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HomeMy WebLinkAbout0300 ARROWHEAD DRIVE 3� �z2�wb �g - -- � Town"of Barnstable Regulatory Services do Richard V. Scali,Director Building Division M'M Paul Roma,Building Commissioner 16.19. 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: ( <o HOME OCCUPATION REGISTRATION Date: 1 ; l //� Name:-raj,,C61vi Phone#: . � '' Address: `)Oa �r� a.,• �F�� c� rt'yc- Village: ✓o..h 1, S Name of Business: RA I I F t s 1—A A!Q S(,, E E. F-AW 1&�(VlW 6 F,5 t r� q T' Type of Business: Ln"J 5 G ��P✓�O t<�,i a rap Map/Lot: a:3 0 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other-,than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential`volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation, and not within the required front yard. - • There is no exterior storage or display of materials or equipment. • There are no.commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet iri length and not to ' exceed 4 tires,parked on the same lot'containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be f . included. •_ No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned have read and agree with the above restrictions for my home occupation I am registering. Applicant: / L: .. Date: Homeoc.doc Rev.06/20/16 - YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permissiorrto operetet. ou m iTst"ob.,tain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601. (Town'Hall) and get the Business Certificate that is required by law. _ DATE: J&& Fill in please: APPLICANT'S . YOUR NAME/S: 1Lw� wnu (G t/ BUSINESS YOUR HOME ADDRE55: spa �W.y,..,,• Y jL-j ) 4 Hom TELEPHONE y ,,, •. , ;;� T e Telephone Number'-- - - E-MAIL: NAME OF CORPORATION: _ NAME OF-NEW BUSINESS 1. Y' OF BUSINESS- imcr 4r - IS THIS A HOME OCCUPATION?_ _YES NO ADDRESS OF BUSINESS. : 0 4 r� d a.a�� S MAP/PARCEL NUMBER p5 (f [Ass sling) When starting a new business there are several.thinge you must do in order,to be incompliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO —,(corner of Yarmouth Rd. & Main Street) to make'sure yo.0 have the appropriate permits and licenses required to egally operate your business in this town. 1. BUILDING COMMISSIONER' 'OFFIC MUST COMPLY WITH HOME OCCUPATION This individual has been ' f r f any p e ui that pertain to this type of business. RULES AND REGULATIONS. FAILURE TO QQ-MP(Y MAY RESULT IN FINED: Authorized Si atu * n COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. , Authorized Signature** . COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS:—.- 09/23/2011 13: 14 5087789312 a BARNSHOUSAUTHORITY PAGE 01/01 y TOWN Of BARMSTABLE ? II SEP 23 I'M 1: 33 ZONING VERIFICATION z pl : . 1 TO: Li , dson FROM: Kim M. Gomez - Leased Housing Coordinator RE: Legal Mental Unit Verification Date: Address: �� T� �'�� / � Ile Village; �1���/.S Unit Type: : Bedroom Size: Map & Parcel No.: c;2�70 " 6q-�!) The owner of the above listed property is entering into a contract with us for the rental of the property as listed above. Please verify by signing below that the unit is legal and meets all zoning requirements for a rental in the town of Barnstable. If it does not, please list reason here: )/Vv-A on It you for your assistance in this hatter.' t' Si ature /Y Print name Tate VIA FAX: 790-6230 MRVP secclon s Rev. 8/06 I P. 1 Communication Result Report ( SeP. 21 2011 1 :45PM ) 1) 2) Date/Time , Sep, 23, 2011 1 :44PM File Page No. Mode Destination Pg (s) Result Not Sent ---------------------------------------------------------------------------------------------------- 3315 Memory TX 95087789312 P. 1 OK --------------------------------------------=------------------------------------------------------- Reason for error E. 1) Hang up or 1 i n e fail E. 2) Busy E. 3) No answer - E. 4) No facsimile connection E.