Loading...
HomeMy WebLinkAbout00340036 FRESH HOLES RD 'Rot, 2016-01-13 11 :30 Install Sales 7814994024 » 9 P 1/3 old o ay-3 oF, ► Town of Barnstable "Permit� r_cplrgc h,narlhs ,n isc, rar Regulatory Services • BARNr.TA11jE, • '�— MASS.7 .� A Richard V.Scali,Director ArBb 11tP'� Building Divisioit;! ` Tout Perry,CBO,8uikling Commissioner 200 Main Street,Hyannis,MA 02601 JqN 13 2016 wwW,town.bamstable.ma-us Office- 509-962-4038 T(� 'fito ,SAWABLE ` EXPRESS PERMIT APPLICATION - RESIDEN'TI"A 0 LY V�1 Q�Map%parcel Nuln 1Vol Valid,virhaar Red X-Frees Imprint bc??r//O`�_..1.-- Property Address J`t - ZRr-Nidcntial Viduc of Work$ V Minimum fee of$35.00 for work under$6000.00 Owner's Name&Addres% !t= j� G� ---- ...... .. _..,-....._.. r i Contractor's Name IK 11 -TelephoneNwnber IWine Improvement Contractor 1_icensr.k(if applicablc)_Ua(�b::� )~mall;rn _ a n. owens-QS"I U!r avv ,Cory ConstructiOl�Supervisor's License 11(if applicable)_ ❑Workman'sCompcncation Insurance check onc: ❑ I am a sole proprietor ❑ r anT the I lommvncr RI have Worker's Compensation Insurancc Insurancc Company Name CQ nf A Workman's LOITrp,Policy#_ � Copy of Insurance Compliance Certificate must accompany each permlit. I'clzTtit Request(check box) El Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to "A 131 Evlte-roof(hurricane nailed)(not stripping. Going over_/( existing layers of roof) El lie-side Keplacemcnt Windows/doors/sliders.U-Value (maximum.32)P of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required_ Separate Electrical& Fire Permits required, HLVlwrc rewired; f55oanCC a r lhis pcnnil does not exc:mp(wmpliance with Other town depomncTu rcpv4ftious,i.e.H isloric,Consai'vation,cic. "xKlvotc; Property Owner must Sign Property(honer Letter Of NrnikSion, A copy of the Hoille Improvement Contractors License&Construction Supervisors License is rewired. C'al.Isci�lt)cco11ik1AppDaiall.oca ,hI C709011kwinOotys\TCInl)orliY l,llcntct FilcsNContenl,0ut1ookQPI0I DHR\FXPRFSS.doC Revised o4o215 M ' 1 Office of Consumer Affairs dnd Business Regulation 10 Park Plaza - Suite 5170 a Boston, Massachusetts 02116 Horne Improvement.Contractor Registration Registration: 148688 Type: Supplement Card '' -- Expiration. 10118QO17 LOWE'S HOMES CENTERS LLC. MEGAN OWENS ___:_-= 136 TURNPIKE RD. SUITE 100 = = -' v, SOUTHBOROUGH, MA 01772 Update Address and return card.Mark reason for change. N sCAi Co 2DM-05111 Address C Renewal ❑ Employment ❑ LostCard 0 � �is �porrr�rxmxa�aa�c�C-J�baac�ure,�a ice of Consumer Affairs&Business Regulation License or registration valid for individul use only 0�0 OME IMPROVEMENT CONTRACTOR before the expiration date If found return to: t}flice of Consumer Affairs and Business Regulation Registration:.::lggg Type: 10 Park Plaza-Suite 5170 Expiration:_ jgjjpt7. Supplement Card Boston MA 02116 LOWE'S HOMES CEI+1TERS-FCC. c_ MEGAN OWENS � 1000 LOWES BLVD ' � MOORESVILLE,NC 28117 Undersecretary 0 valid without signature 0 M I M _ o s 0 fV - , — — - — h ay 70 2015 U:15pm R11001 �� �iLi♦ I! AV/"11 L Vr A_,A�"1pILA A I AIYa�VR/`11r4,IC 5/20 15 THIS CERT1F'CATE IS ISSUED AS A I IATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICAi'LjDOES NOT AFFIRMATI LY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOb1i THIS CF_R'T1F1CA7E OF INS RANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTAITVE 09 PRODUCER,N D THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder il an ADDIWONAL.INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subjoct to the torms and candtions of the poky,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endor ont(s). PRODUCER CONTACT Cocca Insurance Associat NAME: Frank Pasciuto e Inc PI{ON8 FAX dba Water Street Insuran Age l7Qi) 245-Q888 : (781) 246-3926 27 Water Street "ass: Frank@aetinsurancehere.com Wakefield, MA 01880 INSURE AFFORDING COVBRAGC NAIC9 ---._........INSURED INSURERA:Mt VexnOrx Fire 26522 Katsikis and Dimopaulos LLC INURERs:Arballa Protection `41360 K AND D LLC IMIREIRC:Libertv Mutual 23043 945 Main St INSURERD., Wilmington r MA 018 7 INSURER E_ -- INSURER F: COVERAGES CER FICATE NUMBER: REVISION NUMBER: THIS IS TO Ci=RTIFY THAT THE POLICIES F INSURANCE US`M_0 BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY RE UIREMEM",TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY AIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TSRMS, EXCLUSIONS AND CONDITIONS OF SUCH UCIES,UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INISR CCL SU P6tJCY EFF P00]CY EXP ._. ..... ._ LINgTS LTR TYPEOFINSURANCE POUCYNUDAOM mpom mmbbYYW A GENERAL LIABILITY y CL26418068 5/19/15 S/19/16 EACH OCCURRENCE $ 1 000 000 X COMMERCIAL GENE PALLIASILITY DAAM dG fd RENTED PREMISES(FA ocoh=W $ 100,000 CIAIMS�NADE OCCUR ME F7(A ors emai $ 5.0Q0 PERSO UAL&ADVINJURY $ 1 O00/ 00 GENERAL AGGREGATE $ 2,_QOp,,000 GENT AGGREGATE LINTAPPUES PER X I POLICY F7PRO" LaC PRODUCTS-DONP/OPAGG $ 2,000.000 B auTOMOBILELIABIUTY y 1020006061 9/21/14 9/21/15 N ELIMIT U'ANYAR� a eccitlarp $ ALLOWNED SCHEDULED BODILY INJURY(Perpnrcm) $ 1QO 000 AUTOS x AUTOS 80DILYINJURY(Par1rldvr,0 $X FIREDAUTOS O bAMA 300,000 TS ROBR �AU $ 100 000 UI�IffiUJ1liAB OCCUR EYCESS LIAR EACH OCCURRENCE $ CLAIMS-M_AD6 DED RETENTION AGGREGATE $ C WORKERS COMPENSATION -7 ANDEMPLOYEWLIABILITY YIN WC231S-604356-07.4 5/19/15 5/19/16 I WOCRSTA�TU- OTH. ANY PROPRIETOWARtNER EXECUTIVE OFFICFRmEM5EREXCLUDED7 /A EL.EACHA�CiT7FNT $ 100 OQO (Mandatory In NM Iryyea desYlb"U"dnr E.L.DISEASE-EA EMPLOv $ 100,000 DESLRIPnoN OF OPERATIONS hdow E.L.DISEASE-POLICY LIMB $ 500,000 M 5CRIPTION OF OPERATIONS I LOCATIONS 1 VgHI C (A1leoh ACORD 161,Ad lijim l Rolmrke SMe&ie,if more s Focc braqulrod) Lowe Is Companies Inc. and 9 11 Of it's subsidiaries are named as additional insured as reaPectz to general and auto liability, Vendor #: 95463 CERTIFICATE HOLDER CANCE"TION SHOULD ANY OF 71HE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE THE EXPIRATION Lowers Companies, Inc and any ACCORDANCE WJA OAE PO Y PROVISIONS Y_—T4-1FRE0F. NOTICE WILL BE DELIVERED Bd and all subsidiaries Attn: Vendor Insurance AU7HORIY.0 IVEPO Box 1111N. Wilk OroNC 865 Frank Pasci ACORD 25 2010105 © 88 2 ACORD CORPORATION. All rights reserved. { The ACORD name and logo are registered marks of ACORD Phone: Fax: E-mail. A O® C E R - DATE(MM/DDfYYYY) TIFICATE OF LIABILITY INSURANCE 0311!015 THIS,CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT flarsh USA Inc. NAME: -- -_n n: PHONE _..__ .................��orih Tryon Street Suite 3600 '-FAx Cnarlotle.NC 28202 E-MAIL ._._.._..__.... ..._. .. ADDRESS: INSUIjUR�AFFORDING COVERAGE 47095•GASUA-Ot,LY•15-16 -_ __. ___ NAIC f National Union Fire Ins Co Pittsburgh PA ._....._.- -.---.--.._ ..... INSURER A: 9 19445 INSURED -._..._.........._.._..._._-..._.._. .