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HomeMy WebLinkAbout23-A004 1 Outward ReachTOWN OF YARMOUTH 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 Telephone (508) 398-2231 Ext. 1292-Fax (50S) 398-0836 DEC 2CRtKIJG'S HIGHWAY HISTORIC DISTRICT COMMITTEE LrAHtvI'JoTh APPLICATION FOR Oj_D xING's HIGHWAY CERTIFICATE OF APPROPRIATENESS Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of 1973 as amended, for proposed work as described below & on plans, drawings, photographs, & other supplemental info accompanying this application. PLEASE SUBMIT 4 copies OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMEAL INFORMATION. Check All Categories That Apply: Indicate type of Building: Commercial Residential 9) Exterior Building Construction: New Building Addition _Alterations J Reroof Garage Shed Solar Panels Other: 2) Exterior Painting: Siding 3) Signs/Billboards: New Sign _ 4) Miscellaneous Structures: Fence Please type or print legibly: Address of proposed work: O Owner(s): All applicationsimust be submitte¢,by Mailing address: ( Email: Agent/contractor: Shutters Doors Trim Change to Existing Sign _Wall Flagpole Other: Pool Other: b=� Map/Lot # Phone #:_ ��/ �� 7 �• �� er or companied byW IfIterr from owner approving submittal of application. �_ 0f(U ' "'"`� Year built: . Preferred notification method: " U1 /P'%h�one Emaiiil�l) —! Phone #: - (4 . � U `� Mailing Address: %Jy � �n r�� rU� It b'f a �&, Email:4/1O�]t i V t�`� �'�' � J Preferred notification method: Phone Email Descri tion if o osed Work: S�o 3 r� d� off v S W ar 1Jv cfwc Signed (Owner or agent): Date: Y Ownerlcontractorlagent is aware that a permit is requireyom the Building Department. (Check other departments, also.) Y If application is approved, approval is subject to a t0-day appeal period required by the Act. Y This certificate is good for one year from approval date or upon date of expiration of Building Permit, whichever date shall be later. Y All new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on -site for framing & final inspections. Rcvd Date: l ?I 2;- Amount Cash/CK #: Rcvd by: • �� 45 Days: Date Signed: Approved Approved with Modifications Denied Reason for Denial: Signed: 1 APPLICATION #: 23JAcc�4 GENERAL SPECIFICATION SHEET Project Address: FOUNDATION: Material: Exposure (Not to exceed 18"): CHIMNEY: Material/Color: GUTTERS: Mate riallColor: ROOF: Material: Pitch (7112 min) Height to Ridge: Color: SIDING: Material/Style: Front: Sides/Rear: COLOR CHIPS Color: Front: Sides/Rear: TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.) Material:F. Color; V1 Woo( �! DOORS: Qty: Material: , Color: Style/Size (if not listed/shown on elevations): RECIFIVED 3 STORM DOORS: Qty; Material: Color: DEC 21 2022 GARAGE DOORS: Qty: Mat'I: Style: Color: YArsmuuTh OLD KING'S HIGHWAY WINDOWS: (side:: Front: Left: Right: Rear: Color: Manufacturer/Series: Material: Grilles (Required): Pattern (616, 211, etc.) Grille Type: True Divided Lite: Snap -In: Between Glass: Permanently Applied: Exterior Interior STORM WINDOWS: Qty: Material: Color: SHUTTERS: Mat'i: Style: Paneled Louvered Color: SKYLIGHTS: Qty: Fixed Vented Size Color: DECK: Size: Decking Mat'I: Color: Railing Mat'I: Style: Color: WALLSIFENCES* (Max 6' height): Height: Mat'I: Style: Color: (Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area. UTILITY METERSIHVAC UNITS: Location: Screening: LIGHTS: Qty: Style: Color: Location(s): LIGHT POSTS: Qty: Material: Color: Location(s): Additional information: 2-General -% �_A)_x4 APPLICATION #-."' TOWN OF YARMOUTH OLD KIND'S HIGHWAY