-5) E x c e e d e d max. E—mail size 'yin 09/23/2011 13:14 5007709312 BARtFHMSAU1ffl0R(TY PAGE 01/01 � Tal�w1 or r-:r:,rruce Will SAP 23 Ni 1,33 ZONING VERIFICA;i'ION TO: Li dson FROM: Miss M.Gomez-Leased Housing Coordinator RE. Legal Rental Unit Verification Date: Village: TlnitType:`� Bodroom9ize: Mnp&Pa reel Na.: The owner of the abovellsted property is entering into n contract.vith us forthe rental of the property as HOW above. Piesse verify by signing below that the mitts legal and meets all zoning regoh enients for a rental In the town ofitarstetable.[f it does not,please list reason heresy 11-T hyou for yoarassbtameoin This matter. 91, tare Print aeme nat. VIA FAX: 79D-6230 rvanvr se�mos Rev.8106 �-7 93rzJ f Town of Barnstable *Permit# 7 r73 Expir, onths frons issue date -Regulatory Services Fee `,i ''' Thomas F.Geller,Director Building Division NOV 0 7 2007 Tom Perry,CBO; Building Commissioner 200 Main Street,Hyannis,MA.02601 TOWN OF BARNS"IFABLEEwww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 0 At-fo (, 11 p G (� �`' y 6 ai pi 4/7 0 A ( 6 [Z Residential Value of Work a j 6 0 Minimum fee of$25.00 for work under$6000.00 . Owner's Name&Address ;�i Lt.?S L o P P s' o y 0[y 8410kti f Y14 cat 6J66I Contractor's Namejkp El a v►eP ���paT �t f�e:�� Se r„� , Telephone Number P< q 6)-6 9 9'V Home Improvement Contractor License#(if applicable) f d 6 8� Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor _ ❑ I am the Homeowner Q'I have Worker's Compensation Insurance Insurance Company Name /VeW Yg m 92 s r Workman's Comp.Policy# .3 0 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers.of roof) ❑ Re-side Replacement Windows/doors/sliders. U-Value ' (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. *.**Note: Property Owner must sign Property Owner Letter of Permission f A copy of the Home Improvement Contractors License is required.` SIGNATURE: / Q:Forms:expmtrg . Revise061306 9 The Commonwealth of Massachusetts I „ Department of Indusfrial Accidents l Off ce of Investigations 600 Washington Street ' - - Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractor s/Electricians/Plu>lyabers Applicant Information Please Print Le ibl Hanle(Business/Organization/Individual): Address: a City/State/Zip: 44 �l , c1 Phone.#: : g od ^ �i 7l BoZ Are you an employer?.Check the appropriate box: am a employer with .l0 4 ❑ I am a general contractorand I -Type of proj ect(required): employees(full and/or part:time).* have hired.the sub-contractors' 6• ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet: 7. ❑Remodeling ship and have no employees These sub-contractors have g Demolition a ..: working for me in any capacity. employees and have workers' [No workers'comp.insurance comp. insurance.$ 9• Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.0 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 insurance required.]t c. 152, §1(4),and we have no _ 12.0 Roof repairs ekers, mployees. [No wor 13.:�Z] Other u�%Jo,. f -:.