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HomeMy WebLinkAbout0029 LONGVIEW DRIVE c 2q Loh v« 4 4 i �t 1� 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TOWN OF BARN,STABLE Map o�Ja Parcel Onto Application # 7 Health Division 2013 VON 2? �."? � 13 Date Issued Conservation Division Application FeV r Planning Dept. Permit Fee OIW, Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis PC�roject Street Address-, O�� Lc�1yC��/(�t�J C�(��V c— Village. itN leis Address ace LzwGvw w og-w T . a 1 Po (�oX m-LS, elephoneR P-er-mit Request. R�crnyr�c.,�,2.� �ZcIS►ANC., C�1Y2oo�m 4- (�o�A �v� lJi�y��11o2r�y� 1•0 c2 (� vr�s R_ t3V�R_oo m wig MAO Q)PyWAQ0oM i PIAPI, G rp-6. Square feet: 1 st floor: existing I 156proposed J 2nd floor: existing proposed Total new Zoning District QC_ I Flood Plain N® Groundwater Overlay No �Pro�iect Val uation 1,5400c) Construction Type iN©Or�r�m Lot Size Q.S100 itwoQN_ Grandfathered: ❑Yes �d No If yes, attach supporting documentation. Dwelling Type: Single Family 19 Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes V No On Old King's Highway: ❑Yes *No Basement Type: *Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 5 Basement Unfinished Area (sq.ft) !Q 5a Number of Baths: Full: existing_ new I Half: existing new Number of Bedrooms: _'� existing Q new Total Room Count (not including baths): existing !2_new First Floor Room Count Heat Type and Fuel: $Gas ❑ Oil ❑ Electric ❑ Other Central Air: *Yes ❑ No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes 4No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:0 existing ❑ new size _Shed: 2 existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes figNo If yes, site plan review # Current Use s��1�v1ovL_ Proposed Use R£S10EvMA1�_ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) -Name .` f'.C.V � • 1�t��v�lytn Telephone Number _ 5O�S- 19y alSa Address @L0A UONGViEw License # Po (box 1$a5, eHANMS, VM Caw Home Improvement Contractor# r=mail ° m Mf1' GUL t l bI e /QL•C VA Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO L-►0yy.)F: SIGNATURE DATE 1 FOR OFFICIAL USE ONLY ; APPLICATION# orAk DATE ISSUED f MAP/PARCEL NO. � E �i ADDRESS VILLAGE r OWNER x �l l 'r DATE OF INSPECTION: .; .FOUNDATION ' FRAME 00117 INSULATION s FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT #. ASSOCIATION PLAN NO. 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Tom Perry,Building Commissioner - 9 163% 0� 200 Main Street, Hyannis,MA 02601 �� y www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION i _,_, Please Print DATE: — ;` JOB.LO�T N number 'village f. r "HOMEOWNEW': Svcs 7) g!P&D home phone# :-4 work-phone-# CURRENT^M1 I LING ADDR f!S �"_--• P O �O X city/town J state zip_code .N The current exemption for"ho em o owners"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 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 pr ed s r ents and that he/she will comply with said procedures and requirements. 9i re o 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 assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulaiions 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:\WPFILES\FORMS\building permit forms\EXPRESS-doc Revised 061313 �'ME � Town of Barnstable Regulatory Services sAPNST sM MASS. $ Richard V. Scali,Interim Director 1639. � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 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. (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted.- Signature of Owner Signature of Applicant Print Name : Print Name Date OTORMS:OWNERPERMISSIONPOOLS 10/13 r Parcel Detail Page 1 of 4 "r`- 3T F Logged In As: Parcel Detail Friday, November 22 2013 Parcel Lookup Parcel Info Parcel 252-076 �' Developer LOT 53 _ ID.' Lot' _. ... Pri Location 129 LONGVIEW DRIVE Frontage 1150 .___I Sec Road Frontage .----- ------- --- - ........ Fire HYANNIS HYANNIS Village. District' Town sewer exists at this Road r 0919 address No Index' Asbuilt Septic Scan: p Interactive . y k 252076 1 Map ., , Owner Info Owner,[CILIBERTO, FRANK Owner J I Co— JACK J Streetl I PO Box 1895 J Street2 City HYANNIS ( State jMA ZIp02601 Countly w Land Info Acres 10.37 Use(Single Fam MDL-01 ( Zoning Rc-1 Nghbd joins Topography FLevel Road ;Paved Utilities fPublicWater,Gas,Septic Location Construction Info Building 1 of 1 Year,1962 Roof Gable/Hip EXt(Vinyl Siding �J Built' Struct Wall' Living;1155 Roof AC 1 - � lAsphlF GlslCmp � ;None Area Cover Type' 111.- -- ... Int _ __ ---- Bed;- Style Ranch 1 Wall Drywall Rooms '3 bedrooms - -- Intl----- Bath Model Residential Floor IHardwood Rooms11 Full Heat Total http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=18711 11/22/2013 x Engineering Dept. (3rd floor) Map Parcel %Le", Permit# / 3 ' House# � Date Issued _ Board of Health 3rd floor 8:15 9:30/1:00-4:30 ( )( ) F— ' Conservation Office (4th floor)(8:30-9:30/1:00-2:00) FlIft 19 ` C, u J � E IF, :� BARN AR�E. TOWN OF BARNSTABLE `� '° °" Building Permit Application PrTtreddress ®Cora U eu! On v-e Village A1/6, Owner �t^/�u Address Q1yi���lie►. / Telephone 77,E Permit Request First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure C"jrYkT, Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other /cS fA�y9`e-&?C%1�� f r41 5 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas 2§/Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name e'Wfrles (9, �r��-s�p 3 Telephone Number Address lea g?4&W_zet0 ;01A• License# ODG 6�5-3 �PP•willf' �G1„� Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. i ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 9zt?ll � BUILDING PERMIT DENIED FOR'T-PM.FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. i ? DATE ISSUED` MAP/PARCELIOT `. f ADDRESS VILLAGE , • OWNER ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE F ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ' ASSOCIATION PLAN NO. r � t 7.83'-s- ADO/Tfoi•/ o 1 ' CERTIFIED PLOT PLAN LOCATION ei YW ,&44;,. ."4°. .. . . . ... SCALE .1.��a3c'�. .... DATE PLAN REFERENCE BL7.VG Lot' S3 Ay, 44 c '` C EDWAR , fJ' r I CERTIFY THAT THE ."1571'O/G a ?_6100 �o SHOWN ON THIS PLAN IS LOCATED ON THE GROUND c". 'flfCl$TE�E� v AS SHOWN HEREON AND THAT IT CONFORMS TO THE l L���C,J' SETBACK REQUIREMENTS OF THE TOWN OF c4AT�'/�/.ST/°1�L1,„ . , , ,WHEN CONSTRUCTED. DATE REGISTERED LAND SURVEYqR f i a ' The Town of Barnstable '�NAM Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Building Commissioner Fax: 50 8-790-6230 For ofrice use only Permit no. Date AFFIDAVIT HOME DWROVEMENT TO PERNII CONTRACTORAPPLICATION w SUPPLEMENT MGL c. 1 req wires that the "reconstruction, alterations, renovation, repair, modernization, an n to any conversion,, improvement, improvement, removal, demolition, or but construction than four dwelling units orng to owner occupied building containing at least one structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Est.Cost Type of Work: K+ ek Address of Work: p, ee4.7 / Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWN PERMIlT OR DEALING WITH UNREGISTERED OWNERS PULLING 'HEM HOME MOROVEMENT WORK DO NOT HAVE CONTRACTORS FOR APPLICABLE FUND UNDER MGL c. 142A ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY SIGNED UNDER PENALTIES OF PERJURY for a permit as the agent of the owner. I hereby apply C -5 Registration No. Contractor Name 4Daa& � '. OR. Owner's Name nary The Commonwealth of 4fassacbusetts - ^ Department njludustrial.4cciJutts 600 ii aslriitrtotr Street Boston,Alas. (1 111 - Workers' Compensation !Insurance Affidavit �Rpfla nformatton• Please PRiNT'ler jy -- name* 10altion• Citv phone# am a homeowner rming all work E IRyn � �myself am a sole proprietor add have no one in any capacity �� �.,��• i 0 lam an emplover providing workers' compensation for my employees working on this job. comijany name• address• city: nhone#: insurance co policy# I am a sole proprietor, general contractor,or homeownrt•(circle one) and have hired the contractors listed below who have the following workers' compensation polices: c mmpativ name: •ttidress• cit,•• nhone#• _- insur•nce co neliev# �• . .5'_ ., .. _. �rnr:. _ �x�ec-=-�•-:-•ram-«c^+a�'—_—''•'"°�.r� �c�:r�+,..�_,�„*::•n��:^.. 'z.:�;.�..-.4,;_,R,-.�;•�-"';----r compinv name: iddresc• --- city Rhone#• incur•tnce co F policy# :Attach additional sheet if tiecessa �•;�L-a��ry �5 �f�yY•� 7�•�{:~?