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0054 STONEY CLIFF ROAD
SloJET CLIFF 12-1,D1 1 • 3 - 20 -r7 �� • Town of Barnstable re`REiPi -. 200 Main Street, Hyannis MA 02601 508-862-403.8 Application for Building Permit Application No: B-17-699 Date Recieved: 3/16/2017 Job Location: 54 STONEY CLIFF ROAD,CENTERVILLE Permit For: Building-Siding/Windows/Roof/Doors' ' Contractor's Name: JAMES P CURLEY State Lic. No: CSSL-099138 Address: Centerville, MA 02632 Applicant Phone: (508) 790-4508 (Home)Owner's Name: MEECE,DAVID J&MELISSA S Phone: (508)775-2476 (Home)Owner's Address: 54 STONEY CLIFF ROAD, CENTERVILLE,MA 02632 Work Description: Strip and re-roof approximately 20 square of asphalt roof shingles. -_— C- -� Total Value Of Work To Be Performed: $7,500.00 a�' r— Structure Size: 0.00 0.00 9 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractorli subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: James Curley 3/16/2017 (508)790-4508 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost: $7,500.00 1 Date Paid ; Amount Paid. Check#or CC# Pay Type Total Permit Fee: $38.25 3/16/2017 $38.25 XXXX-XXXX-XXXX- Credit Card I 5483 ....... .......................:.:....... .... ..... ....... ..........................._.............................................t.............._......_._...._.............................................................._............_....................__............. _.. Total Permit Fee Paid: $38.25 Y?a•T .:'f��F%`.2Y,,,�ar...4.£u. s,.,..�?.§�?w �l:G�`��.'�.�a' e't�3::w�,i�ed3a;.mdY''�'"`.fi�:`..;m``S,Y saF�,�:.n..".�`,a�.vFSN"s,�xs. �n.a`'.,s.''�.��x.; - *Permit# Town of Barnstable Expires 6 months from issue date )e,--PRESS PERMIT Regulatory Services Fee e ('o" • 3 Thomas F.Geiler,Director n 1 3 Building.Division TO U C)F BARNSTABLE Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstab le.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTLAL ONLY q Not Valid without Red X-Press imprint Map/parcel/ arcel Number I I — V Property Address 51 -S I I 4l� [Residential Value of Work y ' Minimum fee of$25.00 for work under$6000.00 M Owner's Name&Address b I � " Contractor's Name Telephone Number Q " y Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 1 v ❑Workman's Compensation Insurance ChA one: M I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance . Insurance Company Name Workmen's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum•44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property O er t sign P erty Owner Letter of Permission. copy the elm ovem t Contractors License is required.. SIGNATURE: - Q:Forms:expmtrg Revise061306 Town of Barnstable. do Regulatory Services i BARNSTABLE, + - - MAM $ Thomas F. Geiler,Director . AlF1639,3,All Building Division Tom Perry, Building Co mmissio e r 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5OB-790-6230 Propexty Owner Must Complete and Sign Tbis.Section If Using A Builder as Owner of the subject property hereby authorize Re to act on my behalf in all matters relative to work authorized bythis building permit application for: . Rd (Ad ss off ob) Signature of Owner Date Print Name Q:FORMS:OWNERPERMIS S TON The Commonwealth of Massachusetts Department of)ndustrial leci'dents Office ot•_fnvesiYgatlons . . 600 [Fashin�-ton Street .Boston,.1{M 02-11-1 www:M ass..gov/dia Workers" Compensation lasurance davit: -guilders/Contractors/Eleetrieians/Pl>xmbers Applicant Information Please Print Ise 'bl Name (Business/Organization/Individual): : J u�►�c.s' ' •Address: �� a�j- � • City/State/Zip: ( 11IS M19 -Dc�Q O( Phone.#: Q e you an employer. Check the appropriate box: -- [A-x ❑ I am a employer with 4. ❑ Iamageneral contractor and IType of project(required):, ,��loyees (full and/orpart.time).* have hired the smb-contractors 6 0 New construction Ly I am a•sole proprietor or partner- listed on the'atta' sheet 7. �]Remodeling ship and have no employees These sub--contractors have working for me in any capacity. employees and have workers' g' Demolition [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 homeowner doing all work officers have exercised their an self comp. 11.[]Plumbing repairs or additions y [No workers' co right of exemption per MGL insurance required,] t g, 152, §1(4), and we have no 12.00yoofrepairs �1 employees, [No workers' . •13.LI Othcr �e S�U 6 comp, insurance required_] *Any applicant that cbccks box#1 must also fill out the section below showing their Workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such 1Cc ntractors that check this box must attached an additionalshcct showing the harne of the sub-contract entities have erimployces. If the sub-contractors have employees,they must providb their ors and state whether or not tho workcis'comp.policy number. Lam an employer that is providing(porkers'compensation inscrance for my employee information. s -Below is the policy and job site Insurance Company Name: Policy#or Self-ins.Lie.#: _ Expiration Date: Job Site Address: City/State/Zip: - Attach a copy of the workers' compensationpolicy dedarato.n pave(showing the policy number and expiration date ,Failure_to secure coverage as required under Section 25A ofMGL e. 152 can lead to the " osition of criminal ) flee tip to$1,500.00 and/or one-year' imP rlminal penalties of a y imprisonmen 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 be forwarded to the Office of Investigations of the b or' e Vera e Yerification. I do her by certr ;In er the i penalties of perjury that the information provided bav •is true and correcrr Sienature: �qo Date: Phone #: - •� • �Y ; Of Icial use only, Do not write in this area,•to be completed by city ox town o ciaL City or Town: I #rssuingAuthority(circle one)x.Board of Health 2,BuildingDepartrnent 3, C'ify/Toyyn Clerkricallnspector 5,PlunibingInspector 6. OtherContact Person, 1 nur nrC+rrrnPq�f�n�� 7'��rlJrrr�rrJ P/7 �.. Office of Consumer Affairs do 6usidess Regulation License or registration valid for individul use only, OIViE IMPROVEMENT CONTRACTOR before the expiration date. If