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 anew affidavit indicating such tContractors 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 foamy employees Below is.the policy and fob site `- information. / Insurance Company Name: !el . . (Qµ� �j t✓c ,�� S• a Policy#or.Self ins.Lic.#: Expiration Date: p �1 � g Job Site Address._ 3 00 fv b w ties j a�- City/State/Zip: �/ 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 copyof this statement may be forwarded to the Office of Investigations of the DIA for insura ce covera a verification. I do hereby certify under the pains:and enalties of perjury that the information provided above is true and correct. ' • Si afore: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: f NUMBER Noll .. ..~ .:=:ATL-041234410-01 PRODUCER THIS CERTIFICATE IS ISSUED AS A.MATTER OF INFORMATION ONLY AND CONFERS MARSH USA,INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE 110R1edepOt.Ce�feGUeSl�rlTaf§h:CO(Tl POLICY.THIS CERTIFICATE GOES,NOT AMEND,EXTEND OR ALTER THE COVERAGE FAX(Z12)946-0902 AFFORDED BY THE POLICIES DESCRIBED HEREIN 3475 PIEDMONT ROAD,SUITE 1200 ATLANTA,GA 30305 COMPANIES AFFORDING COVERAGE PANT 00492-THD-IPUSA-07-08 IPUSA COMPANY A STEADFAST INSURANCE COMPANY INSURED COMPANY HOME DEPOT USA,INC. 8., ZURICH AMERICAN INSURANCE COMPANY 2455 PACES FERRY ROAD NW ----- BUILDING C-8 COMPANY ATLANTA,GA 30339 C AMERICAN HOME ASSURANCE COMPANY COMPANY D... NEW HAMPSHIRE INS COMPANY COVERAGES ^# Y r�� ""�7i 5...'. ;�� �&':k`�_ a`F a ?fs a �.rst`� �. ;:,s4 r:tiv^�, „ 7r: ,aa, ,,`xY•if's`CaY`�•""�dP";??x':T-t 4< '6Y!: x 3z: of .,:... :�.;�_,,...... �,.�..�:�;>�..� ,�IsxCertlfiC�at����.�r�dr���r�.�`e�►a� �n���� aSt���is,�ue��eertF�"cte�of�M�.p�i(�55����o�n�atedEb4°" '.��- t�'�> r� � . THIS.IS TO CERTIFY;THAT POLK:IES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE`POLICY PERLOO.INOICATED .`.: NOTVIIfTHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY .. 'PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL.THE TERMS,CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.AGGREGATE.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.„ CD' POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE "POLICY NUMBER , .`, DATE'(MMIOOIYY) GATE(MMIDOIYY) LIMITS A . GENERAL LIABILITY IPR 3757 606-02 03/01107 _ 03/01/08 GENERAL AGGREGATE $ 4,000,000 X COMMERCIAL GENERAL LIABILITY 'LIMITS OF POLICY ARE EXCESS' PRODUCTS•COMP/pP AGG. $ 4,000,000 w ; 5 4 CLAIMS MADE X]OCCUR 'OF SIR:$1,0001000 PER OCC .: PERSONAL 3 ADV INJURY $ 4,000.000 OWNER'S 3 CONTRACTOR'S PROT ( - EACH OCCURRENCE $ 4,000,000 FIRE DAMAGE Any an fire) $ 1,000,000 MED EXP lAny one emon $ EXCLUDED B AUTOMOBILE LIABILITY BAP 2938863.04. 03l01/07 03/01/08 X COMBINED SINGLE LIMIT' $ 11000,000 ANY AUTO ALL OWNED AUTOS „ SCHEDULED AUTOS BODILY INJURY $, (Per person) HIRED AUTOS BODILY INJURY $ NON•OWNED AUTOS (Peraccident) X ELF-INSURED AUTO HYSICAL DAMAGE PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ , ANY AUTO OTHER THAN AUTO ONLY T 1 EACH ACCIDENT $ , AGGREGATE $ q EXCESS uaB1uTY IPR 3757 608-02 03/01/07 . 03/01/08 EACH OCCURRENCE $ 5;000,000 X UMBRELLA FORM AGGREGATE $ 5,000,000 OTHER THAN UMBRELLA FORM C WORKERS COMPENSATION AN0. 2921209(CA) 03/01/07EMPLOYERS'LIABILITY O3/O1/06. TORT LIMITS' I ER ru E 2921210(FL) ' 03/01/07 03/01/08 EL EACH ACCIDENT $ 1,000,000 F THEPROPRIETOR/ X INCL 2921211 (AZ ID,MD VA) 03/01/07 . 03/01/108 EL DISEASE-POLICY LIMIT $ 1,000,000 D PARTNERSIEXECUMVE OFFICERS ARE: EXCL 2921208(AOS) .