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Home My WebLink About0359 STRAWBERRY HILL ROAD t ^ r m 4 : u . r Y � r T >w n a v r a e , Y r C j. s y e f ` � t : " R ` v . x PLO 740 L L - r 71, "c : , _ : 5 qsl Ftrq,,, Town of Barnstable *Permit# p# Expires 6 months o sue Regulatory Services Fee + AAANf.TART 72 # . 9cb HAM �� Thomas F. Geiler,Director 1659, 1 Building Division Tom Perry, CBO, Building Commissioner : 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us. Office: 508-862-403 8 Fax: 508-790-623 0 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Vafid without Red X-Press Imprint Map/parcel Number l ` Property Address 0 1 )(Residential Value of Work S AUnimum fee of$35.00 for work under$6000.00 Owner's Name&Address �//�' Contractor's Name_ ��/�7i�T Telephone Number. iK 2 7S<T Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance 9-e ok one: APR 3I am a sole proprietor •02012 ❑ lam the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name M N OF BARNSTABLE Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) 4 . Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going:over existing layers of roof) ❑ Re-side. , #of doors ❑ Replacement.Windows/doors/sliders.U-Value (maximum .44)#of windows .*Where required: Issuance of this permit does not exempt compliance with other town departmentnsgulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy.of the Home Improvement Cgfitractors License& Construction Supervisors License is requ' ea IGNATUR.E: IWPFU ESIFORMS1bui1ding permit formslEXPRESS.doc :wised 070110 The Commonwealth of Massachusetts Department of Industrial Accidents., " W Office of Investigations a 600 Washngton,Streeta W� Boston"'MA-02111 ' - °' 5�• www.mass.gov/dia Workers' Compensation Insurance Affidavit:,Builders/Contraetors/Electricians/Plumb ers ' Applicant Information Please Print Le gib Name(Business/Organization/Individual): . d/Z' Address: / City/State/Zip: / 9 hone.#: 0 Are you an employer? Check the,appropriatebox: Type of project(required):. 1.❑ I am a employ er with A. m I a a general contractor and I. 6 ❑New construction . employees(full and/or part-time):* have hired the sub-contractors 2 I am a'sole proprietor or partner , . listed on the attached sheet. 7. [l Remodeling , hip and have no employees These s.. I Itractois have gr'Q Demolition ' em to ees and have workers' working for me m any capacity _ P y $. 9. .0 Building addition [No workers' comp.insurance comp.insurance. required.] 5. .E We are a corporation and its 10.❑Electrical repairs or additions q ] officers have exercised their 11. Plumbing re airs or additions 3.❑ I am'a homeowner doing all work . g p myself [No workers'comp. right of exemption per MGL .12.' Roof repairs insurance required.]t - c:`152; §1(4),and we have no. employees.-[No workers' 13. they OoIIlp,insi iance required.] *Any applicant that checks box#1 mustalso fill but'ttie section below-showing their workers'compensation policy information. t Homeowners who submit this affidavit indicatingahey'are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached-an additional sheet showing the name of the sub-contractors and state whether or not those entities have. employees. If the sub-contractors have employees,-they must provide their,workers''comp.policy number.' I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins Lic.#: Date f9 Job Site Address: 'City/State/Zip: 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 a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a'copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the tns an'd penalties of perjr that the information provided above is true and correct. Si afore: Date: Phone#: Q Official.use only. Do not write in.this area,to be completed-by city or town official City or Town: ::P.ermit/License'# s Issuing Authority.