Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0018 JACKSON DRIVE
�,- i 1 i l I P t Aun k f,k.Jeffrey M. Ford, Esq. ar From: Melissa Meece <mmeece@robertpaul.com> ` Sent: Wednesday, May 20, 2015 1:43 PM � F x Y To: Jeffrey M. Ford, Esq. Cc: Paul Groverr3� Subject: `1 8 Jackson NV6,-Cot6it.Photos ` Attachments: ` 18Jackson Drive Electric Panel-May 2015.JPG;.18 Jackson Drive Smoke Detect{,,",.. 2015.JPG; 18 Jackson Drive Heat Detector May 2015.JPGfj a fi Hi Jeff; VAs requested, attached are photos of the electric panel and the heat detector'at 18 Jackson Drive in Cotuit I"IT"se ' ;, let Paul or I know if you need any'additional information. t k s k" '.`Y'•'i. .. • . 2 ..� S S t /;... Thank you, a `' , Melissa-,S. Meece 34Executive Assistant to Paul E. Grover .Robert Paul Properties r ;'867-Main Street ,s .Osterville, MA 02655 $i 508.420.1414 x201 "508.M&9318 (Direct Fax) y •• : �J T��i.Y� k t.0 [i. 7�� • - S ' • 1 ' Y t h r " 1, d I 'F r z: 2 F aaee `i r J � � Pnsd x F 1, 4 k y� �3 3 g' Gd R p Y � 0 •1 Town of Barnstable *Permit#o?6/ 3 d 73`i� Expires 6 months from issue date Regulatory Services Fee BARNSrABLK 16�Q. �,� Richard V.Scali,Interim Director- X-PRESSPERMIT Building Division Tom Perry,CBO,Building Commissioner OCT 16 2013 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Officer 508-862-4038 TOWN MBARNSTRNLE EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY > p Not Valid without Red X-Press Imprint Map/parcel Number Property Address '® 0 a C K,5D Ai 12E — W�U i ❑ Residential Value of Work$ oc�,,d;A9CU:�-"O Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 42t C OZoLl l/P Contractor's Name •QSay�oyw !;�1 ,Q. Telephone Number �17 � .4 7 S - Home Improvement Contractor License#(if applicable) f S6 7 Email: a_40 t'I die SS,r� L , Construction Supervisor's License#(if applicable) ®Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurancj Insurance Company Name L,b6 Workman's Comp.Policy# W C.5--.<.315.351'z l"O L3 Copy of Insurance Compliance Certificate must accompany each permit. Permit Req st(check box) [7R.e-roof(hurricane nailed)(stripping old shingles) All construction debris will be to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ® Re-side L-),,.j Q, S.-F ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FO S uilding permit f RESS.doc e Revised 061313 O a Town of Barnstable *Permit#o24 r 3 el• � Expires 6 months f om issue date ,x+ Regulatory Services Fee 3.� seartsree[.E, s �e$ Richard V.Scali,Interim Director mPRESS PERMIT �o u9t" Building Division Tom Perry,CBO,Building Commissioner O C T 16 2013 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 TOWN ORBARPMABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY _ Gh Not Valid without Red X-Press Imprint Map/parcel Number / C/J ,r�� Property Address !O G d l a� A.l Qq — Co�U 1 ❑Residential Value of Work$ h Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address P,4Q( r dzo ye'r Ll ff r 1. G' Telephone Number �17 Contractor's Name .Qs � " Home Improvement Contractor License#(if applicable) IS6 7 T Email: 91le Construction Supervisor's License#(if applicable) ®Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insuranc Insurance Company Name n�� Ub6, v V�� �I�SUrcnr�C� %ql-O Workman's Comp.Policy# wC5_-315.3a �3 Copy of Insurance Compliance Certificate must accompany each permit. Permit RsRe-roof st(check box) (hurricane nailed)(stripping old shingles) All construction debris will be taken to A,40- ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ® Re-side£,x OQ¢- 5 ❑ Replacement Windows/doors/sliders.U-Value (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. *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&Construction Supervisors License.is required. SIGNATURE: QAWPFILESTO uilding permit f RESS.doc ' Revised 0613 l3 m tail : c� The Coi'ssmomvealth of Hassachusetfs Depri4tr�ent a,f l'iuhus 114ccidents 0JTWe of rmles4afions 600 Washington Street Boston,MA 02111 ry w inasmgmldia Workets' Compensation Inmmuce 4ffiidavit:Builders/ContractorsMectricianslPlumbers Applicant Information f Q l Please Print LegUy Name( aslOrgmizatimdadividnat): 4 aae:!A40 Address: �l'H'r tb l kW- - c7Z SZ3 Cityfstat&Zip-_ A 0,- 1 Phone 4-- -7 C3 3 Are you an employer?Check the appropriate box: Type of o r 4- I am a contractor and I project(required): ���= 1-El I am a employer with 6- ❑N6v construction employees(full and/or part-time)* have hired the sub-contactors 2-❑ I am a sole proprietor or partner- listed on the attached sheet 7- ❑Remodeling ship and hate no employees These sub-contractors have g- ❑Demolition. w forme in an capacity employees and have workers' �� Y � tY- 1 9- ❑Building addition [No Workers'Comp-iasu=re comp.insurance. ❑ We are a corporation.and its 10-.❑Electrical repairs or additions required-] 5. 3-❑ I am a homeawner doing all work officers hay-e exercised their 11_0 Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12-. insurance 3 c-152,§1(4),and.we hn e.no ❑Od 13_❑Other i fr epaim employees-[No workers' comp.insurance required.] *Any appHcant that checks boa#1 mast also fill out the sectioa below showing their woders'compensation pWiLT iaf nmatiom.. T Snmeownem who sabmit this affidavit inftatmg they are doing all vm k aad then Lae outside contractors— submit anew afidn*indicating such- TConuacmrs that check this bag must attached an additional sheet showing the name of toe svtrcnmnctors and state whether or not those eatities have eWluyees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is prmddirrg workers'compensation inmirance for my employees Belau is the policy and,job site information. Insurance Company Name- Policy#or Self-ins-Inc-#: E)Tiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(slung the policy number and expiration date). Failure to secure coverage as required under Section.25A of MGL c 152 can lead to the imposition of criminal penalties of a fine up to$1,500-©D 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 fhrwarded to the Office of Investigations of the DIA for insurance,coverage verbcation- I do hereby certify render the - s and penalties ofpeduty that the information provided above is true and correct Date 3 QZcial use only. Der not write in this area,to be completed by city or town ofi'ciaL City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department S.Cityfrown Cleric 4.Electrical Fnspector 6.Plumbing Inspector 6.Other Contact Person: Ph-one#: 6 4 Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein;or the occupant of the dwelling house of another who employs 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, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. De advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed-legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant_ Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Javestigatlous 600 Washington Street Boston,MA 02111 ToI.#617-727-4900 at 406 or 1-977-MASWE Revised 4-2407 Fax# 617-727-7749 www.massgov/dia =4 - �FTHE r Town of Barnstable Regulatory Services 9 r.E� Thomas F.Geiler,Director 019. �0 M,�A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, � / gr'o ,as Owner of the subject property hereby authorize M C SSG,v,0vb to act on my behalf, in all matters relative to work authorized by this building permit (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. =Signature of Owner���" S tore f Applicant Pow 91-OVe-K- .5�44-0 Aogs- Punt Name----`'' Print Name �o 13 Date Q:FORMS:OWNERPERMISSIONPOOLS 62012 �IKE� Town of Barnstable Regulatory Services r> wsrEB* Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 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. DEFINMON 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 permit. (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 lack of 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 of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\decollik1AppData\Local\Microsoft\Windows\Temporary Internet Files\ContentOutlook\QRE6ZUBNUMRFSS.doc Revised 053012 3 ` p lCX C6A i + Ijecrise or re-istration v d for use Only before the expiration tl ice. if(round return to: t w� Office.of C omonter Affaim and Business Ike'aulation Suite 5170 to Pa rl, t3 n;NIA Oi11,6 °0(Valid tiritt out signature e of anV use group . Unrestricted _Buildings yr)l m of r A y contain less Than 35,000 cubic feet „ s enclosed sPce. POW ss a curr r ai3ure to po entedition of the Massachusetts ., stotd Suiidin Code is Cause:tor rvocatlon of this license. _ 4 ;or j>ps ticts'sr+g trltrat�on uvit;. www,t�ass.Gov/Op5 �' 1 , s, z 1 . - r • 'A�� CERTIFICATE OF LIABILITY INSURANCE DATE(NNIDOrI'Y1'V) THIS CERTIFICATE IS 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. - - - I 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).. ' r PRODUCER PATRIOT PCL INSURANCE LLC, I 131 CEDAR STREET cwrracTNAME: HYANNIS,MA 02601 PHONE Arc u- F a c No • E-MAIL ADD ' . INSU S AFFORDING COVERAGE NAICd . WSURERA: Lthft Mutual - INSURED CERQUEIRA' msuRERe: DBA OLD NEW CONSTRUCTION wsURERc: 130 BRISTOL AVENUE NSURER.D: HYANNIS MA 02601 INsirriERE. COVERAGES- __-CERT!FICATE NUMBER:-15264902 REVISION NUMBER:THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR:CONDRION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN..,THE INSURANCE AFFORDED BY THE POIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH, LIC POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - - INSR ADD SUB - - TYPE OF INSURANCE POLICY EFF PODGY EXP ..