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oFtME Town of Barnstable *Permit# Tyl y t,
�.� Expires 6 months�from issue date
OL
IARNSTABLF. * Regulatory Services Fee 1
MASS.
i639• ��� Thomas F.Geiler,Director
Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address
idential Value of Work .34 3,§".� e Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address h
Contractor's Name — Telephone Nuffiber
Home Improvement Contractor License#(if applicable)- ? 0 �� p
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance '
Check one:
❑ I am a sole proprietor
❑ I aim the eeaer X-PRESS PERMIT
ve Worker's Compensation Insurance
JUL 1 4 20�4
�
Insurance Company Name �t r� k � MJ
TOWN OF BAR q�
Workman's Comp.Policy#������ �3 S /1 ABLE--
Copy of Insurance Compliance Certificate must be on file. v,
Permit Request(check box) {
cc
❑ Re-roof(stripping old shingles) All construction debris will be taken to
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❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
eplacement Windows. U-Value (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Pr er must sign Property Owner Letter of Permission.
Improveme ontractors License is required.
Signature
Q:Forms:expmtrg
Revise063004
�M �*VACCU-Wel&
HIGH PERFORMANCE WINDOW&DOOR SYSTEMS
NFRC A An Amr Amertm company
"Equal Sight Line"
Vinyl Double Hung
National Fenestfation ARGON FILL LOW E
Rating Council
Energy savings will depend on your specific climate,house and lifestyle
For more information,call 1-800-782-047 or visit NFRC's web site.at
www.nfrc.org
r r
Solar Heat Gain Visible Light
•. U-Factor m 31 Coefficient 041 Ransmittance�43
Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining
whole product energy performance.NFRC ratings are determined for a fized6et of environmental
conditions and specific product saes.
✓rze{oomvnza�uuea� o�✓��aaac�cuae�a l
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration; 120456
'iaf ol1'-=: !/2.(2006
supplement Card
BIL-RAYALUM.'S.IDI1G GQRP
PAUL MACDONAC _ry= "
----- 40-ELMONT RD --
ELMONT,NY 11003 Administrator
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� I
ac n� CERTIFICATE OF LIABILITY INSURANCE CS R $$
PATE(MUIrDDm)
LRA 1, 03/23/04
PRODUOBR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
OC3 Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE(CERTIFICATE
P.O. Box 220493 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
11 Grave Avenue - Suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Great Neck NY 11022-0493
Phones 516-466-6007 Tax:516-829-5857 INSURERS AFFORDING COV�RAOE
INSURED INSURERA Harmitd a/Genstar Indemnit
Biz.-Ray Aluminum siding Corp. INSURERB: American Home Assurance Co,
Of 4ueeflie, zi71s�
D>sP, se4rs Roma Central, INSURERC: Zurich-American Insurance Co.
93momtoNY 11003 INSURER D: ALLSTATE
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE 06@N ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDIRATBO.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY OONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THe INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, j
LTR lYPEl7FIN3URAN06 pbLICYNUM86R pTE MMERtTY DATE M D j LIMITS
GENERAL LIABILITY EACH OCCURRENCE I $1 000 000
A X COMMERCIALGENERALUTABILITY HGL431843 08/25/03 08/23/04 FIREDAMAGE.(Anyonehre) S 100,000
CLAIMS MADE nS OCCUR MrD FXP(Any arte Pew) g 5 000
i
PERSONAL d ADV INJURY S 1,D 0 0,000
GENERAL AGGREGATE B 3 0 00 00 0
GEN'L AGGREGATE P OIT APPLIES PER; PRODUCTS-COMP/OPAGG 52/000,000
POLICY JECT LOC
I,
AUTOM0151LE LIABILITY
COMBINED SINGLE LIMB $ 1 000 D X ANYAUTO 91516151DR17 04/04/03 04/04/04 (&ieccident) j r ,000
ALL OWNED AUTOS
SCHEDULED AUTOS BODILY on) S
(Pef OCrsan) j
X HIRED AUTOS
X NON OWNED A11T05 BODILY INJURY S
(Perocddent)
PROPERTY DAMAGE i Q
(Per Accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT F,
ANY AUTO OTHER THAN EA ACC S
AUTO ONLY: AGO S
EXCESS LIABILITY EACH OCCURRENCE S
OCCUR CLAIMS MADE AGGREGATE S
DEDUCTIBLE
S
RETENTION $ $