#"• 03/01/07 03/01/08 EL DISEASE-EACH EMPLOYEE $ 1,000.000 C DTH R 2921213(QSQ • . 03/01/07 03/01/08 E . WORKERS'COMPENSATION ' 2921212(KY,MO,NY,WI) 03/01/07 03/01168 G TEXAS EMPLOYERS. ` TNS-C44642086(TX) 03/01/07 „ 03/01/108. EACH OCCURENCE.; 25,000,000 EXCESS LIABILITY V ';° SIR' 2,000,000 DESCRIPTION OF DPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS a CEtT( IC EMU E �. �.4..RF : K/ +"Ir.�. e.,..�a.�.f����..s�.:,t.��"��r.;?i.���.�z,�;� L.��.�'�tr �����.� `��ri•T���ccss�s��.�-��a'w'�;�: ;�_�'�'; ��i�i� "���'"s''�� '�-`„ kva..�� �'�xi� ��.f3, - .- - SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL zn,DAYS WRITTEN;NOTICE TO THE FOR EVIDENCE ONLY, .; •„ - ; y i I CERTIFICATE HOLDER NAMED HEREIN,BUT FAILURE TO MAIL SUCH NOTICE SNAII.IMPOSE NO OBUGATTON OR • ! i*" LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE,ITS AGENTS OR REPRESENTATNES,OR THE - I ISSUER -F THIS C ' U 0 CERTIFICATE. ER FICATE .,:.....�: MARSH USA INC "I: s-„ t.., , Mary Radaszewski 3 e s'i'm 1, .'i VALID AS OF. 02%28/07.. ,: •...r+a..:._..:atw,,.iz .rze": TS- .`�Sti�+-�.„ r� `'}� +� ��i' �' o •.'x'�,w ,:. ri " "I .k n � �•��'� �� .,� � ���������� _ oarE jMlwoDlrrj COMPANIES AFFORDING COVERAGE PRODUCER MARSH USA,INC: COMPANY homedepot.certrequest@marsh.coril FAX(212)948-0902 E ILLINOIS NATIONAL INSURANCE COMPANY 3475 PIEDMONT ROAD,SUITE 1200 ATLANTA,GA 30305 COMPANY F ... : NATIONAL UNION FIRE INS CO. 100492-THD-IPUSA-07-08 IPUSA INSURED COMPANY HOME DEPOT USA';INC. G ILLINOIS UNION INSURANCE CO 2455 PACES FERRY ROAD NW BUILDING C-8.. ATLANTA,GA 30339 COMPANY, H F. TEJ r1 R q r -r 3 t .,y .k"i' 1 Ss "s _.:c'x's xs':.'•�Y Cs'x v -'CERTIFICATEEH©LDER�t u � r N� � a . dr 0r'�1�.`� �:w..v' .�,..E..�._ FOR EVIDENCE ONLY j ri; �I � rl i•,r#,�1 • 9 I�1,�*' j 4 ( f MARSH USA INC BY I I t s l i i r tr 3 r Mary Radaszewskl 7(J 'I'rt1C� SI+�f' ,�, ir {Llti£t{ '� lid k aI • y 1�1,9 (V�llt r¢at 063-R-03.8 40-45 Uri cm NFRC 610.0 -Renovations Argon/Low E SC M+da+el rareavatro+, 9S . COMIC! With Grids 1-800-746-6686 NFRC 2001 ENERGY PERFORMANCE RATINGS U-Factor(U.SJI.P) Solar Heat Gain Coefficient 0 . 36 0 . 27 ADDITIONAL PERFORMANCE RATINGS vj-ibiti-Transmittance- 0 . 44 Wan MarsAachrrer"Pwates that these ratings conform to applicable NFRC procedures for detemininil whole,"t pro t:t performance.NFRC ratings are determined for a ftxed set of Wranmental cwdhlata and a stedtic product*e.Coosa moautacbrrer's literature for other product performance information. www.afrc.org t Unit qualifies for fnargp'Star Regionisl : North Central, South Central, Southern t) DP 30 IND: REIN 00/43LdSS 88/H-R3() Test Size: 44 x 60 Board of Building Regulations and Standards License or registration valid for individul use only " "'...." ` HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration:..1-26893 ' One Ashburton Place Rm 1301 � Exprratron 8/3/2008 Boston,Ma.02108 Type Supplement Card THE Home Depot tAt-Home SerWc MNIEL PEL0QU'lP =M y , 3200 COBB GALLEMA PKWY#20 � atlantic,GA 30339 — Administrator Not valid without signature ALTANTA.GA 30339 Adminktra:.:r- r Danya Mahot 7743230034 p.4 HOME IMPROVEMENT CONTRACT Sold,Furnished and Installed by: Branch Name: 0 Date: i) b THD At-Home Services,Inc. d/b/a The Home Depot At-Home Services � 345A Greenwood Street,Worcester,MA 01607 Branch Number: 7 fl 1 Job#: 33 Toll Free(800)657-5182,• Fax:508-756-2859 Federal ID#75-2698460 ME.Lic#C 02439 RI Cont.Lie#16427 y� jCT Lic#565522; MA Home improvement Contractor Reg.