(circle one). A.Board of Health.Z.Building Department.3.'City/Town'Clerk 4.,Electrical Inspector"S.Plumbing Inspector 6.Other Contact Person: Phone#: Information andr Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person.in the service of another under any contract of hire, express'or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or'repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing.agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced z acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also,be sure to sign and.date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or . town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture i.e. a do license or permit to bum leaves etc. said person is NOT required to complete this affidavit. ( g . P ) P q mP The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. The CommonweiaM of Massachusetts Dleparunent of lndustrial Accidents Qfllee of Investigations 600 Washington* Street. Boston,MA€12.111 Tel. ##617-727-4900 ext 406 or 1-877- AS.SAFE Revised 11-22-06 Fax## 617-727-774.9 wv w.rnas`s..gov/dia I w �t Townrof Barnstable Regulatory Services MABs g Thomas F.Geiler,Director ouu►�"` Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601. www.town.barnstable.ma.us i Office: 508-862-4038 Fax: 508-790-6230 Property Owner Musti Complete and Sign This Section If Using A Builder I, E bA -t� ;as Owner-of the subjectProper l Y hereby authorize fmi 1 Z 6az 6i'/ to act on my behalf, in all matters relative to work authorized by this building permit (Address offob) **Pool fences and alarms- are the responsibility of the applicant. Pools are not to be filled before`fence is installed and pools are not to be utilized until all final inspections are performed and accepted:I'LL- Signature of t5wner 0ignature of Applicant ILI Print Name Print Name Date Q:FORM&MERPERMSSIONPOOLS t�rqy, Town of Barnstable Regulatory Services BARNSTABLE, * Thomas F.Geiler,Director y MASS. 16.19.A.•� Building Division ED MA't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601' www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS:. city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not t possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel.of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other . applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner 1 Approval of Building Official ` Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. ° \ HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);.provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt i - I I I t � ° Office o onsumer Airs B smess a ulatwn License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR befgre the expiration date. If found return to: a Registration: a 107723 Type: Office of Consumer Affairs and Business Regulation" Expiration . :8/512Q12 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 V { M RTHY BUILDI RSk 2 \ $t , I Bnan McCarthy 32 Carver Road tF W.Y'rrnouth;:`MA 02673'' a Undersecretary Not valid without signatur Nl ssachusetts.- Department of Public Safctr. $oard of Buildin!i, Regulations and Standards Construction Supervisor License One-and Two- Family Dwellings License: CS 47505 BRIAN G MCCARTHY 80 SRANOISH.WAY W YARMOUTH, MA 02673 - Expiration: 9/11/2013. Conuuiesiuner Tr#: 2305 I; LUK ' Y & LUKE CONSTRUCTION 1694 FALMOUTH RD#11S, CENTERVILLE, MA 02632 PHONE 1 -508 -7754240 CERTAINTEED LANDMARK LIFETIME - ALGAE RESISTANT ARCHITECTURAL STYLE RE — ROOFING PROPOSAL April 23,2012 ELAINE J.DIHRBERG 359 STRAWBERRY HILL RD EM: dihrberg@aoLcom CENTERVILLE,MA Tel: 508-771-1018 Home COREY & COREY hereby proposes to perform the following services in a neat and professional manner and in accordance with the manufacturer's specifications and local building codes. r Remove and Haul Away All of the Old Asphalt Roofing Shingles (Both Layers). Remove and Fill in the Openings Where the Two Box Vents Are. Supply and Install CERTAINTEED LANDMARK AR: LIFETIME WARRANTY, 10 YEAR SURE START PROTECTION,CLASS A FIRE RATED, COPPER/CERAMIC STONES for a FULL 15YEAR WARRANTY AGAINST ALGAE CONTAMINENT,250 POUND,EXTRA HEAVY WEIGHT, 110 MPH WIND WARRANTY, CATEGORY II HURRICANE, STORM/HURICANE NAILED (6 NAILS PER SHINGLE), MULTI-LAYERED,LAMINATED ARCHITECTURAL STYLE,FIBERGLASS BASED ASPHALT SHINGLES. COLOR: RESAWN SHAKE Supply and Install 8" WHITE ALUMINUM DRIP EDGE on All of the Eaves. Supply and Install CERTAINTEED WINTER-GUARD(Ice& Water Shield)WATERPROOF UNDERLAYMENT SYSTEM on Roof Eaves& Under the Step Flashing on the Chimney. Supply and Install #15 BLACK SATURATED FELT ROOFING PAPER Supply and Install AIR VENT SHINGLE VENT H RIDGE VENT on the Entire Main Ridge. Supply and Install ALUMINUM&NEOPRENE SOIL PIPE FLASHINGS Clean and Remove Debris from work area after job is completed. TOTAL INVESTMENT -------- -- $ 5250.00 s 3E, ✓ ..t.J''/`� �t`!