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Home My WebLink About0059 GOFF TERRACE v �� T �� $A,l�s Cape Save Inc. 7-D Huntington Avenue f South Yarmouth, AIA 02664 Tel: 508-398-0398 Fax: 508-398-0399 7/11/15 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St.Hyannis,MA 02601 RE: BuildingPermit#201503501 . TO: Building Inspector(s), This affidavit is to certifythat all work completed for 59 Goff Terrace Centerville has been P inspected by a third party Certified Building Performance Institute(BPI) Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey eeJ3 y�R aasC'i�, x Yi VV I PPP 3.. oj ., , f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION L Map ( 7-0 Parcel Application # I �,ea;�,4 �: r�3Ar� ��S F Health Division Date Issued Ira rlr -- Conservation Division Application Fee Planning Dept. Permit Fee ' Date Definitive Plan Approved by Planning Board � Historic - OKH _ Preservation/ Hyannis Project Street Address S q �OC �Cf'f`A Gti' Village Cen4 err'Ike, Owner C S C Ito A RJ d e r" Address rum Telephone 508 4&� 3963 ', ll Permitl Request Pd a R-N 9 Cc 1 I I&I 03Q +0 `}�he a`t-�/,c 1add R-19 �,herst ,W +0 tkP bojPmt44• ( e o0W 0 lane !-F elr 0J11 �% m, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3 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 (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes WNo If yes, site plan review # Current Use Proposed Use - _ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name i c C1 6 Telephone Number f A 3 9 g Q 3 9 8 Address 7-' D �W1�In�1�WPi License# 1 O �I S• Ykr o V.4 k, A- A 6 0 Home Improvement Contractor# �T( 3 8 0 Email Worker's Compensation # W W C � 13 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO foil immfi SIGNATURE DATE 6 hi 8 4 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE G 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. The Commonwealth of Massachusetts Department of Industrial Accidents d 1 Congress Street,Suite 100 ' 4Q. Boston,MA 02114-2017 M .V ww».-mass gov/duz _ NVorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual) Cape Save Inc Address:7-D Huntington Avenue City/State/Zip:South Yarmouth, MA 0266.4 Phone#:508-398:-0398 Are you an employer?Check the appropriate box: Type of project(required); 1 ❑✓ I am a employer with. employem(full and/or part-time).* 7. New construction 2.❑1 am a sole proprietor or partnership and have no employees working.for me in y capacity.[No workers'comp.insurance an ca aci required:] 8.. E]Remodeling 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. Demolition []' 4:n I am.a homeowner and will be hiring contractors to conduct all.work on my property: I will 1.0 Building:addition ensure that all contractors either have workers'compensation insurance or are sole 1.1.0 Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 5.rlI am a general contractor and I'have hired the sub-contractors listed on the attached sheet. 13 ❑Roof repairs These sub-contractors have employees and have workers'comp.insurance. [] 6,Q We are a corporation and its officers have exercised their right of exemption.per MGL c; 14. OtherInsulation-- 152,§1(4),and we have no employees.[No workers'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: st work and then hire outside contractors:mu 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.policynumben 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name;Wesco Insurance Company Policy#or Self-is.Lic.#:WWC.3186274 Expiration, 04/09/2016 •. Job Site Address: 59 Goff Terrace city/state/zip.-Centerville Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration.date). Failure to secure coverage as required under MUL,c.152,§25A is a criminal violation punishable by a fine up to.