_—'yrw#- A"L'�:��� f'"� :. :, �,__ -nave^•;=.�, Failure to secure covcrnge as required under Section 25A of hIGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 andiur one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of SI00.00 a day against me. I understand that a cope of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. ' 1 do hereAr certlf-t•unr! the pains and pets petjun•that the information provided above is true and correct. Signature - Date 9z9/141;1 Print name 2�ej,-f Phone official use oniv do not write in this area to be completed by city or town ofricial � city or town: permidlicense# r111uilding Department C3Ucensing board check if immediate response is required Osclectmen's Office [3I1ealth Department contact person: phone*: rnOther (n.,.ed V)S P1Ai Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' cone ftnsation for the employees. As quoted from the "law", an etnpinree is defined as every person in the service of another under any, contract of hire, express or implied, oral or written. An enzplt rer is defined as an individual. partnership, association, corporation or other legal entity, or an, two or nor the foregoing, enuaged 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 th owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwclling house of another who employs persons to do maintenance , construction or repair work on such dwelling ho or on the `,rounds or building appurtenant thereto shall not because of such employment be deemed to be an employe. MGL chapter 152 section 25 also states that even'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 commomwealth for an• applicant Nvho has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. 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 1-. been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to;your situation and supplying company names. address and phone numbers as all affidavits 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 vdv have any questions regarding the "law"or if you are requires to obtain a workers compensation policy, please call the Department at the number listed below. City or,roivns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom o: the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Ple.- be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned t the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any question_ please do not hesitate to give us a call. Y'•au....�w-.-_,......,.....�,.-.�.-v.n.-• '-v.w.r.•rw.vn.��..�!!!ry�.•.w�wr..+�• .. ., The Department's address. telephone and fax number. The Commonwealth Of Massachusetts µ `' Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 .,i,.,.,n 4i• (Al7) 777-4900 o.t_ 40(i 409 or 37-; fYiS1'!N(, OFCk _ —_ _ I�� F HNOtRSFr/f/IPrvfM ' I • .. i 4 Mp"Lr56.�o91_c_.--- a� lu A EYYfi rnvL oLY yoF 4/all 1 �)C/ST/KF /E LLSC \\ - wJ MPrGu c!A t .. _....._..�.•..._ I.... Y_4�9 II1I �9•COr s,r,�-/.�i+C y Cyi['¢/Lca.w'. '�• �r.Vr�S•3 I h/` [o i. ,4X/o I I I II dal183 LONGVIEW DRIVE PALTS�0`h ��� t ® CENTERVILLE, MA. 02632 SDME. 4j' nPPROVEOOY DPnwN OY/ Sm{ GATE S' %L aEvreeD � - n n �®y7 - 771-1410 I^� •f��-c ni,�.v�censs s�-,L,,,. ,�. I Ey I N 1 - LICENSE 0066 V 3 ORA WING WIDER NtW MGM D ACPN06D4PW[D5&DUPPLV Co, ' ...,:...�,.�.......a.....a:...,..-..r-..a.n....arreo-•wewor+n•y..+.�w.r.per.-+++«...-.�............+.y..-..w..,,re.,..e.•.._.....-.:,..w.-....,...._...,.....w-_.........,._. ..,.... ......-..._._. ... .r ..� ...._. _ +T.. �. � �:- va..+...«. �.w... ..rww...�w:«:n _�. ..+..��« ...,: ..� ..w.+.wu,�..�rrnr+++.a..M::ib'em�bLw�r4:l:a�.�a.wWo.+h+uwr.w.•I1r.r'..M.,N+ha.+a.•a.w...+.wYa..yae.r-. +-.aaa.s.0 nrwm+.!..•.Rua.m'f^' +�MAni!� Yw.tws.+w..w............ .... n. v......--.a.. y } f i Irrr L _ ! E.rlrwc TAT - ^i ,t cur -__ � 3 / ��N.Y!rs,.•f nY PALMPSAOS 183 LONGVIEW DRIVE �MA •CGyv6 vi✓w tir C�'a i�wi/�i 6/,+ o ' S'0 N CENTERVILLE, . 02632 a 771-1410 ULDING REMOMELINU LICENSE # 006653 O ' & NW 1144N0 NfvNONNAPIaab SO"Y CO. �. �12C TDNnv�nootusea.Gl/L o�✓GZa.JOI�/LuJeG�t1 F.