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HomeMy WebLinkAbout0039 TOWER HILL ROAD (7) �►��4 R a Q o F i �� r r 0 �, ,i i � I --1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1 Parcel Application # ?� Health Division Date Issued 1 Conservation Division Application Fee ( 6 Q Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address A Tower -* t2 Village 0Sf PE) 0I I I-P, Owner Lorei4a 1,an mno Address 3q T(�( Y�-�III u, Telephone -I R L 17 1 •- b aS4 Permit Request i rl�_+Q ( I (- ) Square feet: 1 st floor: existing proposed 2nd floor: existing proposed ` Totaf=new Zoning District I —Flood Plain Groundwater Overlay __i.a Project Valuati n �� Construction Type a.. Lot Size Grandfathered: ❑Yes ❑ No If yes, attach sup orting durrg9'tation. v 3.1 Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) co Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Dedched garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION '�. (BUILDER OR HOMEOWNER) Name 9r) De m)l�i)n Telephone Number --JQ1 2,29 - Cleo Address 20 41l l ion 8d ,--U n tblin , 'K I License # 02570 :7 W R u Home Improvement Contractor# /7bq A 457 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I ' Ld ht)c f� SIGNATURE' DATE 1 /4 J� FOR OFFICIAL USE ONLY APPLICATION# I DATE ISSUED 9 MAP/PARCEL N0. ` ADDRESS VILLAGE OWNER N DATE OF INSPECTION: � FOUNDATION F FRAME INSULATION r FIREPLACE ' ELECTRICAL: ROUGH : FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL f FINAL BUILDING • DATE CLOSED OUT ASSOCIATION PLAN NO., e , The COMMonwealth of Massachusetts f - Department ofdndusttzalAccidents Office of Investigations I Congress Street,Suite 100 Boston,MA 02114 2017 WWW.mass govldia Workers"Compensation InsuranceAffidavit:Builders/Contractors/FIectricians/PIumbers A. Iica>nt Information Name (Business/Organization/jndividual): SOUTHERN NEW ENOLAND WINDOWS LLB rint Legibly Address: 26 ALBION ROAD — City/State/Zip: LINCOLN, RI 02865 Are you an employer?Check the a Phone k 401-228-9800 Ppropriate boz: am a employer ttith 20 4_ ❑ I am a general contractor and I Type°f project(required)_ 2.❑ employees(frill and/or p * have hired the sub-contractors 6. ❑Ne_R,construction I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have forking for me in any capacity. employees and have workers' 8- El Demolition [No workers'comp. insurance comp-Insurance.! 9• []Building addition required] �. El We are a corporation and its 10.❑EIectrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their myself. [No workers' comp_ right of exemption per MGL 11'Q Plumbing repairs or additions insurance required.]Ti c- lit, §IN).and the have no 12-❑Roof repairs employees_ [No irorkers' 1-.no Other'^""oowaea,Aca,�sr� comp.insurance require ME d] �o��MV- Any applicant tat checks box-1 must also fin out the section below shonine Homeouners who submitthis a!$davitindicating 9 their workers compensation policy information. they are doing >Contractors that check-this box must atlac}ted an additional sheet shon�ing thename of the Sub-cOntraetorsand stateu� a!1 Work and then hire outside contractors must sub a$davit indicating such. employees. If the sub-�nctors have employees,tare 3 must provide their .va hedrerornot those entities have ti:crs'comp_policynumber. I am an employer that is providing workms'compensation innm'ance or m infonnafion, f y employees. Below is the policy and job site lmsurance Company Name. ARGONAUT INSURANCE COMPANY Policy or Self ins.Lic_#: W0927938352394 Expiradon Date: 08/21/2015 Job Site Address. 