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29-288 BP-2024-1274 44 PENCASAL DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-288-001 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-2024-1274 PERMISSION IS HEREBY GRANTED TO: Project# 2024 BATH TUB Contractor: License: YANKEE HOME IMPROVEMENT Est.Cost: 5845 INC 066324 Const.Class: Exp.Date: 03/28/2025 Use Group: Owner: E JANIK CONSTANCE M&MICHAEL Lot Size (sq.ft.) Zoning: WSP Applicant: YANKEE HOME IMPROVEMENT INC Applicant Address Phone: Insurance: 36 JUSTIN DR (413)341-5259 WC 9099267 CHICOPEE,MA 01022 ISSUED ON:10/02/2024 TO PERFORM THE FOLLOWING WORK: REPLACE BATH TUB ON 1ST FLOOR 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: 72, Fees Paid: $135.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner / se The Commonwealth of Massachu tts J �✓ Board of Building Regulations and anda r FO Massachusetts State Building Code, 78 op o ��Q ICI ALITY rtiqu/-!��,r Building Permit Application To Construct, Repair, Renovate �nhbli evise Mar 2011 One-or Two-Family Dwelling • 4,1„Fh o This Section For Official Use Only Building4.) Permit Nmber: ¢j P'a�y' /a 7 y Date Applied: ,s-) �Ko -� �/C /61- 1-Zozy Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 141-1 Feaccisti Pr. 1.1 a Is this an accepted street?yes x 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 Rec fd:• Mic,1164 3anitk Florence Mfg 0 loco 2 Name(Print) City,State,ZIP 91-1 Pmc astl Pc. q 13-275-288-1 M;an;h Sq Q :( , COM No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building Owner-Occupied 0 T Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of ProposedWork2: 9-,et,oVG tVi L replace e'x SI- 1'14b t WADS t Q(1� accessories wltc, a newig43let. 4- acta1,L wakk Gn accesories rn �x(shM arca 111Q For race , Wt1• `Ar'Cai Only I ONYVV-C ckW1cl c p14CC eYisfi�ly WinJDW t% ' ,nev) V tny1 2 Ct'tt. 5V cor i n •J>•Yisrin9 Fi koN ewor-k. SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 6 %1A 5 1. Building Permit Fee: $ Indicate how fee is determined: $ 1 ElStandard City/Town Application Fee 2.Electrical ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire Suppression) Total All Fees: f Check No.t 6J 0.heck Amount: 3) Cash Amount: 6.Total Project Cost: $ i��1 1 ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) UW W 3 / j a �a L ��e.\ ?ere;6)(. License Number l Exptratice Date Name of CSL Holder.2J�0 <16� \ D List CSL Type(see below) U., No.and Street Type Description ( a /� h �1'� U Unrestricted(Buildings up to 35,000 Cu. ft.) �/� (�r /1 11 V V O R Restricted I&2 Family Dwelling City/Town,State)ZIP M Masonry RC Roofing Covering WS Window and Siding am SF Solid Fuel Burning Appliances U IJ3, 3 1 f—�� jee.kd .Cfk I Insulation Telephone it address 1 D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Com \I me or H C RegistUran Name HIIC Registration Number Exp rati n Date r�Q ciuSl-tn paermitc� ,.eehonne•(saw No. nd Street ail address wii010 a L]?3 3y1 -595q 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 Issuan of the building permit. Signed Affidavit Attached? Yes No . 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUIL,DIING' , PERMIT(� I,as Owner of the subject property,hereby authorize "1 IIL ..RQY RC C1 n 1 Peru YIN- to act on my behalf. in all matters relative to work authorized by this building pe j t application. Michael Simile, Lon Cr (aG-t) 9-2 -2 Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. ('r1;CL ;rc v 9-26 -24 Print Owner's or Authorized Agent's me(Ele ironic 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 ww%v.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dp 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. "Total Project Square Footage"may be substituted for"Total Project Cost" The Commonwealth of Massachusetts - Department of Industrial Accidents 122. Office of Investigations Lafayette City Center 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): \I an Kee ' u e `r Address: 3 Q juSkqn Dr Cit /State/Zi : Chc Phone #: 1g— -6a� Are you an employer? Che the appropriate box: Type of project(required): l. I am a employer with SO 4. I am ageneral contractor and I❑ 6. ❑New construction employees (full and/or part-time).