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0023 WHIDDEN AVENUE
lip Town of Barnstable �� . Building n Post This Card So That it is:Visible'From the Street-Approved PlansMust be Retained on Job and this Card Must auuvsr K be ept " I Final Inspection Has-Been Made ... i67A 1� X . 7� m ,, ,m � n,.� ,x�M .,' t s',� " ., ���° ° � w,,144RNt f TM �O1 Where a Ce'' eJl11� Posted Unti rtificate of Occupancy:is Required,�auch Buildingshall Not be Occupietl until;a Final lnspect�on;has.'been°made: * Permit No. B-20-1903 Applicant Name: Armen Safaryan Approvals Date Issued: 07/21/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/21/2021 Foundation: Location: 23 WHIDDEN AVENUE, HYANNIS Map/Lot: 324-075 Zoning District: RB Sheathing: Owner on Record:. BOLKHOUSKY,VLADIMIR&ALLA Contractor Name; ARMEN SAFARYAN Framing: 1 Address: 45 PERRY HENDERSON DRIVE Contractor'License CSSL-106102 2 FRAMINGHAM, MA 01701 Est. Project Cost: $ 16,006.00 Chimney: Description: SIDING Permit Fee: $81.60 l Insulation: . Project Review Req: Fee Paid: $81.60 Date. 7/21/2020 Final: GGF' � y� Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced withirNix months after;issuance. All work authorized by this permit shall conform to the approved applica and the approved construction docume'ti is tion for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road 611d shall be maintained open for,public inspecti6A for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this.p' rmit. Minimum of Five Call Inspections Required for All Construction Work: ., Service: 1.Foundation or Footing '' Rough: 2.Sheathing Inspection b a,. �_ 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: til J _ Town of Barnstable - � Permit# Regulatory SerdeeS "=6montftfromimiedate a a a ,� aFee a tr�MASS. . Richard V.Scali,Interim Director 'J'5 .0 Lj MId Blllldlllojy� �, �DWW - Tom Perry,CHO, l ommissioner 200 Main Street,Hyannis,K6201 i;)l i Office: 508-862-4038 www.town.bamstable.ma.us TO\10� t�i�1�IV�I ML. EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 08-790-6230 Map/parcel Number 3z'y 7 Nat Valid without Red X--Press Imprint Property'AddressW� , ljt.�V Residential Value of Work$_, 3t 6Da Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address V �" ( r hogs k Contractor's Name 8W to P�t Telephone-Numb er Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) z S3 ❑Workman's Compensation Insurance Check one: ❑ 1 am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name C T N Workman's Comp.Policy# JU E V e- W Np (0 6o Copy of Insurance Compliance Certificate must accompany each permit. - -- Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to ❑Re-roof(hurricane nailed)(n Re-side ot stripping. Going over existing layers of roof) Replacement Windows/doors/sliders.U Value , Z (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *fteie 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. A copy f the Home Improvement Contractors License&Construction Supervisors License is requir SIGNATURE: Q:1WPFiLES1FO uilding permi formslEXP &doc Revised 061.313 MA Reg 0146589 _ Contract tit CT Reg#0605216 f i � pp((;�� Federal ID 1!20-2625129 RI Reg#26463 - Home Improvementsotmlons: �.�O r T.. O CmpotatoHeUdqumlolc..26 Cedar St,wettun,t,(A,1P),tiiio34'z-. 11 tF7 rei•s33 91Ns.�nnvaietmrq.coni THIS CONTRACT MADE THE. day of P_ between - - (No±rte Owners) {(amo M!o+w) (Bu,Cot( lone) . o or. 23. r-� L�{ f9 J c../N%�' iJ'1. Oi'✓(�o f (Address) .(aryl (Stln10 n_. CUP) ling."Owner"sintl NEVVPRO OjSefeling LLC.."NEW PRO (! Malt).Tor pmpr!_ eory use only, NEWPRO hemliyagrees Itial ihvill rorihs consideration nereinaRer menlidined;furnish altlabor and;materrat necessary Vnnsloll lino(alloying described wort at the prefnises,located at: b o s qj The join address is:a.condomintunx (Job Address) TOTALD tIEWPRO ^ WINDOW OPTIONS:: Wltto06YS "`` .SERiESt). T.�Go.YJtR ` Grids: •YES ._t:..O- QrCONTOUR ;SDL EURO .DuttiOND Window color QTY: Window color CITY OBSMIP:garb.] 1:400 .13r-t,DOTTOM int Int:Ext Vint (Exlerotcol rt IHALFQYM Ek'NO - EXL' f—I� Ex@ r Venllaiches OYES []',ND CappingC or. DOORS 610DEL QTf' Pensclniri! PVC smooth No@tor No Capping U Sliding Glace Door MODELNAl11E;- 'MODEL(! QTY.- Color la Out: Y �� Double Hung E ,yiq Z Active: Left Center Right Cus.woitanidvarrosmalIMWPROJ 2l.ile Slider . .