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23A-107 (7) BP-2023-0544 137 SOUTH MAIN ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-107-001 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-2023-0544 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2023 Contractor: License: ALLIANCE HOME IMPROVEMENT Est. Cost: 10135 INC 104327 Const.Class: Exp.Date: 11/29/2023 ROSENBLUM JEFFREY M &KRISTIN M Use Group: Owner: BOR AGER Lot Size (sq.ft.) Zoning: URB Applicant: ALLI CE HOME IMPROVEMENT INC Applicant Address Phone: Insurance: 375 CHICOPEE ST (413)883-3802 6S62UB-4N622734 CHICOPEE,MA 01013 ISSUED ON: 05/02/2023 TO PERFORM THE FOLLOWING WORK: REPLACEMENT WINDOWS 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: it. • )'I • Fees Paid: S40.00 212 Main Street,Phone(413)587-1240,Fax (413)587-1272 Office of the Building Commissioner ! .. Lriflicx-42 5- l-Z3 ._ d'i 4/OR , The Commonwealth of Massachusetts <9� , FOR Vt Board of Building Regulations and Stand Massachusetts State Building Code, 780'bictk, ,ef)� �� IU SE LITY Building Permit Application To Construct,Repair,Renovate h a Reviled Mar 2011 One-or Two-Family Dwelling 4'\�r, otiJ, This Section For Official Use Only Building Permit Number: Vr 07.3-4,gyy Date Applied: 4..Ia.) ( 71Z5s 6 Z-2023 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers .L_ 1 S it-tc6h 3+, F(Qre_ic_e__. ._ 1.la 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❑ Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP` 2.1 Own r'of Record: Jee-� Qosev, b l t.t►-Y, Ff or-sick 114A Name(Print) City,State,ZIP i - S Mcth S+- Flovekicc /1,0 cf13 695 5.Z6Y JA,v59.24e 9Th air 1 «0� No.and Street Telephone Email dr SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) �0' Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other Specify: (.J t'vt CIO COS Brief Description of Proposed\ ork2: e t ...0 W kola l t / k' S' t.l l Avow, ,vV I H o b v./ 8 -' IJ // I C S wi yV i‘0a�t7c� 2 ✓ AAingv.v , 1 SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 10, 1 3 5 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees:A. itan Check No.4 1fliti Check Amount: "!v Cash Amount: 6.Total Project Cost: $ (O, t 3 S 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICIES 5.1 Construction Supervisor License(CSL) C S— 10 3 o7 q- a a a 3 3 �J pi_ k r n d License Num Ex iration ate Name of CSL IIolde 32 /�lr r'� -� <S List CSL Type(see below) No.and Street lJNj Type Description �/ 0 U Unrestricted(Buildings up to 35,000 Cu.ft.) ''LI G�i ,`t ©� Restricted 1&2 Family Dwelling City/Town,StaZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances Lei 3 8 3 3800Z SlidcSianc ,obl . I Insulation Telephone mail address 60/0 D Demolition 5.2 Registered Home Improvement Contractor(HIC) /5 .2 ,(f od /i q/?s- ftl iai t Mm4-e /i"r0 Ue/y r 1L HIC Registration Number Expirationp Date HIC Company Natri or HIC Registrant k1.1m�e No.and Street (/V Email address CLiir4.ee, A-l/� o(of 3 4A3 8F3 3P02 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 Issuanc f the building permit. Signed Affidavit Attached? Yes No 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR AP IES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize — CD --)--rot 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:OWNER1 OR AUTHORIZED AGENT DECLARATION By entering my name below,I h by attest under the pains and penalties of perjury that all of the information contained in ' ' atto e and accurate to the best of my knowledge and understanding. V/24e .? Print er' orize gent's Name(Electronic Signature) ate 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 got 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 hillf/baths Type of heating system Number of decks/porches Type of cooling system Enclosed_ Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" "" The Commonwealth of Massachusetts .i Department of Industrial Accidents i, f I Congress Street.Suite 100 Boston. 