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0140 SPUR LANE
a SPO 0 0 Town of Barnstable Building , A IPost This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job'and this Card Must be Kept RA 74 Posted Until Final Inspection Has Been Made. t Permit s63p Q�� � Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. ��� Permit No. B-19-2942 Applicant Name: Jonathan Whipple Approvals Date Issued: 09/11/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 03/11/2020 Foundation: Location: 140 SPUR LANE, MARSTONS MILLS Map/Lot: 027-091 Zoning District: RF Sheathing: Owner on Record: DOTY, RENEE M&JAMIE R Contractor Name: JONATHAN N WHIPPLE Framing: 1 Address: 140 SPUR LANE Contractor License: CS-078683 2 MARSTONS MILLS, MA 02648 Est. Project Cost: $5,121.00 Chimney: Description: Insulate attic and common wall,vent bath fan thru roof 4 inch, Permit Fee: $85.00 Insulation: install ventilation chutes, home air sealing,soffit vents 4 x 16 and Fee Paid: $85.00 weatherize doors. Date: 9/11/2019 Final: Project Review Req: Plumbing/Gas j .i Rough Plumbing: _Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. , f' _ -•� Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this.permit. Minimum of Five Call Inspections Required for All Construction Work: �? Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 6h«ys e Final: GrY►vFtr- S� r r Application number .'...1 �. U .- -Q- () Date Issued............................. I ........I. . sARN3TAam ,'"6"SSp, Building Inspectors Initials............ 1°rFa +�': ►�, 4�� Map/Parcel........rQ. .................................................. May 9 T®M/nee; 2 OWN OF BARNSTABLE '42P�TED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION I , Address of Project: N O cSpur Lame �arstvns r1://s NUMBER STREET VILLAGE Owner's Name: Sa.►,;e `�-�.� Phone Number Email Address: Cell Phone Number Project cost$� ((o Check one Residential Commercial OWNER'S.AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: fee 44,a X ���I Date: TYPE OF WORK ❑ Siding 0 Windows(no header change)#, ❑ Insulation/Weatherization ❑ oors (no header change)# Commercial Doors require an inspector's review I 0 Roof(not applying more than 1 layer of shingles) Construction Debris will be going to ww- she rl� �-�" �✓����.�r�r CONTRACTOR'S INFORMATION Contractor's name ' 00n or S o c L L C Home Improvement Contractors Registration(if applicable)# l 4 t"o 5 8 �'I (attach copy) Construction Supervisor's License# ([ D-7 C, ?2 (attach copy) Email of Contractor ,u'�• Phone number L i! ALL PROPERTIES THAT HAVE STRUCTURES OVE 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one:this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s)of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3.30 pm-4.30pm. Commercial events may require Fire Department approval; *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles:front back left side right side HOMEOWNER'S LICENSE EXEMPTION r Homeowner's Name: i Telephone Number Cell or Work number I understand any responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I ain4grstand the construction-inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date S- 2. 2 ^ l All pe at applications are subject to a building of trial's approval prior to issuance. MA Rog .CT ao¢0ososzi 6cO621e Page 1 of Federai !D :.._ R oofin Cotr 0 Jot. Cuomer'1 .06' .. ,. Jamie Doty 4. �61�� say 4soo (� 140 Spur Ln Date 04/18/2019 Marsfons Mills MA 02648 mes Ba mor Rep Ja Isa Office -242 .. Locatian;A re.ement .: �� t�.� NEWPRO hgrgbM reesNthat it fgr th�e�consicieratron�h � ` �`` �� " � � � __ s rm � ereinafter rnentionedfurnrsh all<labor'andR " � necess ryto install the> Dods urchased.b Ovuneryn�a - <� r x�* f ...9 P y n �`�� ...: r k . W matenai, w ofbthrs-0agre`ement col e r� s ' zx ' : ccordancex with the termsdescribedi;ontl�e f. n =( I ctiVeiyr this „�9reement"r,2=t t o' .:. �� , r r _ .oilowringNpages Y>t: 140 S x < �. ) h premisesrioca rr , purrLn 7 tk X.v�n :ii r t ..f h t. Y auk ted at pk ✓ s Y L' , '"S gyp. ".E�,�T'Yx "'�frt E:+. `F yT ,� 4 .tr .r-Buz:..,f>� ' sr � ..rr �r'r.. '> - 9 -. [: �n*aw "�. v 3 +, •:b'; a 2a -} 3'> try p �YF 3kA t-fit. sf?'r z e. i; Marstons.Mills ' 0264.8 � . a.. sa �y r ix $ ....................... .. M. �,[.... r h .E st Y t G..7'«ti -y !ate q m m "s �'19 3:[�t L'°"- "� "�` E,my* {„,n > .E,13;y, w' '�tY>• s::. a/, E E�'R i..L i" <.^ 2' • Shin le , „.. �' ` Roof Details , tz MR ks GAFTirnberir ' kiq 3IA y � z . a � ne HD Lifetime>" � # _ dt> 77;< Y r :Underla m r , < . a rColor F i xs'�3Y ent, �,'r.�w Protect=Ail a151 " y. ., 4 F :�Timberline;FlD. ;:Pewter Graff rlavet k , k gotection � � Drtp EdgeYColor p T. , g� .,:�.Y'°rP ,.:E..+I �''��"��"��` k � �','M�fF, .a.. a .� "''* '��'�1=r t : ,fie$"}� �`$'...*,r� '�`."' �•� ,�: _`��„ E?°'�`z :`, � 4 { tt.�."'f .r e,' Roof:Installation Q Mons { >�7j4M :ek r 'nP 4a_ +z7 3,bRr.t ChimneyLeEdd i w f yq�;k'Yw �Y t+ mgb5ixx - ' •"L:Z,s 'ON k .L,"- € y QTY 1 Slock;outtGabl1. ehy his Foam,:. k;- :. :'�.5 Y' ava r r ( insulation boardover insideNo a term ry " * +1 ''I a; �E�'A' r�X ! X or-work f ^ 3.r':`1.,C' 7'NMVs»b :/'. +: .'r{•,y ✓ �44° T5 :Re airy., •r? : , r;;a�e k�% t � ; a f „: = fcs #tic Q 2•� px Wood fascia/Trim;Boartlss(Doesnotrnciude R: � �, & RNGutter)rx s v7 sf "4 -r a 1`�t'+,Vent k s a.'Y x?>=cY -r ',$ . . � i,425 �'s ` li yr`e .. i a,6'bs.�.w.r` rC hr:atb.% ,n sN zS ' S`.� Ey§. y'� '0. s a,, ,y. x;: .k` �r 3 't=ya z x ,a''s !5 r' s;�,F xw»•lY' �k �` x. }- `k d r e't ' 'Tr '^aw �� 2 ..W +Ri';. j�°`` r »#_,~i. .E , gx�ypp s a..♦•'.a'• a c f,., ?�,v r .��'' 7 -y: J^. �.ci::,... - ' .� .5. "o-5.-. ?�"-'r'li_."Y„;aQ` yYX,�J srs-'ri ,aaY^x'c�rel•>: ,µ1ak^�s..E:rM9 'a-Sre, + ,s�l'4 �rk...�` fq; :t ra+}' x t' �'"zT �� �'s, ���' �``��'� ��z'�AnClUCI�CI� Total PrEces k k ° r, 4 # r h g��W�. ,�A .` a�ts "' rrcgr,.,-kE r k x k rk.+a -°� i ! s�.,15'4 S�r .t r r�4 yn, d-„aF t , °9 'S `' i v ri�`J' ti"> Y: ;r 2�E;.pQSlt{'f...x t t' '3°§•.' ,}�'.b ^�',.1.` "d .kz ;{t""' "��Sw�N `?�. Ja�r+ `oa6� N'Ea" � r.. - � cC^- i ,,.. •+ : ,.i f. wh...a 1..:d r � - Fj .+wx "� #'� " �"" y,�� .lxs .�.�,. `„p� :, kser 3 .,`s t�s .wY Ak. § 1 -s<. '` `.i ° <ay. `` x x YC ,s w:=sz rt3 #'i,.... :.i££`zY � .N'.. dt r= 5��' �3+�i.... `.� ,o �i 'rS °7a �s1%Q3'' Due Upon Comp1etton w }k A� �; � gv$ , E+;. „ + h k � -.,-a:y.- �. n.�'n+ '� r} Payment Metho t ,. ,K � 7r u$19163 r hA > fiat 4ry ar.5>1 zau1 •G � i= s' ,? a u '+ t r �� 7✓a ; xv t a�v a y ; Estimated Start&Gom"'letion.Dates u .,., vt a ar ; EstimatedS#ar>t Date. '}s{ L .:;.2.( tki V �,r4��xxX... s p8 . e'.za r' ,4' .: r;—, rs'.v' �rSa.a". 3-�.m t r ''t' $.�zYS+" b. tl-'{. � X ve_k 4 r$" 'T•':zs w � � xQ 05f13J2(?19 Estimated t k" �� � : , , f CompfetionxDate b f _ J >� s ,> < 4tn. F r xtk ..^t;' <-"- dj:s� rg' wan. .»' 4 °'Yx.`°.:a s »:z n� -,a a✓ ..;* �i .s .Y ...1. ; r.:5...�'1�e `, '`", S'i' " su.'�f`'�?z�'. �9 j"I '?h: �"x'd' " �.�,.,aw K ��� Y.> t.:F" Y. `'.1� likX� ,' t h Sv as > aI r va t m x ayl d 4',�.G -"ad�P.Y�. }�a„"p'•�Q ; S.. 9:+�. �.-!' k. 3 •� �i'I' 3 '�• 7.�'l ; F.