#126893 Installation Address: '7w �ie. ! AAW1_5 9 �/ 1 city State Zip Last 4 Digits of Driver's Purchaser(s): Lie.ft,&Exp.M /Yr: Work Phone: Home Phone: A) &' a ( �)- (sag) Home Address:611A (If different from Installation Address) City State Zip E-mail Address(to receive updates and promotions from The Home Depot):N/A Project Information: I/We/You ("Purchaser's,the owners of the property located at the above installation address,offer to contract with THD At-Home Services,Inc.("Home De of")to furnish,deliver and arrange for the installation of all materials as described on the attached Spec Sheet# 1��$l7J ,incorporated herein by reference and made a part hereof. Home Depot reserves the right to cancel this contract if,upon re-inspection of the job,Rome Depot determines that it cannot perform its obligations due to a structural problem with the home,pricing errors or because work requi complete the job was not included in the Spec Sheet or Contract. DEPOSIT PAYMENT OPTIONS (Subject to fund verification and/or credit approval) CONTRACT AMOUNT $ 2,777 N � 1. Check*,Cashiers Check or US Postal Service Money Order (Made payable to The Home Depot). (LESS DEPOSIT $ 2. Credit Card;•and/or other payment options-Circle One Below �o BALANCE DUE f Visa MasterCard Discover American Exp ON COMPLETION $ The Home Depot Home Improvement Loan The Home Depot Credit Card tMinimum 25%of Contract Amount due upon ❑New Account xist�in�gnA�ernuot (HIL&HDCC ONLY) execution of this contract. Available Credit:S 71_66b (HIL&HDCC ONLY) Indicate Payment Method For Acct# _ Exp.Date: BALANCE Dl!lg ON COMPLETION: ryry�� Name as it appears on card: sty **By ot/our signature below,I/We agree to allow Home Depot to, Xrdhol&�'s a the above referenced credit card for the deposit indicated: 'When you provide a check as payment,you authorize us either _ to use information from your check to make a one-time electronic Sign Date fiord transfer from your account or to process the payment as a check transaction,When we use information from your check to AIL or HDCC Authorization Codes make an electronic fund transfer,funds may be withdrawn from your account as soon as the payment is received,and you will not De S11 yayment receive your check back. # Purchaser agrees that, immediately upon completion of the work Purchaser will execute a Completion Certificate and pay any balance due. Purchaser also agrees to be jointly and severally obligated and liable hereunder... Entire Agreement: This agreement and its attachments, including any financing agreement, contain the complete agreement between the parties and can not be amended or modified unless in writing in a separate agreement signed by both parties, NOTICE TO PURCHASER Do not sign this contract before you read it. You are entitled to a completely filled-in copy of the contract at the time you sign. Keep it to protect your rights. Do not sign a Completion Certificate before this project is complete. Law. prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner prior to the actual completion of the work to be performed under the contract. You may cancel this transaction any time prior to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of this right. There will be a service charge equal to 10% of the contract amount if job is cancelled by Purchaser AFTER