- LTR "POLICY NUMBER NIDDNYYY) (MMIDONYYYJ UNITS GENERALLIAa1DTY I .,. "' - EACH.OCCURRENCE' DAMAGE TO RENTED - COMMERCIAL GENERAL LIABILITY S. .PREMISES EA xarrence S GAIM,SJdADE❑.OCCUR • ` .. ME EXP Wry one person.. S - * PERSONAL&ADV INJURY S ' GENERAL AGGREGATE S GENT AGGREGATE UNIT APPLIES PER: PRODUCTS AGO' E t POLICY PRO-IEGTLOC .. .. 1 E AUTOMOBILE UA84UTYSINGLE UNIT $ a� ANY AUTO I - • ,T� 4 BODILY INJURY(P.,Person) ALL OWNED i SCHEDULED BODILY INJURY AUTOS AUTOB ` (PEramdent)S f HIRED AUTOS NON-OWNED PROPERTYDAMAGE AUTOB Pa amdent S. UMBRELLA.UA8 -OCCUR EACH OCCURRENCE $ EXCESS LIAR' CLAIMS-M0.0E • AGGREGATE .g . DED, .RETENTIONS S *" f I I 1' I;_ A wORKER ANDEMPLOYER ENSATUTY'y, YIN�N! T WCEi.31S-368661-013 /212014 WCSTATU-. OVRH- .. ANDEMPSCOMPENSAHON - 1/2/2013 1 .� _ TORY LIMITS V ANY PROPRIETOR/EXCLUD3UF7(ELUTiVE 1 P . E.L.-EACH ACCIDENT $ 100000 ' oFFICER7MEMBER EXCLUDED? �" A .. _ _ _ �, -' 100000 ` (Mamlatory in NN) 1� EJ_,DISEASE-EA EMPLOYEEE_ _ U Yes.dascabe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT E 500000 DESCRIPTION OF OPERATIONS(LOCATIONS I VEHICLES(ACdUI ACORD I OI•Adifib uI Remarks Schedtde,d n s"m is mquireM - Workers Compensation insurance coverage applies only to the workers compensation laws of the state of MA: THE WORKERS'COMPENSATION POL!CY'DOES NOT PROVIDE COVERAGE FOR MARCELO CERQUEIRA CERTIFICATE HOLDER CANCELLATION •SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE t -- THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. . # AUTHORIZED REPRESENTATIVE ✓e Jeff Eldrid i ©1988.2010 ACORD CORPORATION. All rights'reserved. ACORD 26.(2010105) The ACORD name and logo are registered marks of ACORD 1 hkisNDcerc'i icate cancels nsd°'supeieedesJ );_l4rwioushy'lssue cer°ei icateS.� `��•"' '�e TOWN OF BARNSTABLE Permit No. ----------_------------------- { Building Inspector cash w� -------------------- 00�0 YPY�' yf OCCUPANCY PERMIT Bond No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector ' .� 1' s",��-�` Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department 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. ............ ................................................................................................................ Building Inspector e/— C � � ail r � 0 l � 4 r'onG rY� v IV f H3NCKUY 2 NCC�®Y' C!lCTIFY rNAT T/d� BV/L.1:►I�/6► r ,t : �,,,,�.tt. •fA4*01KI.tI 0A./ rf✓IS OL,Q" IS LC>C AT&D oti/ TX/La , .._ �f tDoCZ,5 Co.va C>,CA-' >-o rf✓A" z 6iY-/-AqW S o.- r</E 7-OW" o.- O AW �Jl/ L. L , INC. YAK'. Mou-r1l, MASS. -- y ✓ o,�� �/may/�� _ t Assessor's map and lot number /� X.:....... F THE T ' �' . ,"� SEPTIC SYSTEM MUST E `Q ° Sewage Permit number .. ..�/. .......t�r�........................... -, d I L INSTALLED IN COMPI-La, 33AUSTIIDLE, House number ... ............................... ..........14..:......:......... ! WITH TITLE 5 9 MM9 �� 163 q• `00� t,A ENVIRONMENTAL CODE aMAX TOWN -OF B A R N S'1` AFBILETIONS BUILDING{ INSPECTOR r APPLICATION FOR PERMIT TO ....... .1.4ti. L-C.... ..... .t. .0�-5. .'.�l.f�. . .................................... r Q.TYPE OF CONSTRUCTION ( ... _.......................................................... ...................................................... , J ................ /.... ./,-/...........19.Y. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. 4�..�..,l� ..... ..�cl�-r.... �..........C42 .���......................................:.............1-1 .. .... .... ProposedUse ... .5 "�(�:.... �d! . ..A1t� lG.l. ........................................................................................................ Zoning District ............................................................Fire District ......Zotu.47........................................................ Name of Owner . ' Z.� ! 1.... .....................Address ... 1U.��kl7.V.e :+.P ,.... �........ 2.T............. Name of Builder .................Address . L`':.3 . . Nameof Architect ..................................................................Address .................................................................................... • �t Number of Rooms ....... ..........................................................Foundation .......to....P �"�'?A.....�✓...41,!PT`f ............. Exterior ... "'6 P...CsVd1AfL......................................................Roofing ....�5......ea-1-.�,......................................................... pp '^, \ _ Floors .�!v�� 4? kt�...t.�a i• .............................Interior .... ............................................................................ Heating "j R�� e - Plumbing ... .. .... . pyy�S..�....... ...... ... - .. .................. ............... ........................ . Fireplace ....IV.li-!'! ...F4-c,2,4...: ..W.C.0.Q...S -....Approximate Cost ....... ,oaa....................... .... .. Definitive Plan Approved by Planning Board ________________________________19________. Area ....../ .s.f... ..... ........ Diagram of Lot and Building with Dimensions Fee . SUBJECT TO APPROVAL OF BOARD OF HEALTH u ' JOY 4 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... . . . ............................... ' 1 STAAB, CARL & EDITH &A, 23454 One Story 0 .................. Permit for .................................... I ,Single Family Dwelling ............................................................................... Lot #12 18 Jackson Rd. Location .................................................................. Cotuit ............................................................................... Carl . & Edith Stdab .-I Owner .................................................................. Frame Type .of Construction ...................... . ................................................................................. ro ........... . ...P ...... . . Lot................................. September 11 31 P6rmit Granted .....................................1_19 Date of, Inspeiction/0-Z ...............19 Date Comp eted ...... ........... .... -PERMIT REFUSED 19.......... ........ .. ................................ rn ............... . ... ..... .. .......... . ........... .... . ...... .. . .. ........ . .......... . N. ........... ... .. ........... .... .......... pprove ...............................54i.............. 19 ...................:........................................................... ........................................................6...................... A 1�2 � ` •Assessor's map pmd lot number `...........`1.............. Q�0*THE �i `�' Sewage .Permit number .. .......�.J........:........................ Z BAHBSTSDLE, i House number .:..:.................... ...�............... ........ MAM, 9�p,o�t639. YPy a'- TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..I&.L R. ... tad f�: .... !h.:`. j'....'1 4,5 pAG4, .................................... TYPE OF CONSTRUCTION ... ; ? ............................................................................... ................eY/...A Y..........19. r TO,THE INSPECTOR OF BUILDINGS: The undersignedherebyapplies for a permit according to the following information: Location ...A+).t....../-�L:.......... r.i- C!✓ :. .. .p...7.......... .....................................i............~ ................................... Proposed Use .....5►w k,(.tom.. .T�-�;�'�?. ...............................................................................` ..................... ell- J _ Zoning District ...........................................................Fire District .....zntp.Al.... .................................... Name of Owner ....... .....................Address ...���11.�A�/t t> f, / �s.....C/_ tC2.� ............. n • n ? Name of Builder ................Address �'u':.��lh%t VtJ. 10 Nameof Architect ........... f.........................................X.-......Address .................................................................................... ........Foundat on .........(.)'1...4!" '�Number of .Rooms......�............................................... ' ...'.�.....f�! AA .:.............. � ��� (` L T e Exterior ...:^'v!l�P..P,�?;(t-4a........................................................Robfing ....��.�.!I`�'............................................................... _ t a Floors . 1�o,�c;N....AA; .............................Interior ....�..... ..... \.........................................�i ............ •....- ........ ............:...........Plumbing -.................................. Fireplace ...�?0:?vn-....R—&. Q .. Fes.(UP011....$'70�T.0L ....Approximate Cost,.. ;`���vo a a .. ..„. .... .... ..................................................... Definitive Plan Approved by Planning Board _______________________________19________. Area ......��.l. L/......J..:,..µ ... Diagram of Lot and Building with Dimensions sr Fee ........... ............... SUBJECT TO APPROVAL OF BOARD OF HEALTH uv Ix rtrr I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... .I�.��-- ............................... r r One Story _ -'---- Permit— - ------------ ` .Single Family Dwelling . ' -------------------------- � . - ` - tot #12 Jackson Rd Locohon --'-----�- l8 Ja�--------_---. ^ ' . Cotoit --------.-------------.---- . Carl & E�itb Staa�� Cxwno, ---------------------- - �ranz� Type of ---------..�,--- � , . . ' --�-------..------------.°--- � rm/ - � � � r=,mnG,o Date of "."p=", � Date Competed � � > . PERMIT/REFUSED � � -------- ......................................... 