37-083 (12) 266GROVE ST BP-2019-1165
GIS#: COMMONWEALTH OF MASSACHUSETTS
Mao:Block: 37-083 CITY OF NORTHAMPTON
Lot-000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
Cateeom REPLACEMENT WINDOWS/DOORS BUILDING PERMIT
Permit# BP-2019-1165
Proiect# JS-2019-001886
Est.Cost $21593.00
Fee_$143 00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: YANKEE HOME IMPROVEMENT INC 89442
Lot Size(sq.ft.), Owner: RUEGSEGGER SUZANNE
zonule: Applicant: YANKEE HOME IMPROVEMENT INC
AT. 266 GROVE ST
Applicant Address: Phone: Insurance:
36 JUSTIN DR (413)341-5259 0 WC
CHICOPEEMA01022 ISSUED ON.4/1912019 0:00:00
TO PERFORM THE FOLLOWING WORK INSTALL 8 REPLACEMENT WINDOWS AND 1
DOOR
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:
Driveway Final;
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: PAL Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of OccuoancV Signature:
FeeTppe: Date Paid: Amount:
Building 4/19/2019 0:00:00 $143.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
ze��r��au�/�I�
C Department use only
_ City of N a CE'v E taloa f Permit:
Building pa urb bDdveway Permit
212 Mai Str et vrer/ eplic Availability
Roo 100 Apq 1 9 2019 star ell Availability
` Northampton MA 1060 T of Structural Plans
phone 413-587-1240 Fax -r atl LOIN NSPECT UMSite Plans
DEPiO
R7M F7ON.MPd10 eCgy
NO
APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING DWELLING
SECTION 1 -SITE INFORMATION — [ [/yl (�-
1.1 ProoerN(�Address: This section to be comp tqd by office
Z(o(O GTY:Ve. St Map_ 21 Lot L/. Unit
INC cV"OS-0 itr . CY a , 01,OIoD Zone Overlay District
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Y Glob
S117nnne AThPOCVOrP Kl1PGCPC,CPr a(nlo Gcn\'e 1"k ��i�ckhnmT��rn (110
Name(PrInt) Current Mailing Address: t
Telephone
Signature
2.2 Authorized Agent:
No"V-a Amar # ? e T �n Cly Ch��o�Pe -C(ln Otoaa
Name(Print) Cunent Mailing Address:
�DR>tlCa
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit ap licant
1. Building g a1 S'13 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5.Fire Protection
6. Total=(1 +2t3+4+5) Check Number d'
This Section For Official Use Only
Date
Building Permit Num I. Issued: I'
Signature: "7_19"Zdl�
Building Commissioner/Inspector of Buildings Data
FawocarA @ \jQAV_Le-hOh1P . Chm
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
Section 4. ZONING All Information Must Be Completed. Permit Can Bi,Dented We To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage
Open Space Footage
(eat area menus bldg&paved
Parking)
#of Puking Spaces
Fill:
volumc&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O DONT KNOW O YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONTKNOW O YES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES O NO O
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES O NO O
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacemen( riclows Iteration(s) E] Roofing ❑
Or Doors J2�
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [q Siding[0] Other
Brief ) aiption,of Prosed I Replan"9 olct door
Work:Jrho FC,, ir,tnrl nt.l� '� tewgCln�,ykh 4,r\et.� �tunrl0til`, . wl}h f�cw cloor.
Alteration of existing bedroom_Yes No Adding new bedroom Yes J No
Attached Narrative Renovating unfinished basement Yes ✓ No
Plans Attached Roll -Sheet
Its.If New house and or addition to existing housing, coniviete the following:
a. Use of building:One Family Two Family Other
It. Number of roams in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
I. Is construction within 100 ft,of wetlands?_Yes _No. Is construction within 100 yr. Floodplain_Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No.
I. Septic Tank_ City Sewer Private well_ City water Supply
SECTION 7a-OWNER AUTHORVATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, as Owner of the subject
property
hereby authorize 1OnY-ee H oyr"e- C Me
to act on my behalf, in all matters relative to work authorized by this building permit application.
