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HomeMy WebLinkAbout0279 HIGH STREET �79 o - I 0 r Oxfomr NO. 152113 ORA MADE M u6" ESSELTE s s � s • OV se � Kw Town of Barnstable *Permit Expires 6 months from is ue date Regulatory Services Fee NAM = -PRESS k ly 1639. `0�' Richard V.Scali,Director Building Division AUG 0 6 2015 Tom Perry,CBO,Building Commissioner TOWN OF BA 200 Main Street,Hyannis,MA 02601 R S TA B L F ^�( www.town.bamstable.ma.us rG Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY is, f Valid without Red X-Press Imprint Map/parcel Number c- ;05 m 1 i , -Q - Property Address C/ L'1'r 4 Cam/ esidential Value of Work$ ;,P?pa CC Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ¢07 / / G 17_zlv Contractor's Name -C��l' h�Gv� Telephone Number S�Y- 3 7 ?O Home Improvement Contractor License#(if applicable) -Od 295— Email: Construction Supervisor's License#(if applicable) C7-S-"— oc 0 6"O ❑Workman's Com Sensation Insurance e: Pam a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name 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 ❑8g.?Mf(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home mprovement Contractors License'&Construction Supervisors License is required. SIGNATURE: QAWPFILES rFORMS\building permit forms\EXPRESS.doc Revised 040215 21-e Conzymorrivealth of-Vassachusetts Deparbumt of Inrush ial Accidents Of fwe of Investigations 600 l irashutgion Street Boston,CIA 02111 wivininassVgov/dia Workers' Campensafian Insurance Affidavit:Builders/Contractors/Flectiicians/Pbimbers Applicant Infarmafian Please Print LegibI Name(BusalessfOrganb aft ): Air- ' �, eJ SG -• Address: City/Stater C _ >�� 7L Phone O� o� 7> i>207 Are you an employer?Check the appropriate box: Type of project(required): T_❑ I am a employer with 4. ❑I am a general contractor and I' 6. ❑New constnxtion oyees(full andfor part-time).* eve lured the sub-contractors 2.F!fgJ a sale proprietor or partner- I listed on the attached sheet. 7- ❑Remodeling ship and have no employees These sub-contractors have. 8. E]Demolition war king, for me in any capacity employees and have wodcers' 9. ❑Building addition [No worIcers'Comp.insurance comp-mSMMnce-1 required-] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3-❑ I am a homeoumer doing all work officers have es,emised their 1 L❑Plumbing repairs oradditions mysel€[No workers'camp_ right of exemption per MGL 1.2.❑Roofrgxdm inmttance required_]i c.152, §1(41 andwe have no employees-[No workers' 13.❑Other comp-insurance required_] •Any appticsat dsatchedrsbox 91 must also fill out the section beiowshov&g their workers'compensation policyinfiormaeion_ i i Homeowners who submit this of uhnit indicating they are doing all wash and then hie outside coutmaors mast submit anew affidavit indicating-such_ FCantrWturs that check this boat must attadhed=additional sheet showing the name of the sub-cAmdracto-rs and state whether or not those entitks ham employees. If the sub-canttactorshave employees,dwy must prm-ide their workers'comp.policy number. lam an erreployer fltat is protdding a�orkers'congwisatiorr irrsairance for nzy enrploy�ees. Betow is ihaptrlicy grid job rite information. Insurance Company Nance: Policy l or Self--ins_Lic_#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(shaving the policy number and aspiration date). Failure to secure coverage as required under Section 25A of MGL c 15 can lead to the iuVosition of criminal penalties of a fine up to$1,500.00 andlor 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification_ I do hereby certify ured es and penabYes ofpeiJmy thattha information proFit=Isarrd correct Sionature: Bate Phone ik Official use only. Do not write in this area,to be completed by city orroom ofJiciat City or Town: PermitlLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitylTowrt Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Information and lastructions Massachusetts Cehnmal Laws chapter 152 regoirrs all employers to provide woikers'compensation for their employees. Pm-svmztto this shirt-,au.m7plvyee is defined as."_.every person in the service of another under any contract of hire, express or imiplied,oral or wntbm_" An e27TT0 Er is defined as"an indiviclIIal,pmtaership,association,corporation or other legal entity,or any two or more of the foregoing engaged in.a joint eofzprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occ¢pant of the - dwelIing house of another who employs persons to do maintenancO,construction or repair work on such dwe; ing house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also siafPs that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant Who has rot produced acceptable evidence of compliance with the insurance.coverage required-" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compHa;n ce with the in surancd. regtm emus of this chapter have been presented to the rn„ircting aufhoUt" Applicants Please fill out the woikers'compensation affidavit completely,by rhrm-king g me boxes mat apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificates)of hammanc0. Limited Liability Companies(LLC)or Limited LiabilityPartneaships(LLP)with no employees other than the members or partners,are not requmed to carry workers' compensation insurance. If an LLC or LLP does have employees, apolicy is required..Be advised that this affidayk may be submitted to the Department of Industrial Accidents for confumation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be retnmmed to the city or town that the application for the permit or license is being requested,not the Department of Ead stri ai Accidents. Should you have any questions regarding the law or if'you are required to obtain a workers' compensation policy,please call the Department at the number listed below.'Self-insureed companies should enter their self-insurance license number on the appropriate line. City or Town Ofa- a s . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you tin fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the pens license number which will be used as a reference number. In addition,an applicant that must submit multiple.perrahEcense applit;ations in any given year,need only submit one affidavit indicating current policy iafb=ation(if necessary)and under"Job Site Ad&ms"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fire permits or licenses A new affidavit must be fiIled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog licens e or permit to bum leaves etc.)said person is NOT req ircd to complete this affidavit The Office of Invesigations would like to thank you M.advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number_ Ike f�a�an tt�of I &,&chinits Department cif hidubial Accidents �7i�e of��e�gktio.� 6�-�a<sbingtan Stc� �3Qstan�NfA E��I 1l . Tf,-L#617'27-4M Qxt 4-06 or I-&R MASSIF, Fax 9 617-727-7M Revised 424-07 v, F.mas.,gavf dia �oFVEt, Town of Barnstable Regulatory Services Hsx�s Thomas F. Geiler,Director M,ias Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.ba rnsta ble.m a.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder TJ06"41 / as Owner of the subject property hereby authorize T-r rr e-` to act on my behalf, in all-matters relative to work authorized by this building permit application for: (Adecss off ob) . 2.ture of Owner Date Print Name If Property Owner is applying for permit please complete the Homeo:amers License Exemption Form on tb:e reverse side. Tow u of Barnsiable �opTHE ray Regulatory Services • uxxsrwscE, Thomas F.Geiler,Director 16s9. Building Division ,� f�TFO '� Tom Perry,Building Commissioner . 200 Main Strect, Hyannis, MA 02601 www.town.barnst2ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOhEOWNER LICENSE EXEMPT70N Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: ei•ty/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellin<rs of six units or less and t to allow homeowners to*engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFIIITITON OF HOMEOWNER ' Persons) who owns a parcel of land on'which.he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a tvo-year period shall not be considered a homeowner, Such "homeowner shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"'homeowner"assumes responsibility for compliance with the State Building Code and other . applicable codes, bylaws,rules and regulations. Th'e undersigned".`homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homcbwnrr Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWKER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section lo9.1,1-licensing of constiuetitm Supervisors);provided that if the homeowner engages a person(s)for hire to do such i work, that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rulcs&Regulations for Licensing Construction supervisors,Section 2.15) This Jack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons in this case,our Board cannot proceed against the unlicensed person as it would Arith a licensed Supervisor."The homeowner acting as Supervisor is ultimately rrsponstble. lly aware of his/her msponstbilitirs,many communities require,as part To ensure that the homeowner is fu of the permif application, i ti,-111-1,"rtifv that he/she understands the responnbilitics of a Supervisor. On the last page of this issue is a form currently used by massachusetts =Department Pf-Public Safety !' Board of.Building Reg'ulations'and Stand• aids Construxltion Superiisor License; CS-062830 PETER E JOHNS9N r. 7 PENELOPE LPL'' COTUIT MA 0205 `J-�•-- " "r �' Expiration Commissioner 06129/2015 :'Uri�.esstricted -Buildings of aay use group which. =.'p cbiitaui less than 35,000 cubic feet•(991m3) ' ' enclosed space. ?a Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DPS • ji e rco�zulealClz Caa J '' d eac�iCtoeCt ` ,. Office of Cousur,.zr Affairs&Business Regulation License dr registfdtion vali°for individul use Unly QME IMPROV MENT CONTRACTOR before the expiration date. If found return to: i egistration: ia2785 Type: Office of Consumer Affairs and Business Regulation xpiration•— ` — Individual 10 Patk Plaza-.Suite 5170• 11T �� Boston,CIA 02116 PETER EDWARD JOI 1[�[S' N `r Peter Johnson �' -X /,J 7 PENELOPE LANE COTUIT,MA 02635 Undersecretary Not valid without signature + S �rHE r� of Barnstable Old Kings Highway Historic District Committee &UtNWABM ; 200 Main Street,Hyannis,MA 02601, TEL: 508-862-4787 Fax 508-862-4784 APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with five(5)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photographs accompanying this application for: Check all categories th�apply; 1. Building construction: ❑ New El Addition 1 Alteration 2. Type of Building: ® House ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting roof ❑ new roof 21 color/material change, of trim, siding,window, door 4. Sig: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court ❑ Other 6. Pool ❑ Swimming ❑ Other man-made pool ❑ Solar panels ❑ Other Type or Print Legibly: Date 5 / U b NOTE AU applications must be signed by the current owner Owner(print): J (74 V) /{ / c/ rl,? A k , ki 5 Telephone - Address of Proposed Work: 02 7 j—��cL, ls�`- Villagers slo/ ap Lot# v Mailing Address(if different) Owner's Signature c� c Description of Proposed Work: Give particulars of work to be done: AL LJ NY0 llcg, 4y 0 . , �4L T—T ie01'1'1 /4 3<-r"C <0&1/ f,I � G�F/1: 14-g 1�J a to tr t, .,s 1rd 6 F !D l aa/ .Tnzt—J-Aci,40�,- 1 , -C,-- C!<=Pai C,U/ hG tr O p p Agent or Contractor(print Telephone#: � -3 3 / Address: O 7v 71 Contractor/Agent' signature: For committee se only. This Certificate is her APP D/ D Date I Members signatures RECEIVED G t MAY 2 8 2015 GROWTH MANAGEMENT �1N1 +�( b4 Q ,4< RR&T fV5 f-lzimoA KS a\&> f\u 14At-kk APPROVED \N1P,�5At Y-;, ID \DA GV PR JU N 2 4 2015 l Q:IBoards and Commissions101d Kings HighwaylOKHApplicationslOKH 2O11 Cert Appropriateness.doc Town of Barnstable Old King's Highway Committee CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 5 Copies Foundation Type: (Max. 12"exposed)(material-brick/cement,other) Siding Type: Clapboard )c shingle_ other b= 7 Material: red cedar white cedar other. Color: Chimney Material: Color: Roof Material: (make&style) Color: Roof Pitch(s): (7/12 minimum) (speck on plans for new buildings, major additions) Window and door trim material: wood other material, specify Size of cornerboards size of casings(1 X 4 min.) color Rakes Ist member 2nd member Depth of overhang Window: (make/model) material color (Provide window schedule on plan for new buildings, major additions) Window grills (please check all that apply true divided lights_ exterior glued grills_ grills between glass_removable interior None Door style and make: material Color: Garage Door,Style Size of opening Material Color Shutter Type/Style/Material: Color: Gutter Type/Material: Color: Deck material: wood other material, specify Color: Skylight,type/make/model/: material Color: Size: Sign size: Type/Materials: Color: RE'C W'D Fence Type(max 6' ) Style material: Color: MAY 2 8 Z015 Retaining wall: Material: GROWTH MANAGE T Lighting,freestanding on building illuminating sign OTHER INFORMATION: THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED Please provide samples of paint colors,manufacturers brochure of windows,doors,garage door,fences,lamp posts etc Signed: (plan preparer) Print Name APPROVED J U N 241015 ` 2 Q.Woards and CommissionA01d Kings HighwaylOKHApplicationslOKH2O11 Cert Appropriateness.doc Town of Barnstable Old King's Highway Committee Town of Barnstable Geographic Information System June 4,2015 0 11#61 a 111003 111023 V 030 072 �yP tl-,� 0 111029 1#35" 0 134� 0324 001 #342 111070 Z #324 SO 111027 4 111032 0304 #254' 111014 a 111031 #280 J #.0 /11055 � RR711030 #11 I—E#224k 111057 #10 134001002 ® 0210 111066 #23 111072 SAP e J 4 #295 L.J / 134001001 11#28 1110" ��0 � [ ® #200 0313 ®V`/7 111018 0 111018 111069 ® 0779 111 M 7 #247 #0 ® #19 111018 111068 #235 #51 111059 iF 44 111015 0216 111063' 111064 #259 #257 111060 111085 060 111061 #255 0291 111082 110004001 110001001 00 110002 0249 #186 PERCIVAL DR �110001002 #2411(3 110028 110001022 ij1 10pp1023 110001024 110001003 #201 �#ss . O irf ` o #2s0 110001025 #239 1l 000aol2 I� #230 g o' oISCLAIMERS:Thismapisforplanningpurposesonly. ItIsriotadequateforlegal Map:111 Parcel:018 Selected Parcel boundary determination or regulatory Interpretation. Enlargements beyond a scale of .Owner.TOMPKINS,JOAN K Total Assessed Value:$350400 o ,� E t=1 W may not meet established map accuracy standards.The parcel tines on this map co-owner Acreage:1.07 acres Abutters are only graphic representations of Assessors tax parcels.They are not true property boundaries and do not represent accurate relationships to physical features on the map Location:279 HIGH STREET such as building locations. Buffer The house is in a remote area well off the road • Replace 10"to the weather wood textured masonite with 4" to the weather wood textured hardie clad board.The replacement looks like the original.The 4" looks more traditional. • Sandstone beige- same as existing color • Add corner boards • The paint is applied at factory and no fading for at least 15 years+. Because of south sun I have to pain every 3 years.The board has a 50 year warranty. i RECEIVED tMAY 2 0 2015 GROWTH MANAGEMENT APPROVE® JUN 2 4 2015 Town of Barnstable Old King's Highway Committee w • d�,� ,�ck� r s ��+ �% I � .ii=j 4""r .�X.;.efa( t, � '�I•ti art r ki. 1 M� 5��1,�� �� "�L'x7 ;A � �r 1�1 ( t':.�4�17W • �� �7 d `l 1• `, `+V �Z OIL 7F _W-mw ,. . ki pry r �ti�. 