HISTORIC DISTRICT COMMITTEE ABUTTERS' LIST Applicant's (Owner) Name: Property Address/Location: I 6AkVW3 art ( 0 Hearing Date: ti O[23 Notices must be sent to the Applicant and abutters (including owners of land on any public or private street or way) who's property directly abuts or is across the street from the Applicant Please provide the Assessor's Tax Map and Lot numbers only. The OKH Office will send out notices using the addresses as they appear on the most recent applicable tax list Note. Instructions for obtaining the abutters Map and Lot numbers can be found on the Old King's Highway Department page on the Town website. www.yarmouth,ma.us Map Number Lot Number Applicant Information - Abutter Information: 'ot '7, 610 Q I o t 51-61 a�5 3I-0 AL �C - -pip 1- Pl 1D 15, ;9- u 3• J pip i -'-7 13- ippiiCaticii #: �.iAo)q Pa 1019fl 8 2018 3 i r�R 40 4 7--- _a F tM h N 0 N N 9.4 LA e D �y 7 m �z A 0 o ao � ECEIVEb DEC 21 2022 r Hr mou-) Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE Application #: Project Address: Application Received Date: 45 Day Decision Deadline: 45-DAY TIMEFRAME WAIVER card. VeKL I/We, the undersigned owner, contractor, or agent, do hereby waive the 45-day timeframe for a determination on our application for a Certificate of Appropriateness/Demolition/Exemption by the Old King's Highway Historic District Committee for the following project: Date: ( D � � Signed: Owner ECEIVED r�;-4 (57w� DEC 21 2022 Contractor/Agent YAHMUU -1 r.=—,,,v TOWN OF YARMOUTH' OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 2023 MEETING SCHEDULE i A Home Improvement Agreement: Exterior Door Measure Form Door 1 of 7 BAILEY, STEPHEN 2612 7/27/2022 12417148-1-MEXT Customer Name Store # Date of Measure Measure PO## RECEIVED DEC 2 12022 YAHfvjuj l h Page 4of19 Home Improvement Agreement. Storm 1 Security Door Measure Form Door 2 of 7 Please upload this document in InstallConnect (ICON) to he sewed in the DUR. DO NOT FAX OR BAIL THIS DOCUMENT BAILEY, STEPHEN 2612 7/27/2022 12417148-1-MEXT Customer Name Store # Date of Measure Measure PO# DOOR SITE INSPECTION FORM fvleaslrementson thlsform are final. If rev sicnsare needed, they must be requested through your indaller. Installer Energy Year Lead EPA Pamplet Permit/ENGR Permit Permit ENGR ENGR Installer Phone Code Alarm guilt Results Given to Requirement Cost Admin Cost Admin Customer Cost Cost Downing , 274 2021 No 1975 NIA Yes PRMTonly $100 $85 NIA NIA Edward IECC 3807 Location: Front Measurement: Storm Door Opening Sill depth: 6-0" Overhang: 0"-18" Width: 36-0" Exterior: Wood Height: 80-118" Door Facing: East Jamb Depth: 4-9116" Stock or S/O: Unknown E.Asting Condition: Fair Sill supported: Yes Damage: No Handing Will the Customers product selection No product on indicated on the measure work? Measure Notes i 4f ! i RECEIVED - DEC 2 2022 YAHMOUl Fh Qty I SKU - Description RRP - Lead Safe Practices: Qty J Description ((nverwiththea,starer) I Retail 1 STORM DR UP TO42X96 41roduct sold must meet local and state Energy code minimum requirernents, ratingsmusl be -Installer not responsible for gap between d reshold and floor. provided prior to scheduling. 4ndaller not responsible for operation of e)dsdng I ocimt. 