found return to: pa� Office of Consumer Affairs and Business Regulation I- � ration: 124310 Type: g /-�xpiratio n: 6/1/2013 Individual 10]Park?Plaza-Suite 5170. Boston,MA 02116 James Curley James Curley 287 Fuller Rd. \\ - Centerville, MA 02632 a —�— Undersecretary Not valid withotit signature i i fry I N'lassachusetts- Department of Public Safety I li Board of Building Regulations and Standards / Construction Supervisor Specialty License License: CS SL 99138 :{- Restricted.to: .RF,W S JAMES CURLEY i 287 FULLER ROAD.. j CENTERVILLE, MA 02632 !' I j Expiration: 1/28/20t2 f {bmmissiooer• Tr#: 99138 Boa d of Buil�mg R gul-41' _anJ-Si aids--A I"ice7ise ar grstratiOn vali4jor-.di idul use only y.HO E IMPROVEIV. NTCONTRACTOR before the a iration date. e found ffeturn to: Regestration 124 0 w --Board-of Bui din;Regulnti� s'and-S an.dards E irafion 6f1��(i 9 ""`� � One Ashburt Place Rm 13 Tr# 1 0873 Type lndi'vid'•al Boston,Ma.0 108 James urley _ James urley 287 Full r.Rd A 02632 -C EE�)e, Administrator „_ , ,,. Y'•ot ya�l without re . 3 Town of Barnstable *Permit# Expires 6 mont o_issue date Regulatory Services Fee �sz� _ PERMIT MAM 1 ,0� Richard V.Scali,Interim Director ' . Building Division Tom Perry,CBO,Building Commissioner NOV 19 2013 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us � c�-r��L� Office: 508-862-4038 -TOWN - �j EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY O ` Not Valid without Red X-Press Imprint Map/parcel Number Property Address I e-FYI �11 Wit' �� .917&,r___qq_Minimum Residential Value of Work$ fee of$35.00 for work under$6000.00 Owner's Name&Address .6/ / /�G� G t CZ Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner have Wrker's Compensation Insurance Insuranrempany Nain e N9-19V Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side r, t j Replacement Windows/doors/sliders.U-Value L (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 co of the Home I v "xjent ntractors License&Construction Supervisors License is r SIGNATURE: Q:\WPFILES\FORMS\building permit forms\E SS.doc Revised 061313 r - - The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www massgovldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly ( Q Name(Business/Organization/Individual): /e Address: law h City/State/Zip: �' r ! ^ Phone#:Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. 4 I am a general contractor and I * / have hired the sub-contractors 6. ❑New construction employees(full and/or part-time). 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' 9 ❑Building addition [No workers'comp.insurance comp.insurance# required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no 13.❑Other employees.[No workers' comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'cornpensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors Trust submit a new affidavit indicating such. 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 emrployees. If the sub-contractors 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 thepolicy and job site information. dd � Insurance Company Name: NQG1J Ilaki-I // TO t'/1 q,04e /tl P Policy#or Self-ins.Lic.M &")I F3 �_'!Z2 1 Expiration Date: l Job Site Address: y lf�LIZ City/State/Zip:�,oGl 6hep v Attach a copy of the workers' compens tion 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 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 fo surance coverage verification. Of I do hereby certify e pa' d p/ es a at the information provided above is i•u7and orrect. Si nature: Date: Phone#: 7 2 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.Boaxd of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: rtTrin 1('n rrr7rr n.rrrnra�l�r�r': r.rJrrr•�rYJr•//J ffice of Consumer Affairs&Business Regulation_ g 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: 148688 Type 10 Park Plaza-Suite 5170 Expiration:P 10/18/2015 Supplement':ard Boston,MA 02116 LOWE'S HOMES CENTERS INC ROBERT ABBOTT 71A7 136 TURNPIKE RD.SUITE 100 — SOUTHBOROUGH,MA 01772 Undersecretary Not vali w" out signature ,Ic/Gl/GU1G lu:Uu trAA KINGSTON LOWES t¢J002/002 �> . Of[lce o� Efeit}`i� License or registration valid for individul use only liHOME IMPROVEMENT CONTRACI'OFt beforb the expiration date. If found return to: .. Rs0l tlon: 452087 Type: ' 'Office of Consumer Affairs and Business Regulation 'Exptraelbn: �014 DRA 10 Park Plaza-Suite 5174 mlN-S --: s , `y PETER MCLAUG t..' .; 22 IFR1CA AVENIJ MIDDLESORb,MA Under erckry Not valid without signature -:..;;,•: �: ;.' ::•"'sue ; • Oaw'�Jnrestrlctad ` '�'" •.. '• '.:�; •,;*; G-1 2 Fain lyHonili " :FARMto possess a currant edition emu - .. ' ^Musubuidia State Bmldlng Code ' is ca ft fot rdl�oea n of•tla-ucogmA. y �y,•,y,'�k 4, 'llA� iNJviiN•...�i'.dYW1Lt >''•IW-:�lh:�4,PV• 'AttachView https:Howa.' loweslife.com/owa/X-AttachView/cmd/show/file... This page is intended for printing only. Retrieving data from server ... - ' q�fifr-�C 1.. sh h..s; F� {4� Hv.: L✓•;Y-, Y, "1 � . '21^�' 6 OR i; IK W t ' f1: 2t7 'F ' ' ae it�►ti n: 7i Q°14 08A s +4 e . yp1�y TE MCy1f AUG L . 22 Spat 1 1 of 1 01/01/2013 02:17 M 2013-11 -14 09:02 Installed Sales 1663 7812172009 >> Install Sales P 2/2 ,t r r"V6"i P.I ACOR& CERTIFICATE OF LIABILITY INSURANCE DADD 11/�,/13/3/2013013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIRCA-M HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES SE40W. THIS CERTIFICATE OF INSURANCE D08S NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: it tho cor0cste holder Is an ADDITIONAL INSURED,tho poliey(ioB)must bD andorsad. if SUBROGATION 13 WAIVED,subject to the torms and conditions of the policy,certain policies may raqulro an Dndoraomont. A Statamont on this cordficato loos not confor rights to tho cordficato holder In llau of such ondarsomont 9. PRODUCQR Go"T 1AWC1Maxgarot Uiaxa Morse Insurance Agency, Inc. 1PHOND=11 . (508)238-0056 PA (50>aI2So-8367 285 W3ahington 3t:r9et ^IAI maggievioraomorseine.com INSURUR(SI AFfOROINO COVERAaC NAIC N North Eo,$tan b1A 02356 INNU n3fain 3t=aet America Atseuranco 29939 INSURED IN&U Ra Associated Em O ers Ins. PETER MCT.,WGMI13 D/B/A MCLAUGHLIN r S DOORS 4 tNg c: wnwowa Urer R0 22 ERICA AVE INaafteR c.