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HomeMy WebLinkAboutBLD-23-005066 ^ nS 3t(i A \r\v ONE & TWO FAMILY ONLY- BUILDING PERMIT �\ 3 Town of Yarmouth Building Department ;•'"of r` 1146 Route 28, South Yarmouth,MA 02664-4492 /` V 508-398-2231 ext. 1261 Fax 508-398-0836 Massachusetts State Building Code,780 CMR \, hurnknEj Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Sectionti► For Official Use Only - Building Permit Number: `ll.115210I h,/ , Date Applied. _ _ _ ! V E D 1 l l"N SRN-3 • , 31 i'Cot? 1�23 Building Official(Print Name) Signature Da e • SECTION 1:SITE INFORMATION 13111LDIA tr i'ARTME • NT 1i c(... erty Address:w3.0ict.tt ltd. pr �� 1.2 Assessors Map&Parcel Numbers L4r:: _ 1.1 a Is this an accepted street?yes no Map Number Parcel Number j 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 I 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: t) Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP a n Cate / -7 2.1 wneripara• J �]�i Y � tU 1 /J ✓�6 `� L'[Ia. ,3 N e(Pr' t) (� City,State,Z1 / <stoop lake Rd, j '1 hee j oaf murhy 3 s c9 rna.i 1 . con, No.and Street Telephone mail Address J SECTION 3:DESCRIP N OF PROPOSED WORK2(check all that apply) New Construction 0 I Existing Building Omer-Occupied ❑ i Repairs(s) 0 Alteration(s) Addition 0 Demolition 0 I Accessory Bldg. 0 Number of Units Other ❑ Specify: Brief Description of Proposed Work2 JM4 OIC (t c j9. j 1- I(on!'" Ea-uk ,4-f t,b aA.G1 l,)t\nd m4 F� ( l 4. in S,� fi �ut� `�t`�Slisn�� 0 OWc.1 airs , SECTION 4:ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 1621 "!(4 1. Building Permit Fee:S _Indicate how fee is determined: El2.Electrical $ �! Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ tf 6 2. Other Fees: $ 4.Mechanical {IIVAC) $ List: �. 5.Mechanical (Fire $ - Suppression) Total All Fees:$ Check No. Check Amount: Cash Amours• 6.Total Project Cost: S l �4 LQ 0 Paid in Full 0 Outstanding Balance Due: • CIA • • • .! , SECTION S: CONSTRUCTION SERVICES 5.1 Constructionr Supervisorl U" 1 License(CSL) jJ5�4 ,` 9 c)o a CtmQ J! Co( ,QJ'n Licenseumber Expiration Date Name of CSL Holder 1 CI j 1 t i' n n ` a - 1i' nh 3I u�/• List CSL Type(see below) v No,and Street X�J J UO(,J O (J Type Description laitopqr,, r /a D -'))7X U ( Unrestricted(Buildings up to 35,000 Cu.ft.) F'l C !UU RRestricted l&2 Family Dwelling /Town, , M Masonry RC I Roofing Covering • WS Window and Siding SF Solid Fuel Burning Appliances S3R-333-121)2 Q.b(th r rnI-1-s 1()p r I , insulation Telephone vEmail address J D Demolition . 5.2 egisterped Home Improvement Contractor(HIC) ���/� �(, �3 0 m.Qv C l 0 HIC Registration Number Expiration Date HE Company Namq of HIC R ),.,strant? � i 00 iYn td Stre t I r1D Pi 0 nQ b P�'rni ti 0 h1 hp. corn ,I . 637.86 3 z!�_ 33 - Email address City/Town, tt fT y 1 State, 1,hIP ` JJ77 Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be c pleted and submitted with this application. Failure to provide this affidavit will result in the denial of the Issua of the building permit. Signed Affidavit Attached? Yes No fl 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) \.k►/' ! A. Date SECTION 7b: OWNER'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 act to tot of my knowledge and understand' a. Print Owner's or Au mixed Agent's lectronic Signature " �� 5 Signature) 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.govIota Information on the Construction Supervisor License can be found at www.mass.gov/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" §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 