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HomeMy WebLinkAbout0012 MELBOURNE ROAD �� ��Boc���� J --- - -- - --- \ - — - - i Town of Barnstable Building rnnrtsreeex n Post This Card So That rt is Visible,From the Street �Approved,,Plans Must�be Retained on ,,Joband,this Card Must be Kept'a^-' '"" Posted Until Final Inspection Has Been Made s .,„w s ,b � 67P' �� e+;4 "eta R ,«` .:, 'p. .,.."00i,Al �.]r�'z�`� "����``'."�`b ��:�� � ^`�""rpm � i�fl:, a.' A �"Ya M,�,� �4r�re �' Permit ,�otlt• Where a Certificate:of Occupancy is Regwred,such Building shall Not:be'Occup�ed until a Final Inspection has been made Permit No. B-20-2021 Applicant Name: Jasen Muto Approvals Date Issued: 07/31/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/31/2021 Foundation: Location: 12 MELBOURNE ROAD,HYANNIS Map/Lot: 268-237 _ _ Zoning District: RB Sheathing: Owner on Record: LOYER,MARJORIE J& ROGER W Contractor N��me-JASEN MUTO Framing: 1 Address: 12 MELBOURNE ROAD Con.tractor.License: CS4109029 2 HYANNIS, MA 02601 Est. Project Cost: $7,206.00 Chimney: Description: Remove existing roof and install new Landmark Pro Asphalt Shingle Permit Fee: $36.75 Roofing with venting in the color Weathered Wood.15.75.Sq Insulation: Fee Paid: $36.75 Project Review Req: Date: 1 7/31/2020 Final: Plumbing/Gas Rough Plumbing: �� n icia This permit shall be deemed abandoned and invalid unless the work authorized`by this permit�is commenced'within six months aft i n Final Plumbing: _ All work authorized by this permit shall conform to the approved application and the"approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street orroad al d shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building.and.-Fire_Offisials-are provided on this Permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: r'` 2.Sheathing Inspection ' Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed x. - g 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection mm Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy g g Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: a e _ Town of Barnstable u11ding ' M, "!min d on�lob and this Ca d Must bezKe t PostThis Card So That rt is Uis�bles From the Street Approved Plans Must be Reta e MRN$C�A8S.8; . ..;; 's ,".. ,ay" ��. Div,• j f y� ' - �, ,ss, Posted UntilFinal Inspection Has,Been Made ' z r Permit p Wh re e a Cei#ificate of;,Occu anc._ s;Re utred�such Buildmgshall Not be Qecupietl,until a Final Inspectionhas beenmatle , 1 e�jill� Permit No. B-18-3942 Applicant Name: Roger Loyer Approvals Date Issued: 04/29/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 10/29/2019 Foundation: Location: 12 MELBOURNE ROAD, HYANNIS W Map/Lot: 268-237 Zoning District: RB Sheathing: m � r H Owner on Record: LOYER, MARJORIE J&ROGER W Contractor Name Framing: 1 Contractor{License Address: 12 MELBOURNE ROAD # „% 2 t " HYANNIS, MA 02601 " "" _. Est Protect Cost: $ 10,000.00 Chimney: Permit Description: 3 season porch with detached deck :$ Fee: $ 101.00 ka Insulation: Fee Paid' $ 101.00 Project Review Req: P �73- �= Final: Date. x 4/29/2019 Iqw Plumbing/Gas 4 e . I' Rough Plumbing: s Building Official This permit shall be deemed abandoned and invalid unless the work autl&izeci by this permit is commenced within six months after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application an%he#approved construction documentr�which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall;be in compliance with the local zoning,,°by laws and codes. This permit shall be displayed in a location clearly visible from access s"treetor oad and shall be maintained open for public*respect n for the entire duration of the Final Gas: work until the completion of the same. t r r '= ` � Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and'Fire Officials are prov ded on t his permit. Minimum of Five Call Inspections Required for All Construction Work:`; F Service: 1.Foundation or FootingX, t 2.Sheathing Inspection Rough: 3.All fireplaces must be inspected at the throat level before firest flue lining is installed" " 4.Wiring&Plumbing Inspectionsto be completed priorto Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Ie ,n f"#vzB..e.d:aPlarns�'Msu(_s b.,,Reflltame '!.. B- ui ldi'n Y 7,4 , l:.P -I -�; _ . 