HomeMy WebLinkAbout0028 BLUEBERRY HILL ROAD �� � � be
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tikes Application number [ ...—*�2�........... ......
Issued. ................
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Building Inspectors Inia .SEP052018
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OWAj O� 8NH Map/Parcel........ ..!.............V
TOWN OF BARNSTABLE
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
Address of Project: 84,, ec nz 14,)( 14yc..,,,,�
NUMBER STREET VILLAGE
Owner's Name: C + NA Vf-j „w1 T S Phone Number W,4
Email Address: P�/{ Cell Phone Number
Project cost $ f> Sv U. 00 Check one Residential Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authorize D6in L. 0 k� rl
to make application for a building permit in accordance with 780 CMR
Owner Signat re: c D- ate
i
TYPE OF WORK
❑ Siding Windows (no header change)# Q Insulation/Weatherization
F-1 Doors (no header change) # Commercial Doors require an inspector's review
0 Roof(not applying more than 1 layer of shingles)
Construction Debris will be going to Tow-, cx_f Dwn s 6S
CONTRACTOR'S INFORMATION
Contractor',s name Zlr�>4-,
Home Improvement Contractors Registration(if applicable) # 1601 2 (attach copy)
Construction Supervisor's License# C S EA O S y`� y (attach copy)
Email of Contractor ZX D G4,f e., d Phone number r° 7'3 7
ALL PROPERTIES THAT HAVE STRUCTUR S OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE PERMIT CAN BE ISSUED.
APPLICATION NUMBER..................................................4,..........
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S
*For Tents Only*
{
Date Tent(s) will be erected Removed on number of tents total
Does the tent have sides? Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X X 9 X
Additional tent dimensions can be attached on a separate piece of paper.
Check one: this event is a: for profit non-profit event
Check one: Food served Yes No
Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent
If food is being served at your event please obtain a Health Department approval between the hours
of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval.
*WOOD/COAL/PELLET STOVES
Manufacturer# Model/I.D.'
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's Name:
Telephone Number Cell or Work number
I understand my responsibilities under the rules and regulations for Licensed Construction
Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand
the construction inspection procedures,specific inspections and documentation required by 780
CMR and the Town of Barnstable.
Signature Date
APPLICANT'S SIGNATURE
Signature ot Date
All permit applications are subject to a building official's approval prior to issuance.
4 e1 •
41 i ' L'
Commonwealth of Massachusetts
Division of Professional Licensure
Board of Building Regulations and Standards
ConstructionS at 1 g 2 Family
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CSFA-105994 .*
E, pires: 10/23/2019
DANIEL O'NEILLt J
351 ME
GAN ROAD
�„ .
HYANNIS MA 02601 �
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Commissioner l/Z
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���g CLLI7G J/LC1%NCxf ci�l������[(-CC51C(C�tUC:�I '
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_ Office of Consumer Affairs&Business Regulat':on
HOME.IMPROVEMENT CONTRACTOR
""— TYPE:Individual
iWill Registration Expiration
K 168722 05/14/2019
DANIEL O'NEILL
DB/A DAN L.O NEILL CARPENTRY '
DANIEL O'NEILL
351 MEGAN RD
HYANNIS,MA`02601.r;r' `' Undersecretary
J
Constructioi.Supervisor 1&2 Family
Failure to possess a current edition of the Massachusetts
State Building Code is cause for revocation of this license.
For information about this license
Call(617)727-3200 or visit www.mass.gov/dpl
Registration valid for individual use only
before the expiration date. If found return to:
Office of Consumer Affairs and Business Regulation
h 10 Park Plaza-Suite 5170
Boston,MA 02116
r'd
- Not valid without Signature
l
r The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information / Please Print Legibly
Name (Business/Organization/Individual): G L . Q A C i
Address: R
City/State/Zip: µ.-%r /�I/� O o Phone#: So 8 ` 3 3 r
Are you an employer?Check the appropriate box: Y.- Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
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
workingfor me in an capacity. employees and have workers'
Y P tY• # 9. ❑Building addition
[No workers' comp.insurance comp.insurance.
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.❑Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13.E O er Lv i,. ..✓r L e&c
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 thepolicy and job site
information.
