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0808 SOUTH MAIN STREET
L ��x .. .� it �� ��. � .;_, b � .�. ,. u ...», -. � •. :: ,S v �� , ..� ' � it}. c l V "' L� N . ; Town of Barnstable Building ¢ Post This'Card S&That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept • SIARN ea®e� Posted Until Final'°Inspection Has Been`Made. ' - 63� Permit ' VVhe-re'a'Certificate of Occupancy is Required,such Building shall Not be Occupied until a.Final Inspection,has been made. Permit No. B-19-3951 Applicant Name: EXCEL BUILDING SYSTEMS COMPANY INC. Approvals Date Issued: 11/22/2019 Current Use: Structure Permit Type: Building Siding/Windows/Roof/Doors Expiration Date: 05/22/2020 Foundation: Location: 808 SOUTH MAIN STREET,CENTERVILLE Map/Lot185-061 Zoning District: RD-1 Sheathing: Owner on Record: TAYLOR, HERBERT BELL TR 'Contractor Name:`;EXCEL BUILDING SYSTEMS Framing: 1 COMPANY INC. Address: 808 SOUTH MAIN STREET I 4e 2 CENTERVILLf, MA 02632 v _. Contractor License., 182094 i Chimney: y Est. Project Cost: $ 19,000.00 Description: roof ) ) Insulation: Permit Fee: $96.90 Project Review Req: Fee Paid: $96.90 final: t Date: 11/22/2019 r Plumbing/Gas Rough.Plumbing: �. Final,Plumbing: Building Official r This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: ,All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same: Electrical Service: i' pro ' n this permit. Fir � ffic als are �d'ed o t The Certificate ofoccupancywilF no issued until all applicable signaturesb the Building and e 0 t bet pp y g _ - p Minimum of Five Call Inspections Required for All Construction Work: $ 5 Rough: 1.Foundation or Footing - 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame.lnspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final:,�� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Application numbe ............................................. q0 OF BA RNSTFee.............................................................................. AIXt, MSTAOM MAS,& Building Inspectors Initials......... NOV 21 RIP, 05 Date Issued............................1.1. .............. Map/Parcel:........ O� ........... TOWN 47BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATBERIZATION PROPERTY INFORMATION Address of Project: 808 South Main Street Centerville, MA 02632 NUMBER STREET VILLAGE Owner's Name: Shaw Tailor Phone Number Email Address: wmfvpId(a)r t-npt Cell Phone Number (617)460-4863 Project cost$ 19.000.00 Check one Residential X Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize Excel Building Systems Co Inc to make application for a building permit in accordance with 780 CA4R Owner Signature: aaml .TanJ1C,V Date: 1112112019 TYPE OF WORK Siding 0 Windows(no header change)# . Insulation/Weatherization Doors(no header change)# Commercial Doors require an *inspector's review Roof(not applying more than I layer of shingles) Construction Debris will be going to Town of Yarmouth Landfill CONTRACTOR'S INFORMATION Contractor's name Renatn Silva Home Improvement Contractors Registration(if applicable)4 182094 (attach copy) Construction Supervisor's License# CS-098849 (attach copy) Email of Contractor ebsystems@lmve.com Phone number (508) 901- 0143 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN r� ��.r- .v • .v . va. ............................................................ *For TP&ntc _0fi1y* Date Tent (s) will be erected Removed on . number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. l�nrnnea n�F+wanf Check one: this event is a: for profit non-profit event Check one:Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent if,oau is being served at your event please obtain a Health Department approval-between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model I I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature 'Date APPLICANT'S SIGNATURE SignatureVEI'lato�ikua, Date 1 1/21/2019 All permit applications are subject to a building official's approval prior to issuance. Client#:38860 2EXCELBU ACOR0. CERTIFICATE OF LIABILITY INSURANCE DATE(MlWD0/YYYY) 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. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: The Hilb Group of N.E.dba PHONE 508 775-1620 FAx 5087781218 Dowling&O'Neil Insurance Agy -M l�°° wc,No: P.O.BOX 1990 ADDRESS: i INSURER IS)AFFORDING COVERAGE NAIC lI Hyannis,MA 02601 INSURER A:NGM insurance Company 14788 INSURED Excel Building Systems Company,Inc INSURER a;Associated Employers Insurance Company 111 44 INSURER C: PO Box 436 ---- -- - Forestdale,MA 02644 INSURERD: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 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 CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS - CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR TYPE OF INSURANCE N D SR W POLICY NUMBER MMO/LDID/YYFF (MMDDN YYY LTq YY LIMITS L7 A X COMMERCIAL GENERAL LIABILITY X X MP02774T 2/2=019 02/22t202C EACH OCCURRENCE S1,000,000 CLAIMS-MADE OCCUR PREMISES EaENcurrence $500 000 MED EXP(Anyone person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENL AGGREGA�T�E LIMIT APPPLLLIIES PER: GENERAL.AGGREGATE $2,000,000 RPOLICY X. ECT I^i LOC PRODUCTS_COMPIOP AGG S2,000,000 OTHER: —.— I _ A AUTOMOBILE LIABILITY M102774T 2/09/2018 12/09/201 EOa IIINEDISINGLE LIMIT I$1,000,000 ccian ANY AUTO BODILY INJURY(Per person) t$ 0I OWNED SCHEDULED AUTOS ONLY AU I BODILY INJURY(per accident) S X TOS _ HIRED NON-0WNED PROPERTY tDAMAGE I PIi AUTOS ONLY X AUTOS ONLY (Per acciden $ is UMBRELLA LIAB OCCUR ! '_ I( EAC40CCURRENCE � $ I EXCESS LIAR I CLAIMS-MADE - _ AGGREGATE DED RETENTION$ I g B WORKERS COMPENSATION PER OTH- WCC50050098182019A 3/05/2019 03/05/202 X f JER AND EMPLOYERS'LIABILITY � ' ANY PROPRIETOR/PARTNER'EXECUTIVE:Y/N E.L.EACH ACCIDENT �$500 UOO OFFICENMEMBER EXCLUDED? � N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$500 000 It yes.describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY I 5snn 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule.may be attached if more space is required) The following coverages applying in the favor of The Valle Group,Valle Redbrook,LLC,&John Parker Road, LLC:Additional insured status on the General Liability;Waiver of Subrogation on the General Liability,as well as other parties as required by contract.General Liability is Primary and Non-contributory for premises,products and completed operations. (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF-, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C�3 1 988-201 5 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 Of 2 The ACORD name and logo are registered marks of ACORD #S230329/M230326 RPJX1 CommonweaRh ofi Pitassachusetts DiN&66 ofProfessro+tal Ucensure Board of Bwldmg Regulations and Standards r *y ConstruGtlolifSpervtso CS 098849 � � pfres 06120l2021 RENATO SILUAia P O BOX 436 fr EORESTDALE<MA 02644 Comrnlssloner �,�.