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Home My WebLink About0046 VICTORIA STREET . . ,� .,. $s. 4 s a a .. 3 - �.. 4 ,. .. o � ,. 7 oFt"Er° . Town of Barnstable Inspectional Services BARNSTAB MASS,�'B a Brian Florence,CBO 619. s.00 Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us INSPECTION REPORT Address : 46 VICTORIA STREET, CENTERVILLE Case# C-19-153 Inspection Type : Residential Building Code Inspector: lauzonj Description Date lUnit Status Comment It shall be unlawful to construct, 03/15/2019 FAIL reconstruct, alter, repair, remove or j demolish a building or structure; or i to change the use or occupancy of a building or structure... regulated by 780 CMR without first filing an application with the building official f land obtaining the required permit. Inspection Type : Violation Inspector: lauzonj Description Date Unit Status Comment p o ent � Violation 03/09/2020 FAIL 3/6/20 NO CHANGES. NOTICE OF VIOLATION SENT TO OWNER WHO LIVES } AT ANOTHER ADDRESS AND THE { IOCCUPANT AT THE PROPERTY. Inspection Type : Violation Inspector: lauzonj Description Date Unit {Status Comment Violation 07/27/2020 FAIL BUILDING PERMIT APPLICATION l SUBMITTED 5/22/20 FOR ABOVE GROUND POOL.APPLICATION DENIED 6/8/20 BY I JEFF CARTER. VIOLATION STILL ONGOING. RECOMMEND THE NEXT STEP IN ENFORCEMENT ACTION. Assessor's map and lot, number ....149... ..(,Q.(4c... v Sewage Permit number ............ .............. ..... .G?�( �, 0 h , s n Z BAHB�9sTODLE, • House number .............. .......:.................................,.... :_ �� !9 . � Ir `900 Imp S K LLED '� :•. - WITH TITLE 5 ri`ayar°r�e� F , BARN stxft BUILDING INSPECTOR . l APPLICATION FOR PERMIT TO . . ....� ` /��A..... r. ................... y TYPE OF CONSTRUCTION ....... .......LU�� : u:MGar..............................:................................................ ' A4-r .......a1..................1913 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for pe mit accordi g.t th following information: /� q.ry lI C �' Location :L� F- �l �.. . L l� � .I � ...... .r!r":.... ... ......................... ..... . ... .. .....:. .. ..................................................... . ..... • 110 r �'► n • ProposedUse ...... ....... ...... ......... .. ......9........................ ....... ... .... Zoning District... . .C elr`.j.�...:...........'.......................Fire District .. e !�/!„rG. O f!�'.4..!.!f .....:.. Name of Owner' .. �d!.l.. G�. o. .s...........................Address (`t.. 'S t�. '"�L./W.�r:.A,?/��.S ....�... Name of Builder .......... S ""1 Uf�/l :....Address "1'J�'�i..-o� ��e `Ff...... P/?/�1.�.. .' Name of 'Architect ....Address .................. ........................ n�.:.Foundation Number of Rooms .... .... .......... :. .. .' �C . �:U: 6eA.. e............................. l�1 � 1' ,Exterior ............ .... ........ ...... . ... �.��.....'.:Roofing ... .S.Y!�! � W .1.�� .....Floors 7... ....... �� Interior .... . Pe....... ..�............................... ..�............ . id...... ....... a �Heating Plumbing Pw..... .. ,� f. ....................... .......... r ............................................... P Fireplace ... !�...1."i:!jS®i;PO4... ....Approximate Cost .... .......?...jl® .................. Definitive Plan Approved by Planning 'Board _________ -----------19________. Area IrQ ....�:..:.-... Diagram of Lot.and Building with Dimensions, Fee SUBJECT TO APPROVAL OF'BOAR.D OF HEALTH OCCUPANCY PERMITS,REQUIRED-FOR NEW DWELLINGS 4 hereby agree to conform to all.,the Rules 'and Regulations of the T n of,Bar na table regarding the above construction. NameGr....... . . ..LU!..:....................:..................:..... ` ,. c Construction Supervisor's License ............ ..... ........... t COOLIDGE HOMES Xv N4 25 §. • Permit for 1 z Story o ....................... Sinale...Fami.ly..Dwellin9............... Location, Lot•..35A.••. 