`.. NDWR:r SN u6 DGE .WH. .... dcasrmldopdrpva4r.go aiwrt4; 3 Ule Slider pe.to,tin):` - Entry.Door StylO --_ (tic:vdieoieim+ux�or mPtuc eew:iror _ - rot rdrn-nuiPRO�isirol iespu•3 Lite:Siidar lrn.la:tql, or Jm Out; �M Casement(Mt4igod Rill)..:.. ,. - F6Mglass:: steel naJbin.rorcondaicnsw6iwri;ei^G%eslrir• Casement("logedielp HDWR: SH BB AGB AB:. OR0 and hawumiiKtuibreoirilmsaunorGi Twtn'Casement _ Sidelltes Style tagkomerdticto pe c misoRjron)tion SlationaryCasemenl color In: (dtero ona). rtlple Casement m.ta:bil. - Storrtf Ooor S!le •=-" - Uplo.Casement ivaustn) Colon In: . ..,.:Out:. Eatatxr paid to inmWltetBt wmpkfion Pic{ude Window HDWR:—SNOB AGB ':'AB Sash Only_. LeRHinge PofltNH FINANCE Hopper: Entry Doors to-.. eanR wmpleton7orm signedeladla]a4on Awning ; Color in: Out Garden Window Fiberglass Steel TOTAL Bay Window(neortsotup HOWR: SN BB AGO AB.,-ORB CASH [igwWindow(npolrwtrdl. OihcYOoor8tylo PRICE' 2; 60 Other Cofer tin: Out: DEPOSIT_ Other HDWR: WITH OESCRISE WORK&PROMOTJO S APPLiE6. /v ORDER Q t7O ry N v - ScaC•e� : ,rn ti TOTAL'• µ DUEAT,. Z.poa �s 6r•i5 (`�d_i7cCQ INSTALL.. S(art Dare: ?0 1�EsL Comp.Datei_,3 d .. ._ ;Customar undeeslamis INS is tin"estimated dato" �r Ownerhas read a-6d agrees to the terms and conditions onthe front and the reverse of.this Agreement. Owner specirically agrees to.ltie(1)Total Cash Price;(2)worts being performed;and(3)worir not being performed Owner undersiands that tldsAgreement:and any attachments contain all of the.promises:made by NEWPRO..Owner has been orally advised of hisright Wcancei this transaction at any time prior to midnight of the third`,business day after the date of this transaction and:Owner was provided with two(2)copies of a canceilation form explaining this right. DO.NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES (Rhode tsland,SaI s Only): Notice toaiuyer: (1)Do hot Sigh this Agreement if anyof the spaces intended for the agreed fcrms`to the extent of then avnilnbieinfoiinaiion arc left Worth. (2)You are,entitled to a copyof;this; Agreame it at the tlme,you sign it. (3)You may,at any time pay off file full unpaid:Valance due under this Agreement; and.16 so'doirig you may be entitled to receive a partial rebate of the fhiance andiinsuranee,Chai�jes.!(4)The seller has no right to uniawfuliy enter your promises or commit any breach of the peace-to repossess goods)iurciinseil undee this Agreement:(�)You=rnay:cancel this Agreement rf it,has not.Ueen signetl;at the tnaln ofttce or branch office of .beseller,provided you nofrfy the seller afhis or lier'main office or branch office shovm in the Agreement by registered or._certifled mail,which shall be posted not Inter than midnight of the third calendar day after the day on which the buyer signs the.Agreement,excluding Sunday ant,any holiday on which`regular iva,l deliveries are not made; See he accompanying'notice of cancellation forrnYoran explanation Ofbuyel's rights: (Rhode island Sales Only): Ov►nor aclinowledges,recoipt of required Contractor's Registration and,4ieenstng Boar d consumer education materiats: (Owher's`initiais) 1. By. i7 EIN4; signed :Product SPcciaRsl(PrIntedNzimeJ Owner By., Signed NEWPRO G p crating.LLC . a um1 ) us15 WH :BomehCopy. YELLOW:CuslomM'sCopy' P+Nit Fite Copy GOLD:'FloanceCOW R0714 � = .ti• H>>uc.,1t{?r_.pt//i .-� /fy.;�rr:•i.E;•'%7.,• f Office of Consumer Affairs 3c 3usiness Regulation HOME IMPROVEMENT CONTRACTOR ! TAPE: SuDolemeht Card Registration Expiration v4fi:.355iG4;70';9 i .NiE%AI SRO OPEP_A?'iNG, C. DONALD W s"ME, �p 26 CEDAR ST. j WOBURN, MA 1301 UnderseCretar I tom-- -�-- --— Ailivision of Professional Licensure — . Board of Building Regulations._ g and Standards } 'Z'onstr-41CH ri' u-per4isor CS-111253 r4pires: 05/11/2021 DONALD MAGNEIL 343 COTTAGE'-STREET.. WOONSOCKET Rd 02895 Commissioner The Commonwealth of Massachusetts Department ofIndustrialAceidenis r 1 Congress Stree4 Suite 100 o _ �. BOStOn,MA 02114--2017 wwmmassgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electi icians/PIumbers. TO BE FILED WITH THE PERrj ITTLNG AUTHORITY. Applicant Information please Print Leaiblti Name(Business!Organization/Indixidual): /Il2�cJp!y C70PCR rltc, �L Address: �-;- City/State/Zip: Q/,, !�v�� / pl g D I phone T: /- ?DO - 2_L y Are you an employer?Check the appropriate box: Type of project(required): Ldarn a employer with S O f employees(-iiii andior uar time)." 7- New construction 2.❑I am a sole proprietor or par Leership and have no employees working for me in 8. 0 Remodeling any capacity-lA'o woe ors'comp.irsuu--ce required., 3.®i oar a honeovae do' -WO a!; ty;el f 9. ❑Demolition a�'a-vorF�r corile.+rLarrncereaUired.) i a a homeowner and.-,ill he`?iring contractorr.--,to condec:all vrork on my P ro e q . 1 kill 10❑Building addition Pry R �ail coat acta�a h_�e.V6 525'camp_u�ioa tsurance or are sole 11.0 Electrical repair or additions 12 Plumbing repairs or additions wr�.,"'if" ;; •'t_�__ =--r cry.-_�l_ Vd r_;e s cor._ca=i�:z i oe t're Schad sheeL • I — .-= S= oi L_a _. ;=o?work 5 c7 9-i u Larlce.` tRof=o-aer_•tGL c. e5; 3s?l2 tLiel0 employees.(?`Io world•r:or_p M5t_1Me ra 1 ny applin_ttt that checks box 1,1 must altdffiffl out the sectior eeia: s=o:;rz�r eir L,oe-=—f comperLation policy inFormation. 