�,c�rt�+ _ - I Office of Consumer Affairs 8 Business Regulation HOME IMPROVEMENT CONTRACTOR', Registration valid for mdnirdual use only TYPE Corooratton before:the expiration date; If found`return to_ Registration` Exoiratlon Office of Consumer Affai` and Business Regulation �`582094 05/25Y2021 1000 UVashington Stre uite 710 EXCEL BUILDINQSYST,E S COMPANY ANC Boston Mq 02118 RENATO PA SILVArFr 8 JAN SEBASTIAN?DR STE 9 � aIGG SANDWICH MA 02563`� '- Undersecreta ` NOt Vail out S19nature ao jq6 a oa To wn of Barnstable xPermlt# Regulatory Services >Fee 67 i Riehard V.Seali,Interim Director Building Division Tom Perry,CDU,Buitdi ft Co>aaunksioner 200 Main Street,Hyannis,MA 02601 \. www.town.bamstable.maxs Office: 508-862-4038 Fax:508-790-6230 E MSS PERMTT APPLICATION - RESIDENTIAL ONLY NotVadw*k«aJWX &WW Map/parcel Number Property Address 000 so 4dk m air idential Value of Work$ d v ' Minimum fee of MOO for work pander S600QOO lto Owner's Name&Address 9[.D« /6//02 1 god So e � e MA a, 6 �q.,v >rt��vrsau Contractor's Name 96A ,t°rp uew 6w. MiUVIOW6 Telephone Number90� Hone Improvement Contractor License#(if applicable) /73 ZYr Email: Construction Supervisor's Liceaw#(if applicable) d 95-70- N - E M 8 P Z 6 I T Workmen's Compemation Insurance Check one: APR - 4 2014 ❑ I am a sole propriety ❑ I am the Homeowner �J I have worker's Compensation Insuranoe, TOWN OF BARNSTABLE Insurance Company Name ��t�Le.T l�S • Workmen's Comp.Policy 79Y -3r 2 3 r Copy of Insurance Compliance Cerffikate must accompany ea&pe it. Permit Request(check box) ❑ Re-roof(hurricane=NW)(stripping old shingles) All construction debris will be taken to Re-roof(hurricane na8ed)(not stripping. GoM over existing layers of roof) Reside Replament Wmdows/doors/sliders.U-Value r 3 U (maximum.35)#of #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&lire Permits required. •Where nequued: U mmm of this permit does net exempt compliance with otbW town dgwtmwtt regulations,i.e.Risk=,Conservation,eta. RRRNote: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors Lit=se is 7 aired. r SIGNATURE. T:IKEVD DM3uilding ss Revised 061313 VAr.22.201Q 22:27 PAUL CC-�1SOY RENEWALAyA::t 781 545 1293 PAGE. 3/ A Renewal RENEN r L BY ANDERSEN av�ett�L-U�v .a+art .�+tr,�t atllppr �Crtaesradt-te! r W on ifi lY:CryX005fum ,.r:�.�,.:.., !4,9..L'utas Rcnta • T.ltuvtlA,RI tp2liiig mwit arm at twr l�l+ramr,13ti5.5t;3?f!5•ltx 441.6'3S.E� tmd�t�au a.tn��.xgi SouWem Nc�v8a6.1mmQ Miamiswe•LLCd/b/a Remar�at AyAodatuetc of 19oathara New 6n r�aod 1PVS OM WMIDOW MD DOOR.RBMODBLWC AGRIMMMT saa�swaaiirtmaGn a�..a cna.ern. ._1L.�� .��� �a.n _ L/ _._. ..5� . .._. �`�'�,. Ih�tk }4iexrhv ataaly tool.a vtxally,pit W ystui n cEtc pmdtw"andlcs set%"rr"rd Svuthrm New MyAwdli ncbovr.TS,C Ova xftuwxl lrf Atulrrsni ni 3nutht:M Yew•nsgknd s GtastwiYrr+j.in avawrtkKe with the wrtat$aufd tsadlt-MM t$ettalltcd e I the aunt rnd the trw,nx fir tlict nWrimnem and on the Q auet�t.�d=F1 �m est W tcwwrcktn:ly,lfti."AtyuttK�u"). 13 7 Condo 801K4 law)*Aawat+: >:YA+aced Smro MYti10d O( U GOtt1 UR«tea • eralrcCaroaceep�ai� `any—tnaase�+o 113otiPte ttaarce ee sort of lot,(33f x _„— , twee wo)=omtp"a sea ac&Card raraq nI s elk / Ap+asttt►sR,rou�tttrt tdsutaa taSta:t�Ja6 and cite d � t -�o wNfa'Irs BaFa a.ma 3whsts 7d Canplerkn and c MK be,tte,dt br~-t and and rna�k.;tta�br dite94 botdt ehctk,or� Bnyer{s)agrees tied Mwerstaodes that As---etat comtk utes the tenure undumtMilft n foe pardes,am that there an so verbal undersrtandhMp ehassYilin9 tray of Oak terms ad tblr Agsaatsoat. yel6) that (1)Isar read tMe AgtesemmteuR,a neataads the!arms of lids.iSseenmit,and Gas reeeirud a � d ofthleA { atNagdtetwvatta�aedllteiiaeso4 'C.+,oaalhafioa,oathedateBrntwrl obome Mw%swaVyaats�y.rwtfeo�ataaea ,tdorlarsi�rsrluscarrrn�crrisrs Am sr . ~Ar Istand'i aw Ow M*0AM Ov Days ni be=1 sign fie Agreementif any of the spices far the agreed tar ats to the eatamt of then avaHable iafortsation are 1*4 bit.(2)Yva are andt1ad to ampy Of" atd a"v ILM 7�oaa mptwa�04"tbae pay off the till repaid balance,due under dots,soul in so y se,mar is ea�ttdad�to � I tote of fLe F,wsar.:ad isumaaa.�r�.4U Zba�rltaas aort9�utta atsaesyvo-orrco�saa� °raommkt gay U=MCh of*e PMM ea MpwraeWt Eaads Pna�aaed oad�r t6bA�eamenc.('�Ystt aYaoel it It has am sees stated at ebe mnaLm alBee ar a hraa,A a Ca of rho twlbmy Prev)ded y ou ' 040"at Me or inaft offitaoesrancs0�aasf+OlYn�dfEA�enthyragtatemedarae.ajs�7usa�altic6slutlibY se�later�aat - ol tac tbbd nle*&vr day ahw*c day oa vMch the buyer'igpo eeaASayemeuf,a od gnu' mayboUftyusuMa feguTarmaBdeilvsdeaesenattaade$cable onamaicslafiattfwrrataran do orsu 'urlghtw i�,� . t�t'r�1xp'rtwle�adhy,mar is r�aM;r�ndj RerlowsJ by And Of sou England s) Ilu print.64tttnr of ft%%n iflanwr print&C= l4l:a nx Yon TM Bi)M*q,MAY CANM Tm TlitmlVBAmw AT my Tim PRIOR TO suo ICMT OF M=RD BLMNM DAYA�Tmz'DATE OFTt>'TRA►YSA=01%MM 7 SD tr"TACH MCR0 u0s Y08b# FORAM IOZpLANtR?ION OB TMS Blt� Es - - - - - - - - -- - - - - - - �- - - - - - - - - Dale ofllronsacden Yet MW Gemmel t q�ofTranfa2don lbo MWr cas" tlh tratmsaodoir3 tout a 1 pataaitP or witi t dolt try wMahout aa�► or a tuhbtn throe,bu disen fiotn elto abo+re!sate.If yin eaMa4 col l three bu ff fMotn dto ehf�.R frau tsattmsl,any D trl4El�any paryeeterats nsade by rou loader dse 1 property tradN aer palrrndtfa br yell under dre b or Sam and any ne,g� 000 � 1 Contrscc or Sale,and aryr n i�executw by yen wUl be,ratunwd witlagt tart budema days iollaw.ing i by ym w�be,re,ttarnad btadmmms dabs faffewing rewipt by the,slai{er of your cwwalttlen node,a ld Copt i rho 8d10 of yoYM em notice.ow.WW Security out of.lire tramaWoa wig be,. .�ty itates�t: arm mal.of tratomcdon.wM bo . aft" y"calm4ya 111Rti11iMmallalfttu Al i lAtl0"11 G"�01t wee Whiilimetati 5ftr at Poor s dWl►aa coed Ond&ion as where I at your yogi at raaaiveet map delivered 1,0 � s� Pd GMwit oa as when you nt�f• hk Centman ae I moMhe4MW Seeds tfatgtt raA is tang this Contract ar Safi or yoo ii yell !c rvld+dto GtapueNotr! I or yeu IMMif PU wish,can wilt tbo hdavc*ls cif tlto Scllcr n��dts rettntao attsaa at tsse tAa r+ctuav► atHir Bovdr:tftan SHIN4f o>cpwno i Soma rOti es nta<ia t� sratsu6iu Seser4 panu� tide,U yatt do dig tlxaflabte f+s the Se,uer end fire 8e9ar.rives not pule t tv wvttldn to we Nhr and the,uger doge pida�up VAifaaitt t+awnty dw of dw des of cancialladekrota BMW. or I trWw"e�of dro date of ant nor t� uh or d !fie vsitlloot bey ft a obligadatm.If Poe I.=o!the grads witlsout aw abH�lcn N rtw tD fmtatme the two watiktble to the filer.ear ifPot►ftgree t 1tiU to italic the doelda RMIM to mar•err 1l yew agree to rattlt7m do lasr to dab Satin'and&U 0a do tsk Wtoa Y" l eo tQWrlt the s�to tht Sogo>r fin t o do stem.toots pu Uble pmfarntan"of an ester under file raratda►liable for peefotvatance of a6�oda+a isobar fhb Oantr�sef.To' Chit trutRtaedotm,madl or deft er a stgttad l Coneraet.lb carat this transadeo !nag or dtffm a dsMd told dated cW of thts eainaellttion MUM or t wriaOnttidmor"ttounddaes otnfARsttotratbrAe� taf o wrttemdrtedesia aaidtat ttm Rt byAnd Mall - MM TE�tt THAN at Albhts Ro !e OU E3. I Soutlw li err Malaeed ue 2d A Iloadd,L6leobt,N t12Ms. y MDMtGNT OF t (Date) tAT'�t Td�W MtbNiGNT i BX CANC KTMISTRAN ACT14M l f HEREBY CANCELTt•119TAA RCN. +"a mleM INne oft aatn s"NUM IUehs gsos MA CaW WF.its lko-Copi.Y4," dyer Copfe Rnk Southern New England Windows d.b.a Renewal by Andersen of SNE Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-095707 BRUN D DENNISON - 7 LAMBS POND EIRCU s Charlton MA 01507 Expiration Commissioner 09/08/2014 �7�O ice o f consumer c pr a�2��dale'gwu e6 o4 Office of Consumer A airs Business egu aUon 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration RegisBation: 173245 Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL Estpiration: 9/19/2014 DENNISON BRIAN 1137 PARK EAST DRIVE WOONSOCKET,RI 02895 Update Address and return card.Mark reason for change. Su 1 0 zasav„ n Address O Renewal I]Employment ❑Lost Card _ Mice orCoosumrr AMain&Busiam Regulation License or registration valid for IndWidul rate only ONE tMPROYEMENT CONTRACTOR before the expiration date.If found retura to: Ofrme of Consumer Affairs and Bastions Regulation R091W800n: IM45 Type: 10 Park Plain-SuOe 5170 ' Expiration: 9MW2014 Supplement�;ord Borton,MA 02116 SOUTHERN NEW ENGLAND WINDOWS U.C. RENEWAL BY ANDERSON BRIAN 1137 PARK 1137 PARK EAST DRIVE WOONSOCKET,R102895 Undrrserretary Not valid without signature Client#:30124 SOUTNEW 'ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD"YM 8/06/2013 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. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER GONTAC NAME: T Anita Little Wills of New Jersey,Inc. PHONN 856 914-4660 Eft No:65649144881 1015 Briggs Road,PO Box 5005 � : anita.little@wlllis.com PO Box 5005 ESS WSu AFFORDING COVERAGE NAIL i Mount Laurel,NJ 08054 INSURERA:S@IeCtiVe Insurance Co of the S 39926 INSUM9 INSURER e:Argonaut Insurance Co. 19801 Southern New England Windows LLC D/B/A Renewal by Andersen INSURER c:Beacon Mutual Ins.Co. 24017 26 Albion Road INSURERD: Uncoln,RI 02865 INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: 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 CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.-LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILIlTR TYPE OF INSURANCE DD UB POLICY EFF POLICY EXP POLICY NUMBER MID MIDD LIMBS A GENERAL LIABILITY S202945900 8/10/2013 08/10/2014 pEAACCH�GOECTCURRR�ENCE $1000 000 X COMMERCIAL GENERAL LIABILITY PREIAISEg Ea o ,renoe $100 000 CLAWSMADE a OCCUR MED EXP(Arty one person) $1 O 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE 0,000 000 , GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG s 3 1 000,000 POUCY PRO- LOC $ A AUTOMoeILE uaBILnY S202945900 8/10/2013 08/10/2014 COMBe�IN�ED SINGLE LIMIT 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per eoddent) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS er ecddent $ A X UMBRELLA LIAR OCCUR S202945900 8/10/2013 08/10/201 EACH occuRRENCE $5 000 000 EXCESS LIAe HCLAIMS-MADE AGGREGATE $5 000 000 DED RETENTION $ C wORKM COMPENSATION 10000068028-RI 8/21/2013 08/21/201 X we STATu OTH• AND EMPLOYERS'LIABILITYEg B ANY PROPRIETOR/PARTNER/EXECUTIVEY/N AIC927818352394 &2112013,0&2112014 E.L.EACH ACCIDENT $1 OOOOOO OFFICER/MEMBEREXCLUDED? FN N/A yes(Illandatory�In Nu� E.L.DISEASE-EA EMPLOYEE $1 000 000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 000 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,I more space Is required) CERTIFICATE HOLDER CANCELLATION Southern NE LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 26 Albion Road ACCORDANCE WITH THE POLICY PROVISIONS. Lincoln,RI 02865 AUTHORIZED REPRESENTATIVE • 6L ©1988.2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S215109/M215088 AXL The Commonwealth of Massachusetts Department of Industrial Accidents Office of Invesagadons 600 Washington Street Boston,MA 02111 www massgovMa Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A Brant Information Please Print Le-uibl Name(Business/Organization/Individual): F,)V&ALge yGe. Address: 9 (o l oA/ �OGI p City/State/Zip: 4 MC-0lN Phone#: !jl D f ,? g ?'9DO Are you an employer?Check the appropriate box: -Type of project(required): 1.1 I am a employer with A 0 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling shipand have no employees. These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance$ 9. ❑Building addition required.] 5. We are a corporation and its ID.[]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11-El Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.[3 Roof repairs insurance required.]t c.152,§1(4),and we have no employees.[No workers' 13.A9ther GUIk)&)Gj comp.insurance required.] .Any applicant that checks box#1 must also MI out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating suck tContractors 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-contrnm have employees,they must provide their workers'romp: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: S1JrA,7U C. a.� Policy#or Self-ins.Lic. 18 3 E.23!ff Expiration Date: c-x Job Site Address: 90 SCE tti- ( ''a U City/State/Zip: ,l'fJl(I, Attach a copy of the workers'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 and/or one-year imprisonment,as well as civil penalties in the form of STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may beforwarded to the Office of Investigations of the DIA for insurance coverage verification. .7 do hereby certi under the pains and penalties of perjury that the information providegd abo a is ue and correct c Signature: Date: '� _ Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.-Plumbing Inspector 6.Other Contact Person: Phone#: i FIIiE r Town of Barnstable *Permit# y� Expires 6 months from i ue date. �7 ^ Regulatory Services Fee �. * BARNS'rABLE, " r� 63S. `�$ Thomas F.Geiler,Director ArEo �a Building Division ' h Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number U ` n/� � Property Address JNM b ��y n ,r N S`� C Ql1` 4y( k /"A 00�-3 a a Residential Value of Work , �" Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 0 c Contractor's Name Qj INN E`�`( � Wt Telephone Number b _ 671 "y Home Improvement Contractor License#(if applicable) 1-7 3 1�q Construction Supervisor's License#(if applicable) a I 46 )('e RESS _ Xworkman's Compensation Insurance APR 2 4 2013 Check one: ❑ 1 am a sole proprietor I am the Homeowner TABL.E I have Worker's Compensation Insurance TOWN OF BARNS Insurance Company Name 0 4 br\o J J— Co Workman's Comp. Policy# �C l Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to _ ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side r� #of doors Replacemen indow doors/sliders.U-Value Q 0 (maximum .35)#of windows�:&— ❑ 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 require SIGNATU E: C:\Users\decoll \AppData\Local\ icrosoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS,doc Revised 0530 - '� trr Nam C9; Office of Consumer Affairs TBusiness egu ation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 173245 Type: Supplement Card Expiration: 9/19/2014 SOUTHERN NEW ENGLAND WINDOWS LL PAUL THIBEAULT 1137 PARK EAST DRIVE WOONSOCKET, RI 02895 Update Address and return card.Mark reason for change. sCA 1 0 20M-05/11 - � Address 0 Renewal F� Employment F-1 Lost Card _ - U/te ,?oirz�irwrrraealfie o`�VI�I�iJJmc�uJe%�J. ffice of Consumer Affairs&Business Regulation License or registration valid for individul use only _- ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 173245 TYpf- 10 Park Plaza-Suite 5170 Expiration: .9/19/2014 Supplement i;ard Boston,MA 02116 SOUTHERN NEW ENGLAND WINDOWS LLC. RENEWAL BY ANDERSON PAUL THIBEAULT 1137 PARK EAST DRIVE � — WOONSOCKET, RI 02895 Undersecretary Not valiA without signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen-isor License: CS-042926 PAUL H THMEAV,T ,. .. 