� (�'"'� Ede``: r.': �J C� OREY ,& C� ORE, 'Y CONSTRUCTION POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing,Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus Labor at the Rate of$80.00 per Hour. Chimney repair is Materials Plus Labor at the Rate of$ 120.00 per Hour. PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORK SCHEDULE: All Roof Work is Normally Scheduled for Completion.Within 30 Days of Acceptance and Receipt of Deposit providing the Materials are;Available. Please Make Checks Payable to: COREY & COREY COREY & COREY Warranties'the Shingles and Labor for 10 years. CERTAINTEED Warranties the shingles and labor 100% for the First 10 Years and the Shingles your LIFETIME if the shingles becomes defective. CERTAINTEED Warrants the Shingles up to a CATEGORY H HURRICANE-110 MPH WIND WARRANTY. CERTAINTEED Warrants the Shingles to be Algae Resistant for a Full 10 Years. COREY & COREY carries Workman's C pens on and Public Liability Insurance on the above work DATE OF ACCEPTANCE: ACCEPTED BY: SUBMITTED BY: ELAINE DIHRBERG CHARLES COREY, JtONSULTANT HOMEOWNER COREY & CO ONSTRUCTION 3 CAPE Sal" IM Weathenzation 508-398-0398 December 14,2011 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for permit application#201101535, Status A, Parcel 248047 at 359 Strawberry Hill Road, Centerville, Permit type: RADD, and issued on 3/29/2011 has been inspected by a certified Building Performance Institute (BPI) Inspector. R-5 Insulating wrap was added to the door.All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey D� 1�3Il2 Cape Save 7 Huntington Avenue Suite C, South Yarmouth,MA 02664 •` . ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 01 C;3 Map -1 Parcel 047 Application Health Division Date Issued 3 t Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 351 a�rvr_Ui furry W Village C�al'�ef`V i k�e Owner -E oA,A o ` �r Der Address Telephone Permit Request own on c,0 oaro, ( ek4)&ri'zovlrlan � ' ►`f ih UJ C'. Square feet: 1 st floor: existing—proposed . 2nd floor: existing—proposed'—. Total nevv- Zoning District Flood Plain Groundwater Overlay Project Valuation 060 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. ( Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure 1955 Historic House: ❑Yes ❑ No On Old King's Highway=❑Yes, ❑ No Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new — Half: existing new Number of Bedrooms: existing -- new Total Room Count (not including baths): existing new _ First Floor Room Count Ll Heat Type and Fuel: A Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes lg No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) MCCName V" o�►"rl � �Lkp 5001f, Telephone Number Address License License # C II /� s o u k Y&M O y 4 I` r A 01 LI Home Improvement Contractor# Worker's Compensation # 1 9 J 45 1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO arm o Q4 SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. t — . x ADDRESS VILLAGE i OWNER a DATE OF INSPECTION: FOUNDATION i FRAME i1 +i. INSULATION I�t: FIREPLACE I'! ELECTRICAL: ROUGH _FINAL t PLUMBING: ROUGH FINAL ti GAS: ROUGH FINAL FINAL BUILDING ;i DATE CLOSED OUT ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,:MA 02111 www mass.gov/dia C Workers' Compensation Insurance Affidavit: Build ers/Contractors/Electri ' P Builders/Contractors/Electricians/Plumbers hARRUcant Information Please Print Leeibiy. Name (Business/Organization/Individual):� � � l ) � ii)1131& C66 SA Address: J -C, lA u r..