'a<,a�,:�.z<s �,...,., ,.,... .,�E�`. •w:..<A.,a<t.,, .W.. •.. ,_.' .: "�''` ,. ?`, f.t ,.c.. - ..erm- it . _ � ,. :. : � _. f 0e anc ;-� Re uu' dl�sui�.B�ldm ,.s"hall Not�be40ecup�ed,unt�l�a Final.inspectiorr;Aas been made ;, Carl Rebello Permit>:No.. B-172959: APplicent Name Approvals S Current Use Structure ru Date Issued ` 09/18/2017 , Found i Pecrnit.Type.;' Buildin Insulation-Residential Expiration Date: ' ` 03/18/2018 at o n: g- Location: 12 MELBOURNE ROAD, HYANNIS Map/Lot 268-237 Zoning District: RB Sheathing: Owner on Record: LOYER,MARJORIE J&ROGER W Contractor Name: Carl J Rebello Framing: 1 Address: 12 MELBOURNE ROAD Contractor License =,CS-084358 2 HYANNIS, MA 02601 ,.Est ProJ'ect Cost: $3,271.00 Chimney: Description: Insulation Permit Fee: $85.00 Insulation: - ' Fee Paid $85.00 Project Review Req Insulation ( r Final: ,f Date _ 9/18/2017 �t r e1"5' Plumbing/Gas �. Ruh o g Plumbing .Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed bey this permit is commenced within sa months after issuance• Rough Gas: All work authorized by this permit shall conform to the approved applia fionf and theapproved construction documentis for which this permit has been granted. All construction,alterations and changes of use of any building and st uctures°shall be incompliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access streevor road and shall be maintained open fo�,public,specti on for the entire duration of the work until the completion of the same. Electrical The Certificate of occupancy will not be.issued until all applicable sign tures b'ih" I3 Adi g and Fir�®ffic are provided on this'permit. Service: . _ Minimum of Five Call Inspections Required for All Construction Work: x 1.Foundation or Footing �` Rough: 2.Sheathing Inspection .. u - .. 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health .Work shall notproceed until the Inspector has.approved the various stages.of construction F>nal „ ... -forth in.M&,.c 142a g g _. g Y t,,..Persgns cont_ractln wit:h,unre stere4,contractors.do,not have access to:the uarant .fund.:.(as set ) Fire Department Building plans are to be available on site - Fin'al:. All Permit Cards are the property of the APPLICANT=.ISSUED RECIPIENT �Nitti�lE r.. 0 5 Owl" c� Z ( �( ' pF11HE r Town of Barnstable *Permit# Expires �Y tt �fro elate Regulatory Services Fee* BARNSTABLE, v�rF SS PERMIrhomas F.Geiler,Director :}, DMA i�� ��!!fl�� Building Division APR - ` 2013 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 ����,np�� www.town.bamstable.nia.us Office:T5�8'� t $ ARNSTABLE Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 4) A i6o„i a [ Residential Value of Work G ce).uv Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address t—,-e-nt 6 5- - 5 �2 t hot,t P.J , Contractor's Name 6t✓t 5 /cam„-,...�_.. r�•> C, Telephone Number Z?V-675'6yyd Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) MWorkman'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 accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side { #of doors Replacement Windoeiermit liders.U-Value (maximum .35)#of windows 'Where required: Issuance ofdoes not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Ho Improvement Con act s Li ns &Construction Supervisors License is required. SIGNATURE: ' 1 C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporaty Internet Files\Content.Outlook',DDV87AAZ\EXPRESS.doc Revised 072110 License or registration valid for individul use only before the expiration"date. If found return to: f Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170. :ard Boston,MA 02116 Not v 'd withou signat e t •c �1He rqt, +. aAiirisrksLE, Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner NO Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Officer.508-862-4.038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder h � o , as Owner of the subject property hereby authorize_� tt �5 /w _ ��n ✓� �_to act on my behalf, in,all matters reladw,to.work authorized by this building permit application for: y/ � tihhi �60� (Address of Job) 1 Signature'of Owner ' Date Print Naine' If Property.Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse aide..' po C:\Users\decollik\AppData\Local\Microsotl\Windows\Teinporaty Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 0721.10 fie 'L�om�inwoz..uea�i a�../�aac�c�uiaeba �fze 1°a7zmonuseall/z a�✓�aaoac/uuaella Office of Consumer Affairs&Business Regulation. Qu- Office of Consumer Affairs&Business Regulation' OME IMPROVFIAENT CONTRACTOR OME IMPROVF�,pAENT CONTRACTOR Y Registration Type: Registration- q$688 Type: "Un190 ExpirafMR-R. 2013 Supplement C LOWE'S HOMES 5- Expi� 'f$f13 Supplement C i 1 z LOW E'S HOMES' ROBERT ABBOTS I 136 TURNPIKE ROBE RT ABBOTS SOUTH BOROUGH,RIF!'.047 2 136 TURNPIKE R[3::$t �bD--, Undersecretary SOUTH BOROUGH fV '17172 ' Undersecretary li DATE(MM/DD/YYYY) �..;. CERTIFICATE OF LIABILITY INSURANCE 03/15/2013 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 Marsh USA Inc. NAME: 100 North Tryon Street,Suite 3200 PHONE F Charlotte,NC 28202 AIL E ac No), Attn:For questions contact:insurancerequest@lowes.com ADDREME S: 47095 INSURERS-INSURED AFFORDING COVERAGE NAIC p CASUA-0NLY-ONLY INSURER A:National Union Fire Ins Co Pittsburgh PA 19445 Lowe's Companies,Inc.and subsidiaries INSURER B:New Hampshire Insurance Company 23841 including Lowe's Home Centers,Inc. INSURER C:Illinois National Ins Co 23817 Mooresville, Box 1000 Safe National Casual Corp. Mooresville,NC 28115 � INSURER D:Safety Casualty 15105 INSURER E: Steadfast Insurance Company 126387 INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-002939185-20 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 ADDL SUBR LTR TYPE OF INSURANCE WVQPOLICY NUMBER MM/DIDNYYY MM/DD/YYXYY LIMITS GENERAL LIABILITY INSR EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY Self Insured-See Below D AGE T REN ED PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person)_ $ i ^ PERSONAL&ADV INJURY• $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A X Ea accident 5,000,000 ANY AUTO CA5196309(AOS) 04/01/2013 04101/2014 BODILY INJURY(Per person) $ g ALL OWNED SCHEDULED AUTOS AUTOS CA5196310(MA) 04/01/2013 04/01/2014 BODILY INJURY(Per accident $ A HIRED AUTOS NON-OWNED CA5196311(VA) 04/01/2013 04/01/2014 PROPERTY DAMAGE $ Per accident $ X UMBRELLA LU%B X E EXCESS LIAR OCCUR EACH OCCURRENCE $ 5,000,000 CLAIMS-MADE IPR3792301.00 04/01/2011 04/01/2014 AGGREGATE $ 5,000,000 DED RETENTION$ $ ' B WORKERS COMPENSATION WC019359017 AOS,WC019359015 MN 04/01/2013 04/01/2014 WC STATU- OTH- C AND EMPLOYERS'LIABILITY ITORY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WC019359016 WI 04/01/2013 04/01/2014 $ 2,000,000 B OFFICER/MEMBER EXCLUDED? a N/A E.L.EACH ACCIDENT (Myandatory In NH) WC019359018 AK,AZ 04/01/2013 04/01/2014 E.L.DISEASE-EA EMPLOYEE $ 2,000,000 B DESCR PTION OF OPERATIONS below WC019359019 NH,VT 04/01/2013 04/0112014 2,000.000 _ E.L.DISEASE-POLICY LIMIT $ A Excess WC XWC6636189(ADS) 04/01/2013 04/01/2014 WC:Stat/EL:$3mil;xs$261 SIR; A Excess WC XWC6636190(FL) 04/01/2013 04/01/2014 WC:Stat/EL:$3mil;xs$2mll SIR r DESCRIPTION OF OPERATIONS'/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Insured is self insured for General Liability for the period of 4101/2013 to 4/01/2014. Evidence of Coverage & 4 CERTIFICATE HOLDER CANCELLATION Companies,Inc." and subsidiaries - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE and subsidiaries THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Mooresville,NC 28115 Box 1000 ACCORDANCE WITH THE POLICY PROVISIONS. Mo AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Diana Bentley �io.�a -/ 9 O jl 7 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25J2010/05) The A ORD name and logo are registered marks of ACORD - F ]' Y i 1 `v. AGENCY CUSTOMER ID: 47095 LOC#' Charlotte _ ADDITIONAL REMARKS SCHEDULE . Page 2 of 2 AGENCY NAMED INSURED Marsh USA Inc. Lowe's Companies,Inc.and subsidiaries including Lowe's Home Centers,Inc. POLICY NUMBER PO Box 1000 Mooresville,NC 28115 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Other Policy Covers TX Employers XS Indemnity Policy Details Insr Ltr.D (Safety National Casualty Corp.) Policy Number:EEI4048272 EB.DI.04/01/2013 Exp.Dt.04/01/2014 f Limits $8mil Ea Occt$20mil Agg xs$2m1 SIR: r ADDITIONAL INFORMATION: The certificate holder is additional insured under the Automobile Liabilitypolicy and the General Liability ` `W Y ty portion of the