11;1 02114-2017 ww v.mrc8s.gov/dia Nlutkers' ('umpcnsatitn insurance:1ffidarit: Builden/Cos timbers. I t l K . I II.I:U N 1111 I III_ PERMITTING AUTHORITY. .lpnlicantInformation Please Print lerlbly /� n me Na (H u es,1 ii_.,r;:. ILA..InsEvi.): 10 k7`-e Uor e d l.Lc. verheh± Address: 3?5 CG,t'c�16,ee cityistaterzip: 044'60, 1v , 09 0(O/3 Phones : ' (/3 89_ ��a An y se empityes^. I'!"xk+�apprtpr'unr but: Type of project(required) l amasrtployarwith rattploywe(Irtltttsiearpett.riee).' 7. D grey construction 2E3 I se a sole proptieror ar pain Np art Ism MD employes yes woddss brim is h. 0 Remodeling say apacitr-IN.workers'temp,i mmorsoe ramped] 301 a a bo g meromerde el work aryielf.(No op.welkin'co isssmoe squired" I 9. ❑Demolition il 4.13 I as a bassw s ww mil will be hies temincros to emus a0 work oil saypeeparty. 1 will 10 D Budding addition amines then all reearmces either have toilets-rompsourim esoraror or ire sots 110 Electrical repairs or addition s peptises with me seploysa 12.0 Plumbing repairs or add,awn, Srj I ore a neural ammrsatr red! eve leer thr ta>ted uo the atiacreal them130Roof Q Mae ssbeosweaass has asip(twaleds rind hate waled comp..rn>urar>cc 14.6 Other (,t)r. '[bas o CO Ws ore a oeepessioa sod its idioms have snasissd tits sight of eitmnpburs per MUL c 152,i l(4).sod ore hest.o employees.(Na Mennen'tamp.iaiattaoce r eyutod. 'Amy appieist is beaks hen Il nmtt ah o Mee at maim Woo>buv..my thou>.killer>'comperuaisce polity nimeesior $IiomMrwaam who emboli tithe MI6*indla *eyes Amiss all work and then bur vet>rcke contractors tint rieit a mew amide n indicating emote :Cowmen die cheek akin boa tints startled a•edifies'iheri>bu in the name of the wbruntrac tome and stare okras or got those entities rase c*r,irlt,4,:r' I(=ter_,,it.anrrxRn ha,r oar hr.re,.deer arm puma,ilea 'auras'..orrtl,.pulpynumber_ I um an employer that is providing workers'compensation insatrnnce for my employees Below is the policy and job site inlormatiun. _ Innur n e Company Name: / t CE' A m e r'cav\ [0 Sty rao c.k Ccfri,i2cLict(..Policy u or self-those Lie,g: CS6 U0 — L l)6 a <C i7� 1.5—4/Expiration e: 10Z I 0 (J3— Job Site Address: I Sq- S Hai fr\ `e+ R 0(ev CX__ City/S tat e'Zip: M P' Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiredon date►. Failure to secure coverage as required under MGL c. 152,f 25A is a criminal violation punishable by a tine up to S 1,500.00 and•'or one-year iimpnsonraent,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage ventication. I do hereby certi penalties ofperj.ry that the Information provided above true an correct.SI�;naturc. _ Uatc: 0 c� 2c 23 Phone=. 1-/ ,..a7 3�©OR Official ,(.-onh. Do not write in thi%area. to be completed by city or town official ('its or'Toren PermitfLicense$ Issuing :Authority (circle one): I. Board of Health 2.Building,Department 3.( 0'I min Clerk 4. Electrical Inspector S. Plumbing Inspector 6.Other Contact Person: Phone 4: City of Northampton cow. .SAS.....°,.::.,S.0 Massachusetts Ait/ ° fi'ti DEPARTMENT OF BUILDING INSPECTIONS ;j,�212 Main Street • Municipal Building O% °�a�-` Northampton, MA 01060 '�SY.. ,V, 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: 646 Aloft, E7 , Wo oh? / /� /c)vE The debris will be transported by: Name of Hauler: CO_c e/l /i i ofa / Signature of Applicant: Date: d L/ 2r 2 3 THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington $,tre,et - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration 7 ;1-7 1� #.� ^�! Type: Corporation I Registration: 154218 ALLIANCE HOME IMPROVEMENT,INC "" _ Expiration: 0211912025 375 CHICOPEE ST ;,, — ■ CHICOPEE, MA 01013 ;. I 1111111-7/ if ,_ Update Address and Return Call. E COMMONWEALTH OF MASSACHUSETTS :e 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 154218 02/19/2025 Boston,MA 02118 .LLIANCE HOME IMPROVEMENT, INC IERGIY SUPRUNCHUK 75 CHICOPEE ST . ,,,„.ora•,.G . :HICOPEE,MA 01013 ;M. +4" Undersecretary Not lid thout signature ConsuoiwwdlU of Neal I Division of livoloodonel Licensors 1.Bowl of M�OtIIYr. and Standards . G Isar `a Cs-104327 . *wires:1112012023 1 SEROItr i y 80 LEWIS ;' is,. WESTFIELD ' ,? iiII 'i. NerN:i. -.)404+45 . Commissioner delia if t irmi ray, i ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/Y'YY)02/16/20=3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TH'S CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES • BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorser;. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement c.t this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT David Jarry Neil!&Neill Insurance Agency Inc PHONE 413-732-4137 FAX 413-731-6629 662 Riverdale Street iNC.No.Extl: (NC,No): West Springfield, MA 01089 ADDRESS: dj@neillandneill.com INSURER(S)AFFORDING COVERAGE NAM, INSURER A: State Auto Insurance Companies STA INSURED Alliance Home Improvement, Inc. INSURER B: Safe.y Insurance Company 39454., Sergiy Suprunchuk Ace American Insurance Company12165' `� 375 Chicopee Street INSURER C: - `�' Chicopee, MA 01013 INSURER D: — _ .1 INSURER E: INSURER F: COVE 2AGES CERTIFICATE NUMBER: REVISION NUMBER: —71.14,4S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD liNMATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI' dEirlIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM.` E`kCLLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR tJL ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) UMITS t A Nit COMMERCIAL GENERAL LIABILITY PBP2689283 03/12/2023 03/12/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE TO R CLAIMS-MADE V OCCUR PREMISES(EaENTED occurrence) $ O0+000 MED EXP(Any one person) $ ?'=8,000 PERSONAL&ADV INJURY $ 1,000,000 -'jFtEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,060;600 '"IV POLICY PRO LOC PRODUCTS-COMP/OP AGG $ 2,060 G00 e JECT r,t,.. $ OTHER: B AUTOMOBILE LIABILITY 6226463 12/04/2042 12/04/2023 COMBINEDacadenUSINGLE LIMIT $ 1 QOo 000 _ (Ea ANY AUTO BODILY INJURY(Per person) $ ' ' -'I AUTOS ONLY AUTOSULED BODILY INJURY(Per accident) $ ' '; "a HIRED NON-OWNED PROPERTY DAMAGE $ t .' AUTOS ONLY AUTOS ONLY (Per accident) -'.'`r, $ t' '-'( UMBRELLA OCCUR EACH OCCURRENCE $ h- . EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION 6S62UB-4N62273-4 12/05/2022 12/05/2023 VPER OTH- .AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYIPROPRIETOR/PARTNERS ECUTIVE 1,l N/A E.L.EACH ACCIDENT $ 1,000400n00 ,OF(Mandatory In NH) I E.L.DISEASE-EA EMPLOYEE $ 1,0,uO,000 , :W-y,es,describe under'nC.SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1, OO,o00 y I r 1DrDESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) IHonIhiprovement Contractor 1 $k CERZIFICATE HOLDER CANCELLATIONCFF ;a,, Sergiy Suprunchuk SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ,r yt, 375 Chicopee Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN -- - Chicopee, MA 01013 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE tal.4.01.4,R Ale ,,r _ 1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:D85A7411-13605-4589-9CAB-5E59D2C01C78 ii tiligaittf A home improvement contractors and subcontractors engaged in home improvement contracting, unless specifically exempt from i µ registration by Provisions of Chapter 142A of the general laws, : ��1nOpht}�� must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director. Home Improvement Contract Registration, One waslerPorrnaiseeaaraarar // 4� \\\\ Ashburton Place,Room 1301,Boston,MA 02108(617)727-8598 375 Chicopee St. ��� Chicopee,MA 01013 • i ' • Phones:(413)883-3802 9�q . 6 Fax:(4 3)331-4358(413)331-4357 YoU Can pay more,but you can't buy berte�r MA Lic#154218 CT Lic#0635847 www.AllianceHomelnc.com 'SUBMITTED TO: Jeff Rosenblum Phone: 413-695-3264 Cell: 137 S Main ST. Florence, MA Email: jmr5927na,gmail.com We hereby submit specifications and estimates for work to be performed and materials to be ised: Remove 11 window units&dispose. repair any soft/rotted wood encountered in sills&framework. Install 8 Mezzo Double Hung,2 Awning, 1 2-lite casement(windows by Alside w/Double Pane ClimaTech TermD IE glass package in"White").Cap exterior of all new units w/PVC aluminum trim in"White". Perform complete clean up