$1„500 00 and/or one-year unprisonment;as well as.civil penalties in the forin of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement maybe forwarded to the Office of Investigations of the DIA:for insurance coverage verification. I do hereby certify under th pains andpenalties of perjury that the information provided above is true and correct Signature: Date: Phone#:508-398-0398 Official use only. Do not write in this area,to.be completed by city or townoricial City or Town. PermifZLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector b.Other Contact Person' Phone*: ACC L7� ATE(Mraroofvm� �,,..,+• CERTIFICATE OF EDIBILITY 'INSURANCE a/24f2o1s THIS CERTIFICATE it ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS -NO RIGHTS UPON THE CERTiFICATE':MOLDER: THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND WALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN TrE ISSUING INSURER(S); AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER;' JimRTANTi If the certlfI6ate how-Tan At30ITI0NAL INSURED,the policy(tes)muat be endorsed. iIf SUBROGATION!IS t�iA#1tfD,,s�rbtect to ' the terms and conditions of the policy,certain policies may require amendorsement. A'statement on this certific,ate,does not confer rights to the cectiticate holder in;lieu of.such endorsements. PRODUCER NAME: .T 'doll Crowley Risk Strategies Comp PHONE 44Do(781)986.= o, idl, 1 IC o..(781)963-4420 15 Pacella Park Drive I at:ccrowley@risk-strateg es.Cem Suite 240- INSU S AFFORDING COVERAGE NAIC 8 -Randolph ill t323S8 tNSURERA:Se1 tive `Ins..., Or, America INSURED INSURERe A1lmarica n-11aACial A11isat e, 0219 Cape Save, lue INSURER Wesco Insuraace an 7 D Huntington Ave. _. INSURER O: INSURERE: South Y=euth A 02664 INSURERF: COVERAGES CERTIFICATE NUMSER:CL1532491501 REVISION NUMBER: THIS IS TO CE-RITY. TWAT THE:♦OUCIES OF,WSURANCE BEEN I 8SSUED TO TiiEjNSUREC'WAMIt D'A'BOVE"FOR-rKE"POLICY'PERIOD INDICATED. NoTwITHSTANDINC,ANY REQUIREMENIT,TERM OR CONDITION``'OF ANY CONTRACT'OR OTHER DOCUMENT.WITH RESPECT TO V%iICH THIS CERTIFICATE MAYBE ISSUED.OR MAY PERTAIN;THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN:IS SUBJECT TO ALL THE.TERMS, EXCLUS40NS AND CONDfrIOPIS.OF SUCH POLICIES.LIMITS:SHOWN M HAVE BEEN REDUCED:BY PAID CLAIMS; ILTR TYPE OF INSURANCE:. 0LICY:EFF :POLICYEXP POLI L1MlTS - CY NUMBER GENERAL;LWBILfiV - EACH OCCURRENCE $' 1,000,000 X. COMMERCIAL GENERAL LIABILITY W PREMISES Ea oxumenca $ 160,000 CLAIMS-MADE'a OCCUR 199441 0 0/16/2614 0/16/2015 MED EXP(Any one person) $' 10,000 PERSOttAIgaDVIN.A?Y ' 1,000,000 GENERAL AGGREGATE $ 21000,000 GEN'L AGGREGATE LIM).APPLIES PER PRODUCTS-COMPIOPAGG ,$ 2,000,000 POLICY X PRO. X LOC AUTOMOBIhE LIABILITY Eaaatident 1,000,000 $ ANY AUTO t30DILY INJURY(Per person) $: ALLOVVNED SCHEDULED 46796600 1/6/2019 1/6/2015 — AUTOS<. AUTOS: BODILY INJURY(Per accident) $ HIRED AUTOS IRONY DAMA E.AUTOS X` $ X UMBRELLA LIIU3 ` $ ` OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS,CIAB CLAIMS�MADE DED RETENTION III 199448Q 4Ji6(2014 0Jl6/2Q35 AGGREGATE $ 1,;000,000 C WORl(IRSc9MPENSA110N $ ANDEMPLOYERS'UApILITY ffi6AY� Ifloluded for X `dlCsrarLi TH- ANY PROPRIETORIPARTNER/EXECUTIVE YtN OYBrage R OFFICEPIIvEMBEREXCLLC�ED? NrA El.EACH ACCIDENT $ 500,000 Wandat0r In NHj 135274 /9/2OT5 19/2tr16 ` tf yyees,desenbe under s, E:L D SEASE-EA EMPLOYE $. GO GGO DESCRIPTION:OF OPERATIONS below E,L.DISEASE-POLICY LIMIT $ :' 500,000 DESCRIPTION OF OPERAMONSI LOCA nONS I.VEHICLES(Aftcli ACORD IOI,AddfUonal Remarks:Schedule,3f Tor* ce is requires) Issued as evidence of.insurance-.. Thiei.seh Engineering, Inc. ;s listed as additional insured:as -respects General Liability as-xegLurer3 .by Writt Contrasrt.,_ CERTIFICATE HOLDER CANCELLATION song@caPelightl^ aCt_�g sHOIfLt3 ATiY OF`TNE i�P30VE DESCRIBED IrOLICit'S`BE CAfdCELLED'BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL ILL DELIVERED IN Cape Light ConpaCt ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Margaret Song:. 