-____....... . New Ham shire Insurance Company1 La+•le's Companies.Inc.and subsidiaries INSURER B: P ,23841 --- _-_-...---------........._....... including Lar.•e a Home Centers.LLC - --- -�'----- Steadfast Insurance Com an '"-`--- INSURER C: P Y 126387 klooresville.NC 28117 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-002939185.31 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. INSR ----'-- ................ ....._........ LTR TYPE OF INSURANCE I POLICY EFF ! POLICY EXP_INSR �_ -- -- - ------ ? POLICY NUMBER MM/DD/YYYY I MMMD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE j S +COP AMERCIAL GENERAL LIABILITY I I Seff Insured-See Below 1 6hRAA!`,E"-TUAEN PREMISES Eq ocw rence ; S OCCUR (' - -- -- -,- - -- `_MFD EXP(Any one pe:5nn) i 5 ... ............ - ' I PERSONAL 8 ADV INJURY 'S F- .. j GENERAL AGGREGATE GF N'L AGGREGATF LIMIT APPLIES Pf:R -------- I . POLICY I PRODUCTS•COMP/OP AGG j S T iL i I I s .. .. A AUTOMOBILE LIABILITY ' ICA5260749 (ADS) s04101/2015 04,'OU2016 , COMBINED SiNULE LIMIT 8 X ANY AUT !(Eacdde _......_..- 0401/2015 04101/2016 5000.000 _— __..._ ....._. A.(.1.0L•:NED � �' SCHEDULED � BODILY INJURY(Pe,person) `S " A.uT05 i AUfOS ICA5260760 (VA) 04101!2015 I04t0112016 BDOILY INJURY(Pe•acddent)1$ 1 NUN-OWNED _ --. .. ..-.. .. HIRED AUTOS ._.._-------- I AUTOS PROPERTY DAMA(E C x UMBRELLA _ IIAB I X.,..{ OCCUR I IIPR3792301-01 '04,'01/2014 04.'O1!2017 _ ----_.... ........... .. _....__ . . EACHO_C{'l1RRFNCf S 50W.000 EXCESS LIAR -- - _ICI AIMS•tdADE AGGREGATE is 5 000.000 DhD RE IENTIUNs I ; -- B - WORKERS COMPENSATION 1 ! S WC017731584 (ADS} 04/01/2015 '04101!2016 x j we sTAnJ• ; OTH B . AND EMPLOYERS'LIABILITY TV LIMITS ANY PFa<)PRIETOF1:PtRTNER:EXFCUTIVE Y!N jWC039901583 (WI) 0410112015 :04!O1i2016 N/A. l E B 1FFICER?1EMHF:R EXCLUDED" (ED"> N L EACH ACCIDENT .� 2,000.000 L..(Mandatory m NH) I j WC017731585 (MN) 104,'01/2015 I04l01!2016 B I ves.resc- k r5de- I (E L DISEASE•EA EMPLOYEE, $ 2 000 000 .. DESCRtPTION OF OPERATIONS below 1 IWC039901584 (AK.AZ. NH,VT) I04.i01/2015 04101r2016 I 2,000,000 E.L.DISEASE•POLICY OMIT 1 s A Excess 1'dG XWC9883959 (AOS) 104 0112015 04101,12016 WC:Stat•`EL:S3mil:xs S2rnil SIR A :Excess t"!C ,iXWC9883960(FL) 04/01/2015 �04i0112016 j WC:StaVEL:S3mil:xs S2mi(SIR I i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101.Additional Remarks Schedule,if more Insurea Is se i insured for General Llabil„y for the perod o!4i01:2015lo 4/Oti2016. space is required) CERTIFICATE HOLDER CANCELLATION Lowe s Companies.Inc. and subsidiaries SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO Box 1000 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Moores0le.NC 28115 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Paula Stapleton ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD �, � ``� � ' s E �' P � ' �� ,� ��1,, 2016-01-13 11 :30 Install Sales 7814994024 >> 9 P 2/3 The Commonwealth of Massachusulls Department of 111dustrialAccidents 1 I;.�7 Office of Mvesligfitions �+ I Congress Street, Sulle 100 Bosion, MA 02114-2017 Www-Ilifiss.govIdia Workers' ("Ompells.1tion Ins,,li.,mceAffidavit: B uilde rs/Contra cto rs/Elect ricia n s/P1 tin]bers Agolicant Infortuation Please Print Legibly I 3 Ire I'0111;ln emplo%er'? Check the appropriate box" lvpe ol'projed(required): 1 1 ;1111 a4. 0 1 ant it jj,�,,;jj :[)III t-;jcj(;j, 111R,I LL kmijilmoc-, (A111 :Jlld/ol- luve hived the siiii-conii;wtors, 6. 