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HomeMy WebLinkAbout0198 TOWER HILL ROAD 9'f �wa�. 1'17i/ 41- MIT Co �oFrruro� Town of Barnstable 'Wit# Regulatory Services �dD r a,r rjrorrrimie.dnre y drtss. �q a RNSTA �� Thomas P. Geiter, Director G� Ok '7h9l2 Building Division - Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Yaiid tvithout RedX-Press Imprint Map/parcel Number ;/Res'iydential AddressA. Value of Work ' S d�� IYiiuimum fee of,�35.00 for work under,�6000.00 Owner's Name & Address Contractor's Narne -/Rm-e S /000/✓ Telephone Number Home Improvement Contractor License#(if applicable) &/,r.? Constr ction Supervisor's License#(if applicable) �0 orkman's Compensation Insurance Check one: ❑ I a sole proprietor ❑ am the Homeowner I have Worker's Compensation Insurance ! Insurance Company Name— - k, �,' C ✓/ � v�C _� I Workman's Comp.Policy# [,[ 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 ❑ Re-roof(hurricane nailed) (not stripping. Going over existing layers of root) VReplacement side #of doors Windows/doors/sliders. U-Value 0, 30 (maximum .35)#of windows_ Where required: Issuance of this permit does not exempt compliance with other town department regulations,i-e. Historic,consen ttion,etc. **Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License & Construction Supervisors License is required. ,NATIJRE: GAY 'P;=ILESIfo?H'Slb!,ildingpe:nitins,� Xpri�rSS_doc Renewal _ • e bYAndersen. teao Marard ConuW Film Rt Reg 1225g73 A33 37 Pan asr y,r 4cense ml HCF-0059 CTH(C.6'362775 tVtrnsir.yer R.".wf WINDOW REPLACEMENT dn.{n.krwnl•.uqunv a41 HId119535 .3CY14?5-:222 _. p."cir PxCnasenslName Pox i-rwPUL.L fzn) and VnsD,IIaINN1 AdCtess. 1 � TJ lr htk /-�/C_G (l L2 City �.�a St LIp r a y�c.—�._— IV3 Melling Audiress city SI. zip Home Phone p<}- _ S� Work Phone laer/Aa,l Cell Phone, lA4'1 rrsi Email Address: Taxes Pad In '-,4c dr 4.)re t4f'tdsen;iPUn:.dRNSildnO tnp4Wnan•13M'na tlw'W. tn•y,'<rcny l'lcale0 at lilt dLti"din C^�r�r't7 d�_._Sa�••�all-�aettltlJD[rJM.nLw,hk�A.SiJCaieS L led aS. ..f :I'�d✓rtmr.i'CGraracicV'f tp lSTren,der'yar end ns:er as mdi<ftals as dCYl2elnmrs.f�'Mr'H:'N I•A�n!Cn•a+n{'1,:'•.t a:��3�'.•Nr�htt'Ii S1 ar0$]'45$tfnim3r'�t�a^yy}ra�;tiNm SIMNJr nfC;.0..uL'M tM,Crn Oy r,•CreKP,y1y0 mane A nhtn he MC'?CMTG4"v'4r::CnfeWte tilt Oe•;rnu.�n kN al:�q'S al o,e l•A70'LvC+lStd!I dIR'r. Agreement Amount: T Check Cashiers Check.or Money Order - CHECK# _- Les Deposit rna,33%j. 0 v 2 Credit Caro ccncle) VISA MASTER CARD DISCOVER Balance Due upon Completion: 3 J 3 Account Minibei Esl$'a Date S Est Frmsh Date 4,I'T Exp Date ( i Security Code: ( j hate oaynoert tmino;to,gar xe FINANCING' Bank- D t Approval Kiiatber ---- - '1v+.33'!�t<Fn„e,,,.v,. ;.•n•.•_ ...,t.