'liomeovmer who submit this arndavit indicaun-they az_omg aii vvrk-end Lnep hire outside contractor must submit a nev,affidavit indicanng such =Contractors That check this box must art ched an=addiiienj 56wr e-o;.ring the rare of the sub-contzzwu and state vinether or not those entities have employees. If the sub-contactors have employees :Midehr v:o. e policy rium-cev I . am an employer that is provi 'ng workers'compensation insurance for my emplovees Below is the policy and job site information. Insurance Company Name: Policy r or Self-ins.Lic._: d Expiration Date: Job Site Address:_2� City/State/Zip: Y Attach a copy of the workers'compensation policy declaration page(showing t)iqolicy number And expiration date). Failure to secure coverage as required under MGL c- 152,§25A is a criminal Aolauon pdnishable by 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-A copy of this.statement may be forwarded to the Office of Investigations ofthe DIA for insurance coverage ve cation_ I do hereby ce under pains d n tie ofperjug that the information provided above truelaftdcorrect. Signature: Date: 7- 3 a 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 S.PIumbing Inspector 6.Other Contact Person:= Phone'1r. r ® DATE(MMIDDIYYYY) ACoR® CERTIFICATE OF LIABILITY INSURANCE �...� 4/28/2.017 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ,ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN.THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain.policies may require an endorsement. A statement on this certificate does:not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Melissa Pflug g Mackintire Insurance Agency Inc PHONE (508.)366-6161 FAX (508)366-5202 11 West Main Street ADDRIESS:melissap@mackintire.com INSURERS AFFORDING COVERAGE NAIC.9 Westborough MA 01581-1931 INSURER.A Netherlands 24171 INSURED INSURER B:Liber Mutual/Peerless 24198 Dtewpro Operating LLC INSURERc:Guard Insurance Group 26 Cedar St. INSURER.D:Colon Insurance Co .INSURER E: Woburn MA 01801 .NSURER.F, COVERAGES CERTIFICATE;NUMBER:17-1<8 Master REVISIORNUMBER: THIS IS TO CERTIFY THAT THE POLICIES OFINSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED:ABOVE:FOR'TH.E POLICY PERIOD INDICATED. NOTWITHSTANDING:ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED:OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES;DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE-BEEN_REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICYtEXP LIMITS `LTR 1 SD •.POLICYNUMBER MMIDDIYYYY MMiDDIYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1_,000,000 A CLAIMS MADE OCCUR DAMAGE TO oc ED 100,000 PREMISES.Ea occurrence 5 CEP8589577 22/31/2016 12/31/2017 MED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY '5 1,:000,000 GEN'L.AGGREGATE.UMIT APPLIES PER: GENERAL AGGREGATE 5 2,000,000. X 'POLICY 1-1 JECECT T �.L OC PRODUCTS-COMP/OPAGG 5 2.,000,000 J � OTHER: 5 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 1,000,000 Ea accident _ AJANY AUTO BODILY.INJURY(Per person) . S ALL OWNED X _SCHEDULED BA 8584.174 12/31/2016 12/31/2017BODILY INJURY(Per-accident) 5 AUTOS .AUTOS .:NON-OWNED PROPERTY DAMAGE S HIRED AUTOS X .AUTOS Per accident Uninsured motorist B1 s r limil S 250,000 $ UMBRELLALIAB X OCCUR EACH OCCURRENCE 5 5,000,000. .B EXCES$'UA9 CLAIMSMADE AGGREGATE S 5,o00,600 DED I X 'RETENTIONS 10 000- - Cur 8582578 12/31/2016 12/31/2017: 5 WORKERS COMPENSATION X PER OTH= AND EMPLOYERS'LIABILITY YIN '.STATUTE ER :ANY PROPRIETORIPARTNEWEXECOTIVE El.EACH ACCIDENT_ 5 500.,0.00 OFFICERWEMBER`EXCLUDED? NIA C (Mandatory in NH) NEWC874066 5/1/2017 5/1/2018 E.L.DISEASE-EA EM PLOYEE S 500,000 .If ges,.describe:under .DESCRIPTIONOFOPERAMONS bek»v E:L.DISEASE-:POLICY LIMIT,:S S00 000 D Pollution CSP304242 12/9/2016 12/9/2011 Limo $1.,000,000 Ded $5,000. DESCRIPTION OF OPERATIONS I'LOCATIONSI VEHICLES (ACORD.I Di..Additional:.Remarks Schedule,.maybe attached:ILmore-.space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY;OF THE ABOVE DESCRIBED POLICIES.B:E>CA'NCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. .AUTHOR IZED:REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All.rights reserved. ACORD 25:{2014I01) The ACORD name and logo,are registered marks of ACORD IN5025.r20ta01,1 Y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Q �� Map ` �" Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address W 4,a.5A frn f—_)hJJ9 Village e *50% 0�4 V Owner ' t A o Address 1 a,-tt(J Telephone U :�>02-16 % 6176_I Permit Request Square feet: ,1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area Number of Baths: Full: existing new _ Half: existing k new �r Number of Bedrooms: existing new Total Room Count (not including baths): existing 6® new First Floor Room Count- Heat Type and Fuel: QeGas ❑ Oil ❑ Electric ❑ Other _ r- Central Air: ❑Yes )tNo Fireplaces: Existing New Existing wood)coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:X existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes $No If yes, site plan review# Current Use Proposed Use - APPLICANT INFORMATION a (BUILDER OR HOMEOWNER) Named �' i ��Q ._ Telephone Numbers ��" 77 Address T License # �3 in>alto 7 46 Home Improvement Contractor#-I oz 3 7o Email �� d/I 5Wor�ker' Compensation # ALL CONSTRUCTION DEBRIS R SULTING PROJECT WILL BE TAKEN TO SIGNAT R DATE �r/ �� 1-7 T FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. �WE Town of Barnstable Regulatory Services "• � Richard V.Scali,Director - �,ua Building Division.. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.ns Office: 508-862403 8 Fax: 508-790-6230 Property Owner Must Complete.and Sign This Section If Using A Builder I MIT S ,as Owner of the subject property hereby authorize .� Y to act on my behalf in all matters relative to work authorized by this building permit application for. W 14- (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. V Signature of ON ' Signature of Applicant V I 12, 461e, Print Name Print Natne i Da QYORM&OWNERPERMISSIONPOOLS Town of Barnstable , Regulatory Services Richard V.Scali,Director Building Division a�xntsrest�.Mesa Paul Roma,Building Commissioner �. �e3 �m 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one 'home in a two-year period shall not be considered a homeowner. Such"homeowner'shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building:hermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the.State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lackof awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit fomns\EXPRESS.doc 06/20/16 ' Vfie �poarininruseal� ���acl�ea. Office of Consumer Affairs&Business'Regulatio HOME IMPROVEMENT CONTRACTOR Registration{. 1�60390 Type: Expiration:=6l�'Ft nib Individual STURGIS ST.PETEy + Sturgis St.Peter 65 Cindy Lane/P.O. Barnstable,MA02630 Undersecretary License or registration valid for individual use only before the expiration date. If found return to: S: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 Y t -Not v 'd with t signature. -Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constrgai'l�r pyrvisor CS-014501 1 E ires: 08/23/2019 STURGIS ST.PETER. P.O.BOX 372% '� +,': BARNSTABLEMA 02630s1 Commissioner 27M Conzworrivealth ofl stdtusettr. rA Department afludustrid Acciderds - Offi a, I7ZVestigatiORs 600 Washington Street Bastan,AA 02111 ' tv�v��rrras�gapfafia Workers' CampensxUm lumw aace l TuLw+-gm'lder-s/Cantracturs/EecftkiausJPhmihers ApphcagtInfm=fiaa. PleaseFrint E xly Nip ; Are you an employer?Checkthe appropriate tram ' Type of project(rtquiredy- L❑ I am a employ with 4. ❑I am a general coafractm and I employees Cfull ac&or part-time)-* I=e hired the snb-corm 6. ❑New coast ed I am a sole proprietor or pasfaer- risfed on the.attached Sheet 7 ❑Remodeling These sdb-con�fractars have, ship and have as employees $_,❑Detnalifaau w, tina far.rne in any capacity. employees andhaee wo&ers' ❑Buildia�sd3ifiosr [No vupdonw comp.insurance comp-iasurmce.$ - required-] 5.❑ We are a�cozporafion and ifs 10:❑Electrical repairs or additions 3.❑ I am a bomeow=doing all work officers have exercised their 1 L❑Plumlxiagrepairs or additions. myself o�km' - Tight of e$empfibn per MGL � insurance ed]1 c.152,§I(4)6 andwe have no L.El Roafrepairs employees-� o wo�ess' 13-❑Other _ ' comp_iasarance raegius'ed-j ' •,day app�icsvt�acchedrsUas�l mn>x aLsa fiIlavtthe sec�oabeLaarslrmdag dieawo�ce�compeasafinupoT�p iafo��• Snmeowaersurho suhmdt dzis aiiidavu inducting they mz&mg RUwanic and&Mbim=tQdecoatmctarsamst snbmitanewaffidam t kdicsbao sac fCanlractos37xt d�ea&is box mast attached=sddWm sheet showing thenmne of the sub-ccmtzxlass,acid Gbdewhether or not those eo itieshrm employers.Tfthesnbtoat x—rshaae emploge=s;thL-y p=i&&eir warkea'tomp.polite mm+ber~ lam art empla}vr flint is prauir bW rvarlrers'campem than iesurarca,jar my entplayeem ffetoiv is M Y ptr£icy turd job rita irnforrrurlon. Insurance campar yName: -Policy-or Seff-iV&Lin_4- 6 _9 5piudonDate: Job%te Addre= Almjoa ® Cify/Statel2 a: 4.5?Z60 Attach a copy of the wnr s'coartpensatioapoIicy-declarafion page(showing the poficy number and expiration Jxfe). Failure to sew coverage as required under Section 25A of MQ.c-157 can lead to the imposition of criminal penaHaes of a fine up to$UOO OU and1or one-yearimpEisonramd,as we4l as civil penalties in ffie four of a STOP WORK ORDER and a foe of up to$250-00 a day against the violator. Be advised that a copy of this statemed.maybe forwarded to the Office of Inrestigations of the DIA f c teriffirafion_ Urfa leeraby c lira psr of p&jury tludtlts informa€z nr woi tad aboi,e is true artd arrrect simat;,rec Date: Ob%id ups wi y. Do lwt write in this urea,to be cmnp&ted by chy°rto n offi aL City or Town: Perm itlLicense# Issuing k fharity(circle floe): L Board of Health r.Building Department 3.QtyfFowa Clerk 4.Electrical hmpector S.Plumbing Inspector 6.Other Contact Person: Phone#: armation aAi d lastructions M�rsarhm��C&3e Laws 1S2 reties aII emgIoyemto provide fur$ieir employees_ p {n this fie,an MiTrayee is&FMed as¢:everypetson m.