26 LESTER ST ; J!I Q s N SbUT fflELD RI Expiration Commissioner 02/16/2015 Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration ' Registration: 173245 j Type: LLC Expiration: 9/19/2014 Tr8 231545 SOUTHERN NEW ENGLAND WINDOWS!'L' MATTHEW ESLER I ( 'I 1137 PARK EAST DRIVE WOONSOCKET, RI 02895 x =M Update Address and return card.Mark reason for change. 0 Address F-1 Renewal n Employment Lost Card OPS-CA1 0 5OM-04104-GG101216p /'"�"� ,/ Of�ce7Nffody87i`�f`X taF?1A f(ihlet✓"4?�NW4 License or registration valid for individul use only QS )ERN HOME IMPROVEMENTCONTRACTOR before the expiration date. If found return to: Reglstratlo ,173245Type: Office of Consumer Affairs and Business Regulation Expiration: 9/19/2014 LLC 10 Park Plaza-Suite 5170 Boston,MA 02116 NEW-ENGLAND WINDOWS LLC. RENEWAL BYANDERSON MATTHEW ESLER 1 1137 PARK EAST DRIVE t :�- •" _L--Qom_ WOONSOCKET,RI 02895 �— Undersecretary Not valid without signature 1 The Commonwealth of Massachusetts I Depar°tDnent of Industrial,accidents Office of Investigations 600 Washington Street Boston.,MA 02111 Www.naass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Avolicant Information Please Print Le 'bl � .Name(Business/Organizadon/Individual): Address: /3 7 Par hasl V'� City/State/Zip: WeSB�-�� = '®y.fgsPhon - -- e Are you an employer?Check the appropriate box: 1. I am a employer with o9-O 4• 0 I arm a general contracJel I Type of project(required): employees(full and/or part-time).,, have hired the sub-con 6. ®New construction 2.® I am a sole proprietor or partner listed on the attached s7. Remodeling ship and have no employees 'These sub-contractors 8, ®Demolition working for me in any capacity. employees and have w [No workers'comp. insurance comp. insurance.: 9. ❑Building addition required:] 5. ® We are a corporation a10.0Electrical repairs or additions 3.® I am a homeowner doing all work officers have exercised11. Plumbinm ® g repairs or additions y [No workers'comp. right of exemption pee 12, Roof in urance required.]f c. 152,"110),and we ha ® ��3a.® I am a homeowner acting as a employees.[No worker13 Other`Ra- (A C2�� 'general contractor(refer to#4) comp.insurance regtria+e 1 *Any applicant that checks box#1 must abo fill out the section below showing their watimp co w ' Dols' t Homeowners who submit this affidavit indicating they ML are doing all wont and then hie outside contractors mot submit a now&Mdavit indicating such. , tContaetors 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 mast provide their workers comp. j ter•>���r somber. I an an employer that is providing workers'compensation insurance for they informadoR. ensployeeL Below is the policy and job site Insurance Company Name: s Policy#or Self-ins. Lic.MA-1 ?9 7 6 9 9 3 S:Z 3 Expiration Date: Job Site Address:_ 11 t City/State/Zip. &°�`�'�1' .i Attach a copy of the workers'cortipensation 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 a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and of 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. J do her eerti under a paint and penalties of peVmry that the itrfornradoR provided above u due and correct i Y- 1 _ 1.3 Phone it 71- yS Offlcial use only. Do not write in this areas to be completed by city or town official City or'Tom: PermittLicense# Issuing Authority(circle one): L Board of health 2. Building Deptbrtmreat 3. City/Town Clerk 4.Elect 6.Other rical Inspector S.Plumbing Inspector Contact Person: J Phone!#! Client#: 30124 SOUTNEW ACORDTM CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 1/02/2013 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. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement,A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Anita Little NAME: Willis of New Jersey,Inc. HC N Ext:856 914-4660 AX 1015 Briggs Road E-MAIL A/C,No: 856 914-1881 PO Box 5005 ADDRESS: Anita.Little@willis.com Mount Laurel,NJ 08054 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Co of the S 39926 INSURED INSURER B:Argonaut Insurance Co. - 19801 Southern New England Windows LLC INSURER c:Beacon Mutual Ins.Co. 24017 D/B/A Renewal by Andersen INSURER D: 1137 Park East Drive INSURER E: I Woonsocket,R1 02895 INSURER F: " COVERAGES CERTIFICATE NUMBER: 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 CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO.ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTRR TYPE OF INSURANCE NSRLSUBR WVD POLICY NUMBER MM/DIDY� MM/LDDY� LIMITS l A GENERAL LIABILITY Y S202945900 8/10/2012 08/10/2013 EACH OCCURRENCE $11000 000 X COMMERCIAL GENERAL LIABILITY DAMAI E TO RENTED PREMI S Ea occurrence $5O 000 CLAIMS-MADE a OCCUR - - - MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRa LOC $ A AUTOMOBILE LIABILITY S202945900 8/10/2012 08/10/201 COMBINED SINGLE LIMIT Ea acc ED 1,000,000 X ANY AUTO - BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ A X UMBRELLA LIAB OCCUR S202945900 - 8/10/2012 08/10/2013 EACH OCCURRENCE $5 00O 000 EXCESS LIAB HCLAIMS-MADE AGGREGATE s5,000,000 DED RETENTION$ $ B AND EMPLOYERS'LIABILITY WORKERS COMPENSATION AIC927698352394 8/21/2012 08/21/201 wcsTATu- oTH- C ANY PROPRIETOR/PARTNER/EXECUTIVE Y/" 68028 8/21/2012 08/21/201 E.L.EACH ACCIDENT $1 OOO OOO OFFICER/MEMBER EXCLUDED? � N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1 00O 000 If yes,describe under - DESCRIPTION OF OPERATIONS below- E.L.DISEASE-POLICY LIMIT $1.000.000 _LL DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Cert holder is included as additional insured regarding work performed by the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S213748/M213024 AXL r Renewa . �y-Mersenr WINOUW REPLACEMENT an AMer.-enlbmpaay a•.. • - Wood/Vinyl Composite. IF ". Dual Argo rr:.Low E4 SmartSun s:i•r,� .r•ery Casement :............ . 100-00456387-003 I ENERGY.'PERFORMANCE RATINGS I . _ u-Factor' uS)Ji-P Solar Heat Gain Coefficient :0 ADDITIONAL PERFORMANCE RATINGS Visible. ;Transmittance . e GN43 _ - Manufacturer stipulates that.these ratings conform to.applicable NFRC procedures for - 4- - determining whole product performance NFRC ratings are determined for A fi%ed-set of _ enviromentsl conditions and a specific product size. NFRC does not reconmiend any product - and does not warrant the suitability of.any product tor any specific use: Consult _ manufacturer's literature Tor other product perfornlance infornlation. . - - www.niro.Org This product meets Green SEA Sears it► environmentaE standards governing , ...con a - ` eneigy efficiency,heavy 13 metals in the frame and 4 f iV sash materials; p ckaong;and consumer. a It education materials �. . ........-- � a neon DESIGN PRESSURE (PSF) m 1 nanuTacmrer Associallon wda.coin C.