-4: "b,'tr3.1Jlava va;:i:>U as».rN;�Vat lt:•::•„1m� -Rh!2i t "vaicn Y riot"iI,oxc aa'.e Customer hos reviewed Product ejilfra gs end het been made of g/ats loss her occers with the inAollotbn of reprdcemm, id,_ ✓: ThliApgimCntW4lU0kS N 3 ; 11CUSTOMERpPfpotulhTAlor /r Drsposa'v"I air di::un,!i and dean uD of aD jGD-related CripnS •u!•„a,!;:;rig aid w s41'f❑yg o!Mnticea.Am or walls n:>Iainrs e•il cave s,rkipWS[lea,of smut es a'a h sprints 'l. tpi p 'x]e � r^::`�abl;.'!'dr+r'.".Cis dr:aY aa:o nvL10N5 (KrO installation An)Duilong Demiis iewred by tD,vn fry wttldew anu doot tnslanau0n t. 'tY.•tangval of feansiallaton bt any existing alarm systen-e Customer to Call alarm x �Ar•'y Lead-sate wort practices it applicadle as teoulfed my RI State Law ,! 1he removal and temstailation of any wj dow AC units unless crocked Delow „� Q.ni1!�•esttive d!#rerr,4em wrtrP.r ACunmis, Customer aAays Renewal by Arniersen Io use pnotogfafNts ill t+mtea:Di nt:,re —,+ �e:e+nd.ar A:W remsWlabon of tit dew trea•Jnems S oractets umess cned.eo DCIOw malYe'bd materials �.) �SAtP•anwre and mnsaa wrndaw rrea'.•�3,vs3dnr:t:s I s rgroeu ay Iv,rerw Iv, me panes[net inis Apeer'eruof 5f.,wte,dog AVn we P•u ell JYt'i'ivi,,V t,2.a'+•.�rn1R?r57dryryT,'li.-ASP@n u'le(F::ras a'10IrgrC ere NU Y�AfiA1 d^aen:;crtnys ule!wng dr rnoddy ng;ne tenru of rhs Agreement A,rrJbsens7 nereDyec:rw,r!edgeJ!ha; ftourchase,ts)ras read rhe:navendmversa olat¢agreement and pas reces'eda mmak:e sgnecane dated Cry r'+a Agreer vwArcn mNWes Me Ndre or CanoeNarron�saucrsNrA bebw.ontheoah)FAwrdree Pbmt mid 2)wes oraeyin'u iofourtmr1s)o9m;ocancefdus PansawrA Pu.•A&ier(s)and RMesA!cy •trdwrsai myrde il:f!;n'a AgfCCmen1 pncrndJ,g Pe Pfgmcr soeu5Ca w Sleet And a,a.^c'cnen'dnis)S in,ine!er,relwi^Cr 01a ayreerru,t eM rs the re'MNek arc dr:.me slarement rif Our!elms erN cor adlys of .•nl,igre<•,ie;13^d Supe,ceoes ee agr,mr xin s L^.]C'.1N•;�nrg`M OC t:,iSars,wPeme,Ol..V,wf1(eP f"`N:n^r;twraln(•;'ner:<fi,;t:.-r.•„r^93er,2mert Tn,r agreernM!r.,ay rtN:+?nKKkRBC nr alrtendaC el<e:r<+ erAtig ilgnap ey'?J4ntlse'IS!ape Al•I+i•WAr l:J l.^derSa'1 •Sicyte any•Zva la,:bFlG,ic�t-V'u�I LeN_ez lM:arw:'rerca i.MAtv,M:es:a:Ll',fr.::,,sAN'-ily aMi;ua,ar""'ir+✓S of NAat tCt'AM8 d'p, lb,6$Ue:5:ect,f'W DO NOT SIGN THI5 AGREEMENT IF THERE ARE ANY BLANK SPACES.SEE REVERSE SIDE FOR TERMS AND CONDITIONS OF THIS SALE. PURCHASER r PURCHASER..n.. CONTRACTOR SPECIALIST < ynafur_ 547naWle -nabne 1_�-0-4r,4 u. �w fL tis SS,--,ri Print Nam, Pint Nate pill!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 NOTICE OF CANCELLATION FORM BELOW FOR AN EXPLANATION OF THIS CONSUMER RIGHT. There will be a service charge of 1011e of the Agreement amount it the lob is cancelled by Purchasers)AFTER the third business day.but BEFORE materials were ordered.There will be a service charge of 33%of Agreement amount if job is cancelled bu Purchasers)AFTER materials are ordered. •---•'..