�,.S,.,:: a "> '�.'`� :?�xxx:.. ro�"�" } thaUA es.e'are estimated dates and wiNsb '-' r.w. a sf Wedj .sI a contacted to4schedule�actuaictlate • Addltl _ ._ �r�^rr,:uiP,Y'+.t a>:.�':��� �� ' r7"✓•iY 7 lj Yr135'c '>� -E 2+'f`=3Sa ..... 6 �K,n Newpr��wril�rerrioveany demoedor installation_debrls�tr -g 3. f :X ._ 4 were a � i r_ ,� x k r ,r€ r: x.tx: om the property in relation tokthis.co r Epp retl at thye time of pur<chase and earn ". #4 °" �° 3 ; � ntraet All promoirons„ , .. a..r: f u � ,not be4 combinedw than hfutur o"hers . N �.zrZa*��yf9> £..w" �°'�-- `s_Yi'�'-? �, 'x+cr�xb.!C;�'�i 'zCf }. �,et''a•7s , _;e .5% ' n•GFi�.�`r _.. +.F»xip, sfl-r"ri,�(�3�,::�4*,,aya,'`'a.ij :.:AS.tark ' `.. is x .yE.x,,-e,,, .s:.F r. �"a..k' EA S" s k' �.✓se �.' ^,��.M arp from roofIto Wound t u xr k xiax .;ham k .s �a n a keep Cle,a,nT- n :s..�,.. :y>C's,• .F..�.I.:.s: .. r ar 1, ; Startef CQllrse •�Ins.(tail8, tlri Y ;<> p:..edge;,a.... .. �.i''A Yi'`e�"... zSh«+ •y:r �'.ax Z dd�y�.S f a. .:,t':tri'..'�* 2 ',. '+s,# .j%A g `";3�* k.r» .,k? ,`'�°,a �.. Ora o %i Nxr3 [ :t eaY.3. rr ReptBCB 8lt Gi1llilne S ? ? ffi is c.s . M .f z} N,,,!x*4 ePlaca l pipe collarskwith ne "°` "` �,v R$ � g, Y flashing withknew leatl as needetl x ex rah,• wheavyfduty„alummum .kGl�an�up&,haul awa ..:Y ., - a •"Matchingrliip, nd'aid'e stiin 1�? 'k ` � "i` �> �: r yjof tobxreiated dehrts x.: .9, es on all roofx eaks `se : m w�* . ., ,•_., r� . ".+` R tip, RCustomer..to re ove W, kabies`lroin wat Y x omer.asked:st'o..cover,!.itemsJnattic'"'� �`, „ a•. `y 'Y' '§+<x,�th'I's:..c'`'¢..:...'E;t" . � a .�4>R. . #., ° h #S SU3C r �br5L1t5f(ct�}a """ �y x'4 }::- a • .. �. �fY sank .� � Y• r a Customer information _ Page 9 of 9 Jamie DotV (617) 945-4900 (} Date: 04/18/2019 140 Spur Ln Rep: James Balsamo Marstons Mills MA 02648 Total Price t $19'663 DepO t'A`t&� .'f�' �"" 'y�'i`r, t� s ssy�k �•l� t'�.�•° �$��o'�?.•''^�r-}�S, �'n+r'Y;"¢"m�,�"'M3+*y,'° � e�» -'''ak - Balance Financed �. . .�:.,, � � �• _.�� �tL.. �4� y n� J.+ ` . 500 $19,163 Amount Financed $19,163 d'%�'�t S.Pa�.� i ,�%(j't�,•r"r� T aT` �" 2 1 P AC;ua se: Stage 1 to{be processed .c .( t•'V a3,� ` fi + 1 u. ir. r r i' en r,�'t t ;°>�g z.y s s�`a`r` ' ''' r 1 •-5,. r .$�7 J8 i .� ,, �r ��.,�; � f`� ,` ;!' "�:,',�7 +#:i fit�' .� tt ,�` � � �a ;•f� ce,,�+ ?,� < t t �,eh 7 its �rt'?ct s s w ,� �. �e �� a � rs e A hti '�- �$ 4', iw.T' F.s ass r'• 'tr'. ,a3; ,� � 'l d ��T� ��{ •t„y P�f� w � �•' .�Rx his �;`$v � �i,i s (� �@� �` � r�t : �'" ," a� �t �� �. g t�ar< s e, •� -fi xi}:+ 4"r�• q. r n � v: � r t�`r, '�.•f'�.Xt. }�.,R�v�..w. w�' F W._=m.�,nro.. ��r�.�ual.,,� `r��b� .?�"'>S�,r�.��5�}'�<af.�;..sa < .:.16�t•+ � .. �"" Stage 2 to be processed upon completion i �$9,582 ssr - fF r w+�.g,d,nF-_.p^`: *t� g t^••^r y+,r&....aY�'^ "�- x•.t. •;yS H.:'_�'.,.�q_.5"Fv' r .� .�u<r �. .y.�; . iFiriancing terms are su6�ect to change baseif upon�evlew f}cust mer credit histary.; t a �„; �� �� '; a'-� i,'"` +�s,�� "`KY �Kns�,4`"-�".-.t'£�e�;,,�:.;k��c,�,:"�•,.,, 3a? ru't�".F3:x*.tirY�'G. �.�:�'9?. °y.`�t �7,,.T4'r,�`•.zs, � ,��- �, .'"r +s +-. p 4' r?sa. ,, >ff:x�:.i ,.G:aat�^" x £-3t«>,•C� luG`�ia:��...e{Yr?i`��2 r-;.�ealc•.�^.f Customerinfo. . , Last 4 Digits of Social i Account'Info 0725 Account Number: Exp: CVV: James Balsamo Jamie Doty 04/18/2019 Date 04/18/2019 . ..,_ ,.,,. . ..., Date +t'"-r rr .Ir3 .F;', R 3`'f�• t r 2. r' It`£ say"M4°.� ^ ' � �t4 '+`. ,:, £p ^i }fi:. � '��q�rr� �•� • " t fi "r�:" ,�( y' ' p�" �`' ,.•' �: ,r` y' ^w ,r'rf "�."a 4£,'T ` "t' yf' � �` z,T' { 4• ter. s ^Y ,G.r ./ £'� ? � � :r infe^tti ' A,4 p��.� :f <rr r; ' ;r y,` tr" {• tF ,x S£ jr �,�� d ,s<` 4,r` ar .t!' �,✓ •6 �' � � � r!<� e � �`� ,��� �, �` . ,� yr• 3x .r�• � ..� lkS T � }�'': �'r�!R ir •3� ,,rrB'• A � .F ' (✓/+4� �� � �.�1 4C f "_ .et• f =�,� " elf, ff .a .5 rl y .£`� «:, i, *,• ; "a.�" 40 .r' ,r*• ,,,'i' r, ,=R I ,t f• ..t� f� :a" Ig' ,{!" f j .<'6 Ir �r' .A' r+ u. 3`• * ,f _�• t jt :x X-V Or'fica o� Consumer Affairs and Business Regulation '1000 IN-3shington Street - -Suite 710 Boston, klassachusefts 021 -13 Home lmprovement:,QOntractor Registration Type: Supplement Card Registration: 1146589 il,iEINPRO OPERATIING,LLC. Expiration: 05i0-V202I 26 CEDAR ST. WOBURN, NIA 01301 Update Address and Return Card. Office of Consumer Affairs I austness Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE--Skiipvlement Card before the expiration date. if found return to: Realshvidon Expimflon nsuer Affairs and Business Regulation 05iO4/2021 1=6 of 9 0 gt rn 0 in on Street Suite 710 NEW PRO O-PERAT'IKGf,"1.-LC. a6son, A 02118 7 JEFFREY CONNORS-!ii-:- 26 CEDAR ST. 'NOBURN-MA 01801 Undersecretar/ of valid without signature Massachusetts Department of Public S3f'-'tY 3 3card of Building Pcgularions and Standards License: CS-110763 JEFFREY CONNORS 64 OLD FIELDS ROAD SOUTH BERVACK ME 03908 ::.(Piracion. 06/0512020 J.: "•'ram-c� :may• ,,,...:: '.L,. 7.. 1 ' � •rESe � 'tii•L`��r�('.:.:ga >n,17 i} l 11 `J'• Y�� > •tin' +i'a�l: R-t y to •, Sb.. •��f�i 1 :;��"Y`rl-si'rC��tl a' � {k�k?� ' �.r1•r�'-:, fit.. 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T.' : 1_c _ a fi!v'c,-'�_. zc_+aF.v r':'1.;'=G:il:• '; :'�--7.�:—. •a:+b�k t, ,;S.�ys:I"�. ;:c: 7:. `{`�iT,. -�ai''-':.r:� 1.r...\_ ..;:+y::x.>:•- ::.�,,,'fl,:';,:;:::.�:�;��r :.r`:._`C:=p •7� _ :-?-�,. �:'_.- •"F y>+�yytr,.�.�i�=.tiwl�1. /z.iy;:_:'-�+;c;� -1:..:',;:,'_,`-^,yam. - _ 't.''�••�i ��%�<j.'XC ;;51;'';r �:.r�,. a):",� ,.�: d•. - �4�." J- �c��=''�V :rr l--- >"� ., i :1. ::8� :1rr� - •;�'S:;:..-r,'�r^•f -!r,:> `): :i�'S:e:4ASe,:i,. ;Iw..__.(. .� er,rv,e;r;�..:I,.^1 iP.¢' •,,;wi. ;:i��';'),k:>q-'-•r,- ,��.,r-. s.J`� t�'':.r,.y:�:f��'....,. .K- ?.ad:rf:..�i+: 'r ...,'�! ." .;:.. '.>:�:...,...... -.._..'.,:.tiri.�-•.:.r''r:F ,./'i �.5:'1c^-•'. rrj_;C' :�f.,�♦.r-:tv_�::: ..�I.:. _ •.1.• �ti:-. +!%tom f. ..n:fi :+:e r a�w -%lrR - ,l r. ;r - - ::7„ram .;.�• -l:i `x_.:>+�Cv: _,t-::i�=<+r.. .✓._..- _ -.Y:n ,nlTs f�-i%"�:�'�':..ti.. :P:. - - 1-ri^'-:3' ;5::?'.�' _ y<..::_ dq�'P�:� �i•'.T.-J .•,. '.f - -.tea.:•. - F' ri _ 1 .., J - -ter-.. x'=-_-'.�;:.:e�•�-1._-.:, '�1 s•.r3 .�"•.; ,s,...�.,,.:�•. v Os .r. < :7�:'�:e";.,, aa•. .ar. _ .:...::....:. y.n.� f4 �•C...iti�.L:r��'�i:i J:.................ij_-.yj{.:-?!r�'!.� ���C::'•.l y_ - rr�,�cs..,3.1 A;. �=Y"'•; ..I.l....- .di:•ti7...- .;�.',��:?'::'�,ir:i3 - �i.:.�� :.�a>r,:•_.i��:z:r ;`^•:cG'. ��=^"%r-`'^=:�.> -r�:�.L�i'-,.,..r �.�y�:•�) '�sy The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 _ Boston,MA 02114-2017 www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERI�IITTING AUTHORITY. _ Applicant Information 1 Please Print Legibly Name(Business/Organization/Inclividual) I ` �— Pf'�i•l i ll S LL. Address:_ 2.� �'� r Q-f— /State/Zi ; Ci �' P UT n l Phone#: /—8 0 C7 Are you�on employer?check the appropriate box: ��.I(/ Type of project(required): 1. [am a employer with Z-0 'employees(full and/or part-time).' 7. New construction 2.❑I am a sole proprietoror partnership and have no employees working'for me in any capacity.[No workers'comp.insurance required.] 