2 1\'L!xv 2.E, miln'solc pl-opriet'll,0j'l);jt'jljCt'- listed oil ill,: ilmidled S11,201. 7, E]Remuduhug wllipmld have llocillilloyces" These mill-contruvims iinve 8. Ej Demolition wol-kilw fiw file ill.111N,C;lj):1cWv' clnploNm mid lulk-C imi-kers JNo wo-l-kers' comp. lit'istirmcc colly, i listful lice. 9. 5, C] W': itue'L col-pol-illioll wid its 10.0 Flectric;0 rclillir";or 110(filions I mil at hollicowilvi-(joills,ill; work officers h.1%C eNciviscd lhcil- 11,0 piumililln relmil-s or-:1difilliolh jivs0f. INo workm' cullip, 0t'CXClllj)fiL)fj lici-NI(iL 12.El Roof-repmrs llSllt'.tllCQ 1'equilvd.] §1W.ml(I%%c have no Cillplovccs. INo workcr.s' I 3.D()T Ile %m"I'N'valll llml k1l'xk-1—'�':i 11511m;VIN(I fill oul ib,; below Nitintim!llicir ssWik,:r,' 1,4 1 W-A$I Sul".W1W s U bri I ri ill je;t I I idavit ill-I icatill;!thcs,awdoillp all mpk'all I Own hire om, i6ls ommio;,is Imm'111311111 a Tim affidavil a0dillowil klwo,ltowimt -1) wim1wror no(iho,e ewmc:11;jkv ojo musl provid.;their %Nuft;,,rN'4:ewy. nwvpuplf�vees. Belawix flee policy jjmlj(�b site i If jitrvtt+t toll.Job Site Aktdi-cw. CilvyS("llc/zlp1-- (:I)]))'of the workers'cony Ic 1111".)tim,policy declaration pa9c(ShOlving the Policy'Ito ill her and exiviration(Luc). to--,ccnry co, zre as I-CtjLll1C(I under Sectij)JI 25A of MOL c. 152 con level ro the llllpo�ition ofci-iinimtl imlolli"ot';j as wkfll;l"civil pcnaldes in tile (0i'm()I';,STOP WORK ORDER awl a fine ')t up tv$250AX);t(Iji)'it.,ilin'.t the vioLltol-. be advis'ed that it copy or INS"Imomenr may be fol-mil-ded Io(lie Office 4 Ills.1:.Sti,'tliolls of-the DIA I'm.ifvt1r-.'l1lc0 eovcrls-c vel-ificmklll. I flit herebi.-r4wifi, rod he ilm,) a' is fare and comerl 11se only. A,)irof korhe ist this area.In he compleled by City or rows qj Wal. 0 ty fir T ow n: Issuing Akilbarif% (circle onel- . W-li-dofficalth 2.Building Department 3.0tyfrosm(Aerk 4.Elemrical Inspector 5.Pill mbing In.yedor 0.Other Conf'-Ict Persism—, Phone W:-- nDO 16C �� S ��- � 32 William C. Gould Way, Kingston, MA 02364 Phone: 781-217-2000 Fax: 781-217-2001 Massachusetts-Department of Public Safety Board of Building Regulations and Standards \.11J1�11 tiL'Lllill .]ilk/l[ij\iIt �� License: CS-085474 JAMES S RATS110S 11 Ballardvale Rd T"� ANDOVER MA 6181� 9114,,, j Expiration Commissioner 07/07i2017 � �G�?�P t(JQ•'�2/J�'CQ/1?i�L�E'��i�2�'2 t'�Cs?%L�/K��?/GG:�� �a Office of Consumer Affairs and Business Regulation \�J i 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Horne Improvement Contractor Registration Registration: 163649 Type: LLC Expiration: 7/8/2017 Tr# 268102 KATSIKIS & DIMOPOULOS LLC JAMES KATSIKIS 945 MAIN ST = WILMINGTON, MA D1887 - — - — Update Address and return card.Mark reason for change. [� Address J Renewal Lj Employment Lost Card SCA 1 G 20M-05,'i1 plc�n�u.�ir..nocrr�l�o�G'��lm;;arfrr;e/!.; 1�-\ office of Conrsumer Affairs&Business Regulation License or registration valid for individul use only { ENT CONTRACTOR before the expiration date. If found return to: fiiOME IMPROVEM registration: .:163g49 Type Office of Consumer Affairs and Business Regulation = xpiration: =7181201.7 ; LLC 10 Park Plaza-Suite 5170 Boston,MA 02116 KATSiKIS&AIMOPOIJIbO LLC,::`:' - J JAMBES KATSIKfS 945 MAIN ST N,'lLfull�lGT01 AAA 01887 Undersecretary of valid witho t signature L'd r1f7i7I C1+70/F ���on�nn�ninnnx��ivio i� �i 8010290169 RR Donne0.y 82013.All d0ft reserved.