Sighed cs�aci- �+re�ched
Signature o weer)' Data
I, K� Q "Vo-o- PI rl a rCk as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
cIoska PlnarcL
Pdnt Name I� - p
(�� nr.� � `I,fl0. Wv �] It- lq
Signature of Omer/Agent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor:: ( Not Applicable ❑
Nelms of Llcena,Holdsr: Gcyo-r& Zona l CS"0'6Ryya
License Number
3`,0 �us��r nr Chicee me � nlnaa 3 � (q lzazo
Add res Expiration Date
- LW6 -�y - Sasg .
Si ure Telephone
9.Reaistered Home Improvement Contractor: Not Applicable ❑
yarv1Ce2 Home pruyer-)ern ' 1le0Src�L1
Company Name Registration Number
3u Tus1An nr _ Ch\cupee Mr- ntoaa 207
Address Expiration Date
Telephonf,LAL LII \-5-59
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.C.152,§25C(e))
Workers Compensation Insurance af0davit must be completed and submitted with this application.Failure to provide this affidavit will result
in the denial of the issuanceof the buil mg permit.
Signed Affidavit Attached Yes....... No...... ❑
City of Northampton
-" Massachusetts
DEPAE0A18NT OF BUILDING INSPECTIONS 2 e V
\\ 212 Win Bfiaat •Municipal Buila3na
Q
Northampton, 1 01060
Debris Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building
permit all debris resulting from the constmction activity governed by this Building Permit shall be disposed
of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
The debris from construction work being performed at:
ae�D Gk-DN e 5k NoC-V (mm?�Uc� . ron
(Please print house number and street name
Is to be disposed of at:
�Vk11C �XVI(25 y() �oS� S S�rI J �lel�
(Please print name and location of facility)
Or will be disposed of in a dumpsler onsite rented or leased from:
(Company Name and Address)
Signature of Permit Applicant or Owner Date
If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the
Building Department as to the location where the debris will be disposed.
Page 1 of 14
Yankee Home Improvement MA Lich 160584
Y ri CT Lica 0 33924
YANKEE 36 Justin Drive ai Lica 333az
Chicopee, MA 01022
413-341-5259 or 877-88-YANKEE
www.yankeehome.com
Customer Information
Suzanne Ruegsegger TBRBiz@gmail.com Date: 03/21/2019
Theodore Ruegsegger (703)688-8216 Rep: Matthew Vient
266 grove street (703)888-8216
Northhampton MA 01040 (413)409-8183
The followinq windows will be installed by Yankee Home Improvement
Total number of windows being installed 8
Window Item
-- -�� Quantity 2
Window Brand Veridis 1800 Window Type Double Hung
Location Living Room Size 32 x 49
Coil Color Glacier White Interior Window Color White
Grid Pattern 6/6 Exterior Window Color White
Hardware Color White Screen Type Half
Window Item
-, Quantity 1
I� Window Brand Veridis 1800 Window Type Double Hung
--- Location Master Bathroom Size 28 x 37
Coil Color Glacier White Interior Window Color White
Grid Pattern 6/6 Exterior Window Color White
Hardware Color White Screen Type Half
Window Item
r - i Quantity 1
- Window Brand Veridis 1800 Window Type Double Hung
_ Location Full Bathroom Size 28 x 37
Coil Color Glacier White Interior Window Color White
Grid Pattern 6/6 Exterior Window Color White
Hardware Color White Screen Type Half
Window Item
r Quantity 1
Window Brand Veridis 1800 Window Type Double Hung
_ Location Bedroom 1 Size 32 x 49
Coil Color Glacier White Interior Window Color White
Grid Pattern 6/6 Exterior Window Color White
---J Hardware Color White Screen Type Half
Window Item
f Quantity 2
fWindow Brand Veridis 1800 Window Type Double Hung
Location Bedroom 2 Size 32 x 49
1 Coil Color Glacier White Interior Window Color White
Grid Pattern 6/6 Exterior Window Color White
Hardware Color White Screen Type Half
Page 2 of 14
Sliding Glass Door
Sliding Glass Door Item
Quantity 1
Window Brand Veridis 800 Location Kitchen
I! Size 72x80 Coil Color Glacier White
Interior Window Color White Exterior Window Color White
Hardware Color White Tempered Glass Yes
�'. Foot Lock Yes
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)
SSR 5
Acknowledgments & 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.