4.6• Victoria••.Street .............� .... E Owner ...Coolidge...Homes.......................... Type of Construction .....Frame...............:....... <- Plot ............. Lot ................... ............ yr .Permit Granted ..p',u'us.t.:l'................ . 9 8 3 Date of;Inspection .......19 Date Com leted �,�"' �,• t' „mod, � ♦ "�. �,rao'"+ �,f � � ..�"-� . �Y .ter '�. � • �µ'sr �� '.�.gv i •_ y , .r 1 ry ..ter+'.. �; ,� �t _ - - - • d"} ♦ vim v'` `..".� �` • - • _ .. si .may ��) fir^ r .' � • s TOWN OF BARNSTABLE permit No. __________263 »rr� Building Inspector Cash rev ` ------------ x ----�'-�- � r OCCUPANCY PERMIT Bond _--_-_-_ --------- Issued to CO(31.1dge Homes Address I Victoria Street'.. entervil,le Wiring Inspector '� �l" ' _ Inspection date Plumbing Inspector � � r� r.. 11 Inspection date Gas Inspector f< f Inspection date Engineering Department 4�_-,Inspection date ff s s rx v'Board of Health Inspection date V tt THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. t ................ 19_..._._ _.............. Building Inspector ;'� Assessor's map and lot number ....1.`f`�?. � ".x THE ....... ............ ,CQ�oF Togo Sewage Permit number ......_.. .. ll7- 1.... d.......... ..... • Z BAUSTABLE, i House number ........ '. `. po,1639. �E'p IIPY Or TOJWN OF BARNSTABLE BUILDING INSPECTOR S � ev APPLICATION FOR PERMIT TO ..... ............ . e fJ I Que��it1 TYPEOF CONSTRUCTION .............. .W d.....1...Pq.mt.................................................................................. ................19. 3 TO THE INSPECTOR OF BUILDINGS: 9. The undersi ned hereby applies fora pe mit according t th following information: t t� tt v Location ��le� ��.d.��✓.......................................................Cl..�..:....:�....................................................................... Proposed Use .. .. � .... �. .I I l ..... / / �l .................... Zoning District ...!y ,fC e �(JL.. ........ .1: .............. .....Fire. District., .tf nk.// A ....F:.(J......le........ Name of Owner .. „G ; 1 o e.s................. .........Address .! .Jt,�IT....'"C��4:0.- I:.dnm� 5mr�.`.... t Name of Builder .............rsk. ®................................Address .:..!.: .:-!... . .. . ........ .... Nameof Architect ...,.. 4� ..............'.. . ............................Address ......:.. ..`..........................................YF�. ..................... �I .... ..:.!- `� . Jt� ... .%.I. A40 . ' *..: i v Number of Rooms .... ...i .. .......... Foundation�•' Exierior .. .. ...j.'.. . .. .... .... .•: !.�UQ�.Y.'........Roofing . Floors . ..........................)..( ... .........7 � ...........................Interior ......:,. ..................................... U. 1' f%tl ....... ::.....Plumbin / (,1� . Heating ... . .... g .... 1!!-� . . ................................................ Fireplace ... ( ... St�Y�U.p.:-,J�yyf ...................Approximate Cost,.. .. .... d'(� r Definitive Plan Approved by Planning'Board ---------------_-__-----------19--------. Area .. ..../ ...-j:.......... Diagram of Lot and Building' with Dimensions ' F Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH S• ,;w 1 '1 f I J f i I :7 5 d l � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the T n of Barnstable regarding the above construction. Name ... .!• ;• ..(„• ......411.......................................... + 6 Construction Supervisor' License .. ` ibbOL t'D GE-11,H 0 ME S A=148-64 25363. Permit for ......112....Story .......... No ................ .... . .. .. .... Single Family Dwelling ............................................................................... Location 4Lot 35A 46 Victbria Street ................................................................. ' Centerville .............0................................................................ Owner ,Coolidge.....H........ome.s............................ ..... .. . .. ....... .. Type of Construction ....F.....ra...m.e......................... .. .. ................................................................................ Plot ............................ Lot ................................ Permit Granted ...AU9.U5.1;...I ..............19 83 Date of Inspection ....................................19 Date Completed ......................................19 1 6MPLE I TETHIS I SEC h6N COMPLETETHISON• I ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse El Agent so that we can return the card to you. 0 Addressee ■ Attach this card to the back of the mailpiece, ^B-•�R-eceived by rinted Na C. Date of Delivery or on the front if space permits. l im PA �PEA t ` 3-13 —20,20 1. Article Addressed to: D. Is delivery address di -rent from item 17 ❑Yes if YES,enter delivery address below: p No 4 Devi ka 3 Service Type O Priority Mail Express® III IIII IIII III I III I III I II I I I II II IIII I II I I III ❑Adult Signature ❑Registered Mail ❑Adult Signature Restricted Delivery ❑Registered Mall Restricted 9590 9402 3630 7305 4659 27 Certifed Mail® Delivery Certified Mail Restricted Delivery 0§�Return Receipt for 11 Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm 2. Article Number _ransfer from service ladeq ❑Signature Confirmation i:— 70],.7 ],0 0 0 0 00. ,6 7 5 7 1,`4 4 0 1 4 kbfed Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt USPS TRACKING# v t'"`'' First-06' Mal' IS Postage&Fee s Paid USPS t is Permit No.G-10 9590 9402 13��3b' ' 305 4659 27 United States •Sender:Please print your name,address,and ZIP+4®in this box• Postal Service TOWN UP 13AKNSTAbLi., BUILDING DIVISION 200 MAIN ST. HYANNIS. MA 02601 Town-of Barnstable Bui_1ding:Department Services Brian Florence, CBO Building Commissioner BARNSTABI,E 200 Main Street Hyannis, MA 02601 �] wvsroxs uws•osh"�ut.rvesrerxr+srnev: 7 J ) 1639-2014 www.town.barnstable.ma.us �g Office: 508-862-4038 Fax: 508-790-6230 March 9, 2020 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Gabor Menyhart and all persons having notice of this order: As property owner of the property located at.46 Victoria Street,Centerville,Assessors Map 148 Parcel 064 and known'as residential structure,you are hereby notified that you are in violation of 780 CMR,the Massachusetts State Building c. l § R105.1, and are ORDERED this date 3/9/2020 to: CEASE AND DESISTall functions associated.with the following violation(s)on or at the above mentioned,premises: Summary of Violation: On 3/6/2020the Building'Department observed violation(s)of 780.CMR,the Massachusetts State Building Code c. l § R105.1, specifically, an above ground pool installed without the benefit of a building permit. k } Summary of Action to Abate Violation: In order to abate this violation and to avoid-further enforcement action by this office,commence within 45 days the following action: apply for and obtain a building permit along with successful completion of all required subsequent inspections.Alternatively,the pool must be removed. And, if aggrieved by this notice and order; to show.cause as to why you should not be required abate the Building Code violation(s) in this,notice,.you may file a Notice of Appeal (specifying the grounds thereof)with the Building Code Appeals Board within(45)days in accordance with M.G.L. c. 143 § 100. If, at the expiration.of the time allowed, action to abate this violation has not commenced, further action as.the law allows may be taken. By Order, WfrL uzon — - . Chief Local Inspector (508) 862-4034 Jeffrey.lauzon@town.barnstable.ma.us � � - � � � 1 . , �. Anderson, Robin From: Lauzon, Jeffrey Sent: Thursday, August 02, 2018 9:13 AM To: Anderson, Robin Cc: Lauzon, Jeffrey Subject: 46 Victoria St. Robin, I did a site inspection at the above address in response to the request for service and observed the following on August 1, 2018: 1) Above ground pool installed without the benefit of permits. 