) -Thumbturn Deadbolt(2 3/8"Backset) OP -Frame ,k -Oak Inside Frame(Painted) -Mill Finish ZAC Auto-Adjusting Threshold(5 5/8"Depth) -Satin Nickel Ball Bearing Hinges -Security Plate Inside View Outside View Door Location Side Door Additional Details Family room to garage This space intentionally left blank Page 5 of 11 Unforeseen costs that could occur. - Homeowner is responsible for removing and replacing any window treatments or air conditioning units in or around any windows/doors to be replaced. -Homeowner is responsible for removal and reinstallation of alarm components on any windows and/or doors to be replaced. Contractor will NOT replace alarm components. (Customer Initials) 115 Acknowledgements & Notifications. -Any furniture must moved at least 5 feet away from windows and/or doors to be replaced. -All pets shall remain secured in safe location inside of the home away from windows and/or doors to be replaced. -All driveways shall remain clear during date of installation. -Any HOA approvals are the responsibility of the homeowner and will be provided by homeowner unless otherwise stated on this contract. (Customer Initials) Special Instructions All 3 front entries with storms plus family room to Garage Do Not Do We do not do any painting or staining. 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 08/10/2024 Barring delay caused by circumstances beyond Contractor's control, the work will be completed by 09/28/2024 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 / 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. This space intentionally left blank Page 6 of 11 /gn.,A/t G ?. �r41 d Sandy Bombard 05/18/2024 Date William Bombard 05/18/2024 Date This space intentionally left blank laap•crhg ta.c:;!n 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 05/18/2024. You may cancel this Date of Transaction 05/18/2024. 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 IV."/VIA- 9 • Sandy Bombard 05/18/2024 Date 41t2 William Bombard 05/18/2024 Date • This space intentionally left blank leaw,,,•ig;al.corn 2.11.1 Page 11 of 11 Payment Schedule YHI agrees to perform the work,furnish the material and labor specified above for the total sum of: $27,029 Form of Payment Check Deposit Amount $9,009 Deposit Type Check Check# 5281 Measure Payment $0 Start Payment $9,009 Progress Payment $0 Cash Due Upon Completion $9,011 David Musante 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. jagidui4-615-4(0 Sandy Bombard 05/18/2024 Date 641JL—' William Bombard 05/18/2024 Date This space intentionally left blank I�q t,,:r;<:I