- �1 Restricted To: 00 15 2 30 DEPARTMENT OF PUBLIC SAFETY . CONSTRUCTION SUPERVISOR LICENSE 00 - None Number: Expires: 1G - 1 & 2 Family Homes Restricted To: 00 Failure to possess a current edition of the Massachusetts State Buiilding Code CHARLES G PALTSIOS is cause for revocation of this license. 183 LONGVIEW DR CENTERVILL, MA 02632 r � * �i{e{�x�xonwealQ( ./t�aaoadu�ae�79 Hd1E INPROVENEN�CONTRACTOR { Regiskretion 114644 INDIVIDUAL Expiration- 10/08/91 w+ �, CHARLES PALTSIOS BLDG & RENOD �! r " °'CNIUILES G. PALTSIOS � I 3.LONGVIEN DR�` 4 ENTERVILLE NA 02632 ADMINISTRATOR }, { ° Y J o: w P�oFIKE Toys Town of Barnstable *Permit# 9 2 3 O,^ Expires 6 months front issue date BARNSrABLE : Regulatory Services Fee y MASS. 1679. . Thomas F.Geiler,Director A Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601w X-PRESS P Office: 508-862-4038 �"' ERMIT Fax: 508-790-6230 JUN 3 - 2003 EXPRESS PERMIT APPLICATION Not Valid without Red X-Press Imprint TOWN OF BARNSTABLE Map/parcel Number n Property Address 6 1� kA✓c_&& ET-Residential OR ❑ Commercial Value of Work Owner's Name&Address14 Contractor's Name Ml ;- VZ,.0,o7 G17�IA-10 t/GC-VS' Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) brkman's Compensation Insurance Check one: ❑ I am a sole proprietor dI a the Homeowner have Worker's Compensation Insurance P Insurance Company Name Workman's Comp.Policy# � Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-sid Replacement Windows: U-Value r (maximum.44) ❑ Other(specify) *Where required: Issuance of this pen-nit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature expmtrg w' ! HOME IMPROVEMENT INSTALLATION CONTRACT Branch Name: MC C Date: Sold,Furnished&Installed by (� 7 The Home Depot Installed Sales Branch Number:��_ Job#: / 7S7 J 345A Greenwood Street,Worcester,MA 01607 Toll Free(800)657-5182; (508)756-6686; Fax:508-756-2859 Federal ID#75-2698460 RI Cont.Lic#16427 CT Lic#565522 G MA Home Impprovement Contractor Reg.#126893 / Installation Address: oZ% �i VlGIy City State Zip Purchaser(s): Work Phone: Home Phone: Home Address: (if different from Installation Address) City State Zip Project Information I/We("Purchaser'),the owners of the property located at the above installation address,offer to contract with The Home Depof("Home Depot' to furnish,deliver and arrange for the installation of all materials as described on the attached Spec Sheet,, .�S 0 90 0.incorporated herein by reference and made apart hereof. Home Depot reserves the right to cancel this contract if,upon re-inspection of the job,Home Depot determines that it cannot perform its obligations due to a structural problem with the home or because work required to complete the job was not included in the contract. DEPOSIT PAYMENT OPTIONS (Subject to fund verification and/or credit approval.) 1. Check,Cashiers Check or US Postal Service Money Order CONTRACT AMOUNT $ aye (made payable to The Home Depot). *LESS DEPOSIT $ P payment 2. Credit Card*and/or other P y a options-Circle One Below / �6� Visa Mastercard Discover American Express BALANCE DUE ON COMPLETION $ ome Improvement Loan Home Depot Credit Card *25%of Contract Amount due upon execution of this Available Credit:$ 0 (HIL&HDCC ONLY) y contract.One-third(1/3'd)of Contract Amount is required Aoct#: 9 7/ /I4�g,�77 9 Exp.Date: for MASSACHUSETTS RESIDENTS ONLY. _ _/� Name as it appears on car r Indicate Payment Method For "By my/our signature below,Uwe agree to allow,The Home Depot to charge the BALANCE DUE ON COMPLETION above referenced credit card for the deposit ind'cated. Cardholders dholders Signa 6ate If this is a finance transaction,the agreement for financing is contained in a separate document,which is incorporated herein by Reference,and made a part hereof. At-Home Services Credit/Loan Application Ref.