Excess Liability policy,as their interest may appear,if required by written contract with the Named Insured,subject to the terms and conditions of the policies! t . R � f , t 'r ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD STORE COPY INSTALLATION SERVICES CUSTOMER CONTRACT- MWORK- INT/EXT/PATIO DOOR LOWE'S OF WAREHAM, MA,STORE#2376 STORE PHONE: (774)678-6000 2421 CRANBERRY HWY, STE. 100 SALESPERSON:SARA FOWLE AREHAM, MA 02571-0000 SALESPERSON 1D: 1534155 Document Print Date: 02/18/2013 -This is only a Quote for the merchandise and services printed below.This becomes an agreement upon payment and issuance of a Lowe's receipt, upon which the entire agree- ment, including the specifically completed pages of this document, the Terms and Conditions included with this document,the applicable portion(s) of Lowe's receipt, and any other addenda or attachments hereto, shall be referred to herein as this "Contract." Lowe's Registration or Contractor License Number/Lowe's Contractor Name Lowe's Home Centers, Inc.'s MA HIC NO.: 148688 Lowe's Home Centers, Inc.'s FEIN: 56-0748358 Customer Name Home Phone S FRANK KOSTOS 843-754-4287 O Customer Address Other Phone 12 MELBOURNE RD L City State/Province Zip/Postal Code p HYANNIS MA 02601 Installation Address T 12 MELBOURNE RD O Installation City Installation State/Province Installation Zip/Postal Code HYANNIS MA 02601 MERCHANDISE AND INSTALLATION SUMMARY MERCHANDISE SUMMARY 18773 : STK : PNE CASE 361 2-1/2 X11/16 X8' : PNE CASE 361 2-1/2 X11/16 X8'-QTY 2 130222 : 35873OAKSL : STK : OAK SDLE 358 3-5/8X5/8X73" : OAK SDLE 358 3-5/8X5/8X73" : EMPIRE COMPANY, INC. (THE) -QTY 1 238345 : 2827-8 : STK : 3/4X5.5X8 RF EMBOSD PVC TRM BOARD : 3/4X5.5X8 RF EMBOSD PVC TRM BOARD : ROYAL MOULDINGS LIMITED -QTY 3 89274: 60SBH10LER : SOS : SOS PROBILT FRENCH DOOR : DOOR UNIT PIETRO FRENCH PATIO :JELD-WEN,MILLWORK MASTERS-KNOX- QTY 1 89274 : 60SBH10LER : SOS SOS PROBILT FRENCH DOOR : FRENCH SCREEN SET- QTY 1: : JELD-WEN,MILLWORK MASTERS-KNOX - QTY 1 Materials Price $ 903.41 Store 2376 Project No. 373567891 for FRANK KOSTOS Page 1 of 7 STORE COPY INSTALLATION DESCRIPTION Stock or SOS : SOS Door Type : Patio Select Location : Back Door Select New Door : Hinged/French Number of Doors to Install : 1 Side Lights or Transoms : No Hidden Damage Description : None Number of additional holes bored for accessories : None Install Specialized Mortise Hardware : No Lead Safe Practices : No Total Linear Feet of Custom Trim to be Installed : 0 Deliver boor: Yes Additional Miles Traveled over 20 : 10 Bring Up To Code Description : None Local Disposal Fee : Yes Describe Other Work Needed : None Comments : No Comment Labor Charges $ 549.00 Detail Deduction -$ 35.00 Additional Specifications: Notation: Lowe's will not make structural modifications, paint or stain or remove/reinstall security system equipment. Customer is responsible to advise if prop. erty is governed by Historic District Regulations. Additional Specifications:Federal law requires Lowe's to provide you with the pamphlet Renovate Right: Important Lead Hazard Information for Families, Child Care Providers and Schools. By signing this Contract, Customer acknowledges having received a copy of this pamphlet before work began informing Customer of the potential risk of the lead hazard exposure from renovation activity to be performed in Customer's dwelling unit. TOTAL CHARGES OF ALL MERCHANDISE AND SERVICES 'where applicable SUB-TOTAL $ 1417.41 "TAX $ 0.0 DELIVERY $ 0.0 ORDER TOTAL $ 1417.41 BALANCE DUE Store 2376 Project No. 373567891 for FRANK KOSTOS Page 2 of 7 r • STORE COPY Work is to commence upon reason I avail blity of Contractor which is anticipated to be_ ) [fill in date]. Estimated completion date is [fill in date]. NOTICE TO CUSTOMER All items listed in this contract and specification sheet(s) are to be installed under conditions agreed upon at time of purchase and at the price appearing - on bison contract or is assumes son xis in su s r c ur necessitated by defective substructures, superstructure, points of attachment, or the moving of fixtures or appliances to be billed at extra cost to custom- er. IF T VE CONTRACT TOTAL IS $1,000.00 OR LESS Customer must payin full. C MPLETE THIS SECTION ONLY WHEN THE CONTRACT TOTAL EXCEEDS 1 00.00: [_ Customer to Pay in Full; OR L] 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, IAA/e 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 anytime after the date this Contract is signed; and (3) Final payment of$100.00 to be paid upon completion of the installation and both parties' satisfaction. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AND UNTIL YOU HAVE READ THE TERMS AND CONDITIONS CON- TAINED IN THIS CONTRACT AND WHICH FOLLOW THE SIGNATURE PAGE(s). BY SIGNING BELOW, YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH IN THIS CONTRACT. YOU ARE ENTITLED TO A COPY OF THIS CONTRACT AT THE TIME OF SIGNATURE. NOTICE REGARDING ARBITRATION AGREEMENT FOR CLAIMS COVERED BY M.G.L. c.142A LOWE'S AND OWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT LOWE'S HAS A DISPUTE CONCERNING THIS CON- TRACT, THAT LOWE'S MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRET- ARY OF THE EXECUTI OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE OWNER SHALL BE REQUIRED TO SUB- M T T C ARBIT ATI AS OVIDED IN M.G.L. c.142A. Date: Low A'-ome Centers. Inc. Store 2376 Project No. 373567891 for FRANK KOSTOS Page 3 of 7 STORE COPY Date. By: / Owner By: Date: Muse TE RESOLUTION THE SIGNATURE F THE PARTIES ABOVE APPLY NLY TO THE MAY BE PERMITTED TO REEMENT 0INITIATEALTERNATIVE DISPUTE RE LUTI N INITIATED BY LOWE' PURSUANT TO M.G.L. c.142A. THE WNE HE PARTIE WITNESS OUR HAND(S)AND SEAL(S) BELOW THIS DAY , Lowe's Ho Centers, Inc. By: (� (Seal) Print Name: P • -( �V � (Seal) Owner Address State/Province Zip/Postal Code Print Name City (Seal) Co-Owner or Witness Print Name Customer acknowledges receipt of a true copy which was completely filled in prior to Customer's execution hereof. You the customer may cancel this transaction after the date of this transaction. See the attached Notice of Right to Cancel for an explanation of at any time prior to midnight on the third business day this right. Page 4 of 7 91 for FRANK KOSTOS Store 2376 Project No. 3735678 Load Date 2/27/2013 Load252358 Ship` a o M %D N O 4 ITEM # S62424 BC: Patio Layout#25 A/I, I/S, LH,Continuous Sill Unit, P/H,, Inactive No Bore,Astragal on Inactive Door Lowe's Patio N/S G7XA2W G- Flush 2/11 X 6/05,PREF W7/16,PREF H3/16,(1)23"X 65" 1-LT Squared Tempered IG Low-E HP,Sweep,BS:2-3/8,LOCK:44,FB:2- 1/8,EP:1 X 2-1/4,DB1:5-1/2,FB:NO,EP:1 X 2-1/4, (3)4x4 5/8- Radius/Square 2D-Finish,HP: .100 6-3/4,36,65-1/4,Kerfed White PVC White W/S, Flushbolt Top/Bottom,BS:BLANK,LOCK:NO,4 9/16 Kerfed Primed Solid Core lamb,Comp White W/S, 5-5/8 Patio-LZ Series Adj Vinyl/Alum,Trim 1-,WM 180 Brickmould Primed Header Screen Track HAND Active-Inactive JAMB FN 00 UNIT TYP #25 A/I JAMB W 4 9/16 BOX? NO JAMB SP Primed WPREFIT 7,./I6 ASTRGL - -. HPREFIT TRANSM DESIGN FL TRIM WM 180 PATIO? Yes SILL FN FINISH None WTHRSTP LOCK 1 44 INSTYPE solo a LOCK 2 INSERT 1-LT BACKSET 2-3/8 PEEP HGP 1 6-3/4 INSSIZE HGP 2 36 HNGE RA 5/8 HGP 3 65-1/4 PREP X HGP 4 ASSMBLE HNGE FN -2D-Finish INSPCT 001 of 001 1 EA Sched. Batch: LW022513 LOWE'S #2376 - WAREHAM WH:7S 2421 CRANBERRY HWY,STE 100 r i WAREHAM, MA,02571 Country of Origin: USA - Po: 150317676 Order Line 27i638 i m The Commonwealth of Massaahusetts Department of Industrial Accidents Office of Investigations 600 Washington,street Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavits t� Builders/Contractors/Elect Ap�licant information � Please Print I,egibly Name(Business/Organizatiordindividual): Address• ` �. City/State/Zip:��f p ,i� j J�l Phone#: 6 78"6,6 Are you an employer?Check the appropriatZb i.❑ I am a employer with 4. m a general contractor and I Type of project(required): employees(full and/or part-time).* have hued the sub-contractors 6• New construction 2.[] 1 am a sole proprietor or partner- listed on the attached sheet.t 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. [No workers' com .insurance 5. 9• ❑Building addition P � We are a corporation and its required.] . officers have exercised their 10.0 Electrical repairs or additions 3.El I.am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no insurance required.]t employees. 12.(�Roof repairs . [No workers' comp.insurance required.] ., 13.