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6 JANUS LN - BUILDING INSPECTION The Commonwealth of Massachusetts Board of Building Regulations and Standards R E F I V E � 017 Massachusetts State Building Code,780 CMR (NSPECTIO AL , S RevrsedMar2011 Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dwelling 2015 NOV 12 A 11* 2 l 'rim Section For C>ffiictat Use "d• BuildutgPermitNumber• Da{e Apphed: 1Nn (1 { U 1 BzuldutS Oficial(PcmtName) �S�gnat�e ) - - "'---�. SECITONI SITCIATLFbl[DIAFION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers (� 7'A../us L.�. L 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 11) 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❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION 2 -PROPERTYOWNERSHII'r 2.1 Owner'/pf Record: I hlieh4e� �.a2(�•Jn �r4��+ti /✓rhe fJl970 Name(Print) City,State,ZIP 6 LN, 9'?r-7yy-s€vy No.and Street Telephone Email Address `. SECTIOHi 3 DESG$IP'riQN OI�'I'R(3F(ISEII WQRK'_(¢becl_i all 2tiat aPP1Y) New Construction❑ Existing Building Rf Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) A( Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units_ Oil= ❑ Specify: Brief Description of ProposedWork2: 1 IV,' luu .a o'-Ir U-VAIVC SECTION 4;ES31117ATED:CONSTRUGTION COSTS Estimated Costs: Item Offitaal Use Only r and Materials 1.Building $ I BtuTdng_PeroiitFee.$ Indicateixpuvfeeisdetenninect: 2.Electrical $ ❑�� ..... wn Appticattoit Fee 3 ❑Total Protect Cost (Item b}x mattrphec x 3.Plumbing $ 2 Other.rees S 4.Mechanical (HVAC) $ 5.Mechanical (Fire $ Suppression) 46W AlltFces $ v ChQ;*No Chemo Amount `CashAmonirt 6.Total Project Cost: $ 7?5 • t7u(standingAli -Bylance Due: 1`i P t�—p VLO c,�DNr-, L( 1 z�3 SEGII©1rI5:-:iCONSTRICF1f1NS�iLtCL.S: 5.1 Construction Supervisor IAxw(CSL) /� CS-UGaGo � 6 n /)792 SS//o/*, i License Number Exp ti Date Name of CSL Holder List CSL Type(see below) (l 3 2 Ae Trix �cr nciOn No.and Street - S/,�e.h 0,.30 7? U Unrestricted to 35000 cu.ft. Restricted 1&2 Family Dwelling City/Ibwn,State,ZIP M Masonry RC Roofing Covering WS Window and Siding / SF I Solid Fuel Burning Appliances to O,3 -5-(o- 21.3 F" Insulation Telephone Email D Demolition 5.2 Registered Home Improvement Contractor(BIC) 2 1 yy6 �s /v Y &,,C cc- ' ,ted, HIC Registration Number Expiration Dffie HIC Comfy/N� m�yee,or HIC Registrant Name l.rsd+�CkiL�/J �� /QS C-c" No,rwd tgget/�, /C/�1 6163 -fG o 'z 12,P FniMl address Cily/To State,ZIP Telephone SECTIbN b RrbiLHQR3'CgMPLrxSA`ftON AY�TRAJyCE AIPFIl?AVt'1'(M11f.G�,:c 152.§2SC{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 pemut Signed Affidavit Attached? Yes..........4 No-----------O SECTION 7a (lVK1YERAIIfHbRIZA170NTOWCOMR'ITiDK � 'HFPT OWNER'$AGENTOR Cbx[RACTOB=A�PFS +Ok Bli► DINGPERItHT: :`_ I,as Owner of the subject properly,hereby authorize to act on my behalf,in of matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date sEczzox'rb:owxEh�t o$nuTlag$I�n�c1�xT nECLARATax By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Print Owner's or Authorized Agent's Name(E 'c Signature) Date NOTBS: .. 1. An Owner who obtains a building permit to do his/her own work,or an owner who bines an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A Other important information on the HIC Program can be found at www.mass. ovg. /oca Infonmation on the Construction Supervisor License can be found at www.mass.eov/dns 2. When substantial work is planned,provide the inforniationbelow: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft) habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of balfibadis Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"maybe substituted for"Total Project Cost" }}�� 7/. License or registration valid for individul use on ate\ Office of Consumer Affairs&B l siness Regulation g y HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:,..t^-144679 Type: Office of Consumer Affairs and Business Regulation Expiration: =10/2,7/2016 Ltd Liability Corpor 10 Park Plaza-Suite 5170 Boston,MA 02116 TMOME CONTRAGT INt'o_Nt'o_LLC.- DONALD LUCCIANO= 128 KLONDIKE AV� HAVERHILL.MA 01832Y�` Under— Not valid without signature fit Massachusetts -Department of Public Safety �( Board of Building Regulations and Standards CnnitFUCd-'n Sureiv' C,r License: CS-060607 ".j i'. 01 MARC R SYLYAIf$i� 32 Iris Avenue, l$ E Salem NH 03079= 'fA -tZ'4 -01116 .Jr�n�` Expiration Commissioner 061=2017 f CITY OF S.U.