19 � ' . � .--.. -. - .................................. ----------- � ~ � -.-.. -.'���.JK.��..--------. ` `-~ - ' � ............................. ....'............'........................,`... , . . ` . . --------------~--~--^~^---- ' Approved ---------------- lq � � -----------------.--------. --------^--^--------^^^~'^--`' | � ~- �------��� / Assessor's I —,d lot number ........ ..........5,�..................... e)A. �� . /0 :��_ - .�,jr- -C, — age Permit number. ...... I .......................................... 33AUSTAXLE. House number ...... ................!...LA............................................ MAO& 1639. NO TOWN OF BARN-STABLE BUILD-1116 INSPECTOR APPLICATION FOR PERMIT TO ........ ........ .............................. TYPE OF' CONSTRUCTION ...............9?uIvA................................................................................................. .................. ..................19... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: TA k-5....................... ........ ()A_� .1)k-10 le, Location ....c .......... i(;..it............................................................................................... Proposed Use ....... ....... .......... ............................................ ZoningDistrict ...... ... ................................................Fire District .............................................................................. Name of Owner ...e,4. 4..... ............Address .....�),Izaen.........60 . Name of Builder ...../?,1 60..........Address .... &C ......W .................... Nameof Architect .......... ..................................................Address .................................................................. Number of Rooms ..................................................................Foundation .....No. ............... ......... ........ .. Exierior ....... ...............................................Roofing ................................................................................. Floors ........ ............................................... ...............................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................... Fireplace ..........................................................................I.........Approximate Cost Definitive Plan Approved by Planning Board -------19--------- A4a ......... .......... ------------------------- ............ Diagram of Lot and Building with Dimensions Fee ..*.......................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH _76 _3(7 "Po o L -4- 7A C V(LIKC-11 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above co nstruction. Name II/W. ........ STAAdB, CAIlL ]I. - ' No�a � �� �� � —.. Permit for .����1.ld..................... . ^ —. .]�{�CU�..----------.-- ~ 18 Jackson IJzine . w-- !»c"=' ------------'----'.. ........... v� Cmtoit ' ~ . . _�____________.____________. ` ' ` yr ~~ .. ' ` . � Carl E. Stabb Owner -----.�—.�-------�------'' Type of [onstpuctTon Guoite -----------. --— -------'- ~ -- , ' -------'�------.-------.---' ' Plot ............................ Lof�.---------.. / � -Permit Granted _.(]ctzdze��_����__]V Ql ' Date of |n .................................... ~ Date Completed ------- lg . ' PERMIT REFUSED ........................................................ 19 ' -------------..--..~—... �� = '------- ., ..---------.--,^`.---^—' ---,.^.-.. ' � '—^^'~'-'—''~--^.^^^---^^—^^"�—^^^—''T' . ' ' � ____^-------'------------' '' ��' ~ - -^.................................................." lg Approved^ . . ' ' ' --------'r---'—'—^—~'—~^'-^^--r . ' 1 . . ------~'------------.....-..�.,. ' ' . - F' f - Assessor s m pamend lot number ........./... -,fo ;/ r ";^ -!�% THE ./t' " QyOF Sewage Permit number ...... .................................... BAUSTADLE, i House number * M^ea 90 16 0� 39• �0 'E 0 MAY a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .........8Q f `?.: !� �'d... , ti � ,+1 s?�7 ��/cam '� i,^c7 ........... .............. ....... ........ .....................,........... -•Ci TYPEOF CONSTRUCTION � -r.? f/ ��' ......................................:.................,,.................. .................../.................................. .................../.. //. 19...��/r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. i �C kaC1A--*' ..I k-IU1:..........1 G.v..!..f l .................................. Proposed Use .......f �.�. ', 3D......... 1,�t11 l�Dh! �C ......:�rr' ,c r7 ;err.. ........ 0.c-i- :............................................. Zoning District ........... ... ..................................................Fire District ..-.................................... Name of Owner ..� � . f ..:.. .... �!. � ` ..............Address �•1 ,/a ( .....: .,r if> :..........l.t?:.. r'17L Name of Builder .....(. 1. ... ��1�.�'/�yi7 ?...1 ?...........Address .... ./�Ig4t?;...... )C?�:...................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ....................Foundation ................Roofing ....................................................................................Exterior .......................!............................................ Floors ............. ....................................................................Interior .................................................................................... ..... Heating ........ .....................................................................Plumbing ................................................................................ Fireplace ..:...............................................................................Approximate Cost ...................;.... Definitive Plan Approved by Planning Board ________________________________19_:______. Area .�J�.... ........... Diagram of Lot and Building with Dimensions Fee -' SUBJECT TO APPROVAL OF BOARD OF HEALTH i �'--_I v j .� . ~ jk I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. --�� Name STAAB, C&RL E. J No —.. Permit for .................... . --'S�i�D�i%lgL—..����].----------- / ..l.$..JaCXS.QJa...Dr-iJ/�------.. / —:.........../C.Q.tuit.............................. ----.. Owner . . ' ....Carl_IC��_�Stabb_________. Typo of Construction Roui��.......................... � -----^--------------------' - Plot ............................ Lot ----------' � Permit ct obe 81 . Granted_ _ Awl � � Date Completed ' ^ PERMIT REFUSED � / ____.__—_--_,_--------. 19 ' -----'' -- ---' ................. --//./—.���---- ~_' ~~ �� . � . � -^'--~`----~~'---^~'—'—'—^—'—''—'—'` ' —'''~—~—'—^''—~--'—'`—~'—^''--~—'--- Approved ' ................................................ 19 -------.—.---.--.—.--~..~..---. . -----------^^'---''---^^^^'—~^^'' ' ' r oF� r Town of Barnstable *Permit P� O Expires 6 months from issue date Regulatory Services Fee w BARNSTABLE, ' 9� 63; `�� Richard.V.Scali,Director AjEO��p Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis . fA 02601 www.town.barnstao hefxn Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RE TIAVM01K Y Map/parcel Number 0IJ' �jJ� Not Valid without Red`nX- mPress/mpr OV j��n(�� v i .1 Wr_y Property Address jif �Yde _scll) PAZ- Yn-.f- W residential Value of Work$ 1090 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ��-4_Aj /ds1CVa 17 --T740'- 3 Contractor's Name Aeow-H /- &6<&// Telephone Number Wgt—F;t5_�77'07 Home Improvement Contractor License#(if applicabl_) Construction Supervisor's License#(if applicable) (Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [J Iiave Worker's Compensation Insurance Insurance Company Name AIC- / /IrrrGNkXe& Workman's Comp.Policy# WCO 157 5'1 c?),j j? 4 X.wC&51 $ 30g3 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)(not stripping. Going over existing layers of roof) ❑,;Re-side ❑1 Replacement Windows/doors/sliders.U-Value , ;-3 (maximum .32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this pennit 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&Construction Supervisors License is require 'Nk SIGNATURE: w-e C� C:\Users\Decollik\AppData\Local\Micro oft\ indows\Temporary Internet Files\Content.0utlook\2Pl0l DHR\EX I'llESS.doc Revised 040215 of t"e rgy, * swxrasTAsi.e, "9. i639• Town of Barnstable ♦0 RFD MP'�A .Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must -Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Deco]Iik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 a Office of Consumer Affairs d Business egu anon 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improven� ,! :ontractor Registration Registration: 148688 Type: Supplement Card Expiration: LOWES HOMES CENTERS LLC. pt'on:i 0/18/2017 � 1 JAMES DONOVAN 136 TURNPIKE SUITE 100 SOUTHBOROUGH, MA 01772 Update Address and return card.Mark reason for change. sca 0 zonn•osm Address Renewal ❑ Employment r] Lost Card dieomriron�uea�lli�C? ¢c�iure ffice of Consumer Affairs&Business Regulation License or registration valid for individual use only s OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: -:41•• Office of Consumer Affairs and Business Regulation Reglstratio _-:4g8 Type: 10 Park Plaza-Suite 5170 Expip�q Supplement.Card Boston,MA 02116 LOWE'S HOMES 0T.. JAMES DONOVAN 1000 LOWES BLVD X�N� MOORESVILLE,NC 28117 Undersecretary of valid without igature The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations I Congress Street,Suite 100 Boston,MA 02114--2017 , www.mass gov/dia Workers, Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/Or anization/Individual): �{'} tip r Address: City/State/Zip: l Si9i /e a�6l1'7 Phone#: 17q' t &!6�-Z&36 Are you an employ r?Check the appropriate box: 1•�am a employ with 4. ❑ I am a general contractor and I Type of project(required): employees(ful. and/or part-time).