2) Small deck(under two hundred square feet)constructed adjacent to pool. 3) Pool compliant fence installed around property perimeter. The property owner was not present at time of inspection.The property owner did come into the Building Department on August 2, 2018 to discuss what needs to be done. I instructed him to complete and submit a building permit application and obtain subsequent required inspections.Also informed owner of need for an electric permit and inspections. I will keep you informed of changes as I know about them. Jeffrey Lauzon Chief Local Inspector (508) 862-4034 jeffrey.lauzon(cDtown.barnstable.ma.us 1 Date: July 27, 2018 To: Building File RE: Installing above-ground pool without permits&deck Address: 46 Victoria St, Centerville Originator:. Unknown Contact: Complaint: Installing above-ground pool &building deck without permits Enforcement Process Steps 1. Initiate local investigation: RA 2. Document/enter into system Yes ® 3. Contact 4. owner Gabor Menyhart 5. Seek access to subject property 6. Seek administrative warrant(if necessary) ? 7. Notify state authorities of findings NA 8. Document conclusion OPEN ® 9. Referred Bldg./Ed Property R148-064 Property is developed (1983)with a 1 story dwelling containing3 bedrooms and 2 baths on 0.35 acres in the RC single family zoning district. 07/27/2018 RFS to check property—installation of above-ground pool and building new deck without permits. Caller stated concern that fencing will not meet proper safety codes. J1 f Date: July 27, 2018 To: Building File RE: Installing above-ground pool without permits&deck Address: 46 Victoria Street,Centerville Originator: Unknown Contact: Complaint: Installing above-ground pool& building deck without permits. Enforcement Process Steps ® 1. Initiate local investigation: RA ® 2. Document/enter into system Yes ® 3. Contact 4. owner Gabor Menyhart 5. Seek access to subject property 6. Seek administrative warrant(if necessary) ? 7. Notify state authorities of findings NA ® 8. Document conclusion OPEN ® 9. Referred Bldg./Org Jeff Property R148-064 Property is developed (1983) with a 1 story dwelling containing 3 bedrooms and 2 baths on 0.35 acres in the RC single family zoning district. 07/27/2018 RFS to check property—installation of above ground pool and building new deck without permits. Caller stated concern that fencing will not meet proper safety codes. PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 03/05/07 TIME: 12:14 -- ------------ ----------------- PERMIT $$ PAID 65.60 AMT TENDERED: 65.60 AMT APPLIED: 65.60 CHANGE: .00 APPLICATION NUMBER: 200701217 PAYMENT METH: CHECK PAYMENT REF: 1849 PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 03/05/07 TIME: 12:14 --- ------- ----------------- PERMIT $$ PAID co AMT TENDERED: 80 AMT APPLIED: .80 CHANGE: .00 APPLICATION NUMBER: 20070i217 PAYMENT METH: CASH °AYMENT REF: f Town of Barnstable *Permit# o2®0701o2/7 �� Expires onths from issue date ev Regulatory.Services Fee O� Thomas F.Geiler,Director MAR ® 5 1� Building Division Tom Perry,CBO, Building Commissioner ®� A o� 200 Main Street,Hyannis,MA 02601 1 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 Map/parcel/ arcel Number �� Property Address qtg 1 4'6t'pQ 1a fs�- CwcQs-%'U'e- HA ®�COJ2 Residential Value of Workt �G a cQ�� Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address `I t M R C r` CA-2J Q&QA,- Contractor's Named C�h Telephone Number Home Improvement Contractor License#(if applicable) / Construction Supervisor's License#(if applicable) f Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. v=� Permit Request(check box) - 'F ❑ Re-roof(stripping old shingles) All construction debris will be taken to (DO ❑Re-roof(not stripping. Going over existing layers of roof) c ❑ Re-side vl-jZeplacement Windows/doors/sliders. U-Value 2 I (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town.department