46e uN - . k I j sr 2 .. �. I:r �. :i ,•,� .,lYXt: v WhatHardie • � iePanel? What Is Is Plank• Hard Fiber Cement Siding? James Hardee, a 19th Century Scot Who Found Success in Australia Definition: ® Vertical Siding) are brand names for fiber cement HardiePlank®(Lap Siding) and Hadie B nee cessful siding manufactured by James Hardie Building Products, one frothe oirtland em nt rr ixed with of this product in the ]980s. The fiber cement siding is made ground sand,cellulose fiber, and other additives. For homeow ners caught between two choices--install cheap ese and on n unattractive s an acceptable Vmiddle inyl siding or spend a fortune renovating the current siding--HardiPlank repr ground between those two choices. n the fiber-cement siding class,which means that it is a comb.od PIY cement. HardiPlank falls i f _ cellulose fibers, along with cement-like materials. In other words,it s partly iPlank can make a In thiy s da and age when everything is about green and sus cellulose fibers that e used in HarddiPlank do not come strong argument for being f such. Thed. cement and sand used is certainly in great abundance. from endangered species o And no tonic materials(i.e.,vinyl) are used in its production. Anothers so long. oft-i oted aspect that makes it a green building material the material for 50 years. The that it last James gn manufacturers of HardiPlank, The James Hardie Corporation, But conceivably,HardiPlank can last longer than that, especially if painted and properly maintained. fireproo lUU / °° Fire Resistant Yes,fire resistant, but not fireproof. But a no housiding from firer er is Andywh le a true Even brick,when used as a veneer siding,does not completely protect masonry-built building would be fireproof,we do not include this as solid brick walls are not type o siding. HardiPlank does not contribute combustibles towards a fire.Vinyl siding,being a petroleum product, Ha to look si nificantly feeds the flames:Wood,obviously, is a highly combustible product. So,the best way g at it is as a type of neutral building material,as far as fire resistance goes. carpenterants and termites are always a problem for wood siding because, . Insects do not care about HardiPlank because, even though it does havethat cellulose fiber,there is not enough of it to interest the insects. HardiPlank is considered to be insect resistant. i Is HardiPlank Siding Worth the High Cost? Page 2 of 5 •Fiber Cement Siding material for 50 years.But conceivably. Wndows I Doors i •Vinyl Siding Manufacturer Hardi annC boa nriast�o9ger than that, Heating and Cooling► especially if painted and property Electrical maintained. Plumbing► 100% Fire Resistant Additions I Basements► Exterior&Framework o Yes,fire resistant,but not fireproof.But no siding is ever truly fireproof.Even brick,when Outdoor Renovations o used as a veneer siding,does not completely protect a house from fire.And while a true Tools I Materials o r masonry-built building would be fireproof,we do not include this as solid brick walls are Renovation Basics not type of siding. Green Remodeling o 1000's of Pictures To Kickstart your HardiPlank does not contribute combustibles Remodel ► Ads towards a fire.Vinyl siding,being a Kitchens P How to Do It Yourself petroleum product,significantly feeds the Bathrooms► www.howtosimplified.com flames.Wood,obviously,is a highly Updated Articles and Resources ► Search Videos&Articles to Find How to Do it Yourself-Free! combustible product.So,the best way to Concrete Patio Cost look at it is as a type of neutral building Fiber Cement material,as far as fire resistance goes. www.homeadvisor.com Enter Your Zip Code&Connect To Dead Ringer For Wood. Almost. Siding Pros Services Near You.Free Estimates! The main reason why many homeowners do First, Enter Your Zip choose HardiPlank vs.vinyl siding is because it looks very much like wood.No,its not a Code. Second, Find Up To perfect wood substitute,visually,but it comes mighty close. FOLD Local Pros. It will not hold up to close examination(nothing,short of real wood,really does).On close O 0 examination,you will see that the wood grain is fairly shallow and has a uniform pattern. But most people do not look at house siding so closely. Thick as Wood, Paintable TODAY'S TOP 5 PICKS IN HOME HardiPlank is near) as thick as wood siding.Contrast this with vinyl siding which is tom' -V`' _J Easy Ways to Keep Y 9• Y 9 5 "< _ d� Your Pets Happy extremely thin.Vinyl's illusion of thickness is achieved by creating hollow spaces and Healthy underneath.HardiPlank runs all the way through. & r T . Also,unlike vinyl siding,HardiPlank can easily be painted.You can either go with the 10 Shrubs That neutral color that HardiPlank comes with,or you can paint it.And there is nothing strange t` _ Thrive in the Shade or unusual about painting HardiPlank.It is just the ordinary type of DIY painting you might .;;`{•.J{. t;; ,� By David Beaulieu do during the summer or by hiring a paint contractor. Landscaping Expert Completely Resistant To Insects and Vermin }, s Beautiful ways to (3 1 Decorate with Blue �j. ByAphroChic Carpenter ants and termites are always a problem for wood siding.Insects do not care i Interior Decorating Expert