❑Other *Any applicant that checks box#1 must also fill out the section below showing thew 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 their workers'comp.policy information., I am an employer that information. isprovidbng workers'compensation insurance for my employees Below is the policy and job site. Insurance Company Name:,A��X Policy#or Self-ins.Lic.#: Expiration Date: Sob Site Address City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy nu nu and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the,imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify en pe ry information provided ab a is t e and correct. Si afore: Date: Phone k 9 ('b. p C9 c-,, FOfJf1clal use only. Do not write in this area,to be completed by city or town official r Town: Permit/License#g 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#: The co Intnonwealth of Massach g Depar"trraent o l Ind fawn tal Ac ceder Fs i ' Offtce o Investigations ations ;y 600 Washington Street i Boston,M4 02111 Workers' Coiripeiisation insurance Affidavit: lucent Informatioffi builders/font a to Nam e ` f PIease Prliit i,e ;bI (Business/Organizatiomgndividual): ddress: f7 cis '/State/Zip: ,; Phone#: Are you an eirtployer?Check the appropriate box; I•❑ I am a employer with I 2. 4 employees 4. ❑ I am a general contractor and I I Type of project(required): (full and/or part-time).* have hired the sub-contractors 6. New c I am a sale ro rietor or a ❑ construction ship and have o employees partner- listed on the attached sheet.t i 17 These sub-contractors have I g Remodeling working forme in any capaci ❑Demolition [No workers' ty• workers comp.insurance. come insurance 5. [j we are a co ❑Buiidin addition required.I corporation and it's g . 3 Q�I'atri a homeowner doing all work officers have exercised their 0•❑Electrical repairs or additions myself. right o€exem exemption s INo workers'comp e. 152410), n .,insurance required.)fip pet MGL i I 0 Plumbing repairs or additions and we have no � 4 employees.[No workers' 2.0 Roof repairs Any aooicant that checks box#i m comp."insurance 3.[]Other Homeowners "n also fil!out the section below showin 8ieir, l ' . . who submit this affidavit indicat n g w�kers'comperuak i tCoatiactors that check this box m g they are doing all wori and then hip st if must attached an additional sheet showin the name outside contractors i r submit a new affidavit indicating such. 8 b•c ontractors d a ah errrptoyer that is providing corkers'compensation i�sarance -irvmrkm' Ppolicyinformation �oPr atior8 for m1'errrploy ' ! etow is the Insurance Com P PO&Y and job site anY Name:_ t Policy#or Self-ins.Lic. Job Site Address: Exp. ate Attach a copy of the City/ I ' workers'compensation policy declaration page(showing the Ic number and expiration Failure to secure coverage as required under Section 25A of MOI c. 152 can lead to to fine u to Y date)._ P $1 500.00 and/or one-year imprisonment,as well as civil penalties in the fo o f; osition of criminal penalties of a Of up to$250.00 a day against the violator.'Be advised that a copy of this statement ma Investigations of the DIA for ins , . STOP WORK ORDER and a fine insurance coverage verification. bte Forwarded to the Office of F ' l� I do�aereby certi under the paw and penalties o er as `that the information.gyp I ry H, rrr:ation pre: rov' ove is true and correct+ Phone# . �� �" �' Date: /f caul use Only. Do not write In tTtis urea,to he completed by city or town officiaz I F Cl"3';t'r Town: .. Issuing Authority(circle one): Permit/License# I f I Board of health 2.Building Department 3,City/ToFvn Clerk 4.Electrical i ti Other I ins ect r 5.Plumbing Inspector - Contact Person: i I - I , I N I. `i f iI r ff'r `i!'Lr rrrrll.l.+JlrtrrY/.1/!/r. w'!" r.KiarUSc/li ii Office of Consumer Affairs&Business Regulation License or regist a4ion valid for individul use only P97 _;,I�tOME IMPRO�IEMEPIT CONTR�4CTOR before the expiry. ate, If found return to: Office of Consu ffairs and Business Regulation Registration 168027 Type. i ' Ex lration 12'r//2014 DBA 10 Park Plaza- t. 170 p Boston,MA 021 KENNETH KENDALL i KENNETH KENDALL / / ! 5 WELDEN PL. FAIRHAVEN,MA 02719 Undersecretary Not val d ithout signature _. ....