'StoreAsmaate to verify handing with Glistomerand Vendor. Al handing isfrom the erderioc 4f Security Door is selected, inform adomerthat they do not seal as Storm Doors do. '*IrrOallerisnot tesponshie for Dxsoonnect or Reconnect of Warn. "'House to Garage requires Rre Fated Door that meets local ardor state Code tRequirements *** See Photos on Next Page'** `]3 • AD Page 5 of 19 Home Improvement Agreement: Storm/ Security Door Measure Form Door 2 of 7 BAILEY, STEPHEN 2612 7/27/2022 12417148-1-MEXT Customer Name Store # Date of Measure Measure PO# RECEIVED DEC 21 2022 YARMOUTH OLD KING'S HIGHWAY Page 6 of 19 Home Improvement Agreement: Exterior Door Measure Form Door 3 of 7 Please upload this document in InstallConnect (ICON) to be viewed in the DVIR DO NOT FAX OR EFML THIS DOCUWNIT BAILEY, STEPHEN 2612 7/27/2022 12417148-1-MEXT Customer Name Store # Date of Measure Measure PO# DOOR SITE INSPECTION FORM Measurements on this form are final. If revisions are needed, they mug be requested through your installer Installer Energy Year Lead EPA Pamplet Permit/ENGR Permit Permit ENGR ENGR Installer Phone Code Alarm Built Results Given to Requirement Cost Admin Cost Admin Customer Cost Cost Downing , (774 ) 27 4 2021 No 1975 Negative Yes PRMT only $100 $85 N/A NIA Edward IECC 3807 Locatiow Back pantry Overhang: D-18" Exterior: Wood Door Facing: West Bldg code: Stock or S10: Unknown Damage: No Existing Condition: Fair Measurement: Rough Opening Width: 34-3/16" Height: $o-314" Swing: In -Swing Jamb Depth: 4-9116" Slab Thickness: 1,314" Lock prep: No Recommend Sill Pan: No Sill depth: 6-0" Sill supported: No Will the Customers product selection No product on indicated on the measure vmrk? Measure Notes RRP - Lead Safe Practices: DEC 21 2022 1 ARMOLYJI 1­1 Qty SKU - Description Qty Description (cover with thefstww) Retail 3 ea 2 112 primed ranch casing 1 PRE -HUNG DR UP TO 36X96 3 ea 1x6x8primed pine 1 Create sill pan 2.00 1 ea RI insulation 1 ea Protecto wrap 1 ea Tyvek tape 2 ea Dyna flex white silicone -Products-old mug meet local and state Energy code minimum requirements, ratings must be ansWlef not responsible for gap between threshold and fioor. provided prior to scheduling. -In9aller not responsible for operation of e)d sdng I odset. `Store Amociate to verify handing with (Lgomerand Vendor. All handing isfrom the e)dedor. of Sowrity Door is selected, inform Qrstomerthat theydo not seal as Storm Doors do. "Installer i s na1 responsible for DDsconnect or RDconnecl of Mann. "`house to Garage requires Fire Rated Door [hat meetslocal andlor State code Requirements jffAA�yy,l`I,�} (f ✓✓ ' ! — 1 Page 7of19 Home Improvement Agreement: Exterior Door Measure Form BAILEY, STEPHEN 2612 712712D22 Customer Name Store # Door 3 of 7 12417148-1-MEXT Date of Measure Measure PO# ECEIVED- DEC 2 12022 fMmOu I h ;13,--^,-"'� Page 9 of 19 Home Improvement Agreement: Storm 1 Security Door Measure Form Door 4 of 7 Please upload this document in InstallConnect (ICON) to be viewed in the D\ R. DO NOT FAKOR EM41L THIS DOCUMENT BAILEY, STEPHEN 2612 7/27/2022 12417148-1-MEXT Customer Name Store # Date of Measure Measure PO# DOOR SITE INSPECTION FORM Measurements on this form are final. If revisions are needed, they must be requested through your installer. Installer Energy Year Lead EPA Pamplet PemTitIENGR Permit Permit ENGR ENGR Installer phone Code Alarm guilt Results Given to Requirement Cost Admin Cost Admin Customer Cost Cost Downing, 274 2021 No 1975 NIA Yes PRMTonly $100 $85 NIA NIA Edward IECC 3807 Location: Back pantry Overhang: 0"-18" Exterior: Wood Door Facing: North Stock or SIO: Unknown Sill supported: No Measurement: Storm Door Opening Width: 32-0" Height: 7$-0" Jamb Depth: 4-9I16" Usting Condition: Fair Damage: No Sill depth: 6-0" Will the Customers product selection No product on indicated on the measure work? Measure Notes RRP - Lead Safe Practices: RECEIVED D E C 21 2022 (AhiviukYl fT Qty I SKU - Description - 10ty I Descriptiontcwa-withtheOistoner) I Retail 1 1 STORM DR UP TO 42X96 flinduct sold mug meet local and state Energy code rru nimum requi renrents ratingsmust be -Installer not reqponsble for gap between threshold and floor. provided prior to scheduling. -Installer nut responsible for operation of epsdng toclqqat 'StoreAsmciate to verify handing with Oistomerand Vendor. AM handing isfrom the wderior -If Sawrity door isseleded, inform Customerthat they do not mal as Storm Duorsda. -Installer is riot respons ble for Oismnnect or W-connect of Alarm. '-House to Garage requites Fine Fated Doorftt meetslocal andlor State Code Ibgd rements " * See Photos on Next Page " -?3 Page 10 of 19 Home Improvement Agreement: Storm / Security Door Measure Form Door 4 of 7 BAILEY, STEPHEN 2612 7/27/2022 12417148-1-MEXT Customer dame Store # Date of Measure Measure PO# y` l RECEIVED DEC 21 2022 t AflIVIOU I n Page 11 of 19 Home Improvement Ag reement: Exterior Door Measure Form Door 5 of 7 Please upload this document in InstallConnect (ICON) to be uewed in the DU7. DO NOT FAXOR EML THIS DOCLINENT BAILEY, STEPHEN 2612 7/27/2022 12417148-1-MEXT Customer Name Store # Date of Measure Measure PO# DOOR SITE INSPECTION FORM Measuementson tKsfonn are final. If evisonsere needed, they mud be requested through your installer. Installer Energy Year Lead EPA Pamplet Permit/ENGR Permit Permit ENGR ENGR Installer phone Cade Alarm Built Results Given to Requirement Cost Admin Cost Admin Customer Cost Cost Downing (774) 274 2021 No 1975 Negative Yes PRMT only $100 $85 NIA NIA Edward IECC 3807 Location: Back basement Overhang: 0-18" Exterior: Wood Door Facing: West Bldg code: Stock or S10: Unknown Damage: No Existing Condition: Fair Measurement: Rough Opening Width: 34-15116" Height: 80.3/4" Swing: In -Swing Jamb Depth: 4-0/16" Slab Thickness: 1-3/4" Lock prep: No Recommend Sill Pan: No Sill depth: 6-0" Sill supported: No Will the Customers product selection No product on indicated on the measure mrk? Measure Notes RRP- Lead Safe Practices: ECEIVED DEC 2 1 2022 fAritvlUU I r-, Qty SKU- Description Qty I Description (owerwithiheostorer) Retail 3 ea 1x4x8 primed pine 1 PRE -HUNG DR UP TO 36X96 3 ea 1x6x8 primed pine 1 Install on concrete 2.00 1 ea Protecto wrap 1 ea Tyvek tape 3 ea Dyna flex white silicone 1 ea RI insulation 1 ea 1x8x8 primed pine 41iodud scld must meet local and state Energy code minimum requirements, ratings must be -Installer not neEponsble for gap between threshold and floor. provided prior to sdieduling. -Installer not responsblefor operation of existing lodrret. 'Store Asmate to verify handing with Customer and Vendor. All handing is from the exia+tor. -Ir Security Dior is selected, inform Cudlomer that they do not seal as Stone DDorsdo. "Installer is not responsible for D=nned or RsWnned of Alarm. Fbuse to Garage requires Fire Rated fluor that meetslorat andlorState Code Requirements Page 12 of 19 Home Improvement Agreement: Exterior Door Measure Form Door 5 of 7 BAILEY, STEPHEN 2612 7/27/2022 12417148-1-MEXT km Customer Name Store # Date of Measure Measure PO# w ECEIVE® DEC 21 2022 rAhWu I r, Page 14of19 Home Improvement Agreement: Storm 1 Security Door Measure Form Door 6 of 7 Please upload this document in InstallConned (ICON) to be sewed in the DW. DO NOT FAXOR E W1L THIS DOCUMENT BAILEY, STEPHEN 2612 7/27/2022 12417148-1-MEXT Customer Name Store # Date of Measure Measure PO# DOOR SITE INSPECTION FORM Meas+rementson this form are final. If revidons are needed, they must be requested through your installer. Installer