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HomeMy WebLinkAboutBLD-23-004474 p /)3% ONE & TWO FAMILY ONLY-BUILDING PERMIT Town of Yarmouth Building Department of 'y 1146 Route 28,South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 4"- s , ;,�: .� Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section/ For Official Use Only Building Permit Number: F Date Applied: RECEIVED_ Building Official(Print Name) attire DatFEB 1 0 2023 SECTION 1:SITE INFORMATION _.. BUILDING IDEPARTMENj` 1.1 Property A ress: 1.2 Assessors/Map&Parcel Numbers ay yi r 01GgV/1 " �/CCi��rG<- / 7 7 66 --- - -_ 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Pro ert�)rmensions:51X6//,r/q( i Zoning District Proposed Use Lot Area(sq ) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required I Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flo d Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: Outside Flood pone? Municipal 0 On site disposal system 0 Check if yes rr SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: ,70106/7jw 51���rr^„v�i9 Clio yifla7c-e/7� /a t Name(Print) City,State,ZIP No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 I Existing Building 0 I Owner-Occupied 0 1 Repairs(s)) Alteration(s) ❑ I Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other ❑ Specify: _ Brief Description/of Proposed Work2: ' �Je/ ,S. U2'' T —' t / '/L 7/1Y6 / %/+'d ,,..ck) ! /7 / b --v i. 6 SECTION 4:ESTIMATED CONSTRUCTION COSTS. • Item Estimated Costs: Official Use Only (Labor and Materials) . I.Building $ �aJ 0 1. Building Permit Fee:S .I L o _Indicate how fee is determined: 2.Electrical $ 161 Standard City/Town Application Fee ❑Total Project Costa e 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ Lo f.It0 G 4.Mechanical (HVAC) $ List: e 0196 , 5.Mechanical (Fire $ •• N Suppression) Total All Fees:$ • 6°I.`"/ Check No. Check Amount Cash `� 6_Total Project Cost: $ 9. `) d ❑Paid in Full al Otitstanding Balance tie: �'.® a' a)) '\a3 x SECTION 5: CONSTRUCTION SERVICES 5.1 Construction upervvisoorLicepse(CSL) —0 L ri/ n /1/7 ir4' ✓ License Number Exppira on Date Name of CSL Holder // e' ' /► y6 (4 List CSL Type(see below) ti No.and Street J / Type Description Aing61,c40 m4 r -1 U Unrestricted(Buildings up to 35,000 cu.ft) City/Town,State,ZIP R Restricted 18c2 Family Dwelling M Masonry y • RC Roofing Covering 5' Lam/ ' o- WS Window and Siding .�i�D; .� ' SF Solid Fuel Burning Appliances J-D $/,i$/v ,to/i' I Insulation Telephone Email address D 1 Demolition 5.2 Registered Home Improvement Contractor(ETC) / & h t;3 1 HIC Registration Number piration Date HIC Company Name C R gistran ame _ ti) No.tidtrget�< . /vI/ t3 y ST1f,C s/ �" cc, /. 5,� ,kyC �, c,� //J,..! / s' ,, (=Y5V- Email address tty//Town,State,GIP Telephone v SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes No 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize Q</`/l/%5/,% //"(, to act on my behalf,in all matters relative to work authorized by this build' g permit application. ✓A�r�,�Y 1 5 c- /m4 ( <-7 //27k Print Owner's Name(Electronic Signature) 0ijk ate • SECTION 7b: OWNERt OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to st of my knowledge and understanding. Print Owner's or Authorized Agent's Name(Electro ' ignature) /` '/Date NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.aov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft,) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" C-evI ) SO2" ' ?3g - Li5 elf),a'.) r S 4e v e, 7"(Z 6 cec n s j id-e 1 11C-. Cvnev §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-22311 ext.