9 DOX 427 BCH AUTHORIZEDREPRESENTAl7YE 3a9B Main Street Barnstable,; 1N1� Q2630 chael Christian/CLC. CORD 251 oiosl ;z�saACo��ccRp0RATION. All reghts reserved'.INSo25(zotoos).o1 The ACOR,D name and logo are re I8tered marks of ACORD .9 HOME OWNER WEATHERIZATION WORK PERMIT: PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. I herebyconsent to and agree that weatherization work g may be done by the Weatherization Program of Housing Assistance Corporation on.the property located at: Wit, q- -7erio- 6--j Ow The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather stripping; air sealing; attic& basement insulation; exterior wall insulation; ventilation measures In consideration of the weatherization work to be done at my home I agree to the following: 1. I give permission to Housing Assistance Corporation the property with such equipment and materials as may be necessary to perform weatherization. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read the provisions of this agreement and give my consent. Home Owner(signature) °-~ Home Owner email:9"— d'— jut Date: Agent:(Signature) ` v� �. Date: Weatherization Contractors: Adam T Inc Cape Save All Cape Energy Frontier Energy Solutions Alternative Weatherization Lohr Home Improvement Building Science Construction Resolution Energy Cape Cod insulation Tupper Construction 10 07Yl� (29 0., 61�j'q4m P .l' Office of Consumer Affairs and Business Regulation r` 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration „ Registration: 171380 4 Type: Corporation Expiration: 3/14/2016 Tr# 249649 CAPE SAVE INC. WILLIAM McCLUSKEY ---�~ 7-D HUNTINGTON AVENUE � � s SOUTH YARMOUTH, MA 02664 ------- Update Address and return card.Mark reason for change. SCA 1 0 20M-05n 1 Address Ej Renewal 0 Employment Lost Card �Tt`l(oiitoictrtuleal�u��'l�l�ifdrerf+te.i�/' _ . ... .. :. , • Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 1'1'71380 Type: Office of Consumer Affairs and Business Regulation `Expiration W*4/20116 Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE SAVE INC. ' WILLIAM McCLUSKE-Y 7-D HUNTINGTON AVENUE-=• SOUTH YARMOUTH,MA 02664 Undersecretary Not vali rthout signature Massachusetts -Department of Public Safety ! Board of Building Regulations and Standards T.. Construction Supen-isor Specialty License: CSSL-102776 . WILLIAM J MC C-LUSCEl' 37 NAUSET ROAD West Yarmouth MA 026 - Expiration Commissioner 06/28/2015 Town OfBari *Permit `'v y stabte Expires 6 months from issu to Regulatory Services Fe X. sTABL& Thomas F.Geiler,Director n� Building Division AU Tom Perry,CBO, Building Commissioner $' G 2 e5 1448 200 Main Street,Hyannis,MA 02601 OU/N OF www.town.barnstable.ma.us Office: 5q6 Fax: 508-790-6230 aSS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 5ckaW �(Z(ZAC�' C� C ZU\Vz ❑ Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Addressoa QA 1 Contractor's Name `��, �`� � 1�-' �� Telephone Number , •q s E Home Improvement Contractor License#(if applicable liO DSWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [ 1 have Worker's Compensation Insurance Insurance Company Name .n CAI M Workman's Comp. Policy# 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.. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:buildingpermits/express Revised 123107 i The Commonwealth of Massachusetts Department of Industrial Accidents x Office of Investigations d 600 Washington Street �< Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Cotitractors/Electricians/Plumbers Applicant Information Please Print Legibly nC lzzi Home Improvemen . Name(Business/Organizationadividual): , Cap 16 Address: Te{ COtuit, MA 02635 City/State/Zip: Phone.#: Are you an employer? Check the appropriate box: . :Type of project(required):. �n 4. [� I am a general contractor and I N,0 I am a employer with _ 6. ❑New construction . employees(full and/or part-time).* have hired the sub-contractors listed on the*-attached sheet. 7. ❑Remodeling 2•(� I am a•sole proprietor or partner- These sub-contractors have g, []Demolition ship and have no employees employees and have workers' working for me in any capacity, '9 Building addition comp. insurance, [No workers comp,insurance 10,[]Electrical repairs or additions required.] 5. � We are a corporation and its 3.❑ I am a homeowner doing till work . officers have exercised their l l.❑Plumbing repairs or additions myself,[No workers' comp. right of exemption per MOL l ]Roof repairs insurance required.]t c. 152, §1(4), and we have no 13.