Energy Year Lead EPA Pamplet Permit/ENGR Permit Permit ENGR ENGR Installer Phone Code Alarm Built Results Given to Requirement Cost Admin Cost Admin Customer Cost Cost Dawning (774) 274 2021 021 No 1975 NIA Yes PRMT only $100 $85 NIA NIA Edward IECC 3807 Location: Back basement Overhang: V-18" Exterior: Wood Door Facing: West Stock or Sio: Unknown Sill supported: No Handing I I -i Measurement: Storm Door Opening Sill depth: 6-0" Width: 32-0" Height: 78-0" .iamb Depth: 4-9116" Existing Condition: Fair Damage: No Will the Customers product selection No product on indicated on the measure work? Measure Notes RRP - Lead Safe Practices: RECEIVED DEC 21 2922 tAhmud -i I-, Qty SKU - Description I Qty I Description (cover with Ithe oxtorrer) I Retail 1 1 STORM DR UP TO42X96 -Product said must meet local and state Energy code minimum requirern" ratings must be 4n"ler not responsible for gap beMsen threshold and floor. provided prior to scheduling. anstaller not responsible for operation of exi sti ng I odwt. 'StoreAsmdate to verify handing with Customer and Vendor. Al handing isfrom the exterior df Security (nor isseteded, inform Customer that they do not seal as Stone Doorsdo. —Installer is not responsible for Dsmi-fined or Fbcorxred of Alarm. —House to Garage requires Fire Rated Door [hat meets local andlor state Code Requirements "* See Photos on Next Page' " 2 3,A-Cbq Page 15 of 19 Home Improvement Agreement: Storm 1 Security Door Measure Form Door 6 of 7 BAILEY, STEPHEN 2612 7/27/2022 12417148-1-MEXT ' Customer Name Store # Date of Measure Measure PO# RECEIVED DEC 2 12022 rAHMUu-i n (INGS HIGF Page 16 of 19 Home Improvement Agreement: Exterior Door Measure Form Door 7 of 7 Please upload this document in InstallConnect (ICON) to be viewed in the DVR. DO NOT FAX OR EM6JL THIS DOCUNENT BAILEY, STEPHEN 2612 7/27/2022 12417148-1-MEXT Customer Name Store # Date of Measure Measure PO# DOOR SITE INSPEC71ON FORM Nleasimrnentson this form am final. If revisions ore needed, they must be requested through yourin!;ialler. Installer Energy Year Lead EPA Pamplet Permit/ENGR Permit Permit ENGR ENGR Installer Phone Code Alarm Built Results Given to Requirement Cost Admin Cost Admin Customer Cost Cost Downing (774) 274 2021 No 1975 Negative Yes PRMT only $100 $85 NIA NIA Edward ECC 3807 Location: Back upper deck Overhang: 0-18" Exterior: Wood Door Facing; Southeast Bldg code: Stock or S/O: Unknown Damage: No Existing Condition: Fair Handing i Measurement: Rough Opening Width: 72-0" Freight: 80-3116" Stang: Sliding Jamb Depth: 4-9/16" Slab Thickness: Lock prep: No Recommend Sill Pan: No Sill depth: 6-0" Sill supported: No Will the Customers product selection No product on indicated on the measure work? Measure Notes RRP- Lead Safe Practices: RECEIVED DEC 2 12022 rAnIVIUU I rr Qty SKU - Description Qty Description (cnverwith thectstorrer) Retail 3 ea 51144primed pine 1 SLDING PATIO DR UP TO 72X96 3 ea 2 112x8 primed colonial 1 Create sill pan 0 2 ea 1x8x8 primed pine 1 Rebuild sill 4.00 1 ea Protecto wrap 2 ea RI insulation 1 ea Tyvek tape 2 ea Dyna flex white silicone 1 ea 6' oak saddle product ad d must meet local and state Energy rode minimum requirements, ratings must be installer not responsible for gap between thmshold and floor. provided priorto scheduling. -Installer not responsible for operation of exisfing lodeet 'Store Associate to verify handing With DuEtomerand Vendor. All handing isfmm the exterior: 4f security Door isselected, Inform Qustomerthat they do not seal as storm Coors do. "Installer is not respond bie for D s connect or finned of Alarm. Page 17 Of 19 Home Improvement Agreement: Exterior Door Measure Form Door 7 of 7 BAILEY, STEPHEN 2612 7/27/2022 12417148-1-MEXT Customer Name Store # Date of Measure Measure PO# ED ECEIVED DEC 21 2022 23-A" Page 19 of 19 RECEIVED DEC 21 2022 r AHMUU i h (A 0 0 r--. L.L Z) {/// f^ - Y ! 