8• Remodeling 3.Q I am a homeowner doing all wort;myself.[No workers'comp.insurance required.]r 9. ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my Property. [will 10 Building addition ensure that all contractors either have-workers'compensation insurance or are sole 11.Q 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--' 13.QRoof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other 152;§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box JV1 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 ;Contractors that check this box must attached an additional sheet showing the name of the sub-contactors 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'cTO nsation h1surance for my employees Below is the policy and job site information. Insurance Company Name: Policy##or Self:ins.Lic. Q`7 7 Expiration Date: "5- / Za Job Site Address: /z/0 S,01Jr Loll P City/State/Zip:_lyoyr i,.ts HA Attach a copy of the workers'ctompensation policy declaration page(showing the policy number and expiratio#date). Failure to secure coverage as-required tulderMGL L 152,§25A.is a criminal violation punishable by a fine up to$1,500.00 and/or one-year impriso ment,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 viol r.A y of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verificatio . I do hereby certify. nd t pains and penalties ofperjury that the irtformadon provided above is true and correct. Si ature_ Date: S��2 Z—1 Phone#• —8 y— L Official use only. Do not write in this area,to be completed by city or town offciaL 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��.�ci'.& �^+ � I ;;aA�®11�i�' �7 p7 � {��,� DAr(�mwomr.^:1 ,00 C.EIR T I� ATE OF I IABJLI 1 Y 'IJ�J BUR 1J �E 04/30/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CON.=EP.S NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT,AiFFIRIVIATiVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOIN. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTF 4CT BEPJVE'cN THE ISSUING INSURER(S),AUTHORIZED REPRESEi`ITATWE 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 IMAIVED,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 andorsement(3). PRODUCER NAME ONCT Melissa Pflug Mackintire Insurance Agency Inc HONE Ert: (508)366-6161 ac,No: (508)366-5202 IAIC,No.11 West Main Street E-MAIL melissap®mackintire.com ADDRESS: INSURERIS)AFFORDING COVERAGE NAIC II Westborough MA 01581-1931 INsuRERA: Sentry Insurance INSURED INSURER B: Middlesex Insurance Co tNewpro Operating LLC INSURER C: Guard Insurance Group 26 Cedar St. INSURER D: Colony Insurance Co INSURER E: Woburn MA 01801 INSURER F: COVERAGES CERTIFICATE NUMBER: 19-20 PREVISION 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. IL7R TYPE OF INSURANCE INSD NND POLICY NUMBER MM/UDD eFF MPOLIDCOY Y LIMITS COMMERCIAL GENERAL UABILITY rGENERAL URRENCE S 1,000,000 CLAIMS MADE ®OCCUR Ea occurrence) ; 500,000 An one person) ; 15,000 A A0092403003 12/31/2018 12/31/2019 &ADVINJURY S 1,000.000 GEN'LAGGREGATE LIMIT APPLIES PER: GGREGATE S 3.000.000 POUCY PRO 2,000,000 JECT LOC -COMPIOPAGG S OTHER: S AUTOMOBILE LIABILITY Ea acdtlent COMBINED SINGLE LIMIT ; 1,000,000 ANY AUTO BODILY INJURY(Per person) S B OWNED SCHEDULED A0092403004 12/31/2018 12/31/2019 BODILY INJURY(Per accident) S AUTOS ONLY I^JAUTOS HIRED =NON OWNED PROPERTY DAMAGE S AUTOS ONLY ^ AUTOS ONLY Par.. Uninsured motorist BI Is 250,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE S S,000,OOD A EXCESS LIAB CLAIMS-MACE A0092403006 12/31/2018 12/31/2019 AGGREGATE 5 5.000.000 DED I X1 RETENTION S 0 S WORKERS COMPENSATION PEROTH- AND EMPLOVERS'LUIBIUTY TAT ER Y C OFFICER/MEMBER EXCLUDED?ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ N/A NEWCO28778 05101/2019 05/01/2020 E.L EACH ACCIDENT 5 500,000 IMandatory in NH) E.L.DISEASE-EA EMPLOYEE S 500,000 It yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S Limit $1.000.000 Pollution Liability D CSP304242 1213112018 12/31l2019 Aggregate $2,000,000 DED $5,000 DESCRIPTION OF OPERATIONS/LOCATIONS I 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. AUTHORIZED REPRESENTATIVE MA 01504 ' ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD . .� Town of Barnstable Building asreus Post ,This Card+So That it is Visible From the Street Approved Plans Must'be Retained on Job and thisCard Must be Kept ` AE& Posted Until Final Inspection H,as`Been Made_"t _ ` ' ;:� - =`f �iP N Permit niud•� Where a Certificate of Occupancy.is'Required,such Building shalhNot be Occupied until a Final Inspection has been"made" Permit No. B-18-1978 Applicant Name: WINDOW WORLD OF BOSTON, LLC. Approvals Date Issued: 06/22/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 12/22/2018 Foundation: Location: 140 SPUR LANE,MARSTONS MILLS Map/Lot: 027-091 Zoning District: RF Sheathing: Owner on Record: DOTY, RENEE M&JAMIE R Contractor Name-4,Jeff C Steele Framing: 1 Address: 140 SPUR LANE Contractor License: CS-072772 2 MARSTONS MILLS,MA 02648 �`-� Est. Project Cost: $3,857.00 Chimney: Description: Windows 7 Permit Fee: $35.00 i Insulation: Project Review Req: Fee Paid: $35.00 Dater 6/22/2018 Final: Plumbing/Gas Rough Plumbing: - ---µ-=---s— wilding Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approvedconstruction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. ( t Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing , - 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: . S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Application numbel .J.l �O / • ®� � , � Date Issued............V.l.�'.�1.fig.......................... HA"SfABLE. R , i6 & 0�' Building Inspectors Initials. prf639. JUN 2 02018 Map/Parcel.....Q.2-..L::.... L................... O TOWN OF BARNSTABLE 35 -00 EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: /L/O S,Our I-all e-- tZL01 n% tlk l l S NUMBER STREET VILLAGE Owner's Name: i y Phone Number 17- WOO Email Address: Cell Phone Number Project cost$ 30-S 7 _ Check one Residential v/ Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance/with 780 CMR Owner Signature: Se Date: TYPE OF WORT{ ❑ Siding Windows (no header change)#_7 ❑ Insulation/Weatherization ❑ Doors (no header change)# Commercial Doors require an inspector's review ❑ Roof(not applying more than 1 layer of shingles) Construction Debris will be going to Gad -,(-e ,n a--\ )P,,, Q-R H 4 CONTRACTOR'S INFORMATION Contractor's nameSfiQe�e — �,1 Wor (rQ �oStOn Home Improvement Contractors Registration(if applicable)# /�0,2 S (attach copy) Construction Supervisor's License# C7 2 7 7 L. (attach copy) Email of Contractor Phone number 7 F 1 - 1 3�- L(?O! ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date LICANT'S SIGNATURE Signature _ Date All perms a ' ns are subject to a building officials approval prior to issuance. Window World of R ton Mn C,m0 n Off%&ShavY 0% W �Ifi�{rfrV+� 015ACummimgsPark 02950td0akStreet t1f9025 Wobum,MA:01801 Pembroke,.MA 02359 F#dewin (M)932-4805 (78.1)f3m6281 62409&412 www.WmdowfttfdofhoiWn.com C1s(om1 fllf / Prone(h) 'Q 'S' Of7 Install Address Phone(v� City:ZZZA? oil(S ?lttt.S' s a:MA zv OZ6 t INDO.w WORLD GLASS OFTTONS 1000 games Sin9le-hungA1AWd $189 _Sclar2one M._Dual Pane $f 19 20M Serles OH Mach/Vvelded Sash $216 _Tripfe Pend"/KtVpton i6g �_4000 Series OH All WeM42402M80pp p . �_..8t)OOSerles:OFFAIFWetd $260..