❑ Other employees, [No workers' 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 tlien 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 ornot those entities have employees. If the sub-contractors have employees,they must providb their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: �C Co�11(OnAUa _ Expiration Date: Z d lob Site Address:. City/State/Zip: Z U I (O Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failuse.to secure coverage as required under Section 25A of MOL c. 152 can lead to the imposition of criminal penalties of a fine tip 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 maybe forwarded t.o the Office of Investigations of the b.IA for insurance covera e verification. I do hereby certify under the pains•and penalties of perjury that the information provided above is true and correct. Si afore. Date: Q _ 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 #: l; 91?e -� BoaTrow-yui in a ula�ns an g g tan �rs .. One Ashburton Place - Room:13.01 . Boston, Mas chusetts 021 Q8 Construction isor License License CS: 57032 Restriction: 00 z — Birttidate: 9/26/1963 . m W Expiration: 9/26/2009 Tr# 3801 1 THOMAS X CAPIZZI JR 1645 NEWTOWN RD COTUIT, MA 02635 - . = . Sv Update Address and return card.Mark reason for change DPS-CA1 0 soon KWO&Pcaaso (] Address � Renewal 0 Lost Card . '� �"�}5 ✓�e,'�oPanrmonwerclt�o�✓ltaaaac�uoel� _ Soard 0t�Buildl:n6 Regglatio sand Standards ConstructlowSupervlsor License ` Lla�er� e: CS 57032 r :t3irthdate 9 26/11-1 .963 s= 12009 Tr# 3801 .THOMAS X'CAP 1645 NEWTOWN, COTUIT,MA 02635 z ' Commissioner 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: Registrailoin:, 100740 Board of Building Regulations and Standards Expiration 6%23/2010 Tr# 267955 One Ashburton Place Rm 1301 Type Pate Corporation Boston,Ma.02108 CAPIZZI HOME IMPROVEMENT;-INC, Thomas Capizzi,Ir ivy 1645 Newton Rd. = � ` Cotuit,MA 02635 Administrator Not valid without signatu e Client#:47298 CAPIHOM ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/12/2008 PRODUCER { 'THIS CERTIFICATE IS ISSUED AS A"MATTER OF INFORMATION Rogers&Gray Ins.-So. Dennis ONLY AND CONFERS NO RIGHTS UPON-THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.0.Box 1601 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. _ South"Dennis,MA 02660:-1601 INSURERS AFFORDING COVERAGE - NAIC# INSURED : INSURERAi NGM Insurance Company Capizzi Home Improvement;Inc:Capizzi Enterprises,Inc. IlvsuRERB: American Home Assurance . INSURER C: 1645 Newtown Road INSURER 0. Cotuit,MA 62635 INSURER Ei COVERAGES c_ 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 BEENAEDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE. POLICY NUMBER NNEYEFFECTIVE M OD E PDATE-EXPIRATION: _ LIMITS A GENERAL LIABILITY MP61075H 06/08/08 106/08/09 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY - I DAMAGE TO RENTED i PREMISES a occurren $500 000 CLAIMS MADE OCCUR I MED EXP(Any one person) $1 O 000 PERSONAL 8 ADV INJURY $1 000 000 GENERAL AGGREGATE $2 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG s2,000,000, POLICY PRO LOC AUTOMOBILE LIABILITY I - COMBINEO SINGLE LIMIT ANY AUTO - - -- (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS I f (Per person) $ HIRED AUTOS NON-OWNED AUTOS I f .. !. I BODILY INJURY I (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY I AUTO ONLY-EA ACCIDENT $ ANY AUTO • - OTHER THAN EA ACC $ AUTO ONLY. AGG $ A EXCESSIUMBRELLA LIABILITY CUB1076H 7O6/O8/OS 06/08/09 EACH OCCURRENCE $5 OOO OOO X OCCUR CLAIMS MADE , AGGREGATE s5,000,000 DEDUCTIBLE X RETENTION $10000 $" B WORKERS COMPENSATION AND WC6716562 12/25/07 12/25/08 X WC STATU- OTH- EMPLOYERS'LIABILITY - - ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $5OO OOO OFFICER/MEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYEE $500 000 SPECIAL PROVISIONS below OTHER E.L.DISEASE-POLICY LIMIT $500 000 I � ' I DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Carpentry CERTIFICATE HOLDER` CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town Of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN 200 Main Street Hyannis, MA 02601' NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hy IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #S36540/M36539 KW 0ACORD CORPORATION"1988 Page 7 of 7 CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT OWN THE PROPERTY LOCATED AT S-t 6-D 'le A 1N C��,Te/��/g �I e • , MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDI:PER4MIACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER JQ OWNER'S ADDRESS: OWNER'S TELEPHONE: 3 2 6 j LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: TOWN OF BARNSTABLE Permit No. .