-- _ MIDDLEEM0 MA 02346-1418 INSURERF• COVERAGES CERTI PICATE NUM BER2012 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N07WITHSTANDINO ANY REQUIREMENT,TLRNI OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE LSSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN NtAY HAVE 9El:N REDUCED BY PAID CLAIMS. INS , TYPE OF INSURANCY. R CY NU CU ovix V a PM I UMI'M 0ENCRA6 LIAOIUTY EACH OCCURRENCE FS 1D00,00MERCIAL GENERALLIPBILRY a 500,000 A CLAIMS-MADE CC OCCUR NPr2524z 12/21/2012 1/21/2013 MCDPIIP(Ary atopwyan ;S 10,000 PQR$ONALd AOV INJURY S 1,000,000 GENERAL ACORC04E S 2,000,900 GEN%ACGRGGATE LIMIT APPLIW PCR: PRODUCTS•COMP"AGG A 210001000 X POLICY F7P LCX: b AUTOMOC&C LIABILITY I ' ZMLA LIMIT l •MY AUTO DOOILY INJURY(Per pgrxee)ALLCW } AUTOS AUTQ5ULED DOCILY INJURY(Per alAdMN) S HIRao AUTOS NoT% MED p DAMA $ AU UMBRELLA UAS OCCUR CACI{bCCURRF.NCE S EXCESS LIAR CLAIMS-MAW AG 149(aAT6 $ Oro I I RFTFNTI S S g WORK&R8 CgFVeaATION tITA AND CMPLCYGRS'LIABILITY Y/N ANY OFFlCC Mtlt_RjPf ClUOtp CUTIVE NIA E,L.EACtI ACCIDENT S 500 000 IWendatory In NK) 1112112012 1/21/2023 E.L.DISEASE-EA EMPLOYE I 5001000 II sr'd plrlrt>0 ur,doPay E,L.DISEASE-POLICY LIMIT 9 500 000 Q � LQ - I DESCRIPTION Or OPERATIONS f LOCAMONS!VIIHICLAS(Attach ACORD+01,Adtlkloml Remarks Schedule,If Efemspeee to rerprltad) vorer ktaLaughlxn is ccrwazad by t1la aozkara aompotssation policy CERTIFICATE HOLDER CANCELLATION (791)381-7909 SHOULD ANY OF TH9 ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THt: EXPIRATION DATE TKURCCF, NOMCC WILL CC DeLIVCkE0 IN Town Of Mast able ACCORDANCE WITH THP POLICY PROVISIONS. 200 Main Street: klyann:l s, NA 02601 AUTHORMADR&RnsONTAWE Mmrgarot Viora/mav ACORD 2S(2090105) 01988-2010 ACORD CORPORATION, All rightS reserved. IN�n9SMMM/.1At The hi':P;?n nyma and Innn Ave M4nkfararl rn► rkq nF Af`f1Rn STORE COPY INSTALLATION SERVICES CUSTOMER CONTRACT- MWORK- INT/EXT/PATIO DOOR LOWE'S OF KINGSTON, MA, STORE# 1663 STORE PHONE: (781)217-2000 32 WILLIAM C. GOULD WAY SALESPERSON:WILLIAM MCCARRON KINGSTON, MA 02364 SALESPERSON ID: 1609531 Document Print Date : 10/10/2013 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 DOCUMENT INCLUDING THE"TERMS AND CONDITIONS" BEFORE SIGNING. Lowe's Registration or Contractor License Number/Lowe's Contractor Name Lowe's Home Centers, Inc.'s MA HIC NO.: 148688 Lowe's Home Centers, Inc.'s FEIN: 56-0748358 Customer Name Home Phone S MELISSA MEECE 508-367-7988 O Customer Address Other Phone 54 STONEY CLIFF ROAD L cityState/Province Zip/Postal Code D CENTERVILLE MA 02632 Installation Address T 54 STONEY CLIFF ROAD IInstallation City Installation State/Province Installation Zip/Postal Code CENTERVILLE MA 02632 MERCHANDISE AND INSTALLATION SUMMARY MERCHANDISE SUMMARY 373691 : PETSINGLEDR : SOS : PELLA SOS ARCHITECT FG ENTRY ES : ARCHITECT SERIES (R) ENTRY DOORS SINGLE DOOR *"'THIS PRICE RE- FLECTS A 15%OFF PROMOTION ON SOS PELLA(R) ENTRY DOORS - 10/02/2013 TO 10/15/2013*** : PELLA- ENTRY DOORS- QTY 1 130221 : 358370AKSL : STK : OAK SDLE 358 3-5/8X5/8X37" : OAK SDLE 358 3-5/8X5/8X37" : EMPIRE COMPANY, INC. (THE) -CITY 1 193569 : 35170FJPMD : STK : PFJ CASE 351 2-1/2X1 1/1 6X7 : PFJ CASE 351 2-1/2X1 1/1 6X7 : EMPIRE COMPANY, INC. (THE) -QTY 3 209626 : 02018 : STK : PVC LATTICE 8FT : PVC LATTICE 8FT : EAST COAST MILLWORK DISTRIBUTI - QTY 3 238348 : 2828-8 : STK : 3/4X7.25X8 RF EMBOSD PVC TRM BRD : 3/4X7.25X8 RF EMBOSD PVC TRM BRD : ROYAL MOULDINGS LIMITED - QTY 4 Materials Price $ 1626.2 Store 1663 Project No. 392874052 for MELISSA MEECE Page 1 of 7 STORE COPY INSTALLATION DESCRIPTION Stock or SOS : SOS Door Type : Exterior Select Location : Front Door . Select New Door : Single Pre-hung Number of Doors to Install : 1 Side Lights or Transoms : No Hardwood (Mahogany or Oak) Door : No Hidden Damage Description : None Number of additional holes bored for accessories : None Install Specialized Mortise Hardware : No Install Storm Door : Replace existing storm door Lead Safe Practices : No Total Linear Feet of Custom Trim to be Installed : 0 Deliver Door : Yes Customer Understands Scope of the Project : Yes Permit Required : No Additional Miles Traveled over 20 : 18 Bring Up To Code Description : None Local Disposal Fee : None Describe Other Work Needed : Build up sill, add sadle, 1/4 inch buildout Other Work Charge : Yes Comments : No Comment Labor Charges $ 577.75 Detail Deduction -$ 35.0 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. TOTAL CHARGES OF ALL MERCHANDISE AND SERVICES where applicable SUB-TOTAL $2168.9 *TAX $ 0.0 DELIVERY $ 0.0 ORDER TOTAL $2168.9 BALANCE DUE Store 1663 Project No. 392874052 for MELISSA MEECE Page 2 of 7 STORE COPY Work is to commence upon reasonable availablity of Contractor which is anticipated to be �o% 3 [fill in date]. Estimated completion date is [fill in date]. NOTICE TO CUSTOMER E 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. IFTHE CONTRACT TOTAL IS$1 000 00 OR LESS Customer must pay in full. COMP ETE THIS SECTION ONLY WHEN THE CONTRACT TOTAL EXCEEDS 1 000.00: >4§4Omer 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 p Il cted upon or after the commencement of work. I/We authorize Lowe's to do one of the following (check ap- propriate box below): L] Charge my/our credit card for the amount of the payment indicated above upon or after the commencement of work; or L] Deposit my/our check for the amount of the payment indicated above anytime upon or after the commencement of work; and (3) Final payment of$100.00, 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- Store 1663 Project No. 392874052 for MELISSA MEECE Page 3 of 7 CUSTOMER COPY T H T PROVIDED IN M.G.L.c.142A. o r Y' Date: O o. owS Hgmok"rs, By Date: W Owner a w 8Y Date: P a Co&w-ar or Witness THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPr M QCSOLUTION INITIATED BY Li-WE'S PURSUANT TO M-G.L a142A TKE OWNER MAY BE PER1MrTrED TO 1NITIAI'E ALTERNATIVE DISPUTE RMr r ITION EVEN WHEBE THE SECTION ABOVE IS NOT Y I Y THE P R Wr NESS OUR HAND(S)AND SEAL(S)BELOW THIS 4P Y OF V Lowe's Horne Centers, Inc. Y' (Seat) / i ,F Print Name. /�r��Clfi.