* have hired the sub-contractors 6• ElNew construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.+ 9. ❑Building addition required.] 5.❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeow er doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL insurance required.]t c.,152, §1(4),and we have no 12.❑Roof repairs employees. [No workers' 13•❑Other comp. insurance required.] 'Any applicant that checks I ox 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit i his affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this ox must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-con tors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company N e:� Policy#or Self-ins. Li .#: 15 5 1� ��� r♦ A lV C 00 V . Expiration Date: �'— 1 � t�Q<7 Job Site Address: J XSC)17 Fa2k, City/State/Zip: GITW o- 35— Attach a copy of theworkers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 an or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c ti un r the pains and enalties o er'ury that the in ormation provided above is true and correct. Si ature: ..Date -. �` t — Phone#: Official use only. Do not write in.this area,to be completed by city or town o fici a1 . f City or Town: Permit/License# IL6. ing Authority Circle one): ard of Health Z. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector her act Person: Phone#: CERTIFICATE F LB n rwr ILITY INSURANCE gem* 7WC93UMUE�T>vEtr oR �°F ANo coNFE�w��++*s UPON Tm unvE noEs CONSMUMACT TME COVEl►OE nFF0 1toW THIS Sy TIME mQ holder i°an Appmpp� ~oLoea. N 7HE MStma arti6e ee ddoesMANM�t I* the 1. and f1°i� haMe App ° neat not eea�fsr to the a eale holder liar such wiry. oi�ei� Y rewire an endonNUMOMIL Aor beRisk _ t on tAs services South, Inc. 11117ropolce Itan venue, Suitei lotto NC 28204 USA Opp I (v-wo.enk Cs66) 283-7122 p1X W (800) 363-0205 a La�e-s quarries. Inc. ! MAIFFIC MWWCA67c i ad�st Incur rwCs its subsidiaries A: Ste ante Ca�pany 1000 La�e's Boulevard �slstetae National union Fire Zns pi 26387 'Ile ue 28U7 usA ttsh(rrgh SMI Nea �PsM Ins Co 5 �o: 384I ~-� ttaVNERF: T® TFWTTF pp OIs To F 5700615,90g4g BIE ImmmnNDING ANYme►Errr BEipVy HAVE� � REVISION v oR w►r PN oonronton OF ANY THE D TYPE OF sE OF S( POUCa _�yrg NqY BE s sueJECTTO IsTHE �...p �©� y y WINNER L'n'is`�areas rewoesld a/ovme6 04Mrm7 EACH GBrLAGtaRGggnEL AFFtE3FER j UME)P(A�ye,yPrms,) F0 C�JEM tot j Fe+soN�taAovs,u OTHER: o ° wnprpeaFwaefi FnoauCts_CowiI y y G 18612 0 C x ANAt/r0 r v 04/O1/2 04/01/20I7 t1ppE. A G 38612 m Lmar ° r lzmxm OWNED 11I1 04/0 Q4/0112017 aoo�yuAmy(ps s5,000, ofty inps y y ne,,,,,p atr �CW VA 04/01/20 04/01/2017 80DLy IMAW(I►aaC I 2 A UNORMtAlL10 X ° TrW1M4t# e x �t� oocu( r r ZpR37923 0 C 406:OE 7✓207 Y iOEAC s10,000, G� C gyp . wD y AGGREGATE sm'ow,000 19 /�/E»wtNE rN ADS pl/20 04/01/20 PER XME MIA SIR aPPli per Policy to d, condi 'po; ELFAQfADr CPEROff ° Excess yc� D�Beee.r f2,000, aatorEF r 583043 ADS04 Ol/20 04 p E't'O �tasr u,000, EL Each Accident °anoF Per policy 3 toad; . EL Dicease - vo7icy s3,0pp, rcial Gene�llLiabili � ° Disease - Ea EI s3,000 Liability is calf-Insured. SdisOit seaC yi,,,,r 53,p00, FFlGdE H UXR CANCELLATION MII EIRWAnm ONE AM OF TME AI oE6Cp� urd its sd�sidiar'ie �CY i E�BE��M �J arep of MO°remlle Boulevard R 28177-8S20 USDA ACM 75(2My0�� 9�et The ACORD name end hfto are negi md rR r s COFWCRA1MX AM n91dS WEI � C7J Iie rpomcmanuiea t� alcu lid ee of Gossamer Affairs&Bsaiseas ltegalatioa License or registration va for individul we only - ME IMPROVEMENT CONTRACTOR before the expiration date. If fodnd return to: Egistrztion• 168027 . Type: mice of Consumer Affairs and Business Regulation !,piration: •12/f/2Qts;: DBA Boston,MA 02116 5170 <E`INET-1 KENDAiL iCc�i:F_TI'. KENDALL 5VsI=;-DENPL FAIR-:AVEN,MA 02719 Unde seeretary Not valid without signature Massachusetts-Department of Public Safety Board of Buiiding Regulations and Stan-j ' License:CS-075153 Kauadh D Kew-` 5 Weeden Phoe Fxbbwm MA OM9 J.L...� '�'ta�• Expiration Commissioner 01N2=17 f The Corrrmonwea&h o M}� assachusettr Departrnent oflrtdus&WAcddents s 1 Congress Street,SuUe 100 Boston,MA 0211¢2017 www.MaSSgov/dia �'U*ers' Compensation Iasm ante Affidavit Bmldets/CoQiractors/Eledariciaas/p.3umbe, A_F. mat Infermaiaon TO BE FII D WTrH THE P ERM TTMG AIT£HORr y_ Name (Ba ,Cr9Mizatiou&c ivi&4:n KennC Pleaae Punt _[,N-,iv Ackress: sak re— em'is ziF: Phone#: JS��f— V 5" 9 I7yP7 - Am ym art emplaycr?Check the aPpr%miate bmC i•[�I am a c�loyer w Type of project(Mjrf:i�-_ employees(full an&or ptt tk-).* X4= a ale Pml►riororgautoaship and have no 0 7 ❑New c* nlcti.rr. capacity.[17o wows' �1o3'�s worlan„for me iu E] �iasm-�ce 8- Rem«'�; ' - 3.❑I am a hameow.me:doizig all wank myself[No wows'comp.insm-a= ]t 9. ❑Deamol Lion 4.a I am a homeow=;and will be hiring contractors to aondvd all wodc on my propertY. I will10 Building � eastae that all conu�other have worker' ;.,�,.m=or are sole ❑ proprietors wilt no employees. I LEI Electrical repx s cam;:addi;;._._s is 5.❑I am a general wrtractor and I have hired the sa-w listed on th,ailached sheet 12 ❑Phmmb;ng rep3i,s C:_ .d[.:_;.; Tbese sib—tors bave employees and have wo&=,camp_ t 13.❑Roof rf-pairs 6.Q we an a corporation and its oars have==jsedt= " o 14. o I5Z§I(4�and wr:have:no nitf on per MGl,c. employees[No workus'CDUP•immance roqaic&l -- ----- 1.4ny applicant that checiG boz?r1 mmt also ti71 out the secrion below their warps'�atian Policy wbO submit this affidavit m6cabng thcy ors doing o waeic and ihea hue outside tha check this baoc must attac bed an t�araar c sheet �aetm must submit a new a 6idavit i n&c2t:,: r 1. employees. If the subs lk name of the sul�ac lom and state wheel err not those emetic; re ontracoors have employe,they,DW provide then- workeas,cam.po>icl,m I inn mi enrployer.hat it providing workers'corrpensadon iasrvarrte or — ---- btformadon. f MY employees Below is the policy m•..Cy�,A; Instaance Compatr�Natne: Policy#or Self-inc.Lic.#: Expiration Date: L -. n Job Site Address: __` _L^�G'��S'�� 0/� .� I Attach a copy of the workers' Cilycompensation pohry decoration Q rho the . �r UC� Lo Me(Showing policy number x.nd e�xp irat ;,, FMIMe to secaae ccvetage as requked order MGL c. 152,§25A is a manna violation and/or one-yeaz bnprsouneat,as well as civilE P 1R by a`cae f tc Penalties in the fog of a STOP WORK ORDR and a fr,.e of up coverage verification >,� T:�•�O.i}:i-:. day against the violatsr-A copy Of this statement may be foiwzxW Office of Investigations of ttx fi t r DIA .=lraa,.3 I do hereby trcnvTer the paves mid of perjur3'rhaf the MfOnnrar ton provided above is hu--and co;-,nr mouse orriy: .00 not write in this area to be complded by dry or town of}wd City or Town-, Peter# A MY(cn de.one): I-Board of Health: Z B Q 6.OtheF II �Department 3.GYtp/Town Clerk 4.Electrical I Inspector 5.Plumi:)ing lu,.Pef< r Contact Person: Phone In - - I STORE COPY INSTALLATION SERVICES CUSTOMER CONTRACT- MWORK-INT/EXT/PATIO DOOR LOWE'S OF WAREHAM, MA,STORE is 2376 STORE PHONE:(774)678-6000 2421 CRANBERRY HWY,STE. 100 SALESPERSON: MELISSA PULSIFER AREHAM, MA 02571-5022 SALESPERSON ID: 1414969 Document Print Date: 1 0/2 712 0 1 6 This is only a Quote for the merchandise and services printed below. This becomes an agreement upon payment and issuance of a Lowe's receipt, upon which the entire agree- ment, including the specifically completed pages of this document, the Terms and Conditions included with this document, the applicable portion(s)of Lowe's receipt, and any other addenda or attachments hereto, shall be referred to herein as this"Contract." PLEASE READ THIS ENTIRE.D000MENT INCLUDING THE"TERMS AND CONDITIONS." BEFORE SIGNING. Lowe's Registration or Contractor License Number/Lowe's Contractor Name Lowe's Home Centers. LLC's MA HIC NO.: 148688 Lowe's Home Centers. LLC's FEIN: 56-0748358 Customer Name Home Phone S JEAN INZIRILLO 201-452-7245 O Customer Address Other Phone 18 JACKSON DRIVE L City State/Province Zip/Postal Code D COTUIT MA 02635 Installation Address T 18 JACKSON DRIVE O Installation City Installation State/Province Installation Zip/Postal Code COTUIT MA 02635 MERCHANDISE AND INSTALLATION SUMMARY MERCHANDISE SUMMARY 77951 :ORDER #18930687 : SOS: SOS THERMA TRU SMOOTH STAR : ORDER 18930687 : HUTTIG -TAUNTON, MA - QTY 1 1155 : 1155 : STK : 1-4-8 SELECT PINE : 1-4-8 SELECT PINE : PRECISION LUMBER -QTY 3 110073 : 043 1 561 7 1 699 : STK : SCH ABZ HNDLST CAMELOT/ACCENT : SCH ABZ HNDLST CAMELOT/ACCENT : SCHLAGE LOCK - QTY 1 193569 : 35170FJPMD : STK : PFJ CSE351 2-1/2-INX1 1/16-INX7-FT: PFJ CSE351 2-1/2-INX11/16-INX7-FT: EMPIRE COMPANY, INC. (THE) -OTY 3 585248 : 20297857 : STK : LARSON QUICKFIT HDL KIT AGBRZ : LARSON QUICKFIT HDL KIT AGBRZ : LARSON MANUFACTURING COMPANY -QTY 1 758239 : 14904032 : STK : LAR SIG CLASSIC 36 FRAME WHITE : LAR SIG CLASSIC 36 FRAME WHITE : LARSON MANUFACTURING COMPANY - QTY 1 Materials Price $ 1365.95 Store 2376 Project No. 489055929 for JEAN INZIRILLO Page 1 of 8 • STORE COPY INSTALLATION DESCRIPTION Stock or SOS : SOS Door Type : Exterior Select Location : Front Door Select New Door: Single Pre-hung