&M, NL ss kcHusETTs 13unmLNG DEPART i:ENT 130 WASHINGTON STREET,3r ft ooit TEL (978)745-9595 FAX(478)740-9846 KIICBBRLEY DRISCOLL MAYOR THOaus ST.PtFM DutEcroit of PUBLIC PROPERTY/BUU L%4G CONMUSSIONER Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR,section 111.5 Debris,and the provisions of MGL c 40, S 54; Building Permit# is issued with the condition that the debris resulting from Ns work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c 111, S 150A. The debris will be transported /by: /IX lk"C f (name of hauler) The debris will be disposed of in L«s (name of facility) (address of facility) Signa of permit applicant date dcbeiuT.J�x - a CITY OF S.UEN4 i4L-ks&-kcHLSETTS BL`]LDING DEPART MW 120 WASHINGTON STREET,3'°FLOOR TEL(976)745-9595 FAX(976)740-9646 KIMBERLEY DRLSCOLI MAYOR THobtAs ST.PtERRS DIRECTOR OF PUBLIC PROPERTY/WiLDiNG COMUS.5t0,SER Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant information L, I { Please Print Legibly Name(Business:DrganaatimvlrAvidual):. /Y r Y I7U,X t !'Mc/".�/ Address: _I Y CcPPe<-bt t,� 4j. City/State/Zip: 6 eccP r QI, /LJ I/ Phone 1/: K0J -.qQ - Z/JP Are You in employer?Check the appropriate boa: Tape orproject(required): 1.91 am a employerwith -7 4. 0 1 am a general contactor and 1 b. []New construction employees(full and/or part4imc).• have hired the sub cmuractors 2.0 t am a sole proprietor or partner- listed on the attached sheet.t 7. 0 Remodling ship and have no employees These sub-contractors have $_ 0 Demolition working for me in any capacity. workers'Comp.inwrgnx. 9. []Building addition [No workers'comp. insurance 5. 0 We are a corporation and its !0. Electrical arts or additions required.] officers have exercised thea 3.0 1 am a homeowner doing all work right of exemption per MGL 1 l.0 Plumbing repairs or additions myself.[No workers'comp. c.152,§t(4),and we have no 12.0 Roof repairs insurance required.]t employ=&[No workers' 13.0 Other Camp. insurance required.] 'Any ainrbtmet Shat ehede dt muu aha till out the swim bdvw B xn i their workers'comPen>bton pokey uub matkm f I[new:onnas wim submit this atRdsvn indicating they am doing all wo*and mm hie outride eonnaeems mint suhmit a trees affidavit indi,,d S such, �Cwdnw3on dud che&this boa must attacW on additimnal AmL showing Me name of ft sub.eonvacWn and dick wmi ms comp policy infmmadm. I am an employer(hat k providing twrkers'compensation inwraneefor my employees Below Is the panty and job site information. -f Inwrance Company Vame:--_....t(-AJe le,5 -T-s-, Policy#ur Self-ins.Lie.#: kU 3 - '19()'Y 1`79 -O - t Expiration Date 6 /1 6 _ Job Site Address: 5 A��S L�, Sg�e Ina, CJ 79 7o City/StatePLip: 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 23A of MGL c. 152 Can lead to the imposition of criminal penalties of a fine up to S 1,500.00 and/or om-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 Cerro under the putts and penalties ofperjury that the information provided above is true and romct Siinimre. Date: Phone/i: -- 03 - Sxd - 2(3 F Official ase onty. IIo not trite in this area,to he completed by city or town offkhd City or Town: Permit/License# Wiling Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical inspector 5. Plumbing Inspector b.Other Contact Perm_. . .. Phone#: Sanctuary Condominium Trust c% Crowninshield Management Corp. 18 Crowninshield Street ,Peabody,MA 0.7960 (978)S32-4800 November 12,201.5 Ms. Mary Ann Giardina 6Janus Lane Salem, MA 01970 RE: Replacement Windows—Sanctuary Condominiums Dear Ms. Giardina Thank you for your inquiry regarding slider and window replacements at your unit. Please be advised that the Board of Trustees for the Sanctuary Condominiums does not object to the replacement of these windows or sliders providing that they match in appearance (no crank outs,etc.) from the existing,they must fit in the existing opening, molding size and glass size must remain the same and they will not allow grids or French doors, etc. We also require the permits be pulled in advance, and that a copy of the final approved permit once completed is also submitted to our office. We also require that you hire only a licensed contractor, with adequate insurance. You will most likely need to show a copy of this letter to the Building Department in order to obtain your permit, Should you have any questions or require additional information,please feel free to call