WORKERS COMPENSATION AND X TORY LIMITS ER
B F�IPLDYERs ugeILITY wC5614330 09/24/03 09/34/04 E.L.EACH ACCIDENT 65()0,000
OWNERS INCLUDED r,L,DISEASE-EA EMPLOYEE $500,000
E.L.DISEASE.POLICY LIMIT $500 000
OTHER
C Disabilt y Benefit 1794038-001 10/03,/03 10/01/04 I Continuous
I
bUCIUFnON OF OPC;PATIONSILOCATIONSNEHICLES=CLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
1
i
CERTIFICATE HOLDER IN I ADDITIONAL INSURED:INSURER LETTER:_ CANCELLATION j
SLANX-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 9E CANCELLED RrPORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL ALL_DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,DUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE II UUR,TI9 AGENTS tRi
REPRESENTATIVES,
'AUTN°RQED REP N
ACORD 25.3(7/97) RD-CORPORATION 1988
r � � WINDOW CONTRACT Maine Lic.No.DD1893
���� SERVICES&MATERIALS PROVIDED BY M NH Lic.No.assachusetts Lic.No.120456
Home Services Bil•Ray Aluminum Siding Corp. Vermont
eRhode Island Lic.No.13707
Boston: 800-SEARS-31 of Queens, Inc. New York City Department of
Consumer Affairs Lic.No:0730686
Hartford Area:800 SEARS 99
A Sears Authorized Contractor Yonkers 1397•Putnam PC934
Providence Area:888-SEARS-51 F.I.D.No.11-2320449 Westchester WC0613-H87
New Hampshire:800-829-2375 Department of
190 Cedar Hill Road, Marlboro, MA 01752 Connecticut
P Consumer Affairs Lic.No.�00532774
JOB# �Ll qS Service/Repairs: 1-888-245-7294 NE
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TOLD
Q � l- DATE r
ADDRESS Jot Sj1yi{/�cif/�7� /�'D- CITYA/-rg�l/JLLH STATE ZIP
PHONE Hoe 4a� ���G `02l✓�--. alc c� ��s�% CJ�SGrf j J EMAIL
JOB SITE ADDRESS(IF DIFFERENT)
A
APPLIED VINYL WINDOW SYSTEMS
( General Description of Work at Above Address: Approx Start Date
Type of House gl.�--ra-rine ❑Masonry Approx Completion Date
(WEATHER AND MATER14LS PE WTTIN )
SPECIFICATIONS I
Sears approved materials will be finished and installed to these specifications:
YES NO PLEASE READ CAREFULLY:ONLY ITEMS CHECKED"YES"ARE INCLUDED IN YOUR ORDER. d9t,V-('0 Q
1. 1k"0 Remove windows from opening where they now exist on:
2. FIRST LEVEL #Openings
4- - #New Window Units
3. ❑ lid SECOND LEVEL #Openings #New Window Units
4. ❑ ❑--THIRD LEVEL #Openings #New Window Units
5. Cl BASEMENT #Openings #New Window Units
6. ❑ THER #Openings #New Window Units
7. ❑ U---Reinoval of Metal or other units requiring modified installation #Openings #of Units
8. ❑ IQ---Tnstall new paintable Mouldings Inside Stops #of Openings Clamshell or Casing#of Openings
9. ❑ stall new Master Frame#of Openings
10.�New window units to have double strength insulated lass 7/8"total thickness
11.p/p New window units to have fusion welded sash#
12. New window units to have fusion welded frame#_I
13. New window units to have complete Energy Package consisting of:
13A.) Low E Argon filled insulated glass #of Units s�
13B.) Low E Krypton/Argon insulated glass with injected foam insulated frames&sashes #of Units
14. New window units to have Cam Lock(s) or Latch Lock(s)
15.LJ dQw window units to have NighVVent Latches
16.❑ ew window units to have Obscured Glass# Half Full
17. ❑ New window units to have half(1/2)screen (full screen on casement type window)
18. Install PVC coated aluminum to window frames Color 14/y7-c- #of Openings
19. Caulk and seal windows with 3 point system
20. Remove and dispose of existing windows nd/or storm windows
21. . Color of windows to be White L/t�mbertone Sandtone (Full Energy Package Not Available)
22.P--❑ Windows to have Grids Colonial L/ Diamond FQ.FdiI ❑ 1/2 p
Additional info
23. Total#of Double Hungs�� Total#of Hoppers -
Total#of Casements Total#of Awnings
Total#of Two Lite Sliders Total#of Three Lite Sliders Std. or Equal
Total#of Dead Lite/Pictures Total#of Basement Sliders
24. (in Addition to Above)
I
I
25.0�-❑ Clean up-All job related debris will be removed from property on completion of work
26. ❑ Insurance-All workmans compensation and liability is maintained All Discounts Have Been Applied.