Hardwood (Mahogany or Oak) Door : No Side Lights or Transoms : No Hidden Damage Description : None Number of additional holes bored for accessories : None Install Specialized Mortise Hardware : No Install Storm Door : Install new storm, screen or security door Select Storm Door: Storm Door Total Linear Feet of Custom Trim to be Installed : 0 Deliver Door: Yes Customer Understands Scope of the Project : Yes Permit Required : Yes Who Will Obtain Permit : Lowe's Permit Fee : No Additional Miles Traveled over 20 : 9 Bring Up To Code Description : None Local Disposal Fee :Yes Describe Other Work Needed : None Comments ; No Comment Lead Safe Practices : No Labor Charges $ 557.00 Detail Deduction -$ 35.00 Additional Specifications: Notation: Lowe's will not make structural modifications, paint or stain or remove/reinstall security system equipment. Customer is responsible to advise if prop- erty is governed by Historic District Regulations. Additional Specifications:Federal law requires Lowe's to provide you with the pamphlet Renovate Right: Important Lead Hazard Information for Families, Child Care Providers and Schools. By signing this Contract, Customer acknowledges having received a copy of this pamphlet before work began informing Customer of the potential risk of the lead hazard exposure from renovation activity to be performed in Customer's dwelling unit. PHOTO RELEASE: Customer grants to Lowe's and Lowe's employees and independent contractors the right to take photograghs of the Premises where In- stallation Services will be performed and all work performed at the Premises related to this Contract, and irrevocably grants to Lowe's all right, title, interest in and to the photographs for use in all markets and media,.worldwide,'in perpetuity. Customer authorizes Lowe's to copyright, use and publish the photographs in print and/or electronically, and agrees that Lowe's may use such photographs for any lawful purpose, i luding, but not limited to, marketing, advertising, publi- city, illustration. training and Web content. By initialing here, Customer agrees to the foregoing, _,___ [Customer to initial to the left). NOTICE TO CUSTOMER-PRICE CALCULATIONS: In order to properly perform the installation of cer in Goods, the Contract Price may include more Goods than actually will be installed based on the measured square footage of the Project Area. As a result, the parties agree that the lump-sum Price slated in this Contract is calculated upon both the value of the estimated Goods required to fulfill the Contract (including waste), which may exceed the actual square footage Store 2376 Project No. 489055929 for JEAN INZIRILLO Page 2 of 8 STORE COPY of the Project Area, and the labor which may be estimated based on the amount of Goods required to fulfill the contract (including waste). By signing this Con- tract below. Customer acknowledges receipt of this notice and agrees and understands that the Price includes these costs which may not be refunded once the installation Services are performed.. TOTAL CHARGES OF ALL MERCHANDISE AND SERVICES .,where applicable SUB-TOTAL 1887.95 'TAX $ 0.0 DELIVERY .$ 0.0 ORDER TOTAL $ 1887.9 BALANCE DUE Work is to commence upon reasonable availablity of Contractor which is anticipated to be /l ,Lll` L'LOJ [fill in date]. Estimated completion date is_...._/.:w._i�_ C'_._ -'r _[fill in date]. r- c NOTICE TO CUSTOMER All items listed in this contract and specification sheet(s) are to be installed under conditions agreed upon at time of purchase and at the price appearing on this contract form. This assumes sound existing substructures. superstructure and points of attachments. Extra labor or material incident to installation necessitated by defective substructures, superstructure, points of attachment, or the moving of fixtures or appliances to be billed at extra cost to custom- er. IF THE CONTRACT TOTAL IS $1 000 00 OR LESS Customer must pay in full. COMPLETE THIS SECTION ONLY WHEN THE CONTRACT TOTAL EXCEEDS$1 000 00: `j Customer to Pay in Full: OR Customer to use the following payment schedule: (1) Deposit of $ to be paid upon signing contract. Any deposit collected at the time this Contract is signed will not exceed one-third (1!3) of the contract price: and (2) Payment of $.... to be collected upon or after the commencement of work. I/We authorize Lowe's to do one of the following (check ap- propriate box below): Store 2376 Project No. 489055929 for JEAN INZIRILLO Page 3 of 8 STORE COPY [--]Charge my/our credit card for the amount of the payment indicated above upon or after the commencement of work: or [ .J Deposit myr"our check for the amount of the payment indicated above anytime upon or after the commencement of work: and (3) Final payment of S100.00, to be paid upon completion of the installation to both parties' satisfaction. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AND UNTIL YOU HAVE READ THE TERMS AND CONDITIONS CON- TAINED IN THIS CONTRACT AND WHICH FOLLOW THE SIGNATURE PAGE(s). BY SIGNING BELOW, YOU ARE ACKNOWLEDGING THAT YOU HAVE READ. UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH IN THIS CONTRACT. YOU ARE ENTITLED TO A COPY OF THIS CONTRACT AT THE TIME OF SIGNATURE. NOTICE REGARDING ARBITRATION AGREEMENT FOR CLAIMS COVERED BY M.G.L.c.142A LOWE'S AND OWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT LOWE'S HAS A DISPUTE CONCERNING THIS CON- TRACT, THAT LOWE'S MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRET- ARY OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE OWNER SHALL BE REQUIRED TO SUB- MIT TO SUCH ARBITRATION AS PROVIDED IN M.G.L. c.142A. By-------- _.--...---...._ .-.._.. ---- -----.._.__._. Date:_ ....._------ —---------- ...... --- Lowe's Home Centers, LLC By: —._ . .. .... .-_._-..----------------..----- _ _..------------ Date:--- ............... caner By:.--... . _----- _.__.. . _ --- Date: =--- ---- ..._ Co-owner or Witness THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE RESOLUTION INITIATED BY LOWE'S PURSUANT TO M.G.L. c.142A. THE OWNER MAY BE PERMITTED TO INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THE SECTION ABOVE IS NOT SEPERATELY SIGNED BY THE PARTIES WITNESS OUR HAND(S) AND SEAL(S) BELOW THIS -._DAY OF Lowe's Home Centers. LLC /\) BV� (Seal) / ! / Print Name:,�� �� /.'��c� At r s/-k y _ 1 �a j. 1 �` i ; t 1}r;-`t. �L� i_/ .�! �-- (Seal) Address t owner Store 2376 Project No. 489055929 for JEAN INZIRILLO Page 4 of 8 STORE COPY Yll City State!Province Zip!Postal Code Print Name (Seal) CO.Owner or Witness Print Name Customer acknowledges receipt of a true copy which was completely filled in prior to Customer's execution hereof. You the customer may cancel this transaction at any time prior to midnight on the third business day after the date of this transaction. See the attached Notice of Right to Cancel for an explanation of this right. Store 2376 Project No. 489055929 for JEAN INZIRILLO Page 5 of 8 STORE COPY TERMS AND CONDITIONS 1."LOWE'S"DEFINED.mumn this Contract las defined on the front page of this Contract).the term"Love's"shall refer to Lowe's Home Centers.LLC.a North Carolina limded liabity .company. 2.GENERAL DESCRIPTION.By executing this Contract,Customer and Lowe's agree that 1)Lowe's shall provide Customer the goods and/or materials(the"Goods").2)Lowe's shall procure on Customer's behalf.the services to instal,the Goods(the'Installation Services")in or on the premises identified on the face of this Contract(the"Premises")and 3)Customer shall pay Lowe's the 0.rmp•sum Contract Total stated on the face of this Contract t lire"Price")and according to the provisions of the'Contract Documents".The Installation Services shall be perfomed in the specific rooms or areas of the Premises identified on the face of this Contract "Project Area").The"Contract Documents"shall consist of(1)the face of this Contract.(2)these Terms and Conditions,(3)the applicable portion(s)of Love's receipt and 0)any attacned sketches,materials lists,floor plans.and/or specification sheets and other addenda or attachments hereto.The Contract Documents do not include any correspondence,advertisements,estimates or other documents[hat are not attached. 3. INSTALLATION SERVICES.Custcrner authorizes Lowe's on Customer's behalf to(a)arrange for the Installation Services to be performed by an independent contractor(the'Installer")(licensed when ieg- ally required),(b)issue a work order to the Installer to perform the Installation Services,(c)have the Installer's work inspected.should Lowe's in its discretion choose to do so(it being agreed that Lowe's has no obligation to do so).and(d)pay the Installer after completion of the work and after receipt of a certificate,signed and dated by Customer.that the work has been satisfactorily completed(the"Certificate of Completion").Customer understands that Lowe's will rely upon the Certificate of Completion in paying the Installer for the Installation Services.Customer agrees that the Installation Services do not include ar- chilectural/engineering services or structural changes to the Premises or any other services beyond the ordinary and routine installation of the Goods as specifically provided in this Contract. Customer is re- sponsible,at Customer's cost.for providing any necessary architectural/engineering services or structural changes to the Premises or any other services not specifically identified in this Contract. 