�ji tti i;�;Cb t l ,rC City/State/Zip: S YAPMognk Ai UU.90ne#: - 3 Are you an employer? Check the appropriate box: Type of project(required): 1, I ain a employer with . 4. [] I ant a general contractor and I 6: have hired the sub-contractors: 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' cotiip. insurance comp:insurance.* required.] 5; We are a'corporation and its 10.E Electrical repairs or additions 3.0 I am a homeowner doing all work : officers have exercised their J 11] Plumbing repairs or additions myself. [No workers' comp. right of cxcmption,per MGL 12.0 Roof repairs. insurance required.]` c. 152,,§1(4),and we have no employees. [No workers' 13.2 ,Other ' 5 u� zi t ot1 comp.insurance required.] _ *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.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:h. Policy#or Self-ins,Lic°M. G Ex iration Date: Z io> P f Job Site Address: i:�.t p. � Ci /Siate/Zi. fat � - ty p Attach a co of the workers compensation policy cl copy p p y de aratoon page(showing.the policy number and ex oration date). ) Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a gei 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 at( Investieations of the.DIA for insurance covcrat e verification. A! I do hereby certify under the pains d penalties o perjury that the information provided above is true and correct. Signature: ,f'° >y .• :r. Date: �t Phone#: x, Official use only. Do not write-in this area,to be completed by ci)y or town offrcial. I City or Town: Permit/License# z 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#: CERTIFICATE OF. LIABILITY( INS.URANGE FDATE2a ''� r10 5 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ERTIFICATE.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 polioy(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 conifer rights to the. certificate holder in lieu of such endorsement(s). 'RODUCER I NAME:CT Shannon Sperrazza ki.sk Strategies Company PHONE (761)986-4400 FAx 15 Pacella Park Drive AD MAIL ssperrazza@risk-strategies.com —' 'suite 246 PRODUCER_CUSTOMER[a D0018476 - .tandol h NA 02368 INSURER(S►AFFORDINGCOVERGE i NAINSURED C# PMORERA:Seneca Specialty Insurance CO" INSURER B Aeatin .Group Ins ;Services dLchael McCluskey, DBA: Cape Save wsuRERc;Chartis Insurance 7 C Huntington Ave INSURER INSURER E South Yarmouth MA 0264.4 INSURER F: .OVERAGES CERTIFICATE NUMBER:CL1011132675 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 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ISR; A i _ POLICY EFF POLICY EXP ,TR: TYPE OF INSURANCE i POLICY NUMBER ! MM! O/YYYYI I IMMIDDIY1 LIMITS i GENERAL LIABILITY EACH OCCURRENCE 1,000,000 rX COMMERCIAL GENERAL LIABILITY i PPRRE�MIISSES'Ea occurrence $ 50,000 A !CLAIMS MADE ; OCCUR 10`T6 2 1 ' — - X . )3AG1002608 " / / 0 O10/16/2011 "M ED EXP(Anyone Person) $ -.10,000 PERSONAL&ADV INJURY i$ 1,000,000 GENERAL AGGREGATE i$ 1,000,000 �GEN'LAGGREGATE LIMIT APPLIES PER: —; PRO- f t !PRODUCTS-COMPtop AGG $ 1,000,040 X ;POLICY; LOC -- AUTOMOBILE LIABILITY ! COMBINED SINGLE LIMIT ANY AUTO 1620'8200 ; 2/6/2010 11/6/2011 (Ea accident) $ 1,000,00O ` BODILY INJURY ALL OWNED AUTOS i X SCHEDULED AUTOS 1 ( BODILY INJURY(Per accident);,$ X:HIRED AUTOS i PROPERTY DAMAGE X (Per accident) $ - NON-OWNED AUTOS I I I I t j I :$. I X 'UMBRELLA LtAB OCCUR I I $ EXCESS LIAR EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ; AGGREGATE i$ 1,000,000 DEDUCTIBLE B ? RETENTION $ 23578601 �0/16/2010 110/16/2011: i$ c I WORKER'S COMPENSATION chael Mc¢hlake 1 Y WC STATU OTH i AND EMPLOYERS LIABILITY Y I N I I" I X TORY LIMITS'. ER _ ANY PROPRIETORIPART4ERIEXECUTIVE I I Its excluded from coverages j OFF;CERAAEMBER EXCLUDED? I N I A E.L.EACH ACCIDENT $ 500,000 (Mandatory in NH) i I9930951 10/21/2010'10/21/2011+ if yes,des IOe under I I LE_L DISEASE-EA EMPLOYEE$ 50�L000 DESCRIPTION OF OPERATIONS below ! E.L.DISEASE-POLICY LIMIT I$ 500 000 i } j " 1' t j i >ESCRIPTiON OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) :slued as evidence of insurance. Contractors-Executive