0 Citws Attach a copy of the workers' sompensafion policy declaration page(showing the p I c�,number Failure to secure coverage as required under Section 25 k of MGL c. 152 can Iead to the imposition of criminal n�on date). fine up to$1,500-00 and/or one year imprisonment; as u ell as civil penalties in the form of a STOP WORK Q�� es of a of up to$?50-00 a day against the violator. Be advised that a copy and a fine Investigations of the DIA for insilranee coverage verification p� of this statement may be forwarded to the Office of I do hereby cerfify under tke} Pains andpenajtzes'gfPetlury tlzattlze infonnatiqnProvided above is true d correct. Simaiure: ' s �, i Date_ / Phone#_ 401-228-9800 FOther only. Do not write in this area,to be co nple&d by city or town official. rn: hori Per'mit/License# Authority(circle one): BoardHealth ?.Building Department 3.Cityf�owai Clerk 4.Electrical Inspector S.Plumb' Ins Plumbing pector son• Phone#; A`� 0 CERTIFICATE OF LIABILITY INSURANCE °. 0/12°°""'T'r' D/12/2Da4 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 Poltry(ies)must be endorsed, if SUBROGATION IS WAIVED,subject to the teens and condFdons of the Policy,certain policies may require an endorsement. A statement an this certificate does not conW rights to thAi certificate holder In Ilau of such endorsement(s). PRODUCERULu1s of New J• arsay, Inc. c/o 26 Century Blvd PHOW FAX P-0. Box 305291 EMAIL -877- Mashville, 2H 372305191 MM AD eertificats�++i..eom CO1IERAGE NAIC O SURERA:Belectioe 2nauranea o£ SQ 39926 IHSUREDBoutheza mw angland nindmw LLC D/B/A General by Andersen 0lSURER13:21hs Beacon lmtnal Snssraaea 24017 26 Albion Road INSURERC• 3VjPx ace 19801 Lincoln. EI 02665 MSURERD• DISURER E• 1HSURER F- COVERAGES CERTIFICATE NUMBER.4029160 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 DESCRBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY-HAVE BEEN REDUCED BY PAID CLAIMS. IBR LLTR TYPE OF TMRANCE WVD POLICY NUMBER PO EFF I POUCY EXP Lam COMUMCIALGErE RALUASHM EACH OCCURRENCE S 2,000,000 CLAIMT"ME Q OCCUR TO RENTED A PREIUSES ooamanae S 100,000 MEDEXP amperson) Is 20,000 6 2029459 08/20/2014 08/10/2025 pERSONALaADVIPUMY IS 1,000,000 GM AGGREGATE UWrAppUESpER, GERALAGGREGATE S 3,000,000 POLICY II EN JECT (AC PRODUCTS-COMPIOPAGG IS 3,000,000 ROTHER: Is. AUTOMOBILEUABILnY t:z L"Tj 1,00D,000 ANYAUTO A X ALLOWMED SCHEDULED BO (AvPeMw) S AUTOS A NON-OWN® 6 2029459 08/10/2014 08/10/2015 BORY(Pote 5 X HIREDAUTOS X AUTOSILIMAGE S A X UMBRELLA LIAB X OCCUR S EACH OCCURRENCE S S,000,OOD CLAHAS.IAADE 6 2029459 08/10/2014 08/10/201S AGGREGATE j 5,000,000 DED RETEMnm S @YORIOMtS GQMPBASATHki PERATUTE OTN- B ANDEMPLOVIEWLLASHM' YIN X Si ANY PROPRIEIDAJPARTNERNXECUnM E1 EACNACCr4HYT j 1,000,000 CUMMIdwy CO In NH?MER) EXCLUDED? B❑N!AJ 0000068028 OB/21/2014 08/21/2015 yyeess, E:L DISEASE-EA j 2,000,000 OESCM ONOFOPERAMONSbdow E:LD1SEMr--POUCYLjWT I S 2,000,000 C ork Comp/BL Covg: KC927938352394 08/22/2014 08/21/2015 .L za. Accident - $1,000,006 tatutory Limits - WC .L. Disease Policy Lmt - $1,000,000 _L Disease Be. 8mployes - S1,000,OOo DESCRIPTION OF OPERATIONS!LOCATlM I VEMCLES p ZDRD 101.AddldonW Rs nuts Sdnddls,may be sttsdad Cmam spea Is ngLdmQ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED DI ACCORDANCE WITH THE POLICY PROVISIONS. southern E03 LLC AUTHORMED REPRESENTATWE 26 Albion Road p` fdn-lu, RS 02665-0000 �YLta ©t986-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2094MI) The ACORD name and logo are registered marks of ACORD SR ZDi6629625 SATQ6:Reich 0, 79917 Southern New England Windows d.b.a Fil Massachusetts-Department of Public Safety Board of Building Regulations and Standards / Construction Supervisor License: CS-095707 BRIAN D DENNLSON 7 LAMBS POND CIRC` "!': Charlton MA 01507 + Expiration Commissioner"_ 09/08/2016 ��--��"— � ��� t�??