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HomeMy WebLinkAbout0016 WINDING COVE ROAD WiN,01,AJG Co VF �20, NAAS7 #717- io(.1 �l� ly� l Application number.............................................. Date Issued...............Z�.�....1,. snttvsrast.E. �. APR 3 0 20 1.9 Building Inspectors Initials...... TOWN 0� 6AHNS IABU Map/Parcel........O7 7 2.16e.............................. TOWN OF BARNSTABLE •SS EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: Ud;1c(;•)c Cove A �5�,, s ,11•1/S NUMBER STREET VILLAGE Owner's Name: 4 ;-s i Phone Number s oz-7 -130 Email Address: ��Pre ✓a hose%�i co, Cell Phone Number 7,f/,2.19 22 (o Project cost S R Cl 12 Check one Residential V11 Commercial OWNER'S AUTHORIZATION i As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: le �-{{Q��Q C'�-{Y -� Date: TYPE OF WORK ❑ Siding Z VIImdows no header change)# ❑ Insulation/W( g ) �_ eathenzatlon ❑ Doors (no header change) # Commercial Doors require an inspector's review El Roof(not applying more than 1 layer of shingles) n Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name (F5 i an `7( n/t�So✓N - .!OAe cn +V e, c 5 I a,, J S Home Improvement Contractors Registration(if applicable)# 17 3 L.q_5 (attach copy) Construction Supervisor's License# yq S`7 07 (attach copy) Email of Contractor c�s�ee�qqs@ ; �. C bM Phone number 1/01- z Z R -9 Roo ALL PROPERTIES THAT HAVE STRUCTURES VER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS 11N A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATIONNUMBER...:........................................................ *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 i A-M 9 � RE pLIC�1'T S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. Renewal Agreement Document and Payment Terms byAndersen. dba:Renewal B Andersen of Southern New England Y gl Peter&Louise Bentley =.. L Legal Name:Southern New England Windows,LLC 16 Winding Cove Road RI #36079,MA#173245,CT#0634555, Lead Firm#1237 Marstons Mills,MA 02648 10 Reservoir Rd I Smithfield,RI 02917 C:(781)249-2216 Phone:866-563-22351 Fax:401-633-6602 1 sales®renewalsne.com Buyer(s) Name: Peter& Louise Bentley Contract Date: 04/18/19 Buyer(s) Street Address: 16 Winding Cove Road, Marstons Mills, MA 02648 Primary Telephone Number: Secondary Telephone Number: (781) 249-2216 Primary Email: peter@waterhouseleather.com Secondary Email: Buyer(s) hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document, the terms of which are all agreed to by the parties and incorporated herein by reference(collectively, this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total job Amount: $9,912 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $4,956 Balance Due: $4,956 Estimated Start: Estimated Completion: Amount Financed: $9,912 6-8 weeks 6-8 weeks Method of Payment: Financing We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later date. Rain and extreme weather are the most common causes for delay. Notes: 50% start, 50% at comp, permit/taxes PD in Barnstable Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s) and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement, understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 04/22/2019 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Southern New England Windows,LLC dba:Renewal y de n of Southern New England Buyer(s) Signature of Sales Person Signature Signature Seth Grizey Peter Bentley Louise Bentley Print Name of Sales Person Print Name Print Name UPDATED: 04/18/19 Page 2 / 11 r off Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improveme.ht--Contractor Registration Type: Supplement Card - - - Registration: 173245 SOUTHERN NEW ENGLAND WINDOWS,LLC _ Expiration: 09/18/2020 10 RESERVOIR ROAD SMITHFIELD,RI 02917 - -OS/SG1 t 0Update Address and Return Card. 20M1 7 ��/B TGYJJ/72/.'