•. $374 WINf70 .:.2'tiilb Slider .. `3Lte88der fla-Alm $675 &eekagaW--n►y(4OeoMW)-$1.5 F3otyrra/)•.xed L(te,(MUM. sm v Screens g91NCLUDm .:aPi'�wFepR;xsa Lire{6?!-isoul� Saar � - Irlgujailon:an..(ambsan�}.kgac'.�.`.( E . lD�ybli'"r1 [fI'alass'(40Dt/8000)- $151NEU1)DLU•. w r••�•;.:.-.. .�:s.c,•:••. .$390-: ub19.f:�c. .y,�. " '.$3 INC _21.1teCasement $595 _Full Screens $25 ., •r ____3 UttgUantPrtt pra+n.IM mrarnvo $910 Colonial G?6(Cmatoured/Flat) $85 _ _ Baselriertt(copper' S434 Pratile:Or(ds:.. $75 `13ayWlWow-Soffit Mount/tNSSeat ^S7n1Jlatedfi7pA'dWLte• :$192 - SoW WDtddw-96111f1Nauft11NS Seat"$$m _7ehw�gd'3pi9 5¢sh'�$.�t?30} $75. 1�ardep•ypldaow $zoao " _•olascum'!.atass(�so):(rso) � • _Bay,Bow,Garden Oversize(+109 Uq $975 Beige/Almond $40 —Cr1af6 O Sryte(4D78o)1rso/a�" $75 �'Yi 6 d Oreln tntedor OWN 4V0'l e0co,*)$100 -�'.• mha �lg $ (U9hr00 Dark 0ak1 Cherry 1 Fox wood "PRE'tW1rb (EPA LEAD'SWREMOVAT(Ofd)' --fthafapia) . . . _Lead SefarPraaimRequired - 430- Brown Extefxx(Arch Bronze/American Tbma)$100 MY•HOME WAS'BFJ1L7 W-*E-YFAR,1V I .: ,.vQsl$rt@F CaOr Exta bMWMEUANEOUS st75. �9ttw['�/�4v�� _�CustQra Qc�ertor. WindowCbtor� �tOr _/ OTextirred$90 Smecthto $4504 : w.T.;rnl dP oua{r� Facing Col. . : "ON'tfI Am 17000S _Metal WMdogl)�emovat $75 _ �v.lir lan9 Ps4tk#.OeW.sd ot6e. Stc95 _New ConstnrdrwAnyt-ftft dt $176 YmyARdllirtgPmioDoor ftl6 $1195 ------Speolalt "6dQw 41wbrTYm $. _ _Add totmpneeforOAtpmfgcllingFallo0w$IM —MUD WForrm.MuoUnit $30 +engl(al)/aTJyir P�togo�5mareK �tsa<s __.,_"_!netagInwf9y rlarmrstops $so _..:..Firegf3r 5UdigyFriOo'Door.NC. S148b _Insfallfirietlgr Ong, tbartsAt _„_�"•Kiertoii"Ne�l'Bitd3't�,PaEb'0"oor9ft. St&8s _InsutateWet9htBoxgs ,$'20,. CuswmEdedorCladding $3cq Root for Baiq/B6wwktdows $ Extsnng New Carter.;Ext..Retro Rt $150— T•::c304.;!'4.. ";` $210• _Removal... ....� k �. a Repel Sill,,lamb Or r8p1aoe sA1 nos�ng..$7S. . aioailo"tre¢t er cgteea ssa�v- - / t�1At Su")•(Sing a)repwownent. "-sl _'`,"IMifAor'Caals9 2rn gvE. 75 . _ tandfbsett7plions $ _MUllbnReimoval $ —BAWS-ComverebrrFA Re"Fit $a60. .. (Now Siding Willwof-fift" . Door Color / fistde cum* -y :::�^•`;�.: - ,ref• 3,> rt •a . mrcessof82$OO,fla arNar6mmoAsl�a�. goat"e "'infl wtlMasEPalo>IngS uig tt GagPomb' " la Hfudlel trktapporaLUPI at ROAD lamateesmcoartac6at+ulhln @on• NO EXTRA WORK IF NOT IN WiRnI t Omer ag►ee8 t0 Me ftmm of paymem as foRwAm._ Bttra La)mr$Materials $ i m Sits set Up,Permit,Disposal&Dagvm Fads$ $.9.00 TatatArmwot•$ ., x Custom Order Depose SO% $ ' Ck# -• ` ' ';' " '`8'Slah�e'pafd•td9ns�fiarupartfdornptet�tt�$'••' . - .. , Amourd Ftrtattrad'$ wpiaow•vtondofBastameotlsi •staUa(t-►h(siacMrab subsUatralp.sanW im/:Z�axs.sa�,mt�sev�.- No-✓ A!9rQeD�t• dltyaCyance,Gf"gt9starMt:bhe' •$ ,>Z1S(e44Ki1J31¢oftltetmalrantraatpiorteosfotenysrate�lar�rentae se4 QWda.?�n+dom��da��,��W�t1y!'mtrsflleaNele41A. ' oftJla WOreemrhtoassmemet�ePr !�yiaceeaaq�hertWe:NotoRd.Dayr�rx 1. 4a.Q!na ail ls) c pt toNysffi r►W.BI a.. Nlhadte dmveinasCwfiNa6tdrs"dlydfalPEdtrOrxcfo<sstbUl 3a�aA 0a(srgmqupesatautaioiitra8taamcatittaftdrfelaNeDtoaiegl9?ataP9ioUM.C9 dUaclad ro g fkQi„met Altelta:#rtd B ftb0Waltdm, t�mt(m'91Ate 6170 9�ta1 hfA 02if6,l+hooa(61n 9r8 8700 Eb,alprriryiL ipe .... /ntl, . fmtltalllo llro owpy of a popy al rtaab. at113y. -. aeiaU�icOtA\ a*i�d'pbN&1•* d14f D rr 11a.. g9:tAt lieg lrM.isAgreeafbafeabsZe ip�jttN.G.' bnpage(a�s,W*bdbw r Bdhlia°W�O. ;a... •'bT3 ".' �te4. UstoNtewadidt� r�t'eraept8mee' rite•UROUPSEA(81+ . ������: ' ,¢�eG�mfatfdamiprafm�k osEhdeAegearaii4�ptgdbner _ .DniiA6M. N. 1FA 3Dli a'f41b Od .. r, u1CBeCel18fl9tlME, IN late► MN 1gd(9)P11if�w,unw,y�d9 Dlphf696 Qep. m b i.8 2L`ea.` plc ro1r.QOIrotNyoNlhene YdptdEAkeP " 1 Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction:Supervisor CS-072772 E p i res: 04I0712020 JEFF C STEELS a`'"' _ z;• 24 SHERWOOD.AVE DANVERS MA 01923 ' Commissioner I Office of Consumer.Affairs&Business Regulation HOME.IMPROVEMENT CONTRACTOR TYPE LLC Registratlo�� 'r o 04/11/2020 WINDOW WORL'D.'OFZOSTON'LLC. JEFF C.STEELS 15A CUMMINGS PARK _ u WOBURN,MA 01801 Undersecretary r The Commonwealth of Massachusetts Department of Industrial Accidents i 1 Congress Street,Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Naive (Business/Orgmni ion/Individual): Address:_ 15'A /h en,n K City/State/Zip: j 6 Phone #: -7g 1 —q 3 Z _ 4g o S— Are you an employer?Check the appropriate box: Type Of project(required): l.�I am a employer with_�employees(full and/or part-time).'2. 7. �New construction s proprietor partnership d h or or parnersp and no employees working for me in ❑I am aole any capacity.[No workers'comp.insurance required.) 8. Remodeling 3Q 1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t I 9• ❑Demolition I 4.FJ 1 am a homeowner and will be hiring contractors to conduct all work on my property. ]will 10 ❑Building addition ensure that all contractors either have workers'compensation insurance or are sole I LE]Electrical repairs Or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.F]Roof repairs ! These sub-contractors have employees and have workers'comp.insurance. 6.❑We are a corporation and its officers have exercised their right of exemption per MGL C. I4.�theI_w 1!t[I O�J 152,§1(4),and we have no employees. [No workers'comp.insurance required.] Oi CC,,Y7 C/l�s '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 hue outside contractors must submit a new affidavit indicating such. $Contnictors 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 subcontractors 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. f Insurance Company Name: 14 C r`t-Co-f'd F;{`e Tn s J AA 1�C E Cep . Policy#or Self-ins.Lic.'#: 2- 2— V%/r C L J5 Expiration Date: /- Z 7— /q Job Site Address: 1416 v/ 4ale City/State/Zip: /C/dnS/-'/Y/S e-1 4 Attach a copy of the workers' c mpeusation 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$250.00 a day against the violator.A copy of this s tement may be forwarded to the Office of Investigations of the DIA for insurance coverage verifi lion. I do hereby cer under a pai erjury that the information provided above is true and correct Si ature: C Date: -1 D - Phone#: - -3 2-- 0J a use only. Do not write in this area, to be completed by city or town off cial City or Town: Permit/Liceuse 4 Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: L A arts® CERTIFICATE OF LIABIL ITY INSURANCE DATE7DOryyyyl THIS CI_R7IFJCATE IS ISSUED AS A MATTER OF INFORMATIOAI ONLY AND CONFERS NO RFGHTS UPON THE CERTIFICATE HOL CERTIFICATE018 DER.THIS DOES NOT AFFIRiVtATJVFJ.Y OR NEGATIVELY AMEND. MUEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. THIS E OR xS FTCATE OF INSURANCE DO NOT CONSTITUTE REPRESENTATIVE OR A CONTRACT BETWEEN THE ISSUING INSURER(S), IZED AUFHOR PRODUCj3t,AND THE CERTIFlCATE HOLDER. j IMPORTANT: if the certificate holder is an ADDI7iONA INSURED,the poticy(ies)must have ADDTItONAI.INSURED proy;sioas or be endorsed Ii If SUBROGATION IS WAIVED,s�[sject to the iemm an condiliprls•of•the the certificate does not confer rights to the certificate holder in lieu of scrctl eer daJetndsy, roquire an endorsL A statement on 018 PRODUCER Marsh&McLennan Agency LLC ITCT Carl VI6t[ 19r,CtC,CtsR_CBIA 3625 N.EhT)Si. PHONE 336-544685p Greensboro NC 27465 rdA FAx a 1L nto:212-6 -6516 Ao Ess: CarB.MAtc marshmrra.coM INSUR$IIS)AFFOROING COL+ER/iCE NA(- INS LVKJDO-2 INSMH2A:Allmenca Financial Senefit 31534 Vinndow World Of Boston,LLC B-Hartford Fire Insurance C a ! 