—0W ...:: ' m7n, CONTRACT# 0 009714 MASSACHUSETTS 54ER1lICES SOLUTIONS INSTALLED SALES CONTRACT LOWE'S AU_ °RIZED REPAIESENTATIVE NUMBER } CUSTOMER STORE NO. STREET ADDRESS/ STREET THE ADD _. S/ S :. p CITY /(� STATE ZIP STATE ZIP 9 i TELEPHONE C . . TELEPHONE DATE LOWE'S HOME CENTE RS LLC S MA HIC NO 148668 CA6H 6ANK Y LCC II1�11� REG 1/`1 / FEIN 58-074e358 1—J cAnO CHARGE Tks Is ociy a«n�fa forihe merrba�dlse-en3 serviws pnn0ed-'below`iids+trergRres,yen a9n�emeirt opan,PaymaRL:�ltw^-Fer4"80Lill A SS the ap9COIaaQy completed.P m-or i decvmenL ttfe Terms arlA Condlfione')ndude6vYM l ,aaa "amEany o>f e.�ea.m�.anscmetb heeem sga9.hQ reteRa�m per,as.mis.GEonlmcL PLEASE READ qiL TERMS AND CONDITIONS dN THE R�.VERSE"SfDEbE rac;E.,1tJ0„Fol.6ow8dc PItGEs aEE'oRE�sIGNiNO 4 INSTALLATION STREET ADDRESS - CITY STATE ZIP 4/4 7; NOTICE TO CUSTOMER—PRICE CALCULATIONS:In order to properly perform the installation of certain Goods,.the Contract Price may include more Goods than actually will be installed based on the measured square footage of the Project Area.As a result,the parties agree that the lump-sum Price stated in this Contract is calculated upon both the value of estimated Goods required to fulfill the Contract(including waste),which may exceed the actual square footage of the Project Area,and the labor which may be estimated based on the amount of Goods required to fulfill the Contract(including waste). By signing this Contract below,Customer acknowledges receipt of this notice and agrees and understands that the Price includes these costs which may not be refunded once the Installation Services are performed. Contract Total �,at/ Are permits required for this installation?:[,.f Yes [ ]NO *applicable tax included 21��' NOTICE TO CUSTOMER: Federal law requires Lowe's to provide you with the pamplet Renovate Right.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.. NOTE:ff rotted wood is discovered during installation additional charges will I .You will be given a quote and a change order must be completed and signed by the customer for any additional charges. Customer must Initial. *Any work or material not specified is not included in this contract.Any changes or additions will 'at dditional charge for the material and labor.. PHOTO RELEASE:Customer grants to Lowe's and Lowe's employees and independent contractors the right to take photographs of the Premises where Installation Services will be performed and all work performed at the Premises related to this Contract,and irrevocabl nts to Lowe's all right,title and interest in and to the photographs for use in all markets and media,worldwide,in perpetuity.Customer authorizes Lo e's t copyright,use and publish the photographs in print and/or electronically,and agrees that Lowe's may use such photographs for any lawful purpo a I Ing,but not limited to,marketing, advertising,publicity,illustration,training and Web content.By initialing here,Customer agrees to the foregoing.. Customer to initial to the left]. Work is to comm�nce upon reasonable.availabiligcof-Contractor andiorany.special_oMero[ct9 er rn�_ Goods)which is anticipated to be " �� �6 [fill in date].Estimated completion date is /.%' � � [ftft in date]. Said estimated substantial completion date is not of the essence.A statement of any contingencies that would materially change said estimated substantial completion date is as follows ti✓P �., c r n, M, -ro- % �e fl� (if applicable,insert a statement of such contingencies). IF THE CONTRACT TOTAL IS$1,000.00 OR LESS Customer must pay in full. COIyIPLETE THIS SECTION ONLY WHEN THE CONTRACT TOTAL EXCEEDS$1,000.00: [ CustomgrlQ,Pay in Full�.