4. GOODS.Lowe's will arrange for delivery of the Goods to[tie Premises.Customer agrees that title to goods does not pass to Customer until installed in Customer's home,building.or on Customer's prop- erty.Customer agrees Contract is being offered for the total Price(per below).Customer further agrees any surplus materials upon completion of the Installation Services are not the properly of customer and, if instructed by Lowe's.such surplus materials shall be returned to Lowe's by the Installer.Upon request from Customer at the time of job completion,Lowe's,in its discretion,will allow all or part of the unused, receipted surplus materials to be retained by the Customer. 5.PRICE.The Price covers the Goods, Installation Services,and applicable taxes.The Price assumes sound existing substructures,superstructure and points of attachments.The Price shall be increased by the cost and reasonable profit to Lowe's of having to provide additional Goods and/or Installation Services as a result of defective substructures,superstructures.or points of attachments or the existence of any other Undisclosed Condition(per below). In the event of an Undisclosed Condition or the foregoing.Customer will execute a change order or a new replacement contract upon Lowe's request. 6. DISCOUNTS and PROMOTIONS. From time to time, Lowe's provides various promotions,offers and discounts that may apply to Goods and/or Installation Services.See specific promotion,offer and dis- count for terms and conditions that may apply.All discounts are taken at the time of Customer's purchase.Applicable discounts or discounted Prices will appear on the Lowe's receipt andlor on the Contract, 7.PAYMENT. It the Price is S1.000.00 or less.payment of the Price by Customer to Lowe's is due in full uopon execution of this Contract. 1f the Price is over S1,000.00,Customer may choose to pay in full upon execution of this Contract,but Lowe's may not require Customer to do so. If the Price is over S1.000.00 and Customer does not pay in full at the time of sale,Customer agrees to pay Lowe's according to the payment schedule set forth in this Contract.Customer agrees to pay a deposit upon execution of this Contract equal to one-third of the Price.Customer agrees to make a payment for the balance of the Price less the final payment at least one day after the date this Contract is executed and prior to the commencement of the Installation Services.Customer agrees to make the final payment upon completion of the Installation Services and Customer's satisfaction. Payment for a new replacement contract is payable according to these Terms and Conditions. Payment for any change order is due at the time of that change order.Lowe's will send to Customer by U.S.Mail a receipt evidencing Customer's purchase after Payment is processed. a. LICENSES, PERMITS,SAFETY RULES,BUILDING CODES,ZONING ORDINANCES,AND OTHER LAWS.The Installer shall be solely responsible to Customer for obtaining any and all licenses,regis- trations and certifications which are legally required to perform the Installation Services. The Installer shall also be solely responsible to Customer for the Installation Services being performed in compliance with all applicable safely rules and all existing buidling codes,zoning ordinances and other laws.Lowe's shall be responsible to Customer for obtaining building permits which are legally required to perform the Installation Services where Lowe's is legally required to obtain such permits.Where Installer is required to obtain such permits then Installer will be responsible to Customer for obtaining such permits.Custom- ers who secure their own building permits will be precluded from claiming against certain state guaranty funds relating to home improvements. Neither the Installer nor Lowe's shall be responsible for any pre- existing violations of safety rules, building codes,zoning ordinanaces or other laws and shall not be required to address or correct same. If prior to the completion of work a change occurs to any applicable safety rule,building code.zoning ordinance or other law which requires additonal Goods and/or Installation Services to perform this Contract,Customer agrees to pay Lowe's the cost and reasonable profit for such additional Goods and Installation Services and to execute a resulting change order or new replacement contract as requested by Lowe's.No additional work will be performed under this Contract due to any change to any applicable safety rule,building code,zoning ordinance or other law that occurs after the completion of work. 9.CUSTOMER'S WARRANTY AGAINST VIOLATIONS OF EASEMENTS,COVENANTS,AND THIRD PARTY RIGHTS.Customer warrants that performance of Installation Services will not violate any exist- ing real property easements.covenants,homeowner's association rules or rights of third parties holding an interest in the real property being improved. 10.UNDISCLOSED CONDITIONS IN PREMISES.If any defect,weakness or dangerous condition including,but in no way limited to,mold,mildew,rol.asbestos or infestation('Undisclosed Condition')is dis covered or identified in the Premises'structure,substructure,superstructure or points of attachment at any time prior to commencement or completion of the Installation Services,Customer must remedy the Undisclosed Condition at Customer's sole cost arid expense and to Lowe's sole satisfaction. If Customer refuses to permit inspection of the Premises as set forth below.Lowe's may terminate or rescind this Contract without remedy or recourse by,or further obligation to.Customer,except as expressly provided below.If Customer and Lowe's disagree as to whether an Undisclosed Condition exists.Lowe's may in its sole discretion obtain the services of an inspector to inspect the Premises at Lowe's sole cost and expense,and if Lowe's chooses to do so,such inspectors report shall be final and conclusive as to wheth- er an Undisclosed Condition exists.In the event of any Undisclosed Condition that Customer does not remedy to Lowe's sole satisfaction,or any failure by Customer to perform any other obligation of Custom- er under this Contract.then at Lowe's option(i)Lowe's may rescind this Contract and return the Price to Customer without further cost or obligation by either Customer or Lowe's if Lowe's notifies Customer of its electron to rescind this Contract prior to the earlier of delivery of the Goods and the Installer beginning performance of the Installation Services,or(ri)Lowe's may terminate this Contract without remedy or recourse by,or further obligation to Customer,except as expressly provided below if Lowe's notifies Customer of its election to terminate this Contract after the earlier of delivery of the Goods and the installer beginning performance of the Installation Services.In the event that Lowe's terminates the Contract as provided in this Section,then Customer may return the Goods(other than Goods that have been'custom- made')in their original. unopened condition,to Lowe's for a refund or credit.Any such return must be made within 30 days after Lowe's terminates this Contract.Customer will be charged a 15%restocking fee on any such returns. Goods not in their original, unopened condition, and custom-made goods, may not be returned. "Custom-made`goods include goods that have been uniquely altered. color-matched, shaped.sized,cut or otherwise designed or fitted to accomodate the requirements of a particular space or environment. Examples of custom-made goods include,but are not limited to.cabinets,countertops. floor and wall coverings.and evindow treatments.If Lowe's terminates this Contract as provided herein.Lowe's shall have no obligation to refund any portion of the Price(except as expressly provided herein) and shall have no obligation to restore the Premises to their original condition.Notwithstanding the foregoing, and alternative to rescinding or terminating this Contract as described above.upon discovery or identification of any Undisclosed Condition in the Premises, Lowe's may in limited circumstances and markets.and in Lowe's sole discretion,authorize the commencement or continuation of Installation Ser- vices upon Lowe's receipt of Customer's written agreement(to be furnished to Customer by Lowe's)to release and hold harmless Lowe's and installer from any and all liability arising out of or related to the Un- disclosed Condition and Customer's remedy y of Undisclosed Condition. t facilitate the location of utility lines.Customer is responsible for identi- 11. CUSTOMER'S RESPONSIBILITIES:Customer agrees to pay Love's according to these Terms and Conditions.Customer agrees o ac y P tying property lines.Customer agrees to ensure that work areas are free of vermin and pre-existing physical or environmental hazards,and buildinglzoning code violations.Customer agrees to provide the In- staller facilities or to a the rental costs for such facilities. Customer agrees to ensure that any security system at the shatter with access to work areas during working hours and to provide access to sanitary pay Store 2376 Project No. 489055929 for JEAN INZIRILLO Page 6 of 8 STORE COPY Premises will not interfere with performance of the Installation Services.Customer agrees to provide power to,as applicable.climate control in.the work areas.Customer agrees not to allow unattended minors at the Premises while the Installer is present.Customer agrees to control and keep pets away from work