19682 118 Shaver Sheet IRS DRER c"ffiassac huseifs +Insurance Corn North I�(iikesboro NC 28659 223D1i INSWURD: , HtSURER£; - . COVERAGES CERTIFICATE NUMBEI2;101fip15T12 THIS IS E0 CERTIFY THAT TIC POLICIES OF INSURA@10E'LiSTEb BELOW fiIAVE B!EA:1SSUERp TO THE VISURED NAREVMED J480ION VEBE11— FOR THE POLICY PER€OD INDICATED- NO7WiYHSTA(mLNG At Y P.EQUIREMENT,TERM OR CONDITION OF ARiY CONTRACT OR OTHER-DOCUMENT 51107H RESPECT 70 tl{lII1CH THIS EXCLUSIONS NS MAY O ISSUED OF MAY PERTAIN,THE WSURANCE AFFORDED EY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE�, E]:CLUSIONS AND CONDITIONS OF SUCH?0lIC1ESWSR .LIIU1rI5 SHOUtN MAY HAVE BEEN P,EDUCED BY PAID CLpS. LTR I TYPEOPUMRANCE LtSlteft POLICYS+F POLICY EXP 1 'POLfCYNUMHEa C !iC COMERCIALGENERALIJA8ILrrY 3 OUorEC2x7 1 I�IT116'YY IdM22. L 4rm 4pirm? EACHOCCURRENCE S�.Nlp.ppp CLAIMS-KADE Q OCCUR I I PRE o FZfJUTED o59oa0o ESP fAED A Ell i I ' (Any OM on S 5.000 I GE-MLAGGPIZGATELIAMAPPLIES i 1 i PERSONALS iyDV IMJU'Y _ i POLCY L-4 1:Jtff LOC t = Gc'JrR1LAGGREC-ATE S2oQG o^C II i OTHER: 1 J f PRODUCTS-COWP:OPAGG i 2.0000oe s A i AUrOMOBILEUABJ1,rrY , i ALi1687S7'GIS ANYAUTO I GMSI2017 fr18 @ C0.4 lEDSIiYGLEUdtR :Se H ow IOVUNED i , J (PerFercn, AUR AUTOS ONLY `_ ISC>�DU�C f i 1�O7UY 1VSY , S �`E NW OVWED j �!—saoiLYIWURY;PaT�Cerq 5 A:fi 0S ONLY AUTOS OP'L`.' j - I - I R RTY DAMAGE -- C i^�UPABREUALIAB x 5 OCGJR 3 OD¢7'02527 EXCESSUAB CLA1MSIeAD=i' i 4rI1=7 4n12o1E EACHUCCURRMCIE $2ma'am '� + ONS + 1 AGGREGATE $2m-aCo 1 • A EMPLOVERS-iRkiiiy ?2b4a9.i2890 S - i � 1J27T10Tb TJ27DM9 T?+ ANYP•r;,OPRIETOWARTi•IER(iMUTIVE O YrN I I 1ST i ER OFFICEPWEMBEREXCLUDEM !DIIAI I ELEACHAOCIDENT(Maotworq in NN) I tELD11tEME-FAEMPLj1D1E 55CO QCO Ifyyas.describe under I !:111 oUSCRIPTION OF OPERAMONSbdaLppp 1 DPSCH"ONOFOP=JtATIONSALUMA-na SIVEFSICFM(ACORUI✓j_AdrLElmgl i -. _ Replarll;Schetlure,uWbeRMdmdWinwespaceisregW" CERTIFICATE NOLD1_R CANCELLATION SHOULD ANY OF THE ABOVE-DESCRIBED paUCIFS BE CANC$L�BEFOI� Tlr= VPMTION DATE THERMF, NOTICE WELL BE DELIVER[. IN ACCORDANCEIRIITH THE POLICYPROyIS10NS. AMMORIZEDREPFESENTAMUf . ( ©ISM2016ACORD CORPORATION. All rights reserml. ACORC 26(2016/D3) The ACORD frame and logo are registered matt of ACORD Town of Barn9table Vermit#00 M o Expires 6 mo date Regulatory Services Fee q MA6&✓ � nri.�.'�JE��''1P°iJ�w RI 163q, Richard V.Scali,Interim Director JUN 0 3 2015 Building Division TOWN OF BARN!!ome Y e'er CBO,Building Commissioner 2 0 ain Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-41038 Fax: 508-790-6230 EXTRESS PERA'ITT APPLICATION - RESIDE1 TL4,.L ONLY Not Valid without Red X-Press Imprint Map/parcel Number JProperty Address Residential `i Value of Work S 0 7 Z Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address J54 e� On( lhlo .spar /n%llS #1 I#A Dwyer Contractor's Name&Ul f��Y_ n !A � :d � an Telephone Number t�illlUG(1 Home Improvement Contractor Licenser(if applicable) 11 j9 rj Email: Construction Supervisor's License##(if applicable) C G}1--j U`I Cg Workman's Compensation Insurance Cheek one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name�a+,nksum n e.0 C-L). - Workman's Comp.Policy# I,U(,q,� g 35? q4 Copy of Insurance Compliance Certificate must accompany each permit. Permit Re nest(check box) a Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side A/ Replacement Windows/doors/sliders.U Value # 3 0 (maximum.35)#of window 7 #of doors ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections require(L Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance xvith other town departmeot regulations,is Historic,Cousen-ADD.etc. =Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Rome Improvement Contractors License&Construction Supervisors License is re4n' SIGNATURE: T.Ua VIi`I D)Buildi FSS PERWDWRESS.doc Revised 061313 ' Renewal „"L=tt�prr#ySh�itysRENENNT L BY ANDERSEN CrUWa�#MNu37byAndema WINDOW arneearaWr m�aa.ece 26 tUbion ad 1 itunln,RI 11'1AG5 teat firm#1237 Phone R66.5 .2235•Fax 401.633.6602 redemrrox ui 1J4G-051;GfN0 Southern New I ngland Windows,Now raglan ` Renewal by And u of Southern New England CUSTOM WINDOW AND POOR REMODELING AGREEMENT ,p ; &gertalNam: -:0L� rA• 00 f „ . __._ Daw&AVeemein: auyvis)Strew 4Ebess C'ay Sum and Zip Code/p.0_Boa: /.! D Sr _�Y v!•e __ / i E-170y� 2z�f tZsB, ¢ 7 ?t ygoo Buytr(s)hcrcbyjr>inJy and aenerilly agars to purchase the prodNets and/ur srniccs or Lion New N ngktn<I%Vinduws,LLC d/b/i Renewal by Atrdsrscn of Sahtftcm New Enslahitl("Cimtrulur");i»tceo astce with the.terms and pmditirnts described run the front trul the hit rsc of this agrcement and on the,atmehcd/sspcciFfiiccatiiun sheet(.;in -0y,this"Agnmincnt`)• O Historic O Condo 0 HOA? Toml job Am tit�v �`� Esdmated Spring Dace: Method of Payment U Check O Cash, mane,w i:j Deposit Receivedr// „ " Credit Cards are accepted for de posit only-maximum 113 of the' ect cost Pk—see Gedit Card ) y s�m8 Balance at Start d job(33%): Prot ( Ptrytmm Wart B this Es(tinated Co pletiun Dace: Agreement.you acknowledge that the Balance at Start of job and the Balance on Subt�i ef.4 g�tt' Balance on Substantial Competion of Job cannot be made by credit Completion of job`F!t!%): V card and muse be made by penorul check;bank.Cher k or'cash. Buyer(s)agrees,a"andetstauda that this Agreement eonsdazies the entire understanding between the parties,and that there are no verbal understandings changing any of a terms of this Agreement.Buyer(s)acknowledges that Boyers) (1)has read this Agreement,understands the terms o this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the t%46 attached Nod es of ll fie date Arstwritten ibove and(2) Ca' " ataon,.o`n t ,was orally, informed of Bayer's right-to cancel this Agreement.DO�NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES: (Rhode Island$aIes•Only)Notice to Buyer:(1)Do not sip�t this Agreement itany of the spaces intended for the agreed terms to the extentof then avallableinformation are teR bla (2)You are'entatled to a copy of thsc Agireemeihit-at the time you sign it (3)Yon may at anytime pay off the,"unpaid balan duce under this Agreement,and in so dotng you may be e.tidpd M receive a partial rebate of fhe finance and insurance c s;(4)The seller has no right to unlawfully eater your premises or commit any breach of the peace to repossess goods orcItased under this Agreement.