A1jK
(Customer Initials)
Custom Product
Name: Front Entry& Storm
Quantity: 1
Details:
Special Instructions
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[his
Agreement, unless specified herein.
Contractor will begin the work on or about 04/21(2019
Page 3 of 14
Barring delay caused by circumstances beyond Contractor's control, the work will be completed by
04/22/2019
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.
Soy
Customer Initials
WARRANTY
The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship
for a period of DOUBLE LIFETIME fallowing completion and shall comply with the requirements of this Agreement. In
the event that any defect in workmanship or materials, or damage caused by the Contractor, its subcontractors,
employees or agents, is discovered after completion of any job, Including cleanup, the Contractor shall, at its own
expense, forthwith remedy, repair, correct, replace, or cause to be remedied, repaired or replaced, such Authorized
damage or such defect in materials and workmanship. The foregoing warranties shall survive any inspection
performed in connection with the agreed-upon work.
Suzanne Ruegsegger
03/21/2019
Date
Theodore Ruegsegger
03/21/2019
Date
Page 4 of 14
Yankee Home Improvement MA Lic#160584
Y ri CT Lic#06]3924
YANKEE is Justin Drive RI Lic#33382
Chicopee, MA 01022
413-341-5259 or 877-88-YANKEE
www.yankeehome.com
Customer Information
Suzanne Ruegsegger TBRBiz@gmail.com Date: 03/21/2019
Theodore Ruegsegger (703)888-8216 Rep: Matthew Vient
266 grove street (703)888-8216
Northhampton MA 01040 (413)409-8183
- Legacy Single Entry Door in FrameSaver Frame
-35"Custom Unit Width
-80"Nominal Height Quantity
-Unit Size: 35"x 81 5/8"
-Frame Depth:4 9/16" A
-2" standard Brickmold I
-With Storm Door-Sized to Fit on Brickmold
-Left Hand Inswing-inside Looking Out
-Entry Door 5306479
-4 Panel 206 Style 20-Gauge Smooth Steel Door
-ComforTech DLA
-Snow Mist White Inside and Outside
i -Hardware
-All Hardware in Lifetime Bright Brass Finish
�e g -Georgian Lockset
-Thumblurn Deadbolt
-Frame
-Textured Snow Mist White Aluminum Frame Cladding
-Snow Mist White Inside Frame
-Mill Finish Sahara Threshold (61/16"Depth)
-Zinc Chromate Ball Bearing Hinges(Complements Bright
and Antique Brass)
-Security Plate
Inside View Outside View
Door Location Front Door
Page 5 of 14
Deluxe 399 Self-Storing
-Custom Opening Size:33 7/16"x 80"
-Snow Mist White Quantity
-Standard Z-Bar
-Pre-Hung w
-Color Matched Leaf Hinge I'
-Hinge on Left(Viewed from Outside)
-1" Color Matched Bottom Expander
-Pebble Grain Kick Panel 53064]9
-Bright Brass Contemporary Curve Handleset(DH231)
-Assign a Random Key Number
-Color Matched Heavy Duty Closer(DH219-01)
-Clear Glass
-Full Screen with BetterVue Screen Mesh
Inside View Outside View
Door Location Front Door
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.
9F 1V
(Customer Initials)
Acknowled ernents & 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.
