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JAN 23 2020
TOWN ATTORNEY
TOWN OF BARNSTABLE
January 21", 2020
Attorney Ruth Well
Town of Barnstable
367 Main Street
Hyannis, MA 02601
Re: Foreclosure at 104 Suomi Rd, Hyannis, MA 02601
To Whom It May Concern:
Today Real Estate is managing and maintaining this property on behalf of Money
Source, Inc.
The property is secure and the yard is being maintained. Please feel free to
contact me with any questions or concerns.
Regards,
David R. Holt
Today Real Estate,
1533 Falmouth Rd
Centerville, MA 02632
508-568-8133
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Board of Building Regulations and Standards I
HOME IMPROVEMENT CONTRACTOR
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epplement Card
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Home Depot At 14e,
CONRAD JOHNS
3200 COBB GALLERlZkFN#26 �
ALTANTA,GA 30339 Administrator
The Commonwealth of Massachusetts
Department of Industrial Accidents
f oNce ol/nl/esd921/95s
600 Washington Street
.3 Boston,Mass. 02111
Workers' Compensation Insurance Affidavit
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I am a homeowner perform i Cll work myself.
I am a sole proprietor.and have no one working in any capacity.
I am an employer providing workers'. compensation for my employees working on this job.
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6:J'I �4, 3johone# E�� J ��
I arti a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have
the following workers'compensation policesr
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compg4Y neme.;
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ct >done
insurance co. pokey
comFSBY nsiine•
address. .
ohonc`#
insnrxnec es.
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Failure to secure coverage is required under Section 25A of MCL 152 can lead to the imposition of criminal pcnaldcs of i fine up to tt500.00 and/or
one years'Imprisonment xi well as civil penalties in the form of a STOP WORK ORDER and a fine of similo a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
I do hereby ce under the pains nd p attl f perjury that the information provided above is true and correct
Signature Date o��d-...)
Print name /? m6wo hone# 1-)C-11
official use only do not write in this area to be completed by city or town official
city or town: permit/license# OBuilding Department
OLleensing Board
1]check if Immediate responsi is required osclechncn's Office
0He2dth Department
contact person: phone q; nOther
NNF-
(reviled 3/95 PIA) .
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law",an employee is defined as every person in the service of another underany
contract of hire, express or implied, oral or written. M.
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 persons 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 section 25 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,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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and.
supplying company names, address and phone numbers as all affidavits 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.
City or Towns
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 perniit/license number which will be used as a reference number. The affidavits may be returned to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any 4yestions,
please do not hesitate to give us a call. r� -
The Department's address,tulephcne:and fax n�:�-: -i.- -- - _.__._. .. ._ .... ... . .
Tile Coit.ni .;::,.;. ',1 cr IT' -s:. ; , .•. ; .
Mice of lnueSUBaUolts
600 Washington Street
Boston,Ma. 02111
fax #: (617) 727-7749
phone #: (617) 727-4900 ext. 406, 409 or 375
HOME IMPROVEMENT INSTALLATION CONTRACT /
Branch Name: L76V P—AWM1IDDate: )� 3 Sold,Furnished&Installed by
The Home Depot Installed Sales
Branch Number: �� Job#: _ 345A Greenwood Street,Worcester,MA 01607
Toll Free(800)657-5182; (508)756-6686; Fax:508-756-2859
Federal 1D#75.2698460 ME Lie#C 02439 RI Cont.Lie#16427 CT Lief!565522
,/ MA Home Improvement Contractor Reg.#126893
Installation Address: n7 Sti6H.T Ko &ANIU6 �IA 060)
City State Zip
Purchaser(s):
Home Address: ! St;o41 r 41— SA-hC
(if different from Installation Address) City State Zip
Project Information I/We("Purchaser"),the owners of the property located at the above installation address,offer to contract with
The Home D�eppot("Home Depot")to furnish,deliver and arrange for the installation of all materials as described on the attached Spec
Sheet# e�r1,f0 ,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.)
�n 1�Chcck, ersCheck or US Postal Service Money Order
CONTRACT AMOUNT $ 7Y �W le to The Home Depot).
*LESS DEPOSIT $ 575. 2. Credit Card'and/or other payment options-Circle One Below
Visa MasterCard Discover American Express •-
BALANCE DUE ON COMPLETION $ Home Improvement Loan Home Depot Credit Card
�� 7.3SI
Available Credit:$ (HIL&HDCC ONLY)
*25%of Contract Amount due upon execution of this
contract.One-third(1/3rd)of Contract Amount is required Accl#: Exp.Date:_
for MASSACHUSETTS RESIDENTS ONLY. Name as it appears on card:
Indicate Payment Method For 'By my/our signature below,1/we agree to allow The Home Depot to charge the
BALANCE DUE ON COMPLETION above referenced credit card for the deposit indicated.
Cardholders 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 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 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(Iris
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, I/WE 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,I/WE UNDERSTAND THAT THE AGREEMENT IS SUBJECT TO REVIEW OF MY/OUR CREDIT
HISTORY AND I/WE AUTHORIZE HOME DEPOT AND RMA HOME SERVICES,INC.,A HOME DEPOT AUTHORIZED CONTRACTOR,
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.
SUBMITTED BY: 1�1a A t Date: L( 't7
/ Sales Consu tt
ACCEPTED BY: to $ Date: (� ( f�/03 ((�i'
Hon.v�„ne.
Date:
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 Cmtsultant
5-9-03 C-SC