(5)You may cancel this Agreement if it has not been.signed at the mailt3 n oee a or branch ffice'of thesellei,provided you not—the seller'at his or her main office or branch office shown in the Agreement by-registered or certified avail,which shrill be posted not later than midnight d of the third calendaray after the day on which the b r signs the Agreement,erzcluding Sunday and any holiday on which regular mail deliveries aie not made.See the accompan ' notice of cancellation form for an explanation o_f bayer's.rights. rlura Httyei!s)recrived the cominner etinit niateriaL provided by c khMe Island Ctiniracigrs Registruitin Boarel (B�gnrf.Iniiiaiir) Renewal byAndessenof.South"NewEngiand 3*S BOYa(s) '.Si tatureu rtctMarragcr ignature - .5igilatute: %NK 9QP 1 Print Ntantc of Product NUMeer i Priiit Mn,ic• PriaiNitite ,YOU,;THE BUYER(S),.MA CANCEL, TRANSA TION AT ANY�TIM1. PRIOR TO MIDNIGHT UF.THE THIRD BUSINESS DAY AFTER THE DATE OF., F THIS_ TIRANSA ON:SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. NOTICE OF. C N. A NOTICE-OF CANCELLATION Date of Transaction . Z� :You may "eel. I Date of Transaction: You`may cancel .this.transaction,without .. y h or obltgadon,wi to this transaction,without airy penalty or,obligation,within three busint~ss days from the above date.If you cancel;any I th ee btisiness.days:from the above dates If you cancel,any property traded in-.arty;payments made by you under the ! property traded in,any payments made by you under the Contract or Sate,and any negotiable Instrument ex&t ted I Contract or Sale,and any negotiable instrument'executed: by you will be.returned within ten business days follov fing l by you will be returned'within ten business days following receipt by the Seller of.your cancellation notice;and,tany receipt.by the.Seiler of your cancellation notice,and any security interest arising out,of`the'transaction will• be, security. interest•.arising out of the transaction will`be canceled.If you cancel u must make available to the Seger caeicelecL if you canceleyou mtist make available,to the Seller at your residence,in substantially as good condition as When I at your residence,in substantially"good,condition as when received,'any goods delivered to you under thi:,Contract or I received,anygoods delivered to you'tmder this Contract or Sale;or you may,if you writs,complywitt the instructions of a j Sate•or you may if you wish,comply with the instnactions of the Seller regarding the return•shipment of the goods at.tlie the Seller regarding tine-retuPn shipment ofthe goods at the Seller s;e)pense and risk.If you do make the goods avad a Seller's expeme and risk.It you do make the goods available to the Seller and the Seller does not pick them up wi in t6 the Seller.and the Seller does not pick them up within twentjr-days of•the date of cancellation;you,mayretain or I twenty days of the date of cancellation,you may retain or dispose of the goods without any further obligation;If ou I dispose of the goods without any further obligation If you fail to make the•goods available to the Her,or:if you a I fail to make the goods available to the Seller,or if you agree to return the goods to the Seller and hit to do so,then ou• I to return the,goods to the Selierand fail to do so,then you remain liable, _or.•performance of all obligations under the remain liable for performaniie of all obligations under-the Contract 6 cancel this transaction,marl or deliver a fig'ed I ContraMT6 cancel this transaction,mail or deliver a signed and dated copy of this cancellation notice or any,o er 1 and,dated,copy of this cancellation notice or any other written notice,•or send a telegram to RaneWal by nde, ' I written notice,or send a telegram to Renewal byAnderseti of th Souern New England at 26 Albion Road, 5, j Southern Nevv England at: Albion Road,Lincoln,RI 02665, NOT LATER THAN MIDNIGHT OF NOT LATER THAN MIDNIGHT OF (Date) I HEREBY CANCELTHISTRANSACTION.' I 1 1 HEREBY'CANCELTHISTRANSACTION. i 1 . .SUVOO:"Isn r,.' Print I#=" suyses sivuivart Mat Kama Date- RbA Copy:White Buyer Copy:Yellow Btryer CoPe Pink Southern New England Windows d.b.a Renewal by Andersen of SINE L? Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction supervisor License: CS-095707 BRIAN D DE2G41SON 7 LAMBS POND " Charhon MA 01507 Expiration Commissioner 091O 2016 (62 = ' Office of Consumer Affairs d Business Regulation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 173245 Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL Expiration: 9/192016 DENNISON BRIAN _.. ..._... _.:-_ .. _ ... . 26 ALBION RD - LINCOLN,RI 02865 Update Address and return card.INtark reams for change.- SCA 4 20i45,11 Q Address j 7 Renewal CI Employment Lost Card trice or Coasemer:lrrsirs&Rosiness Reeutauon License or registration valid for individul use only E IMPROVEMENT CONTRACTOR before the expiration date If found return to: Office of Consumer Affairs and Business Regulation SRegtstratlon: 1732d5 TYPa 10 Park Plans-Suite 5170 Expiration: 9l191P016 Supplernerd-Lard Boston.MA 02116 SOUTHERN NEW ENGLAND WINDOWS LLC. RENEWAL BY ANDERSON _ DENNISON BRIAN ,^/ 26 ALBION RD ��-- — 4�, LINCOLN.R102865 pndrrseeretary Not valid without signature CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.TIUS CERTIFICATE DOES NOT.AFFIRNATNELY OR NEGATAfELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE [MING RWREIisIS1 AUTHORED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT. if the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. if SUBROGA71ON IS WANED,uubjeat to the terms and condhiam of the policy,certain policies may require an endorsement. A stet m M on this oeRificate does ant cmdbr rights to the certificate holder in lieu of such endoisemeni(s). PRODUCER Willis of New Jaxeay. Inc_ N®Kt• ACT c/o 26 Century Blvd PHONE FAX P.O. Bar 305191 1-877-945-7378 -888-467-2378 Naahville, 70 372305191 MIA EMAIL cartificateff0willie_eom ORMER(S)AFFORORM COVERAM woes 949SURERA:8aioctivo Insurance Company of 89 39926 INSUREDBouth.z B;"England ainc!aaa LLC [NSURER8:7ha Beacon KatOal Insurance Cmzpavy 24017 D/B/A Renewal by 9adaraan INSURPRICZAMMaut 7asurance company 19801 26 Albion Road J. Lincot.,, 3I 02865 INSURERD: -i O1SIIRER E_ . 06URStF• COVERAGES CERTIFICATE NUMBER..-29160 REVISION NLPABER: 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 L48URANCE AFFORDED 8Y 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. 