0 N m Tl- "I Photos Save Home Share ECEIVE® DEC 21 2022 r AhlViUU i rI Off Market: $619,000 (3 beds, 3 baths, 1,320 Square Feet) Photos RECEIVED DEC 2 12022 tAhmUU'l h OLD KINGS HIGHWAYl � 3 _A014 E DEC 21 2022 ' OLD KING HIGHWAY V) 0 4-J %MF - - - - - cfl cD i+� cp Z N c°Do O 0) 03 =o t0 o co 00 O ti U w N E X N w 13) - O S CND. 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Z F- a � o 0 w � 0 M o LL ZLLI F n I >- Nor a Z L6 a u . z O J< W m Z L ❑ a _ z J ti ❑ N m 0 0) W or o - z N (0 - m Z Lf) a x ate. °' li.i m rn W Z Z z 0— z00 z a CL X CL w Q m U LLI m U ❑ lz W 0 W Q N I- 0 00 ❑ w cfl J � a z w O 0 W F 4 Q W a- OC W F Q Z -j IM UW W Q J Q J O w W ¢� N m o w OM w OF aa Z p W ❑0 m o o QFo�Q� F Q O 1 F U) r O z ti J a Q L°n°a0 �afo H 2 N F Q m Lr7 �N a J Za�zre�zCM) . ca a Q" OO = m O0 �4Q0CL Lit Q a ui z a O z Q W Q LL ,Z® DEC 21 2022 I YARN C Ti-; GL� DEG' i GHWAY LU I h O U)i < L U Q 7 C { F O w ua O O D Z o L c Z m Fj O t O z X Q ¢ LUCK( J O w J .Z L ZLUO ¢ < W w UJ U C L Z e 1 � O 1 OO 1 I W ! Z O Z h O W W J IL i ¢ O i U W J CL LL EL � Lu ¢ cn I a W ! U O P Y � O C] ! (1) ! O O J z 0 Lit Q a ui z a O z Q W Q LL ,Z® DEC 21 2022 I YARN C Ti-; GL� DEG' i GHWAY LU I h O U)i < L U Q 7 C { F O w ua O O D Z o L c Z m Fj O t O z X Q ¢ LUCK( J O w J .Z L ZLUO ¢ < W w UJ U C L Z e 1 � O 1 OO 1 I W ! Z O Z h O W W J IL i ¢ O i U W J CL LL EL � Lu ¢ cn I a W ! U O P Y � O C] ! (1) ! O O J z 0 m CD N 04 to x O Z CM O m r�] c� Tl- w J m N E N z U- W w d a N U) 0 O n rY w a 0 J o a U w w J a ❑ U) O O J U- U (n = U Q ¢ C7 � ry O O � J FZ- OU z � z Y J 0 U J J U) In Z) LL O F z w 2 w IL w W yd_ 7 O L11 N m w Q w x w U) EE t V Z m Q U z O H W Q m J Q U cn ::i Z IL O a ►- z d a J 0 W J Vl Q a F- m w Z n Z I'' 0 0 a J ❑ ¢ d' J O_ V w w <Z X IL W . F- o o N a z w ❑fY z z z a zt ¢(9 o z Z Oz Z� Y O QU o o a U U .2 W J m J Q _a U)R_ w J ui Z) o F~ �zw d O w {i Z z z }� a ~ JO ui a - J W ❑ U W -p Ur Zvi n LVl! Z O pZ 0 g -A ¢ (A LL ❑ O d2 O P Q -jU W V ❑�z }Q o w dd Ir 0 Z Q' WQ� 9X O Vi� O Y D(D LL Or LL O ❑Z Z— 3 Z U U— Z ~ Z ¢� O �MN J O�^ U� n J w�(A �oz �o ZW Q Z Job .JQ ¢0 JD-' ¢0 zco 00 J o Q0Q Q H ��cn CO LL N¢ �0 � 0 ZHw ??wCCH zo Zv o© z Q Y 0 z 0 O J a IY d LU d N ¢ fl D O S af O fl Z Z) 0 z O Y a O a U00 o X O fY rn O � Q W W 0 J � W LL. Luu O lL ❑ ((j) J W U U Z Q tip w 0 z J Q CJ W O. N W 2 Q V w LL 0 9 m co z O 0- En W J J Q LL O 0 z W DEC 2 12022 T f:. lyluu I rl is v it V W N N N i■ Z c+7 T aF O 00 Qi 0) ^M I — } LU J a om ai E co z Z Q L) w w J J Q U. O U) w 0N Q u a F— O F— ti O co T x a w J N n P, u RECEWM DEC 21 2022 YF1F MOL)'i ri 7 Home Improvement Agreement: Page 1 Home Depot License Number(s): Home Depot license numbers are listed on page 3, and at www.Homede ot.com/LicenseNumbers . OVILLE POWELL Salesperson Name Registration # (Req. in CA,CT,ME,MD,MI,NJ,DC) Home Depot U.S.A., Inc. ("Home Depot") or Service Provider named below will furnish, install and/ or service the equipment listed below at the price, terms and conditions as outlined on this form. Service Provider Contact Information Authorized Representative Name Phone # Service Provider Email Address Service Provider Company Name Service Provider License #(s) Customer Information BAILEY STEPHEN 2612 H2612-264190 Customer Last Name Customer First