me directly at(978)532-4800 ext 9.232. Sincerely, Jill Fama, CMCA Regional Property Manager Crowninshield Management Corp. Managing Agent for the Sanctuary Condominiums cc: File F m �oHonie J06 12> (` Name pate /�ddress V -JQV vs 412 hone �.DF."' 1T 'T���1 •��R �' �"►°�- �. Thank,gou fortakingthetime tomeetwithmeand discuss windowsforyour home. Iwould6riefly li6to tellgoua6outMy Home Contracting,and w6yyous6ouldchooseusforyourremodeling project. My Home Contracting protects yourproperty 6,9 covering you with $2,000,000.00 of lia6ility insurance. Workmen's Compensation Insurance covers all of ouremployees so you are not exposed to any liability. We are proud mem6ers of the better 5usiness Bureau 555).We maintain this affiliation to provide you with the highest level of confidence and customer service.All of our employees attend pre- approved on-going training to keep them up to date on the latest technological advances in replacement windows. Should you elect to malce your home improvement investment with My Home,we shall strive for 100% customersatisfaction I Ue y ours, 1 ��a Donald P. Lucciano Owner myHOME CONTRACTING, LLC Registered fn Massachusetts & New Hampshire 's w P.O. Box 969 * Methuen, MA * 01844 * Tel. (978) 682-9052 t� t 'r � P.O. Box 144 * Deerfield,NH * 03037 * Tel. (603) 463-8898 Toll Free Telephone: (800) 921-9052 * Fax(603) 463-8911 www.myhomecontracting.com i C, (� Job# This project has been specified in accordance with local building codes, industry standards and manufacturers'specification requirements. All work will be installed by certified craftsman to assure qualifications for the long-term window warranty. GENERAL SCOPE OF WORK �1—Remove existing storm windows. n Remove interior stops from the sides and top of windows. (Care is taken to cut the paint line to minimize chipping of the interior finish.) n Expect paint to chip at joints. Touch up paint of the interior trim is not included. Remove the existing sashes. n Remove the parting bead if existing at the sides and top. Remove the existing balance systems and fill with fiberglass insulation as required Apply caulk sealant to the interior of the exterior stops. >�-Install the new double hung replacement windows plumb and square. 9 Screw the new window to the original wood frame. ::'—Adjust the expander on both sides to remove any bow in the master frame. m Caulk both sides of the new windows. This will prevent air movement at the perimeter of the windows and reduce any drafts. INTERIOR FINISH Are we installing new interior trim? luV 9 Caulk the perimeter of the interior with paintable caulk sealant. :5—Vacuum work area when done. n Canvases are used during installation when needed. Any painting or staining is not included in this proposal. EXTERIOR TRIM DETAILS Are we wrapping window casings? 3i—Fabricate PVC coated aluminum trirpstoppktocover the window casingsings,'ocorners with 45- degree angles. Color �A49 tre Qty ➢ Use#900 SOLAR SEAL for caulk around all window trim.This advanced caulking is based on terpolymer technology,which offers an alternative to silicone and urethane sealants. Its high performance terpolymers impart exceptional weather-resistance, adhesion, elongation and color fade resistance. Color to be matched to exterior trim color. myHOME CONTRACTING,LLC e� ' ° Registered In Massachusetts & New Hampshire i P.O. Box 969 * Methuen, MA * 01844 * Tel. (978)682-9052 �Jj P.O. Box 144 * Deerfield,NH * 03037 * Tel. (603) 463-8898 r MEIN` Toll Free (800) 921-9052 * Fax (603) 463-8911 www.myhomecontracting.corn 2 Job# GENERALDETAILS n Drop cloths will be used for areas of installation. n Dispose of all debris and scrap materials. a Work area shall be kept neat and clean on a daily basis and returned to normal upon completion of the project. n A written materials warranty shall be provided upon receipt of final payment. n All work will follow local building code requirements and My Home Contracting will obtain any permits required. All Permit Fees are the responsibility of the customer and will be reimbursed to myHome Contracting. n We maintain a current General Liability and Workmen's' Compensation Insurance Policy. A copy is available upon request to verify coverage. n Also followed are special considerations set forth by the manufacturer for the application of the specific product line. Local and National.Affiliations Certifications — Massachusetts Better Business Bureau (BBB) — Authorized Alside Window Dealer — Energy Star Retail Partner — Authorized Thermal Industries Dealer —Advanced Alside Installation Certification Your investment with My Home Contracting includes the following – n Double strength glass is standard on all windows n Limited Lifetime Warranty on windows n All windows priced with double low-E glass and argon gas with warm edge spacer unless otherwise noted n Glass Breakage Warranty on qualifying windows myHOME CONTRACTING, LLC ter' Registered In Massachusetts & New Hampshire "° Y $ P.O. Box 969 * Methuen, MA * 01844 * Tel. (978) 682-9052 7 ' P.O. Box 144 * Deerfield,NH * 03037 * Tel. (603)463-8898 MEM M Toll Free(800)921-9052 * Fax(603)463-8911 www.myhomeconti-aciiiig.com 3 Job# INVESTMENT TOTAL FOR SPECIFIED PROJECT WE HEREBY PROPOSE TO FURNISH ALL LABORAND MATERIALS IN ACCORDANCE WITH THE� ABOVE SPECIFICATIONS �/ FOR THE SUM OF - 7 e EZ 0_115�coaii Deposit Payment Options Deposit Cash Visa MasterCard Deposit Due on Re-measure $ Acct. #: Balance Due On Completion Gf � Exp. Date: Security Code: dicate payment P Ba nce Due On G. .. " """ ree to allow My Home Contracting, LLC to and for the amount indicated above. Check Credit Card Finance Cardhplder's Signature- pate n ignature of My Home Contracting Representative: horized Signature: Date: Authorized Signature: 1 Date: I' �/ 1r „ r myHOME CONTRACTING,LLC t Registered In Massachusetts & New Hampshire. P.O. Box 969 * Methuen, MA * 01844 * Tei. (978) 682-9052 P.O. Box 144 * Deerfield,NH * 03037 * Tel. (603)463-8898 " �a✓ MEAjjW Toll Free (800) 921-9052 * Fax(603) 463-8911 www.rnyhomeconrracting.com 4 Terms&Conditions 1. Parties:"You'refers to the buyer or buyers.'We'or"Us"refer to the seller, My Home Contracting, LLC. 2. Cancellation:Should you attempt to cancel or refuse to perform under the terms of this contract,there shall be agreed upon damages.The base amount of agreed damages shall be 25%of the contract price.If any part of the work has been done,the agreed damages are the proportionate price of the work done plus 25%of the balance of the contract price.In addition to the base amount of damages,you shall pay necessary attorney's fees,court costs and interest.Interest rate shall be 18%of the unpaid balance or the highest permissible rate by law.You will pay interest from the date of breach of contract.You will pay lt at the highest legal rate. 3. Insurance:We agree to carry Workmen's Compensation and Public Liability Insurance. They cover the work to be done under this contract. 4. Debris:We will remove all construction debris from thejob unless specified otherwise.it is agreed thatwe shall not be liable or responsible foranydamage that may occur as a result of the use,delivery or removal of dumpster receptacles or any facsimile there of,i.e.,driveway,lawn damage,sidewalks,etc. 5. Interference with Performance: We are not responsible for any interference with the performance for reasons beyond our reasonable control.This includes strikes,fire,weather, inability to obtain material, extra work requested by you,failure to pay for extra work you authorize us to perform,acts of God,or withholding by you of any or all progress payments due us.Should work be stopped by more than three(3)days by any or all of the conditions set forth in this paragraph,we may terminate this contract and collect for all work performed plus the agreed upon damages for breach of contract. 6. Warranties: The following refers to warranties: a. Wewaranty all workmanship fora period often(10)yearsfrom the date of substantial completion on all work performed by us. b. Our warranty does not cover damages or deterioration from causes beyond our control. Examples are:Collisions with foreign objects,ads of God, misuse or failure to follow maintenance instructions. c. Wewill provide warranty service and warranty remedies only where there has been no breach of obligation to make payments underthe contract. ' d. If a replacement product is unavailable we will provide a substantial product of equal grade at our option as determined by us. e. For warranty service,write us at P.O.Box 989, Methuen, MA 01844. In the event of an emergency,call our local office. f. You may not withhold any portion of any payment of the contract as a holdback for guaranteed performance by us under this warranty. g. All material warranties are provided by the manufacturer. 