-1261 Fax 508-398-0836 Office of the Building Commissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Ch. 40, §54 and 780 CMR- Section 105.3.1. #4. I hereby certify that the debris resulting from the proposed work/demolition to be conducted at 477 J' HiCC/44 GW8(' /tlo Work Address , t/%%j6 Is to be disposed of oat the following location: J� / , .4 �z*Y4 Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. ray/7/01,i,' Sign e of Application ate Permit No. The Commonwealth of Massachusetts _ Department of Industrial Accidents 4. 4 y Office of Investigations Lafayette City Center :' 2 Avenue de Lafayette, Boston,MA 02111-1750 www mass gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: . / City/State/Zip: ':o < ,7,•C `' Phone#: I - • ` ,° f Are you,an employer?Check the appropriate box: Type of project r 4. I am a general contractor and I (required): 1.[ I am a employer with = ❑ g 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.O Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] **Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ,Contractor;that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: �'ti C " c- c i%. ;�. ,.e :-� ,.� r` rt '�' '� Policy#or Self-ins. Lic.#: ti W/ /C.,77 -'(3 t�-r C),` ; :::' ) A-t Expiration Date: //> //7 �'%c -Y Job Site Address: 478 Higgind Crowell Rd City/Stamp:W. Yarmouth, MA. 02673 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certip under he pains and penalties of perjuiy that the information provided above is true and correct Si r nature: Date: / f' 'G'=-'(Phone#: i 11 Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(check one): 1❑Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 5.0Plumbing Inspector 6.0Other Contact Person: Phone#: ACo s CERTIFICATE OF LIABILITY INSURANCE °A*E`"w°°'Y""' 01/04/2023 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 pollcy(ies)must have ADDITIONAL INSURED provisions or 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). PRooucER CONTACT Kam; Linda Sullivan DOWLING&O'NEIL INSURANCE AGENCY tite°"�Eaty, (508)775-1620 1 F X_rw,: EMAIL ss: Isutiivan@doins.com 973 IVANNOUGH RD a sunER(SIAFFORUIwoCOVERAGE I NAIC r . HYANNIS MA 02601 INSURERA: AIM MUTUAL INS CO i 33758 INSURED INSURER B t 1 OCEANSIDE INC INSURER C: 1 INSURER 0: I 217 THORNTON DRIVE INSURER E; ; HYANNIS MA 02601 INSURER F: COVERAGES CERTIFICATE NUMBER: 849163 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. WSR' TYPE OF INSURANCE IADDLI we! i POLICY EFF I POLICY EXP I UNITS LTR• 'meal e! POUCY NUMBER IWDIY IMDYYY)'IMWDDJYYYY1 COMMERCIAL GENERAL UASU.TTY j I EACH OCCURRENCE 1 $ f DAMAGE TORENTED 1 ctAIMS MADE ,OCCUR { ! PREMISES LEe oawrrenoel. 1$ f i ' MED EXP(My one person> S I I I N/A ' PERSONAL b ADV INJURY , S GEM AGGREGATE LIMIT APPLIES PER. { GENERAL AGGREGATE 1 S POLICY i _. JE T i._..-_ LOG I I ` 1 PRODUCTS-COMP.'OPAGG, 3 OTHER: 1 ! i .. �_ i S AUTOMOBILE LIABMJITY j COMBINED SINGLE LIMIT I S SE 1 I a flCGWnU_ ANY AUTO F 1 BODILY INJURY(Per person) S OWNED ; SCHEDULED , AUTOS ONLY 1 N/A I BODILY INJURY(Per accidentI1 S AUTOS HIRED ; 1 NON-OWNED j } ! PROPERTY DAMAGE AUTOS ONLY 'AUTOS ONLY ! } j (Per ECC101 IU 1 s i S UMBRELLA UAB L—�OCCUR ( I I EACH OCCURRENCE I S EXCESS LIDS ' i CL IMS•MADE j i N/A I AGGREGATE _._ i S DED 1 1 RETENTIONS i Z ! i I 1 $ WORKERS COMPENSATION 1 i PER OTH• 1 AND EMPLOYERS'U RL.ITY j t � _STATUTE I I ER MIYPROPRIETOWPARTNEWEXECUTIVE I i E L EACH ACCIDENT 1 S 1.000.000 A OFFICERMEMBEREXCLUDED? NrA !NIA I WA? VWC10060198022023A ;01/01/2023 01/01/2024 (ManeWory in NH) ! 