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Home My WebLink About0050 LINDEN STREET mde/7 St/. *- f oFixe, Town of Barnstable *Permit# Expires 6months from issugEiate TARNS"tX '+ �� Regulatory Services Fee v U►ss. 9• Thomas F.Geiler,Director �'ArFc►�� Building Division r Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601• : ' a, d Office: 508-862-4038 * Fax: 508 790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIA NAY 9064 Not Valid without Red%Press Imprint TAft Map/parcel Number Property Address [ dential Value of Work,�.?Oo• Owner's Name&Address, n/-�� /r�i�l�S �� Len�un s7- • Contractor's NameZM ��„dam� Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 3 ❑Workman's Compensation Insurance ti f, Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ® 1 have Worker's Compensation Insurance — — Insurance Company Name e /�S.SU/�/ftl1 CG Workman's Comp.Policy# /�/% 1 ?Y0z Permit Request(check box) // Re-roof(stripping old shingles) All construction debris will be taken to ,C7a�As7Z� �/i Ire (&0ArY4--. nznTl ❑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. Home Improv ent Contractors License is required. Signature r4tft Q:Forms:expmtrg HOME IMP M NT INSTALLATION CONTRACT Branch Name: Date: D / Sold,Furnished&Installed by: The Home Depot At-Home Services Branch Number/j`f 1 3 Job#: _0 345A Greenwood Street,Worcester,MA 01607 Toll Free(800)657-5182; (508)756-6686; Fax:508-756-2859 Federal ID#75-2698460 ME Lic#C 02439 RI Cont.Lic#16427 CT Lic#565522 / MA Home improvement Contractor Reg.#126893 Installation Address: fN--- ✓ l7� ,,,r�•,�••d //" t 0%4 0 City State Zip P rchaser s: Work Phone: Home Phone: Home Address: (if different from Installation Address) City State Zip Project Information: I/We("Pur6haser"),the owners of the property located at the above installation address,offer to contract with Home Depot U.S.A.,Inc.("Home Depot' t'11imish,deliver and arrange for the installation of all materials as described on the ' attached Spec Sheet# 'Z 1/ H! /• ,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.) 1. Check,Cashiers Check or US Postal Service Money Order CONTRACT AMOUNT $ �p 3 (made payable to The Home Depot). �+*LESS DEPOSIT $ 2. Credit Card*and/or other payment options-Circle One Below / � .� Visa MasterCard Discover American Express BALANCE DUE y Home Improvement Loan Home Depot Credit Card ON COMPLETION $ Available Credit:$ (HIL&HDCC ONLY) *25%of Contract Amount due upon execution of this Acct#: Exp.Date: contract.One-third(1/3rd)of Contract Amount is required Name as it appears on card: for MASSACHUSETTS RESIDENTS ONLY. "By my/our signature below,I/We agree to allow The Home Depot to charge the Indicate Payment Method For above referenced credit card for the deposit indicated. BALANCE DUE ON COMPLETION Cardholders Signature Date /`/'(��.R..•P_/�"—_ HIL or HDCC Authorization Codes Deposit Final Payment # # Purchaser agrees that,immediately upon satisfactory 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. 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 shall 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 rifled-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. BY MY/OUR SIGNATURE BELOW, IIWE AGREE TO BE BOUND BY THE TERMS OF THIS CONTRACT. I/WE ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION. BY MY/OUR SIGNATURE BELOW,IIWE UNDERSTAND THAT THE AGREEMENT IS 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 INADVERTENT OMISSIONS OR ERRORS. 1� I SUBMITTED BY: � d Date: 0 / t _, Sales onsultant i - Q {I _9 R C V D ,fir ACCEPTED BY: ✓ ' ✓ �. Date: A Homemner 41%.. Date: J Homeowner NOTICE:ADDITIONAL TERMS,CONDITIONS AND WARRANTIES ARE STATED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRACT White-Branch File Yellow-Customer Pink-Sales Consultant 1-14-04 C-SC ,TifiP. ft>o-mnsu3w.sar�f vj. Cfi�,eaaG�e.�eiA'a .a ..,' t8eard of 6t Iding Regulations and Standards PEOME IMPROVEMENT CONTRACTOR 4 Reelatration: 1268E3 Expiration: 8/3/2004 Typo: SuPD�w►ent Card Home Depot Al-Hone Services C.ONRAD JOHNSON 3q200 COBS OAI.IERIA PKWY#26 A � . LTANTA,rA 30339 Administrator