regulations,i.e.Historic,Conservation,etc. ***Note: operty Owner must sign Property Owner Letter of Permission. copy,of the a Improvement Contractors Lice se is required. SIGNATURE: Q:Forms:expmtrg Revise061306 nc. Windows For A Lifetime New England Sash, I To Whom It May Concern: I, Kevin Wells, give permission for Traci Lane to pull permits under my Massachusetts Construction License No. 145941 (National Energy Systems Inc.) and 104098 (New England Sash Inc.) and Rhode Island License No. 26375 (National Energy Systems Inc.) and 12999 (New England Sash Inc.). If you have any questions please contact me at 508-792-9181. 4ank you, K in Wells New England Sash, Inc. 1331 Grafton Street Worcester, MA 01604 Phone (508) 792-9181 The Commonwealth of Massachusetts Department of Industrial Accidents s Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensationinsurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information Please Print Legibly Name(Business/Organization/Individual); , iJ CC,) Address:1331 City/State/Zip: to � a �/ YI Are you an employer?Check the appropriate bog: Type of project(required):. 1.0 I am a employer with 4. 0 I am a general contractor and 1 6 E]New construction.. employees (full and/or part-time).* have hired the sub-contractors 2.El I am a'sole proprietor or partner- listed on the-aitached sheet. 7. El Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition es and have workers' working forme in any capacity. employe9. ❑Building addition comp.insurance.$ [No workers comp.insurance Electrical repairs or additions 10. 'o and its � p e aired. � 5. � We are a corporation , r q ] officers have exercised their 11.0 Plumbing repairs or additions 3.❑ I am a homeowner doing all work myself. [No workers' comp. right 6f exemption per MGL 12.❑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'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside.contractors must submit anew affidavit indicating 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 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: C t Policy#or Self-ins.Lic.#: to C'1 0 Expiration Date: 2 O 7 lob Site Address: City/State/Zip:64V Vi�j� �A'` M 3 Z 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 or insurance coverage verification. I do hereby cert' un er the pains•and pe es perjury that the information provided above is true and correct. ZO 7 Date: Si afore: — Phone#: ~ 2 FBoad only. Do not write in this area, to be completed by city or town official n: Permit/License# I hority(circle one): Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son: Phone#: Information and 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 receLVmortrus-tee 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 localacensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced;acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until-acceptable evidence of compliance with the insurance requirements of this chapter have been presented•to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)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 cdmplete'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. ~P Please be sure to fill in the permit/license number which will be uied as a reference number. In addition,an applicant .thatmust 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 aov(Q."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the pplicant 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 fo any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commouw th.of MassaQkusetts- Dqpartm=t of Li trial Awidtmts Office of In-Vostagatim 600 Washington Street BostGn,Mai 42111 Tel. 617-727-4900 ext 406 cr 1-977-MASSAFE Revised 11-22-06 Fax 4 617-727-7749 www.mas4.gov/dia OF SHE Tom, Town of Barnstable. Regulatory Services 9BARMASS. Thomas F.Geiler,Director .s6gq �� Arf1639 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 as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name Q:FORMS:O W N ERP ERM IS S ION „:y a New England Sash, Inc. Fe Reg,R104-28 RI Reg. 45472 Federal ID N04-2889905 CT Reg.k547271 ` Main Office:^ Branch Office L_ 1331 Grafton Street Worcester,MA 01604 508-792-9181•800-300-7274 THIS CONTRACT made the C� tlay of CLL1,_ in the year between New England Sash,Inc.and �G �— _.G� .