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HomeMy WebLinkAboutbld-23-002854 , . eo 0.f FIR- RECEIVED N & TWO FAMILY ONLY- BUILDING PERMIT By NOV 2 2 2022 Town of Yarmouth Building Department or kilt. 1146 Route 28,South Yarmouth,MA 02664-4492 • 508-398-2231 ext. 1261 Fax 508-398-0836 .r;!;�� BUILDING DEPARTMENT Massachusetts State Building Code,780 CMR01, --- ui J g Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: e ad 3-MR k4 Date Applied: l'/ A - ....... ------.4-------: \V-4- ,c) Building Official(Print Name) ature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 5-0 - Cz� ,. �202 3 S G, 1.1a Is this an accepted street?yes /no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private❑ Zone: Outside Flood Zone? — Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: rn - c> i ci ) 14-) •vA , .mot 9 O 6 9-3 Name(Print) City,State,ZIP `-b c)auLL' ' ' "/ 5 ?3 P/,t 5 q._j CA0 f.c 0.(_,, No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 I Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work?: i" er.u,„i'.Q, Fes,,,S �..c� 1c.; 4-e-e,- , 'k - h{srx./2. SECTION 4:ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 3 , 1. Building Permit Fee:$ i- 0 Indicate how fee is determined: 2.Electrical $ '®Standard City/Town Application Fee �-0 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 6, p 6i_) 2. Other Fees: $_ 4,4eq l 3,-qv 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ e • Suppression) Total All Fees:$ Check No. Check Amount: Cash un 6.Total Project Cost: $ 53'/5 O 0 Paid in Full (Al Outstanding Balan Due: 1 i ONE or TWO FAMILY— BULDING PERMIT APPLICATION REGULATORY APPROVALS NOTICE Address of Proposed Work: Scope of Proposed Work: 1Z�y. �,z r0ck___Q -{v sac 6.4 Nfw i�[t�cc� C�a�+3,`ti C__VL1ry bay Date: t Based on the scope of work described above, the applicant is required to obtain approval sign- offs from the following departments as checked-of below: Health Dept. —508-398-2231 ext. 1241 Conservation —508-398-2231 ext. 1288 Water Dept. —99 Buck Island Road, 508-771-7921 Old Kings HWY. Hist. Comm. —508-398-22631 ext. 1292 Engineering Dept. —508-398-2231 ext. 1250 Fire Dept. — Kevin Huck/Scott Smith, 96 Old Main Street, SY Note: Please call Fire Department for an appointment. 508-398-2212 Other Appropriate plans and/or application shall be provided to each departments checked-off above. Each of these regulatory authorities has their own requirements outside the jurisdiction of the Building Department. All applicable approvals shall be obtained prior to submitting a building permit application to the Building Dept. Thank you for your cooperation. Receipt Acknowled m • — — — -- /00 Applicant's Signature \ Date Rev. Jan. 2019 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) �7 /t 1+ /(' ' 'i .- `'C1''`t i -e License Number Expiration Date Name of CSL Holder '' i� List CSL Type(see below) f No,and Street Tyke Description el_ , I Unrestricted(Buildings up to 35,000 Cu.ft.) �MC� ,G rr �� D� `�� R Restricted l&2 Family Dwelling City/Town,State,ZIP M Masonry RC f Roofing Covering • WS l Window and Siding ,! r/ SF Solid Fuel Burning Appliances $��S' i7')3/`�' 6'//E2j. k-''i. ,w`'(6 -, I insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor IIC) HIC Cgtpany Na or C Re ' tr Name HIC Registration Number Expiration Date No.aka Street � " � address ;�11-”-C 2'� a2,4,-/-, 0,a S _S�".eyx,,) Erhail address City/Town,State,ZIP Telephone 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 )1 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 to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date • SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties perjury that all of the information contained in this application is true and accurate to the bes my knowl ge and understanding. Print Owner's or Authorized Agent's Name(Electronic iS gnature) Date NOTES: 1. 