4LT R TYPE OF INSURANCE Pot-layNUMBEREFF HOiICY E70' 11I�S L NU X I CO`�CULLGENER4LNIABILTTY EACH OCCURRENCE 3 1,0001000 UWAGE TO CLAI�tAD-t a OCCUR I pR S(Es0= T $ 100,000 aF:: I(ED EXP(Any aae pazwo $ 10,000 5 2029R59 1,18110/2014 08/10/2o1s PERSONALBADVItLR Y S 21000,000 Ge1TL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 3,000,000 POLICY a IOC PRObUCtS-COk(P/OPAdG S 3,000,000 OTHER: S AUTOMOBILE LIABILITY LiAIT S 1,000,000 X ANYAUM BODILY KIURY(Fmpysan) S A ALLOWNED Sc AUTOS ALTOS S 2029459 0e/20/2010 0e/20/201s BODILYtN,tu RY(R?ssrader $ mmmAvrns NOWYNNED H AUTOS 12PROPERTYdderAl �JIC'E $ a X UMBRELLALNAB X OCCUR EACHOCCURREICE $ S,000,600 E%CESSLIAB CIALCS•9tADE 6 2029459 08/10/2024 08/10/2015 AGGREGATE $ 5,000,000 DED REMITIONS S WORKERS C011043 RTIOyN x PER B AND ENdPLOYOWLIABILITY YIN t ANYPROPRIETORIPARTNERnfEr CUTIVE - F-L EACH ACCIDENT S 1,000.000 O CERM MBE EXCLUDED? Q w[A 0000068028 09/21/2014 08/21/2015 EL..DISEASE-� S ENIRDYEE 2,000,000 0yyee5s,,���� S,000,D00 D�C.nNPnONOFOPERATIONSWow ELUSEASE-POLICYLNMti S C Zark Ca3p/SL Cavgv M27938352394 08/21/2014 O8/21/2015 L Be. Accident _ S1,000,001) tatutoty Limits - we _L. Diaeasa Polity Lint - $1,000,000 _L Disease Its. @mvleyee - $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Addtemwl ROntaft-Id.4d"mayh0 alCetltaO B mom Spam t81apdrsd) 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 PROVISION& AUTHOR0M REPRESENTATIVE Sour,',—BE LLC 26 Albiaa Rand (ay ya ca1a. RZ 02865-0000 a 1988-2044 ACORD CORPORATION. All rlgft reserved. ACORD 2S(2014401) The ACORD name and logo are registered marks of ACORD 8R ID:6629625 BATempateh 4: 79627 The Commonwealth of Massachusetts Department of Industrial accidents Office oflnvestigations 600 Washington Street Bostot;ALL 02111 wwK.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information PIease Print Lem"bly Name (Bysiness/orgmizatiowb&vidval): J&.t.7 2G,J zl lad r Address: o;,- 1 I-r ri j,0zJ:4 City/Statemp: Ll-" old Phone#: y'O l Are you an employer?Check the appropriate box. Type of project(required): 1.[ I am a employer with -a 4. [] I am a general contractor and I employees(full and/or part-time).* have hired the sub-cofactors 6. New construction 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 mein any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.# 9. ElBuilding addition required.] 5. We are a corporation and its 10.officers have exercised their ❑Electrical repairs or additions 3.❑ I am a homeowner doing all work 11.❑Phmmbing 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 13. Other f,()j �employees.[No workers' comp.insurance required.] tAny applicant that checks box#1 must also fill out the section below showing theQ wotirers'compensation policy 'oa. t Homeowners who submit this affidavit indicating they ate doing all work and then hum outside contractors must submit a new affidavit indicating such, tConhactors that check this box must attached an additional sheet showing the name of the s and state whether or not those entities have employees. If the sub-contactors have employees,they mnst provide their wosloers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees: Below is thepohcy and job site information. Insurance Company Name: AC3S Policy#or Self-ins.Lic.# W - 9� 7 3 a 3 `j Ll Expiration Date: Job Site Address: City/Stateaip: n,!i, A/W Attach a copy of the workers compensa 'on 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 fhe 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 eT pains and penaMes of perjury that the information provided ab e ' true and correct Si afore: Date: 6 3 � Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/I,icense# Issuing Authority(circle one): g.Board of Health 2.Building(Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6:,0ther Assessor's office (1st floor): Assessor's map and lot number ... ... ........., �f Board'of Health (3rd floor): Sewage Permit number . �:' L BABB9TADLE ....................................................... Engineering Department (3rd floor): r 0 l' 90o rb 9• House number ......................................................................... ''rtoYa�A? "APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............y.t......................�V................................................................................... w©ocP rc� rn c Si �a 1 ��a T� TYPEOF CONSTRUCTION .............................:.............................:..J........ ..................... ................................ . ,(� ............ ... ..... ..19 TO THE INSPECTOR OF BUILDINGS: r The undersigned hereby applies for a permit according to the following information: Location /\G�. —1 t .....X.a n, /�Z Q 1 S7-()K� Q) /.�.L5..........�!..�.. ................................................�S�.R ....................... i... .. . . Proposed Use ..................... ....................................................................................................,....................................... Zoning District ........................ .........................�.--................Fire Distract .............. ........................... . ," I. ��Pa��1aU'feer\ r�c�a���, I1 O 0-WO)(LC, Rd Name of Owner .......... ......................Address ...................... Y ..1..,...i��t.I��r�...........V+-.`. .5,..;.... U ,�XJt v Q GE G C s a, Y j Nameof Builder ..........�.....................................................Address .................................................................................... Nameof Architect ..................................................................Address .........,.D......................................................................... /loal2 �ar� P / Out2E'cQ a-y)QVP ,<D Numberof Rooms r............... ...........................J........... .Foundation ................................................`.....f._....................... Exlerior (rPdar !h/ n qle S...... ... 4. .C�Roofing ......��'.`.�.j C�.� �........(�.t S rl. ` ......... ............... II .... Floors 1�,.(Pv�1 J� �Ct r � ,ln ,�t(�f: UQ 1� .......... .................................................................. .......Interior ....,..............................................:................................. f J'�/j I C�l T /, 4 �C P� OT ..Plumbin ��..'.; �....�/(�. rQ.C/1Pir` Heating ............................................................................... g / ......................................... Fireplace ... S...................................................................APP roximate Cost U.. Uv6................................................... Definitive Plan Approved by Planning Board 1973-- . Area Diagram of Lot and Building with Dimensions T Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH i - OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding-the above construction. ; RName .............................................. ................................ .:,� Construction Supervisor's License /...:..:........................ f )PADDOCK, WAYNE 6 A=011-011 MAUREEN No .....'Permit for J-5-WgIe..f am.Uy.. .....dvellii[:ig......................................................... Location Lot... 7 9.......14.0..Spux..Lame.............. ........Mr's tous-btals......................................... Owner .....Y�� ...............................Paddock.......... Type of Construction ......ft.ama.......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ............... ....... ...19 86 Date of Inspection .....................................19 Date Completed ...................*....................19 og Asseor's 4ce (1st floor): �jf �/ GZG �oFT s`s NETO Assessor's ma and lot number ... .iz...(0R.rj......r..� ��, a �♦� Board of Health (3rd floor): � P��� SYSTEM MUST � Sewage Permit number ................. ..