areas. Customer agrees to keep posted permits on display at all times.Customer agrees that if Cus- icmier of anyone Customer controls interferes with or delays performance of the Installation Services.Customer may he sub;ect to transportation/storage charges or other resulting charges. Customer agrees not to assign or transfer this Contract. Customer agrees that any claim against Lowe's or the Installer under this Contract should be made to Lowe's within thirty(30)calendar days of the date Customer first becomes aware of a problem. (Lovee s will attempt resolution of any claim(s)within sixty(60)calendar days of receiving Customer's notice.)CUSTOMER ASSUMES THE RISK AND THE FULL LIABILITY OF PHYSICALLY ASSISTING WITH DELIVERY OF THE GOODS OR WITH PERFOMANCE OF THE INSTALLATION SERVICES.To Ensure Compliance with Smoke Alarm and Carbon Monoxide Detector Requirements.Prior to the start of the Installation Services.You will ensure the Premises have all necessary carbon monoxide detectors and smoke alarms('Detectors')needed for the Installer to obtain the necessary permits and complete the Installation Services. You are solely responsible for the proper number, placement,type. functioning, operation, installation.testing,as per the manufacturers'specifica- tions,and maintenance of any Detectors required by Local Regulations.Failure to meet Federal,State or Local Detector requirements.if any,will be considered an Undisclosed Condition. 12.MANUFACTURER WARRANTY FOR GOODS.Customer is entitled to any warranty provided by a manufacturer of the Goods sold under this Contract.The Installer will provide Customer with any manu- facturer consumer warranty information accompanying [lie Goods.and Customer may also obtain such information by contacting Lowe s. LOWE'S DOES NOT WARRANT THE GOODS AND EXPRESSLY DISCLAIMS ALL WARRANTIES EXPRESSED OR IMPLIED TO THE FULLEST EXTENT PERMITTED BY LAW 13. LOWE'S WARRANTY FOR INSTALLATION SERVICES/LIMITATIONS OF LIABILITY. Lowe's does warrant that the Installtion Services will be performed by the installer in a good and workmanlike manner. Lowe's warranty for Installation services shall extend for a period of one year from the earlier of(1)the date the Certificate of Completion is signed by Customer or(2)the date that Lowe's determines that the Installation Services have been completed.or for such greater period as may be required by applicable law governing consumer warranties for workmanship(the "Warranty Period"), LOWE'S WAR- RANTY THAT THE INSTALLATION SERVICES WILL BE PERFORMED BY THE INSTALLER IN A GOOD AND WORKMANLIKE MANNER DOES NOT COVER. AND LOWE'S WILL NOT BE RESPONS- IBLE FOR,ANY DEFECT IN SUCH INSTALLATION SERVICES DUE TO(1)ANY DEFECT,WEAKNESS OR DANGEROUS CONDITION.INCLUDING BUT NOT LIMITED TO.MOLD.ROT.ASBESTOS OR INFESTATION IN THE PREMISES'STRUCTURE, SUBSTRUCTURE.SUPERSTRUCTURE OR POINTS OF ATTACHMENT.OR OTHER PRE-EXISTING PHYSICAL OR ENVIRONMENTAL HAZARD.OR (2) ABUSE.MISUSE, NEGLECT.OR IMPROPER CLEANING.LOWE'$WARRANTY FOR INSTALLATION SERVICES SHALL BE IN LIEU OF ANY OTHER WARRANTY,EXPRESSED OR IMPLIED,TO THE FULLEST EXTENT PERMITTED BY LAW. Customer acknowledges and agrees that Customer shall be limited to seeking recourse or remedy exclusively from Lowe's or the Installer(as applicable)and that no affiliate of Lowe's shall have any liability under this Contract. Customer must give Lowe's written notice within the Warranty Period of any warranty claim relating to Installation Services.Customer agrees that its sole and exclusive remedy against Lowe's for a warranty claim is reinstallation in a good an workmanlike manner.including the repair or replacement of any Goods it and to the extent resonably necessary to correct the defective Installation Ser- vices.CUSTOMER SHALL HAVE NO OTHER REMEDY FOR A WARRANTY CLAIM, INCLUDING WITHOUT LIMITATION REMEDY FOR LOSS OR DAMAGE CAUSED BY NORMAL WEAR AND TEAR. LOSS OR DAMAGE WHICH HAS NOT BEEN REASONABLY MITIGATED. OR LOSS OR DAMAGE CAUSED BY ACTS OF GOD. IN NO EVENT SHALL LOWE'S BE LIABLE FOR INDIRECT. PUNITIVE,. CONSEQUENTIAL OR INCIDENTAL DAMAGES(SUCH AS.WITHOUT t-IMITATION,LOST PROFITS.LOST SALES,AND INJURIES TO PERSONS OR PROPERTY), EVEN WHERE LOWE'S HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. WHERE. DUE TO OPERATION OF LAW, SUCH DAMAGES CANNOT BE EXCLUDED, THEY ARE EXPRESSLY LIMITED IN AMOUNT TO THE PURCHASE PRICE. In connection with any warranty claim.Customer agrees,at no cost to Lowe's or the Installer.to prepare the Premises and the reinstallation area in the manner described in Section 11 of these Terms and Conditions. 14. DISPUTE RESOLUTION FOR CLAIMS COVERED BY M.G.L. c.142A. :Most questions or complaints are resolved informally. If Customer has a question or complaint, Customer agrees to contact the Lowe's salesperson whose name appears on this Contract and the manager of the Lowe's store at the address andror phone number on the front page of this Contract.If Customer has a complaint which can- not be resolved informally.The Horne Improvement Contractor Law(M.G.L.c.142A)may provide Customer with the right to request arbitration through a private arbitration program approved by the Director of the Office of Consumer Affairs and Business Regulation,as an alternative to court action.The same right is not afforded to Lowe's unless the 'Notice Regarding Arbitration Agreement for Claims Covered by M.G.L.c.142A"on the front page of this Contract is signed and dated by Lowe's and the owner.If allowed by statute or applicable law,the arbitrator may awared statutory damages and!or reasonable allor- neys'fees and expenses. If Customer tails to pay Lowe's in accordance with this Contract. Lowe's shall be entitled to recover its reasonable attorneys'fees as provided by N.C.Gen. Stat. Section 6.21.2 or other controlling law.To the fullest extent permitted by law,Lowe's and Customer agree that no class action lawsuit or class action artibration of any type may be pursued by or on behalf of the Customer or ordered by a Court or arbitrator(s)under this Contract and.in addition,that there shall be no joinder of parties,except for joinder of parties to the transaction covered by this Contract. 15.ARBITRATION AGREEMENT,WAIVER OF JURY TRIAL AND WAIVER OF CLASS ACTION ADJUDICATION FOR CLAIMS NOT COVERED BY M.G.L.c.142A:All claims by Customer or Lowe's con- cerning Inis Contract which cannot be resolved informally,and which are not covered by M.G.L.c142A or subject to the jurisdiction of a small claims court,shall be resolved by binding arbitration conducted by a single arbitrator under the current applicable rules. procedures and protocols of JAMS, Inc. (JAMS) (www.jamsadr.com) (as amended) or the American Arbitration Association (AAA) (wwv.adr.org) (as amended).The parties agree that J JAMS or AAA are unable or unwilling to arbitrate the matter,the parties will agree upon a single arbitrator with a nationally recognized arbitration firm to arbitrate the matter. Claims to be resolved by binding arbitration include,but are not limited to(1)all claims directly or indirectly related to the signing of this arbitration agreement,the validity or scope of this arbitration agreement, or any attempt to set aside this arbitration agreement,(2)all federal or state law claims relating directly or indirectly to this Contract(including this arbitration agreement),the information Customer gave Lowe's before entering into this Contract and/or any past agreement or agreements between Customer and Lowe's,(3)all counterclaims,cross-claims and third-party claims,(4)all common law claims of any kind in- cluding claims based upon alleged product defect,contract.tort.fraud,or other intentional torts.(5)all claims based upon a violation of any state or federal constitution,statute or regulation.(6)all claims as- serted by Lowe's against Customer, including claims for money damages to collect any sum Lowe's claims Customer owes Lowe's.(7)all claims asserted by Customer individually against Lowe's and..,or any of Lowe's employees.agents.directors,officers,shareholders,managers.members,parent company or affiliated entities(herein collectively referred to as"related third parties")or the Installer.including claims for money damages and.;or equitable or injunctive relief.