* have hired the sub-contractors 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. El Demolition working for me in any capacity. employees and have workers' 9. El Building addition [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(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. 1 /D Insurance Company Name: Se,let-h ve, l h��k. W Policy#or Self-ins. Lic. #: l/J C1 vl (61' Expiration Date: I 0 / iati Job Site Address: Lt Lj Pero,s e.I Dfi City/State/Zip: F7ace/)G e tM6 UN N6 2. 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 certi y under the pains and penalties of perjury that the information provided above is true and correct. Signature: !!l- '<' 6:;;RL Date: 1-2 (- Phone#: `/ 13 ✓,�`"I ( �"J��J _ Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority(check one): l❑Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 51:1Plumbing Inspector 6.0Other Contact Person: Phone#: Commonwealth of Massachusetts Division of Occupational Licensure -r Board of Building Regulations and Standards Const[fot'�� �5 �r,isor ry CS-066324 apires: 03/28/2025 MICHAEL PEIREIRA •i, • • PO BOX 105 ' WARREN MA fi1083. got. Commissioner ,fc Z7&;Ia,. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement C ntra_ctorRegistration Type: Corporation Registration: 160584 YANKEE HOME IMPROVEMENT INC Expiration: 08/11/2026 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 Expiration 1000 Washington Street -Suite 710 160584 08/11/2026 Boston, MA 02118 YANKEE HOME IMPROVEMENT INC GERARD RONAN 36 JUSTIN DR. CHICOPEE,MA 01022 Undersecretary Not valid without signature �--.411 YANKHOM-01 BROOKE A RE" CERTIFICATE OF LIABILITY INSURANCE DATE 9/28/202 3YY) /28/ 3 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 policy(Ies)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 (413) 594-5984 I FAX 413 592-8499 97 Center Street ( Eat): (A/C,No):(413) Chicopee,MA 01013 E-MAILSS:Brooke@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC M 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 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 INSR ADDL'SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER ii LIMITS A X COMMERCIAL GENERAL LIABILITY U'ySD WVD IMM/DD/YYYYI`(Mh1/pDlYYYY7 - — 1,000,000 II EACH OCCURRENCE S CLAIMS MADE X OCCUR S 2517693 10/1/2023 10/1/2024 DAMAGE TO RENTED 1,000,000 PREMISES'Esoccenencel S MED EXP(Any one person) S 15,000 PERSONAL&ADV INJURY S 1,000,000 GEML AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE S 2,000,000 POLICY X JECT X LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER S B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 fEa acc:denn S X ANY AUTO _ A 9106918 10/1/2023 10/1/2024 BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per acodSMI S --. ARED OQNry VYNE PROPERTY DAMAGE UTOS ONLY AUTO)ONL� (Per accident) S _ _, S A X UMBRELLA LIAB X OCCUR - EACH OCCURRENCE S 1,000,000 EXCESS LIAR C_AIMSAIADE S 2517693 10/1/2023 10/1/2024 AGGREGATE S 1,000,000 DED X I RETENTIONS 0 S A WORKERS COMPENSATION X PER OTT RTJTE AND EMPLOYERS'LIABILITY 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WC 9099267 10/112023 10/1/2024 E.L.EACH ACCIDENT S OFFICER MEMB°R EXCLUDED? N N/A (Mandatary in Nx) E.L DISEASE•EA EMPLOYEE S 1,000,000 It es,descnbe under 1,000,000 DESCRIPTION OF OPERATIONS below _ E.L DISEASE-POLICY LIMIT S 1 1 l DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached A 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 J �/�.',7.1/.a L7'.'I/. I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD City of Northampton -ate+ PA o �S sj f "{� Massachusetts ���s. c,�` +`, 1 •1 $ ' CI DEPARTMENT OF BUILDING INSPECTIONS ;,..U:r"r44i ' �. 