`.... 1e:iSTALLED IN COBAaPLOA 1, AUSTABLE, NABIL Engineering Department (3rd floor): WITH TITLE-5 1639 LV House number ..................:... . I .................:.............. �9@ �1`�'i1�� 'NTAL :ODE l-.� �''�o YP�oAPPLICATIONS PROCESSED 8:30-9:30 A.M. and. 1:00-2:00;P.M. only' '?1 {"= TOWN OF �.,BARNSTABLE BUILDING" I.HSPECTOR APPLICATIONFOR PERMIT TO ........................:.......................................... ..................................................... "� I I - TYPE OF CONSTRUCTION .C.U..D.(?C'�...�T.C�'.?7�. ........'. �. .. .1.':..... ...T.Y\! .!j..... \j ,(33 ............. .�.�. . ..._t1....�..19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ' ' ` Q rnq i.(-u� ........... ProposedUse ..l.. St :�'. .��'................................................................................................................................................. J Zoning District ...................................................... ................Fire District-.),. . .....YYl ..M I L—(S ............................... av�dL. Nome of Owne�J �)1 ....M&P 4;�h.....0- 4g(a`tclress JJ.0..... Q(.(J()'1l LC. . ....... .. ... Rd Nameof Builder -Y .....G4b. .................Address ...... :. ..�',... ................................................... Name of Architect .....................4 ..........p......................................................................... /�'Q� Q r!? sg / u i'2 (T �V e 4 � Number of Rooms .....�.. ........ ............................"J...........� .oundation .....0......ec.. Y1 Exterior�''P_�ar...Sh.>..n.. . P .....a... .���.j�.ib�Q..rRaofing ...... .!..... Il•t �........ C.C.sP .... l ��- u J j `� Floors /�. .v.(.�U r .�.n.... .......Interior ....1�../...V:e.......6�0q.rop . .... ....... ............... ... . .................................... i ��P,Q a h / ache Heating �l .. .... ....�..Plumbirig� C; �.Q................... :... . Fireplace ...................................................................Approximate Cost .. lo�...... ..:........................................ Definitive Plan Approved by Planning Board ------1973__ . Area 1 .1.. Diagram of Lot and Building with Dimensions Fee �,J. .���....... ......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH / ��� n i /X I a\ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of th' wn of Barnstable re Vcrdina.bov,.e construction. -' � ,^ • r Name ..... .... . ............ ......... . . .. .. .... .... Construction Supervisor's License j� "��W1`�� " PADDOCK, WAYNE & A=027-091 MAUREEN 40 Z9.373..'Permit for ...1--s-tory...single.. in ............................................ Location .......L Qt...#.7.9.......140...$.P=...Larip....... ....Mara t ones...Mil1.g............................................ Owner .............W4y.nq...&...Map.r.e.en.'RAddo.c.k.. Type of Construction .........frame...................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ..................May...20..........19 86 Date of Inspection .................19 . Date Comp e I d .....19. c'quotmE at Lacy 720 Rain c-St7ZEt 1n-oat off. Box 599 v� cxyannis, oaasacntuEtts o2601 �e�e�i�tone (6171 775-7339 May 9, 1986 Mr. Joseph Daluz Building Inspector Town of Barnstable Hyannis, MA 02601 Re: LOT 79-Wakeby Estates Dear Mr. Daluz: Please be advised that I represented Wayne and Maureen Paddock when they purchased LOT 79, Wakeby Estates, Spur Lane, Marstons Mills, Massachusetts. Mr. Paddock does not own any lot abutting LOT 79, nor did his predeceasor in title own either of the abutting lots. Please let me know if I can provide you with any further information. Very truly yours, -12 Peter L. O'Keeffe PLOK:srr a _ t l Lor 7 s ZO, 740 N v �q'LEX ISr/,v<. W FOu'vOAriO.✓ v � N pA ftim R= 2/09. 31. 4 tNa�stoaH�R .- •t COS?5 ='�% • V W. 31305 '�FGlSTE4E�pQ`/ TIrIEP P O T PL A lV 'CATOlViV : `, T", WA VA/E PA ODOCk SCAL E : / _ .30 OA TS : S �8fa RFc :RA5 z 72/PU 92 . I HEREBY CERTIFY THAT THE ABOVE DWELLING IS I,OCATPD ON THE GROUND AS SHONNoTHAT IT CONFORMED TO THE TOWN ' S ZONING SETBACK REGUT:ATIONS AT THE TIME IT WAS CONSTRUCTED AND THAT THIS MORTGAGE INSPECTION WAS PERFORMED IN ACCORDANCE WITH THE TECHNICAL STANDARDS FOR MORTGAGE LOAN INSPECTIONS AS ADOPTED BY THE MASSACHUSETTS ASSOCIATION OF LAND SU ErYORS AND IVIL ENGINEERS,INCORPd{tATED. TiWS GaT /,s .VOT /,v TNT FLDO,0 O LA/,t!. CHRTS-T �F�R -C R. L.S . DATE 5`Q' ALL �,9PE —SURL1,5 l/ T4AV ; /72 EAST Tiy �S'YV• L�F.qL�t/IDI�Tf�, /t/�,4 ' BUILDING i TOWN OF BARNSTABLE, MASSACHUSETTS PERMIT J JOB WEATHER CARD i DATE _19 PERMIT NO. APPLICANT ADDRESS (NO.) (STREET) (CONTR'S LICENSE) M PERPn NUBER OF Ii �U (_) STO Y DWELLING UNITS (TYPE OF IMPROVEM T) NO. / PR POSED USE) AT (LOCATION) `-'` Z STR CT (ST EET) ' BETWEEN A D (CROSS STREET) (CROSS STREET) f SUBDIVISION LOT LOT BLOCK SIZE i BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION ( (TYPE) " REMARKS: I i AREA OR VOLUME ST ATED COST FEEMIT (CUBIC/SO ARE FEET) OWNER *CVEYS ADDRESBUILDING DEPT, BY THIS PO'RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR ® PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM TH'[�,^NDIT ION!: i OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL - — II INSPECTIONS REQUIRED FOR APPROVED PLANS MUST BE RETAINED ON JOB AND THIS 'WHERE APPLICABLE SEPARATE - F- ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARF_ REQUIRED FOR ELECTRICAL, PLUMBING AND 1 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMB+ FINAL I SSE T! TO LATHE FINAL INSPECTION HAS BEEN MADE. , 3. F!NAL INSPECT!ON- BEFORE - i OCCUPANCY. POST H ,S CARD SO IT IS VISIBLE FROM STREET BUILDING JNSOECTIO APPROV. L PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS nM i {1J 3 HEAT:NG ;NSPECTING APPROVALS RE IjkE I%t'jI4cPF"1QLAjCjWLS 1 II 1 • I � OTHER i` ... .... ... .. �2 -----, BOARD F HEALTH 'NCRK zr AL-_ NCT ?ROCEFD UNT:L THE PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION iNSFECTiONS iNDIC ATED ON THIS CARD 'tf NSPECTCR :tAS APPROVED 7HE '/ WORK 15 NOT STARTED WITHIKSIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPHONE STAGES OF CONSTRUCT.iON. PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFSCATION. ��..� °•.� TOWN OF BARNSTABLE BUILDING DEPARTMENT _ »1 N&ua r 1 TOWN OFFICE BUILDING � ''a79' �� HYANNIS, MASS. 02601 n'Eo r�r►• MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit hass�been issued for the building authorized by Building Permit #.... ��` ...._.......................... ........... _...... ........M. ......_ issuedto ...... . ' . ...:s ::: °. ..............................._._. ... . __..._ _. ......_ _._». Please release the performance bond. f of'THE r° TOWN OF BARNSTABLE Permit No. .....373 BUILDING DEPARTMENT { "$;;I } TOWN OFFICE BUILDING Cash :: ' HYANNIS,MASS.02601 Bond ....... CERTIFICATE OF USE AND OCCUPANCY Issued to Vhd yne & 214aureen Paddock Address Lot #7 9, 140 Spur Lane i--Larstons .Hills, .!A I USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Occc,nbar.. 18., 19...$.6......... ... �'.': ..,` �...`"... Building Inspector