�_...az.ni3 and Standards Construction Supervisor License: CS-075153 KENNETH D XE10 AT T 5 WEEdDEN PLACE FAMHAVEN MA .02' Expiration Commissioner01/12/2015 I i; j .. I �I LAvies-2376-hmkft Offia U2I Cmbeaq It y.stlie Ho Wes,Ma 0237I - �Iq �Qyo*THE ro�o TOWN OF B A LE ii • i 319HBSTAME, i aABILBUILDING ��NS CT''639. APPLICATION FOR PERMIT TO ., ..!.... . .. . . . .... ............................... TYPE OF CONSTRUCTION .:... .,. /�i'f717.' .. c....1! �'17' ..... e ..:............................. IL .......... �'';.... y ..........19/. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according"'to` the following information: , Location ..... . �. �.. ........... .,5 Jac ProposedUse ...� ... ... . . . ... ..................................................................................................... Zoning District ............ t......� ' ..............................Fire District ...A­7­ Name of Owner .�� •.. . .. .....................Address /.�. ... ".. dS... .. Nameof Builder .... . ......... ........... ...... ...........< .....Address .................................................................................... Name of Architect ... . ..........................................Address ....'4 ...l :yz ............................ Number of Rooms ..b .......................................Foundation eG?� 1•.............................. Exterior ... ..............................................................Roofing :................................................... 5. Floors ..... ... ..........................................Interior ..... ...... ...................................................... - r Heating .... . . .. ..... ..................................................Plumbing ...... .. .. ....� .............Z�....... ................... Fireplace .......... .. .........................Approximate Cost ✓ � � Definitive Plan Approved by Planning Board -------------------_-----------19________. O Diagram of Lot and Building with Dimensions re-e SUBJECT TO APPROVAL OF BOARD OF HEALTH �,,,. � �� fit+ � � ✓ �/��' _ SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE . WITH ARTICLE 11 STATE SANITARY CODE *D TOWN b •i , REGULATIONSo - :— pA e t iV bow'. :. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........ .... ... ... .. Cape Alva Corp. 15941 one story No ................. Permit for .................................... single family dwelling ............................................................................... Location Melbourne Road ................................................................ ..................... ................... Owner .........Cape A.:.Lva..C.o.z-p.......................... .. ..... .. . .... . Type of Construction ......................frame.................... .................................................................................. Plot ............................ Lot ..............#39 ................... February 28 9 73 Permit Granted ......;1V I .Date of Inspection ................................... Date Completed ...... ............. ......... ANN, 19 R %4W�� . .......... ..... .... ................. 19 P IT U --U ................. .................................... ................ i3 ..................... ..... ............................................. .............. .............. .............................................. ............................................................................... Approved ................................................ 19 ............................................................................... .................... ......................................................... 3 Assessor's map and lot number ..................................7.... 2 - SEPTIC SYSTEM MUST 'E3E ' LL n INSTALLED IN COMPLIANCE Sewage Permit number ........4� .�` 1 '............................ g ••••• ••• WITH ARTICLE II STATE N �j R /� N C T SANITARY CODE AND TOWN PyOfTHETp�1 TOWN O BAR1 � S 1 iJ1JIES� BARISTADLE, i 0 M6 BUILDING INSPECTOR i APPLICATION FOR PERMIT TO ........... ... . .. ..... ....... . . . ....... .. .... ........................... TYPE OF CONSTRUCTION ........ . .... . ....... .... -.......... . ............TW/Y..........40011�........ , TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location A�dZ....47Y...'- Y ................................... ProposedUse ../..... .a,*..l./j/.......�e.f<..�r&,a. ,•........................................................................................... Zoning District ....? ....................�.............................Fire District ... �'t. ?1ls� f ` j Name of Owner7r�dZ- ....1../.t.... ..................Address l .. 7��X... d.:.. l��j' ./�✓ .....l..G Y.J:. Nameof Builder .1.. 1 Z..... .. d.4.0-0............Address ................................. ................................................. a � Name of Architect .. .f...� � hC.�......:.......................Address d1'F.�!w,4"Ay.....A �+ d fr....... ................................. Number of Rooms ..............�...........................................Foundation �...... .®. Y.. ................. Exterior ...., �i.i.-/..............................................................Roofing ...Al/P4a.1/.................................................... Floors ......�1 E. Interior Heating /..ram e7......14.0..............................................Plumbing ......... .......`Y.... ..:f FireplaceY ..........................................................Approximate Cost ......./0 Q Definitive Plan Approved by Planning Board -------------------_-___ 7 S -------I 9--------. Area .................../��............... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH �l L�y S,,s� 9, 0 - _ \ `l - I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ...../. .:... ......................... Nilson, Fritz R. 1 }.. Permit for one story No ......:.... .......................... single family dwelling ............................................................................... Location��...Me1bo Road Wffe Hyanni spw* Owner Fritz R. Nilson Type of Construction frame......................... r _' ..........................................................:..................... Plot ............................ Lot .......#39.................. ' Permit Granted 4.4 26 ...... ... 19 73 1► ..73� �- Date of Inspection ...... . . .. p Date Completed . : ,. .....`.....19 PERMIT REFUSED f :. ................................. ........................... ..19 "t .......................................................... ................... L- j ............................................................................... ............................................................................... f Approved ................................................ 19 ............................................................................... oFrne roy, Town of Barnstable *Permit# G 3� Expires 6 months from issue date ,,,MS,BIX ; Regulatory Services Fee 9$ MAW. Thomas F.Geiler,Director Building Division ���• Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 X-PRESS PERMIT . Office: 508-862-4038 Fax: 508-790-6230 JUN 9 0 2003 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid wit/toutRedX--Press Imprint BARN STABLE Map/parcel Number .2(aN-3'1 Property Address fResi&ntial Value of Work.4 Z398- Owner's%Name&Address ,ZOs� /�i�1L��0 Z d Contractor's Name Telephone NumbeV:JWJ z Home Improvement Contractor License#(if applicable) f 3 ,5/�/L Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner A2 I have Worker's Compensation Insurance Insurance Company Name zj�Z,3� A �//7llicr-� Workman's Comp.Policy# 41e-Z Permit Request(check box) ❑ Re-roof(stripping old shingles) . ❑Re-roof(not stripping. Going over existing layers of roof) ,wRe-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Forms:expmtrg Revised121901 °pTHE Tpy� Town of Barnstable Regulatory Services w RAMS nHLE. mass. $ Thomas F.Geiler,Director �Arf1 MA.Sp�0 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, - �05e-- , as Owner of the subject property hereby authorize i ,�—j__=1�� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Si tare of Owner Date Print Name Q:FORM&OWNERPERMISSION r r � °'�untuea�i a��i�a:aazcfiue�l�a� I lug Board of Bpilding,Regul�Hons and Standards HOME IIGIPpyEMENT CONTRACTOR R� +a[r. 34443 !fir -- � , 9/03 ( _ d vidual IL C.KEITH C GM ' KEITH GILMORE 28 HIDDEN VALLEY 1 MARSTONS MILLS,MA 02648 "` ' - - - Administrator