-- -._--.- °�� i Building Inspector ...� Cash s61 — — p,Y 6 OCCUPANCY PERMIT Bond ------ -- 1'71 Issued to adgate Assucia-k Address -- — `Got 6, 59 Goff tertace - Centervils Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. 19......_.._ j. ....................... .. ...................... Building Inspector �._. Assessor's map and lot number ..... .......................... ..... ypi TN E T�� Sewage Permit number .... ............................ Z BAREST LE. House number ................ .....................� . ........................................ 9 Naas 00,0,i63 D 'FO MPY a' , TOWN OF BARNSTABLE :BUILDING "INSPECTOR APPLICATION FOR PERMIT TO ..............:.�'.ILI . . ,► t�:,d.,l .� :.. TYPE OF CONSTRUCTION .................. . 9, ... r� ............................................................... ...... `.VARI.',.C.". :. . .'.......19.r?ii- y TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to thefofollowing information: Location ....... ... t. F.. ....��°'" z��..... r....R�.�e�°,I*�k��t� �!-:,A>.J ................................................ ProposedUse ....r? '. + .... '....H .:.......................................................................................... Zoning District �" Fire District .......................................................... . ..... .. �............... .......... Name of Owner,..!?fix � .. .. 441 1,'0.f P.S.Address .............",r.•(..�.. E•l C 1. L14ii�.E'�, ��. Name of Builder wt'S '�'..:.—n.A-.,/..!.D.U0.5Address .... �.. Nameof Architect ..............1."..............................................Address .....................�/..................................................... Number of Rooms .....\� t /� ........................Foundation .........1. ..//f..�i' '2. {�-:................. '. .,.\.�. . .. ..... ��jj Exterior ............ .. .. .`?.... ?...............................................Roofing ...........T.!. ..T...................................... Floors ...... .Epe':71Q 9.. a.jqQ......................Interior �JY' 1.• ! .�f :.. ........... ....... ..... ..... ..... Heating .................... .. ..�...��.�..�....................................Plumbing ................�.... .............4.?!y.S..:........................... Fireplace .......�. .5.....�... n. '...................................Approximate Cost ............ 6 .�f. ...��.�..�d....................... . Definitive Plan Approved by Planning Board -----------_------_-----------19_______ . Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ir > -i a jP I � � O i ! I, ! i i Fes- f�QR_pc e- OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. f i Name .............. s4..... . .../........... .... ....................... V `- Construction Supervisor's License .._ .....o .... ...... BRADGATE ASSOCIATES A=170-7=3 No 2 4 9 5 9 Permit for .. One S torX .... . ..... .......... Single FamilX„Dwelling Location .,Lot 6, 59 Goff Terrace ................................................. Centerville ............................................................................... Owner Br.adgate. . ...Assoc. . ...iat. es ................. ....... .... .. ..... .... .. .. ....... Type of Construction ....F,rame... ........................... ................................................................................ Plot ............................ Lot ................................ April 15, 83 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 t r wry`. S 1►J�i�L— FAMILY 3 6EoaooM .... -� , ` 1Jo GARBAGE 6t?IND612. _ \\ 5. op' �. FLOW = Ito )( -5spTIG TASK = lol- •� i 12. �aaX D15P06AL PIT u6E I o GAL.