the third business day,but BEFORE materials are ordered.There will be a service charge equal to 25%of the contract amount if job is cancelled by Purchaser AFTER materials are ordered. BY MY/OUR SIGNATURE BELOW,I/WE UNDERSTAND THAT THE AGREEMENT MAY BE SUBJECT TO REVIEW OF MY/OUR CREDIT HISTORY AND I/WE AUTHORIZE HOME DEPOT TO VERIFY AND REVIEW MY/OUR CREDIT RECORD WITH AN INDEPENDENT CREDIT REPORTING AGENCY AND RELEASE THEM FROM ALL T iARTT TTY TNC'TTRRFTI FRnM 1NAnA1 P.RTR.NT nviTssioNRf1R F.RRORS Lie.iF A E .1Vl l itr: wore raune: nowe rnunel. Home Address: A (If different from Installation Address) City State Zip E-mail Address(to receive updates and promotions from The Home Depot):to Project Information: I/We/You("Purchaser"),the owners of the property located at the above installation address,offer to contract with THD At-Home Services,Inc. ("Home De oC)to furnish,deliver and arrange for the installation of all materials as deseribed•on the attached Spec Sheet# ��$ ,incorporated herein by reference and made a part hereof. Home Depot reserves the right to cancel this contract if,upon re-inspection of the job,Home Depot determines that it cannot perform its obligations due to a structural problem with the home,pricing errors or because work requi complete the job was not included in the Spec Sheet or Contract. DEPOSIT PAYMENT OPTIONS (� 2,7n � (Subject to fund verification and/or credit approv d ) / CONTRACT AMOUNT $ ,7/ /)� 1_ Check*,Cashiers Check or US Postal Service Money Order (Made payable to The Home Depot). n,(� (LESS DEPOSIT $ \ 2_ Credit Card"and/or other payment options-Circle One Below BALANCE DUE Visa MasterCard Discover American Exi ON COMPLETION $ I 1 S S1 _ The Home Depot H;-istingAouot mprovement Loan The Home Depot Credit Card tMinimum 25%of Contract Amount due upon ❑New Account ce (HIL&HDCC ONLY) execution of this contract Available Credit:$ 5— AO (HIL&HDCC ONLY) Indicate Payment Method For Acet Exp.Date: BALANCE DUK ON COMPLETION: �! Name as it appears on card: �W **By /our signature below,I/We agree to allow Home Depot to cha a the above referenced credit card for the deposit indicated. ' *When you provide a check as payment,you authorize us either r to use information from your check to make a one-time electronic dho s Signa Date fund transfer from your account or to process the payment as a check transaction,when we use information from your check to HIL Or HDCC Authorization Codes make an electronic fund transfer,funds may be withdrawn from your account as soon as the payment is received,and you will not DC sit yinent receive your check back. # 00n # Purchaser agrees that,immediately upon completion of the work,Purchaser will execute a Completicn Certificate and pay any balance due. Purchaser also agrees to be jointly and severally obligated and liable hereunder. Entire Agreement: This agreement and its attachments, including any financing agreement,contain the complete agreement between the parties and can not be amended or modified unless in writing in a separate agreement signed by both parties. NOTICE TO PURCHASER Do not sign this contract before you read it. You are entitled to a completely filled-in copy of the contract at the time you sign. Keep it to protect your rights. Do not sign a Completion Certificate before this project is complete. Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner prior to the actual completion of the work to be performed under the contract. You may cancel this transaction any time prior to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of this right. There will be a service charge equal to 10% of the contract amount if job is cancelled by Purchaser AFTER the third business day,but BEFORE materials are ordered.There will be a service charge equal to 25%of the contract amount if job is cancelled by Purchaser AFTER materials are ordered. BY MY/OUR SIGNATURE BELOW,UWE UNDERSTAND THAT THE AGREEMENT MAY BE SUBJECT TO REVIEW OF MY/OUR CREDIT HISTORY AND I/WE AUTHORIZE HOME DEPOT TO VERIFY AND REVIEW MY/OUR CREDIT RECORD WITH AN INDEPENDENT CREDIT REPORTING AGENCY AND RELEASE THEM FROM ALL LIABILITY INCURRED FROM AD TENT OMISSIONS OR ERRORS. BY MY/OUR SIGk URE E E AGREE TO BE BOUND BY THE TERMS OF THIS CONTRACT. I/WE ACKNOWLEDGEEIP CO Y OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATI SUBMITTED BY: Date: j D 3 b C6 onsultant ACCEPTED BY: Date:—A --,2 3 42� Purchaser ol Date: Purchaser NOTICE:ADDITIONAL TERMS AND CONDITIONS ARE STATED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRACT 9-21-07 rev 4-2-07 C-SC White—Branch File Yellow—Customer 'Pink—Sales Consultant S`d beoocactLL. 4oyeW. eBue(I Town of Barnstable 0 i+tNia 4 ww�ssJ►ea Lwr IeMe Regulatory Services F«� r GB 'Meuse F.0eiler,Direecor - So4"ag Division t. 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Board of Building 12e HOME ld p(t gulations OVEM and Standards E Re91stra o� NT CON TRgCTOR rra a268 � 93 (�f 2004 i exit I e De i — ice Poem Card Hom Pot At-�o�-�`'-��._--� CONRAD JOHNerui; ff 1 3200 COBS GALLERtq ALTANTA,GA 30339 ~ Y#26 Administrator 063-A-047 40-45 DH NFU 6100 R®novationsr Double Hunq - Vinyl Argon/Low E SC Nrocrl S 5 Oot�o1 yard mm 0 . 3 0 . 2 0 . 4 _-U:.7 -------- wn�rs�lw ee �praoAartn� �ceera M ISM +o�or�oauocs� ,r�crdd+�a� oe ari�d ram I ND t NUR nR/GSA :sS/ WMA& mass. w w Ocdsc #s3347129010001 40199 s . dim Romwom "cow IMPIROMMINT CONTRACTOR: tmw V30M Tmw omppwnwd CAW ft Depd AI1ws O&vftW CO~ JOHNSON rtoo cs�e oAi.t, O"f wiw an &JANYA,GA MU �• "' n HOME IMPROVEMENT INSTALLATION CONTRACT Branch Name: i V0"J OiA,(,.LI)ND Date: �(/b b3 Sold,Furnished&Installed by c� The Home Depot Installed Sales Branch Number:- 7 j Job#: �n� / 345A Greenwood Street,Worcester,MA 01607 Toll Free(806)651-5182; (508)756-6686; Fax:508-756-2859 Federal ID#75-2698460 ME Lie#C 02439 RI Cont.Lie#16427 CT Lie#365522 MA Home Improvement Contractor Reg.#11-6893 Installation Address :+" 6 VYIv{ �ypM/v15 PW WAI City State Zip Purchaser(s): nciecr's T,= " " -:•P: NVork Phone: Home Phone: lee►.= S _. _ _ ( ) (�T)775-VS+K Home Address: L (if different from Installation Address) City State lip Project Information I/We("Purchaser"),the owners of the property located at the above installation address,offer to contract with The Home De of("Home Depot")to furnish,deliver and arrange for the installation of all materials as described on the attached Spec Sheet# Iris incorporated herein by reference and made a part hereof. Home Depot reserves the right to cancel this contract if,upon re-inspection of the job,Home Depot determines that it cannot perform its obligations due to a structural problem with the home or because work required to complete the job was not included in the contract. DEPOSIT PAYMENT OPTIONS (Subject to fund verification and/or credit approval.) I. Check,Cashiers Check ur US Postal Service Money Order CONTRACT AMOUNT $ (made payable to The Home DepuQ. *LESS DEPOSIT S 2•. Credit Card•and;or other payment options-Circle One Below BALANCE DUE Visa MasierCard Discover American Fxpress ON COMPLETION $ 13R�.