about HardiPlank because,even though it does have that cellulose fiber,there is not enough of it to interest the insects.HardiPlank is considered to be insect resistant. Your Attic Can Add Value to Your Home Cost Is a Major Factor With This Stuff :; By Ronique Gibson ar Home Staging Expert HardiPlank is not cheap.You will always find that its more expensive than vinyl siding.So, while you may begin with high-minded notions avoiding vinyl siding,in the end you may How to Score a find yourself choosing vinyl siding simply because of the high cost of HardiPlank. + Bargain at the Flea ^ ~r Market Costs do fluctuate,but as a rule of thumb you may find that HardiPlank is about three , Ry Anna Raa�an times higher than your vinyl siding quote. UP -:xT Budget Decorating Expert HardiePlank vs Vinyl Siding:5 Another thing to consider is that the world is filled with vinyl siding installers.There is no Factors Help Iffift@I HOME ' shortage of vinyl siding installation companies.Yet it is a bit more difficult to find a House Siding hft„•//hnmarannva4:nnc ahnnt rnm/n�/t�nnonn.,4nra..Frn.v.a..,.,r1./n/l.n�.7:..t.,..1� 1.+.�,0„+.„ +ter... G/1'1/7/11 G � r Town of Barnstable *Permit# �- Expires 6 months om issue date Regulatory Services Fee • sesrtsrna�. v ° Thomas F. Geiler,Director i639.•3q F� Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY I O (� Not Valid without Red X-Press Imprint Map/parcel Number � ( y Property Address S7T��1 U0 • �wrnr5 � Residential Value of Work$ j as Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �O62') ( c rn p(�t�/S �tt Q 7 1t k Contractor's Name W"11 ` N nu-,� ,�l¢�v�se>a � M 8 Novas Home Improvement Contractor License# (if applicable) 3 % Email: Construction Supervisor's License# (if applicable) ! 5-"7 O 1 AUG — 9 2013 B orkman's Compensation Insurance Check one: TOWN OF BARNSTABLE ❑ I am a sole proprietor ❑ I am the Homeowner [D,l have Worker's Compensation Insurance Insurance Company Name �q eTJGW'r J57,x5 (moo Workman's Comp.Policy# �'/ �� 7 9�3 �a 3 g / 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 roof) We-side eplacement Windows/doors/sliders.U-Value b • 3 a (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. t Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is require SIGNATURE: C:\Users\decollik\AppData\Local\Microsofl\Windows\Temporary Internet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 Southern New England Windows d.b.a Renewal by Andersen of SNE Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen'isnr License: CS-095707 ; BRIAN D DENNISON -- } � 7 LAMBS POND EIRC"LE s Charlton MA 01507 Expiration Commissioner 09/08/2014 Office of Consumer A airs nd Business egulation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home improvement Contractor Registration Registration: 173245 TYpe: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL Expiration: 9f19122014 DENNISON BRIAN 1137 PARK EAST DRIVE WOONSOCKET,RI 02895 Update Address and return card.Mark reason for change. su r 0 zorsavrr ❑Address ❑Renewal O Employment O Lost Card flke of Coosvmer Art In&Besloeu Reaulation License or registration valid for Individul an only OME IMPROVEMENT CONTRACTOR before the expiralloo data If found return to: Office of Consumer Attain and Business Regulation R09laVation: 173245 Type: 10 Part Plosa-Saite5170 ' Expiration: 9f19=14 Supplemenl::erd Bostoo,MA 02116 SOUTHERN NEW ENGLAND WINDOWS I.I.C. RENEWALBY ANDERSON DEN1137 ISONPARK BRIAN /1 1137 PARK EAST DRIVE 41--a-a— WOONSOCKET.R102895 Underseenury Not valid without signature The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ' / Please Print Legibly Name (Business/Organizadon/Individual): 57,4e tj /V,spI r,,&,, ��j✓�p�el� �G Address: . 41b/Ml lLO" City/State/Zip: L19'60IN 0a't865 Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.dI am a employer with a b 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached'sheet. 7. ❑.Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' I 9. ❑ Building addition [No workers'comp. insurance comp.insurance. 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ P 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no // employees. [No workers' 13.Other /2c-e_w-s6W— comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ZContractors 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: o N rG-V 601), Policy#or Self-ins.Lic.#: �C �02 / 6 g 3 J oZ.3 1 y Expiration Date: .3 Job Site Address: 1, liy �1 City/State/Zip: Attach a copy of the workers' policy declaration page(showing the policy number and expiration date). o�663 Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in 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 insurance coverage verification. I do hereby certi under t e airs and enalties o e 'u that the in ormation provided above is true and correct Si afar / r G� Date If—9` 1-3 Phone#: "l D l a g g < 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#: Client#:30124 SOUTNEW ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)5/08/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CEF.TIFICATE 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 Anita Little NAME: Willis of New Jersey,Inc. PHON Eo FAX nL 856 914-4660 , 856 