� !i C�►Ctr/`a" ~ Y" f+dd s -- (Seal) Cir}' SWE Prav6116-5 zrp/Festal Cade Print Name Co-Owneror Wkum Seal) PrJnt Name 0 a Customer acknowiedges receipt of a true copy which was oompletely filled in prior to Customers execution hereof:You the customer may cancel this transaction at any time prior to midnight on the third business day arPoer the darts of this transaction.See the attached Notice of Right to Cancel for an explanation of this right 70 Store 1663 Project No.392874052 for MELISSA MEECE Page 4 of 7 STORE COPY 0 Ml PN PROVIDED IN M.G.L. c.142A. Date:By' f � N rs.In t C� By. Date_ rrer o By: Date: Co-owner or Witness THE SIGNATURES OF THE-PARTIES A 313OVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TC ALTERNATIVE DISPUTE RMLUTION INITIATED_BY LOWE`S PURSUANT TO M-G.L. c.142A_ THE OWNER MAY BE PERMITTED TO INITIAi F ALTERNATIVE QISPUTF RESOLUTION TION EVEN WHERETHE SECTIONB NOT SEPER&MLY SIQNED BYTHE WITNESS OUR HAND(S)AND SEALS)BELOW THIS,efe_ _DAY OF�=- , LowE'S Hom71ers,Inc. By:if (Seal} U pie Print Name: f (Seal) AXrmIsy:z. !� G City State/Pm%inoe zip Postal Coa Print Name Co-Owner or Wilmess (Seal) Print Name z - o C -A Customer aclmowiedges receipt of a true cosy which was comple"filled in prior to Customers execution hereof. You the customer may cancel thls transaction at any tune prior to midnight on the third business day after the date of this transaction.Seethe attached Notice of Right to l anell for an explanation of this right z Store 1663 Project No.3M74M for MEUSSA MEECE Page 4 of 7 AcoWr CERTII=ICATE OF LIABILITY INSURANCE �fE"�li°�Y'YY' D3;,512D13 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 8Y THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING tNSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the poiicy(los)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 endorsements. PRODUCER C Marsh USA Inc. 100 No*Tryon Street.Suite 320D PHGN@ Charbtle.NC 26202 L AWr:For Ruastiarre caMaa:insraeticerequasl�towe5.com INW 3 AFFORDING N&C N 47096-C-ASUA:ONLY-13.14 0l ER A:Natimet Union Are Ina Co P(Itebtagh PA 19445 INSURED New Hernpshire Insurance Cr rn La+e's Companies.Inc.aM€tul+srJlarla tNsuReR D- #Ig'I'J 25941 inckldng Lowe's Horne Omer..Inc. A R G:Illinois National Ins Co 4000 23B17 Mcoreyyae, Po Box fle,NC 281 15 NJSURER D:Solely*Donal Cma'ty Coco: 15tD5 Iy1 RER I?.:,SiNa1a51 Insulanca Cornlosny 2ri38i aNEURER F: _ mow: COVERAt3ES CE£2TIFICATE`NU1148Et:; ATt•L4249tBS•zd � REVISION NUhE6ER: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL.THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMIT'S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, xv TYPE OF INSURANCE PILL YN @RPoUffi�xv LIMITS GENERAL LIABILITY EAACH OLCU1iRk;NG S .O1AA1tTRCIAL GL-NEIWLUA;$IU fY SeN Insured-See Bebw E 0S10110 1 CLFJeIS�+Ant 13 CrGCUR MEO'XP drsperson S ` PERWI01&ADY INJVAY S OENkAAt.AflORl:Cr,4fl5 � GENL AGORkOA1E,LWIN APKIEF PtiR: PROOtK'IB-CR�h#rCp POLICY PRo- S L S AUTOMOBILE.LMILI Y A X CA519fr309 ADS' �•�ANYAOI'0 { ) W1!2013 0401t2014 BODILY 04JURY'(Per personl ; U AVtpg D AUTOSIAEO CA5196310(MA) 4410I!2013 0011014 BODILY NLAI(RY(Nr accldepy S A tRRFD AUTOS NO t OS OWNFI) CA5$,%311(VA) 04Nii2013 04,t1V2014 0 H - S 5 X UMBRELLA LIAR X H QGCWRRt3aC& & S,UD0,000 E EXCESSLLAe ctAIhAS0+49E IPft3T9230t-00 Altgt(2Qif 4dt01!2at4 AtEgA1E S 5,C4D.00D 7777RETENTI rN t g 1NORKPIts cONPEMBAnON WC019359017 ADS,WCOt935�15 i!20t3 0rra1t20t4 WC STATU- OTH C AND zW4-OyERS'AIAS9JY .� ANY PAWRIVOMPARTNERIE%ECIRIVE Yr WC01935g016VA 04roIn013 DMIG14 2. .� 8 OFFItl_IUMEW,R EXCLUDED? N k i A I L.EACH ACCIDENT ; (Mandetety In NHI WU19359018 AK,A2 (MlTjtlZ0t3 ()s!0iJ2016 k.L,DlaAst-EA EMPLLIYE S 2,003,00D Apex OaSTION OF O WC019 35501 9 10l,V1 O1JbG2Dt3 D6.d11!2a14 9 ESGRIi?INN 4>=OPERATIONS below E.L.01 A"•POLICY UM11 S A Excess WC XWCtc93ti169+AOS) 04JCitt2013 001014 WC:StaUEL:$4m1:xs&Wl$IR A excess WC XVICU36190(FLI f A Cl!2013 CRN1014 ViC:-qWj i..'tc',rr3;xs 32%,SIR DESCRIPTtDN OF OPERATIONS)LOCATIONS!VEHICLES Meath ACORD 101,Additle"Remarlre Schedule,Ir"We so6ce Is tegalred) InslaOd Is U4 61IIrM 101 Gerald LtSNllly for tlk LeR4 0 4.101;7013 to a tt112014. '+tiderx�01 Coleraga CERTIFICATE HOLDER CANCELLATION and e'sgu Cdaries ,Inc, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE and Box 1000 THE EXPIRATION DATE THEREOF, NOTICE WILL Be DEI tyEltEtl M1 PO Sox ire, ACCOMANCE WITH THE pOLICY pR0%"ION3. Nouesvire,NC 28115 AUMORM REPREWNTATNE at Marsh USA lea. Diana Bentley t�RaMo t3f+Kiaart,� 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD J AGENCY CUSTOMER ID: 47096 LOC 9: Charlotte ACORD ADDITIONAL REMARKS SCHEDULE Page z of z AGENCY NAM INSURED �• �� k4amh USA lno. tc%l s Cmnparnae,tor.,and stdiWaries ndudrp(Lowe's Hone Centets,htc. POLICY NUMBER f0 Box ioco 1;4oers501te.NC 28115 CARR" NAiC COD@ EfFECTWS DATA ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM 19 A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liablll Insurance 00*f Pole Gagers TX Emocrffs XS 4 oum. gy Pak'Details Inaftu:D (Sat*Noucro(:;psustyCapj Pc&y" mf:EE1404W72 Eff.Ot GAIDtd2413 Exp,OL 4;tW.1114 Litfl(ls %8mJ Ea Ow52W AM: xs 32ml SIR: ADDIT AAL 9frOPMATM: The wAfiate holder is adjtfioU aruaed um*IRe AmiombI6 Liahlity poicy and the Genoa)LieWgy portion aI the axesa 1ie61ify ppky as ih�r thtsraet may appear.il�uired by WI tteh contact Maned Insured. ft lemons and cw*'cm of ft pdicw ACORt?101(2408101) ©208 ACOiD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 32 Wftn C.Gould Jr.Way,Kngft MA 02984 I • 781-217-2000 • 781-217.2004 M ftx TO: Ffm Fa�c 'tom Plane Oda Rae CC.- 5 C' (ern `OL b-W Architect Berle<,l� P,:;la' GLAZING PERFORMANCE - TOTAL UNIT Wood Frame Units f ENTRY DOOR Shaded Areas Meet ENERGY STAR' o U 1010 Performance Criteria in Zones Shown Type of Glazing m = J u_ a > U.S. Canada z Zone ER IZone Full Light Blinds-Between-the-Glass with Clear glass 0.33 0.32 22 Fixed Grilles with Low-E glass 0.30 0.18 29 �, t €`: 11 Grilles-Between-the-Glass with Low-E glass 0.29 0.16 25 _.? 