Supervisors or :secutive Superintendents. :ERTIFICATE HOLDER 'CAN CELLATION 508)790-2425 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Housing Assistance Corp ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Ruth ' 460 West Main Street: AUTHORIZED REPRESENTATIVE Hyannis, .MA 02601-3698 Michael Christian/SMS ►CORD 26(2009/09) m 1988-2009 ACORD CORPORATION. All rights reserved. NS026(2oo9og) The ACORD name and logo are registered marks of ACORD y Office of Consumer Affai s and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor. Registration Registration: 164432 Type: Supplement Card CAPE SAVE Expiration: 1 0/6120 1 1 WILLIAM MUCCLUSLEY _.____....._.._. .__ ....... . 8201 S. HOURD CT CHAPEL HILL, NC 27516 ______:___............._._......___.___._ _...... . ____ Update Address and return card.!Mark reason for change. Address Renewal Employment i"" Lost Card .' i' {rL•!/t2ssr:?arlcCfl/� ry ,_• frr.i3r.,"{;iAl;1��i . .. Office of Consumer Affairs&Business Regulation License or registration valid for individui use only +` before the expiration date, If found return to-. HOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation Registration: 164432 9 Type; 10 Park Plaza-Suite 5170 `".`•s.< Expiration:.,to/W2011 Supplement Card Boston,MA 02116 CAPE SAVE WILLIAM MUCCLUSLEY. , 7C HUNTING AVE,. -- S.YARMOUTH,MA 02664 _.ig _ L'ndersec,eh,ry Not valid wit ou signature ilit,`iit.q 1)�f,atttttet,Iol pfofilir ad*,tS 13 , ,;;t►d j,t 13t,ildtn, Re,_,„Iati,,nN mid �t:tt,cl:trtl License: S SL 102776 Restricted to. IC _ k.. . WILLIAM MC CLUSKY �{ a 37 NAUSET ROAD WEST YARMOUTH, MA 02673 "`` A.60 frde st Main Street ,! F.017� _NG Hyannis, KA 02601--3698 S I S TA KE ENERGY & HOME REPAIR S 2 (508) 790-7106 F (508) 790- ORPORRTION 2925 HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE: PLEASE FILL OUT AND SGN THISFORM IFYOU ARE THEAPPLICANT HOMEOWNER. I hereby consent to and agreethat weatherization work may be done by t Weath ion ogram f Housing Assistance Corporation (herein after referred as "Agency fl)o the pro hty located at: The weatherization work donewill be based on programmatic priorities and availability of funding and it may includeall or someof the following measures: Weather-stripping& caulking of windowsand doors, insulation of attics, sdewalls& basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows. In consideration of the weatherization work to be done at my home I agree to the following: 1. I give permission to the"Agency" its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. 2. The H ousing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing bass for no morethan five(5) years after the weatherization work iscompleted. I have read the provisions of this agreement as Listed and freely give my consent. H ome Owner: Sgnature) R ) � ► r} Date: . t Agent: (signature Date: HAC approved Weatherization Company : �-- All Cape Energy, Caliber Building&Remodeling, Cape Cod Insulation, Cape Save Creswell Construction, Frontier Energy Solutions, L.ohr&Sons, Peter Smith, Resolution Energy, Rock Solid Construction 08/25/2010 09:23 9193212955 PAGE 01/01 COE Ah 7v 5AVJL� 1 s Weutherwikatto'u", 5ut"'8-398-0398 • t • August 22, 2010 To Whom It May Concern: William J. McCluskey is an employee.of Cape..Save. He is authorized to negotiate contracts and building permits for our.company. F Y V r iChael McCluskey Cape Save—Owner 919-593-5939 cell 4 4 7C HuntingtonAven' South Yarmouth,MA 02664 * a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel; - Application:# J. Health Division ` Date Issued l Conservation Division ;.Application Fee Planning Dept: `.Permit Fee i Date Definitive;Plan Approved by Planning Board � j1�uq Historic - OKH _Preservation / Hyannis �e Project Street Address Village am DkLhk� Owner E 'Da �� Address � r � C cl 2ot,i! " Telephone Permit Request Q,MOUE t4t Oc�.C►an VJLVIC�►De tx`� COG( P , �}� L)w "b e. Vorq S V V Aw C SA-3 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater,Overlay on Project Valuati l S ✓ Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count F3eat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑e isting ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ' Zoning Board of Appeals Au onzation ❑ Appeal # Recorded ❑ { Commercial El No If yes, site plan review# Current Use Proposed Use ` APPLICANT INFORMATION (BUILDER.OR HOMEOWNER)_ Name %(�I�I� 1, M 0661 L6"E@_Telephone Number 609-�5-- CTR Address License # 4qwwS 02,&o 1 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �-Ojny(,%4A Q SIGNATURE - DATE 0"` J tr f f w FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. 