/d?2.Of1'1�UUPC�i 2 t2• 1�CGG 2���P/y - . Office of Consumer Affair 6d Business s s ess 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 173245 Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL Expiration: 9/1 912 01 6 DENNISON BRIAN 26 ALBION RD LINCOLN, RI 02865 Update Address and return card.tA•lark reason for change. sCA 1 0 20,;,"os11I Address F_j' Renewal Employment i; Lost Card Mice of Consumer Affairs S Business Regulation License or re istration valid for individul use only �Rx..� r g Y OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 173245 Type 10 Park Plaza-Suite 5170 . Expiration: 9/19/2016 Supplement-:.ard Boston,MA 02116 , SOUTHERN NEW ENGLAND WINDOWS LLC. RENEWAL BY ANDERSON DENNISON BRIAN 26 ALBION RD -- Ems- LINCOLN,RI 02865 Undersecretary tot va" )it;hoL t signature Renewal - R III License 173245 RENEWAL BY ANDERSEN MA License# 245 , 'Andersen. R Wunx#0634555 MIa00W REPLACEMENT mA,da.e,Compny 26 Albion Road • Lincoln,RI 02865 lead Firm#1237 Phone 866.563.2235•Fax 401.633.6602 Federal Tax ID#46-0566630 Southern New England Windows,LLC d/b/a Renewal by Andersen of Southern New England CUSTOM WINDOW AND �DOOR REMODELING AGREEMENT �/ Buyer(s)Name: �r. � ( It Y10� 11 Date of Agreement '✓eyBuyer(s)StreetAddress.City State,and Zip Code/P.O..Box: 1.(� � (,. QZ E-Mail Address:- 4y C�/�z�l�I,O D�(xo/l tk5l�,me Telephone Number: :2�V-7�/D2✓YWork Telephone Number: 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 on the front the reverse of this agreement and on the attached specification sheet(s)(collectively,this"Agreement"). ❑ Historic Condo ❑HOA? Total Job Amount Estimated Starting Date: Method of Payment 0 Check O Cash Jklinanced Deposit Received(33%): V` —'� �=1=} Credit Cards are accepted for deposit only-maximum 113 of the Balance at Start of job(33%). ✓'^ project cost(Please see Credit Card Payment Form.)By signing this Estimated Completion D te: Agreement,you acknowledge that the Balance at Start of job and the Balance on Substantial �.._ � w Balance on Substantial Completion of job cannot be made by credit Completion of job(33%): card and must be made by personal check bank check or cash. Buyer(s) agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings changing any of the terms of this Agreement. Buyer(s) 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.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. (Rhode Island Sales Only)Notice to Buyer:(1)Do not sign this Agreement if any of the spaces intended for the agreed terms to the extent of then available information are left blank.(2)You are entitled to a copy of this Agreement at the time you sign it.(3)You may at any time pay off the full unpaid balance due under this Agreement,and in so doing you may be entitled to receive a partial rebate of the finance and insurance charges.(4)The seller has no right to unlawfully enter your premises or commit any breach of the peace to repossess goods purchased under this Agreement.(5)You may cancel this Agreement if it has not been signed at the main office or a branch office of the seller,provided you notify the seller at his or her main office or branch office shown in the Agreement by registered or certified mail,which shall be posted not later than midnight of the third calendar day after the day on which the buyer signs the Agreement,excluding Sunday and any holiday on which regular mail deliveries are not made.See the accompanying notice of cancellation form for an explanation of buyer's rights. Buyer(s)received the consumer education materials provided by the Rhode Island Contractors Registration Board. (Buyer's Initials) Renewal by An ers f Southern New England Buyer(s BuY ( ) By: _P Sign ro uct Manager ignature Signature Print Name of Product Manage Print Name Print Name YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. - - - - - - - - - - - - - - -9-C- - - - - - - - - - - - - - - �- - - - - - - - - - - - - - - NOTICE