11 Decorative glass 0.27 0.26 28 . 19i Low-E 0.30 0.18 29 Textured Glass 0.27 0.26 28 - 19 3/4 Light Fixed Grilles with Low-E glass 0.2.3 0.14 22 t 18 s Grilles-Between-the-Glass with Low-E glass 0.23 0.12 20 '-' 16 Decorative glass 0.25 0.21 21 19 Low-E 0.23 0.14 22 18 Textured Glass 0.25 0.21 21 F* 19 Half Light Blinds-Between-the-Glass with Clear glass 0.25 0.18 18 17v , . Fixed Grilles with Low-E glass 0.23 0.10 16 -�,� F. , 15 Grilles-Between-the-Glass with Low-E glass 0.22 0.09 14 " k„ 16 Decorative lass 0.22 0.15 15 '' �. 19 y� Low-E 0.23 0.10 16 15 Textured Glass 0.22 0.15 15 19 " Solid Panel No Glass 0.14 0.01 0 121 I` 41j Full Light Blinds-Between-the-Glass with Clear glass 0.33 0.32 33 Fixed Grilles with Low-E glass 0.30 0.18 29 '': 11 Grilles-Between-the-Glass with Low-E glass 0.29 0.16 25 � 11 Decorative glass 0.27 0.26 28 '_ 19 2 Low-E 0.30 0.18 29 04, 11 Textured Glass 0.27 0.26 28 f 19 1112LSELL 3/4 Light Fixed Grilles with Low-E glass 0.23 0.14 23 :, 7,77 18 _ Grilles-Between-the-Glass with Low-E glass 0.23 0.12 20 ;� . �;; 16 ` la , Decorative lass 19 xn.a 9 0.25 0.21 21 ��,� '�� � y an", Low-E 0.23 0.14 _ 2.3 'VIA r� � 18 *' Textured Glass 0.25 0.21 21 19 Half Light Blinds-Between-the-Glass with Clear glass 0.25 0.18 18 •` 17 Fixed Grilles with Low-E glass 0.23 0.10 16 ," '`;;� 15 Grilles-Between-the-Glass with Low-E glass 0.22 0.09 14 °_, a 16 Decorative lass 0.22 0.15 15W air.' 19 ;1 Low-E 0.23 0.10 16 15 - Textured Glass 0.22 0.15 15 `' x' = ` 19 .. t Solid Panel No Glass 0.14 0 0 21 t • KEY: Climate Zones R-Value=1/U-Factor ,�a SHGC=Solar Heat Gain Coeffecient At » m VLT%=Visible Light Transmission HA=High Altitude Glass IG=Insulated Glass S, ge (1)Glazing performance values are calculated based on NFRC 100. D w A . (2)The values shown are based on Canada's updated ENERGY STAR'initiative. For more information,see the ENERGY STAR guidelines. Pella 2013 Architectural Design Manual l Division 08-Openings I Windows and Doors www.PellaADM.com ED12-21 IME Tp� * BARNgrABLE, MASS 1639- g Town of Barnstable AtfD MA'I A . Regulatory Services Thomas F.Geiler,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��_ �� �,��Ylre vl to act on my behalf, in all matters relative to work authorized by this building permit application for: 40, ell (Address of Job) Signature of Owner Date il'•mt Name ' If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\8R76BDVA\EXPRESS.doe Revised 061313 rq Town of Barnstable -Permit# 000 6 311 3S Expires 6 months from issue date Regulatory Services Fee SPERMIT Thomas F.Geiler,Director ,J gloc PERMIT Building Division �M1 OCT 18 2006 Tom Perry,CBO, Building Commissioner . 200 Main Street,Hyannis,MA 02601 'OWN OF BARNSTABLE www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint vlap/parcel Number /� y 'roperty Address &Vzk�- &Residential Value of Work Minimum fee of$25.00 for work under$6000.00 )wner's Name&Address Nil-QaAo Gn&w i I ;ontractor's Name Telephone Number L�� qE6:Q Lam Tome Improvement Contractor License#(if applicable) [ ;onstruction 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 Insurance nsurance Company Name 1 ); Vorkman's Comp.Policy# (Al" ;opy of Insurance Compliance Certificate must be on file. 'ermit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side replacement Windows. 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: Prope wner mus ign Property Owner Letter of Permission. ' Ho I r e o tractors License is required. IGNATURE: :Forrns:expmtrg .vise071405 a »-.e a • '°.:P7r•sa�i €w' 3^'.. tda�'�dj��", 3.a�d..7 1:72 D ,.> Rd ' •c�/ t A, i' X,d �yt �, �.,,e.y ,.,=.�-_-r.,a.. e xw.._.....-.,,,....�...•.......o...,P��_. _.t,-....tee.., er? aleckthe~aPproprWebox: Type afproject(rai ` a e zoo.an employ 4. ❑1 gma geaaal contractor add T 5. (]New eoustrua=. [�I am a aa�laYacwith ---� haveldred�s<� . o9vmy1144(tu MUV parg-=o. oa tw atrached shad 7. ❑R�deft. a- .• e 1 sm s sold y pdator oryarm • Ea JDemolftioa ° eanplflY'� - 1'heso sat-eaatractorshave Mp Mibave-so woticbog Jbrme ia MY capacky. worlcaa'comp'fnsaraaca; g, ❑8mistrag addit� TNT ,gyp, S. [� than- ' 10.0 81rctriW t9sh or additions . . i9ph-cal. aMGL 11.E g� addittars "S �atght of eaa P Iamtaboni+ oftar a. 132311(4),and web "UQ a[]Roofrapaas' . xnysdtf jNo.workeis'oOmA'. 3oyees. o*Mkio . 73.[1 Ot3u� Bn�chadca kx#1 owd*0 in out W =wow*GWfAs *w dMW oompensatim+po�°y °b , �dav{t ladicdsebns YUO daam1 eft wok eud.�ae *I"W&eonfrsdaas a�uubaa�aasw affid�v�}adic�tia�ao c�. catra �jgobft Oqc boa mad am sa:flood am towftibo m"af�6a�osd fhea woAo��P0�7' . i er#lead is ra�+ldfr�g workers compensation h�ssa ancefor•MY MPkygs' Below ix ihe oi 1na',�ob am an amp ay p• .. itce CampaaYName: ;�• i�lirot �.Li L#'-- CPZ° ' FF 3b SiteAdareaa' � on dectarldonpage(sh�S thepaney number and corxUon date). &a&a ew of the worlaere comp p�e9 vEW BcW=4SA if UQL 0.132 cidUd to Ie IMPONan of ctaumalPmaaltics of a ' to se •� pamal mid$ fozmof.a STOPVM dad a fma mcup to 3105ftgo$Win aaayoar�a tl asweltae civ� be fvrwmded to the Office of f vp SZO.00 a day Ig h:Wt*d 3olator, Be advteed*Aa copy of this 9bbMaatmay, Qytlaos ofdtelEAfartos=ae oovrra8e vKHk d M r P ? a fP '�ha!tha information provided above Is Trot and correct. do htraby . 3' tnro• eb: ' Do halms*L to it mow 0 er�ae QtyqrTo=-- r�sn . I'ermitlLicease# . Adh (circle one)i Board of geaYh 1.Bind.Deputes 3.city aown Clark. 4.Electrical insgeder 5.?Iamblag Inspector L . Phane#: .x j Gf o�t�ram, ti Town of Barnstable 'Us& Regulatory Services . gFOe Thomas F.Geiler,Director Building Division Tom 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 I, CL,> C , as Owner of the subject property hereby authorize Al�:4 1 Inhe to act on my behalf, in all matters relative to work authorized by this building permit application for: qi... nvF PJ. Je (Address of ob) Signature of Owner Date Print Name Q:Forms:expmtrg Revise071405 I ' I f �� �L�:il I�L•1.Cj 1-300-746-6686 RES 97 ENERGY PERFORMANCE RATINGS U-Factor(U.