Loading...
17C-085 (8) BP-2022-0985 67HIGHST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17C-085-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-0985 PERMISSIONIS HEREBY GRANTED TO: Project# siding/windows Contractor: License: ALLIANCE HOME IMPROVEMENT Est. Cost: 20400 INC 104327 Const.Class: Exp. Date: 1 1/29/2023 Use Group: Owner: PARZYCH KEITH F Lot Size (sq.ft.) Zoning: URB Applicant: ALLIANCE HOME IMPROVEMENT INC Applicant Address Phone: Insurance: 375 CHICOPEE ST (413)883-3802 6S62UB-4N622734 CHICOPEE, MA 01013 ISSUED ON:08/16/2022 TO PERFORM THE FOLLOWING WORK: NEW SIDING AND WINDOWS/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: e, • V • >2 Fees Paid: $140.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner 1'1 15t --"--1 /1, The Commonwealth of Massachusetts w Board of Building Regulations and Standards AUG 5 2Q�MU ICIOP LITY Massachusetts State Building Code, 780 CM12 US'F Building Permit Application To Construct,Repair, Rcmovato, , olish a R sed mar'2011 One-or Two-Family Dwelling ''nor'tunrnw; ���1 T�}his ection For Official Use Only nN' °'`._()INs) S ) Building Permit Number: tJ', 7- ,5 D to A lied: ,16:vl0 -s / B-15-26ZZ Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION _l.lgope11 Addresti 1.2 Assessorsap&Parcel Numbers D g6- 40 Ih� 1.la Is this an fit cepted 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: Zone: Outside Flood Zone? Public 0 Private 0 Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Vei.-h PGA-z Ct I (orev+c. )t4 f D(02 Name(Print) (� City,State,ZIP � Jei pi gi uis u 2 lov Kparzcl3op A. ) coN- No.and Street Telephone Email Addrea SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. ❑ Number of Units Other IIVSpecify: V,`h d(•-• Sdet; 5 Brief I?escript' n of PrTs91 Work': at.9 over t3 f ko t-e p LC/t� 66t,cp0(,1) V++� + olbAo re (�c�p 2 i 4- SIB ler-S/ � � - 3L4 t + r .2 , re 1.,4i dewi . 2 . ' 1" vlI 3- a),J--t-f-,/, 43015 , SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $020 c'oO yJ 1. Building Permit Fee: $ Indicate how fee is determined: t ❑ Standard City/Town Application Fee 2. Electrical $ ❑Total Project Costa (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: _ $. Mechanical (Fire $ Suppression) Total All FeFs 4j4d Check No. heck Amount: i Cash Amount: 6. Total Project Cost: $ Di tP(7 0. '� 0 Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) es -t oY6.-_ , t ( q/z 3 ce ;V Si,L / L(,c t,�/L License Number Expiration date Warne of CSL oIdb- List CSL Type(see below) at•F‘We--e—e No.and Street Type Description �. 4.. n / ( / U Unrestricted Buildin up to 35,000 Cu.ft.) City/Town,Stats,ZIP /`-7 R Restricted o Dwelling M Masonry RC Roofing Covering WS Window and Siding �q (1 Q/ //__ SF Solid Fuel Burning Appliances t' `I 13 Tj 5 DZ ✓ �I atettance YLc-c kIc. to,,7 I Insulation Telephone Email address D Demolition 5.2 Re istered Home Improvement Contractor(HIC) 624Q/Z3 tiap� — Vey c— HIC Registration Number Expiration Date HIC Compan ame or HIC Regis ant Name (' CJ CJ ,,e/'tzhce // No.and Street � ��� 2�pz Email address r 'io ee / D/Dim 7 l City/Town', State, 'GIP 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 . 1B" No . 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize cee— /K6 to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name belo ',I hereb . -. under the pains and penalties of perjury that all of the information contain-. ' '. . ' . e and accurate to the best of my knowledge and understanding. /70a/20- ' .1 "er s • Aut f ized Agent's Name(Electronic Signature) Date / NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open "Total Project Square Footage"may be substituted for"Total Project Cost" The Commonwealth of Aiassuchnsetts m°mom te. Department of Industrial Accidents ="�1;_ 1 Congress Street,Suite 100 � `CS Boston, MA 02114-2017 www.muss.gov/diu 11 hikers'('antpensa►ian Insurance Afftdati it: Builders,'('untrue:turs,'ElectriciansiPlumberf. to BE FILED ut•.PERMrrrt (:At iIIORlr4. .Applicant Information Please Print Legibly Name inuNiuvi:,!,OrririiI.alion ludo%Auld}: /4 (, IL1.