$ie sa-vim of another under any eonira.ct.ofhn,:, empress or implied;oral or wig." An ezrTkyer is defined as"am aidividnal,parfr►=bT,amociati an,corpar-ROIL or other legal eufity,ar MMY tW O or more . m a pint and mclnding fie legal sepres ves of a deceased employer,or Sze Of the foregoing engaged J to HoweQer the receim or trustee of an havidusl,part unship,association or other leg entity,employing e� ycm owner of a dvmTmg house having not more than ffi apaitmeuts and who resides t or the occupant ofthe- dweIling house of az2otl=who employs persons to do maw ce,causk cti on or repay wwk on such dweIlmg house or on the grounds or bmildmg apptnt autthereb shan not bmause of sash employment be deemedt o be an.euiployM" MGL chapter 152,§25C(6)also states that¢everp sisiE or local r n�agency sI3aII withhold hie issuance ar renewal of a license or permit to operate a Business of to construct buildings in the commonwealth for any applicant•who has notprodneed acceptable evidence'of compTiatacewit3i tTi�i Ce�vexagerega>red-" Additionally,Md chapter152,§25dM states-Neif m f e.caannaawcal&nor any of ifs political subdivisions shall enter ini`o any con$art forth'pexfarmance ofpublio woaku�acceptable evidence of compliancewith.the limn recce._ emfs of this chaptra have been presented to the confracfnig.aufhol*.7 Applicants Please fin oht the workers'compensation affidavit completly,by chm'Eng the boxes that apply to your situation and,if nerxssaiY,supply sabc°ntracmr(s)name(s), addresses)audpbone nnmber(s) aIongwith their r. r,ae(s)of antes or LimitE Liability Pips(LLP)withno�Ioyees other Phan the = nce. Limited Liability Comp (LLG') members or par ams,are not rid tit C=Y W03k ss'compmsaftan irL o can If an I LC or LLP does have employees,apolicy is regnired. Be advisedtbAthis affidayitmaybe snhmfttd to the DepatEacat of Industrial Aceide�for confnmafon of insur�.ce cove2age Also be sure t0 sign and date-the afftdaYif the affidavit should b eret amed to$e city or town that fhe application for the permit or Iicense is being regncsbA not the D eparimeaE of lhd1 A=deets. nouldyon have any questions regarding tTie Iacv ar ifyou are requited to obtain a workers' compensation policy,please call tho Depmimemt at the number list below: Self-insored companies should enter their s elf-j crate ce Hc,=se nm ber an the appropriate am. City or Town Offs als Please be sur8 that tho affidavit is complete and pria cd legIly. The Depaifnemt has provided a space at the:bol±CM of the affidavit for you to frill out in.the event the Office oflnvM0g3fio,, has to contact youiegardmg the applicant_ P lease be sure to f7.1 in the penn.i l c=c mn abes which wM be used as a reference inmlben Ta addition.an aPPlicaRt dint must submit multiple p=.iYlIicense applib of ions is any given yew,need only m1nnit one affidavit indicating cat and under`Uob Site Address'the:apphca�should wufe-aH lOcations II (cam' or town).-A copy of the affidavit p olicy infor�.tion(if nay) b e rovided to the, ' thathm bean officially st mTed Or matked-by tiLe city or t own may p applicant as proofthat a valid affidavit is on file for futQre A new affidavitrmxst be fi_Ueed-.'oid_c&ca a hce use or permit not relaii;d to any bTt`,TP1=or commeraid T tam year.V7here a home owner or dfi=is obtaining P let o this affidavit (ie_a dog license or pema tosm.biIeaves etc.)said person is llOT iajahr to comp The Office of Tn would h10--to thank you is advance for your cooperation and should you have any questnons, = please do nothesiiateto give us a call. 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I m o m CD m -i o • . m D D 1 CC C f P a smle-o _ �1 co cn cn • m D zu _.. .. m m ro cry m C7 m v� o' S1 Bob 041 r Town of Barnstable *Permit# OExpires 6 months from issue date Regulatory Services Fee w • _ * BARNSfABLE • /� M`RK Thomas'F. Geller,Director PrED MA't A Building Division (� Tom Perry,CBO, Building Commissioner Y� 200 Main Street,Hyannis,.MA 02601 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 Map/parcel Number go3, (/ Property Address (hJ �'l�Jl l C,C. U C [ Residential Value of Work 22- 000 Minimum fee of 05.00 for work under$6000.00 ' Owner's Name&Address OAC I M I►Z '60 5,'`-] aJ C,J 1ZL jj A u fi ` A n Telephone Number Contractor's Name rl� ��� / � / 1p 5, 60 G z Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) w�e` ❑Workman's Compensation Insurance PERMIT .A Check one: PRESS ❑ I am a sole proprietor ❑ k�l�L 2�1� m the Homeowner have Worker's Compensation Insurance TOWN OF BA13NSTABLE Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken_to. ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑; Re-side #of doors , replacement Windows/doors/sliders. U-Value C1` `(maximum .35)#of windows9_t1(_. *Where required: Issuance of this permit does not exempt compliance with other town department regulationsj.e.Historic,Conservation,etc: ***Note: Prop` Owner must sign Property Owner Letter of Permission. of the Home I rove ent Contractors License & Construction Supervisors License is r uired. SIGNATURE: Q:\WPFILES\FORMS\building permit fonns\EXPRESS,doc Revised 072110 Office of Investigations. 600 Washington Street Boston, A -4 02111 �. www.mas&-0v/dia Workers' Compensation Insurance Affida�dt: Builders/Contractors/Electricians[Plumbers Applicant Information Please Print Legibly 'Niame (Business/organization/Individual): N W 10 R 0 Address: 2L ST City/S tat.t Zip: W 08U� 0 150 1 Phone r: girl - 93, -4300 Ex F --5 � Are you an employer? Check the appropriate box: T,pe of project (required): l. '�i .I am a employer with 5U r ❑ I am a general contractor and I 6. D. construction employees full and/or art-time) * have hired the sub-contractors ( p 7. { }Remodeling '.❑ i an a-Gie p:vYi. yr�r pamer- listed on the attached.sheer- * I These-sub-contractors have S. ❑ Demolition ship and have no employees working for me in any capacity. workers comp. insurance. 9• ❑ Buildine addition [No workers' comp. insurance 5• ❑ We are a corporation and its 10.❑ Electrical repairs or additions. required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.� Plumbing repairs or additic.rs myself. [No workers' comp. c. 152, §1(4), and we have no 12.� Roof repairs insurance required:] t employees. (No Workers' 13.❑ Other comp. insurance required.] any applicant that checks oox=1 must also fill out the section below showing their workers'compensation police in[ormation: 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 their workers comp.policy information. 'am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site 'nformation ;nsurance COW anyNarrie: POCkirll'-C 1nsu(C C.e CI~✓f !1 V ?olicy r.or Self-ins.Lic. -: � G L AS q`�t-� Expiration Date: 5- - Z U lob Site Address �� I E� � A O City/State/Zip: kttach a copy of the workers' compensation policy declaration page (showing the police 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 Cwe up to S1;500.00 and/or one-year imprisonment, as well as CIN it penalties in the form of a STOP WORK ORDER and a fine cf up to S250.00 a day against th olator. Be advised that a copy of this statement may be fonvarded to the Office of . Investigations of the DI^. urance coverage verification. I do hereby cerri under e pains and p nal 'es of p jury that the information provided above is true and correct . Signature: F N P Date: Phone.: r. $ 1-q 5 3- (t-(tp 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.Cit}•/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector. . 6. Other Co Phone Contact Person: #: — ® d 11 � k Qualified In all zones R fvs rm As l o.L/6E�' NFR% N--F-WPRC) MANUFACTURNG, C NEi�PRO.S��i'1 DOs�K� Geilutar PVC+�rame,i jple glaze' i Low coating (e=0.034,�28 51, National Fenestration t; Rating Council°D Argon/air,s lied DEV-K-27-00003-00001 ENERGY PERFOM U-Fay or(U,Sji-P) Solar Heat Gairtr Coefficient. 0.1, 2 09A ADDITIO)NAL PERFORMANCE PLAT[Nrz Visible Transmittance Air. Leakage (U.S.!l-P) OE Condensation Resistance i , - � tAznt faclurer stipulates that these ratn9s anform 1D snpikanle kFRC Pro~°dure for de�rm(nlnA whao n • prodie,+.performance.Wf't.C rztlnps are de�nnlned foc a ro'�d set of e;tvfranrterraJ condYlona etu& e saechc pradud slzr kFRC d�^s rd�emmerc rJn'ortfu.'t znd does�>ean'-nt�6�-=r1111�of arp' p.-o6ucl r BAY soaclflc uas.0onsuG manuz.�.��.�e In+��m�r�18'a�'u4��o`r'a'cs irrformatic^. ' r /� R CERTIFICATE OF LIABILITY INSURANCE 05/10/2010 PRODUCER S08.366.61,61 FAX S08.366.S202 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Mackinti.re Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 11'West Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Westborough, MA 01581-1931 INSURERS AFFORDING COVERAGE NAIC# INSURED Newpro. Operating LLC INSURERA: Peerless Insurance Co. 24198 26 Cedar St. INSURER B: Woburn, MA 01801 INSURER c: INSURER 0: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 0,00'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE fMM/QDfYYI GENERAL LIABILITY BP8588370 (MA POLICY) .12/31/2009 12/31/2010 EACHOCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY BPS 589577 (RI POLICY) 12/31/2009 12/31/2010 DAMAGE TO RENTED $ 300,000 CLAIMS MADE a OCCUR MED EXP(Any one person) $ 15,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE. $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POUCY , JE PRGTO- LOC AUTOMOBILE LIABILITY BA 8584174 12/31/2009 12/31/2010 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ A X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ �� � � - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY CU 8582578 12/31/2009 12/31/2010 EACH OCCURRENCE $ 5,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 5,000,000 A $ DEDUCTIBLE $ X RETENTION $ 10,00 , $ WORKERS COMPENSATION AND WC8645074 - MA POLICY 05/01/2010 05/01/2011 WCYSTn oR EMPLOYERS'LIABILITY WC8645974 - RI POLICY 05/01/2010 05/01/2011 E.L EACH ACCIDENT $ 500,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 500,000 . . It yes,describe under .. _....