�, OR I j Customer to use the following payment schedule: (1)Deposit$ to be paid upon signing contract.Deposit should be 1/3 the total contract price;and (2)Payment of$ to be paid anytime after this Contract is signed and before commencement of installation,I/We authorize Lowe's to do one of the following(check appropriate box below): [ ]Charge my/our credit card for the amount of the payment indicated above anytime after the date this Contract is signed; or [ ]Deposit my/our check for the amount of the payment indicated above an after the date this Contract is signed;and (3)Final payment of$106.00 to be paid upon completion of the installation and both parties'satisfaction. 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 CONTRACT,THAT LOWE'S MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUT- IVE OFFICE OF CONS ND BUSINESS REGULATIONS AND THE OWNER SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION AS PROVIDED INJvYt,.L. 41A By: Date: A, ?2 / Low 'a Home e ',Ll- % ? // By: Date:�� r Owner Signature THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE RESOLUTION INITIATED BY LOWE's PURSUANT.TO M.G.L.c.142A.THE OWNER MAY BE PERMITTED TO INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THE SECTION ABOVE IS NOT SEPARATELY SIGNED BY THE PARTIES. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AND UNTIL YOU HAVE READ THE TERMS AND CONDITIONS CONTAINED ON THE REVERSE SIDE OF THIS PAGE AND THE FOLLOWING PAGES OF THIS CONTRACT. BY SIGNING BELOW,YOU ARE ACKNOWLEDGING THAT YOU HAVE READ,UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE OF THIS PAGE AND THE FOLLOWING PAGES OF THIS CONTRACT.YOU ARE ENTITLED TO A COPY ryryO.�F�THIS CONTRJCT AT THE TIME OF SIGNATURE. WITNESS OUR HAND�S)AND SEAL(S)BELOW THIS DAY OF 1XV6 V," _ C/S f. ' Lowe's Home C seas,LLC ' Lowe's Authorized Representative Owner Coowner or Witness Town of Barnstable Regulatory Services 9'MASS. Thomas F. Geiler,Director �A 1639. l A Ep Mp'l Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 March 8, 2011 Dear Property Owner, This letter is to inform you that Regulatory Services canvassed the general area of Hiramar and Fresh Hole Roads on Friday afternoon, March 4, 2011 in an attempt to assess the current conditions of the properties located in this area. This department recommends that all landlords personally inspect their property in order to obtain an accurate assessment of their individual rentals. For your convenience I am identifying the findings in a generic list below: • Broken window panes and storm doors. • Failed glass • Missing storm doors. ' • Torn or missing screens • Broken glass strewn along the perimeter of dwellings • Broken glass surrounding dumpsters and in parking areas • Peeling paint • Uncontained outside storage of household trash • Abandoned appliances outside • Missing or clogged gutters • Failure to post contrasting house numbers. • Rotting window sills and support posts • Missing or broken outside lighting fixtures • Blocked egress including a rear exit nailed shut. In addition, landlords should confirm that all units have the adequate number of operable smoke detectors properly placed as required and units relying