- .R 3 0 RbA Csmt Dbl IN. - To9 etl to NAF9-02 or AWMo64=M)VIVA.440.06._. mame cturer sUpula-eonioivtdiiro to tre tyPllcN�le otNtilxM - - - - .,.t4 or..c.d.Y-E.c..c.E.e'A I.E.c.e.Air IofM—tJan rv4uirnnenfs flmU NxlLmrk o"'jf""ton P.rvoran. - - . Mar.28.2013 21:58 PAUL CONBOY RENEWAL ANDER 781 545 1293 PAGE. 1/ 3 ReA�ewal In Iktiiie 1130079 b'Andersen. RENEWAL �Y AlvvLxs�N Mni�, #t7324.er C Cr i,iwnw u0f36S33 WINDOW REPLACEMENT mAnJ.nvfimqun, 26 Albion Road • I.irwoln,RI 02865 ' 14wl V5rn1 µ1237 Phone 1366.56 3.2235•I;m 4.01.671,6262 P..J mI Tn.m 1140-056030 Southern New England Windows,LLC d/b/a Renewal by Andersen of Southern New England CUSTOM WINDOW AND DOOR REMODELING AGREEMENT e,msla)Name Chee nt Ag,eemens c:"M'✓ 3 Buyer(.)Street Addmi.City,Sratc, dZip Code E-Mea Addrem Ho=TclepMm Number VVarkTeleplwne Number Buyvt{s)hnre;by_juintly:md severally al nx+s to purchaw the protium and/or services of Suulhc ru New Euglaud WilIdOWS,LL C d/h/a Kenowal by Andemll ul'Southern New Lltiglaiul("GuntrAcwt"),in acc:nttlanrc with(hc terms and conditions described on the finnt and the reverse of this ngreenient and on the;tuddICLI 5pct iCuliuu shrct(s)(collection ly,Ihis`Agr mnrnt"), Total Job Amount//�Y6'.,ul ' NOInkEd Starting Dauc Method of Payment U Check Leash U Financed —1 �/ Deposit Received(33%);_�'(pt!' (oc..CC�7 Credit Cards are accepted for deposit only-maximum 113 of the Balance at Start of Job(33%):_... project cost(Please see Credit Card Anymem Form,)By signing this Estimated Completion Ddar: Agreement,you acknowledge that the Balance at Start of Job and the. Balance on Substantial � �2ch 3 Balance on Substantial Completion of Job cannot be made by credit . Completion of Job(33%): Y card and must be made by personal check,bank check.or cash. Buyer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings changing any of the terms of this Agreement,Buyer(s) acknowledges that Buyer(s) (1)has read this Agreement,understands the terms of this Agreement,and has received a couRpleted,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first:written above and(2)was orally informed of Btryer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. (Rhode IsImid Sales Only)Notice to Buyers(1)Do not sign this Agreement if any of the spaces intended for the agreed terms to the extent of then available information are left blank.(2)You are entitled to a copy of this Agreement at the time you sign it.(3)You may at any time pay off the full unpaid balance due under this Agreement,and in so doing you may be entitled to receive a partial rebate of the finance and insurance charges.(4)The seller has no night to unlawfully enter your premises or commit any breach of the peace to repossess goods purchased under this Agreement.(5)You may cancel this Agreement if it has not been signed at the main office or a branch office of the seller,provided you notify the seller at his or her main office or branch office shown in the Agreement by registered or certified mail,which shall be posted not later than midnight of the third calendar day after the day on which the buyer signs the Agreement,excluding Sunday and any holiday on which regular mail deliveries are not made.See the accompanying notice of cancellation form for an explanation of buyer0s rights. liuyc t rnarrlrt#lrt r,u terinls Ixvwkleti-bythe-Rhmic Island-C(wractors ltctgiatration Arasrt{—— ( lnilaals) Renewal by rsen of So iern New England Buyer( Buyer(s) By: iKyalure of tut ct agt:r Silm. Signature Print Name u1'Piotlucl Manager ' Print Namc - Print Ntttnc YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. tK- - - - - - - - - - -- -- - -Ac- - - - - - - - - - - - - - - - - - - - - - - --- NOTICE OF CANCELLATION I NOTICE-0�..CARCELLATION Date of Transaction ?_ �,X L" 3_ _You may cancel I Date of Transaction___�,• You may cancel this transaction,without y penalty or obligation,within this transaction,without atry penalty or obligation,within , three business days from the above date.If you cancel,any I three business days from the above date.if you cancel,any property traded in,any payments made by you under the I property traded in,any payments made by you under the Contract or Sale,and any negotiable instrument executed I Contract or Sale,and any negotiable instrument executed by you will be returned within ten business days following I by you will be returned within ten business days following receipt by the Seller of your cancellation notice,and any I receipt by the Seller of your cancelladon notice,and any securi Interest canceled.if you cancel,ancelinterest l,,you must make av out of the ailable to the on Seller canceled.If you ran eli,Iyou must make av out of the vailabletion V411 to the Seller -at Your residence,in substantially as good condition as when I at your residence,in substantially as good condition as when received,any goods delivered to you under this Contract or I received,any goods delivered to you under this Contract or Sale;or you may,if you wish,comply with the instructions of I Sale;or you may,if you wish,comply with the instructions of the Seller regarding the return shipment of the goods at the d, the Seller regarding the return shipment of the goods at the Seller's expense and risk.If you do make the goods available h Seller's expense and risk.if you do make the goods available to the Seller and the Seller does not pick them up within I to the Seller and the Seller does not pick them up within• twenty days of the date of cancellation,you may retain or I twenty days of the date of cancellation,you may retain or dispose of the goods without any further obligation.If you I dispose of the goods without any further obligation.If you (ail to make the goods available to the Seller,or if you agree I fail to make the goods available to the Seller,or If you agree to return the goods to the Seller and fall to do so,then I to return the goods to the Seller and fail to do so,then you remain liable for performance of all obligations under you remain liable for performance of all obligations under the Contract.To cancel this transaction, mail or deliver I the Contract.To cancel this transaction, mall or deliver a signed and dated copy of this cancellation notice or any I a signed and dated copy of this cancellation notice or any otter written notice,or send a telegram to Renewal by I other written notice,or send a telegram to Renewal by Andersen of Southern New England at 1137 Park East Dr., I Andersen of Southern New England at 1137 Park East Dr., Woor c 102895,NOT LATER THAN MIDNIGHT OF I Woonsocket,RI 02895,NOT LATERTHAN MIDNIGHT OF (Date) (Date) I HEREBY CANCEL THIS TRANSACTION. I HEREBY CANCELTHISTRANSACTION. x _ Buyer's 6ljnatu"m - Print Name Due suyew.11"t.o Print Name Date RbA Copy:White Buyer Copy-.Yellow Buyer Copy:Pink !l Assessor's map .and lot nuber .:...... :.;... ,. m , OF TH E t0 , Se age Permit number /" r Z House number ........ HARISSeTAB E. i ........ ".. 'o 039 0� • r-1 Y• ,yc„s O O NPY a� TOWN .O,F. BARNSTABLE BURDINGz INSPECTOR' � pp p a� APPLICATION FOR PERMIT TO � !?f ...... . i ............rt..... /..... ... ......'.. TYPE OF 'CONSTRUCTION ........... D.��' ..(`... ........E.. ........ . ........... ............ ................................ e ,Cr r ... . ...... ..19..�1...,7 TO THE INSPECTOR OF BUILDINGS: The undersigned hhejjreby 'applies fora permit cccording to the following infforrmatione Location ....4?.. ...6:...... 0. :`1"V.l�. .: -..M1:..... ........... :!k`T'!�'�!. l (.tl '�� .......................................... Proposed Use., . h d�.—..S—aP.t%!�t!}�'- .. .��.✓.��►. €t'r'��....