4 t ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME 7 :INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT k ASSOCIATION PLAN NO. if r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a' 600 Washington Street Boston, MA 02111 www.mass.gov/dia # Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plulribers applicant Information Please Print Leiribly lame(Business/otganization/Individual): address: �� UUI n5O E :ity%State/Zip 5 Phone.#: b -Jl� -17� g e yoA�anployl r?Chec tthe appropriate box: Type of project(required): 1 Iloyer with —� 4• [] I am a general contractor and I 6 ❑New construction I ployeeS(full and/or part-time).* have hired the sub-contractors listed on the.attached sheet. 7. ❑Remodeling ] I am a sole proprietor or partner- These sub-contractors have ship;and have no employees 8: ❑Demolition working.for me in any capacity. employees and have workers' 9 Building addition comp. insurance. [No workers comp.insurance 10. l repairs or additions required.) 5. � We are a corporation and its . ❑Electrical ,p ] I am a homeowner doing all work officers.have exercised their 1 L[]Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.E]Roof repairs insurance required.]t c. I52, §1(4),and we have no 13 [ Other QC�aficAit 6Q_Mol} employees: [No workers' / comp. insurance required.] 71 applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. neowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have iyees. If the sub-contractors have employees,they must provide their workers'comp.policy number. an'employer that is providing workers'compensation insurance for my employees. Below is the policy and job site -motion. •ance Company Name: n� y#or Self-ins.Lic.#: _1Q U QCLU561 200 I Expiration Date: l t :ite Address•1g4 �� '��' 0gCth6LS gity/State/Zip: a 5,5 G _ c :h a copy of the workers' compensation policy.declaration page(showing the policy number and expiration date). re.io secure coverage as required under Section 25A of MGL c. 152.can lead to the imposition of criminal penalties of a ip 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 to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of ti ations of the DIA for insurance c e verificatiom iereby certify un kaVkenaltles of perjury that the information provided above is true and correct. Date �". ° ture: — Fcial use only. Do not write in this area, to be completed by city or town offlciat ry or Town: Permit/License# wing Authority,(circle one): 3oard of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector ).ther•. atact Person: • Phone#: JR �¢ 12/31/2008 14: 18 Bryden & Sullivan Insurance Donna Seviour-►Margo 1/2 AC ORo CERTIFICATE OF LIABILITY INSURANCE OP — DATE / SPRIN1 12/31/08 FRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bryden & Sullivan Ins Agency HOLDER.THIS CERTIFICATE.DOES NOT AMEND,EXTEND OR 88 Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis MA 02601 Phone: 508-775-6060 Fax: 508-790-1414 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER Associated Industries OL HA INSURER B: Brinkle Home Improvement Inc. INSURER C: 9 Barnstable RQ INSURER O: Hyannis MA 02601 - INSURER E: - COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN,REDUCED BY PAID CLAIMS. INSR - POLICY EFFECTIVE POLICY EXPIRATION LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE(MMIDO/YY DATE(MNUUDfYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGL COMMERCIAL GENERAL.LIABILITY PREMISES Ea occurence) CLAIMS MADE E-1 OCCUR - I iEO EXP(Any