&A-P) Solar Heat Gain Coefficient 0 . 35 0 . 26 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0 . 43 . MefbMer*Ulster that duce rdry oxdam b 3XIbble WC xxoduna let aeommihN*do p&a porU mfes.(tW radngs are ditmkW br a road set of envhau vft=Wftm and a WK*product elm.Convert maru:fact<anr's Uta M"tr atergodud perfbnnsnco hbrrnstb:L www,rthc.ap t . j.: EAEN61f SEAM • Ouit qualifies for taargT star t Asgion�sj: Naetheca, Macth I. L: I •.� Conical, Routh Cent:cal, P, Southern I; DP: +25/-25 ra 193t 80g-AxS �cder. S:38.9.5.1.18:09QGQ ✓/i f1S f ; L, p� e Panmeareueal�! o��/�aaaac�ivaella Board of Building Regulations and Standards HOME IMP•ROVEMENTCONTRACTOR . l: Registration:- 1.26893 i F Exptrat on 8/3/2008 Type Supplement Card THE Home Depot.xi—Home Setvic MCHARD FALI-6i4 �.. .3200 COBB GALLERIA,PL(Vltil'"420 � � AtIANTA,GA 30339 RICHAmu Administrator Danya Mahot 774323D034 p. 4 HOME IMPROVEMENT CONTRACT Q Sold,Furnished and Installed by: Branch Name: !7 Date: THD At-Home Services,Inc. d/b/a The Home Depot At-Home Services 345A Greenwood Street,Worcester, MA 01607 Branch Number:imi Job#: 22 �/ Toll Free (800) 657-5182: Fax: 508-756-2859 Federal ID#75-2698460 ME Lie#C 02439 RI Cont.Lic# 16427 C�. CT Lic#565522: MA Home Improvement Contractor Reg.#126893 Installation Address: �i J(� �l �F�rutI U City State Zip Pu c ser s: Last 4 Digits of Driver's ic. &Ex .Mo/Yr: work Phone: Home Phone: V S Home Address: (If different from Installation Address) City State Zip >rmail Address (to receive updates and promotions from The Home Depot):N� Project Information: I/We/You ("Purchaser"), the owners of the property located at the above installation address, offer to contract with Home Depot U.S.A., Inc. ( �o e e of") to furnish, deliver and arrange for the installation of all materials as described on the attached Spec Sheet# 1►J �U oi ,incorporated herein by reference and made a part hereof. Home Depot reserves the right to cancel this contract if,upon re-inspection of the job, Home Depot determines that it cannot perform its obligations due to a structural problem with the home, pricing errors or because work required to complete the job was not included in,the Spec Sheet or Contract. DEPOSIT PAYMENT OPTIONS (Subject to fund verification and/or credit approval.) l 1. Check,Cashiers Check or US Postal Service Money Order CONTRACT AMOUNT $ ( (Made payable to The Home Depot). *LESS DEPOSIT $ 2. Credit Card`and/or other payment options-Circle One Below Visa MasterCard Discover American Express BALANCE DUE MM The Home Depot Home Improvement Loan The Nome DeporCredit Card ON COMPLETION $ V fl New Account ❑Existing Account (HIL&HDCC ONLY) *Minimum 25%of Contract Amount due upon Available Credit:$ f j,� (HIL&HDCC ONLY) execution of this contract. JJ��22 //�� Acct#:(xJ),�• 7 6 • b�Exp.Date: Name as it appears on card: A Lp L Indicate Payment Method For *By my/our signature below,I/We agree to allow Home Depot to BALANCE DUE ON COMPLETION: cha a the above refer nc d credit card for the de osit indicated. • � ra�03 oC (( C dhold 's Signature Date HIL or HDCC Authorization Codes Deposit Final Payq1ent # as nn7 1 Purchaser agrees that, immediately upon completion of the work,Purchaser will execute a Completion Certificate and pay any balance due. Purchaser also agrees to be jointly and severally obligated and liable hereunder. Entire Aereement: This agreement and its attachments, including any financing agreement, contain the complete agreement between the parties and can not be amended or modified unless in writing in a separate agreement signed by both parties. NOTICE TO PURCHASER Do not sign this contract before you read it. You are entitled to a completely filled-in copy of the contract at the time you sign. Keep it to protect your rights. Do not sign a Completion Certificate before this project is complete. Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner,prior to the actual completion of the work to be performed under the.contract. You may cancel this transaction at any time prior to midnight of the third bushiess day after the date of this contract. See Notice of Cancellation for an explanation of this right. There will be a service charge equal to 25% of the contract amount if the job is cancelled by Purchaser AFTER the third business day. BY MY/OUR SIGNATURE BELOW, IIWE AGREE TO BE BOUND BY THE TERMS OF THIS CONTRACT. I/WE ' ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF.THE NOTICE` OF CANCELLATION. BY MY/OUR SIGNATURE BELOW, I/WE UNDERSTAND THAT THE AGREEMENT IS SUBJECT TO REVIEW OF r MARSH CERTIFICATE �OFIN�IJRANCE 000 9 CERTIFICATE NUMBER a r, 915 07-11 w.u.,..1 w, ATL PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS MARSH USA,INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE ATTN:BRENDA BOOKER (404)995-2594 POLICY.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE MAYA MCCLURE(404)995-3206 OR AFFORDED BY THE POLICIES DESCRIBED HEREIN. . TAMI ROUSE(404)995-3430 FAX(404)760-5663 COMPANIES AFFORDING COVERAGE 3475 PIEDMONT ROAD,SUITE 1200 ATLANTA,GA 30305 COMPANY 100492-IPUSA-GWA-03/04 A STEADFAST INSURANCE COMPANY INSURED COMPANY THD AT-HOME SERVICES INC. B ZURICH AMERICAN•INSURANCE COMPANY DBA THE HOME DEPOT AT-HOME SERVICES,INC. HOME DEPOT USA,INC. COMPANY 2455 PACES FERRY ROAD NW C NEW HAMPSHIRE INS COMPANY BUILDING C-8 ATLANTA,GA 30339 COMPANY D AMERICAN HOME ASSURANCE COMPANY COVERAGES ThIs certficate supe'sedes a nd,replaces,any previously Issued certificate fo�,ttie,polid "perlod,`noted below THIS IS TO CERTIFY THAT'POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN.ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS^ LTR DATE(MMIDDIYY) DATE(MMIDDIYY) A GENERAL LIABILITY IPR 3757 608-01 03/01/06 03/01/07 GENERAL AGGREGATE $ 4,000,000 X COMMERCIAL GENERAL LIABILITY 'LIMITS OF POLICY ARE EXCESS' PRODUCTS-COMP/OP AGG $ 4,000,000 CLAIMS MADE a OCCUR 'OF SIR:$1,000,000 PER OCC PERSONAL&ADV INJURY $ 4,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 4,000,000 FIRE DAMAGE(Any one fire) $ 1,000,000 MED EXP(Any one person) $ EXCLUDED B AUTOMOBILE LIABILITY BAP 2938863-03 AOS 03/01/06 03/01/07 COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO ALLOWNEDAUTOS BODILY INJURY $ (Per person) SCHEDULEDAUTOS - HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS _ (Per accident) X ELF-INSURED AUTO PROPERTY DAMAGE $ HYSICAL DAMAGE GARAGE,LIABILITY - AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY:EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ GSTA WORKERS COMPENSATION AND 6610998(AZ,ID,MD,VA) 03/01/06 03/01/07 X ORY LIMITS ER ��a ,'; "0 EMPLOYERS LIABILITY. 6610995(AOS) 03/01/06 C 03/01/07 EL EACH ACCIDENT $ 1,000,000 G THE PROPRIETOR/ X INCL 6611326(OR) 03/01/06 03/01/07 EL DISEASE-POLICY LIMIT $ 1,000,000 PARTNERS/EXECUTIVE 6610999 NY,WI 03/01/06 03/01/07 E OFFICERS ARE: EXCL ( I ) EL DISEASE-EACH EMPLOYEE $ 1,000,000 OTHER WORKERS - E COMPENSATION CONTINUED 6610997(FL) 03/01/06 03/01/07 D 16610996(CA) 03/01/06 1 03/01/07 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS CERTIFICATE H()LDER� a CANCELLATION . ,..� .xe 's �'. e�,,..... . ..'F<<.., .,��sx ..,..., M...... ._, ............. No .. � - SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL An DAYS WRITTEN NOTICE TO THE FOR INSURANCE PURPOSES ONLY - CERTIFICATE HOLDER NAMED HEREIN,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE,ITS AGENTS OR REPRESENTATIVES,OR THE ISSUER OF THIS CERTIFICATE. MARSH USA INC. BY: Walter Gilstrap AEj? MM1(3102Q`�%a"' OF 02/27/06 _ � .'xa ,,,'q " �. s� 5x S— S' * Home Address: ! (If different from Installation Address) City / State Zip E-mail Address(to receive updates and promotions from The Home Depot):N! Project Information: I/We/You.("Purchaser"), the owners of the property located at the above installation address, offer to contract with Home Depot U.S-A., Inc. o�rteMot") to furnish, deliver and arrange for the installation of all materials as described on the attached Spec Sheet# �t�6 incorporated herein by reference and made a part hereof. Home Depot reserves the right to cancel this contract if,upon re-inspection of the job, Home Depot determines that it cannot perform its obligations due to a structural problem with the home, pricing errors or because work required to complete the job was not included in the Spec Sheet or Contract. DEPOSIT PAYMENT OPTIONS'' (Subject to fund verification and/or credit approval.) q 1. Check,Cashiers Check or US Postal Service Money Order CONTRACT AMOUNT $ l (Made payable to The Home Depoo. *LESS DEPOSIT $ �j�- 2. Credit Card*and/or other payment options-Circle One Below Visa MasterCard Discover American Express BALANCE DUE The Home Depot Home Improvement Loan The Home Depot Credit Card ON COMPLETION $ d 7 New Account f]Existing Account (HIL&HDCC ONLY) *Minimum 25%of Contract Amount due upon Available Credit:S 11�� (HIL&HDCC ONLY) execution of this contract. Accttt: • u Q S Exp.Date: � Name as it appears on card: Indicate Payment Method For *By my/our signature below,I/We agree to allow Home Depot to BALANCE DUE ON COMPLETION: cha a the above referqncpd credit card for the.de osit indicated. ►,de OC Ca dhold 's Signature Date HIL or HDCC Authorization Codes DepositJ�:�Final # 00 , Dd #Purchaser agrees that, immediately upon completion of the work, Purchaser will execute a Completion Certificate and pay any balance due. Purchaser also agrees to be jointly and severally obligated and liable hereunder. Entire Agreement: This agreement and its attachments, including any financing agreement, contain the complete agreement between the parties and can not be amended or modified unless in writing in a separate agreement signed by both parties. NOTICE TO PURCHASER Do not sign this contract before you read it. You are entitled to a completely filled-in copy of the contract at the time you sign. Keep it to protect your rights. Do not sign a Completion Certificate before this project is complete. Law ar accepting a Completion Certificate signed by the owner prior to prohibits home repair contractors from requesting the actual completion of the work to be performed under the contract. You may cancel this transaction at any time prior to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of this right. There will be a service charge equal to 251/, of the contract amount if the job is cancelled by Purchaser AFTER the third business day. BY MY/OUR SIGNATURE BELOW, I/WE AGREE TO BE BOUND BY THE TERMS OF THIS CONTRACT. UWE ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION. BY MY/OUR SIGNATURE BELOW, I/WE UNDERSTAND THAT THE AGREEMENT IS SUBJECT TO REVIEW OF NIY/OUR CREDIgszla :s I/WE AUTHORIZE HOME DEPOT TO VERIFY AND REVIEW MY/OUR CREDIT RECORD WITH CREDIT REPORTING AGENCY AND RELEASE THEM FROM ALL LIABILITY INCURRED FROOMISSIONS OR ERRORS. SUBMITTED BY Date: ultat�ACCEPTED BY: Date:rDate: OrNOTIL TERIVI5 AND CONDITIONS ARE STATED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRACT 4-07-06 C-SC White Branc h File Yellow—customer Pink—Sales Consultant S^d t+E00E0EbLL goyeW eRuea / I,4P./`'9- - - y Assessor's map and lot number V L 07` / �y p� }��/%%�' ?HE o�y Sewage Permit number .......l, c :. .: �(k> G2fM4 WS?EM MUST F / • House number ...J"�............ 9 9TADLE, .......................... MA86 � s 5 �O 1639. \00 A`CODE MFY a TOWN OF BARN wits BUILDING ., INSPECTOR APPLICATION FOR PERMIT TO ....... .................... TYPE OF CONSTRUCTION ............... . `Q.C.a.m . . ....�.4?..........19...~J.'./ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a��33pe/rmiitt according to the following in/fo�rmation�. :p� / p Location ...... ....6.k ��: ....1._..(.t-A-P....../.J..�.Q. ..........4r.ej)..1. :...U%,1..16.................................. Proposed Use ......40....C�. .( .......C, ..... I.1.4 ...... .Q..Q...IM.............................................. Zoning District .......... .................Fire District Name of Owner .., /'Q ......� 'v. .........................Address .. (�... !(.. ..... ........ /" . r' r rr Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..................................................................Foundation .......