<?t .C1 .4t:S e:..... .. '!!1.. !^Q�' :..................... Zoning .District II .................................... . .. ................. • ......................l.C..� .1... Fire District ..........�.....�........: ....... :.......... Name of'Owner ..V...e ............. N_A:R. Kn ........ .Address-. Name of Builder .. .:...Address fl ...Bk, Name of Architect ..........(.... j� f ! �� 'rZ�!�. [��:l.l.f.....'........... Address ..��� ...4!!C�k�.a�h� .� � ...�.��!1 . ..`.�.L Number of Rooms ...........Foundation .... ..... ....... ...............................t 3....... Exterior .. .a ..:.:. ,1. .. ......................... ........Roofing ...'�.. (A..�. .......*.......... Floors � .......................................�^ ........................ 11...0.0.4.....:i'l�?Q��:.. Interior Heating ...................... ......:...........Plumbing . ....... .... ............. Fireplace ....W ...`:. .-.... ........................... ....... .....Appr 'ximate Cost ... QQ:. ::v.��.... ,Definitive Plan Approved by Planning Board ____________ ________________19________, Area ...�.!'.lJ... .. ... 91l.� Diagram of Lot and -Building with Dimensions Fee ........... ... SUBJECT TO APPROVAL OF BOARD OF HEALTH x dor r OCCUPANCY PERMITS REQUIRED FOR,NEW `DWELLINGS r I hereby agree-to conform to all the Rules and Regulations of the Towri•of,.Barnstable-regarding the above construction: { Name ..... .4. :�:.. .0 3:.1.. . ... ' .� Construction Supervisor's .License .. ` -GREENE, JEFF V No 2518:.. Permit for BUIL DORMER E Single Family Dwe ling.............. - Loc�rtio South in S r . .... :..r ..t. Centerville ...................................................... , r Owner Jeff..Gr:� n�............ :.......... .." Type of Construction ........ ............................................. .... .................. Plot .............. ...... Lot; ... ....... r Permit Granted ........................................19.83 - Date of Ins Action Date Completed 1.. .' ....:19 1 Y t Assessor's map and ilot number fo�Q�. FTHEl`♦w Sage Permit number BllBB9TADLE. i House number ........... _........................................................ 9 raea - �p,e�1639• \00� F TOWN OF BARNSTABLE .t BUILDING INSPECTOR h r' APPLICATION FOR PERMIT TO < r! !? �. ..... ......................................... TYPEOF CONSTRUCTION .....W&A............ '::.. .................................................................................. "% .-.... �Z.. ..........19. . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according,two the following information: Location ....'S'. ....��.. .... tt. . '. .......`. ±G(,!, ......: � . .............(r... �':1........t". ..................................................... ProposedUse Y. . ?' ..... .................................................. ZoningDistrict ..................... .....................................Fire District ................ ........................................ Name of Owner .�!_� r ............. .....................V ...............Address r . ...`?�'.:-:`.--J.......`.:,:.ht..��'...�t..... . ..` ' f:C. l Name of Builder . ;—ins%1;1..... . .�.... �. ..� �:............Address ,!`e!���:, Ct€ a: :C.........................................................`+ +' ' . `-' ' f _ s Name of Architect .. .._....�...�............�........�f ........Address ` ...wf:?r f/r% Number of Rooms ~ Foundation '. x Exterior i �C?ttt +...... .?. :�... ... .. ................................................. .. ,r Floors .......lk P..`..................................................Interior .............�.. ...........� .... .. ............................................. HeatingPlumbing ...'......................`�::........ ............... s ,_ ................ Fireplace .... ...........................................................Approximate Cost ......... ............................................ Definitive Plan Approved by Planning Board -------------------__---------__19________. Area ... ...,... ... f . t Diagram of Lot and Building with Dimensions Fee ...........,.:77 SUBJECT TO APPROVAL OF BOARD OF HEALTH I l ti+ t- OCCUPANCY PERMITS REQUIRED FOR�,� — NEW DWELLINGS t' i cj I hereby agree to conform to all the Rules 'and Regulations of�the Town\of Barnstable regarding,the-above construction. Name ° ::: . :. ......... fit .. .. ........ Construction Supervisor's License tr ` ' GREENE, JEFF A=185-61 25,i.18 _f Build Dormer No ................. Permit for .................................... Single Family Dwelling .........................l. ................................................. Location South. Main Street .............................................................. .................Centervi.l le ............................................................ Owner .Je f f Greene . ...................................................... Type of Construction ....Frame... ........................... ................................................................................ Plot ........................ Lot ................................ Permit Granted .....May 27, .......19 83 ................... Date of Inspection ....................................19 Date Completed ......................................19 l ' E ll ��9 �r^UST BE j Assessor's -map- and lot number .................. .,w;;a"ALLED IN fC0;V IA.IAKCE €-r 'a TIC E 0 STATE s- �; ,✓ 7L . Gl� SANITARY CODE AND TOWN Sewage Permit 'number .......... ...... ...:.�: E R GULATIO` S. �Q o TOWN :, OF '. BARNSTABLE E9SB9TAZLE, i c•. .n•: MABB. ' ;,ay BUILDING INSPECTOR alla. :� V. {+ APPLICATION,'FOR---PERMIT TO- L.*. `:. a ! 1 V C......... .Ld���'E...................................... <• ,. '17>> J TYPE OF CONSTRUCTION .....�—J.0.Q..P.......�P(.LftKr.................................................................................... :.. A t "AN ?.......11........................197.�.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 3.��.zi....... ..'...MJ'eiPl ��... �.lrLllati'�.... �.JD� �F '�t��V � ........... . .... .......... .... ........................................................... Proposed Use I. .. ...K.�� ... ................................... V S . ................ ................................... ZoningDistrict ........ .D........-+r........................................Fire District .............................................................................. Name of Owner .......Address ZO I • o 13L-,A> Nameof Builder ........ ..........................................................Address .......................................... ....................................... Nameof Architect ......sPYM.. .............................................Address .................................................................................... cp- Number of Rooms ...............J................................................Foundation .........Co...!. ... . ................................... Exlerior .......... ................................................................Roofing ........�.P;r''�!........ '� .�.�-`�-....................... Floors ....... 'P .Z ....1. .1.!J.