- e r�_.(OWNERS) (HOME PHONE) -OF ,�,C1, � C e n`}-e a ( �rQ (BUSINESS PHONE) (STREET) (TOWN) 6(STATE) (ZIP)— As used in this contract,the words we,us or our refer to New England Sash.Inc.and the words you and your refer to the customer, ' W..,,e agree to furnish all labor,and material necessary to install the(o�gowing described windows at:_ 5C 111"friple Glass with lY'Double Low E with i1lT(rypton Gas as �_ �'ot'V01r'e _ '-i.1-6lhety6e ddendum) Total Units: + I #of Units: Grid 1r!N Window Color: W y1 t e �j l Material: Double Hung Units: U^i?1 We do not do any painting or staining. C S 11 1 c We are not rasponslbla tar conditions or cl tornstances Installation: //`-"��-'1/ Z Picture Units: beyond our Control inctudltg condanaaaon resulting from or duo to pre-edsting conditions,tw,fiat war- Total Contract: 13 o Hopper Units: ranty Is herein incorporated by rel—nce. Sales Tax: Sliding Units: 2-11fe: 3-life Awning Units: 1-life: 2-life Casement Units: — .1-lire: 2-lite: 3-I1te: 4-life Bay/Bow Units:DH/CS: Total 3-lite: 4-11te: 5-I1te: Price: Garden Windows: Exterior Finish; Roof Soffit Total Projection Deposit V OG roc 1 Knee Brackets: Y/N With Order Entry Doors: Steel Fiber Style: Storm Doors: Alum Wood Core Style: Balance U on Delive Sliding Glass Doors:. # Inside Looking Out Right Active Left Active Capping:(D N H Capping Color: I III, Balance Due y q 6 t/,� Upon Final Install: � l� Additional Notes: � 0nJJi Y1 G W7171 G 5 i 4 + # 1 I e-1 i ufi , 17 t t - l� DEPOSIT WITH ORDER ❑CASH @ CHECK tt 9 LL BALANCE DUE ❑ CASH Q-6NANCE You agree to pay cash according to the terms shown above or,If your credit is approved,to sign a note provided by us for payment of the amount due. The installation will begin on or about (ti.l land will be substantially completed on or about_±' fallowing contingencies could materially change the estimated completion date stated above:customer's Inabill to obtain or u I rit is finano financing; by you that the strikes or other labor disruption:non-availability of meter als;acts of God. tY q fY g:inclement weather; We represent that we carry Workers'Compensation and Public Liability insurance In the amount of$100,000-1,00o,000. BY SIGNING BELOW,YOU ACKNOWLEDGE THAT YOU OWN THE ABOVE PROPERTY AND THAT YOU AGREE TO ALL OF THE TERMS OF THIS CONTRACT,1NCLUD- IN13 THE ADDITIONAL TERMS LOCATED ON THE REVERSE SIDE OF THIS PAGE.YOU ALSO ACKNOWLEDGE THAT YOU HAVE RECEIVED A FULLY COMPLETED COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION,AND THAT YOU HAVE BEEN ORALLY INFORMED OF YOUR RIGHT TO CANCEL. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES, IN WITNESS WHEREOF,the parties have hereunto signed their names this d-_9_ _ day of�C�n.� in the year of. 0C1 7 Signed �� A., _Signed L T MARKLTIN4 REPRESENTATIVE �A• OWNER p By -- _Signed u .. �-r- .t AUTHORIZED SIGNATURE TITLE WNER NOTICE OF CANCELLATION NOTICE OF CANCELLATION DATE OF TRANSACTION DATE OF TRANSACTION YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE BUSINESS PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. DAYS FROM THE ABOVE DATE. IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAY- IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAY- MENTS MADE BY YOU UNDER THE CONTRACT OR MENTS MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENT EXECUTED SALE,AND ANY NEGOTIABLE INSTRUMENT EXECUTED RV Vf%t I mull I QC OCTI IDkICR unlr OkI TCAI no IOIM=QO RV Vr%l I Will 1 QC DCTI IDkICn WITu1u TCu tot le... nn New England Sash,Inc. Check Request Form R ADe`BtIZ L Due: P; ;y,atlble T®:�OC� Mailing.Address:_2 ({ . l b P-Q-P- Requested: _�� Reason 1-,d "IL—Ca Cli� -Qy' Requested By: Approved By: ,AccOlIt®ting Apprntiral:__ \ S-Uhri.iitted To.