workJdemolition to be II ..11 conducted at I `5- 11,60Liyi �(� j� /� ll�' Work Address Is to be disposed of oat the following location: `` b( `L -\ �5AO( CC s30(4SV\ tAc13\f‘. W2--* \-(5\11,- raig Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. E )1 6 6-3 Lure of Application Date Permit No. The Commonwealth of Massachusetts Department of Industrial Accidents ,' Office of Investigations =A Lafayette City Center = 2 Avenue de Lafayette, Boston,MA 02111-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Long Roofing LLC/Long Baths LLC Address:300 Myles Standish Blvd City/State/Zip:Taunton MA 02780 Phone #:339-333-6118 Are you an employer? Check the appropriate box: Type of project(required): 1.❑■ I am a employer with 25 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [I] 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. t required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ 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. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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: Liberty Mutual Insurance Corporation Policy#or Self-ins. Lic. #:WC5-31 S-626143-013 Expiration Date:1/1/24 Job Site Address: 3\AJ(Q 4 0 k V d , City/State/Zip: ( v 9,34- uk ll 4 k m 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 DI for insurance coverage verification. I do hereby certify and r t e pains and penalties o that the information provided above is true and correct. Signature: Date: Phone#: 339-33 - 18 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): 11:1Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.0Other Contact Person: Phone#: DATE(MM/DD/YYYY) A�o® CERTIFICATE OF LIABILITY INSURANCE 1/8/2023 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). CONT PRODUCER ALLIANT INSURANCE SERVICES INC NAMEACT 16901 MELFORD BLVD STE 123 PHONE FAX BOWIE, MD 20715 MANo,Ex�. (A/c,No): IL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: LM Insurance Cp poration 33600 INSURED INSURER B LONG ROOFING LLC DBA LONG HOME PRODUCTS INSURER C: LONG BATHS LLC INSURER D: _ 8530 CORRIDOR RD INSURERE: SAVAGE MD 20763 INSURER F: COVERAGES CERTIFICATE NUMBER: 72387605 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 SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ $ DAMAGE TO RENTED _-- CLAIMS-MADE 1 OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO-JECT _ LOC PRODUCTS-COMP/OP AGG $ I OTHER: $ AUTOMOB ILEAUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADEI ''� AGGREGATE $ DED RETENTIONS i $ A WORKERS COMPENSATION WC5-31S-626143-013 1/1/2023 1 1/1/2024 / PER H STATUTE ER AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1000000 OFFICER/MEMBEREXCLUDED? Y 'N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1 000000 If yes,describe under DESCRIPTION OF OPERATIONS below 1 E.L.DISEASE-POLICY LIMIT S 1000000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of West Yarmouth, MA ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Jon Smith ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 72387605 1 1-626143 1 23-24 WC- I n0270258 11/8/2023 5:11:08 PM (PST) 1 Page 1 of 1 ��.....40 LONGFEN-04 DHARRIS ,ACOREP DATE(MM/DD/YYYY) `---- CERTIFICATE OF LIABILITY INSURANCE 1/3/2023 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 License#0C36861 CRNTACT Danielle Harris harm- Lanham-Alliant Ins Svc Inc PHONE FAX 16901 Melford Blvd Ste 123 (A/c,No,Ext): (A/C,No): Bowie,MD 20715 Ma ss:danielle.harris@alliant.COm INSURER(S)AFFORDING COVERAGE _ NAIC# INSURER A:Everest Indemnity Insurance Company 10851 INSURED