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.eov/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" 1 The Commonwealth of Massachusetts 11) t Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 •'y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leaihly Name (Business/Organization/Individual): Address: City/State/Zip: Phone #: Are you an employer?Check the appropriate box: i Type of project (required): I.❑1 am a employer with employees(full and/or part-time).* 7. ❑New construction • 2.❑I am a sole proprietor or partnership and have no employees working for me in ca aci 8. Remodeling an y p ty.[No workers'comp, irsurance required.] 3.❑I am a homeowner doing all work myself.[No workers'comp. insurance required.]t 9. 1-1 Demolition 4.{:I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑ Building addition ensure that all contractors either have workers'compensation insurance or are sole 1 LE E Electrical repairs or additions proprietors with no employees. 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12. Plumbing repairs or additions These sub-contractors have employees and have workers'comp. insurance.t 13.0 Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per NIGL c. 14• Other 152,§1(4),and we have no employees.[No workers'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. 1Contractors 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: Policy 4 or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si2nature: Date: Phone Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing 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#: 1 §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 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 53 (ac2to Work Address 'n ^ ' > Is to be disposed of oat the following location: S Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. /NO Signature of Application Date Permit No. �� �_ TOWN OF YARMOUTH ° BUILDING DEPARTMENT W .4). T 41 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: JOB LOCATION: NAME STREET ADDRESS SECTION OF TOWN "HOMEOWNER" NAME HOME PHONE WORK PHONE PRESENT MAILING ADDRESS CITY OR TOWN STATE ZIP CODE The current exemption for `Homeowner' was extended to include owner—occupied dwellings of one or two units and to allow such homeowners to engage an individual for hire who does not possess a license,provided that such homeowner shall act as supervisor. (State Building Code Section 110 R5.1.3.1) Definition of Homeowner: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is or is intended to be, a one or two family attached or detached structure assessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner;such"homeowner"shall submit to the building official,on a form acceptable to the building official,that he/she shall be responsible for all such work performed under the building penult. (Section 110 R5.1.3.1) The undersigned `homeowner' assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned 'homeowner' certifies that he / she understands the Town of Yarmouth Building Department minimum inspection procedures and requirements and that he / she will comply with said procedures and requirements. HOMEOWNER"S SIGNATURE APPROVAL OF BUILDING OFFICIAL INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch.142. Yes No If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent h:homeownrlicexemp The Commonwealth of Massachusetts �'�11►•=—y � Department ofIndustrialAccidents �� :, 1 Congress Street,Suite 100 =:a Boston,MA 02114-2017 imp ''y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Name (Business/Organization/Individual): % L 77 / Please Print Leaibl ` ,/ Address: City/State/Zip: 4 t- _/ fu Phone#: SAS- T- cf .2 Are you an employer?Check the appropriate box: l I. l am a employer with Type of project(required): employees(full and/or part-time).