(8)all clannls asserted on Customer's behalf by another person, (9) all claims asserted by or on behalf of a Customer as a private attorney general against Lowe's,related third parties andror the Installer,(10)all claims arising from or relating directly or indirectly to the disclosure by Lowe's.related third parties or the Installer of any non-public personal in- formation about Customer.an nor(1 1)all other claims arising under or related to this Contract whether or not set forth above.If the dispute falls within the jurisdiction of a small claims court the claimant may. at its option,choose to arbitrate or file a small claims action.Any appeal of a judgment from a small claims court shall be resolved by arbitration as provided herein. Binding arbitration means that Customer waives:(1)any right to a jury trial; (2)any right to bring a lawsuit in a court(other than a small claims court as described above); and(3)any right to seek relief in any other forum or from any other agency.Any claim not decided by a small claims court will be decided by an arbitrator selected as set forth immediately above.Lowe's and Cus- tomer agree that binding arbitration provides a simple,cost efficient method to resolve disputes quickly.Lowe's and Customer agree that no class action lawsuit or class action arbitration of any type may be pursued by or on behalf of the Customer or ordered by a Court or arbitrator(s)under this Contract and,In addition,that there shall be no joinder of parties:except for joinder of parties to the transaction covered by this Contract.By agreeing to binding arbitration Customer and Lowe's waive any right to bring or participate in a class action lawsuit or class action arbitra. tion regarding any claim. How Arbitration Works: Lowe's may demand arbitration:by sending written notice to Customer at the address listed in this Contract.Customer may demand arbitration by sending written notice to Lowe's at the following address: Mail code N86LG. P.O. Box 1000. Mooresville. NC 28115.The arbitration shall be held in the city or county where the Premises are located or in such other convenient location as the Customer and Lowe's may mutually agree. Lo-ve's shall pay Ine tiling,administrative,hearing and arbitrator's fees associated with the arbitration.Customer shall not be required to reimburse Lowe's for these expenses even if Lowe's wins the arbitration. Unless the aruitrator's award or controlling law specifically provides otherwise. Lowe's and Customer will each be responsible for its own attorneys'tees and other expenses. such as wit- Store 2376 Project No. 489055929 for JEAN INZIRILLO Page 7 of 8 STORE COPY Hess and expert witness lees At the timely request of Customer or Lowe's.the arbitrator will provide a written explanation of the award so long as such requirement is consisent with tha then current rules.pro- cedures and protocols of the arbdrabon entity selected by the parties as set forth above.The arbitrators award may be filed with and enforced by any court having jurisdiction.If allowed by statute or applicable law.the arbitrator may awward statutory damages andior resonable attorneys'fees and expenses. If Customer fails to pay Lowe's in accordance with this Contract.Customer agrees that Lowe's shall be entitled to recover its reasonable attorneys' fees and expenses as provided by N.C. Gen. Stat. Section.6.21.2 or other controlling law.The parties agree that this arbitration agreement is rnade in connection with a transaction involving interstate commerce and shall be governed by the Federal Arbitration Act. 9 U.S.C. Sections 1.16(as may be amended)(FAA).but if for any reason the Federal Arbitration Act does not apply.then this arbitration agreement shall be goverened by the laws of the State of North Carolina. 16.GOVERNING LAW AND SEVERABILITY.This Contract shall be interpreted under and governed by the law of North Carolina,without regard to the choice of law rules of any state.except that the ARBIT-. RATION AGREEMENT.WAIVER OF JURY TRIAL AND WAIVER OF CLASS ACTION ADJUDICATION is governed by the FAA. If any provision of the Contract is contrary to any law to which it is subject. such unlawlul provision shall be ineffective without invalidating the other provisions.which shall remain in full force and effect. 17. CREDIT CARD/FINANCED TRANSACTIONS. If Customer uses a credit card or obtains financing to pay some or all of the Price. then Customer acknowledges that'the terns of his or her cardholder agreement or financing documents may change the total amount of money Customer must pay to the credit card provider or fender, including any interest charges and fees.Customer acknowledges that his or tier cardholder agreement or financing documents may have other terms and conditions to which Customer will be subject.Customer also acknowledges that Lowe's is not a party to any such cardholder or fin- ancing agreement. 18.WAIVER OF LIENS.Because responsibility for paying the Installer on Customer's behalf belongs to Lowe's.Lowe's will require the Installer.on behalf of itself and any of the Installer's subcontractors,ma- teriaimen or suppliers,as a condition precedent to payment by Lowe's on Customer's behalf,to fully and unconditionally relinquish,waive and release any and all mechanic's liens,materialman's liens and oth- er liens in the Premises which the Installer or its subcontractors,materialmen or suppliers might have or acquire in the future,by operation of law or otherwise.as a result of this Contract. 19. UNAVOIDABLE DELAY OR FAILURE IN PERFORMANCE EXCUSED.Any delay or failure by Lowe's or the Installer in performing this Contract because of strike,fire,flood,epidemic.acts of terrorism. acts of God,inability to obtain Goods in a timely or commercially feasible manner,or any other causes beyond the reasonable control of Lowe's or the Installer shall be excused and shall not be breaches of this Contract. 20.ENTIRE AGREEMENT/CHANGES IN WRITING.Customer and Lowe's agree that this Contract accurately states the entire agreement between Customer and Lowe's concerning the Goods and Installa- tion Services and replaces and supersedes all prior agreements and understandings relating thereto, both oral and written,and all oral agreements and understandings entered into at the same time as This Contract.Any additions or changes to this Contract.or any waiver of rights under this Contract,must be in writing signed by Customer and Lowe's. 21.CAPTIONS.Titles or captions of sections contained in this Contract have been inserted only as a matter of convenience and in no way define,limit,extend.describe or otherwise affect the scope or mean- ing of this Contract or the intent of any provisions hereof. 22,ADDITIONAL INFORMATION.All contractors and subcontractors must be registered by the Administrator of the Board of Building Regulations and Standards.Inquiries about a contractor or subcontractor relating to a registration should be directed to the Administrator of the Board at One Ashburton Place,Room 1301.Boston,MA 02108,(617)727-8598. 23.QUESTIONS OR CONCERNS.Customer should speak to the Lowe's salesperson whose name appears on this Contract and the manager of the Lowe's store at the address andror phone number on the front page of this Contract, regarding routine matters such as scheduling,any requested changes to Customer's order,or any concerns Customer may have about this Contract.the Goods or the Installation Services. Store 2376 Project No. 489055929 for JEAN INZIRILLO Page 8 of 8 i v,aY�avio i:ao rri nuctig uustomer Services Page 1 of 2 ® Huttig Building Products QUOTE 25 John Hancock Road HUTTIG UPC BUILDING PRODUCTS Box 2780 ACK DATE ORDER NO. Taunton, MA 02780 000000 .10/24/16 18930687-00 (866) 854-8639 Fax: (508) 822-1691 PURCHASE ORDER NO PAGE CUST #: 571252 727z2376 I INEIRILL 1 SHIP TO: LOWES WAREHAM #2376 2421 CRANBERRY HWY, STE 100 CORRESPONDENCE TO: Order Placed By: JOE WAREHAM MA 02571 Inside Salesperson: Jamie Loura Order Taken By: Jamie Loura BILL TO: LOWES COMPANY VENDOR.#10067 P 0 BOX 1813 INSTRUCTIONS NORTH WILKESBORO, NC 28659 SHIP COMPLETE NO BACKORDERS SHIP POINT SHIP VIA Promise Date TERMS Huttig Building Products OUR TRUCK 11/30/16 2% 30 net 31 Line Product and-Description QTY QTY QTY U / M Unit Amount No. Ordered B.O. Shipped Price (NET) ATTENTION - SHIPPING: MUST HAVE AN APPOINTMENT PRIOR TO DELIVERY PER LOWE'S CORPORATION 1 HTT 1 each 747-.91 747.91 ENTRY UNIT THERMA TRU, VOWS RIGHT --INSWING-- SMOOTH STAR EMBOSSED S608LE/S8608LE 6LT LOW-E SDL SINGLE DOOR UNIT DOUBLE BORE 2-3/8, 5-1/2" FF ROTPROOF BTM WS & ORB HINGES APPLIED JMB, ADJ COMP BRONZE LIGHT CAP SILL, BRONZE SWEEP, NO CSG, 3 OIL RUBBED BRONZE 5/8R HINGES, ON-SITE HUTTIG PREFINISHED, PT SGLDR ONLY - 2SD 2CLR PD2CLR2, INT. SW6995 & EXT. SW7582 PAINT, SHIP REMAINING PAINT OR STAIN WITH DOOR UNIT- ENERGY STAR CERTIFIED-FIBERG 50 STATES ** RIP JAMB TO 5-1/211 ** >> PAINT THE INT. OF DOOR SW6995 (SUPERWHITE) AND THE EXT. OF DOOR SW7582 (SALUTE) << 2 ACKPREFINISHED 1 Ea 0.00 0.00 Continued This Qu,,te is subject t,_, the "Huttig Building Froducts Sales Terms and onditions" 1-_c ated at ;,,�•na.hutti3.com/SalesTerrns which are inc,:,rpcorated herein by this refaretice. Huttig -> customer Services Page 2 of 2 ® Huttig Building Products QUOTE HU IG 25 John Hancock Road Box 2780 UPC V ACK DATE ORDER NO. BUILDING PRODUCTS Taunton, MA 02780 (866) 854-8639 000000 IiO/24/16 118930687-00 Fax: (508) 822-1691 PURCHASE ORDER NO PAGE CUST #: 571252 727z2376 INEIRILL 2 SHIP TO: LOWES WAREHAM #2376 2421 CRANBERRY HWY, STE 100 CORRESPONDENCE TO: Order Placed By: JOE WAREHAM MA 02571 Inside Salesperson: Jamie Loura Order Taken By: Jamie Loura BILL TO: LOWES COMPANY VENDOR #10067 P O BOB 1813 INSTRUCTIONS NORTH WILKESBORO, NC 28659 SHIP COMPLETE NO BACKORDERS SHIP POINT SHIP VIA Promise Date TERMS Huttig Building Products OUR TRUCK 11/30/16 2% 30 net 31 Line Product and Description QTY QTY QTY U / M Unit Amount No. Ordered B.O. Shipped Price (NET) Prefinished Ack Note Vendor Product: NPN Note:Prefinishing Acknowledgement This order is for a prefinished door unit and requires your signature in order to be processed.Please verify all colors and options are correct before signing: Prefinished door units cannot be returned once built and prefinished. Date: �� ust PO: Signed and Agreed: 2 Lines Total Qty Shipped Total: 2 Total: 747.91 Total Weight: Total Cubes: Invoice Total: 747.91 Last Page Tails is s1kje._t t_-i the "Huttig- Buiidin� Products Sales T a � �� Terms and G�nditi�_ns" at s.�.V�.huttig.com/Sal es Terms which are inc,_- -iporated herein by this reference.