Insurance Company Name: A s soG;,.4,Q Gy_, pr.4/
Policy#or Self-ins.Lic.#: C (_C- Sw- Su 1 410 — a Of M Expiration Date: 1
Job Site Address: A8_ 8/4e_Bv*A rl' ( CIJ City/State/Zip: l�y..,� ,/1, 0-)(9G
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 under the pains and penalties of perjury that the information provided aboove is true and correct
Si ature: �L r Date:
Phone#: So
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#:
1 ,
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs peisons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is'required.'Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be`used as a reference number.'In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should writo"all-locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington.Street
Boston,MA 02111
Tel.#617-727-4900 ext 406 or 1-877-MASSAFE
Fax#617-727-7749
Revised 4-24-07
"wvsrw.mass.gov/dia
Bk 28617 P�294 a736
01-07-2015 a 03 2 08�
TRUSTEE'S CERTIFICATE
PURSUANT TO M.G.L. rC. 184 § 35
We, David J. Ryan,Virginia R. Hoeck, Ruth Ryan Morrill, Christopher E. Ryan and Miriam
Ryan Duvel, Trustees of the "NATALIE RYAN SUPPLEMENTAL NEEDS TRUST",
hereby swear and affirm under pains and penalties of perjury that the following is a true
and complete statement of fact:
1. The name of the Trust is the:
"NATALIE RYAN SUPPLEMENTAL NEEDS TRUST"
created under Will of Joseph A. Ryan recorded in
Barnstable County Docket No. BA13P1600EA dated May 22, 2013 .
2. The names of the current Trustees and addresses of the Trust are:
David J. Ryan and Ruth Ryan Morrill and
415 Sampsons Mills Road 4845 West College Avenue
Cotuit, MA 02635 Visalia, CA 93277
Virginia Hoeck and Miriam Ryan Duvel and
P.O. Box 1460 8 Milton Road
Cotuit, MA 02635 Barrington, RI 02806
Christopher E. Ryan
20 North Hancock Street
Lexington, MA 02420
Jointly or their survivor
Their signatures alone are sufficient to exercise the powers of the Trustees.
3. Any person dealing with the trust property(real or personal interests) or the Trustees
may always rely, without further inquiry, on a further certificate under M.G.L. c. 184§
35 signed by a person certifying under pains and penalties of perjury to be a Trustee
hereunder, whether or not said person is listed as a Trustee or successor Trustee at
Item 3, as to whether or not this Declaration of Trust has been terminated, as to who
are the Trustees or the Beneficiaries hereunder, as to the authority of the Trustees to
act, or as the existence or nonexistence of any fact or facts which constitute
conditions precedent to acts by the Trustees or which are in any manner germane to
the affairs of the Trust.
M.G.L., c. 184, § 35 Trustee Certificate for the
"Natalie Ryan Supplemental Needs Trust, u/w/d dated May 22, 2013"
Bk 28617 P:9302 a737
TITLE NOT EXAMINED
QUITCLAIM DEED
I, David J. Ryan, Personal Representative of the Estate of Joseph A. Ryan,
Barnstable County Docket No. BA13P1600EA, of Cotuit, Barnstable County,
Massachusetts for consideration of less than One Hundred dollars
grant to
o Virginia Ryan Hoeck, David-Ryan, -Ruth Ryan Morrill, Christopher Ryan and
N Miriam Ryan Duvel, Co-Trustees of the "Natalie Ryan Special Needs Trust
M dated May 22, 2013", as evidenced by a Certificate of Trust recorded herewith
co at the Barnstable County Registry of Deeds, all of the rights, title and interest
� o
Q with quitclaim covenants,
ca
The land and buildings thereon situated in Hyannis (Barnstable) in the County of
co
4- Barnstable and Commonwealth of Massachusetts, bounded and described as
t� follows:
An
C 0 SOUTHERLY: by Blueberry Hill Road (a private way), as shown on a
Hereinafter mentioned plan, 125.00 feet;
2 WESTERLY: by land of Irving M. Lawrence, as shown on said plan,
�o C 204.96 feet;
ENORTHERLY: by land of Henry Hersey, as shown on said plan, 81.00 feet;
Z, CIO and
Q LO EASTERLY: by land of Robert S. Elliott, as shown on said plan, 200.00
feet.
cContaining 20,600 square feet of land, more or less, and being shown as
N PARCEL B on a plan of land entitled "Plan of Land in Centerville, Barnstable,
N Q Mass. for Irving M. Lawrence, drawn by HEA, Scale 1 in. = 40 ft. checked by
2 CNS, April 1, 1964, Charles N. Savery, Inc., Registered Engineers and
Q (D
Surveyors, Cotuit, Falmouth, Cape Cod No. 6404613", duly filed in Barnstable
County Registry of Deed in Book 186, Page 7.
aThis deed is conveyed subject to and with the benefit of the rights, easements,
arestrictions, reservations and rights of way of record insofar as the same are in
force and applicable as set forth or referred to in the deed recorded in the
Barnstable County Registry of Deeds Book 10763, Page 184, dated May 23,
1997.
For Title refer to the deed recorded in the Barnstable County Registry of Deeds
in Book 27412, Page 57 on May 29, 2013.