914-1881 1015 Briggs Road -M ADDRESS: Anita.Little@willis.com PO Box 5005 INSURER(S)AFFORDING COVERAGE NAIC p Mount Laurel,NJ 08054 INSURER A:Selective Insurance Co of the S 39926 INSURED INSURER B:Argonaut Insurance Co. 19801 Southern New England Windows LLC INSURER CBeacon Mutual Ins.Co. 24017 D/B/A Renewal by Andersen INSURER D 26 Albion Road Lincoln,RI 02865 INSURERE: INSURER F: COVERAGES CERTIFICATE 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 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY A GENERAL LIABILITY S202945900 8/10/2012 08/1012013 EDACHOECCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea cur ante $50 000 CLAIMS-MADE �OCCUR MED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE 52,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 52,000,000 POLICY PECOT LOCI $ A AUTOMOBILE LIABILITY S202945900 8/10/2012 08/10/2013 COEaMBINED ccidentS INGLE LIMIT S1,000,000 a X ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE S AUTOS Per accident S A X UMBRELLA LIAB OCCUR S202945900 8/10/2012 08/10/2013 EACH OCCURRENCE s5 OOO OOO EXCESS LIAB CLAIMS-MADE AGGREGATE $5 000 000 DED RETENTIONS S B WORKERS COMPENSATION AIC927698352394 8/21/2012 08/21/2013 TWC ORYLI IT OTH- AND EMPLOYERS'LIABILITY YIN ER C ANY PROPRIETOR/PARTNER/EXECUTIVE 6802$ 8/21/2012 08/21/2013 E.L.EACH ACCIDENT S1000000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION Southern NE LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 26 Albion Road ACCORDANCE WITH THE POLICY PROVISIONS. Lincoln, RI 02865 AUTHORIZED REPRESEN/TyATIVE p /� ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S214638/M214631 AXL Jul.26.2013 06:39 PAUL CONBOY RENEWAL ANDER 781 545 1293 PAGE. 1/ 5 Renewal l�'Ikv 5 ►Hillis 93007E byAnderserl. RENEWAL BY ANDERSEN *IAv a•r,i7:r29F wu YnI:34139 woos errucassef nAnd—;1. m 26Albion Road • IAimi n,RI02&i5 !cadIlmrst237 Phnne.966.563.22$5•Fax 401.633.W02 Y" ni 7dt Ile ri46-05696:411 Southern New England Windows,LLC d/b/a Renewal by Andersen of Southern New England CUSTOM WINDOW AND DOOR REMODELING AGREEMENT a r(h)Phnx Oared rnerrt 44n 117 �/�✓ Buyer(,)Ssrm Adhen.Cky.Sm%and /P.O.for 521"? &Mall Addre„ Nernt Ttlepherr Number WorkTd one Number a.•�l �`�s D/ co �80- Buycr(s)hcmby jointly;vtd sevnrally apes tan purl ism site pruiclums anal/ur services of Southern New Englan wn d do ,I.I.0 d/b/a RenuwJ by Anderson of Southern Ncw England("Quitrw_t.rr"),in acmtd nu ance with the tcrnts and vinditir dent i ran the fnmt and the..inverse.of this twccrnrut and on Ou attached spt`riffiienntitan sheet(s)(arlln tivdy,this"Agra+tmtnl"). Historle O Condo O BOA? Totaljob Amount:/���yy���/�' Eniimued Surt�ins Date: Metftod t7f Payment U Chaotic AM W Financed Deposit Received(33%):J2L —1`-��" " -' Credit Cards ate aocepted for deposit only-matdmum 1/3 of the patine.it Start of job protect colt(Pleate see Oedlt Card Mrnerit Form.)By sta N db Estimated Completion Date: Agreement you atttnowledge that the Balance at$tart of job and the Balance on Su 1 rJ7/JL/p 6i.ilC�, Bafance on Subsnrttlal Completion of tab cannot be made by credit Completion of job f7M: card and must be made by personal dada.bank check.or cut. Buyar(s)agrees and understands that this Agreement constitutes the entire and srstandinS between the parties,and that there are no verbal aadeira tudings changing any of the terms of this Agreement.Buyer(s)acknowledges that Bayer(s) (1)has mad dais Agreement,understands the terms of this Agreement,and has received as complstad,signed,end dated copy of"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 leland Salta Oxiy)Notice to Buyers(1)Do not sign this Agreement if any of the spaces intended for the agreed terms to the extent of then available Information am left blank.(2)You are enticed to a copy of this Agreement at the time you sign It.(3)You may at any time pay off the fall unpaid balance due tender 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 parchased under this Agreement.(5)You may cannel 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 most made.See the accom xx notice of cancellation form for an explanation of buyer's rights. ovrnsumer ucutioma maletials pivVided by the Rhode Island Contractors Itcgistrtthun ) Rmewal b en of S New lingland Buyer(s) Buyer(s) i rebore of Prndu Manager S' nttttrc Signature. Print Nurnc of Product Mutsugcr Print Nate Print Name YOLI, 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 CANCELIA77ON FORMS FOR AN EXPLANATION OF THIS RIGHT. 