* 7. 2.Q I am a sole proprietor or partnership and have no employees working for me in ❑New construction any capacity.[No workers'comp.insurance required.] 8• Remodeling 9. CI Demolition 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 4• I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑ ensure that all contractors either have workers'compensation insurance or are sole Building addition proprietors with no employees, !1.Q Electrical repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet 12.0 Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.t 13.Q Roof repairs 6•0 We are a corporation and its ofacers have exercised their right of exemption per NIGL c. ❑ 152,§I(4),and we have no employees. [No workers'comp.insurance required.] 14' Other *Any applicant that checks box m 1 must also ill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidav't indicating they are doing all work and then hire outside contractors must submit a new affidavit indicatingsuch. !Contractors 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 e employees,they must provide their workers'comp.policy number. I ant an employer that is providing workers'compensation insurance for nzy employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: - _; Expiration Date: }�" � %_ac_yq� �S Job Site Address: 50 '(-2-e -t124 c Attach a co � `' City/State/Zip: (.cJ. � �z�.wz gy of the workers compensation p -c declaration page(showing the policy numbers rid expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$I 500.0 and/or one-year imprisonment,a.;well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a dayagainst ' the violator.A copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ' perjury that the infornzation provided above is true Signature: -'',z1/'�/t;._��' ¢f p J ry and correct Phone 7: —9 & ;. Date: l'� — _ Official use only. Do not write in this area, to be completed by city or town official. City or Town: `----- Permit/License f Issuing 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#: Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Cons tC16 rvisof CS-076571 �iEAires: WILLIAM L SCHMITZ 09/09/2023 66 CARAVEL DR HATCHVILLE MA 02536 /. �0 Commissioner C/l THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Supplement Card Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 160266 07/06/2024 Boston,MA 02118 CAPE&ISLANDS KITCHEN&BATH REMODELING,INC. - k s'1t WILLIAMSCHMITZ 99Sal 99 STATE ROAD � ,(ter:.gee,to. SAGAMORE BEACH,MA 02562 Undersecretary Not valid without signature A ± Rom® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/29/2022 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 NAME: Linda Sullivan THE HILB GROUP OF NEW ENGLAND LLC (a/c°.No.Ext): (508)957-4239 FAX E-MAIL (A/C,No): ADDRESS: Isullivan@doins.com 120 Turnpike Rd INSURER(S)AFFORDING COVERAGE NAIC# Southborough MA 01772 INSURERA: LM INS CORP 33600 INSURED INSURER B: CAPE & ISLANDS KITCHEN & BATH REMODELING INC INSURERC: DBA C&I KITCHENS INC INSURERD: 99 STATE ROAD ROUTE 3A INSURER E: SAGAMORE BEACH MA 02562 INSURER F: COVERAGES CERTIFICATE NUMBER: 790029 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 (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS N/A BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY Y/N X STATUTE OTH- ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBER EXCLUDED? N/A N/A N/A WC531S369904022 07/03/2022 07/03/2023 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 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 policy 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.gov/Iwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Yarmouth 1146 Route 28 AUTHORIZED REPRESENTATIVE South Yarmouth MA 02664 D` Daniel M.Croiyiey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD APE ! SLAI�iL7 KITCH EIS 99 STATE ROAD, ROUTE 3A SAGAMORE BEACH, MA 02562 July 26, 2022 PHONE: (5081888-4762 KITCHEN CONTRACT final 7.26.22 To: Peggy Sheridan 50 Broadway Street W. Yarmouth, MA 02673 Phone:914-573-1173 Email: .s43@aol.c,:__ Cape and Island Kitchen and Bath Remodeling Inc. will provide the following renovations as per plans provided. Included are as follows with respective allowances: SCOPE OF WORK: GENERAL SERVICES • PROVIDE PROPER HOME PROTECTION AND DUST CONTROL • CIK TO ACQUIRE ALL APPLICABLE PERMITS • CIK TO PROVIDE DUMPSTER FOR DISPOSAL OF DEMO MATERIALS • REMOVE EXISTING FLOORING MATERIAL IN KITCHEN • KITCHEN- o REMOVE CABINETS, COUNTERTOPS,APPLIANCES, DISCONNECT PLUMBING FOR SINK, AND FAUCET. (NOT RESPONSIBLE FOR REFRIGERATOR DISPOSAL) o DISCONNECT GAS LINE FOR RANGE P•t � 'r�a,�� o PREP KITCHEN FLOOR FOR ENGINEERED FLOATING FLOOR o SUPPLY AND INSTALL KITCHEN WINDOW (ALLOWANCE INCLUDED FOR WINDOW AT $650) • CUT AND CAP SINKS FOR DEMO • HAUL AWAY DEBRIS • STRUCTURAL o WIDEN OPENING BETWEEN K TCHEN AND DINING. SUPPLY AND INSTALL LVL BEAM FLUSHED IN CEILING. • SUPPLY AND INSTALL BASEBOARD AF-^ER FLOORING INSTALLATION. • REPAIR CEILING WHERE NEEDED • SUPPLY AND INSTALL SUBPANEL(ELECTRICAL) • - [ somp4 CAPE -- ISLANL_ K I T C H E 5 99 STATE ROAD, ROUTE 3A SAGAMORE BEACH, MA 02562 Jul PHONE: 508 888-4762( ) o SUPPLY AND INSTALL 6 RECESSED LIGHTS IN NEW LOCATION. INCLUDE ANY CEILING REPAIRS. o SUPPLY AND INSTALL LIGHT FIXTURE ABOVE SINK (ALLOWANCE INCLUDED) o ROUGH AND FINISH INSPECTIONS INCLUDED. o BRING ELECTRICAL TO CODE o SUPPLY AND INSTALL NEW SUBPANEL. PAINT/MILLWORK/TRIM WINDOW(note**some siding in the attic) • FRAME WITH NEW HEADER NEW CONS-RUCTION LARGER WINDOW. • SUPPLY AND INSTALL NEW KITCHEN WINDOW-CASEMENT STYLE TO BE CONFIRMED STYLE. • REPLACE BASEBOARD TRIM WHERE APPLICABLE • SUPPLY AND INSTALL CASING FOR WINDOW AND TRIM INTERIOR AND EXTERIOR AND PATCH REPAIR SIDING • PAINT KITCHEN AREA ONLY AND 1 WALL.DINING 2 COATS-WALLS,TRIM, CEILING • SUPPLY TRIM ON KITCHEN SIDE ONLY,AND CEILING IN KITCHEN (CUSTOMER TO MAKE FINAL PAINT COLOR SELECTIONS) TOTAL REMODEL PROJECT COST:$58,180.00 TOTAL REMODEL COST WITH ADJUSTMENT: $58,180.00 Payment Schedule: Initial Retainer/deposit: $5000.00 Payment due upon Demolition: $20,000.00 Payment due upon completion of rough inspections:$16,000.00 Payment due upon countertop template:$15000.00 Payment due upon completion: $2,180.00 We propose to furnish material and labor in accordance with the above specifications for the sum of total of$ 58,180.00 In the event that it is necessary to pursue any legal action to collect any outstanding balance the customer shall be responsible for the total balance plus all legal costs. ACCEPTANCE OF PROPOSAL: SIGNATURE.� /,r.� ..