-. � �oZ' ft�f� I '�Aow 'S 1 DG.M/ALL A261►. s 150 5.ri _ s! ' BOTTOM AQX A: . �o S.F.. 1 . ,(iJ1 /oz.0 t f. N of 'ToTA I- D ES16N * 2 G-P -TOTAL 'PA I LY FLoW 5 330 G.PO, 0 l3 t PPppeseD AwiJOg7,040 23t t I IN 7-MIN ov-LG$5, 19. P. E 2 coLAT oN RAT1r M toz.3 0 �. I �:, Id�_ 1 �I; %1Zi OF s P�1N Oi �As\ LGT �o p WILLIAM _.A Nc� C. o N Y I No. 19334 O too }' / H g e P — c� •� L. . A%ifCl- w�. zsl e - - ._2 _ _ lo'G T- c , a onA EN �)_"f 0*Eel _/ao.3. — — — 99.9 — .f,rT6�T P /03•0 't•oP FWD=IC¢.O � --/G�3 �Y EL. /OL.o !� 3/�FP' INV./o/.O j'' INV. ; f ! DIST. INS. b6PTIC /00, , ��/3SaG I oco t3°X /oa►6 TANK f Z� I GAL.. /oo•o • LEAGII . , .,. , , /`7ED PIT INV. . . INV. w.. 1 �9.tJD yjlTtl /OO.Z .•'1 .crrltAVEG. L WASNGD - 94 o . •, .S.!,ND . C 6 ttT I t=t G D p L oT P L A tJ PRoFIL6 GEtv"rERv��.L.' LOZA-T ION i Et.90•o W O ,31 7183 1 No WNrmR. V14 as PLAN REFE2EN GE % GE T1FY ?NAT TNE'��Op �0t1KDt5NbwN • ►1Sp SOW GoMPL`(6 W ITIA-r l-I : S I VIS U W 1✓ Auw SE-caAGK 2.6Qv1sz.EMENY� of=-tµE � KZ'�5 P�f►• 5.� •TOWN oF'F3ARt�l6TABLEANv 1S NoT PLAN I LoGp.T D .WITN.1 ?N OoD PL DATE gAxTEtZa tVYE 1NC. .'� ' REG 1 S•T 1~Q6�'LAu D S��Y EYo� I � •TLIIy PL&• J Ili NOT gA�j6D O N C2,5-rGP-VILLEr asNAASS• •jW.5TR.uMEN-l* Su2VG-Y4--TNE"oFf'5E'T5 'S000 'D No'T DG- ..V�I. C? CCr C)C:'Tt:.t•..M,19C. Le-'1" � INr�i APPLIGA►-I'r aRAD��C AS SO, .. SL 9 rA.S•{ pG RICHARD a .BAXTER o ' " -f No.24048o CEQT t F 1 ED p l_OT P•t_..�S.1J S•FR o� su��``� LOCATI 01•J CEA"A01/L L E- ;. bATt= 7716 G6ttTI F,-.l TalAT T14aoc:�POA4PAT/4051-lotivIJ pLAI.! REFEtZEL1GE. � � ' NEQtnaI.3 GOMPL�IS W ITN TWG SIL7E.l.t►-1E 07- ` AWE> SET$ACK QEQUIREN�EuTS cF THE �� Z�s �6 '(o w U of $A 2i✓SrABA-E' A,"tD 1S A/oT� 7TJr ' LoGATE D Wt TI-l t 1.1 LoO 1 t•1 B/�XTESZ . N-4(E JWC. DATE �3 -"W,o 5uevcYov-s ; TI-Il5 PLAN IS d.loT zASE'o p1J A4J oSTERv1l.t.E o /bass, UJy"tT�UMEt.IT SUQV�`f TIIE OF�S�TS S�.tpww APPU CA�iT 6ss7�A.4!�e4 %s/G. hJG'f' gC uSC:D To -De:raV-M1NC La-V LiWe-;D N :° 1 ; _ 4£i k .� Assessor's, map and lot number /, , ... �....13. ...1.A2.. f .. .. ....... w�Qyof �� *THE Sewage Permit number T� IC SySti EIA MU BaBa snLE, i �� t r House 'number .....................v ...l................................... .... Ar�6' io S,FALLED IN COMPLIANCE # YI 0 M'XTT"E ,L FY a' r TOWN OF B AJIiDPr ATIG'NS .� BUILDING- I'NS:PECTOR : .I.�I. ::�..G.:: rn.i.�.Y..-:.. ern. ..::. APPLICATION FOR PERMIT`TO ............... �:..:... ...:.. ` r J TYPE OF CONSTRUCTION .... .... .......W..C).Q�L, .....: 1��A h?.10...................... ....:.... :..:.:..: ................ TO THE'INSPECTOR OF BUILDINGS: The undersigned hereby applies for a' permit according`to thIfollow;ing information: Location .......�^�T... .. .��F.:: .....�. :�a<l. :.... �•NT.' :f l.� �;G...:................. ......... ............. Proposed Use .... ./.IV.I�j ... f}/'1?1. ,.f ......Rb.m.:C.r:....:.................... ...... .......... Zoning District ..............��.. .=2. ....:.................................Fire District ..........6 Q ' ................................................. Name of Owner .H : ..I��. ,4ll..t..p.� SAddress .............'7.. /.... 1lC.l .�x.ob.Ph -Name of Bui[der 3P.AD.L 779t—:.�?kji.L.:-D.(W-5Address ....O.e.$.T...KA.-.i2.o.�,� ' 9...MAS'Y, Name of Architect ................`:........................................'::...Address :......................: ........................................... Number of Rooms ..... .:...I l..l� .. .: Foundation :........1. C L? .e T' ................ Exterior ............l�.l-0-0.�.......................:....:..:..::::....... ..Roofing) .....:::. 7..� : / ,e!,.. ....... Floors. ..re.T..O.R. .4Y.0.0.�....................Interior /Q .. !"}. Lr...�..��.•zjq.5�..' ... , :t Mtn ....... �.... s Heating ...........S./l.t ..J.0 .. J-C..................................,,.,Pjumbing ,:. f47 ...... .. �a.' Fireplace ........ .....?. ..Q. '...................................Approximate Cost . 9,. .