�R
(Customer Initials) jeIt
Custom Product
Name: Front Entry&Storm
Quantity: 1
Details:
Special Instructions
Do Not Do Page 6 of 14
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 04/21/2019
Barring delay caused by circumstances beyond Contractor's control,the work will be completed by
04/2212019
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 FrR TaA
WARRANTY
The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship
for a period of DOUBLE LIFETIME following completion and shall comply with the requirements of this Agreement. In
the event that any defect in workmanship or materials, or damage caused by the Contractor, its subcontractors,
employees or agents, is discovered after completion of any job, including cleanup, the Contractor shall, at its own
expense, forthwith remedy, repair, correct, replace, or cause to be remedied, repaired or replaced, such Authorized
damage or such defect in materials and workmanship. The foregoing warranties shall survive any inspection
performed in connection with the agreed-upon work.
f4.r
sazanna Ruegsegger
03/21/2019
Date
Theodare Ruegsegger
03/21/2019
Date ...... .
Page 7 of 14
NOTICE OF CANCELLATION
You may cancel this transaction, without any penalty or You may cancel this transaction, without any penalty or
obligation, within three business days from the below date. If obligation,within three business days from the below date. If
you cancel, any property traded in, any payments made by you you cancel, any property traded in, any payments made by you
under the contract or sale, and any negotiable instrument under the contract or sale, and any negotiable instrument
executed by you will be returned within ten business days executed by you will be returned within ten business days
following receipt by the seller of your cancellation notice, and following receipt by the seller of your cancellation notice, and
any security interest arising out of the transaction will be any security interest arising out of the transaction will be
cancelled. To cancel this transaction, mail or deliver a signed cancelled. To cancel this transaction, mail or deliver a signed
and dated copy of this cancellation notice or any other written and dated copy of this cancellation notice or any other written
notice, or send a telegram to: notice, or send a telegram to:
YANKEE HOME IMPROVEMENT INC. YANKEE HOME IMPROVEMENT INC.
36 Justin Drive 36 Justin Drive
Chicopee, MA 01022 Chicopee, MA 01022
NO LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY NO LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY
FROM THE DATE OF THIS CONTRACT. FROM THE DATE OF THIS CONTRACT.
I HEREBY CANCEL THIS CONTRACT. I HEREBY CANCEL THIS CONTRACT.
BUYER'S SIGNATURE DATE: BUYER'S SIGNATURE DATE:
I Suzanne Ruegsegger, HAVE BEEN PROVIDED ORAL NOTICE THAT I HAVE THE RIGHT TO CANCEL THIS
TRANSACTION, WITHOUT ANY PENALTY OR OBLIGATION, WITHIN 3 BUSINESS DAYS FROM THE DATE OF THE
TRANSACTION SPECIFIED ON THE "NOTICE OF CANCELLATION".
fury "
Suzanne Ruegsegger
03/21/2019
Date
Theodore Ruegsegger
03/21/2019
Date
Page 8 of 14
TERMS and CONDITIONS
Ownership of Property:
MA
The undersigned warrants that he/she is Owner of the property on which the work is to be performed or that he/she
is otherwise authorized on behalf of Owner(s) to enter into this Contract.
Notice of Scheduling Changes:
Contractor agrees to provide Owner with notice when delays become known to the Contractor.
Concealed Conditions:
Should concealed conditions encountered in the performance of the contract be at variance with the conditions
indicated by the contract and/or Owner or should unknown conditions of an unusual nature, differ from those
ordinarily encountered and generally recognized as inherent in the work of the character provided for in this
contract be encountered, the contract shall be equitably increased. Furthermore, if unknown and/or concealed
conditions prevent Contractor from completing the contract, the contract shall be equitably increased or decreased,
as the case may be.
Delays in Completion Due to Concealed Conditions:
Owner hereby acknowledges that in certain remodeling work, the demolition of portions of the pre-existing
structure may reveal additional defects, conditions or the need for additional work, which must be repaired, altered
or carried out in order to complete the work described under the contract. In such case(s), Owner agrees that the
duration of the work and the scheduled date of completion may differ from the date stated on the front, and that
such variation shall not be considered to be a violation of this contract.