� Z DATE / �/Z4"),,,,- • B E, 31 091 P 310 -48086 • 02-20-2018 $i 01 = 24Q R OFF BROADWAY REALTY TRUST Resignation of Trustee I, Agnes E. Bogar, Trustee of the Off Broadway Realty Trust established by a Declaration of Trust recorded in the Barnstable County Registry of Deeds In Book14333, Page 318 on October 16, 2001 Pursuant to Section 7.1 of said Declaration hereby resign as Trustee. January ,2018 te/X5411w Agnes . Bogar STATE OF NORTH CAROLINA .SS January , 2018 Then personally appeared, Agnes E. Bogar, before me, and established by reliable evidence which i�;t, :,, . _427,411) hat she is the individual whose signature appears above and hat she signed it freely and voluntarily for its stated purpose. My Commission expires: 0 Notary Pudic, q, HOLLY LASHAWN GILBERT Notary Public,North Carolina •=�- '+ '�" ���' Guilford Count ,':•i e Wty C mmi loin Expires :4 1. ' }+ tU l 'v • BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register R OFF BROADWAY REALTY TRUST Acceptance of Trustee I, Margaret L. Sheridan, and accepts the Trusteeship of the Off Broadway Realty Trust established by a Declaratior. of Trust recorded in the Barnstable . County Registry of Deeds In Book14333, Page 318 on October 16, 2001 Pursuant to Section 7.2 of said Declaration. , .4/1/(. ,Fes / ,2018 Margaret' . Sheridan ASSENT: E4,rJ Cam' Agnes E. Bogar Margaret /Sheridan E. Frederick Bogar Robert E. Sheridan STATE OF NEW YORK F.tha� .ss -January' O/, 2018 Then personally appeared, Margaret L. Sheridan, before me, and established by reliable evidence which isA/, a veitt c°t iat she is the individual ={ whose signature appears above and that she signed it freely and voluntarily for its stated purpose. • My Commission expires: Notary blic ////9 VERA D No.010E0245708 Notary Pale,Stall of Now Yak f]t�11Md in NlNfelNler kip email: Ea lssihos.°0311°.121/ ;..� . V C kL /L194" REVIEW;"3 i r;f_`, iP'_I- _ d At - ;' : rt. i HE s: 1 AI . ; , ,;v, •. .;, , BUILT" Top Trim Detail • ti (x` l 7'7-23u,, V Cf TE: I V'_ V- � 4 3/4"TO < 4 1/4FCR CRO cb B,.;W„4.. .., : ..::,;A lay over 1/2"TO FOR FRIEZE BUILD-UP co in 38;" 1001" cabinet door I.. 2�„ /-221, t 321 39" / 48" f13+'/ N ;r . —t -- _ I r -_ I[ -- 17 ;L_ --—,l 1/V3033 5 �; N •�n t' KDTE104ES: Co r- PEGGY SHERIDAN 5 0, I 50 BROADWAY "' - �' C�C W. YARMOUTH �N N < tJ !a to �, NOTES TO INSTALLER: I 1. USE 7/8TR FOR SCRIBE. Is- 2. USE 4 1/4FBP BASE AT ALL Is- N 1 B24-3 1 . FINISHED ENDS TO FLOOR. i N A m 3. INSTALL 3/4UC UPSIDE DOWN FOR LIGHT RAIL. o '.1`. 4. HARDWARE: ALL TO BE SZTR7-MB MATTE BLACK ro 5. APPLIANCES: w , FRIDGE-36"X 70" m F, DISHWASHER-24" N w RANGE-30" �w N C � • i- 11. FTK R 4%v5' -4 PLEASE CALL OR TEXT JANNY @ 260-410-7601 J co OR EMAIL TO ann ca ekitchens.com WITH ANY X 33 RW3815-24D I� DESIGN OR INSTALLATION QUESTIONS OR v Imo`' I N CONCERNS " " 1 "/ --- 35a s 1 52" 531" / CEILING H_T. VARIES FROM 91 3/4"TO 92" All dimensions size designations CAPE AND ISLAND This is an original design and must Designed: 11/4/2021 given are subject to verification on KITCHENS not be released or copied unless Printed: 6/16/2022 job site and adjustment to fit job JANNY O'CONNELL applicable fee has been paid or job conditions. HYANNIS SHOWROOM order placed. 508-815-1667 PEGGY SHERIDAN NEW KITCHEN All Drawing#: 1 No Scale. / 97 , u / 2 / 60 2" / 37" N W3642 oCK -- - 1"EXTENDED STILE N All dimensions_size designations CAPE AND ISLAND This is an original design and must Designed: 11/4/2021 given are subject to verification on KITCHENS not be released or copied unless Printed: 6/16/2022 job site and adjustment to fit job JANNY O'CONNELL applicable fee has been paid or job conditions. HYANNIS SHOWROOM order placed. 508-815-1667 PEGGY SHERIDAN NEW KITCHEN El 6 Drawing#: 1 No Scale. 