� 'aa............. 1 Definitive Plan Approved•by Planning Board ________________________ S -- 19- ---. Area ............... Diagram of 'Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH. - 0 ®� M Ile% ' � � Co �r I e.��Ac� • � _ OCCUR NCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name A ............... Construction Supervisor's License t ^"-BRADGATE .ASSOCIATES No 24959, -One Story, f ................. Permit for j . Single Family DwellingLT r Lot 6, 59 Goff Terrace Location ...................................... .... o Centerville.............. . ... ............ Owner .•Bradgate Associates r „� .......................................... .,.- :�- Type,of Construction ..Frame............ � �- j 1 V;r ��,,-� �� C. ............................... .................... �`: (�i 1.�•✓ vri t.r; I;� .• 1.. - �^.._+� ._-._w•r._r_._ .. r q = Plot .. f ....:....... Lot .................... i •� i i t e lc, 4 i� f t _ ♦ �� 'A i ' Aprilt 15, 83 f Permit Granted ................................. .39 i Date of Inspection Date Completed O } f '♦e. - i ti 17 t a. ti � '., � �. '! !�; ✓ .yam/ � a•'� f v t r' .-ice .�•� }{,�� t � �� ,,tl�'�� .!- 11 AN 411 I �oFt► �a,,y Town of Barnstable *Permit# ` Expires 6 months from issue date „„t,n.,,B E, : Regulatory Services. Fees �) t pD M"S.9. Thomas F.Geller,Director 9MIT �p 0 9• A�0 'ED�AD� Building Division JUN Tom Perry, Building Commissioner 2005 200 Main Street, Hyannis,MA 02601 TOWN O'=13ARNSTAF3LE Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNIIT APPLICATION —RESIDENTIAL ONLY Not Valid without Red I Press Imprint Number l 1 Q 0 $ Map/parcel Numb 1 t Property Address 5q G I-e_v kr0..C� Residential Value of Work j Owner's Name&Address CAI tAun 5 Aap 4A_r 51 Coo I ry erA� _ydt1e ,, (Y1►9 G�(,3.Z p f - 175- N77a Contractor's Name g pc i✓��-@- k'^'p- J"'`��e r�1 e� Telephone Number Home Improvement Contractor License#(if applicable) 1�:)3 IS 7 Construction Supervisor's License#(if applicable) c s P<orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [�I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# 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) 4 ❑ Re-side replacement Windows. U-Value '° 3 (maximum.44) *Where required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Prop O er must sign Property Owner Letter of Permission. rovement Contractors License is required. Signature Q:Forms:expmtrg Revise053003 --.. . The Commonwealth of Massachusetts Department of Industrial Accidents — oficeo/%resUgalleos 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: locationo G 6 city l S�✓� V (�� phone# 5bts- 4 ag -'7013 0 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity [am an employer providing workers' compensation for my employees working on this job. comoanname:: �nrPl � �t'�'1�[ ►m�la �/Ct(n Vl S im fy a C201 phone#• Jig 775 — 1*7 11 lnsurarieeco: • 1'f�� 1 1/LA 1S UrCLYI Q yolk# 7oo`t 1 4 > ac�y Q I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who hu,.: the following workers'compensation polices: comasnY•ttame: address:.. phone#•. .,.. .:.: . _::. .;,:. Pon", Nor— comsn.Y::aamr-- .c. sitv.Rv; , OnQ itt8�ra11[!i`O'. policy Failure to secure coverage as required under Section 25A of b1CL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment-as well as civil penalties in the form of a STOP WORK ORDER and a fine of s100.o0 a day against me. I understand that it COPY of this statement may be forwarded to the ice of Investigations of the DIA for coverage verification. I do hereby cc er the enaities of perjury that the information provided above is true and correcL Signature Date Ce_ -�,ff 1 Print name S Phone:# Z S" O fficially do not write in this area to be completed by city or town official permidlicense# OBuilding Department 4. OLicensing Board mediate response is required Selectmen's OfficepHealth Departmentn• phone#; ,nOther (Mvised 3195 PIA) ,ate 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 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 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 permitllicense 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 questions, please do not hesitate to give us a call. The Department's address,telephcne and fax nurT;?:::r. 