Restarts:
If the project is stopped by Owner for a period of greater than ten (10) days, a restart fee of ten percent (10%) of the
contract price will be required to compensate Contractor for the necessary time and remobilization of staff and
materials. Depending on the duration of the stoppage, an additional equitable adjustment may be necessary to
cover wage increases and general escalation.
Product Substitution:
Without Owner's consent and at the discretion of Contractor, Contractor may use materials and articles of quality
and merit equal to those designated in the contract, where the materials described in the contract are unavailable or
their use in impractical, provided however, the material must be of equal or greater value than those specified in the
contract and there shall be no additional charge to Owner.
Page 9 of 14
Hazardous Waste/Asbestos/Contaminants/Mold:
Owner represents and warrants that the project area and house are free from hazardous waste, lead paint, asbestos
and/or other contaminants. Therefore, in consideration of this representation and warranty, it is agreed that by
accepting this contract, Owner does hereby release and indemnify and hold harmless Contractor from and against
all claims, damages, liabilities, losses, expenses, direct and/or indirect, including but not limited to, attorney's fees
and defense costs arising out of or resulting from the performance of any of the services by Contractor or claims
against Contractor relating to, involving or arising out of hazardous waste, lead paint, asbestos, and/or other
contaminants unless such damages or claims are caused solely by Contractor's negligence.
Owner is hereby advised that mold can grow and be present in concealed areas of the home, Contractor has neither
made an analysis nor verification, and assumes no liability for the determination of mold existing in or on Owner's
residence. Owner hereby agrees that Contractor shall not be responsible for the detection, containment, or
remediation of and existing mold.
Owner further waives all claims and agrees to hold Contractor harmless against any claim based in whole or in part
on the release of spread of mold that does not originate with Contractor negligence.
Additional Warranty Information:
All work to be completed in a workman like manner. Any alterations or deviation form the above specifications
requested by Owner involving extra costs will be executed only upon written orders, and will become an extra
charge over the estimate.Payment/Default:
Owner agrees to pay cash in accordance with the written terms and conditions; provided, however, if Contractor, at
its sole discretion grants Owner credit, then Owner shall sign the Contractor's promissory note for the credit so
granted. The terms of the promissory note shall be incorporated herein by reference and made a part hereof. If
Owner fails to make all payments strictly in accordance with the terms of this contract, and/or otherwise defaults
hereunder or on the promissory note,the entire unpaid balance of the contract and note shall be immediately due
and payable, without further protest, notice or demand, and Contractor shall be free to exercise its cumulative rights
and remedies, which may include, but not be limited to, suit, attachment and rights pursuant to various applicable
lien-laws. Owner also agrees to sign a completion certificate upon completion of the work. Owner agrees to pay all
costs of collection, including reasonable attorney's fees, costs and expenses. Furthermore, interest shall be charged
at the highest lawful rate of interest on any and all overdue payments.
If Owner cancels this contract at any time subsequent to midnight of the third business day after the date of the
contract, Owner will be responsible for all of Contractor's damages, which will include, but are not limited to, the
difference between the contract price and the cost of material and labor which would constitute lost profits in
addition to any and all other damages suffered and/or sustained by Contractor. Contractor reserves the right to
cancel this contract at any time within thirty days of the date of this contract. If Contractor cancels, Owner will be
promptly notified in writing by an authorized officer. If Contractor cancels, Contractor will promptly return any down
payment(s) Owner has made.
Page 10 of 14
Arbitration:
The parties hereby agree that the Massachusetts Arbitration Act shall apply to all disputes and claims arising out of,
or relating to this Agreement, including the breach thereof. The parties agree to follow the expedited procedures of
the Commercial Arbitration Rules of the American Arbitration Association at a hearing only to be held in Springfield,
Massachusetts. The commencement of arbitration proceedings by an aggrieved is a condition precedent to the
commencement of legal action by either party except, mandatory arbitration procedures required in this Agreement
shall not be applicable to any claim by Y.H.I., wherein it seeks a prejudgement remedy such as a real estate
attachment, for cases where Owner has not paid a bill which is due to Y.H.I.