-....--•............................._.......-.•-•-------_..-_..-....._..--•---......--__------------.--_ ------------------• .... Notice of Cancellation Notice of Cancellation DATE OF TRANSACTION: -J-.,_ `/ L- DATE OF TRANSACTION:` Ej.-.,;L3-J.Z YOU,THE BUYERISI,MAY CANCEL THIS TRANSACTION,WITHOUT ANY YOU,THE BUYER(S(,MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE.IF YOU CANCEL,ANY PROPERTY TRADED IN..ANY PAYMENTS ABOVE DATE.IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE AGREEMENT OF SERVICES,AND ANY MADE BY YOU UNDER THE AGREEMENT OF SERVICES,AND ANY iNEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN NEGATIOBLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN 10 DAYS FOLLOWING RECEIPT OF THE SELLER OF YOUR CANCELLATION 10 DAYS FOLLOWING RECEIPT OF THE SELLER OF YOUR CANCELLATION NOTICE.AND ANY SECURITY INTERST ARISING OUT OF THE TRANSACTION NOTICE,AND ANY SECURITY INTERST ARISING OUT OF THE TRANSACTION I WILL BE CANCELED IF YOU CANCEL,YOU MUST MAKE AVAILABLE TO THE WILL BE CANCELED.IF YOU CANCEL.YOU MUST MAKE AVAILABLE TO THE SELLER,AT YOUR RESIDENCE,ANY GOODS DELIVERED TO YOU UNDER SELLER,AT YOUR RESIDENCE,ANY GOODS DELIVERED TO YOU UNDER THE AGREEMENT OF SERVICES;OR YOU MAY,IF YOU WISH,COMPLY WrTH THE AGREEMENT OF SERVICES:OR YOU MAY,IF YOU WISH,COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK.IF YOU DO MAKE OF THE GOODS AT THE SELLER'S EXPENSE AND RISK.IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER AND THE SELLER DOES NOT THE GOODS AVAILABLE TO THE SEVER AND THE SELLER DOES NOT RETRIEVE THEM WITHIN 20 DAYS OF THE DATE OF YOUR CANCELLATION. RETRIEVE THEM WITFUN 20 DAYS OF THE DATE OF YOUR CANCELLATION, YOU MAY RETAIN AR DISPOSE OF THE GOODS WITHOUT ANY FURTHER YOU MAY RETAIN OR DISPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION.IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE OBLIGATION,IF YOU FAIL TO MAKE THE GOODS AVAILABLE To THE SELLER.OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER AND SELLER,OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER AND ` THEN FAIL TO DO SO,THEN YOU REMAIN LIABLE FOR PERFORMANCE OF THEN FAIL TO DO SO,THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE AGREEMENT OF SERVICES. ALL OBLIGATIONS UNDER THE AGREEMENT OF SERVICES, TO CANCEL THIS TRANSACTION,MAIL,FAX.OR DELIVER A SIGNED AND TO CANCEL THIS TRANSACTION,MAIL.FAX,OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE,OR ANOTHER WRITTEN DATED COPY OF THIS CANCELL,4TION NOTICE OR AND THERWRLTTEN NOTOE STATING THE SAME,TO:RENEWAL BY ANDERSEN.I137 PARK NOTCIE STATING THE SAME.TO:RENEWAL BY ANDERSEN.1137 PARK EAST DRIVE,WOONSOCKET.Rt,02895.FAX 401-671-6262, EAST DRIVE WOONSOCKET,Ill,02895.FAX 401.671-6262, NO LATER THAN MIDNIGHT OF: b—9 w L (date) NO LATER THAN MIDNIGHT OF: 6•-,?