0"
4
9
WITNESS my hand and seal,
/ 2- 57— �j�
David J. Rya , Persg6al Representative Date
Barnstable Docket No. BA13P1600EA
--- - COMMONWEALTH-fly MASSACHUSETTS --
ss.
COUNTY OF BARNSTABLE )
On this �� day of Dee,-m6er-, 2014 before me, the undersigned notary
public, personally appeared, David J. Ryan, Personal Representative of the
Estate of Joseph A. Ryan, Barnstable Docket No. BA13P1600EA, proved to me
= through satisfactory evidence of identification, which was a valid driver's license
or personal knowledge, to be the person whose names is signed on this page,
and acknowledged to me that they signed it voluntarily for its stated purpose.
,6 t �� SEAL,
Notary Public: _ a -
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My commission expires:
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BARNSTABLE REGISTRY OF DEEDS
John F. Meade, Register
' f
R f
r Town of Barnstable *Permit#
Expires 6 months from issue date
Regulatory Services Fee
PERMIT
s Thomas F.Geiler,Director
Building Division
V 0 2 2006 B -
Tom Perry,CBO, Building Commissioner 0 �j
TOWN OF BARNSTABLE200 Main street,Hyannis,MA 02601 �1V
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
vlap/parcel Number
'roperty Address J3 U p r tRf
sidential Value of Work _ Minimum fee of$25.00 r work under$6000.00
)wner's Name&Address
rYtV> yt
.ontractor's Name Telephone Number �7 7
Tome Improvement Contractor License#(if applicable)__ 6 G,
;onstruction Supervisor's License#(if applicable) flo S E21
-lWorkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ the Homeowner
I have Worker's Compensation Insurance.
isurance Company Name I--a?U*1eL/
Jorkman's Comp.Policy#
'opy of Insurance Compliance Certificate must be on file.
ermit Request eck box)
Re-roof(stripping old shingles) All construction debris will be taken to /? •.c�jy 1 /�j
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. 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. '
Ho oveme o tractors License' uired.
iGNATURE:
Fonns:expmtrg
;vise071405
The Commonwealth of Massachusetts
' Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
�~!Y www.mass. ov/dia
r , g
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual):��.�
Address: j (a Q P�l 4 D,1�i i 1'2d -
City/State/Zip: ( .�0 wT�v v 11I Sf Phone #:
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4, am a general 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. t 7. ❑Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
working for me in any capacity. workers' comp.insurance. 9. ❑Building addition
[No workers' comp. insurance 5. ❑ We are a corporation and its
required.] officers have exercised their 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions
myself. [No workers' comp. c. 152, §1(4),and we have no 12, oof repairs
insurance required.]t employees. [No workers' 13.❑ Other
comp.insurance required.]
*Any applicant that checks box#I 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 hue outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.Insurance Company Name: "rV�V%&L✓.5
Policy#or Self-ins.Lic.#: 7 t� `3 D/9 7.. Expiration Date: Ll
Job Site Address:_ ®1O ,t�. &V V Y t 'Ird City/State/Zip:�TT! it A,
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 certify un at s ar enalties o perjury that the information provided above ' true nd correct.
Si mature: Da
te: f
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#:
JUN-23-c006 00:=5 FROM: TO:15MI3620105 "•
AC6RD CERTIFICATE OF LIABILITY INSURANCE 2006 Y"
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SCMAGEL 6 SCRLEGEL ZIWSORAS= ONLY AND CONFERS NO RIGM UPON IWE CERTIFICATE
HOLDM 1ti16 CEIMPICAIE DOES NOT ANMRO. EXTOW OP
ALTER -06 COVERAGE AFFORDW BY il{E POLICIES HE7.OW.
34 MATN STREET ATE 28
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Paul Hackmiller t tB:TRAVERLZRRO
DHA RUCMULLSR FOOFING IWSYERC:
Hysswia, MR 02601 VASURENe
COVERAGES
TILE POLICIES OF INSURANCE LISTED BELOW HAVE 5EEN MUM TO THE 14BURED NAMED ABOVE FOR T4E POLICY PERIOD INDICATED. NOTAINSTV40NG
ANY REOWREM,EWi, TERM OR CONDRSO!! IF AN! CONTRACT OR OTHER DOCUMcNT WRH RESPECT Tlr WHICH THIS CERTIFICATE MA'V RE ISSUED OR
MAV PEHIAW. THE RdSI.IRAMCE AFFORDED SY THE FOLICIES OESCRIEFD'HEREIN i5 SUBJECT 70 AIL THE TERMS, E7R7,USIONS PNG CONDIT"4S CF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CL4M. _ 1
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PAUL BVCYMILE.ZA I3 rMCL*u'Y�:SD YROIA CC'VERPGE UT ER 1."HIS `1<FMRS COMMISATION t?IC'Y
CERTIRCATE HOLDER CANCELLATION
CORRYiCORLY __ — -- wwmi, AM Or TI p%X A ph c me sw se,om Iles NXMATfOM
1994 PALMOUTH RD mis wl mw. ra @ELS:a f WAW emL Rwagv R To mAL 21 DAY, wPff-M
C'J;9RTLRiIII.LE bDl G233?