(,t/1k 1-&)1'1„-LC St/ C.)V t Y f G�Z..L C� '4- C Address: JQ S aut.up c.7'.i Citytfstate;7ip: C(,�e' c_op_ex (-I lV(rc)(3 Phone#: (/3 .3 . PO 2- Are yea an implorer?er?l'het k dIr appropriate tram: Type of project(required): 1. I am a employer with L� tangetu}ees(full and or part-tins:_ 7. 0 Niew construction 1E1 I ant a sok prow-tam or pottiness/hip and have not enrpkwhu s N•urkinrc lur Mt:119 Q Remodeling arty capacity.[No workers'coup.insurance required LJ 9. ❑Demolition 3O I am a Itunwwxner doing.all Hark in df.jNo woxk zs`coop.ihr urancce nag urretl f -- N0 0 Building additio 4.0 I ant a Iu,nnxrnwncr and will he huutt suwttructor,to conduct all wtak on my property.. I wdI claim:that all corruracturs either have xcxksrs'cxrcrrgrnts:inwt insurance ur:LTC u,le I I.0 Eleetrtie,al repai or additions proprietors with no employees.. 12.E Plumbing repay `or additions :sin i am a iri ncral contractor and t have hired the sub-contractors listed on the attached sitech_ These sub-contractors lnvc pluyces and have workers'comp.ulsurancc.' 13�Roof repairs can 14. 6.0 N'c an a corporation and its officers hart exercised their right of exemption per!Skil c. 1 them �' <?>)d 152,t lilt,and we have n,,employees.[No nutters'comp.insrcania:required.] 'Any applicahn that checks box a I meat also fill out the section helms shun ing their workers compensation puticy information. +lixoncowrn rs his sudhona this aft-ohs it hulicatirm they arc doing all work and them hire outside contractor.mrut subnut a nuns affulaa it ornliesting such. :Contractors that check thin box must attached an additional sheet show my the naive of the sutbbcintracto c.and state whcikicr or not those saddles Jhasc employees_ It the sub-contractors base employ ecs.they must rim ido their uurkcts'comp.policy member_ i am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site inJnrHtnt!!)n. Insurance t inipan Name: 11)l e V !V• -e (cot C1 1/[ V4Q r(,l/VLc-C.- CC AA--, ivy 1 6 Policy#or Sell-ins.Lic.#: 66 S r6o2 Lf I?) - Y'/1)62 2..7..3 L Expiration Date: (2/OS /2 2.—. Job Site Address: C--W '- f ip"f �4 Ft Ot/.P2l4 C.Q Cityt'StateiZip: AlLL (0C�c Attach a copy of the workers'co motion policy declaration page(showing the policy number and espi Lion date). Failure to secure coverage as required under MGL c. 152.§25A is a criminal violation punishable by a fine up to S l.5(#).tH) atut;'or one-year imprisonment,as well as civil •.w• in the form of a STOP WORK ORDER and a tine of up to S250.00 a day against the violator.A copy of this • i . ,forwarded to the Office of Investigations of the DNA for insurance ctm crauc verification. I do hereby certify un the, ,i �, d . efperjsrry that the information pro tified above is true and correct Ste.naturc: / lobe. 1)e/(2 2 I Phone a- (Ill Ofti inn rive ein/v. Do not write:in this area.to be coatpleted by c•tttl'or town trflitint ('itv or Town: Pernlit.+l.icense# Issuing Authority (circle one): I. Board of Health 2.Building Department 3.('itr(Iowa Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other ('untaet Person: Phone#: City of Northampton • .0 H 1. M � _ SAS ». St 1 Massachusetts ��� x- lit : 1- '41 .' 4 DEPARTMENT OF BUILDING INSPECTIONS 6 ' F+r M _] �, 212 Main Street • Municipal Building vy ��Cs Y'*1 Northampton, MA 01060 rS "'� � 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: E-f- 440( (j /�j] Location of Facility: ��� /�� C,-r �� � b �-� ) /`- r/ The debris will be transported by: Name of Hauler: COS C%( (a_ c-bs s--e pD Signature of Applicant: Date: ems! iZ 22 L_. A,..).., • -''. . l e:06,1'7,47/NitAf.,,kir:/b eit ct ...PerdMISVI/Akaa utatIon ("Thg6tt 04 CM@LIFEOF gritgrO. 