INSURER B:Commerce Insurance Company 34754 Long Roofing LLC dba Long Home Products INSURER C:Burlington Insurance Company _ 23620 300 Myles Standish Boulvard INSURERD: Taunton,MA 02780 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR' POLICY NUMBER POLICY EFF I POLICY EXP LIMITS LTR INSD MD (MM/DD/YYYY) (MM/DD/YYYY) I A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'0005000 CLAIMS-MADE X I OCCUR CF4GL01198-221 12/31/20221 12/31/2023 PREMISES EaoccunDence) $ 1.00,000 i MED EXP(Any one person) $ _ PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT LOC I PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: ,EBL AGGREGATE $ 2,000,000 B AUTOMOBILE LIABILITYaCO BBINEDtSINGLELIMIT $ 1,000,000 ANY AUTO BCDXO2 i 12/31/2022 12/31/2023 BODILY INJURY(Per person) $ AWNED UTOS ONLY X AUTOSULED BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ 1 I $ _ C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE 600BE00525-03 12/31/2022 12/31/2023 AGGREGATE $ DED RETENTIONS Aggregate $ 5,000,000 WORKERS COMPENSATION H AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYIPRO/ME PROPRIE ER PARTNER E ECUTIVE N/A E.L.EACH ACCIDENT $ OF(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 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 West Yarmouth, MA AUTHORIZED REPRESENTATIVE lM4/e I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THE COMMONWEALTH OF MASSAUHUSE I IS Office of Consumer Affairs a i,d Business Regulation 1000 Washings•te#;- Suite 710 BostorizMassachusetfis 02118 Home ImproveffenE c tracto tr.7,eaistration + 'I ( �,° i� I z Hi 41 111 q ,i iM I _ ; ,q i :1,j' ll i :p�r� 1 � 1 `I ' ( I;Type: Supplement Card ill r ,— e id ration: 187510 LONG ROOFING LLC to, 11 I s r Expiration: 04/20/2023 D/B/A LONG HOME PRODUCTS ''� �M1 , -�' . '',j P,,1 he itu , 8530 CORRIDOR RD, SUITE 200 "''��� `"�' ' s "'`� SUITE 200 l jI '+^'-- SAVAGE, MD 20763 h '+a • a. a " +,.. f t4 ter , ,t0401 `�3�#u ,i t..^° ---1 •1 ' "'' Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS , Office of Consumer Affairs;&Business Regulation Registration valid for individual use only before the HOME IMPROVEM;E►VT•CONTRACTOR , expiration date. If found return to: TYPIE.SUpp ernent_Card Office Consumer Affairs and Business Regulation Registration $ Expiration ; 1000 a hingtonStreet -Suite 710 1 7+516_ 04J2A1202,3 Bos on, A 02118 .ONG ROOFING LLO, 1�) _ij,, irk 1 Ie',j , )/B/A LONG HOME PRO,DU TS ,.11 1p II 11Z1 TAMES COSTELLO ,, • - aS+Y �/ 1530 CORRIDOR RD,SU E`�2. 0 .1 '_ r ,,,,yta.�wGtoy,4 ; / ' SAVAGE,.MD 20763 =�' Undersecretary Not valid without signature • • • • • • -'••••• 0.8.14-m-61•016aitty'..oC- 4.ssathi.is-elf • • :,; --rr• .• • • Division or,Prifgessitinal•t.legnstire .•'1: • bogiti:Of EftiiiiiicjikOgi.ilqtions rid...-st..faniprds...:. I . -Constets*_,. tiVIA0Ir • CS-1 5O • 1. spires;.• '-'13-4,,,IXtgAf69-9g,s.#111.1'94:ErK 4 x-e-41;iii5t,674:=7,:tiq• • •i§j-isfiRis2,F-apm'imli-„ii:?:: f-a, 1..- . •••EAST. T , 4•r. t•....." •„It • • . *far-., •r -• • . ..": • ea fill i -40#21"R•...V6kcifr •-'S••.1•"• . • • • • • • MA HIC#187510 Page 6 of 18 Long Roofing, LLC •300 Myles Standish Blvd Taunton MA, � Q 02780 (800)470-LONG • (240)473-1400 • LongRoofing.com PRODUCTS By Long Roofing, LLC Barbara Murphy 5087756987 Date:02/16/2023 15 Swan lake Road beejaymurphy3@gmail.com Product Specialist:Veronica Swan West Yarmouth MA 02673 The Buyer(s) listed above hereby jointly and severally agree to purchase the goods and/or services listed herein, in accordance with the prices and terms described in this "Agreement." Homeowner's