# Purchaser agrees that,immediately upon satisfactory completion of the work,Purchaser will execute a Completion Certificate and pay any balance due(unless the job is financed,in which case,upon submission of the executed Completion Certificate,Home Depot will be paid in full by the lender). Purchaser also agrees to be jointly and severally obligated and liable hereunder. For Mass.Residents Only: Contractor,at owners expense,shall procure all permits required by law as follows: Owners who secure their own permits will be excluded from the guaranty fund provisions of MSL Chapter 142A. Unless otherwise noted within this document,this contract shall not imply that any lien or other security interest has been placed on the residence. Entire Agreement: This agreement and its attachments,including any financing agreement,contain the complete agreement between the parties and can not be amended or modified unless in writing in a separate agreement signed by both parties. NOTICE TO PURCHASER Do not sign this contract before you read it. You are entitled to a completely filled-in copy of the contract at the time you sign. Keep It to protect your rights. Do not sign any Completion Certificate or agreement stating that you are satisfied with the entire project before this project is complete. Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner prior to the actual completion of the work to be performed under the contract. You may cancel this transaction at any time prior to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of this right. There will be a service charge equal to 25%of the contract amount if the job is cancelled by Purchaser AFTER the third business day. BY MY/OUR SIGNATURE BELOW,I/WE AGREE TO BE BOUND BY THE TERMS OF THIS CONTRACT. IIWE ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION. BY MY/OUR SIGNATURE BELOW, I/WE UNDERSTAND THAT THE AGREEMENT IS SUBJECT TO REVIEW OF MY/OUR CREDIT HISTORY AND I/WE AUTHORIZE HOME DEPOT AND RMA HOME SERVICES,INC.,A HOME DEPOT AUTHORIZED CONTRACTOR, TO VERIFY AND REVIEW MY/OUR CREDIT RECORD WITH AN INDEPENDENT CREDIT REPORTING AGENCY AND RELEASE T14EEMM,FROM �JALL LIABILITY INCURRED FROM INADVERTENT OMISSIONS OR ERRORS. SUBMITTED BY:__ '/�' /GL�//?- Date: 0 0 3 A I 1 J 12 C Y ,o- Sales Consultant W ACCEPTED BY: Ut Date: 05-05-03012: 12 CF:1D Homeowner - Date: Homeowner NOTICE:ADDITIONAL TERMS,CONDITIONS AND WARRANTIES ARE STATED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRACT While-Branch File Yellow-Customer Pink-Sales Consultant 7-18-02 C-SC .JV V V `tV WINDOW SPECIFICATION SHEET - Spec. Sheet #" Sheet: / 041 Customer: 6 6bI- -Job#: Mc Consultant: .� Y/''�lGit//2t Date: �V- Existing Window New Window Orig. Measure: SC Re-Measure: FI Grids Pattern' Window Hinge Locations 2 Rough Opening c c &Glass Misc. Csmt,CPC,Say,Bow, +- Rough Opening Size o m o M Location Style Metal Style Series o Tip-to-Tip „ - o N Options Items Patio&Garden Doors w c Ca. o U i (Room/Floor) "Code" W N "Code" "Code" U Width Height UI Width Height UI IT U � > S "Code" Code" (from outside,Lt to Rt) 2 �3 1/ �l Irlap s� �v �✓ a. 1 S 14/ 7 w 1 Sc Ys 9 10 11 12 For every window sold with grids,the Grid Pattern MUST be indicated. Color of 2 For Csmts,CPC,Bay or Bow,use 1%"R"or'S'(Stationary). For Patio&Garden Doors,use"S'(Stationary)or"X'(Operating). Window/Door Wraps W BAY/BOW WINDOW GARDEN WINDOWS Projection Angle: (Bay:300 or as°) Top of Window to Soffit (inches) WALL THICKNESS° (inches) Bay window Flankers-DH/Csmt. Width of Overhang (inches) SEATBOARD MATERIAL Seatboard Material-Birch or Oak If tied to Soffit,color of Soffit material Specify Birch or Oak Veneer or White Pionite New Interior Casing(Bay/Bow/Garden/Patio Doors) Construct Roof 3 (Yes/No ° Additional charge for wall thickness of 6"or more. Clamshell(CL)or Colonial(CO) F 3 There is no guarantee that new shingles will match existing color. J I have reviewed and agree with all of the SPECIAL CONSIDERATIONS: /�f ,A:iZ vVlk job specifications described above. Customer ignature Date 7-2-02 SA-W-SD I ✓�xe TOan_vnzoozu�ea,�t o�./�aaaac�iuQella Board of Building Regulations and Standards HOME 04P OVEMENT CONTRACTOR Regst_rat:on:=�r26893 Ea %13004 t=, t uRplement Card ZERO- Home Depot At F�'om�eRaire�= MARK AUDETTE���' %Y 3200 COBB GALL EFk`-1< 1CY#26 � � A'LTANTA,GA 30339 Administrator i -----�------I �-----j-�- ! � --�-�___.-�- � 1 i � j _....�_..._.�._ i...� ! ! .-.:� �._.. �----•-��----•..;�.._._. � .�----•-�----��----- i i 1 _1 ? �1l __;L....._„1�f' �...._;�.__.,, _ � ... '�j� i 4-al I L i jf � # ! en