�i Homelmprovememt:-•- umeUeratCted..Card Avn't tbt"C'"' f HI L S HDCC ONLY) *25%of Contract Amount due upon execution of this contract.One-third(1/3rd)of Contract.Amount is required Aec'" q for MASSACHUSETTS RESIDENTS ONLI' Nano as it apr.can on card:_.Li Indicate Payment Method For 'By my/our signature beluw'.I!wc agree to allow•I he I tome Dcot to charge the BALANCE DUE ON COMPLETION above retercnced credit card litr the deposit indicated. p i ' - *,d'1_,.!den;Signature -- If this is a finance transaction,the agreement for financing is contained in a"separate document,which is incorporated herein by Reference,and made a part hereof. At-Home Services Credit/Loan Application Ref.# Purchaser agrees that,immediately upon satisfactory completion of the work,Purchaser will execute a Completion Certificate and pay any balance due(unless the job is financed,in which case,upon submission of the executed Completion Certificate,Home Depot will be paid in full by the lender). Purchaser also agrees to be jointly and severally obligated and liable hereutder. For Mass.Residents Only: Contractor shall procure all permits required by law acting as the owner's agent. Owners who secure their Own permits will be excluded from the guaranty fund provisions of MGL Chapter 142A. Unless otherwise noted within this document,this contract sliall not imply that any lien or other security interest has been placed on the residence. Entire Agreement: This agreement and its attachments,including any financing agreement,contain the complete agreement between the parties and can not be amended or modified unless in writing in a separate agreement signed by both parties. NOTICE TO PURCHASER Do not sign this contract before you read it. You are entitled to a completely filled-in copy of the contract at the time you sign. Keep it to protect your rights. Do not sign any Completion Certificate or agreement stating that,you are satisfied with the entire project before this project is complete. Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner prior to the actual completion of the work to be performed under the contract. You may cancel this transaction at any time prior to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of this right. There will be a service charge equal to 25%of the contract amount if the job is cancelled by Purchaser AFTER the third business day. RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION. BY MY-,'OUR SIGNATURE BELOW, VWE AGREE TO BE BOUND BY THE TERMS OF THIS CONTRACT. UWE ACKNOWLEDGE- BY MY/OUR SIGNATURE BELOW, VWE UNDERSTAND THAT.THE AGREEMENT IS S HISTORY AND UBJECT TO REVIEW OF MY/OUR CREDIT i WE AUTHORIZE HOME-DEPOT AND RMA HOME SERVICES,INC.,A OR HOME DEPOT AUTHORIZED CONTRACTOR, RE THEM FROM ALL LIABILITY INCURRED FROM INADVERTENT OMISSIONS OR ER TO VERIFY AND REVIEW MY/OUR CREDIT RECORD WITH AN INDEPENDENT CDIT REPORTING AGENCY AND RELEASE RS. SUBMITTED BY: 04YA la/b p Sales Consultant � t ACCEPTED B Date: i0�/o a . Homeowner Date: NOTICE:ADDITIONAL TERNIS.CONDITIONS AND WARRANTIES ARE STATED ON THE REVEMSE SIDE AND ARE PART OF THIS CONTRACT - ' White-BranchFile Yellow-Costumer Pink-Sales Cmaultam " • - - `5 5-9-03 C-SC