3 „ N, J1 [ I k N � a 1 I B24-3 B 12-4' B24-3 SI 16 CIO „ 16 16 60"" 16 a°. All dimensions_size designations CAPE AND ISLAND This is an original design and must Designed: 11/4/20 given are subject to verification on KITCHENS not be released or copied unless Printed: 6/16/202'; job site and adjustment to fit job JANNY O'CONNELL applicable fee has been paid or job conditions. HYANNIS SHOWROOM order placed. 508-815-1667 PEGGY SHERIDAN NEW KITCHEN El 5 Drawing#: 1 No Sce N co W3033 1 1 _ f , BBSFP B24-3 / 24" / 12" „ 24 4" / / 49" / 12"' 61 " All dimensions_size designations CAPE AND ISLAND This is an original design and must Designed: 11/4/2021 given are subject to verification on KITCHENS not be released or copied unless Printed: 6/7/2022 job site and adjustment to fit job JANNY O'CONNELL applicable fee has been paid or job conditions. HYANNIS SHOWROOM order placed_ 508-815-1667 PEGGY SHERIDAN NEW KITCHEN El 9 Drawing#: 1 I No Scale. / 100—" / 2 72 / Ii 30" / 51 " / 12"--7/ il, ' TTId ' c Wq3033 2433E co .L N QK c. N— 1 . , . . l _ Ii p q�--- B24-3 DISH'IQ6 SB24-2D BBC45L-WS x • , I / 24" 214" / 27" / 24" / 2 / 372" 252" 372" / All dimensions_size designations CAPE AND ISLAND This is an original design and must Designed: 11/4/: i given are subject to verification on KITCHENS not be released or copied unless Printed: 6/7/202: job site and adjustment to fit job JANNY O'CONNELL applicable fee has been paid or job conditions. HYANNIS SHOWROOM order placed. 508-815-1667 I PEGGY SHERIDAN NEW KITCHEN El 10 Drawing#: 1 No S / 1184" / / 26 4" / 21 " / 30" / 12" / 29" / N - N 1 ➢ I 1p RH14302118 1 W2433LT W2133L /\ W1233R II' I I II I[ . rk. -- V 1 NN N. �J /�g / 1 HOOD INCLUDES , N STAINLESS STEEL I 1;) LINER AND i UT2787 BLOWER MOTOR SS1'/i'tRI Y —— LO I q��—-- BBC45L-WS NGE.GAS.30- B12Rij i 1 00 ^ r Li I I N N N - I . I , 45" / 30" / 12" / 29" /4 / 62 4" 56" / SWING OUT c USE AS WIRE SHELVES TRAY BASE All dimensions_size designations CAPE AND ISLAND This is an original design and must Designed: 11/4/2021 given are subject to verification on KITCHENS not be released or copied unless Printed: 6/7/2022 job site and adjustment to fit job JANNY O'CONNELL applicable fee has been paid or job conditions. HYANNIS SHOWROOM order placed. 508-815-1667 PEGGY SHERIDAN NEW KITCHEN El 1 Drawing#: 1 No Scale. — / 52" / / 16" / 36" / ilo "� Lo RW3615-24D N N o, REP3/487 r 1, —_- I KRFC,300ESSS ^I:9- , CO xN 7n I15n „14$ aA 35i16 / 6 34316r 1713„6 / I, 1 All dimensions size designations CAPE AND ISLAND This is an original design and must Designed: 11/4/2 given are subject to verification on KITCHENS not be released or copied unless Printed: 6/7/2022 job site and adjustment to fit job JANNY O'CONNELL applicable fee has been paid or job conditions. HYANNIS SHOWROOM order placed. 508-815-1667 PEGGY SHERIDAN NEW KITCHEN El 3 Drawing#: 1 No Sc / 388„ /6'/ 32 8" / \ �. W3642 CNI r L ) N \ All dimensions_size designations CAPE AND ISLAND This is an original design and must Designed: 11/4/2021 given are subject to verification on KITCHENS not be released or copied unless Printed: 6/7/2022 job site and adjustment to fit job JANNY O'CONNELL applicable fee has been paid or job conditions_ HYANNIS SHOWROOM order placed. 508-815-1667 PEGGY SHERIDAN NEW KITCHEN El 2 Drawing#: 1 No Scale. If / 63 "- 2 4 N. N CV CV CV 0, O, O, 1 - - f LTB243J '" LTB243J l ' 25" / 24" / ';/, 4 2 All dimensions_size designations CAPE AND ISLAND This is an original design and must Designed: 11/4/2 given are subject to verification on KITCHENS not be released or copied unless Printed: 6/7/2022 job site and adjustment to fit job JANNY O'CONNELL applicable fee has been paid or job conditions. HYANNIS SHOWROOM order placed. 508-815-1667 PEGGY SHERIDAN NEW KITCHEN El 8 Drawing#: 1 No Sc