`M................................Interior .........:. iL� tti............,.................................. Heating ..........' L< 4 "/ 1... ._.,........................................Plumbing ..........1.V.!: j...�v.p. ......................... Fireplace ...... lr'�1.L ...................................................Approximate Cost.:.......... t? :.................. ......... . ....... Definitive Plan Approved by Planning Board -------------------_-----------19________. Area /...(. �!........f............... 00 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH New 4TIr'(. i Sn NG 8 tJ i Lr-A �o o� DO Mom► �1 s?`. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name �,�1... .... .......... .................... 1 Osborn, William H. No .17270..... Permit for ....1 1/2 story, .............. single family dwelling .................. 00.._...................................................... Locati .... South Main Street ...................................... Centerville ............................................................................... Owner William H. Osborn ................................................................ Type of.Construction frame ............................. ................................................................................ Plot ...................... .. Lot ................................ Permit Granted .......Augus.t..15.............19 74 s Date of,lnspection �t l�17y...dfL.?°..r....,....... Date Com"leted PERMIT-REFUSED ........................................................... 19 .......................................... .................................. ............................................................................... ............................................................................... ............................................................................... . Approved ................................................ 19 ............................................................................... ............................................................................... FEE TOWN OF BARNSTABLE, MASS. r a ° d 19 o� THIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO OA .4930 _..............................................................................................................................................._....................... .............................................................._......................_...... __ O pO� RR�= (PROPERTY OWNER) .............................................................................(ADDRESS) 3 .................«.......... 9 TO ........................................................................._................_..........................__._....___........... N1sb (BUILD). (ALTER) (REPAIR) 6A aCd tg�N (TYPE OF BUILDING) (APPROXIMATE SIZE) LOCATION ............._........._......_..............._........_................................ _......................................................................._........... _...._ ... _ V y (STREET AND NUMBER) (VILLAGE) NAME OF BUILDER OR CONTRACTOR ......................_..._......................................»..._......._...__............ _..___....._.____� A APPROXIMATE COST ...__........_..._...._....�...._....�..____._..�......._.....�..-._.:..._..._.._.._.__.._._._.. c I HEREBY AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN a OF BARNSTABLE, REGARDING THE ABOVE CONSTRUCTION. _.........__..._..._..........._................................................... .....__.__._......_......................................_............................................................................... to tU (OWNER) (CONTRACTOR) 0 w U BUILDING INSPECTOR Subject to Approval of Board of Health. a r ��- /7 7 h r� 7 1 y Assessor's map and lot number .......... ... .... .. .... ... .... Sewnge Permit number ....... ........................ ...... . ...... *THE TOWN" OF BARNSTABLE I IA"STIBLE. 03 MAG& 9. BUILDING INSPECTOR APPLICATION FOR PERMIT TO .........4�nq,��.e......................................... TYPE OF CONSTRUCTION ....�-0.6an....... ....................................................................................... A.......IA........................1919 TO THE INSPECTOR OF BUILDINGS:.... The undersigned hereby applies for a permit according to the following information: Location ........... ....... .......M.&,. .......6r— 1 tt— .........................0� ................... Proposed Use ............I............ .... `� .;<�, ....................... ........................................................................ ......................... ZoningDistrict ........ .........I .................Fire District .............................................................................. F e ! 0 . <,,-46 P-t- GL�Vip> Name of Owner ..... .............Address ......3 . ...................................................... Name of Builder .......... .................Address .................................................................................... ...... ....... Nameof Architect ....... :7177..............................................Address .................................................................................... Number of Rooms .............?,) Co d -�� -T-iF- ...............................................................Foundation .......................... ................................................... Exierior . ...... .I Roofing.. . . . ....................................................... ................. ...... Floors ....... ............. ..................Interior .............�,).R, k.! ................ Heating ........... .................... .......Plumbing ......................y... ......... ........I................ Fireplace ...... ........................... Approximate Cost .........4o.,,...oe).9....................................... ....................... Definitive Plan Approved by Planning Board --------------------------------19-------- - Area ... ......... . .......... Diagram of Lot and Building with Dimensions Fee ....... ..................... SUBJECT TO APPROVAL .OF BOARD OF HEALTH Lxv-zl 1141. vt NX, PL)I LL> 46 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .........................................11 17 Osborn, William H. � No —.l727O.. " itfor _ ....... a1uulq. Location ........�W.A,...Ma.i.g..St.r.e#t................ ` .......................jQq*/.ew.xille............................... � . � , C�vm»r ----.]�ill����.l8:..(�d�9��----- - ' Type ofConstruction ...........f XA1914------.. -----'^--------------------'' Plot ............................ Lot ................................ , � 15 7� � Parn�tG,onoe6 ---.�����.�-----.lg ^ � ' of D%� Inspection ------------lg Date Completed ...................................... � ' � . ?N . � � PERMIT REFUSED � � -----,----.-----------. 19 ' '`'---'---------------------' ' —^—^^---''------------------'' ,—_--~---------.----.~-----.. ' -------.—'.----------'.....---~— - ^� Approved ................................................ lA ~- � ^ ------'----------^^--------' / '---.------.--------- ---.. / , .. �/ � ' S,Cl"e bE. this plan 40 to an inch EXHIBIT A 8884*5 " .r. ;� •� gg �a�`'' rah �8N !r' SI�EG�T 2,OF2: 10,35 Gel y... , 60,ram N AO uj Ln .