Subcontracting:
Contractor has the right to subcontract any part, or all, of the work agreed herein to be performed. All permits,
license requirements, workmen's compensation and/or other job requirements shall be the sole responsibility of the
subcontractor.
Contractor agrees that, notwithstanding any agreement for materials and/or labor between Contractor and a third
party, Contractor is responsible to Owner for completion of all work described in a timely and workmanlike manner.
No Acceleration of Payments but Escrowing Allowed:
The Contractor may not require payments to be made in advance of the times specified in Payment Section (front),
provided, however, if it deems itself to be insecure, it may require, as a prerequisite to continuing the work
described herein, that the balance of the payments under this contract that are in control of Owner, shall be placed
in a joint escrow account that requires the signature of both Contractor and Owner for withdrawal.
Insurance:
Contractor will be responsible to Owner or any third party for any property damage or bodily injury caused by itself,
its employees or its subcontractors in the performance of, or as a result of, work under this Agreement. Contractor
agrees to carry insurance to cover such damage or injury.
Construction Related Permit Acquisition:
Contractor, under provisions of Chapter 142A of the Massachusetts General Laws, is required to apply for and
obtain all construction related permits. Contractor shall not be deemed responsible for delays in the work described
in this agreement caused by regulator, permit granting or inspectional agencies, authorities or individuals.
NOTICE: If Owner obtains his/her own construction related- permits for the work described under this Agreement,
Owner is hereby advised that in the event of a dispute,judgment and non payment of Contractor, Owner will not be
entitled to make claim to or collection from the guaranty fund established in M.G.L. c. 142A.
Modification:
This Agreement, except as to concealed conditions or delays occasioned thereby or by restarts, cannot be changed
except by a written statement signed by both Contractor and Owner. However, cancellation by Owner is allowed in
accordance with the Notice of Cancellation. Owner hereby grants Contractor a limited Power of Attorney to
complete incomplete documents on Owners behalf.
Completeness of Contract for Execution:
Owner is hereby advised not to sign this Agreement unless and until all blank sections have been filled in or marked
as void, deleted or not applicable, and until all exhibits and related or referenced documents that are incorporated
herein are attached hereto.
Attorney's Fees/Costs
Owner agrees to pay all costs of collection, including reasonable attorney's fees, cost and expenses. Furthermore,
interest shall be charged at the highest lawful rate of interest on any and all overdue payments.
Copy of Agreement to be given to Owner:
This Agreement is governed by the laws of the Commonwealth of Massachusetts. It must be executed in duplicate,
and an original, signed copy hereof given to the Owner at the time of execution. No work under the Agreement shall
begin prior to the signing of the Agreement and transmittal to the Owner of a copy therefor.
Page 11 of 14
100% Money Back Guarantee
100% Money Back Guarantee
There is nothing more important to us than our customer's satisfaction. We think that it is unnecessary for a
homeowner to take a risk when using a home improvement contractor. That's why we offer all of our customers
our exclusive 100% Satisfaction Pledge.
Here is how it works: At any time within 30 days of your job being completed and paid in full, if you are not fully
satisfied with either our work or your products, and if we cannot fix the issue to your satisfaction within 90 days,
we will do the job for free. If we cannot make it right, we will refund your purchase amount. All we ask in return
is a fair chance to remedy any issues.
As you may know, I had $2500 taken from me by an unscrupulous roofing contractor. Our "No Worries"
philosophy is based solely on creating a trusting environment for our customers that delivers what they were
promised. I want you to tell all of your friends about how you felt comfortable and informed during the entire
construction process, and most importantly, I want you to be happy with the products you will be enjoying for
the rest of your life.