212 Main Street • Municipal Building � Xte' Northampton, MA 01060 �SNh, Wj\" 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: (x&sc& W 0.S--e - GO M' S�'• Holy-oUCe Ma- 010-D The debris will be transported by: Name of Hauler: D51 Wu -2 k Viecc.i. n i pp Signature of Applicant: Zd Date: % - Z(4 g Docusign Envelope ID:840A3299-BF8A-499C-BEFD-18597CD8CB15 Page 1 of 12 / Yankee Home Improvement MA Lic#160584 36 Justin Drive CT Lic#0673924 YANKEE RI Lic#33382 HOME Chicopee, MA 01022 VT Lic#174.000075 413-341-5259 or 877-88-YANKEE www.yankeehome.com Customer Information Michael Janik (413)275-2887 0 Date:09/17/2024 44 Pencasel Dr mjanik59Ca?gmail.com Rep: David Musante Florence MA 01062 Replacement Work Details _ Replace and Dispose of Existing Tub Install Base Base Type Acrylic Replacement Tub Base Color White Skirt 15" Straight Skirt Drain Location RH Wet Area Wall Quantity 1 Type Acrylic Surround Color/Style White Smooth Molding&Trim Molding&Trim Window Trim Kit Molding&Trim Color White Shower Rod Shower Rod Selection Straight Shower Rod Shower Rod Finish Chrome Shower Disclaimer Curtain rod will be installed 72" from the top of the shower base curb.The only exception is when the customer has the desired curtain present at the time of install. In this case, we will install the curtain rod at the appropriate height to accommodate the desired curtain. Shower and Bath Accessories Quantity 4 Accessory Single Tier Corner Shelf Color White Grab Bar Grab Bar Quantity 1 Grab Bar Size 18" Finish Polished Stainless Ergo Safety Bar Location Wet Wall Grab Bar Quantity 1 Grab Bar Size 24" Finish Polished Stainless Ergo Safety Bar Location Soap Dish Wall This space intentionally left blank leaptodigital.corn 2.17.8 Docusign Envelope ID:840A3299-BF8A-499C-BEFD-18597CD8C815 Page 2 of 12 Hardware Delta Fixture Selection Linden Tub or Shower �•. Trim Trim Kit Finish Chrome 4 f:1 . y" Temp Assure Valve? • M, i0 w Not available e 1 i� � in chosen �► . style l;f, r;„ Job Specifications Remove existing Drywall/Plaster in the wet area and replace with moisture resistant board per code. Inspect insulation on exterior walls and replace as needed. Inspect Sub-floor under wet area and replace as needed. Replace mixing valve, inspect drain and trap and bring up to code. Scope of Work and Special Instructions Grab bar on long wall is diagonal. Grab bar on wet wall is vertical. Two shelves in each end. Tub install to be cord with window install. Do Not Do We do not do any painting or staining. This space intentionally left blank teaptodigitaLcorn 2.17,8 Docusign Envelope ID:840A3299-BF8A-499C-BEFD-18597CD8CB15 Page 3 of 12 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 17024 Barring delay caused by circumstances beyond Contractor's control,the work will be completed by 11 4. 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 gi ,jer delays beyond its control, shall not be considered as violations of this Agreement. /1/i (Customer's Initials) "—Sinned by: —C4C1690B31EE453... Michael Janik 09/17/2024 Date This space intentionally left blank leaptodidital.com 2.17.8 Docusign Envelope ID:840A3299-BF8A-499C-BEFD-18597CD8CB15 Page 5 of 12 Yankee Home Improvement MA Lic#160584 36 Justin Drive CT Lic#0673924 YANKEE RI Lic#33382 HOME Chicopee, MA 01022 VT Lic#174.000075 413-341-5259 or 877-88-YANKEE www.yankeehome.com Customer Information Michael Janik (413)275-2887 0 Date: 09/17/2024 44 Pencasel Dr mjanik59@gmail.com Rep: David Musante Florence MA 01062 The followin windows will be installed by Yankee Home Improvement Total number of windows being installed 1 Window Item Quantity 1 Window Brand Veridis 800 Window Type 2 Lite Slider Location Full Bathroom Size 23 x 22 Coil Color Glacier White Interior Window Color European White Exterior Window Color White Screen Type Full ° Hardware Color White Tempered Glass Bottom Sash 