04- - - - - - - - - =- - - - -� - - - - - - - - - - - :e- - - - - - - - - - - - - - -►c NOTICE OF CI&tATION t NOTICE OF CANC LA332H Date of Wan ocdoa 3 You mury comeel time ofTramwttdion You may tatrcel this troahasrlfon,without any peeaky or obligation,wkwo I this transaction,without arty penalty or obgptdon,within three business days from the above data.N you wreel,any thew business d&ys from the above dabs.N you saimol,dray property traded in,any lawMena made by you under the I Properly traded In,any paymehhls made by you under the Contract or Sale,and any ntigotiable Instrument:adscuted I Contrast or Sale,and airy Negotiable insistw- ant otecuind by you will be retuned wkWn ton business days followlmg I by you will be returned wkhle ten hudoem days following receipt by the Seiler of your cancellation modce,and arty I racalpt by the Sager of your camullodon notice,and &try seawlty Imerest arising out of the transaction will be security interest arldmg out of &a transaction will be eaneeled.Nyou taueel,yo moot malo.avalkdtls eo the Seller I tanceled.lf you eane4yo u must snake atvadiable to the Seller at your raAame,In suissbudialtlr as rood condition as wham 1 at your residence,In snbstaatiagy as good condition as when received,any goods delivered to you under this Contract or I received,any goods delivered to you usider this Constoo or Sala or you mqy if you wish,comply with the in.teaetions of i Sahs;or you may,If you wish,comply wkh the lastrtretio&s of the Seller regarding tM reftalin shipment of the goods at the the Seller regardinyythe return Alpmertt of the goods at the Seller%cKpsnse and risk.Nyou do make Noe roods av&11&ble $Wlw*n expense mums risk.Nyou do make the goods avofrble to the Seller and the Seder data met pick theme hp widdm I to the Colter and the Se4r does not pick them up vAddn !wanly dare of the date of cancellation.you may results or I twenty days of the date of c oncelindon,you mall•retain or dispose of the reeds without any further obligation.N you I dispose of the goods without nary further oNgodon.N you fall to stake the roods"bible to the Seller,or N you agree I fall to make the goods stvadlabM to the Seller,or It you agree to return the goods to the Seger find fall to do no,then I to rattan the goods to the Saw and hill to do so,then you remain gable for porformarace of all ob1zatioms underyou remalm Roble tot perfarmsece of&I ebligntloms under the Contra t.Tb cancel this troneacdon, mall or delve I the Contract.To camel this trmwmcdoA mall or driver a signed and dated copy of this ennceguion notice or ahry I a signed and dated copy of tds cancellation Notice or any o6or written notkey or sand a tekrgram to Ronevwhl by I other wrk#on o9dce,or and a telegram to Renewal by Andersen of Southers Now England at 1137 Park East Dr, I Andrsats of Soueharn New England at 1137 Park East Dr., Woo cy I 5,NOT LATERTHAN MDNIOHT OF I Woonsocket,RI 02595,NOT LATERTHAN MONIGHT OF (aft) ;I HERBY CANCELTHISTRANSACTION. I 1 HEREBY CANCELTFE S1 RANSACTION. serer'.64p,ae„re Mae wane Date soyald SAID,ama+e /rant none Date RbA Copy:White Buyer Copy:Yellow Buyer Copy:Pink i Town of Barnstable *Permit#,200 3S Expires 6 months jroan issue date Regulatory Services Fee $25.00 Thomas F. Geiler,Director Building Division pk Tom Perry, CBO, Building Commissioner d� 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 Valid without Red X-Press Imprint Map/parcel Number Z// d11F Property Address 279 High Street• West Barnstable, MA 02668 ❑x Residential Value of Work $386.96 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Joan Tompkins 279_ High Street; West Barnstable, MA 02688 - Contractor's Name, RISE Engineering Telephone Number 401-784-3700 A Division of Thielsch' Engineering Home Improvement Contractor License#(if applicable) 120979 Exp. 3/08 Construction Supervisor's License#(if applicable) vim. ®Workman's Compensation Insurance X11ESS Check one: E1r ❑ I am a sole proprietor � � 2 6 ❑ I am the Homeowner 2007 ❑x I have Worker's Compensation Insurance TOWN OP BARNSTABLE Insurance Company Name The Preston Agency Workman's Comp. Policy# 02 WB NL0984 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) t ❑ Re-side x❑ Replacement Windows. U-Value .34 (maximum .44) No Header ChangesT "Where required: Issuance of this permit does not exempt compliance with other town dpartmcnt regulatioq§,i.e..Historic,Conservation,etc. ***Note: Property Owner in,0 sign Property Owner Letter of Permission. (Signed 'copy attached) ✓ Home Improv ent Contractors Li se is required. --(C.opy. attached`);! SIGNATURE: - Q:Forms:expmtrg Stephen Hin for RISE Engineering Revise071405 1 IMET Town of Barnstable Regulatory Services y� ssB`E, Thomas F. Geiler,Director g 2007 i639. �0 ESEP �. lEn�,u•+' Building Division P- . , Tom Perry, Building Commissioner ---- 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, Joan Tompkins , as Owner of the subject property hereby authorize RISE Engineering to act on my behalf, in all matters relative to work authorized by this building permit application for: 279 High Street (Address of Job) Signature of Owner Date Joan Tompkins Print Name I Q:FORMS:OWNERPERMISSION The Commonwealth ofMassaehusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/individual): RISE Engineering; A Division of Thielsch Engineering Address: 1341 Elmwood Avenue City/State/Zip: Cranston, RI 02910 Phone #: 401-784-3700 or 800-422-5365 Are you an employer?Check the appropriate box: Type of project(required): 1.® I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. t 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their ME] Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL I L[I Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees.[No workers' comp.insurance required.] 13.