7. Limitation of Liability: These limits apply to our liability: a. We have no liability for incidental on consequential damages. b. We have no liability over the amount of the contract price. c. We have no liability for any interior damages to the building or contents if normal application procedures are followed. d. The limits apply to all claims whether for breach of express or implied warranty,negligence, or any other reason. 8. Entire Agreement: This contract is the entire agreement,and it is agreed by the parties that entire understanding is contained in this written contract between you and us.It is further agreed that any subsequent changes to this agreement must be in writing and signed by the parties. No oral agreements or understandings not specifically stated in this written agreement will have any force of effect. 9. Compliance with Law: This document is intended to comply with all applicable laws and rules.This includes,federal,state,and local laws,rules and regulations of every kind.If any provisions or part does not meet any such requirement, that part may be considered ineffective; nevertheless,such portion shall not affect the validity of the remaining portions of this contract. 10. Verifications:Ourconstruction specialists check themeasurements and calculations made bythesales representative in determining thework involved.Ifthere was a significant mistake or special construction problems are involved,we reserve the right to cancel the contract without liability.Any down payment shall be refunded if the contract is cancelled under this provision. 11. Alterations: You agree to pay us our normal selling price for all additions,alterations or deviations from the agreed upon specifications. No additional work shall be done without prior written authorization by you.Any such authorizations shall be on a Change order form approved by both parties,which shall become a part of this contract.Where such additional work is added to this contract It agreed that all terms and conditions of this contract shall apply equally to such additional work.Any changes in specifications or construction necessary to conform to existing or future building codes,zoning laws apply equally to such additional work.Any changes in specifications or construction necessary to conform to existing or future building codes,zoning laws or regulations or inspecting Public Authorities, shall be considered additional work to be paid by you. 12. Payment schedule: Payments shall be made by you,as per the attached or separate payment schedule.Acceptance of the Public Authority shall be conclusive evidence that the work has been complete.Such completion entitles us to the complete progress payments according to the schedule set forth.We have the right to stop work and keep the job idle if payments are not made to us when due. If any payments are not made to us when due,you shall pay us an additional charge of 10 percent of the amount of such payment. 13. Survey: You are solely responsible for the location of all lot lines and shall,if requested,identity all corner posts of your lot.if any doubt exists as to the location of lot lines,you shall provide,at your own cost,a survey.If you wrongly identify the location of the lot lines of property,any changes required by us shall beat your expense.This cost shall be paid to us prior to continuation of work. 14. Subcontracting:We have the right to subcontract any percentage of work agreed to be performed. 15. Landscaping: We shall not be held liable or responsible for damage to landscaping or grounds,trees,shrubs and/or vegetation arising out of the use of any vehicles or heavy equipment or related equipment that is used to perform its obligation and duties under the terms and conditions of this and/or all agreements between the parties.We shall be responsible to provide a rough grade finish only,which does not include loam,seed,or sod, unless otherwise specified in the contracL 16. Payment of Invoice: We shall pay all valid bills and charges for materials and labor authorized by us arising out of the construction of the structure and will hold the owner of the properlyfree and harmless against any liens of labor and materials filed against the property. 