Name Store # / Branch Name Customer Lead/ PO# 1 OUTWARD REACH Customer Address 5087447016 5083609869 5083609869 Home Phone## Work Phone# Cell Phone# NOTICE OF RIGHT TO CANCEL YARMOUTH PORT IMA 1 02675 City State Zip Customer Email Address YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE PROVIDER AT: Contact Stare Directly J OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 2455 PacesFerry Rd SE Atlanta 130339 Address City State Zip BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL. Acknowledged by: 10/03/2022 Customer's Signature - Date DEC 21 20922 OLD KING'S HIGHWAY l 106 CuslomerAgreement (07 Jut. 21) (5) Generated pate 0811212021 Lead/PO# v 4.1.6 y Home Improvement Agreement: Page 2 Description of Work to be Performed A detailed description of the work to be performed is included in the paragraph entitled Scope of Work or Specification which is included in this Agreement. Anticipated Delivery Date 1 Installation Schedule Approximate Start Date: Teo Approximate Finish Date: Tgp All dates are approximate and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair, if applicable. Electronic Records Authorization You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy, your consent applies to this Agreement and all subsequent documents and written communications related to this Agreement. By contacting your Service Provider, you may update your email address, withdraw your consent, or obtain a paper copy of the Agreement or related documents at no charge. By providing your consent and verifying your email address above, you confirm that you have access to a computer that can receive and open emails and PDF documents. Contract Price and Payment Schedule Payment of the Contract Price is due upon signing unless a different payment schedule is required by law, specified below or in a payment addendum. Contract Price: $ 19910.73 Includes all applicable taxes. Excludes finance charges.* Sales Tax: $ 1244.22 (If applicable, total amount of taxes included in Contract Price) *Maximum deposit ONLY applicable in MD, MA, ME (33%), NJ, WI (99%) Deposit % I I Deposit Amount $ 1 Remaining Balance $ Finance Charges Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan agreement, to which Home Depot is NOT a party, and will be in addition to Customer's payment under this Agreement. Customer is subject to the terms and conditions of the cardholder or loan agreement, as applicable. No funds should be made payable to Service Provider; however, Service Provider may collect Customer's payments made payable to Home Depot. Acceptance and Authorization By signing below, you authorize Home Depot to: (a) arrange for Service Provider to perform any Services or (b) order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified in this Agreement. Do not sign if blank or incomplete. (Service Provider's or permitting information may need to be provided to You later.) By signing, you acknowledge that: (i) Youu have read, understand, and accept this Agreement in its entirety, including the General Conditions and State Supplement, if any; (ii) You are receiving a complete copy of this Agreement; (M) all rights and interests under this Agreement are solely vested in the person listed as "Customer" above; and (iv) Electronic signatures will be deemed originals for all purposes. X 10/03/2022 Customer's Signature Date X Esl The Home Depot 10/0312022 The Home Depot Digital Signature Date L31 DEC 2 12022 r AniUlOU i h at 1-800-466-3337 for help. 6?3—Alty 106 Customer Agreement (07 Jul. 21) (S) Generated Date 0811212021 Lead/PO# v 4.1.6 �4 