2HCio Uo Winsome Reg ME VSE-ohliIVE NiKat-eidt•710 Mmi@nv Hlta@hAmiltts 02110 monyg llEtipnyarn&tg OgriglOtOf RegletniVon • • •., b'Oa dapomilors AMMON ICS IMPRovskieur,gm •,-,9* - — -. titglitnilin 11411t1 glnaaPill all MA 010111 . , !..•f kfAilliklig 02/10/143 -IFt • j'. tv, '_2•.4.1\ altng17 -.- — Update Address mid PM=Oat . Jea,' grerwmfAsirearvtdaymmdiv441 aTreositteesseer_14111911111111.91111111 mme.32 tbouvouNdr 114641-aitenvilltd air NNW in di# , .(7.,), ow Ms sekolen dub. Nisi ndinaume __ Ilkalli IMO CommwAtEkE3 and Nam a" Meal.Otillm Mid% ', ---------- ..----- .c,-, .e.• !:;_. _ 4 ------ LIRC§Will1M9 1-;.-'7' , .‘1' .t , ./ ••:° albigtlr 411k_ _de : - ...... .i•'" ---;° tiladPE,alY-1 amig ''- ......... ...„, Undarasorstry uefiE trithelli elamiturs • Commonwealth of Massachusetts IV- Division of Professional Licensuie Board of Building R ulatlons and Standards t'..arlot " isor CS-104327 Spires:11/29/2023 SERGIY SUPRUNDHUK 60 LEWIS RD WESTFIELD MA 01085 44'oz. eft° I • Commissioner de K. Btlyill.i., TE(MNI/DD/YYYY) A CERTIFICATE OF LIABILITY INSURANCE DA03/02/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(ies)must 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 CONTACTE David Jerry NAMNeill&Neill Insurance Agency Inc PHONE 413-732-4137 FAX 413-731-6629 662 Riverdale Street two,P><ty (ac,No): West Springfield,MA 01089 ADDRESS: dj@nefliins.com t INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A: State Auto Insurance Companies STA INSURED Alliance Home Improvement, Inc INSURERS: SAFETY INSURANCE COMPANY 39454 Sergiy Suprunchuk I 375 Chicopee Street INSURER c: Ace American Insurance Company 12185 1 Chicopee,MA 01013 INSURER D: INSURER E: t---,_ INSURER F: •COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: rINIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ;ERTIFICATE 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. ,.IN LTR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP I INSR W M(VD POLICY NUMBER (MM/DDNYYY) (MDD/YYYY) i A GENERAL LIABILITY PBP2689283 03/12/2022 03/12/2023 1,000,000 EACH OCCURRENCE iS V COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED- 300,000 PREMISES(Ea occurrence) $ CLAIMS-MADE V OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 ObN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGO S 2,000,000 ' POLICY JECT I I LOC $ B AUTOMOBILE LIABILITY 6226483 12/04/2021 12/04/2022 COMBINED ISINGLE LIMIT,) ,—+.I• 1,000,000 . ANY AUTO BODILY INJURY(Per person) $ ALL OWNED _ / SCHEDULED • •± BODILY INJURY(Per accident) $ .•VAUTOS V AUTOS PROPERTY DAMAGE I HIRED AUTOS NV NON-OWNED $AUUTOSTOS (Per accident) • $ UMBRELLA LIAR _ OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEC RETENTION$ $ C WORKERS COMPENSATION 6S62UB-4N822734 12/05/2021 12/05/2022 Y I WC sTATU- ARJ EMPLOYERS'LIABILITY TORY LIMITS ER AM PROPRIETOR/PARTNER/EXECUTIVE Y/N N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? C (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yos,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DF,SCRIPTK)N OF OPERATIONS/LOCATIONS(VEHICLES(Attach ACORD 101,Additional Remarks Schedule,II more space Is required) t CFATIFICATE IS FOR PROOF OF INSURANCE PURPOSES ONLY • dERTIFICATE HOLDER CANCELLATION • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE •L Sergiy Suprunchuk THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 375 Chicopee Street ACCORDANCE WITH-THE POLICY PROVISIONS. Chicopee,MA 01013 AUTHORIZED REPRESEN TI • t IR ©1988-2010 ACORD COR ORATION. ghts reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD '''i 1QJJIr All li nor nhpl.•.t merit w notI a 1..11.and soli nu..t..n r nw,Ke11 III $ ittiproLn, hunn• Impl.nr Cos III ..npl in ling Wile,- tin,if. ally e.e opt fi.�m `Y 'eT frKlslr.W.m Ly I'r,�vntnns 1.1 I'rapier 111A .If R.r semi d Ise. F l 4,11 �3leopo nisi Ire 1rKlslrtril wills Ihr (Igilntiorweahl .d Ma.�a.hit.In♦IWIIuWW. ohms trRntl attnn and status sit J Ir mail.. l.. Ilir '`. N.' Intr.toil Horne Iln{rl°seine 111 I rail fall NegnifI alinil "".. • )1 ^'��`�—ter // ..