Committed to your complete satisfaction,
Ger Ronan
Suzanne Ruegsegger
03/21/2019
Date
Theodore Ruegsegger
03/21/2019
Date
Page 12 of 14
Payment Schedule
YHI agrees to perform the work, furnish the material and labor specified above for the total sum of: $21,593
Form of Payment Cash
Deposit $7,197
Deposit Type Credit card
Cash Due Upon Completion $14,396
e� V
Matthew Vient
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.
Svr'fV
J
Suzanne Ruegsegger
03/21/2019
Date
Theodore Ruegsegger
03/21/2019
Data
Page 13 of 14
Customer Information
Suzanne Ruegsegger TBRBiz@gmail.com Date: 03/21/2019
Theodore Ruegsegger (703)869-8216 Rep: Matthew Vient
266 grove street (703)888-8216
Northhampton MA 01040 (413)409-8183
Your family's health and safety
is our top priority!
I hereby acknowledge receipt of the pamphlet, 'Renovate Right." This pamphlet informs me of the
potential risk of lead hazard exposure from renovation activity to be performed in my home. I
confirm that I have received is pamphlet before any work began on my home.
^ 'g-�ff�
Suzanne Ruegsegger
03/21/2019
Date
Theodore Ruegsegger
03/21/2019
Date
Page 14 of 14
Image: 1.1
340PM TM1UMar21 ®81%M'
vtl5 W.dmiEesgrsMtxdsKtO m
4
K-
v �+bTy.1M* ax
A 3. y pu SYt.:
2
r
y .
..>
f
�� ue seamen rveann tp : nunucuuaeun
Department of Industrial Accidents
Office oJ'Investigations
i i r 600 Washington Street
Boston, AIA 01111
wevw.nmss.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legible
1Nanletaus'mcss Organizmionln(liciduab: ) a'\ ey
Address: 36 L7(,
City/State/Zip: U Ee, &)-,1 Phone W:��j5�7'- _ 7 L,=
Are you an employer'!Check the appropriate box: Type of project(required):
1.�[ ant a employ,,,with J 2- 4. E] 1 am a general contractor and I
employees(lull ander part-time)." have hired the sub-contractors 6. ❑ Naw construction
2.❑ 1 am a sole proprietor or partner- heted on the atrnched,heet. 7. ❑ Rnnodeling
ship and have no employees 'Inose sub-contractors haa' S. ❑ Demolition
svorking or me in any capacity. employees and have workers 9, 7 Building addition
[No workers' comp. insurance come
p. insuranc
required] >� ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ l am a hmeeonner doing all work officers have exorcised their 11.❑ Plumbing repair,or additions
myself se
m No workers'cora . right of exemption per MGL
Y [ P 12.❑ Roof repmn
'msurunce required.] ` ec.m152, 31(4),and we lace no
e ,F3/
ployees. [Ko workers' 13.ky 0(herWp3(,)ilS�60p[_
comp, insurance required]
`Any applicant that<h,A,box 11 mu,t also lilt ouuhc,ealon bdmv sharing theirxeorkefsmmporYrion policy Intuunation.
n r c c fi _ubmiuhtc alit l- d gin,the I ,,all work mtJ then h re o e"ade wtnraators msec b 1 s nee i0fd4111 11111LIsn",such.
"Cnta,lonthat cheek ti:bra uiI,tnaohed at adder ::h",,cie,,ag the rang .l the sbunmew , td:rte h"lor or not 111111Y IIIIII111lmc
rmpl11 1,sun"commolurx Lova untplovices,they rvivt prcaide their workers'comppolicy mmnber.
/am an employer that is providing workers'compensation insures ce for my employees Behmv A are policy and job site
infornurtion. _
Insurance Company Same: � I
Polio,dor Scl(-in, Liceg: X�tel�S 6 �(2.Z��il ..__ Expiration Dam:LJ
,lob Site Address: a�� Grok e Sk . --_-"-- City'State;7iP:IV11C Y1:"_ i, C1Olv0
Attach a copy of the workers' compensation policy declaration page(showing the police number and expiration date).