- Office Use Only: -- — DepositDate: Metlh®d: TY"aD&salctiQlllll# En tered-In Edit IF'inance: _ _ Deposit Maint: ✓�ze V�anUnwn o�✓�LaD:sac�iuoe�6 Board of Building R and Standards _ g Regulations� License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. Hfound return to: Board of Building Regulations and Standards Registration: 104p - One Ashburton Place Rm 1301 Expiration 7/13/2008 Boston,Ma.02108 Type:`=Private Corporation NEW ENGLAND SASH",INC Kevin Wells 1331 Grafton Street _ Q�,« ..•� Worcester,AAA 01604 Deputy Administrator Not valid without signature t I � Date: 4/28/06 Time: 11 : 54 AM TO; L 9, 15087551578 Page, 002--003 Client#:79872 N ATEN -T AQQR®,,. CERTIFICATE OF LIABILITY INSURANCE �;z7,fo6nD;Y.',,, PRODUCER THIS,cERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRO Knox & Company,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND.EXTEND OR One Goodwin Square ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hartford,CT 06103-4305 860 524-7 600 INSURERS AFFORDING COVERAGE NAIC# One Beacon Midwest Insurance Company _{ National Energy Systems Inc.; New England Sash _-- 1331 Grafton Street Worcester,MA 01604.2256 NS I::;„q 1 _ COVERAGES HE POLICIES OF INSURANCE LISTED BFLO'✓/HAVE BEEN ISSUED 1-0 THE INSURED NADAED ABOVE FOR THE POLICY PERIOD INDICATED.NO�,b'ITHSTANOING T ANY REUUIRENIENT.TERM On CONDITION Or ANY CONTRACTOR OTHER DOCUMENTWITH RESPECT TO WHICH THIS CERTIFICATE f�.ih'i BE ISSUED OP, L AY PERTAIN.THE INSURAI'JCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TIME TERMS.EXCLUSInNS A.rJD CnnIDITIONS OF,,UCH POLICIES.ACCRECATE LIKIII S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICYEFFECTIVE POUCYEXPIRA'nON LIIA;TS I_T--NSHI. I'YPEOFINSURANCE — POLICY NUA1HEk DATE AM+D �YY'• DATE MJd%DD:_1� - GL* FIAL LIABILI I r. ar Ll-c t I H: rF;'AJ• <, 'c -- - AU;Oro:(7E'LF LIABIL(rY : GARAGE LIABILITY pl,Ti,:1:^.LY-I-A A: 11 IF241 :rd'•'nL'';7:: Ci fHF.a�IT-<Ir: EXa SSUNIORELJA LJABILfr'I _ EAi:;-r C..yJrr•,:.;\i:ii. A WORKE-FIS COM.PCNSATION AND 4060101901 04/29/06 04/29,07 A( I ,:0 $100.000 -R(i'1. Ult"ITY r r r,. T+_... nr::r- Itp:i.I,'r[r F ,L•.: g(: ;I'.1, ..I_T.5.100.000 1,500,000 O i1.�Fn 7Ti5CF!5'I"R;N!7F OFERAI'.OM3 LOCATIONS VEHICLES;EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS CERTIFICATE HOLDER v CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POi..IUES EF CANCEL.L.ED 2EFOaE.THE EXPIPATII, Evidence of Insurance DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MNL _ 0 DAYS i11411TEN NOl'ICE TO THE CERTIFICATE HOLDER NAMED'ro THE LEFT.9LiT F'AILUFE i'O DU SO SHALL I.MPOGe NO OBLIGATION OR LIABIUTY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTFjgRIZEO REPRESENTATIVE ACORD 25(2001r08) 1 of 2 #S362122,`M360578 PJM 0 ACORD CORPORATION 1989 t:s•- • X K ?A" ; .. .. .. .. ... r .. - .. r,i". I i i' : I I ' f - if '7 x.-0, 11 xin . C O RC r :•::� USA• � I :VERTICAL SLIQER � i VINYL FRAME 'TRIPLE GLAZE I .i NalionallFanestrailnn " rfauhg.counctj KRYPTON FILLED�:LOW.E2 � . LEE$ CRNA 4000 r EN G`t PERFORMANCE RAi"11 G IJ i .;Fartor . . - ' . Solar He at fain Coefficient _. DDIT16M E> FO MA�cE RArifvGs ible`i'ransrnittance 0.40 Con r:ri afiaj slstarlce . fVlangtactur'r stipulates thatihoseH99onfartn W applicebie NfRC.;: spprortrliiilicr.t.p preoTiurrmt salguce,CNnFnAsC:ratlhpse deiErrnined for a fixed set iooedures fordeerminin w h"ole of enulronumun mena conditions and aI reor I / Other proddct performance informafion. wwwrntm.orA �7�777=-77�— 7 7 7777 7 77-7- 77 -,7 77777-- C4 Vol*\ ":V/C)rd 01A, s TRCC 7' -7 � 40CVS' N 4 7c"e ) - AV -Yr '6 ' 'A AO RECIS rRY VSC FOR �.'MA P 'SCALE z000, 81,1 38 -D IN PLAN OF LAI t MASS. 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