?.GUCO.LI? L�G'�Qii-J!I.C�Cl/.JCCGi Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Reaistiation, Expiration Office of Consumer Affairs and Business Regulation 1Z3245_== 09/18/2020 1000 Washington Street-Suite 710 SOUTHERN NEW.ENGLAND WINDOWS,LLC Boston,MA 0211 BRIAN DENNISON, 10 RESERVOIR ROAD SMITHFIELD,RI 02917 Undersecretary iv?v without signature Commonwealth of Massachusetts - Division of Professional Licensure Board of Building Regulations and Standards Constro:—t4,vn -Supervisor ---- - -- - -- - - ---- - -- - CS-095707 p i res: 09/08/202,0 BRIAN D DENNISON 8 BLACKWELL--DRIVE CHARLTON MV-01507 Commissioner The Commonwealth of Kassaehusetts Department of Industrial Accidents 1 Congress Stree4 Suite 100 Boston,MA 02114-2017 www n=s goYMa Workers'Compensation Insurance Affidavit:Builders/Contractors/ElectricianslPlnmbers. TO BE FILED WITH THE PER�ATTLYG AUTHORITY. A00licint Information j, Pkase Print Le 'biv Name(Business/Organization/Individual): Dew) Address: 10 Ci /State/Zi : M r n e- R( Ot- / l� tY P S �T1 1 t 9 ] Phone#: �/Dl—ZZ�— 9 Are you an employer'Cbeck the appropriate box: Type of project(required): 1. 1 am a employer with 4204employees(full and/or part-time).* 17. New construction 2 am a sole proprietor or partnership and have no employees working for me in S: Remodeling any capacity.[No workxcs'comp.insurance required] 3.01 am a homeowner doing all work myself(No workers'comp.insurance required.]r 9. 0 Demolition 4.[31 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 D Building addition ensure that all contractors either have workers'compensation insurance or are sole 1 l.0 Electrical repairs or additions proprietors with no employees. S.[J[am a general contractor and I have hired the subcontractors listed on the attached sheet: 12.(]Plumbing repairs or additions Thessesub-contractors have employees and have workers'comp.insurance.: 13. E aof repairs 6.a We ace a c0g0tation and its officers have exercised their right of exemption per MGL c. 14. Othe[ w rn Gam✓ . 1A§((4).and we have no employees.[No workers'comp_insurance required] r�/a�Pi►+e,e 'Arty applicant that checks box A I must also fill out the section below showing their corkers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all cork and then hire outside contractors must submit a new affidavit indicating such. =Contractors that dick this box must attached an additional sheet showing the name of the sub-contractors and state whother or not those entities have employees. If the subcconractors have employee%they most provide their workers'etanp.policy number. lam an employer that is providing workers'compensation Insurance for my enWloyeex Below b the policy and job site information Insurance Company Name: 1' Q/lM— 06 . OF W fi Policy#or Self-ins.Lic.#:-"C '31S= ?0?7 Expiration Date: ZO Job Site Address:_ 16 ~ 1t/n d&] q City/Statraip: /`s 'Yr Attach a copy of the workers'compensation policy declaration page(showing the policy number and expira. n 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 MOM a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurancecoverage verification. Idoher*cerd under the p ' penalties of perjury that the information provided above is bun and correct tre7- - Da _ Phone#: Official use only: Do not write in dds area,to be compkted by city or town oj/?ctal City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityltown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• CERTIFICATE OF LIABILITY INSURANCE ATE (M DD e 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 certificate holder in lieu of such endorsement(s). PRODUCER CONTACT CoBiz Insurance, Inc.-CO NAME` 1401 Lawrence St., Ste. 1200 PHONE 303-988-0446 ac No:303-988-0804 Denver CO 80202 ADDRESS: COMaiI cobizinsurance.com INSURE S AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance Company 31325 INSURED ESLERCO-01 INSURER'B:Firemens Insurance Company of WA D.C. 21784 dba Renewal by Andersen of Southern New England Southern New England Windows, INSURER C:Homeland Insurance Company of New York 34452 em 10 Reservior Rd INSURER D: Smithfield RI 02917 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:787175890 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR �� INSURANCE ADDL SU R , POLICY EFF POLICY EXP LTR POLICYNUMBER MM/DD/YYYY MM/DWYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CPA3158728 1/1/2019 1/112020 EACH OCCURRENCE $1,000,000 CLAIMS MADE a OCCUR PREMISES occurrence $300.000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.DW.000 X POLICY❑JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY CPA3158728 1/1/2019 1/1/2020 COMBINED SINGLE LIMIT a accident $1,00,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY AUTOS AUTOS (Per accident) $ X HIRED AUTOS N NON-OWNED AWNED PReOaPE�Y DAMAGE $ A X UMBRELLA LIAR X OCCUR CPA3158728 1/1/2019 1/1/2020 EACH OCCURRENCE $15.000.000 EXCESS LIAR CLAIMS-MADE AGGREGATE $15.000,000 DEO I X I RETENTION$n $ B WORKERS COMPENSATION WCA315872924 1/1/2019 1/112020 X STATUTE ER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUMVE E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? N� N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEd$1,000.000 If yes,describeDESCRIPTION OF O E.L.DISEASE-POLICY LIMIT $1 000,000 under DESCRIPTION OF OPERATIONS below C Poaution Llabll�y 7930073340000 1/1/2019 1/1/2020 Each Occurrence Claims Made Pal' $2,000,000 Retroactive Data�20/2013 A99re9a� $25,00,000 Deductible $25,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe 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. FOR INFORMATIONAL PURPOSES-ONLY AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD I • TOWN OF BARNSTABLE, CERTIFICATE OF OCCUPANCY PARCEL ID 077 .046 GEOBASE ID 4023 ; ADDRESS 1� WINDING COVE ROAD PHONE lMarstons Mills ZIP - y"'T'a LOT 82 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO iPERMIT 9517 DESCRIPTION SINGLE FAMILY DWELLING PERMIT TYPE. BC00 TITLE CERTIFICATE OF OCDep'aitinent of Health, Safety CONTRACTORS: and Environmental Services ARCHITECTS: TOTAL FEES: BOND $.00 CONSTRUCTION COSTS $.00 . * BARN3PABLE. + MASS. • 039. OWNER 'CHIRICOSTA, VINCENT Ep MI`►I ADDRESS .31 SOUTH GATEWAY WINCHESTER' MA BUILD • CIS 07N DATE ISSUED 08/03/1995 EXPIRATION DATE BY DIVISION APPROVALS FOR CERTIFICATE OF OCCUPANCY TO BE SIGNED BY•EACH DIVISION HEAD UPON COMPLETION BUILDING: DATE: COMMENTS: -PLUMBING: r ' , DATE: COMMENTS: ~' , ELECTRICAL: DATE: COMMENTS: r GAS: DATE: COMMENTS: CONSERVATION: 'DATE: COMMENTS: OKH: DATE: COMMENTS: HISTORIC: DATE: COMMENTS: FIRE DEPT.: DATE: COMMENTS: OTHER: DATE: COMMENTS: TURN THIS IN TO THE BUILDING COMMISSIONER AFTER ALL SIGN-OFFS!ARE'k COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED ATTHATTIME. 1 TOWN OF BARNS'T.ABLE � CERTIFICATE OF OCCUPANCY PARCEL ID 077 046 GEOBASE ID 4023 ADDRESS 16 WINDING COVE ROAD PHONE . /Marstons Mills Zip LOT 82 BLOCK. LOT SIZE DBA s DEVELOPMENT DISTRICT CO PERMIT 9517 DESCRIPTION SINGLE FAMILY DWELLING PERMIT TYPE BC00 TITLE CERTIFICATE OF OCDfnent of Health, Safety CONTRACTORS: and Environmental Services ARCHITECTS: TOTAL FEES: BOND $.00 CONSTRUCTION COSTS . $.00 Q^ + 1ARNSTABLE, • MASS. 1659. OWNER CHIRICOSTA, VINCENT A ADDRESS 31 SOUTH GATEWAY., WINCHESTER MA BUILDI S N DATE ISSUED 08/03/1995 EXPIRATION DATE BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED 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 THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS li I BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS - 1 1 1 r i ' I t . I 2 2 2 i 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD.CAN BE.ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 508-790-6227 AdBAT OIAET, )40' WWOT yo j4 -0 ?qo RTAO A19"HilO EN-vil, al 98AUW10- ap.C) N,N,o (i j asoRAq UAQ9 HAM DWI(fK',VW 81 8aORGUA XIS allim 9SI2 TOUI N8 1,1101.1 T A', ARG 'HA ING OH `13 1 Ti -6 Ilk) PERMIT 1,1143, f;- I 011 Tv A,4 T.rj I 3 _LK" j ..i'.��iL Y.r ..::e.• eRsy�;��a yL t'n27r`V.-0r � "`��'..,r "''�-^i : •,.,- e:{.k 't r i,.}•.:,T,.'�k,:... .•t:'-�-r w#- �<� �_ -.�,:'�" y '✓"� ..:..��fi <- <,lDlNG "PE �� . ..� ��'�'��TOWN OF BARNSTABLE, MASSACHUSETTS RMIT Aa77-46 DATE November 3 19 94 PERMIT NO. NQ 371.93 • } APPLICANT T.A. Nels'ou Construction ADDRESS 1112 Plain St. , Ostervllle 009889 „ IN0.) (STREET) i (CONTR'S LICENSEI OF PERMIT TO Build dwelling ( 1. ) STORY Single family dwelling DWELLLRING UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) lot #d21 16 Winding Cove Road, M.arstons Mills ZONING cT R�' (NO.) (STREET) BETWEEN AND ' (CROSS STREET) (CROSS STREET) LOT =I)BDIVISION LOT BLOCK SIZE elIALDING 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: Sewage #94-653 BOND AREA OR 2640 sq. ft. s 160,000 PERMIT 132.00 VOLUME ESTIMATED COST FEE (CUBIC/SQUARE FEET) OWNER Hr. & Mrs. Vincent Chiricosta ADDRESS c/o . A. Nelson ons ructIOLL BBYILDI P THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREppppF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE ILOING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUB C SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPL CANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL OUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH).3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET _ BUILDINgINSPECTION APPPDVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS I. a t S 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT • 1 Cows _ 2'7.-3 ( -C S BOARD OF HEALTH -------------- OTHER 112 r SITE PLAN REVIEW APPROVAL fro WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION.- I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. TOWNS OF BARNSTABLE {BAR-W 204 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager �!', t Address of Offende MV/MB Reg.# Village/State/Zip V/ G .;Z L S.S Business Name X m- on mS - 19 5 Business Address l � > Signature b f Enforcing Officer a Village/St&te/Zip Location of�Offens i'r- Enforcing Dept/G ivision Offense Facts This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary. compliance. Subsequent violations will result in appropriate legal action by the Town. i • •..t"j ; I l .. al ; .t ice. a ; ZP4-1 Z-7 5 ' A �-o o b, ,p WIIIIAM v, .�,._,__•• :i C. N Y E y C.1=lZTlF lEL7 No.'19334 O �' P Ld'T' PL./., `^ LbGATI Ot�1 � �S �1 L ,5 �T��y�Q, , C G R T l P Y T N A T T I-1 G ��FJpA(� V 5 t loticl IJ Pt_A N Z l 2 Z1.c1 l i-l��CaF� C(>vwLY5 W1711 TW- :-- ���1c C Aub SE r)a&c4. VGQUllZEMvc:I.ITS aj:�i -rNr— i d w u of .FAQ U TA f-Ali 'R* IjL.0 120�,I UU.)OI ke, 0 rP i Z cc7-0 z gAXTCtZ � 'uYC t��c. LZEGIs't,C-1Z�D LA WC> 5uev�YotZs `Tt-ll5 .1�C.AF-1 l5 t-!UT SASirp Ot�,1 AtJ 0•5'TEZVkLLG C> &(A.ss' �SI�Rc�,c���.!T Sv�vcY �T►-tom o��ScT'S Sl�o�vl.� \ , ,b[' gL- USCQ To DCTEeMIjFL l.O l_►1.1`S APt�t_ t G/�.►�1T y II--'G1�.11 ���(� co/)I17Io111410a4.17 0 71 0-1J0.C171 C 5 U 600 UVailiir[cgfon Street James J.Campbell l/2oefort, Waesac4a3effi 02f f f Commissioner Workers' Compensation Insurance Mridavit 1. THOMAS A NELSON, PRESIDENT, T A NELSON CONSTRUCTION COMPANY INC (licensee/permittee) with a principal place of business at: 1112 MAIN STREET OSTERVILLE MA 02655 (Ctcy/state/zip) do hereby certify under the pains and penalties of perjury, that: I am an employer providing workers' compensation coverage for my employees working on this job. WAUSAU INSURANCE 1515-02-090405 Insurance Company Policy Number O I am a sole proprietor and have no one working for me in any capacity. () I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number () 1 am a homeowner performing all the work myself. I unders:_r.0 that a copy of this statement will be forwarded to the Of5ce of Investigations of the DIA for coverage verification and that failure to secure coverage as requir under Section 25A of MGL 152 can lead to the imposition of criminal penalties consisting of a fine of up to S 1,500.00 and/or one year'imarison nt as well as civil penalties in the form of a STOP WORK ORDER and a fine of S 100.00 a day against me. /lignede'n"Ac FIRSday of NOVEMBER 1994 Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAG INFORMATION CALL: 6 7-727-4900 X403, 404, 40S, 409, 375 A i'sP•� `;�.�•� 91rr�-7 �6�>4• ��' "cam ~�-" -•��'� mk y_h R i po�aar� ' riompRop 1 0r-r 56 0 (� ! _+4 DESIGN#3560°HOME PLANNERS,INC. rfi� i' k�• ,• tF•,�!�i' I Square Footage:2,189 MASTER ` BED IS. NIP RM BED RM.'^ LIVING RM.^ DINING RM. 13!.120 .81.20° 91.139 ' I���.�• -1;FOYER 19..I?. ` PORCI •U, MEDIAf eeo RM 't •'r Is°.Is° GARAGE ' i8 • 1 � � f �HI�—�x°�jw,A{�`— __ 'fir $ . 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R L/V/AJ� RM. t I 5'a_• Ia• a eot/.eT a..a... o IL e�we�...w.o awn au, ry as �wr ear .v. c� i � EaARA6E 4o..a..t.n o.e„ r.o• a. 4nira. - .o c FLOOR I�LAtiI 3560 HOME PLANNERS, . � � I.O eL�. V .r\' •r{ -rb w• H 1 = uw.Hrerr ve✓r __ I - Nd•e+T bt rsr.vo. iw.v ua 'aP'veur = H r ws.r/e raRrH • a r •� � - ` b•� _ .Pb• •Pb• -as .zp• - R cea m u eH 3 i H a{• .r Mr-3 OETA/L 3 ..LL ►'" b. ":`-i."'.'� •ram w{•. ®®®�®®®® _ I c I II I I 14 x� 1 1 1 I ' FROAJT ELEVATIOhJ .c..-e/aL•.no. • I ti o•Ge..r.. srr�,r.,sur - LAI1 e,u/�TeT r.al p ^2 r - BMwGLfH n^�w- •-JV^/ 1 To r.�HT YYR. ® 1 q SETA/r_ r � U i ' i aAC d'•o• u db• 6e _y � CIAO .T •C' ate' 4• a� w.reeau. ✓fh• � � � .rh• y zp � -zh ./h• •ob• —. s r.wa. REAR ELEVATIOhJ 7-RU55 DIAGRAMS ®� HOME PLANNERS,INC. 3560 ® mswn,rurom.sminncsaau¢aum.l 3 4 ip LEFT SIOE ELEVATIO,LJ J _ e ? o:e e f i RIGHT 5/0E ELE VATIOIJ ®HOME PLANNERS,INC. asso — _ _— - r - s 0 --- a _- — ®®®r�vs wu ru eo�u sm,n nca..nza u m•, 4 14 F f , COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF I ONE ASHBORTON PLACE MASSACHUSETTS I BOSTON,MA 02108 `I>!flits licauce. LICENSE EXPIRATION DATE ^� C O N S T R.. SUPERVISOR CAUTION 0.5/2 8/19 9 6 % I FOR PROTECTION AGAINST RESTRICTIONS i EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB NONE 06/30/1993 009889 PRINT IN APPROPRIATE R' BOX ON LICENSE. € THA�IAS A NELSON . 1 4 ICE VALLEY R D BLASTING OPERATORS g OSTERVILLE MA 02655 - 5 MQST INCLUDE PHOTO. . r PHOT,Q• LA PR ONLY) 0..00 . a lt^ Y •� =0R'- UCENSEE AND OFFICIALLY HEIGHT: ODOB: THIS DOCUMENT MUST BE SIGN NAME W FDASI ATVRE UNE CARRIEDONTHEPERSONOF 1 SIGNATURE OFUCENSEE •� 11`� THE HOLDER WHEN EN• 1 oLo� OTHERS•A*3 T THUMB PRINT GAGED W THISOCCUPATIOM r � R i Assessor's office(1st Floor): Assessor's map and lot number AVo�tM it to 1� ,r1,� _-; ��a✓q y .SEP'T16 SYSTEM MUST' BE Conservation _ • Board of Health(3rd floor): 3 INSTALLED IN COMPLIANq Sewage Permit number ��-��3 �,� ,' WITH TITLE 5 �vS o°�cY�r.�•d° Engineering Department(3rd floor): ENVIRONMENTAL CODE AN House number SOWN REGUL.�TIONS Definitive Plan Approved by Planning Board __�/ 19 T APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only' , TOWN OF - BARNSTABLE � .f � BUILDING INSPECTOR ((( APPLICATION FOR PERMIT TO KJ U���` eLr✓ � 'I�PjJ1G�� TYPE OF CONSTRUCTION I - 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to thefollowing information: Location 2 //1Q//J C-Ol/t� i ����7 Proposed Use Zoning District k Fire District s Name of Owner M r—"7 r' s V 6 r)CZAI L oy'r/�J&Address Name of Builder /e / 4F46 �•�Y4 ��SPD/! Address_1llZ 1'0246i7 Name of Architect� ' ' �l/ /1f.�0 Address 3Zx-ro.1 Number of Rooms Foundation Exterior e,V�V �`/� � Roofing Floors G�.�/��C ���r` Interior to- v/ AV Heating&2;;� Plumbing � 5 Fireplace ��D G�U�-i' �G, p 'Approximate Cost .11 1,2.OGV 611L Area s� 6 oa Diagram of Lot and Building with Dimensions /Iq ee — �� ?. 2� (s IZ75F �0 70 >1. /TO cJS� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS v, -� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re ding the con ruction. Name Construction Supervisor's License �� No ,' Permit For dwelling Location 16 Winding Cove Road Marstons Mills Owner Mr. & Mrs. Vincent Chiricosta Type of Construction' 9 J o Plot Lot M1 ` Permit Granted November 3 19 94 v Date of Inspection's 19 Q "` a Date Completed 19' R- � 80 8 - P�-c�•fir _ dp vw�t�,uv N •� 1 SoU ��c- t.1.�U �l .� -'. � • �� BBC t-et'e4A PIT A c L cow�Ns rJrs lao•o / - - �tav� C-XP ;� 'F:.Uei C-D 4107. 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