� .n. .Y�,, -� Exterior ......taaaa....s.% .�./e.S...........................Roofing ........ -....� Q.7�............................................. C(,�t p. .Interior Gil Cy < ..Floors ........ .... ..... ..................................................... ........ .. ...... .......... . . �............................................ Heating .....hol... wak.(........................................Plumbing .................................................................................. Fireplace .......W.Q..0... ..�$40.Q.Ci............................Approximate Cost ...... j a....®........... ......................... Definitive Plan Approved by Planning Board ________________________________ Area v.G........................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BQARD-BF HEALTH — — /1!5L/ I I; )< I hereby agree to conform to all the Rules and Regulations of the Town of Barn table regarding the above construction. Name .. . . .. ........................ Ghron^ Wes A=189-I4 ^ NoMO...... Permit for ' ` .1x».dweIJin* _ . ' -'---------'------^'--'------' ' Location -.54.. . .5kd,------ - - - ' -.. ----------------. ' � Owner ...........Wes..Shrum----------.... . . ' Type of Construction -'�����.-Fraoe.............. .----''.-.--------..-----...-.--- Plot ............................ Lot --------,--'' ' ^ - . ` Permk Gron�d ........ lq ---'��o�-'��� '' 79 ~ ' ° ' Date of Inspection .. -----..l9 ' ' ~ 'omp ' � | Dote C ��e� -����.li..!."�-----1 ` ' ERMIT REFUSED . , . ----. ~~ , . ' ~ ^ - - ...................... �� ---�� ................................................ -..��------------.. lg '' �nm �,-------..-----..--.----...-~. .~ ' ������ ........... .............'����'��,���,� ' _ � 0 - (/- Assessor's map and lot number... P... 1 �( , y0*THET0� �Q o sewage Permit number ......: ,�f Z BARNSTABLE,i House number .... ...................................... v Mann �po�039. 0 'E0 MPY \e t TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO � � I � I �� ! I �- TYPE OF CONSTRUCTION ................4do.cl r ...........Q r a.m ............................................................. Gj - R.:..... ......19..�f! TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......................�.............../.. ................................. ... .................. ....................,....................... ... ........................ ... Proposed Use ..... 7.....�� •P•,>..... ..k.�. .111.. ..... : %!j�!.�.?. t1.r9.0..1. ............................................... Zoning District t .............................Fire District 0 ID Name of Owner ...ltl(2,S...........:��[A.,�.......................Address ...............................�............. Nameof Builder ....................................................................Address ................................... Nameof Architect ..................................................................Address ...................................................................................... (��rn� YP�� -..................................... Number of Rooms ..................................................................Foundation ................................,...... Exterior ......1.r0-(. ._.)..©.d.....aj..PAICP..�-r'............................Roofing ........:.�,PhQ;/-71 ............................................. Floors ........ .. e. ...................................................Interior ........<.:!1..�U....�� . ............................................ Heating ..... d ....W.q. .r�............:...........................Plumbing ...................................................................4.............. p G�Q +Jl fi ,�/..Pa............................Approximate Cost �. 0 0 Fireplace .................. .... . ....... ... ............. . ....................;.� ....................... .... .. . .. : Definitive Plan Approved by Planning Board A--------------------------------19________. Area !.. !.............................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OFF BEARD-O.F HEALIH 1 I hereby, agree to conform-to all the Rules and-Regulations of the Town of Barnstable regarding the above construction. Name . . v?� . ! ��%?�L •....................... Shrum, Wes ,A=189-14 No 21.383...... Permit for .add!.n...to..d;�' •ling .................................................................. ........... Location ...54..S.fey..C�:�€€..Rd.. .... .............. Cenerui1.1 e............................. .............. Owner ...........We.&..Sly. ................................... Type of Construction ....wood...Frame............... .................................-`.. .. Plot ............................ Lot ... ... Permit d Granted ............... 19 79.�,1e. .....i�. Date of Inspection ....................................19 Date Co pleted ......................................19 PER 1T REFUSED .... .. . .......... 19 .......... f. ................................... 4 .......................... ................................................ ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... e WE Teti I The Town of Barnstable BAMSPABM ' Department of Health Safety and Environmental Services 9`bo�t639. ,�•� Building Division Eo�� 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner TOWN OF BARNSTABLE PerM4*L&3 SOLID FUEL STOVE PERMIT Date:`Ql Fee: Owner: c ►- f Ael,61 Phone: Address: ,.55 5&4ed � it g e Village: 6ell 4r y,I)e Map/Parcel: Date: ldhI Ioo Stove A. Ne sed B. Type: Radiant/Circulating C. Manufacturer: Lab. No. D. Model No.: Chimney A. New/ fisting If existing,please note date of last cleaning B. Flue Si C. Are other appliances attached to Flue? � D. Pre-fab Type and Manufacturer Me-T--A-� :a,S-rt--?S E. Masonry: Lined/Unlined Hearth A. Materials: (� B. Sub Floor Construction: Installer Name: 4—, Address: Phone: Location of Installation: Q�00-- (-i i 4-vG-e— /L-- �Q'.'- Co �2�4�-1 APPROVED BY: Q"' Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Stove.doc