on fossil fuels are also required to have carbon monoxide detectors. Please feel free to contact me directly at 508-862-4027 in the event that you require additional information concerning this letter. i erely, - Robin C.Anderson Zoning Enforcement Officer CC:Chief Paul MacDonald,BPD,Debra Dagwan,Town Council 'tT [ ] [R292 179 . ] �� LOC10034 FRESH HOLES ROAD CTY107 TDS] 400 HY KEY] 203700 ----MAILING ADDRESS------- PCA] 1041 PCS] 00 YR] 00 PARENT] 0 LYON, JENNIFER TR MAP] AREA] 63AD JV] 380750 MTG] 0000 FRESH HOLES RD TRUST SP1] SP21 SP31 PO BOX 611 UT11 UT21 . 21 SQ FT] 1440 HYANNISPORT MA 02647 AYB11945 EYB11980 OBS] CONST] 0000 LAND 18300 IMP 36600 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 54900 REA CLASSIFIED #LAND 1 18, 300 ASD LND 18300 ASD IMP 36600 ASD OTH #BLDG (S) -CARD-1 1 36, 600 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 34 OFF FRESH HOLES RD TAX EXEMPT #DL LOT 11 RESIDENT'L 54900 54900 54900 #RR 0576 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 11/96 PRICE] 100 ORB] C142747 AFD] I A LAST ACTIVITY] 01/13/97 PCR] Y R292 179 . �P P R A I S A L D A T A KEY 203700 LYON, JENNIFER TR LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 18, 300 36, 600 1 A-COST 54, 900 B-MKT BY 00/ BY ME 9/87 C-INCOME PCA=1041 PCS=00 SIZE= 1440 JUST-VAL 54, 900 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 63AD -- TREND EXCEEDS STANDARD NEIGHBORHOOD 63AD HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 183001 LAND-MEAN +0% 549001 54197 IMPROVED-MEAN -320 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 100%1 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR) NOTES COM] MARKET INC) INCOME PMR] PERMITS GRR) GRAPHIC FUNCTION- [ ) STRUCTURE-CARD NO- [0 0 0) DATA- [ ] XMT [?] R292 179 . • P E R M I T [PMT] ACT [R] CARD [000] KEY 203700 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT I T� RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET Fresh Holes Rd. Hyannis 292 � ` H 73 LAND y 6 d o r 179 OWNER .,c,1Jt>G�.a [ BLDGS. /9Suu TOTAL U U r RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: �� LAND � BLDGS. TOTAL LAND BLDGS. k �K TOTAL • 8 LAND Jon Elizabeth C. , Trustee (LGL Trust). 12-19-7 Ctf• 6021 BLDGS. a)K�, C L r=1 S`� C . .TOTAL LAND t o -D6 )- OE N --rNC:. A a A BLDGS. s MCI- o a t h TOTAL LAND 7-2 J — BLDGS. TOTAL LAND BLDGS. TOTAL 'LAND INTERIOR INSPECTED: BLDGS. / TOTAL DATE: Z 7 -y � , LAND ACREAGE PCOMP ATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE ILAND HOUSE I G o "1 '1f G 6 0 4(, 00 :LEARED FRONT REAR OVOODS&SPROUT FRONT REAR BLDGS. HASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND Al nr_c f ........ .. LAND COST inc.Walls Fin. Bsmt.Area Bath Room Base ) EILDG.COST inc.Blk.Walls Bsmt. Rec. Room St. Shower Bath Bsmt. C D PURCH. DATE no Slab Bsmt.Garage St. Shower Ext. Walls PURCH. PRICE. ick Walls Attic &Stairs fJ Toilet Room Roof RENT sea Wells Fin.Attic Two Fixt. Bath Floors irs INTERIOR FINISH Lavatory Extra _ mt. F 1 2 3 Sink Ota rh r/4 Plaster Water Cie. Extra Attie EXTERIOR WALLS Knotty Pine Water Only uble Siding Plywood No Plumbing Bsmt. Fin. igle Siding Plasterboard Int. Fin. Shingles TILING u", ;" 1c. 81k. G F P Bath Fl. Heat ce Brk.On Int.Layout Bath .&Wains. Auto Ht.Unit D Y Veneer Int.Cond. Bath Fl. &Walls Fireplace m. Brk.On HEATING Toilet Rm. Fl. Plumbing (� lid Com.Brk. Hot Air Toilet Rm.Fl.&Wains. Tiling 40 _ Steam Toilet Rm.Fl.