` l,�8�:.'�'-� j. � l � • '. ` C.B. , �,�' r. '�'"•<<w:, ,�r., v- , �. r of sb'`3000ey w L.C. No: 8�84N, : o / .. ; OD \o o 00 N/ A6.� 1 °? Celt. 17034 5 Co 31 0 • t. r •�,32 o a , l9 �� '`sl��'�� • '��'� � OQ s ' I 3014oft . V " �' v ' M 6 30 S e 9 45' ..�1 O o3� �. , Cert. 11034 0 In0 .. 1 u Ci Li J?OD OL2,00 r1 73.32 2 b8 ;•Rt; 1 S 805'2 Jo'V1/ dlNB. S 80'S ''20rW uu •. . (^OU Yin COUNry . (. ROAD .State �lr,yf�way .-_- .. s� SEPTIC SYSTEM MUST ICE 'Assessor's map and lot :number. .......... . INSTALLED IN COMPLIANCE SIN Tee ' o WITH TITLE 5 0 Sewage Permit number ............. ®� ON CO pig � �.1�, ,� £�� = BABBSTABLE, i House number: ................................:...............................:....... T � ttG— 9 rasa �p t6}9- �Fa TOWN . OF BARNSTABLE ' BUILDING INSPECTOR ,y�am• ( APPLICATION FOR PERMIT TO � 't� :. ... ....................... ................. .................. TYPE OF CONSTRUCTION ......1A, nik l.. ....... ..................................................... v���19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appli s for a permit accord to the following information: f Location ....��.. [. 50v�.1\...Y.`..!w+✓l. v ........ .........!.�L }(l.L��..............................................,.................................. Proposed Use ..Goral4 a� 4 / Wrotr .�........ ..� ......................................................... p ..............1.....................,......,..... f ZoningDistrict .................................... . ..... ......................Fire District .............:....................r........................................... oole Name of Owner ...... .... ...., 4016 ocd*o.-4 A,........................ ...........................Address ......................................................�.......................... Name of Builder ...'l.l.A.,.5....Her!. ....YuS�t �:e".�4..Address :/.r..�i..5Qx... ..✓�7oS!D cc>iC/ � /.. ... Afs/cNfRV # 54911!F Name of t .. At........ r. .......................Address .................................................................................... S7 Number of Rooms ...y.... ! ...........................Foundation �...4 C ........................... .. .. ..... ..... Exterior ... ACI ��...............................................................Roofing .. Ot'Y` /1...: ..'tj�� s...,.,.................................. Floors .... .............................................Interior .... Heating ... .t...`.. of-A.......................................................... .... h.. . ................................. ... ...... t ... . Fireplace .�07 ........M....................................................................Approximate Cos � ` .. � o .. . ............................. .....:........... Definitive Plan Approved by Planning Board ________________________________19________. Area ...... ...................... Diagram of Lot and Building with Dimensions Fee .......( ��}.. ................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 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. Name .......... .. .... . ... . ... ................. Construction Supervisor's License Dd720/ TAYLOR, BLAINE & LOIS No ....29.0.8.5... Permit for Build Addition .................................... Single FamilyDwelling ...................................... ..................V................... Location ....8.2.9...South Main...Street.............. Z, ...................C..e...........nterv.......ill.e.................................... .. . Owner ........B..1.ain.e.....&..L...............ois t .1 o.r................ ...... . Type of Construction ....Frame .................................... . ................................................................................ Plot ............................ Lot ................................ fi Permit Granted ......March...25, .........19 86 Date'of"Inspection ..;.................................19 Date Completed ..........................................19 ioi. z _ Assessor's map and lot number ......./.. 5'.....(P..�........ � r e 0 ��F TFI E Sewage Permit number ............ �.--..t��. �1 . D3 Z BARNSTADLE, i House tnumber .......... . ........ 9oq N1639. e�0 .................................................... _ 0 MPY Or, TOWN OF BARNSTABLE BUILDING INSPECTOR F A APPLICATION FOR PERMIT TO i (-F�'?:..T .......... �Ml�,>............................................. '...... �, .............. TYPE OF CONSTRUCTION ......4110AS...-!.�U'W q ... ' ....... .................................................. _ ................................. ...... TO THE INSPECTOR OF BUILDINGS: The undersigned Qhereby appllis for a permit according, to the following information: Location ....g..°1...d......v0!!�.L!-.. Ajal.xl....�t....... .'G;►!1 f. ......le............. ........ _ ...... ........................ 24 Proposed Use ... Q�f`l a.; .. X..... ...... ..........y ......................................................... Zoning District .. ...............Fire District al r? L01,15 Tlor ��,] s � �al�m St C�enter✓,IleName of Owner ...... .................. ........... ...........................Address ........................................... ... .... . Name of Builder ...6.r1...j.:.:5.......(P.1"!f u4.....P061.f .a.1.1..Address Name of Woes (.I®ber-rA...5z! ,�.f:............. .Address ........... J�f7 ............ :, ... t ........ Number of Rooms �... crrs� Foundation .� ... . �" 3'f /�' j` .... �....... .....................Exterior .... .....t2+* Roofin � �� eYc i� ......., Gf QGJ� S I n. ...........................................s_ t ........Interior .... �- 6Ut! .........................................' Floors .- Heating .......................Plumbing . Fireplace ?.D?"?�............................ �/`)� p Approximate. Costl..4!o.`.`........................ ........ Definitive Plan Approved by Planning Board ________________________________19--------. Area ........ ..... ... ............. ...... Diagram of Lot and Building with Dimensions Fee ..... ................ r � SUBJECT TO APPROVAL OF BOARD OF HEALTH ' t OCCUPANCY PERMITS REQUIRED FOR NEV1r WI ELLINGS I hereby agree to conform to'oll the Rules and Regulations.of the Town of Barnstable regarding the above construction. fName .,rl� ................ Q !� ' Construction Supervisor's License .... .7....O.../ .............. � TAYLOR, BLAINE & LOIS A=185-61 29085 Build Addition No .................. Perrrlit for ..................................... Single Family Dwelling .................. ******'*...***-* **9�9outh Main Street Location ................................................................ Centerville ............................................................................... is Taylor t Owner .......Blaine.................. .... ..... Type of Construction .....Frame..................................... ................................ ................................................ Plot ............................ Lot ................................ Permit Granted .............................March 25,...........19 86 Date of Inspection ....................................19 Date Completed ......................................19 Ql� pp;