OF CAnNCELLATION X NOTICE OF CANCELLATION Date of Transaction 11 1'I/,Td -i0 y.You may cancel I Date of Transaction & You may cancel this transaction,without any penalty or obligation,within this transaction,without any enalty or obligation,within three business days from the above date.If you cancel,any 1 three business days from the above date.If you cancel,any property traded in,any payments made by you under the 1 property traded in,any payments made by you under the Contract or Sale,and any negotiable instrument executed I Contract or Sale,and any negotiable instrument executed by you will be returned within ten business days following I by you will be returned within ten business days following receipt by the Seller of your cancellation notice,and any I receipt by the Seller 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,you must make available to the Seller I canceled.If you cancel,you must make available to the Seller at your residence,in substantially as good condition as when I at your residence,in substantially as good condition as when received,any goods delivered to you under this Contract or I received,any goods delivered to you under this Contract or Sale;or you may,if you wish,comply with the instructions of I Sale;or you may,if you wish,comply with the instructions of the Seller regarding the return shipment of tits gods at the the Se!lee regarding the return shipment of the goods at the Seller's expense and risk.If you do make the goods available X Seller's expense and risk.If you do make the goods available to the Seller and the Seller does not pick them up within I to the Seller and the Seller does not pick them up within twenty days of the date of cancellation,you may retain or 1 twenty days of the date of cancellation,you may retain or dispose of the goods without any further obligation.If you I dispose of the goods without any further obligation.If you fail to make the goods available to the Seller,or if you agree 1 fail to make the goods available to the Seller,or if you agree to return the goods to the Seller and fail to do so,then you I to return the goods to the Seller and fail to do so,then you remain liable for performance of all obligations under the remain liable for performance of all obligations under the Contract.To cancel this transaction,mail or deliver a signed I Contract.To cancel this transaction,mail or deliver a signed and dated copy of this cancellation notice or any other 1 and dated copy of this cancellation notice or any other written notice,or send a telegram to Renewal byAndersen of I written notice,or send a telegram to Renewal byAndersen of Southern New England at 26 Albion Roa5L Lincol ,RI 02865, 1 Southern New England at 26 Albion Road NOT LATER THAN MIDNIGHT OF &#72r I NOT LATER THAN MIDNIGHT OF Date I HEREBY CANCEL THIS TRANSACTION. I HE(Date) CANCEL THIS TRANSACTION. X Buyer's slgnsturs Print Memo Dab Buyer's slgnaasn Print Memo Dab RbA Copy:White Buyer Copy:Yellow Buyer Copy:Pink r iewal w��coa�� ■�auxar�, -�1 ', To whom lt.may cmmcm: the mssociatbre,or iW Managemeat Cornparry,grants,perti inion to Renewal by Andemn to install uWan'k-made replavelne t tyCn arS fin flee I�ObM flty: Address '1 �p Z unit#_ �islate Wumber of wir d4m doaas Stye fire.dcubte flung/caSeemM;et,_O P6V 6terbr wtnd*w cWOr Euefkw wTndnw trim An6h . Yes Na(W, Color. Grids Ycs Der No 0 I'AY"C C W r. GfWS betwem the panes Yea ® ft �� Cobr Gfid O=fWffation a®p uved Yes 0 No 0 The pfoposed uAriftms are approved 1br i _ tom lira the abwe itsrted'unit. r G�r!r Ap t J1" Print Mine .,a ez' Title. Phone Of4L Date. .1/�' �I err. 5 Product spec W Offim: R#tde Mkndlave Ccdlcr 2G Albion ERd L401M.RI aM65 Fax�41�33-@Sar