17. Legal Costs: Should it be necessary for us to bring suit to enforce provisions of this Agreement or to recover damages or judgments,it is agreed that you will pay reasonable fees and court costs to us. 18. Job Signs: You grant us the right to display a job sign and advertise at the job,site during the construction process and 30 days after completion.The sign will remain ourproperty. 19. !or 'a hip:We agree to complete the work in a substantial and workmanlike mannAHar responsible for failures or defects that result from work done by the,prior,al the time of subsequent to work done under this agreement. 20. oma :We shall not be responsible far dams a to existing walks,curbs,driveways, tic tanks,sewer lines,water or gas lines,arches,shrubs, la s dothe:I, telephone a d ele ric ne etc. by us o any of our subcontractorcurre the performance of work or in the delivery of ma cats tnyHOME CONTRA L Wzo Registered In MassachusettsTING,, mps ire P.O. Box 969 * Methuen, MA * 978) .2-9052 �Jj `t ` P.O. Box 144 * Deerfield, NH * 03037 * Tel. (603)463-8898 °t MEMM Toll Free (800) 921-9052 * Fax (603) 463-8911 www.myhonlecontracting.com 5 C) Job # IN HOME SALE OR SERVICE NOTICE OF CANCELLATION YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS OF THE DATE OF THE CONTRACT.IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT,AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN 14 BUSINESS DAYS FOLLOWING RECEIPT BY SELLER OF YOUR CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELED.THERE WILL BEA SERVICE CHARGE EQUAL TO TWENTY-FIVE PERCENT(25%)OF THE CONTRACT AMOUNT IF YOU CANCEL THIS TRANSACTION AFTER THE THIRD BUSINESS DAY FOLLOWING THE DATE OF THE SALE. IF YOU CANCEL,YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED,ANY GOODS DELIVERED TO YOU UNDER THE CONTRACT,OR YOU MAY COMPLY WITH THE INSTRUCTIONS OF SELLER REGARDING THE RETURN OF THE GOODS AT SELLER'S EXPENSE AND RISK. IF YOU MAKE THE GOODS AVAILABLE TO THE SELLER BUT THE SELLER DOES NOT PICK THEM UP WITHIN 20 DAYS OF THE DATE OF YOUR NOTICE OF CANCELLATION,YOU MAY RETAIN THE RIGHT OR DISPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION, IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER,OR IF YOU AGREE TO RETURN OF THE GOODS TO SELLER AND FAIL TO DO SO,YOU WILL REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION, MAIL A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE TO MY HOME CONTRACTING,LLC AT 14 COFFEETOWN ROAD,DEERFIELD, NH 03037,NO LATER THAN MIDNIGHT OF Acknowledgement of Receipt of Notice of Cancellation UWe hereby acknowledge receipt of No ce of Cancellation set forth above a d hat Seller has orally informed metus of our ri tocanc Date YCustomer's Signature / Date Customer's Signature I HEREBY CANCEL THIS TRANSACTION Date Signature I HEREBY CANCEL THIS TRANSACTION Date Signatur ,k myHONM CONTRACTING, LLC Y r; Registered in Massachusetts & New Hampshire y c` £. E 14 Coffeetown Road * Deerfield,NH * 03037 Toll Free: {800}921-4052 * Fax: {603}463-8911 www.myhomecont r acting.com 6 ° / 1/0W5 ;t/S>P Job # INDECIFICATIONS Total Windows Qt �/J Qt Purchased y G� l0 P y Double Hung Bow Window 4 Lite / 5 Lite Picture Window Garden Window 2 Lite SliderFv ( I Patio Door 5 ft. / 6 ft. / 8 ft. / 9 ft. / 12 ft. 3 Lite Slider Entry Door Traditional / Equal Single Casement Storm Door -(Q32 Lite Casement Window Capping (-(-Q- 3 Lite Casement Mullion Removal Awning Screens Half / Fu Basement Hopper Colonial Grids Wood / Steel Bay Window Metal Window Conversion 30-Degree / 45-Degree ADDITIONAL NOTES fess w� h C� b , MdKr#ns' Initials My Home Rep resentative'slmjs myHOME CONTRACTING, LLC ✓y`"" � Registered In Massachusetts&New Hampshire 0-*W �P.O.Box 969 * Methuen, MA * 01844 * Tel. (978)682-9052 ;> : 888 �—tf P.O.Box 144 * Deerfield,NH * 03037 * Tel. (603)463-8898 Toll Free Telephone: (800)921-9052 * Fax(603)463-8911 www.myhomecontracting.com 7 m ome Contracting, LLC AFFIDAVIT I, the undersigned, the owner of the property located at Hereby verify that I have authorized m�Fiome Contracting, LC to apply to the Building Department in the city/town of >�& M Q - To act as my agent in obtaining a building permit and/or zoning requirements to obtain permits. gn ture of P party Owner Date myHOME CONTRACTING,LLC �J a; Registered In Massachusetts K New Hampshire T_ P.O. Box 969 * Methuen, MA * 01844 * Tel. (978) 682-9052 MEMM P.O. Box 144 * Deerfield, NH * 03037 * Tel. (603) 463-8898 Toll Free (800) 921-902 * Fax (603) 463-8911 www.myhomecotitracting.com 9