-. .. .... .......:..........._..... .. .... ... .-.. ._.. _ ... ...._.. SPECIAL PROVISIONS below - E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS - CERTIFICATE HOLDER CANCELLATION - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL - _ 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, - BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. TO Whom It May Concern _ AUTHORIZED REPRESENTATIVE Timothy Mo na h ACORD 25(2001/08) ©ACORD CORPORATION 1988 ti�rtlru�ctts - Delr�rr•trtle"t 01' Puk)lic Safety [30acd cif` Btli.ldi.n;; Rc.,, ltiorrs zinc( Stancfal-c s construction Supervisor License i License: GS 96093 ,� �_� � stricted to00 ,F,' SS klA!J`l�";-.2 ey�n€i a` I HOMAS. LACOCKJR n; , {�Y y aJ4: 7��1hG`YT a OAKLA�1 AVN�J �': EEKON , fVIA 0771 IC Expiration: 4/8/2012 ( �.�i]uni;v iui�cr: Tr#: 20816 �i000d ld . Aoi `SOU. IdO. O .'ddM3N -. . . :.... r ..... 0899#� .l101 � ffil-= % ! 3AO'ddlli MOH License or regist -ati " n valid for +individ l befcre the expiration date. If found.retui-n Board .of Building Regulations and Stetnd.ai-Js .One Ashburton 'lace Rm 1301 Ma. 02.108 of �<--t �7,jj It'l 0114 el MA Reg. #146589 G 73 CT'R .#e 0605216 g M���0 RI Reg. #26463 THE REPLACEMENTWINDOWPEOPLE Federal ID #20-2625129 Corporate Headquarters:26 Cedar St.,P.O.Box 2696 Wobum,MA 01888 (781)933-4100 1-800-342-2211 . HIS CONTRACT MADE THE . . .� . . . . day of . 7,V0e- f1 . �� . 200:11,i1. between . (Home Owners) (Home,Ph'one) (Bus./Cell Phone) (Mr./Mrs.) AG,o I . . . . . . . . . . . . . . . . . . . . . (Address) (State) (Zip Code) the "Owner" and NEWPRO Operating; LLC, "NEWPRO". NEWPRO hereby agrees that it-will for the consideration hereinafter mentioned, furnish all labor and material necessary to install the following described work at the premises located at e P7? e (Job.address) (E-Mail Address) TOTAL NEWPRO�- `Additional Style Qty TOTAL CASH Windows Purchased Work PRICE , ; Window Color Specify 4,, j` e Sliding Glass Door-•- _ DEPOSIT Capping Color Specify , Qty Steel Security Door - WITH ORDER '3j, , �` Double Hun . Picture Window Obscure Glass ^'•-T©P-�BOTTOM BALANCE Stationary Casement - —H - „- 4 Screens �` _HALF E' FULL _ DUE AT Casement - Model # , r .. INSTALLATION 2 Lite/3 Lite Slider ' ' NEWPRO® does not do any painting or Bay/ Bow Frame staining. CASH NEWPRW is.not responsible for conditions Balance Paid to Garden�IVindow <-- /nst� or circumstances beyond its control including �----��-- Installer at Installation. Awning .. condensation resulting from or due to pre- Other existing conditions. FINANCE �--' Bank Completion GRIDS - Colonial —Diamond Form Signed at Installation DESCRIBE WORK: . �. /er ✓ r'+ ; �5 P :�„ :S ,�r+ / t- �lp. �•,� . .,�.�� t"r�•�?� cr 1�}rp� :fir., �r`�' ��. _/?� --✓e. All steel security doors will shave}a 3%4"-aluminum threshold installed over existing threshold,, _ Customer Initials Est. Start Date: Est. Comp. Dater // /M It shall be the obligation of NEWPRO to.obtain any and all permits necessary under this agreement, as the Owner's Agent.The Owners who secure their own construction-related permits, or deal with unregistered Contractors will.be excluded from the guaranty fund provisions of MGLC, 142A. All Home Improvement Contractors and Subcontractors shall be registered by the Director and any inquiries about a Contractor or Subcontractor relating to a registration should be directed to: Director, Home Improvement Contractor Registration, One Ashburton Place, Room 1301, Boston, MA 02108, (617)727-8598. If the Owner is obtaining financing by way of.a Retail Installment Sales Agreement, such Agreement shall include a time schedule of payments to be made under said contract and the amount of each payment stated in dollars, including,all finance charges. The Retail Installment Sales Agreement shall be incorporated herein by reference. If the Owner is obtaining a revolving credit line to pay, in whole or in part, for the contract amount herein, the terms of the revolving line of credit including interest rate and payment terms, shall be clearly set out on the credit application. The portion of the credit application referencing a time schedule of payment,to be made under this contract,and the amount of each payment stated in dollars; including all finance charges, shall be incorporated herein by reference. NEWPRO represents that it carries Workmen's Compensation and Public Liability Insurance.in the amount of$100,0004300,000. If the Owner refuses to permit NEWPRO to proceed with the work herein,or in the event of any