Failure to,entre coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
Fine up to S 1,500 00 andor one-year imprisonment,as well as civil penalties in the farm ore S"IOP WORK ORDER and a fine
Of uBeLIP to 3250.00 a day against the violator. advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do herehv certify under the pains and penalties oleperjury that the infarreation provided above is true and correct.
I)Ll- _..__._ —_._-._- - )-f0.
S�narnuSl4(6 � � Dura: L-A- �_
Ptonep: t(I �—`52L�
Oficial use on(r, Do not;erne Lr this area,to be completed by city or town official.
CRY or Town: Permit/License K
Issuing Authority(circle one):
1. Board of health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
b.Other
Contact Person: Phone n:
----*i YANKHOM-01 NICOLE
Ale O CERTIFICATE OF LIABILITY INSURANCE 318/2019
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
REPRESENTATNE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: N the cartl0cate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or beendorsed.
H SUBROGATION IS WANED, subject to me term.and conditions of the policy,certain policies may require an endorsement A statement on
this certificate does not confer rights to the ceNOcals holder in lieu of such endoreement(s).
PRODUCER 52 .DT Nicole Yyeslick
Phillips Insurance Agency,Inc. ENON,co,: 413 594+5984 FAx
97 Centaur Street ( ) ac,xe:(413)592.8499
Chicopee,MA 01013 :nleolagphillipsinsuranee.com
INSURERS AFFORDING OWERAGE NAIL r_
INSURERA:Ohio Security Insurance Co 24082
IMsumm INSURER e:Selective Ins Co of South Caro
Yankee Home Improvement,Inc. INSURE.c:Ohio Casual 24074
Ger Ronan
36 Justin Drive IN81JReRD:Philadelphia Insurance Company
Chicopee,MA 01022 INSURER E:
INSURERF:
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.
N90. 1M.FINWRNICE 4OR aVB0. POLICY NUMBER POLICY EFF PIXILY ENP LIMBS
A FXCO ERCIAL GEN EM7W ILITY EACH OCCURRENCE S 1'000,000
LUDR AOE [OCCUR SKS56702391 10112018 10112019 DAMAGE TO RENTEDPREMISES(Ea
$ 300,000
MED FNP Lny ore $ 15'000
PENWNK a ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT MPUES PER: GENERALAGGREWTE IS 2'000,000
POLICY[.jECT —UE,BLOC P0.0WCT5-COMp/OP AGG S 2,000,000
OTXER'. S
rgMSINED SING LE LIMIT 1,000,000
B AVIDYOGILE LIABILrtY .wav&l S
X
ANYAUTO9106918 11/11 18 18M2019 BODILYINJU NY Per rs E
P�Upr�gp50NI AUTT�O�SV/UEDp BODILY INJURY PareulEenr E
AlITG50NLY AVIOS ONLY PRD a0.eent PMAGE S
W IS
G X UMBREl1ALIAB X OCCU0. EACH OCCURRENCE '.S 1'000'000
XC
EESS LIFB CWMSHAADE US056702381 10112018 10/12019 AGGREGATE Is 1,000,000
DED I X I RETENTION$ 101000
C WORK gCOMPENSATION 7CC
PEROTH-
A EMPLOYERS LIAILMY
MyEN0PIUETO MTNER,EICECUWE YIN NIA 056702381 10/12018 1011/2019 DFNT $ 1.000'000
CFeb FTMR ExcwDEDx
(1aN�I n • 1 eA EMpLovE $ 1,000,0001,000.000RIPTIONOFOPEAATIONSDIIw MUCYLIMIT sA Property BK556702381 10112018 10/12019 it 3,000,000D EPLI PHSDIIAR876 9/1812018 W18/2019 ( 1,000,000
DESCRIMOM OF OPERATONS I LOGTIONS I VEHICLES 11ACORD 101,MEltlontl WmrNa 3MaWls,nxy Oe tlIxMENmo,N Fpn a rpul,Mi
Workers Compensation Includes coseraga for IM1e f.11mving 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 THE
WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD 25(2016103) ®1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD