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HomeMy WebLinkAbout0086 TUPELO ROAD �6 -Topu ;?s~d� s-,+r � r. _ ice, �. -^•-71 r BUILDING" TOWN OF BARNSTABLE, MASSACHUSETTS PERMIT" JOB _WEATHER CARD GATE V .:l F6 f .' t J 29376 APPLICANT I(OiUl ' ••j�I)g 19 PERMIT NO. NI • • ADDRESS_ / PALEJQL� ) 9•lN {{'T �irh •t (I(1O7 '9h (N0.) (STREET) (CONTR'S LICENSE) PERMIT TO t�L`:�jl: NUMBER OF (TYPE OF IMPROVEMENT) ( NO.-) STORY_. J{T'.(' !!� p-:iri 1 {)wl'T i , DWELLING UNITS .(PROPOSED.USE) AT (LOCATION) �•l)C )�5) e- i 1, 1 [;),.1., :{Ijl;: ZONING (NO.) (STREET) DISTRICT R F BETWEEN (CROSS STREET) AND (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTIO TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION ��TYPE) I REMARKS: :;f!*--,- 0 P66-433 AREA OR 4 T'Ond VOLUME -i. �C. I ��I,:)oc-oI) FEE I�j.��(CUBIC/SQUARE FEET) ESTIMAT ED•COST $ . OWNER Lui�C-L1)—h';liL-�iUtl"1' T)'iITC ADORE SS • !llll�il �t:;!(iA 1.1"fi�i):r. :• i..�.l;. BUILDING OEPT.. BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF:EITHER TEMPp1RARILY O PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE Al f . PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY..�e-'►OBT AINE � . FROM THE DEPARTMENT OF�PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE:AP PLIC ANT¢F,R.O_M�',TdH E'CO OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.:'' _ DIT lot MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR 1 I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICALELECTRICAL;1 PLUMBING AND j 2. PRIOR TO COVERING STRUCTURAL WHERE BUILDING SHALL NOT BE OCCUPIED UNTIL 3. FINAL NSPECTDION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET �..� BUILDING INSPEC 710N APPROVALS PLUMBING INSPECTION APPROVALS ELEC RICAL INSPECTION APPROVkCsq�'G? - I 2 2 2 3 HEAT:NG 'NSOECTING APPROVALS 4 _ 1�.LFLG_ERATION INSPECTION APPROVALS -- - BOARD 0 HEALTH 7H�'0 W I:FX SnAL_ NCT DPOr _0 UN?:L TI„ P ' ------'-----=--------- --'--'-- -------- t NSPECT.;F •(AS APPRv` _O -.Ic •; �„�� PERMIT W,LL BECOME NULL AND VOID IF CONSTRUCTION iNSFECT10N5 INDICATED ON THIS CA STAGES JF CONS'1'4UCTi0N. I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARPANGED FOR By TELEPHO PERMIT IS ISSUED AS NnTFn ARrlVC OR WRITTEN NOTIFICATION. . .}� - 1 � •. `f •k.r•'. ! r 4r = rF,A �. • �� ..L V,y^<'.�+ th . .Jr^n+: • - .e l.r.l �..�11r\_T^ I I a'�y��•'. TOWN OF BARNSTABLE BUILDING DEPARTMENT _ S°H1°T = TOWN OFFICE BUILDING rua tg i639. HYANNIS, MASS. 02601 Leo ur►� MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit' has .been 'isssu�redd for the building authorized by BuildingPermit $ ....»... 1 v,,.»...................................................»............................. »»»» issued to .». Xq — Please release the performance bond. r CI FF o � TOWN OF BARNSTABLE Permit No. ...2937b BUILDING DEPARTMENT Cash "8NAN& I TOWN OFFICE BUILDING """""" �y n,uv ` HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Tupelo—Whitmare Trusty Address Lot #5, 86 Tupelo Road .'arotons ;'ills, .Laosachusetts 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. Nove��bex l�,a..., 19.....$�?........ �...................... ....../ ....... .................. Building Inspector r / - / 'j�l Yal'k/RCQ`±�j Sl?•7.?:kp+ifs'AY.y. J- J. Zo i • N�:1, VILLIAM .A No. 19334 t��J JT S ^fL CERTIFIED PLOT PL A N RT I F Y THAT T H E LOCATION " CERTIFY SHOWN HEREON COMPLYS WITH SCALE — ij DATE THE SIDELINE AND SETBACK REQUIREMENTS OF THE TOWN OF PLAN REFERENCE AND IS ,., LOCATED WITHIN THE FLOODPLAIN,. ,3�Co✓� i,/�/.l�m- w.. DATE : - BAXTER IdYE, INC. THIS PLAN IS NOT BASED ON ANU REGISTERED LAND SURVEYORS INSTRUMENT SURVEY AND THE OSTERVILLE^- MASS. OFFSETS SHOWN SHOULD NOT BEi2 - TC�.`�y-/L USED TO DETERMINE LOT N APPLICANT ���/. 11134 Assessor's office (1st floor): _L ��� C� SY�-��[�M� ?t+F � Assessor's map and lot number .., . ........ ..................�....... Board of Health Ord floor): ,L -� 114sTALTO � Sewage Permit- number wE' ;........................ ... ....... '. 3.. ITH'n Engineering Department (3rd floor): f.6 (� ��V�1R®� E�T�� u e� House number .............................�. ...d.6.......�..................... r . � IRF ^RFD M a\ APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only i TOWN OF BARNSTABLE BUILDING I1SPECTOR APPLICATION FOR PERMIT TO .. .` ....... /p1llI� .........�................ ..... TYPE OF CONSTRUCTION .... .... ....................... ................................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..."T.s......................IV 4.0.......P.r.............!'.Y.4.W. XO A(4% ...*.......M......................... Proposed Use ...... I�L ..... ... .. . . . ......................................................................... .............................................................. Zoning District ........ .. .. Fire District .... .... ..... '. Name of Owner��YdL,.�Q. �•t.)./!'!*k.....11�'Y:5f....Address ........................ .....XZ4 ..c..':` '!.ram ..�..IORA VA tea; � - / , ,r Name of Builder ..... '.Iv...... .....^.....................Address �.GICF.. I..... ...���t �/�".................... . .. Name of Architect .........................Address .... O.I....� ? ... I....... Number of Rooms ...........v.. .......................:...........................Foundation .....�......0.t�....... ..........��...��/.f.NG1.� Exierior ...�i 1'MOT.........................Roofing ...... ...G iC! ................................................ r7t FloorsGt7®® .. `� /7I..... .....................Interior ........�L�� ..................................................... Heating t-.>rl.Vv 7T Plumbiri9 ............. �►sl>R Firepp �� Approximate Cost lace ....... ....... ................................... ................301mo............................. ..... Definitive Plan Approved by Planning Board ---------19 Area / D.� .�s - Diagram of Lot and Building with Dimensions Fee �\ SUBJECT TO APPROVAL OF BOARD OF HEALTH po 1W �h 1 . z4 z� 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. r Name .... _1 Construction Supervisor's License .. .......Z.q. ........... TUPELO-WHITMARE TRUST 'No 7.6.... Permit for ......Two Story........... ................. . Sin ............... mil in ............... ..... ....... ..... Location Lot...#.5.,.. 86 Tu pelo Road . . .. . . . ....... .................................... Marstons Mills .....................................................................I......... Owner .....Tupelo-Whitmare Trust ................................................ Type of Construction ...Fram.e.............................. ................................................................................ Plot ............................ Lot ................................ May 21, 86 Permit Granted .......................................19 Date of Inspection ....................................19 Date Completed ..........19 Assessor's office (1st floor): ,�,,// Assessor's ma °.and-lot number .. A7.....4 �T�E TOE, Q • Board of Health (3rd floor): Sewage Permit number �` •!. .... . .....