breach of the Owner of this agreement,for any reason whatsoever shall cause the owner to pay NEWPRO a sum of money equal to thirty-three and one-third percent of the price agreed to be paid,as fixed, liquidated and ascertained damages,and not as a penalty,without further proof of loss or damage. NEWPRO shall not be held liable in damages for delays in the performance of this contract due to causes beyond its reasonable control. Owner warrants that he is the owner of the property on which the work is to be performed or that he is otherwise authorized on behalf of the owners . to enter into this agreement. This contract represents that entire agreement between the Owner and NEWPRO and cannot be changed except by a writing signed by both the Owner and NEWPRO. You are entitled to a copy of the Contract at the time you sign. Keep it to protect your legal rights..We, the aforesaid owners, certify that immediately after the signing of the aforesaid agreement, a copy was furnished to us. You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller, which maybe his main office, or branch thereof, provided you notify seller,in writing,at his main officeor,branch by ordinary mail.posted, by telegram sent or by delivery, not later than midnight of the third business:day"following the signing of this agreement. (Saturday is a legal business day). See.the attached notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. The Owner has seen "sample" warranties that will be provided by NEWPRO upon installation. ❑,' Sample warranties provided to':Owner. IN WITNESS WHEREOF, the parties have hereunto signed their names this day of a*? e 200L ; r tip rti n ?/ Signed EIN# g r Si Marketing Representative Printed Name '' Owrier Accepted,RN_EWPRO Operating, LLC BY . " - Signed ri Ma Ling Representative Signature g Owner WOBURN BRANCH OFFICE SHREWSBURY BRANCH OFFICE WARWICK BRANCH OFFICE 26 Cedar Street 151-153 Memorial Drive Business Park 24 Minnesota Avenue Woburn,MA 01801 Suite B-C Warwick,RI 02888 TEL:781-932-8300/EXT:330 Shrewsbury MA 01545 TEL:401-732-2407 800-242-9974(FROM NE) TEL:508-842-6876 800-356-3312(FROM NE) FAX:781-933-0717 800-456-0555(FROM NE) FAX:401-732-1371 FAX:508-842-9248 WHITE: Branch Copy YELLOW: Customer's Copy PINK: File Copy GOLD: Finance Copy .US-15 100/PKG. (Rev B/07) ypF Y X L r0` The Town of Barnstable 1 lAU)T►LLL :rur. Inspection Department � � 16 Yh °� 367 Main Street, Hyannis, MA 02601 �0 Y�. 508-790-6227 Joseph D. DaLuz Building Commissioner September 13 1993 Mr. D. Knox Appraisals Plus, Inc. 124 Washington Street Foxboro, MA 02035 RE: A=324 075 :.23 `Whidden Avenue, Hyannis cl Dear Mr. Knox: I have inspected the dwelling located at 23 Whidden Avenue, Hyannis, and the stove has been removed from the lower level. The dwelling has been restored to single family status and does conform to the Town of Barnstable Zoning Ordinance. Very truly yours, Alfred E. Martin Building Inspector AEM/gr FAX TRANSMITTAL #of pages To: C>• 7</VO K From:A IvAxrml co•AP QA 6 1S LU-6 Co. 70b),V o S�R�it)57x1 Dem. PhOnG# (508)790-6227 Fax#(56 6- g- 06 9 G Fax# (508)775-334 SEE- 943 THU 15:53 APPRAISALS PLUS INC FAX NO, 5086980696 P, 01 TEL. 508-543-7909 APT JOB NUMBER r�para�sals rnx 508-698-0696�IUS, Ind BORROWER y 124 WASHINGTON STREET • FOXBORO. MA 02035 PROPERTY4WFAI / ATTN: BANK: 0� �q LOAN NUMBER 1 FROM: _ �7/1/D DATE:. 9r NUMBER OF WAGES TO FOLLOW: ESTIMATED VALUE $ AS IS / SUBJECT TO: DEFERRED MAINTENANCE: N/A or LISTED: QUICK SALE VALUE $ or N/A REPORT WILL BE READY TO BE SHIPPED TODAY: REPORT WILL BE SHIPPED ON OR BEFORE THE FOLLOWING DATE: PLEASE CONTACT ME IF YOU NEED THEM REP2RT'_F9�CEDa. �1e� l- � /e, yva ve';�x ��! SFP- 9-93 THU 15:53 APPRAISALS PLUS INC FAX N0, 5086980696 P, 02 43 �4;dj-elv Ave r Y a lvlle rdr�°� C?�r�ce�►h ���_ fie.�� /�1 � �Gv� 41e- 4 Y7LV ncZ 0 e,4- Dv'e� love A76 Zze l# CM y i J * * OF-620 ******* -JOURNAL- DATE 09/13/1993 ***** TIME 12:44 +: : r NO. CON DOC DURATION X/R IDENTIFICATION DATE TIME DIAGNOSTIC 11 OK 01 00:00°33 XMT T 916980696 09/13 12:44 8404502C7820 -Town of Barnstable - ************************ -PANASONIC- : ******************: - 5087753344- ********* f *INC t�1 The Town of Barnstable i MARL•AA i : Inspection Department 7 MARL � t619- W.1 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner September 13, 1993 Mr. D. Knox Appraisals Plus, Inc. 124 Washington Street Foxboro, MA 02035 RE: A=324 075 23 Whidden Avenue, Hyannis Dear Mr. Knox: I have inspected the dwelling located at 23 Whidden Avenue, Hyannis, and the stove has been removed from the lower level. The dwelling has been restored to single family status and does conform to the Town of Barnstable Zoning Ordinance. Very truly yours, - Alfred Martin Building Inspector AEM/gr FAX TRAa1SM11TAL jeofpam / To: 0, A/O1C ftm AL MA /Al DOM Ph" 508)790-6227 Fax#(5o g)69g-0(9 6 Fax s (508)775-33147