and removal of all old windows&debris. E Aluminum Trim ❑Alliance Trim ❑Flat Coil ❑x PVC Coil ❑G8 Coil Color: White ❑Corners Color: n/a ❑x WINDOWS Grids:❑YES ❑x NO ❑Flat ❑Contour ❑Colonial ❑Diamond ❑Other: ®How many? 11 ®D/H A ❑PIC ❑2LS ❑3LS_ ❑Csmt ®2Lt/Csmt 1 ❑3Lt/Csmt E AWN 2 ❑HOP ❑BOW(4 or 5 lines) ❑Bay Full Screen:❑YES ❑X NO 1/2 screen only ❑Wood grain Interior: Color: Exterior Color:❑YES ❑x NO Color: Mull: x❑YES ❑NO ❑x How many? 3 2 Glass Option: Type: x❑ClimaTech ❑ClimaTech TK2 ❑ClimaTech TG2 ❑ENTRY DOOR:❑YES x❑NO ❑Type: ❑Style: ['STORM DOOR:❑YES x❑NO ❑Type: ❑Style: ❑x Material Location: driveway delivery Waste Disposal: haul away included WORK SCHEDULE Proposed Start and Completion Schedule-The following schedule will be adhered to unless circumstances beyond the contractor's control arise: 5 / 15 / 9073 Date when contractor will begin contracted work. 7 / 15 / 9n2l Date when contracted work will be substantially completed. Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day rescission period has expired.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, WARRANTY .Lif .me All materials have Lifetime Warranty or as otherwise specified by manufacturer.Labor and workmanship have a warranty o'o r from the date of installation, All work to be completed in a workmanlike manner according to standard practices.Any alteration or deviation from the above specifications involving extra costs will be executed only upon wri4en orders,and will become an extra charge over and above the estimate. PAYMENTS We propose hereby to furnish material and labor-complete in accordance with Payments to be made as follows: above specificatio i for the sum of: 1/3 %($ 3,378.00 )upon signing Contract; Ten Thousand One Hundred Thirty-Five&0/100 dollars 1/3 %(5 3,378.00 )upon delivery of materials; ($ 10.135.0) ). %(5 )upon job completion; Name of Salesman David Mikuta 1/3 %(5 3.379.00 )shall be made forthwith upon r—Doc"aian.d br:�r1l1,�1 completion work under this contract. Authorized Signature 7ANld The customer hereby understands and agrees to pay finance charge of 1.5%per month(or annual percentage rate of 18%)on the outsti nding balance not paid within 30 days after completion of work.All payments received after 30 days after completion of work shall be applied first to unpaid finance charges and then to outstanding balances.In the event of default,customer hereby understands and agrees to pay,in addition to the outstanding indebtedness,all costs associated with collection including reasonable attomey's fees. Acceptance of Proposal:I have read both sides of this document and accept the prices,specification and conditions stated.I understand that upon signing,this proposal becomes a binding contract.You are authorized to do work as specified.Payments will be made as outlined above.You,the Buyer,may cancel this transaction at any time prior to midnigh of the 3rd business day after the date of this transaction.Cancellation must be done in writing. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Ejtif �`"S'°Sat 4/20/2023 ' Signature rascal/6, Date Signature Date E4120AFF487843D..• 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 TRADED 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 THE SELLER OF YOUR CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED.r0 CANCEL THIS TRANSACTION,MAIL OR DEUVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE,OR SEND A TELEGRAM TO:ALLIANCE HOME IMPROVEMENT,INC.,375 CHICOPEE ST.,CHICOPEE,MA 01013 (Date.Sunday and holidays excluded) I HEREBY CANCEL THIS TRANSACTION (Buyers Signature) li:!Niniiiirk.iiiiitMitipiir ill Cert Agency: AAMA Test Method: tot.,,,,.,,,,, w AAMA/ D1 A/CSA 101lI.S,2/!-\440-O8 and CSA A440S 1-0S ..... ...-..._.__________ �._�_ ... .. . 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MOINKOMPOPIWVIIPM w®+1RlOM r/i001 IIMINWY/+M1pi111/`IMMit11 WSIWO axe+40.fflow.tio , , ADDITIONAL PERFORMANCE FtIVIIr "�„ £ i . _ __._______�___ • ' Visible Transmittance Air �'3aka 0 irsi ., ..„ , 1 . .,... .� ...6 �__