1 E.L.DISEASE-EA EMPLOYEE: S 1,000,000 1 I yea describe under DESCRIPTION OF OPERATIONS below ! I E L DISEASE•POLICY LIMIT,S 1,000,000 N/A 1 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Addpional Remarks SchedsN,may be atlacMd I mere space Is ngri1411 Workers"Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B.no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the poftcy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govfwd/workers-compensationlinvestigationst CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Oceanside IncACCORDANCE WITH THE POLICY PROVISIONS. 217 Thornton Drive AUTHORIZED REPRESENTATIVE I ( . Hyannis MA 02601 Daniel M.Crow y,CPCU,Vice President-Residual Market-WCRIBMA 0 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACc R CERTIFICATE OF LIABILITY INSURANCE DATE(MMDD/YYYY) 01/04/2023 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 have ADDITIONAL INSURED provisions or 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 Tina Reeves NAME: The Hilb Group New England,LLC (A/C, FAX N ,Eat): (800)640-1620 F No): dba Dowling&O'Neil E-MAIL treeves©hilbgroup.com ADDRESS: 973 lyannough Road INSURER(S)AFFORDING COVERAGE NAIC# Hyannis MA 02601 INSURER A: Arbella Protection Insurance Co 41360 INSURED INSURER B: Colony Insurance Company 39993 Oceanside,Inc. INSURER C: 217 Thornton Drive INSURER D: INSURER E: Hyannis MA 02601 INSURER F: COVERAGES CERTIFICATE NUMBER: CL22122020988 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMACLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A 8500066712 01/01/2023 01/01/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY X JEC LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ A OWNED X SCHEDULED 102006166607 01/01/2023 01/01/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED N/ NON-OWNED PROPERTY DAMAGE _ AUTOS ONLY AUTOS ONLY (Per accident) X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS UAB CLAIMS-MADE 462008968604 01/01/2023 01/01/2024 AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Pollution B CSP4223638 01/01/2023 01/01/2025 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements.Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Oceanside Inc ACCORDANCE WITH THE POLICY PROVISIONS. 217 Thornton Drive AUTHORIZED REPRESENTATIVE ��r Hyannis MA 02601 _/r► 0s I �wr� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regulations and Standards Constt %l'bn rAkiervisor CS-055571 E pires:09/17/2024 STEVEN M TO,SSI t = 18 DEE BEE CIR ' MIDDLEBOR4A1A-,=:' x'17 'fir}jJY3:13 Commissioner dueG fi'. `�fvnca I I a n P 0 r o c o m N c I 0 ®(V. a O W U) cu q00 Z a. 7 isl ��O is . c G J GI f W LP 0 To faW O ao o v =Sm'� a = Cl) ' co iii -- 3 c— 3 ., . t— r. 3 c C ear a .VI c i) LL 0 L. T a 4 __ ' i o'I ite c O i_ - i m, !Itrite I x I P r leiel g- V t c 0- 0 @ ji ›. : 1 - ,,41-41` , , . . . _2 com° E O ° O m c m 0 r E (0 o i> U O 0 W 7 Co W = N W iY N U =� A 0a4 .t -1 O co'az0 co v Z Z 1-li wn a If. >�. dZ2 E a Tit`- Z p Z 0 c 2 X' 0 WFZ 2 ° Z to 6 ��c ON= v 0 o O Ill WO = v = COZ2 i-5 �o� w~¢ 0 CA Cal= _ r . „,, , , Restoration Fire• Water-• Soot•Mold 217 Thornton Drive,Hyannis,MA o26oi p.5o8-771-3110/L 774-470-22u www.oceansideinc.com DATE: 1/24/2023 PROPOSAL SUBMITTED TO: JOB NUMBER:20220711 Repairs Jonathan Slomba Job Site: 478 Higgins Crowell Rd. same W.Yarmouth,Ma 02673 WE HEREBY PROPOSE TO FURNISH ANY MATERIAL(LISTED BELOW)AND LABOR, COMPLETE AS PROVIDED FOR IN THE SPECIFICATIONS BELOW.ALL MATERIAL IS WARRANTED TO BE FREE OF DEFECTS,AS SPECIFIED AND TO BE WITHIN ACCEPTABLE CONTEMPORARY QUALITY STANDARDS. ALL WORK IS TO BE COMPLETED