-7—J.(/-. (date) I HEREBY CANCEL THIS TRANSACTION. I HEREBY CANCEL THIS TRANSACTION. DATE: _ DATE: P t u,,u rr VM-t!nr•,nM1 tr m r rtl•,nt Post!o,?!J?;,>l .t r'r'1[-rrnv <aA t,tIO,INPn( .,r:(r tltY(•..< ,/1".Cq,n Pr-e i � ...!/1-f' J�77?•�ll�Ge��-l•L�L't1���1 iC���.='`����:I�f,Cf�td >Cd Office of Consumer Affairs ntA I msctvss R ;ulation Boston, Missachusem 02116 Home Improvement 06mractor Re gisraat.ion �� •. TyaFF. �rit'.� GcrPcx�al;�� EX&MIM 7*4ja 013 W 2I M 1 t MOON ASSOC INC . �i.4, , i JAMEs MbdN r-y 113! PARK,I=AST DR ' ° f WOONSOCKET, RI '289S r , Update A.d4ms and vv;nro tvrd.Mark reason fer cAaa;e- j Address ; RtttMA ErWOU}k-MI at I..ust Card USPirt b>"coosnra�rl\'�ri�`n�u��ncci E1i�uGY�v l.icepse or regislratiaa VOW Cox 6�iIch9nl nsc or�G+ HOW IMPROVEMENT CONTRACTOR before the eipiraPiou dot.. Ir lucitid reFuvtt to: Registrstiost: S0535 Type: Office etfo'surn,4-Af�aiv3 and tiocin¢ss Regaiadier- Pipiratior-, 712V2J13 Pmatti!Carparabon Id Part f lua-Suite g17p Boston, A 02116 \9,30.1SSOC,INC M JAMES WON 9137 PARF EAS1 OR ` 4 ✓.rs 11rCxQtvSt1CKE1 F?02$34 t oJerurrrtary '' Net intal tvulwni ssf�aatara Massachusetts Deponmt►r)1 Of Public sa�teYy Board of ®uttding Raguiattons and stendarcis t < '11IN11U41111C1Nt►Ittrx11vi tiltsitallx 1.teellSo' CSSL4)SMQ ! \ , JAMS$A4Ct911} `•�� ;��`� 48 PAINE RW e Cumbtriandju C�tttrrN3 storll!r E x ptr ttt to n 03173MOU F'iflsirlCtotf `To CSSI-WS-Windows end Siding CSSI.•RF o Roofing f Failure to possess Q current edition of the Messaohusans State Bultding code is cause for revocation of this ltf: nse. , kw UPS Ueenring Info#matron oin ww*.M4ass.G0vjUvS IOPID:JV CERTIFICATE OF LIABILITY INSURANCE F °"; °" "' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THM 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: M the cortfllcAp holder Is an ADDITIONAL INSURED,the polWles)must be andolsed. N SUBROGATION IS WANED,subject to the terme and conditlona of the policy,certain policies may require an endorsement A statwnent on this certificate does not confer rights to the cartMcab holder In lieu of ouch endomem s P11ODUC6L 4014s9.9W0 Hunter Insuritnce,Inc. 401.7 rNDR! PAX 31M Old River Road P.O.Box 1 Marnrine,RI 02e36-a001 A MOONA 1 DISURM111 AFFORDNOCMRAOG NAI6a IrsuRED litoonAasociates Inc. INSURERA:Nadonal Gran -Insurance Co 14788 Renewals By Anderson mswm a:Beacml Mutual hnurance,Co. 1137 Park East Drive Woonsocket,RI 02895 01�LSUR411 M1110: tr D: USURER! COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED EBOW 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 POLKfCFES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCES.UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN TYPIOFIN%URANC! POLICY NUIle9lAham LaaRTt Da NaRAL I LGL rY EACH OCCURRENCE S 1,000,0 A X CONMER=GENERAL LIABILITY MPSM19 09118H1 09116112 pgEpamlE.2530m, i 60010 CLAIW MADE ❑X OCCUR MED EXP(Am a*pe on) 4 10,001 PERSONAL&ADViNAW a 1,000,0 GE#ERALAGOREGATE S 2,000,0 CRL AGGREGATE LWr APPLIES PER: PRODUCTS-COMPIOPAGG 3 2,000,004 17 POLICY o LOG $ AUTOMOBILE LIABILITY COMSINW SINMELIMIT(Ea=d*M) ! 