NOTICE TO RM ClEffa CJ1`E Howet 10 .ME LEFL 6Ut FJMWM TD UO SO SKUL
,
M'OiE NO O�.iOARON aR ;J+16gtry k1Y f1N$ tiON T►E CtSUA®L I78 METi1C OR
FAX 508-45?-7790, Rf;�e+►A
M/IIICIRfffD A1R18
0 ACMD CORPOMMOR ij
COREY & COREY
Tim f t--o-e....f ewrs
lk Qp 0, f-t, kk � C- 2, F 0- C-' ®y dl, % t a q �' t 9) T 0:
1694 FALMOUTH RD #115, CENTERVILLE, MA 02632
C1 - E RTAMTEEDe
XT -- AR4'-25 ,
RE-1kRQ, QFt, NQ PROMSAL
October 27, 2006
JOSEPH RYAN
28 BLUEBERRY HILL ROAD
HYANNIS,MA 02601 Phone: 1-508-771-4371
COREY & COREY hereby proposes to perform the following services in a neat and professional
manner and in accordance with the manufacturers specifications and local building codes.
and Haul A hy All of the Old Asphalt Roofing Shingles (Both Layers)
From the Original Main Roof Only.
`Remove and Haul Away the Old Solar Panels.
Supply and Install CERTAINTEED XT-AR-25 : 25 YEAR WARRANTY, 5 YEAR SURE START
PROTECTION, CLASS A FIRE RATED, ALGAE RESISTANT, SELF SEALING,
245 POUND HEAVY WEIGHT, 3-TAB, FIBERGLASS BASED ASPHALT
SHINGLE with New England's exclusive COPPERXERAMIC STONES with a
FULL 10 YEAR WARRANTY AGAINST ALGAE CONTAMINENT
COLOR: GREY FROST
Supply and Install 8" WHITE ALUMINUM DRIP EDGE on All of the Eaves.
Supply and Install CERTAINTEED WINTER-GUARD (lee& Water Shield ) WATERPROOF
UNDERLAYMENT SYSTEM on Roof Eaves & Under the Step Flashing
on the Chimney and Gable Walls.
Supply and Install 15# SATURATED FELT ROOFING PAPER
Supply.and Install AIR VENT SHINGLE VENT H RIDGE VENT on the Two Main Ridges.
Suppy'andlnstaill ALUMINUM & NEOPRENE SOIL PIPE FLASHINGS
Cledivand k6mio v* 6' Debris from work area after job is completed.
TOTAL IWESTMENT $ 7950.00
Including Senior Citizen Discount of$420.00
Payable immediately upon completion.
POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards Plywood
Sheathing,Missing Metal Flashing, Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus 20% and Labor at the Rate of$50.00 per Hour.
PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the
Final Payment for the Balance is Due Immediately Upon Completion.
WORK SCHEDULE:
All Roof Work is Normally Scheduled for Completion Within 30 Days of Acceptance and Receipt
of Deposit providing the Materials are Available.
Please Make Checks Payable to:
CHARLESCOREy
COREY & COREY Warranties the Shingles and Labor for 10 years.
CERTAINTEED Warranties the shingles and labor 100% for the First 10 Years
and then on a pro-rated basis for 25 Years Total if the shingles becomes defective.
CERTAINTEED Warrants the Shingles up to a 60 MPH WIND WARRANTY.
CERTAINTEED Warrants the Shingles to be Algae Resistant for a Full 10 Years.
Any alteration or deviation from above specifications,will be executed only upon written orders and will become an extra
charge,over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control Owner to
carry fire,tornado,and other necessary insurance upon the above work., This proposal may withdrawn by us if not accepted
within thirty days.
COREY & COREY
carries Workman's Compensation and Public Liability Insurance on the above work
DATE OF ACCEPTANCE: G'
ACCEPTED BY: SUBMITTED BY:
SEP RYAN C ES Co
HOMEOWNER COREY & Y
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v ivaet istration valid for In
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irat. date. If found return to:
a� 'License or reg
ldinions and Standards before the eXP Regularions and Standards
Board of gu► TOR Board of Building 1301
HOME IMF►�O VEMENT CONTRAC One As
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CHARLES
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dministrator I:
1684 FALM Deputy
CENTERVILLE,MA 02632
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