'i'hc; ti:ocr�a?; 7i,n•�zi[t�� 4_j �.s:cs..��.c.Ps.;-... Mee of Inuestleauous 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 nhnnP ff• (617) /r�7. -AWA PYt Q116 d04 nr 174% JUN. 9d2005 9:54AM A.I.M. MUTUAL INS. ( - N0,:602 P.212 . ISSUE DATE(IvfMlDD(YY) CERTIFICATE OF, N'SURANC -0/09/2005 ^T<oDUCER T S CERTU?ICA E IS ISSUED AS A MATTER OF INFORMATION ONETA CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICIATE Bryden&Sullivan Ins Agency DOES NOT AMEND,EXTE.M OR ALTER THE COVERAGE AFFORDED BY 7 POLICIES BELOW. Inc 88 Falmouth Road COWANjES AFFORDING COVERAGE Hyannis,MA 02601 i INSURED Sprinkle Home Improvement Inc COMPANY A,I.M.Mutual Insurance Co 199 Barnstable Road LETTER A Hyannis,MA 02601 i i COVERAGES THIS IS TO CERTIFY THAT THE POLICIES ON INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURL•D NAMED ABOVE FOR THE POE CY PE1 O5 INDICATED,NOTWITHSTANDING ANY F9QUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECITO V0 6I THIS; CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL T'fm TT3RIrf5 EXCLUSIONS AND CONDITIONS OF SUCH POLICES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OP DQSTRLUVCE POLICY DTMBEA POLICYI:mCTIVE POLICYEXI7RAT10. LnvnTS LTR DATE(MMIDD/YY) DATF.(MMIDD/YY) GENERAL LIADII.ITY GFNUFALAGGRRG4TF S' - COMMERCIAL GENERAL LIABILITY RODUCTSCOMP/OP AGG. $ iMSMADBODCLIIR PERSONAL&ADV.INJURY S _ OWNER'S&CONTRACTOR'S PROT. CINCH OCCURRENCE S FIRE DAMAGE(Ato,une fire) $ MED.EXPENSE(Ate vnc Pcrmn) S AUTOMOBILE LIABILITY C014BINED SINGLE Y AUTO LWIT S ALL OWNED AUTOS BODILY TNIURY CHEDULED AUTOS (Pct N.w S HIRED AUTOS BODILY INIURY NON-OWNED AUTOS (Pct m4drno S GARAGE LIABILITY PROPERTY DAMAGE f �� 4WI ITY EACH OCCURRENCE S BRELLA FORM AGGRGG4TG S _- THL•RTHA�'U%IORELLA FORM - ORSER'S COMPENSATION AND X - EMIRAYERS LLIlII3TY - 7004943012005 09I312005 05l13/2006 ELFdCHnC[IDENT s 7Y00 A HE PROPRIETOR/ Y INCL .EL DISEASE—POLICY.LIMIT S S00 ARTNEMEXECUTIV6 - RPICRUARE: SXCL sLnISBASE—Pwcii EMPLovEE s 5D0:000 OTIKE;R i DESCRIPTION OF OI'F.RATIUNS/LOCATIONS/VEEUC Y.Sj$PECIAL 171:0 f I CERTIFICATE HOLDER, CANCELLATION SHOULD ANY OF TIM ABOVE DESCRIBED POLICIES BE CANCELLED 13 ORE THE BRAD SPRINKLE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NANI"$D TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBIASATION OR 199 BARNSTABLE ROAD LIAEILIT'Y OF ANY KIND UPON THE COMPANY, ITS ACIRNTS OR REPRESENTATIVES. i AUTHORIZED REPRESENTATIVE � HYANNIS,MA 02601 ' eraw n.' �p L^.NA r 1�1, � >✓G+...o k�e,e/i3 @ ' BOA DING REGULATIONS, � ,..t "T_ Uv re f8o[hG:q,RegvlaEii,u xd tiE,vu.,a.. $ tense CONSTRUCTIO RVISOR w )j ( dQua;ur r 0T0R Number,CS 006643 ,t sl �,� RaBlratlon IU375'/. rthtlate:I0 70 911 9 55 � Ex(IiYBBa:1/9200tS: '\� Explrcs 10f0&12005 Tr;.do:- 5711 t " BRAD ReslNcled:00; q ` SPR(NKI:C I 1 OVEMEhJ'f,INC - K SPRINKLE _ tfl0 LOTHROPS LANE —f' !,iq SpgnMn _ .W{iARNSTABLE,":hVt 02668;-� e.. 199 Betnatullle Rd.,"Atlminls(r@tnt02ti01 - yann .. -itimEnittrattir. .. , 1 .. ;mom• __ 99'Bantatablt Roa Hyann 2601f,(508)717 mail spr nk@comcast.net r f Wetisite address:www.snrmklehome.com �r Mr. & Mrs. Carlton Adler 59 Goff Terrace Centerville, MA 02632 May 27, 2005 RE: Windows Contract ■ Remove and dispose of five (5) wood double hung windows and one (1). picture window. ■ Cut out bad wood to casings and sills and replace as necessary. Custom bend and wrap sills and casings of all six windows with white Alcoa smooth coil stock. ■ Install five (5) new white vinyl Harvey Comfort Plus double hung windows and one (1) white vinyl Picture window. ■ Replace one (1) small rake ear on front of house. Contract Amoul Contract Signing Date Job Starts Upon Completioi Start approximate - _fined Contract. I authorize Sprinkle Home Improvement to act on my behalf in all matters relative to the work to be performed on this job (i.e. permits, applications etc.) if necessary. Mr. or Mrs. Carlton Adler v Date Brad Sprinkle Cam/ Date vuuzzo-wmu or neos.com