1,000, A X AHYAUTO SIS26819 09116/11 DR/16l12 BODILY INJLR2Y(Perpun) I ALL OWNED AUTOS BODILYWJURr(PeracddmO i SCHEDULED AUTOS PROPERTY OA&ME S HIREDAUTOS (Peremd rA) NON-OWNMAUTOS 6 S u MELLA UAe X OCCUR EACH OCCURRENCE s 11000,00 A E(CEaauAB CLAIMS�iPAE CUS26619 021101 09MG112 AGGREGATE t DEDUCTISLE S X RErENTIoN s 10000 s WORKER4 COMPENRAr" WC STATU• OTH AND EMPLOYPRS MILm B ANY PROPRIErOMPARTNEREXECuTNE Y� NIA WC 47 731 830427 1o/o1111 IMM2 E.L.EACNAcaDeNY a 300,00 OFFICERi4E1 ndktWy NljEXCLUDE07 EL.DISEASE-EAEMPLOYE S SOOAO ff ,dtrar'D►:tltlar IPTI N OF OPERATIONS below E.L.DISEASE-POLICY LMIT I S ,�� pE3CRP170NOPOt6GTlONStLOCATIORSJVEIifCLE®(Aftds"arm IN.ModaulMrmft&WOkiRmmaMmtor"alme CERTIFICATE DER CANCELLATION DEPARTMI SHOULD ANY OF THE AttOVE DE5CRIND POLICIES BE CANCELLED BEFORE THE EMRATION DATE THEREOF, NOTICE 1MLL BE DELIVERED IN Department Of Administration Department ACCORDANCE VATH THE POLICYIONS.PROVIS Contractors Reg.Board One Capitol Hill AVrdONOWMWFMCKTATNE Providence,RI 02908 01191111-2009 ACORD CORPORATION. All rights naerved. ACORD 25(9009102) The ACORD name and logo am registered marks of ACORD Town of Barnstable *Permit# r ' Fxphw 6 monthtfrom issue date z BAFJWDJ= ? Regulatory Services Fee ""SS' Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office. 508-862-4038 - X-PRESS PEP-% Fax: 508-790-6230 EXPRESS PERNIIT APPLICATION - RESIDENTIAL ONLY -AUG .n 7 2003 Not Valid without Red X Press bnpnxt >/parcelNumber TOWN OF SARNSI"hu-', ,=ty Address IqT. 1Q wVPv Hill O'd kesidential Value of Work ner's Nance&Address_ .o.� �Aus..V. tractor's Ngme �A(e��l i- Telephone Number 7`JS �eT �/� ne Improvement Contractor License#(if applicable) e 4 to. a istruction Supervisor's License#(if applicable) Vorkman's Compensation Insurance one: I am a sole proprietor ❑ am the Homeowner (rl have Worker's Compensation Insurance Qance Company Nam 'Tlt�✓r.(.r` 'S rkman's Comp.Policy# / X-I �LOA19AA_') mt Request(check box) ❑ Re-roof(strip*g old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) •Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. lature ' � � �/ze �o�rvina.uoeall/ o�.�aaaac/zuaella Board of Building Regulations and Standards o i HOME IMIrRqVEMENT CONTRACTOR Registry on:_�36066 Ex ration-=61 /04 .;i i � COREY&COREI��F,iOI�ilt� 0 MRLES COREY � �% 73 LAFRANCE AVE. HYANNIS,MA 02601 Administrator I l '