\ Ashburton flat P.Hoorn 1 III I ll..sh..n,MA I1/10 (to 1// N1vN — ��� . e AAA Uloti g 1)1 ti8 t qA • "" �i'�'"^ I. ,. I .Ile.,; r• MA1neISAd1f I I.t IAA,lril,/ .11 i l I t;lt }1111 ::In Pali mute, hut )btu can't huy �'�tt`t ...w AllianceHomelnc.com r 7 C ] I J SUBMITTED TO XGr' (1.(A`9(11.1 Phone: _f ! /41 / J C/ _ Cell: Email: / '«fz t J �� MG(. L r (C)M ---- ,e hereby submit specifications and estimates for work to be performed and mja�terials tio�be used: -nj-t--- --eh,r5—Vtrr'f--rX75- i i' l_-- - 7 7- -6 l?/t om( dip f'O LII 1 - r 1 1 err. C)Its 'G ,Cur 1 1► 141 1 ' . - Z e 2 .s .__ . jag' 2 • fin L,/ 1 L — /ORK SCHEDULE Se a�.CatntpMtf rlyduM The following schedule will be adhered to unless or a the n ors control arise / t / el tote when contractor oral b.fn Inntract.d work. / t beta aeon contracted'work wQI be tubstantWY convicted voted. -:meted work may not begin until both parties have refined a fully executed copy of the contract_and the three day resdsson period has snowed.The Owner hereby acknowledges and agrees that the u heduarng dales e apPrmrnate and that suds delays that are not avodable by the Contractor nWGne,but not limited to strikes.Acts of God.shortages of materials.accidents,and ail other delays beyond ns control.shall not he ir`s•dered as vwsatons o1 tlyas Agreement JARRANT? I tormenters have 1 I Warranty or as otherwise speared by manufacturer Labor and wokmanship haw a rarranry of one full year Iron the date of installation i wort to be oornplrred Ina wortmaNrke manner according to standard practices-Any alteration or devotion from the above specifcatsons Invohnng ertra costs will be executed only upon wnlrteI orders •nd will Kane an extra charge over and above the estimate AYMENTS We propose hereby to furnish material and ,coI1L41 tj in acccrda with ayments to be as for . 0 /•r! E •(/{! above s uficau n for thfe surv�Jof: O.. %Is I �Lf" f'y upon srg nut(contract: /� i �1 Lt J`ij'�(�T k' '_- dollars lg. u` Wl)'�I V i upon debnery or materials: IS_-� )' l -�� k/2`2, Jt %(s ,ipor. lob mmpletwn, Name of Salesman C.E( Orton woOittrk sha be made forthwith upon /J xdpaeieon wart under this contract Authorized Signature /'i'// . se asatnn:er Hereby undersorsds and agrees to pay finance charge of 1.S%per month for anneal percentage rate of la%)on the outstanding balance not pad within 30 days after completion Gt work Ate payments •creeea ahe•30 days after completion of work shall be applied first to unpad finance charges and then to outstanding balances.In the event of default.customer hereby understands and agrees to pay,.r addl on to me utat4ri nrr indebtedness,all costs associated with colleCsdn alchdrng reasonable attorneys fees. . cc er lane or Proposal I have both sdes of the document and led accept the prices,tpecAratstsn and condrt.ons sated 1 understand that upon scrim this proposal becomes a pndrtnB cofttncl.You are asAHprard to o wort as specified.Paymen will be made as outlined above.You,the Buyer,may cancel this transaction at any tent prior to midnight of the 3rd business day after the date of the transaction Canicetar.on mint be Cone wining. DC,NOT SIG IS CONTRACT IF THERE ARE ANY BLANK SPACES. Signature f`_ Date_02?" Signature Date NOTICE OF CANCELLATION:YOU MAY CANCEL THIS TRANSACTION.WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE IF YOU CANCEL ANY PROPERTY PADE D IN.ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE.AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY Tl.f SELLER OF YOUR CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED-TO CANCEL THIS TRANSACTION.MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE,OR SEND A TELEGRAM TO:ALLIANCE NOME IMPROVEMENT.INC.37S CHICOPEE ST.OIKO►EE.MA 01013 _ __.._._. _ -. (Dale Sunday and holidays r.duded) I HEREBY CANCEL THIS TRANSACTION {Buyers S+gnat�rel