one person) $ - PERSONAL 8 ADV INJURY S GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: - s - PRODUCTS-COMP/OP AGO $ POLICY DECO LOC " AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIREDAUTOS ` BODILY INJURY $ NON-OWNEDAUTOS c (Per accident) PROPERTYDAMAGE, $ (Per accident) GARAGE LIABILITY AUTO Or&Y-EA ACCIDENT $ ANYAUTO - OTHER THAN EAACC S AUTO ONLY: - AGO $ EXCESSIUMBRELLA LIABILITY - - f - EACH OCCURRENCE ` $` 1 OCCUR ❑CLAIMS MADE AGGREGATE $ 1 . $ DEDUCTIBLE RETENTION WC STATLL OTH- WORHERSCOMPENSATIONAND TORY LIMITS ER ` EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTNE AWC7004943012009 01/01/09 01/01/10 E.L:EACH ACCIDENT l $500000 OFFICERIMEMBER EXCLUDED? - - E.L.DISEASE-EA EMPLOYEE $ 500000 %yes.bescnbe Under SPECLAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500000 . OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIOAS l ' CERTIFICATE HOLDER CANCELLATION .S•PRNKHO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Sprinkle Home Improvement, Inc, NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 0060 SMALL Fax #508-775-1350 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Margo Mack . 199 Barnstable Rd. REPRESENTATIVES. Hyannis MA 02601 AUTHORIZED REPRESENTATIVE lKelley A.Sullivan ACORD 25(2001/08) O ACORD CORPORATION 1988 {to a cl o.I:l3uilding.Regul�tinis5 HIM,5t.eiul rds Construction-Supervisor..UCen'se leVnse:'GS 6643 Expiratb 1:018/2009 Tr# 9427 Restriction: 00 BRAD K SPRI'NKLE r 190 LOrHROPS LANE r W BARNSTABLE,MA 02668 Ci>'nunissioii'er •F 0;0 35;Q"0'0 cf.enckosedspace 1•-A IVlasonry only i 1'.G-1 _2`Family-CiIornes . L is E<ailureto possess.a current edition o} fhe ' , ' 1VIassacli.usetts SL`ate Building Code . .. I is cause for re.vt catton.oC.fhis iWeas:e: t j Board`-o(Buiidi:ngliegulations an&Stanil''al HOME IMPROVEMENT CONTRACTOR Registration: 103757 st.. q EzpiraUon:. 7/9/20'10 TO -271033 Type:<Prtvate'Corporation SPRINKLE'HOME IMPROVEMENT, fNG, Brad Sprink"le 199`-Barnstable Rd. ,�c••��;�;-` Hyaints M'A 02601 Admiiiutrato` License or registration valid for individul use only before the expiration date. If found return to: t Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston,.Ma.02108 .r Not valid wit out sig ture _ sr° ti Town of Barnstable Regulatory Services . v MASS. Thomas F. Geiler,Director 16�16�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, VLQ� 1✓ ��-e� ,as Owner of the subject property hereby authorize U1 to act on my behalf, in all matters relative to work authorized by this building permit application for: Mn (Address of jot) Signature of Owner Date Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse 'side. Q:FORMS:O WNERPERMISSION Town of Barnstable sHME ti�P o� Regulatory Services RAPNOST"M : Thomas F.Geiler,Director WUM P i63¢ a�0� Building Division rFD � Tom Perry,Building Commissioner 200 MainSlreet, Hyannis,MA._02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityhown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that.he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor... Many homeowners who use this exemption are unaware that they are assuring the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your Community. Q:forms:homeexempt 199 Barnstable Road Hyannis,MA 02601 (508)775-1778 Fax(508)775-1350 Email—sprink@comcast.net Website address: www.snrinklehome.com Elaine Dihrberg 359 Strawberry Hill Road Centerville, .MA. 02632 508-771-1018 September 11, 2008 Re: Windows' ,_ ..� --- --- --�- -,-�-- CONTRACT ...�..-... Remove- and dispose'of existing Octagon windows. Enlarge openings to receive new w construction Harvey double hung windows. New windows will have Low E Glass, Argon Gas, matching grids. ® Trim out exterior and interior of new windows. Paint exterior trim of new windows only ( one coat of paint ). 