IN A WORKMANSHIP-LIKE MANNER,ACCORDING TO STANDARD PRACTICES. MATERIAL COVERED UNDER THIS AGREEMENT AND DELIVERED TO THE JOB SITE ARE THE PROPERTY OF THE BUILDING OWNER UNLESS OTHER ARRANGEMENTS ARE MADE IN ADVANCE. OUR WORKERS ARE FULLY COVERED BY WORKERS' COMPENSATION LIABILITY INSURANCE.THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED WITHIN TWENTY-ONE(21)DAYS.THIS PROPOSAL SUPERSEDES ANY AND ALL PREVIOUS OFFERS OR ESTIMATES TO PERFORM THIS WORK. NOTHING STATED IN THIS PROPOSAL IS MEANT TO IMPLY THAT THE COST OF COLLECTION OR DISPOSAL OF ANY HAZARDOUS WASTE IS INCLUDED IN THE CONTRACT PRICE. INFRASTRUCTURE COSTS(E.G.HEATING FUEL,ELECTRICITY, PLOWING,ETC.)REMAIN THE RESPONSIBILITY OF THE OWNER AS A PART OF THIS AGREEMENT. WE HEREBY PROPOSE TO FURNISH MATERIAL(AS LISTED BELOW)AND LABOR- COMPLETE IN ACCORDANCE WITH SPECIFICATIONS BELOW,FOR THE SUM OF: S234,985.00 Two Hundred Thirty Four Thousand,Nine Hundred Eighty Five AND 00/100 DOLLA S PLEASE INITIAL HERE ACCEPTING ALL TERMS AND CONDITIONS SET FORTH ABOVE^%-«j'+ OP e —{ x-3A00V 111110d,Las SAIorna oo QAiY Si+rniai TIV O1•11141H3)b MI211 TI LINI MYTH p Wuissa ao0Q luisd 2'Oaeidall • tipsaH aaBIdaaid 3sJdaj . la;uel aaelda1id lu!ud 78 aoeldoll • sIPM.Tured • guilra3 lured • nnopuTM amlard Idum aosidaJ • mopurM lung ojgnoa l'turA aaeld]ag • pmoganig.rano as}sell aoeidall • uozlsinsui eosJdall • uw ou;rranl? (#s ors$aaueMolp PT211m)guuoold aiu.as I ou • pisog luauro aaerdag • 00'0I IS aarrtAaolie amlxg)anuxid uign passaoa'l amIdali • RE4APIIS p°°M lured • squis aoou pus awl nlopuiJi000U Red • Iusogossg lured ag aoeidag • siaLIuv,21p WurnlagS SoI3 aasTdag • goux pue moo aoiaalui aaeida21 • RogpeaQ pus pspo7 At 100a ioualxg maw aasidaj • SulseD.1OOQ aaeidall • Red.io ladediloM aosidaj • Ruz�ca31u113,d • lured.ro aadedlieiii.ro;dard as?sflhl 1 IDS • pagocionia daAo IMAM 0oe001/ • uogs[nsul aaeld011 • AaAod :,poni pasodom S3.IdA.7Ar3O.LZVDATIlll7Jr1IISISOOANOLLOg7703.7FIV OS DI776'dVJO.L SgalIDV ?I311ro2S119 311,E `CI1Vd,4112 Sn at QRITZE LXt S J3Ha drTV d013D?IVH0 00'SZ$V 3S 7711€I '(%95'6I 3OVlh`3a21.7d7VfW101V)d7KMO11r123CINDOd11031ZLIOIrvX3d% '/IISI, LV?!.IFI.L :7717(7371DSJA127' Vd IHL d0 SSMTAL 37LL QL ONIQfI0a9V 31311.LEVr1 MTV.LVILL S.LN120aaV 77V CAL CI3Qt7V 38 77144 3D?IV11,).93ATV2V7.1 V uopaldhuoa,oM jVpue;sgns uodn aign. ed 00°58646$ Suquled'sdon la;unoa`sxaurgsa°snmp;Jo uopeile;sul uodn aignAed 00'004 OSS U suu.iapeld pus Mopuus Jo suopaldsaoa uodn algeifed 00'000`00 Haim;uopeinsul pus sjjo u&s q&noa BE Jo uopaldwoa uodn alquAnd oo•000 asS ;uauuaauaunuoa o;aoud%uluSrs uodn;[sodaU w000`SLS :SMOTIOd SY auvl?%I dS O.L,LAIaNIAvd r , • Replace&Paint Window Trims • Replace Interior Door&Knob • Replace&Paint Baseboard • Paint Door Slab • Replace Underlayment • Replace Carpet&Pad(carpet material allowance$3.85 sf) * Replace Interior Window Shutters • Replace PVC Window Blind • Replace Window Drapery(2) • Replace Wall Sconce Light Fixture(fixture allowance$65.00) Dining Room • Replace Insulation • Replace Plaster over Blueboard • Re[place Vinyl Sliding Patio Door • Replace Garden Vinyl Window • Paint Ceiling • Paint Walls * Remove&Replace Beam • Stain&Finish Beam • Replace&Paint Door Casing • Replace&Paint Window Trims • Replace&Paint Baseboard • Rewire Electrical,Install Outlets and Switches • Replace Chandelier(fixture allowance$295.00sf) • Replace Underlayment • Replace Carpet&Pad(carpet material allowance$3.85 sO • Replace Window Blind • Replace Window Drapery(2) Kitchen • Replace Insulation • Replace Plaster over Blueboard • Paint Ceiling • Paint