&Walla snket Ins. Hot Water oa[,'Q,,,•.r St.Shower of Ins. Air Cond. Tub Area Total Floor Furn. 7 ROOFING Z Zowc COMPUTATIONS ph. Shingle Pipeless Furn. Q S.F. Q io D rod Shingle No Heat S.F. bs. Shingle Oil Burner S.F. ' rte Coal Stoker S.F. e Gas S.F. OUTBUILDINGS ROOF TYPE Electric ble Flat S.F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED p Mansard FIREPLACES S.F. Pier Found. Floor .-.li �mbrel Fireplace Stack Wall Found. 0. H. Door LISTED FLOORS Fireplace Sgle.Sdg. Roll Roofing / nc. LIGHTING Dble.Sdg. Shingle Roof rth No Elect. DATE Shingle Walls Plumbing ie ) '� ROOMS Cement Blk. Electric rrdwoed P D ph.Tile Bsmt. 1st �]- TOTAL j'{�. Brick Int.Finish // ngle 2nd 3rd FACTOR a p - REPLACEMENT .o2 3 OCCUPA Cy CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep• ACTUAL VAL. 1 - 2-- 3 4 5 6 7 9 9 O i TOTAL PROPERTY ADDRESS I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS I PCS I NBHD KEY NO. 0034 FRESH HOLES ROAD 07 RB 400 07HY 01 04/96 1041 00 63A0 2 1 9 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T v UNIT ADJ•D.UNIT ACRES/UNITS VALUE Des<riplion JAROFf, DAVID B MAP— Lantl By/Dale Sin_D�mens,°„ LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE co D Irin<<e, E #LAND 1 18,300 CARDS IN ACCOUNT - L 10 1BLDG.SIT 1 x .21 =10 290 29999.9 86999.99 .21 18300 #BLDG(S)—CARD-1 1 36,600 01 OF 01 A #PL 34 OFF FRESH HOLES RD N BATHS 2.0 U X C= 100 7000.0 7000.00 1.00 7000 B #DL LOT 11 MARKET D — NO BSMT S x C= 100 5.95 5.95 1440 8600-e #RR 0576 INCOME A I USE D APPRAISED VALUE D J A 54,900 A PARCEL SUMMARY T U LAND 18300 A S T BLDGS 36600 M 0—IMPS E TOTAL 54900 F N C N S T DEED REFERENCE Type DATE gecortleA B k —PRIOR YEAR VALUE "�'. S°'°'P'iq° LAND 18300 T C121359e1 108/90 B 100 BLDGS 36600 U C106902 : I:06/86 N 460000 TOTAL 54900 R C103688 ; 1:10/85 N 2400000 E BUILDING PERMIT *NO ATTIC....... S Number Dale Type An nt LAND LAND—AOJ INC ME SE SP—BEDS FEATURES BLD—ADJS UNITS ... ._.. 18300 1 1 1600— C pn sl. TOI aI Year Buill Norm. Ob%v Class Units Uniis Base Raie nol.gale A 1l9 Aye Depe. Contl. CND. Lp ^b R.G. Rapt.Cosl New Adj.Repl.Valpe Stories Heignt Booms ed Rms Batns I Fix. Partywell F.c. 02C— 000 100 100 55.25 55.25 45 8T0 14 87 60 47 77960 36600 1.0 8 4 2.0 3.0 De .pllon R.I. Sq'a�e Feel Repl,Cosl MKT.INDEX: 1.00 IMP.By/DATE: ME 9/87 SCALE: 1/00.75 ELEMENTS CODE CONSTRUCTION DETAIL S BAS 100 55.25 1440 79560 GROSS AREA TWO FAMILY DWELLING CNST GP;O T *---------------------60---------------r----* STYLE 17DUPLEX 0. --- G ---- R � ! DESIN c00 ------------------I.- U ! 8XTER WALLS 1IWOOD SHIN_GLES __0._ REAT/A[ TYPE 11GAS—WARM AIR_ 0 T INTER.FINISH 04DRYWALL 0._ ! __ T 24 BASE 24 Ihi l L-AYOUT _12AVER./NORMAL KID U INTER.-QUALTY 02SAINE AS E_XTER. _0._ R ! ! FLOOR $TRUCT 04CONCRETE SLAB 0.A _ L D W! ! EFLOOR_ COVE_R__ 04CARPET 0.0 al Areas Apx aae_ 1440 ! ! ROOF TYPE 01GABt E—ASPH SH 0.0 -- - -- ------------ - BUILDING DIMENSIONS *-----------------�__60--------------------X- E L E C T RI C A L 01 A VE R A 6 E _ __ 6.0 A AS W60 N24 E60 S24 .. FOUNDATION 03CONCRETE SLAB 99.9 -------------- - --- - --- L P1EICafIBORH06D 63AD HYAfdAIIS LAND TOTAL MARKET PARCEL 18300 54900 AREA 3871 . VARIANCE +0 +1318 STANDARD 25 TOWN OF BARNSTABLB RBPORTOkPPLEMENTARY/CONTINIIAOIN REPORT NAME (LAST, FIRST, MIDDLE) / /J DIVISION /DaPT NOTE DETAILS i OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL /S ETC- /J � t SUBMITTED BY PAGE I