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. Yankee Home cannot guarantee that window air conditioning units will fit in any windows that are replaced. - Homeowner is responsible for removal and re-installation of alarm components on any windows and/or doors to be replaced. Contractor will NOT replace alarm components. [—maw (Customer Initials) C� Acknowled ements & 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. Initial -All driveways shall remain clear during date of installation. (Customer Initials) HOA & Condominium Acknowled ements - Homeowners Association or Condominium approvals, including but not limited to contracts and permits, are the InNwl responsibility of the homeowner and will be obtained by the homeowner unless otherwise stated on this contract. 4„/A- (Customer Initials) This space intentionally left blank Docusign Envelope ID:840A3299-BF8A-499C-BEFD-18597CD8CB15 Page 6 of 12 S ecial Instructions Tub&window install to be coordinated. 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 11/15/2024 Barring delay caused by circumstances beyond Contractor's control,the work will be completed by 12/27/2024 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 gtjer delays beyond its control, shall not be considered as violations of this Agreement. /\,�(i (Customer's Initials) -Signed by: ‘.—C4C 769D837 EE453... Michael Janik 09/17/2024 Date This space intentionally left blank 3Fapio^u;:^.31 con 2.17.8 Docusign Envelope ID:840A3299-BF8A-499C-BEFD-18597CD8CB15 Page 7 of 12 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 09/17/2024. You may cancel this Date of Transaction 09/17/2024. 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 ,,- by: �C4C169D831EE453... Michael Janik 09/17/2024 Date This space intentionally left blank leaptodigital.corn 2.17.8 36 Justin Drive ORDER: 215371 Chicopee, MA 01022 ORDER DATE: 9/23/2024 PH:413-341-5259 FX:413-341-5269 ORDER CONTACT: QUOTE INVOICE INFORMATION SHIPPING INFORMATION YANKEE HOME IMPROVEMENT INC YANKEE HOME IMPROVEMENT INC SHIP VIA: ORDER I ORDER DATE I PO NUMBER CUSTOMER REF TERMS 215371 9/23/2024 79274 JANIK ITEM DESCRIPTION QTY SIZE PRICE TOTAL 1 SL820dx-Welded 2-Lite Slider Enviro-Star 1 24 1/2 W X 23 1/2 H DeLuxe EXACT WINDOW SIZE EUROPEAN WHITE EURO-WHITE HARDWARE TEMPERED LOW E GLASS +ARGON GAS PANES ORDERED THRUVISION PLUS HALF SCREEN FOAM FILLED EZSLIDE Energy Ratings: SHGC U-Factor VT CR 0.26 0.27 0.50 64.00 ITEM SUBTOTAL: TOTALS: 1 SUBTOTAL: MA 6.25%: TOTAL: COMMENT: Please make checks payable to HiMark Windows, LLC. Quotes are valid for 5 days and are subject to the availability at time of the order.Any revised quote with the same part number, for the same project supersedes and nullifies any prior quote. We accept payments with credit cards(Visa,American Express, Mastercard and Discover)with an additional 3% processing fee. • Please review this acknowledgement to ensure your order was entered to your exact specifications and sizing. If there are discrepancies noticed, contact your customer service representative immediately. • Your signature below is your confirmation that all elements, description, sizes, etc. are correct and all units are ready for production as specified. • Delays in confirming acknowledgement will result in extended lead time. • A late charge of 1.5% per month will be charged for past due invoices. Should this matter be turned over for collections, you will be responsible for all collection costs, including a reasonable attorney's fee. • Any and all revisions, information or cancellation requests for an order MUST be submitted in writing. • Once an order is confirmed, there is no grace period to make changes or cancel. It is the responsibility of the dealer to verify that the order placed is correct. Prior to confirming, please ensure that all information is correct and acceptable to your customers. SIGNATURE DATE 9/23/2024 3:14:57 PMv.1.01we 1 of 2