7\:) QA l Contract Amount- $ 1,625.00 L)Deposit upon signing contract— 510.00 Deposit upon starting project - 510.00 1 d g, U l C) Upon completion —$ 505.00 AGREED COITIONS SY L. Homeowner a pay me that a ment will'be a accordance with the terms specified herein 2. Overdue balances will bear interest at the rate of 1.5%per month(Annual percentage rate) 3. Homeowner will pay lawful collection expenses, including reasonable legal fees incurred by the Contractor as a result of the Homeowner's failure to comply with payment terms. 4. Contractor is not responsible for existing conditions of residence. - 5. Contractor is not responsible for damage to such items as, but not limited to: sidewalks; driveways; patios; lawns; shrubs; sprinklers; and other such appurtenances. However, reasonable care will be. taken. Contract# y .6. All agreements are con,:,f ent upon strikes, accidents, or delayst_�fond Contractor's control. 7. Homeowner is to carry fire, and other necessary.insurance. Contractor's workers are fully covered by Worker's Compensation Insurance. 8. Fencing, carpentry,painting,plumbing, electrical, dry wells, etc., and all other work necessary that is not contained in this contract, shall be the responsibility of the Homeowner. RIGHTS TO CANCEL. The Owner may cancel this Agreement if it has been signed by the Owner at a place other than the address of the Contractor, which may be his main office or branch thereof, provided that the Owner notifies the Contractor in writing at his main.office, or branch by ordinary mail posted, by telegram sent or by delivery,.not later than midnight of the third business day following.the signing Hof this Agreement. WARRANTIES The Contractor warrants that the work furnished hereunder shall be free from defects in workmanship for a period of two (2)years following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship, or damage caused by the Contractor,his subcontractors, employees or agents, is discovered within two years after completion of any job, including clean-up,the Contractor shall, at his own expense, forthwith remedy, repair, correct, replace, or cause to be remedied,repaired, or replaced such damage or such defect in workmanship as long as the owner has paid their agreed contract in full. The foregoing , warranties shall survive any inspection performed in connection with the agreed upon work. 6 I All warranties for product supplied by the Contractor under this Agreement shall be those given by the manufacturers of such product, which shall be and hereby passed directly to the Owner. Such manufacturer's warranties,the Owner may be required to register or mail in a warranty card or other evidence of ownership, and use of such product in order to activate such warranties. The Owner's failure to send in or register such documentation, which failure voids that manufacturer's warranty, shall not create any responsibility for the Contractor to warranty such product. Note: Any changes in the contract during the duration of the project which results in additional monies due will be paid in full to the contractor at the time of the change. I authorize Sprinkle Home Improvement to act on my behalf in all matters relative to the work to be performed on this job i epermits, a lications'etc. if necessa n�.I�7N Elain Di rg Da a 113ruce T. Sprinkle Date Celebrating 62 years in business!! y, �/� !: �' � ' �'. �'� �.�' '� *1¢�tp\ It. �'I®x'{L'`r.�'I�(�`��t'"i�f 7'Y�t�f ��t�ld�r�2 % ��f �'tt� -d-�'^�Ji!/stAe a4•irw '- h+ +�,� 141 lE4�te�401 P"�'� 9�i,V '7{%N �r/� 4.�/e/i;��.qs�r,{' � �dl/(j rl✓•r. /,�•!1'�`'�rfV �3'�"` +a �. � v a is d i��J'fr � �If �' J' ,,� r'" d' / ,✓ �a'�.�yv ` r . t `'�a\�� r c;{ � p•A�,Hi aah 1.r�Il� a{ I r,��fas Go-'PQ �v �. .f� 1 J� rj yg J! / r{Dc'' s 3��,,. R � �ti�;�f��,�+It ra<�T b1 t ofE d+�P�yl it'�)F�a�''/,n�� .�r'f Y��r��+YP�>`�tap/i5•✓s' '+��.,;u. :F'�t- •, �� t�h `Il+}L,A°r`�i�s^.�.,�.� s"',/s Ip 3 /r',AS ak ��y',/A� e Y i �t �, �^Y+ tt,,�.ar`• f,��ti !Ne�°'o--�.,-� � �•nrti� ^'Icl'!!ar,a!�a-�.y, lb'' t , r rtN;a''1'F�/r(e�`��Y,' ��/,; r,r`� � ! /: f:.^45''�¢�� ! � a � 1l;, t`�/etr Y9��'64 � t•e sdx t� �F i r �� /! 4 a may,. a��¢ E "1� -•f ft r r � �a rl5 11't ♦r 11r .�.7�°�r°r7� t+l�r r<.i,F r 4�//.d r1 `� i �..'�'. 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