Walls • Replace Wallpaper Border • Replace&Paint Door/Window Trim • Replace Double Hung Vinyl Window • Replace&Paint Baseboard • Replace&Paint Wood Shelving • Replace Cabinetry(material allowance$6,000.00) • Replace Laminate Counter Top w Backsplash • Replace Double Sink w Faucet • Plumbing-Dishwasher Connection • Replace Dishwasher(material allowance$650.00) • Replace Refrigerator(material allowance$850.00) PLEASE INITIAL HERE ACCEPTING ALL TERMS AND CONDITIONS SET FORTH.ABOVE,a,. • • Replace&Paint Interior Door • Replace&Paint Bypass Sliding Door/Trim • Replace&Paint Window Trims • Replace&Paint Baseboard • Replace Smoke Detector • Replace Ceiling Fan&Light • Replace Window Blinds • Replace Window Drapery/Hardware • Replace Underlayment • Replace Carpet&Pad(carpet material allowance$3.85 sf) Front Bedroom • Replace Insulation • Replace Plaster over Blueboard • Replace Double Hung Vinyl Window • Paint Ceiling&Walls • Replace&Paint Interior Door • Replace&Paint Bypass Sliding Door/Trim • Replace&Paint Window Trims • Replace&Paint Baseboard • Replace Smoke Detector • Replace Window Blinds • Replace Window Drapery/Hardware • Replace Underlayment • Replace Carpet&Pad(carpet material allowance$3.85 sf) Basement • Replace Insulation • Remove&Replace 30 Gallon.Electric Water Heater • Remove&Replace FHA High Efficiency Furnace • Electrical-Wire Furnace,Dryer, Water Heater • Remove&Replace Ductwork System • Replace Washing Machine w/Stainless Water Lines(appliance allowance$800.00) • Replace Electric Dryer w/Cord(appliance allowance$875.00) • Replace Dryer Vent Line Stairs • Paint Ceiling • Paint Walls • Paint Door Slab • Paint Stair Tread&Riser • Paint Stair Stringer • Replace Light Fixture Exterior f PLEASE INITIAL HERE ACCEPTING ALL TERMS AND CONDITIONS SET FORTH ABOVE:x , • Remove&Replace Plywood Sheathing(Sidewall) • Remove&Replace Roof Window/Skylight • Remove&Replace House Wrap Moisture Barrier • Remove&Replace Siding • Remove&Replace Trim Boards • Seal&Paint Trim • Prime&Paint Exterior Soft&Fascia • Remove&Replace Plywood Sheathing(Root) • Install Ice&Water Barrier • Remove&Replace Drip Edge • Remove&Replace Asphalt Shingles • Remove&Replace Flashing • Remove&Replace 2x10 Floor Joist/Deck • Remove&Replace 6x6 Wood Posts(including excavating • Remove&Replace Deck Planking post base, sonotube,and concrete) • Remove&Replace Deck Guard Rail a Remove&Replace Flawing Hangers • Remover&Replace Vinyl PVC Fence and Posts w Cap • Replace Retractable Canvas Awning w Protective Hood General • Electrical-Meg Check Circuits • Dumpster/Disposal Fees • Permits&Fees • Ongoing&Post Construction Cleaning • Temporary Job Site Toilet • Project Management All other material allowances other than listed are to be match existing best as possible.Any hidden damage or building code requirements will be documented and forwarded to the insurance company for consideration. Any changes to this contract will be done via signed change orders agreed upon by both parties. PLEASE INITIAL HERE ACCEPTING ALL TERMS AND CONDITIONS SET FORTH ABOVE:x -'"'c t f r ` i !Authorized bye_ Oceanside,Inc.(Owns or Manager Signature) is S' S%cCi,r i e. /- Sign Print ACCEPTANCE OF PROPOSAL-the above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work above. as specified. Payment will be made as outlined ? :/!2 DATE OF ACCEPTANCE: 2 7G1G OWNER/AGENT SIGNATURE: L, �1 _ _�_ i.1 br { t OWNER/AGENT SIGNATURE DATE SIGNED PR SAL RCVD BY OCEANSIDE: -— -- -- BATE DEPOSIT RCVD BY OCEANSD}E: FAR OFFICE USE ONLY__--__-- .— .. 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