Association Approval Required NO I do not belong to an HOA. I accept FULL responsibility for this project and authorize installation I confirm that the above information is accurate Dumpster Required NO I confirm that the above information is accurate Are there electric lines within 3 feet of where LHP will be performing work? NO Preferred Method of Contact Phone Phone/Text/Email 5087756987 Total Purchase Price $20,546 Deposit with Order $2,500 Amount Due on Substantial Completion $0 Amount Financed $18,046 Form of Deposit Credit Card The Estimated Date of Commencement of the Work Is 8-12 Weeks The Estimated Completion Date Is 12-16 Weeks I am aware that the above dates are an ESTIMATE The Project Is Contingent Upon Obtaining Approved Financing, Permits THERE ARE NO ORAL AGREEMENTS 6 911 Promotion Selected(Cannot be combined with other offers) Promotional Financing Customer Promotion Acknowledgment /b9"- This space intentionally left blank Ieaptoci!J f l.corn 2.142 It is agreed and understood by and between the parties that this Agreement, constitutes the entire understanding be1h of 18 The parties, and there are no verbal understandings, changing or modifying any of the terms of this Agreement. Buyer(s) hereby acknowledge that Buyer(s) has read Agreement and has received a completed, signed and dated copy of this Agreement, including the two accompanying Notice of Cancellation forms, on the date first written above. Buyer(s) acknowledge that they were orally informed of their right to cancel this transaction. 1a Veronica Swan Barbara Murphy 02/16/2023 02/16/2023 Date Date You,the buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See the accompanying notice of cancellation form for an explanation of this right. This space intentionally left blank leaptodigital.com 2.14.2 Page 2 of 18 MA HIC#187510 �'.=:. Long Roofing, LLC • 300 Myles Standish Blvd Taunton MA, 0 Qc 02780 (800)470-LONG • (240) 473-11400 • LongRoofing.com � �� PRODUCTS By Long Roofing, LLC Barbara Murphy 5087756987 Date:02/16/2023 15 Swan lake Road beejaymurphy3@gmail.com Product Specialist: Veronica Swan West Yarmouth MA 02673 The Buyer(s) listed above hereby jointly and severally agree to purchase the goods and/or services listed herein, in accordance with the prices and terms described in this "Agreement." Windows Being Replaced: All Windows on Property Total Windows Being Replaced: 1 Entry Link Number N/A Window Job S.ecifications 1. Obtain all necessary insurance V 2. Arrange for pre-installation measure V 3. Prep individual work areas. (Homeowner is responsible to remove blinds, drapes, furniture, security systems and any special items.) V 4. Carefully extract existing window(s)/door(s)and prepare opening for new vinyl window(s)/door(s). V 5. Install new vinyl window(s)/door(s) into existing opening. a/ 6. Square up/adjust new vinyl window(s)/door(s). V 7. Insulate perimeter of window(s)/door(s)with fiberglass, if necessary. V 8. Custom wrap wood exterior with PVC coated aluminum coil stock. 9. Caulk with OSI lifetime caulk. OSI can produce a strong odor that can last up to 10 days. V 10. Clean up and remove old window(s)/door(s)and debris and dispose. V 11. WARRANTY- LIFETIME TRANSFERABLE WARRANTY Initials Window Item 38-83 UI Window Style Double Hung Room Location Bathroom 1 Glass Package Low E Argon Size 31 x 21 Quantity 1 Capping Color Colonial White(PVC) White White Additional Details This space intentionally left blank Page 9 of 9 Ima.e: 1.15 - - -• , .„, This spa-cies intentionally left blank leaptodig1tal.colli 2.14.2