27. ❑ Warranty-Mailed to customer upon completion and full payment is received Deferred Payment,(merest will Accrue.
28.Q,-- p Payments-(On non-financed orders)is payable to installer on day of installation
29. ❑ All Discounts have been applied
Cash tat$ 3,✓Less deposit 25% Balance 6 1 Measure 1/2_
ASH ❑ FINANCED$ does not include interest Completion 1/2 f
If financed,balance payable in monthly Installments of approximately$ per month,payable by"Owner"to contractor,
but if financed by Owner then Owner will pay said amount to the lending institution plus such interest and credit service charge of said lending institution payable directly
to the lending institution loaning such monies to"Owner"and will execute a Retail Installment obligation and any documents required by such lending institution in
connection with id loan.
30.❑ Additional InformationG
31.❑ Work Not to Be Done ���-
*CONTRACTOR IS NQT RESPONSIBLE FOR ANY EXISTING SECURITY�YSTE,IVIS ALP , E Rlrl)(�QVE/ALL SHADES;VERTICALS,
BLINDS CQf3TAINS pfiAPES OR WINDOW MOUtITED AIR CONDITIONERS PRIQFI TR� E INSTALLATION OF YOUR NEW
WINOOWS_ INSTALLERS Af�E NQT RESPONSIBLE FOR T RSMOVAL OR IN F TMEE TYPES OF ITEMS
_.:;.... _ , 7. _.s,i...':::. ...r. S. i4...1 v,x.. _ _vr .M1s i�:.* .z.a i .:c:.... .+
Notice:If financed,any holder of this Consumer Credit Contract is CONDENSATION INSIDE THE HOUSE DOES NOT INDICATE�A WARRANTY
subject to all claims and defenses which the debtor could assert PROBLEM.
against the sailer of goods or services obtained pursuant hereto or
with the proceeds hereof. Recovery by the debtor shall not exceed SALESMAN HAS NO AUTHORITY TO CHANGE ANY ITEMS OR MAKE ANY
amounts paid by debtor hereunder. REPRESENTATIONS OTHER THAN CONTAINED IN THIS AGREEMENT AND
"OWNER"REPRESENTS THAT NONE HAVE BEEN MADE TO OR RELIED
"OWNER REPRESENTS TO HAVE READ AND RECEIVED A DUPLICATE UPON BY"OWNER".YOU ARE ENTITLED TO A COMPLETELY FILLED IN
ORIGINAL OF THIS AGREEMENTAND TO BE THE AUTHORIZED AGENT DUPLICATE ORIGINAL OF THIS AGREEMENT,
OF ALL"OWNERS" OF THIS PROPERTY UPON WHICH THE WORK
OR THE MATERIALS ARE TO BE SUPPLIED. NOTICE TO THE HOME "YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY
OWNER(S),GUARANTOR(S),LESSEE(S),CO-SIGNER(S)." TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER
THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE Or `
Contractor,at the ezponco of avrnor,shall piuL ire an permits required by law. CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
1. Do not sign this agreement before you read it or if it contains any ON ALL ORDERS CANCELED AFTER THE RECESSION
r blank spaces or if it does not contain everything agreed upon. PERIOD, CUSTOMERS WILL BE RESPONSIBLE FOR A 45%
2. Any person who shall have co-signed,guaranteed or signed any credit ADMINISTRATIVE AND RESTOCKING FEE." j
application or note relating to this agreement hereby accepts to be
bound by this agreement. SEE REVERSE SIDE FOR ADDITIONAL TERMS AND CONDITIONS.
3. Owner(s)represents that the contents on the back of this agreement
is a true part hereof and has been read and accepted by Owner.
4. ALL INSTALLATION LABOR GUARANTEED 1 (ONE)YEAR. DATE
Print �-'�I^- /
Salesman's (Namey �Z/�(/% / Signature L .
(usf m r Sign Here)
e license
N No. / Signature
REV 3/03