-�3 L BASB9TdDLE Engineering Department (3rd floor): (} soo NAB e �% 1639 House number \00 o�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 °. � 4,5�P.w rA-e, ..... ...................................................................................... TYPEOF CONSTRUCTION .... ..............:........................................:.............................................................. . 11------- -------19 4 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ..��••�� d �n� ,fin Location �I ..4�.....................�� L� Q.......��.�.............��CI�✓�NS,•Y/1�U�`�'..�:.:.��......................... ............. Proposed Use ....... .i.1�"�wn4f✓ ..................... ZoningDistrict ........................................................................Fire District .................................................................. Name of �L.......1i`^!ST Address � � .i '�`AQ�1/� $ YI'iL '� A ........................ ....... ....... ........ ..............................5 vwly LEy�, 7':�c is Gal ,,u1c Name of Builder. ....Address ................. °°...................... 7 . �.................!�).4. ............. ,. ..... Name of Architect �'4J�J ••°°GL ........................Address .... 0�..... .... .........�•�•�f� � Q �✓z Number of Rooms ............(,a...................................................Foundation ...... ..........0 ............................... Exterior C�� .N.. .........................Roofing .......................... ................................................ Floors �0007,...�G O� ��. �lL�- Interior ........'PI-45Pf �-...:................ ..................................................................... �'1'i ...................Plumbin 2 �2 sf,n _ Heating g °°°....°.°..... ? Fireplace ........>4( ...........................................................Approximate Cost ..............1.°4l.`'.1-P.................................. Definitive Plan Approved by GPlanning Board ________�__�____�___._______19 Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH J ZS z f e� Z4 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Roles and Regulations of the Town of Barnstable regarding the above construction. • Nome .. .� .... . . ` Construction Supervisor's License .z 2:..�1. ......... TUPELO-WHITMARE TRUS T -A=45-2- Q-A--A No2 9 3 7 6..... Permit for ....Two...St9TY........... I Single Family..Dwelling ....................... Location .... .......... MU. ;............................. Owner ......Tupe I q.-.Wh i.tma r e...Trust. .............. . ...... .......... . ...... . Type of Construction .......Frame......................... ........................................... .................................... Plot ............................ Lot ................................. Permit Granted .......... .................19 86 Date of Inspection ....................................19 Date Completed ......................................19 . - .. � -• ._ � =. � .... � . .^'tr`�lt.�. }'t'!'.-'a �,1.I��� l• M .'ti.+Y r'1r.i'Y.-'�.._�rv�.�-1...;y- • r �,. -_-Assessor's office(1st Floor): Assessor's map and Ilof number �Q�oF TN E o t%Board of Health(3rd floor): /_ _ w Sewage Permit number Z 11AS34TODLL i Engineering Department(3rd floor): NAM House number t639. \e0' Definitive Plan Approved by Planning Board 19 j��rar a• APPLICATIONS PROCESSED 8:30;9:30 A.M.and 1:00-2:00 P.M.only r TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO hQ/ a .S7i�.,� �� �-1v� TYPE OF CONSTRUCTION (J.J 00 o >Q7T 7 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location T •� �� ly K tU ��icJ �� Proposed Use �b Zoning District y`--' Fire District Name of OwnerC46ZL)i/7 yx�� ��- � Address aD �Ct2 LU�te� z a�gc7r�i�I Name of Builder I��Q� �T,:T6J0A!)l , Qoe Address A�� Name of Architect Address Number of Rooms Foundation Exterior ��� �� �� Roofing /'SZ7/2 Floors Interior / :T�s, Heating C 7c Plumbing Fireplace Approximate Cost V Area 0 f7 Cr Iazz Diagram of Lot and Building with Dimensions Fee :tY r 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. ' Name � Construction Supervisor's License $� EDWARDS, EDWIN B. & DIANE M. A=057-105 - ALTERATION TO No 33252 Permit For GARAGE Single Family Dwelling Location 86 Tupelo Rd. (Lot 5) Marstons Mills Owner Edwin B. & Diane M. Edwards Type of Construction Wood Frame Plot Lot Permit Granted October 2 19 89 Date of Inspection 19 Date Completed 19 --Assessor's office(1st Floor): Assessor's map and lot number Q �0` EM ?'Board of Health.(3rd floor): tsk Sewage Permit number STIIDLL i Engineering Department(3rd floor): 7��9 House number Definitive Plan Approved by Planning Board 19 Y°` APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1;00-2:00-P.M.only,; TOWN OF . BARNSTABLE BUILDING INSPECTOR F APPLICATION FOR PERMIT TO :2! TYPE OF CONSTRUCTION (JJ OU 19 TO-THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use 6 ,2 Q, '� Zoning District �'� Fire District CC-- i Name of OwnerG�J/*/? Address,9�D Name of Builder 06J CT•:-Jon(51 Ciaa tuAt/ S Address `� ��TU/ u W —3 Name of Architect Address Number of Rooms Foundation (o / s Exterior �• !}�/ S 77�g Roofing /oZ Floors Interior s0ie4t�) /8 Heating C' Ttil C� Plumbing 4/2M — / 1 Fireplace Approximate Approximate Cost /& X QK Area. , (_ Diagram of Lot and Building with Dimensions , Fee C� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name�46 Construction Supervisor's License 0�$I EDWARDS, EDWIN B. & DIANE M. ALTERATION TO _ No 33252 Permit For GARAGE Single Fami1y nwolli Location 86 Tuppin Ra r t F' Marstons Mill- Owner Edwin R F. Diane Edwards 'type of�Construction Wood Frame. Plot Lot 4 Permi Granted October 2 19 89 �o -42 4� Date of�Inspection 19 Date Completed 19 F . r Town of Barnstable "Permit#O D IL Uq 'wp Expires 6 mont/rs from issrr� Regulatory Services Fee 1639.°1A9' Richard V.Scali Interim Director 5Ep, 0 Y Building Division o� �rywN Tom Perry,CBO,Building Commissioner tU V� �� 0�1 �2 0 Main Street,Hyannis,MA 02601 V www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number n$7� /O 5 Property Address ri.OP O S E91esidential Value of Work S ..l70 p Minimum fee of S35.00 for work under$6000.00 Owner's Name&Address lQit�c°is r;r Contractor's Name na1.0 tx);r4n.S Telephone Number( C)1>T Rffzp Home Improvement Contractor License#(if applicable) /7. 4 S Email: Construction Supervisor's License#(if applicable) O 2rWorkrh n's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Argg rn qu ' 1nS ura trl c2_ �'�r rag n v Workman's Comp.Policy# W C 11 2.Bn,8 3,5 2.3 9,4 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to 1 ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side 1P'Replacement Windows/doors/sliders.U-Value .3O (maximum.35)#of windows to #of doors: - ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. xi�rhere required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. x' Note: Property wner must sign Property Owner Letter of Permission. A copy o the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: QMVPFILES\FORb4S\building permit forms\EXPRESS.doc Revised 061313 Ii eneml "7L11 W'AL BY ANDERSEN .dread eesuoerere 26 ARim Road - linooln,1t102865 herd nw seat Phone 8651W 2255.Fax 401.699.66ri2 M1dentt`sti ID+M1t-c�6Ai10 SmWb MNew fiaGlaai Wid@svr,U C d&/s ItaacryrJlryAair3sesdlMwllilsr► lam CXWMM 11 UMOW AND DOOR REMODIBUNGAGREEBUM are..o e� 1� So 1) aim dAp.ff.rt &W*sveaAdirm Caw taen+n by code a P0 6m IMAU4 ettrw�aa..F. ��l�.l r Q Carneslf��ta�.tearr�..�-►«5�S Y�F—S�3t�. +�a«�ewno�.r►�,w��' �3'�7p Buyo)hereby jointly and wvu*agrees to purdmm the pro&cu and/or senioa of Soutieue New Fund%Ind %,1LC d/bJs.Rmmal by Andersen of Southern New Figlmd tUantmtor"),in accordance WA the truces and con44orts desevibed on the front and the reverse of des gmen*nt and an tl a stuwhed tpedfic �ebeer(a)"1 dvdM Oda 9Ageeeme t'j. O ulooric O CAND" OHM? TbtJ)*Ammvt; /n ,/] EaaratraAsnrtire0uae itedrod at ftem t nq& nposh R4W*sd(33X): L&W Cndlt C�err ewepeeS for apoAt e^b'—rnodrwn Vl d fr 6e4na at Start d job(33x,1: fimeene[aexpfrde.Orth der yo idge t r&ROfft a Son d job o[d Ale an r Cy0 O, (,� tfsdn sbw eee on edd C ffloedoft of job , t to�ot by� Cornplttlore d)ob(331i) and and am be Trade by lmrw i deeck Berk crack,or cuk Boyals)ogmes,dad tearesataade fiat"fit oostrtltatts rite omdm adbseusdiag between the pedlesy rani Aar there are ao serial undeirmodkspe Aaaslhas day of the deems.,f We Aaemesc+eat.Boyar(s)aClm •Au 8ayer(a) ad(t)Ins re Ada Agreem ns ateat,wdp:ftllnda ties tees Ada Astecaa S4 a"has rmoci i a am plea* asec add delta copy et tlsiw►��S iadarbtstbe two attaAai Nedces of CasooUndoe,a the daft Baatwsittm above eai M wm orally ac bihoud et rr riot to cancel ails Ag eosem.DO NOT SiONTffia CONTRACT EFTKIMARRANT DIANK SMM pUm&t lmsd Safe@ 0saf3r)Node&so Boyars(1)Do a"alp this Agmeaeeem it any of tie spaCee taeaaior f m the agreed chasm to tie aasm et sides avafiabie hahrmadiss areleft blamL(2)You are ea added to a cepy of" at tie time it,(s)Ton may as any time pay stir Ae filth s spaii balsom roe Misr this Agreement,and is no dolersra may be emit dto rualve a partial rebate of the$aassm mod isratraaee (4)Tie seller ha@ Me A&to Mnbnvhdly Msm*your pr'ecata er asaanie easy breaeb d A.teas a regrow@..goods,purchased Maier this Agreeweat.(5)Vom may eased Ate►Ames.aat if it I.ae we bean adpod at Ae meals e®ee or a bra&&edee of at @ease,proAdW yoea*Miry tie wary at b36 or har a@Ae sli3ot or beaeeek alike shows is tie Agreemmm by reglifteed or certified mass refaieh OAN be greased sat tear Ada ad�t of the Arid calendar dey of or the day on trh"she M ape Ae Ap�aemerets all regular mailde]ivrlee are as hatule.arc die rrcao nyiasnotih>•of ama ladeM im of y Buyer(e)moeitmed the tonswnea edu a on mtisriab pwvidvd by file Rhode lsiand Coetrarsoha lirilirtr) Renewal by 7—.- of Soutimm New Bngiaad lluycr(a) '{ Er — 8 of Product itanaga Signawre Si;psature Pricer Nam of Flodact managm Q PAM Name prim 11Ltne Y014 TH8 EUYIIR($), MAY CANT=This TRANWTION AT ANY TIM MOR TO bl MORT OF THE THMD BUST dig 9"AFrER TIC DATE OF TH[S T tANaACTION.SU Tlili ATTACKED NOTKZ OF 0MCMiATWON PORM FOR AN EXpI.ANA1TlON OF TWA XlOM k— — — — - - — — - - - —_, — — — — - - - - - Oc - - — — — — — —K Dabs of TMartsaadohe — You nmW caned Date of Transaction— —-You nmW cancel tt+ls tra+taaction,wlteout eery r gr or ebli fadlon,within this trarttactlon wilbout any pen ft or oblptioht,wlfhin three bttaienaes dt0s trot..the above date,N you em oab awn► I dteMe busintw thorn flee ate ore data.N you eareeal,eery pproropeh ey► trader ,any palrtr►aset o made by you under do I �tved•+ any pqv r..ads by you under tha Coeslraet or Sale,and arty rnegaeiabls Mntrefrrrsrnt etaeuted I or Sala,and any no kntr ument d fby you wtil he returned wi tan bwlrrsw fogowlret I by year VA be -mu *sad wi n Ismir"m reoti,ppt��r the Sonar d your eanoelladon ,and any tM t3SSW of Your orasa�on and any eeatritj Mbr,aat Widows out of the transaeeioM wip tea I � Tett@r@st arms out of the "Wamcdon will be cane"M—can Ak yyooutt swat mwm w aR"to rho Seller i Canceler.If yyeeus e'saeN, npi math a vall"to ties SAer at your nrdenca,In aubstaretlaDy au Good condition as when I at your naaidarere,in wally as food wrell6po as wise„ recsivod,stay poo0s delivered to you under thh Cartract or I received,any ao*&deflvhwed to you under this Contract or R 3 t with.. with flea llfibrlCtierN ref I Salaior you ilysu vrldy wtaia fibs iPnerte 14 A is of or the r else rigtnt of the pe,M at the bra Sa11ar reeW flee heesaco�t of the=odds at bee B@Hr% asw�riliL 1!y0M re malty till�sds aYa�iiia Rolle �o�ersM Mid Il1lL if y0Y r0 nfai0l t�M soda Arable to the=and dw Sailer does ever pick chest Yp within to the Sonar aid do Seller do"not pidt tlw n up wllhin twenty dads of the date of Careeeiladm.you nmW retain or t twenty des of the Clara of eaneatladm%you nggr mtsim or el of the goods withaut any iumf*0 obl pdon.It you I di�po�e of tM=Dods widen t any Its dw obR If you fall to males the soots available to the Soler,or ifyrCw agres I fart to mated tM goods maihrbM to the Sailer,or If you aree to r*wm the goods to On Solar MW trl to do eo,thon you i to reprn tM foods to the Seller and hit to do a%than you remain Mile for rbrnunce of all for prtvrmance �under altoContractTo ContractTo cancel this&am ctlim null or iwr signed i C�ontrwLT tonal tiffs trer■aa m"or de4vr a sipMed and dated copy of fhb mWetbhtion notice or any otter and dated e0ipl' of this cancatlation nodes or fiery other written notion or sand a telegram to Reoowd byAnd6rs.e of f whitEeee reopce,or saved s tol %to Renewal byAndersen of Southern Now E at 26 AIW*n Road,LhwoK RI 02M, I Southern New at: Alters►Rost,lincoln,lU OMS. (Daft) MAW TF�MIDNIG►tT Of i SNOT LATER THAN MtDNNMT OF I H�CANCELTHIS TRANSACTION. I HEMY CANCEL THISTMNSACTIOM will'+dudes a stets narn faded ft" s1Fww drew sore fore. Rb,A Cope Woos bu)w Cam.Ydow &W Copy:Pk* �. CVP Southern New England Windows d.b.a Renewal by Andersen of SNE it 7 =S3�F,L52tt�-Defaori icat of Pliwic Safety Board of E!uilding Rogulailons and Stgpdards CS41W07 BRIAN D DENNISON •:- 7 LAMBS POND CIRCLE >' Charlton MA.01507 Cca^ tssir!nar 09/08/2016 I ' :.c ��,;• � 1r! r.(!lr.� f%- •.::-•Glc:f":Jri"�3r.lt:�r��:; Office of Consumer AII'airn and Business Regulation 10 Park Plaza-Suitc 5 170 Boston,.%•tassachusetts 07116' Hnnle L•nProvemenl Canlr."lcltlr ftetistrltion Registration: 173245 Type' 1.1.:: Exolmlion: 9/1512016 Tr- 257352 SOUTHERN NEW ENGLANC WINDOWS LL MATTHFl4r ESLER 25 ALBION RD LINCOLN.RI 02865 - --- --"--.._... .......... Update Address and return card.Mark reason for change. AAdrsss f.!Arnrn-al F.plocmrn, I Lost Carts .^l/.:'C..,.rn.e,nr.•,:iri:y[�:,:cr.�edC _.,f)tfa MCoasasatr.i(Ufrs c eusiae!s RnaH,Saa License or registration valid for indMdul us:ad.r "�'O.ME:tdi'RUI'_G1FJfi CONTRACTOR Actor,tha expiration date- If found return to: egwration: 1T3245 -Type: Orru:cef:an.usuerAffairs nnu Rnsines>lieyuintiuu ' fa ratierr Q'19.'7l116 It.(,. 101'ark Playa-Sui1c5170 a ` pt Destan.MA 02116 S7U i iERN IIEV/ENG.ANC I'NN?UNi LLC. �I P.EY?A•AL 6Y ANDEP.SON i MATIF.EIY_full 26.4W1UN i7 UNL:OM F!028G5 Yi. .. .J._—'"I��b`'%k Ladmrr U y Not valid Nithou:signature I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston,MA 02114-2017 wwwmass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/OrganizatiorOndividual): SOUTHERN NEW ENGLAND WINDOWS Address:26 Albion Rd City/State/Zip:Lincoln, RI 02865 Phone#:401-228-9800 Are you an employer? Check the appropriate box: �� 20+ 4. I am a general contractor and I Type of project(required): l. I afr a employer with g 6. 0 New construction employees (full and/or part-time).* have hired the sub-contractop 2.ElI am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. 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 l 1.❑ Plumbing repairs or additions myself,. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §I(4),and we have no 13.0 Other Window Replacement 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. -4'. 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:ARGONAUT INS. CO. Policy#or Self-ins. Lic. #:WC 928058352394 Expiration Date:8/21/2016 Job Site Address:- g'�o /one/c) City/State/Zip:narAa S 11 t(r M rq 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-VIGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a-copy of this statement may be forwarded to the Office of Investigations of the DIA for'nsurance coverage verification. I do hereby certi under the ' s and penalties of perjury that the information provided above is true and correct. Simiafore: c Date: S1 -rP,, er 2 Zo Phone#: 4012289800 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#: SOUTNEW-01 PARKERNATHCO CERTIFICATE OF LIABILITY INSURANCE F °A811`"°12016' 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 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 i certificate holder in lieu of such endorsement(s). PRODUCER 'W cT Willis Certificate Center Wills of New Jersey Blvd,Inc. �Na onr(877)945-7378 Nor(888 467-2378 c/o 28 Century Blvd ) P.O.Box 305191 ?E" RDRD L 1 Nashville,TN 37230.6191 INSURERS AFFORDING COVERAGE NAIC a INSURER A:Selective Insurance Company of Southeast 39926 INSURED ;INSURER 6:OneBeacon Insurance Company 21970 Southern New England Windows LLC 'INsuRER C:Argonaut Insurance Company 19801 D/BIA Renewal by Andersen ti28 Albion Road INSURER D: + Lincoln,RI 02865 !INSURER E: INSURER F: COVERAGES CERTIRCATE 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS i 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. �S TYPEOfINSURANCE - POLICY E LICYEXP POLICY NUMBER MWDDffYYY LMM A X I COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE Is 1,000,000 CLAIMS-MADE M OCCUR x 2029459 08/10/2016 08/10/2018 ppEMl1 epee b 100,0 MED EXP(AID one pemon) $ 10,000 GEL L AGGREGATE LIAt(r PERSONAL&ADVINJ'JRY $ 1 APPLIES PER: I I GENERAL AGGREGATE S 3,000 POLICY a j� C IOC I I i PRODUCTS-COMPIOPAGG $ 3,000,00 OTHER: AUTOMOBILE LIABILITY I O aBFIN�E SS[NGLE LIMIT s 1,om A x ANY AUTO ( X S M9469 OBN0/201510811012016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED '' I BODILY INJURY(Per ecctdent) S AUTOS AUTOS I x HIREDAUTOS x AUTON S j PROPPEERTYDAM S ' i i s EXCESS LLA LIAR OCCUR , I - EACH OCCURRENCE S F—IEXCES CLAIMS-MADE AGGREGATE S DED RETENTIONS S WORKERS COMPENSATION i STATUTE AND EMPLOYERS'LIABIUiY Y 1 N( j x STAME .ER B ANY PROPRIETORIPARTNERA9CECUTIVE f��N � 00006$02$ (08/21/Z01510$I21/2016 EL EACH ACCIDENT S 1,000,000 OFFICERAMEtABER EXCLUDED N 1 A 1 I !(Myandatory In NMill' ? I EL DISEASE-EABnPLO S 1,000,00 DESCRIPTION Oes.describe under OPERATIONS below I j i EL DISEASE-POLICY LIMIT S 1,00t1 C Workers Compensation i C928058552394 OW21/2015108/21/2016 See Attached DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space le required) THIS CERTIFICATE VOIDS AND REPLACES THE PREVIOUSLY ISSUED CERTIFICATE DATED:am1/2016 Auto Policy includes additional insured when required by written contractlagreement as per policy form. HSS Holding Corporation,Inc.and any subsidiaries are included as an Additional Insured as respects to General Liability when required by written contract/agreement as per policy form I CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE i THE EXPIRATION DATE THEREOF, HOME WILL BE DBJVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014f01) The ACORD name and logo are registered marks of ACORD I i Southern New England Windows d.b.a Renewal by Andersen of SNE Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-095707 BRIAN D DENNIS6N 7 LAMBS POND CIRlug i Charlton MA 01507 'YY Expiration Commissioner 09/08/2016 Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 i Home Improvement Contractor Registration Registration: 173245 Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL EViratron: 9/192016 DENNISON BRIAN 26 ALBION RD — ----- i ` LINCOLN,RI 02865 t Update Address and return card.Mark reason for change. Stal O 2OM4)Snt Address I]Renewal O Employment Lost Card t�6e tpornmo ODE c�9�/aakiat!�csella Mice of Consemtr Affairs&Buslacss Regulation license or registration valid for Individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 891stratlon: 173245 Type. 10 Park Plaza-Suite 5170 Expiration: 9/19/2016 Supplement•:.aid Boston,MA 02116 SOUTHERN NEW ENGLAND WINDOWS LLC. RENEWAL BY ANDERSON DENNISON BRIAN 26 ALBION RD LINCOLN.RI 02865 Uederucretary Not valid without signature Town of Barnstable Building 1 g t RARNMBM Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MAM Posted Until Final Inspection Has Been Made. Permit 0-so. t Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-19-2529 Applicant Name: Dean Fraser Approvals Date Issued: 08/06/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 02/06/2020 Foundation: Location: 86 TUPELO ROAD, MARSTONS MILLS Map/Lot: 057-105 -� �Zoning District: RF Sheathing: Owner on Record: NELSON, NANCY L Contractor Name:"�,Fraser Construction Company Inc. Framing: 1 I � Address: 86 TUPELO ROAD Contractor License: 194747 2 MARSTONS MILLS, MA 02648 Est. Project Cost: $ 15,000.00 Chimney: 1 Description: Remove and replace one skylight and asphalt roof Permit Fee: $76.50 Insulation: r ( Fee Paid: $76.50 Project Review Req: 4t y I Final: Date:f 8/6/2019 Plumbing/Gas 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. I ���--���"'""" 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: 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 Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT pNL�,uC EM a,SL_ S C J-r