Home Improvement Agreement: Door Measure Form Door 1 of 7 Please upload this document in InstallConned (ICON) to be viewed in the MR DO NOT FAKOR EMAJL THIS DOCUMENT BAILEY, STEPHEN 2612 7/27/2022 12417148-1-MEXT Customer Name Store # Date of Measure Measure PO# DOOR SITE INSPECTION FORM Measirementson this form are final, If revisons are needed, they mud be requested through your installer. Installer Energy Year EPA Pamplet Permit/ENGR Permit Permit ENGR ENGR Installer Phone Code Alarm guilt Given to Customer Requirement Cost Admin Cost Admin Cost Cost Downing , 274-' 2021 No 1975 Yes PRMTonly $100 $85 NIA NIA Edward Ed IECC 3807 Locations: 1: Front 2: Front 3: Back pantry 4: Back pantry 5: Back basement 6: Back basement 7: Back upper deck Basic Optional/ ally Additional Labor(Additional. Specs) Description (Qrrerwith the olsimix) Retail 3 PRE -HUNG DR UP TO 36X96 3 Create sill pan 6.00 1 Build up sill 2.00 3 STORM DR UP TO42X96 1 Install on concrete 2.00 1 SLID ING PATIO DR UP TO 72X96 1 Rebuild sill 4,00 -Product sold must meet local and state Energy mole minimum requirements, ralingsMust be 4r "ler not responsible for gap behmeen three hold and floor. provided pdorto scheduling. andalier not responsible foropeiation of existing lodoet 'StoreAwDdate to verify handing with Qwtomerand Vendor. All handing isfrom the exterior. of Security Door isselected, inform Qrstomert hat They do not mal as Storm Doorsdo. —Indallef is not responsible far l3soonnect or Reconnect ofAlarn. --louse to Garage requires Fire Fated Dow (hat meetslocal andlor State code FiBquirements h DEC 21 2022 f rinlviu v i r r OLD KINGS HIGHWA Page 1 of 19 Home Improvement Agreement; Exterior Door Measure Form Door 1 of 7 Please upload this document in InstallConnect (ICON) to be viewed in the DVR DO NOT FAXOR EMVL THIS DOCUMENT BAILEY, STEPHEN 2612 7/27/2022 12417148-1-MEXT Customer dame Store # Date of Measure Measure PO# DOOR SITE INSPECTION FORM Meawrementson ;hisfonnn are final. If revisions are needed, they must be requested through your installer. Installer Energy Year Lead EPA Pamplet Permit/ENGR Permit Permit ENGR ENGR Installer Phone Code Alarm Built Results Givento Requirement Cost Admin Cost Admin Customer Cost Cast (774 ) 274 No 1976 Negative Yes PRMTonly $100 $85 NIA NIA Edowning ward and ECC 3807 Location: Front Overhang: 0-18" Exterior: Wood Door Facing: East; Bldg code: Stock or SIO: Unknown Damage: No EAsting Condition: Fair Handing 11 Due Measurement: Rough Opening Width: 38-114" Height: 82-118" swing: Inswing Jamb Depth: 4-9/16" Slab Thickness: 1 ti3/4" Lock prep: Yes Recornmend Sill Pan: No Sill depth: 6-0" Sill supported: No Will the Customers product selection No product on indicated on the measure work? Measure Notes RRP - Lead Safe Practices: Qty SKU - Description Qty Description (Caverwiththecistww) Retail 3 ea 2 112 x8 primed colonial 1 PRE -HUNG DR UP TO 36X96 3 ea 1x6x8 primed pine 1 Create sill part 2.00 1 ea 1x8x8 primed pine 1 Build up sill 2.00 1 ea 6` oak saddle WCE11,1fim DEC 2 ,f��2 O IfAh W_� , KINGS . IGHWAY 1 ea Protectowrap 1 ea Tyvek tape 1 ea RI insulation 2 ea Dyna flex white silicone -Product suId must meet local and state Energy oode minimum requirements, ratingsmust be 464Jallernot responsible for gap behwaen threshold and floor. `- " ' - N provided prior to scheduling. 4nstallernot responsible for operation of exdsting Iodeet. `Store Aw)date to verify hand] ng Wth Customerand Vendor. All handing fstmm the exterior. 4f Security Dior is selected, inform Qr9omerthat they do not seal as storm Doorsdo. Page 2of19