❑X Other Replacement wind ws "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: The Preston Agency Policy#or Self-ins.Lic.M 02 WBNL0984 Expiration Date: 04/01/08 Job Site Address: 279 High Street City/State/Zip: West Barnstable, MA 02668 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 MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in 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 insurance coverage verification. I do hereby certify under the pains an penalties of perjury at the information provided above true nd correci. Si ature: Date: i Stephen i Phone 401-784-370 or 800-422-5365 Ext. 117 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#: c RI S E Division of Thielsch Engineering,Inc. 1341 Elmwood Avenue \✓� ENGINEERING Cranslon,Rhode Island 02910 • �i�e �orwrw4suealDti o��aaaac�t� Board of Building Regulations and Standards License or registration valid for Individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: Rplitratbii; 120979 Board of Building Regulations and Staadarda 3✓25/2008 One Ashburton Place Rm 1301 CorporaUon Boston,Ma.02108 ::,r_.- 1YPo�-.• THIELSCH ENGf• STEPHEN 1341 ELMWOOD AV6 CRANSTON, RI 02910 Administrator of valid without signature 401.784.3700 . 800.422 5365 fax401-784.3710 RISE ENGINEERING AGREEMEN A division of Thielsch Engineering THIS CONTRACT IS ENTERED BETWEEN RISE AND THE LLJ_a CONTRACTOR FOR WORK AS DESCRIBED BELOW 1341 Elmwood Avenue,Cranston,RI 02910 R i S E (401)784-3700 FAX(401)784-3710 CASE 069253 Page 1 6N�UIEfii1N¢ �I "- O o � IT IS AGREED THAT: CONTRACT DATE CONTRACTOR 0996 RISE window 08/13/2007 ADDRESS , AUDITOR Bill Branton FOR THE CONSIDERATION NAMED HEREIN,SHALL PERFORM IN A FAITHFUL AND WORKMAN LIKE MANNER THE FOLLOWING WORK AT THE ADDRESS INDICATED BELOW: CLIENT NAME Joan Tompkins CASE ADDRESS 279 High St �_.I� 069253 West Barnstable, MA 02668 PROJECT NO HOME (508)362-4529 WORK (508)362-7733 X-105 RIS-81-07-5481 CELL FAX FURNISH AND INSTALL: 08/28/2007 3:25:36 PM Install(1) new white vinyl "DESIGNATE Il" double hung replacement window no { grilles, locking half screens this window will have double locks. I Contractor is responsible for all material delivered and installed in connection with the above work. Any deviations from the above specifications must be authorized by RISE personnel. Contractor reaffirms the covenants set forth in its Application for Participation.Violation of any such covenant is breach of this Contract. Contractor Shall indemnify and hold harmless RISE, its employees and its agents from and against all claims,damages, losses and expenses, including but not limited to attorney's fees,arising out of or resulting from the performance of Contractor's work under this contract. RISE Authorized Signature Contractor Authorized Signature DATE DATE 08/28/2007 3:25:36 PM i Federal ID#0 5-0405629 A division of Thielsch Engineering RI Contractor Registration No.8186 1341 Elmwood Avenue,Cranston,RI 02910 j MA Contractor Registration No. 120979 (401)784-3700 X �41 AUG 16 2007 I CONTRACT i' R I S E This contract is entered into between RISE ENGINEERING Engineering and the customer for work as described below. Joan Tompkins 508 362-4529 y— 8/26/2004 279 High Street -69253 West Barnstabl MA 02668 Doug Brown JOB DESCRIPTION RISE Engineering will provide labor and materials to install new Energy Star certified white vinyl "DESIGNATE II"double hung replacement windows. Unless specifically noted otherwise below, all RISE installed Designate II vinyl double hung windows include: 7/8"double glass, 2 layers of low E coating, Krypton gas(R-4.16, U-0.24, center of glass)"ENERGY STAR", Welded sashes and welded frames, Block and tackle balances, Night vent latches, Tilt in ability of the top and bottom sashes, grids are between the panes of glass, Charcoal aluminum latching half screens Any painting or staining that will be necessary will be the client's responsibility. Work will include the removal and disposal of the old windows and any storms. Insulation and caulking will be installed to provide a weather tight seal. One(1) Designate II white,vinyl replacement window, no grills, half-screens,for the front far left. G 0S 0/-C— C-i 1 eta w o-1-. -�, ce[C• Any additional work involving changes in your costs found necessary for proper installation will only proceed upon the execution of a written change order. Such work could include but is not limited to replacing rotted wood found during the course of installation work. We agree hereby to furnish services-complete in accordance with the above specifications, for the sum of: $386.96 Upon final inspection and approval by RISE Engineering,customerr agrees to remit amount due in full. Interest of 1%will be charged monthly on any unpaid balance after 30 days. See reverse for important information on guarantees,right of recision,scheduling,and contractor registration. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPAC AUTHOR ED I ATURE-RISE Enginegnn CUSTOMER ACCEPT NCE // ' DATE OF ACCEPTANCE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN ACCEPTANCE OF CONTRACT-THE ABOVE PRICES, 30 DAYS. SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED. you ARE AUTHORIZED TO DO THE WORK AS SPECIFIED. PAYMENT WILL BE MADE AS OUTLINED ABOVE. Page 1 of 1 o � / Assessor's Officc (lst floor) Map 2,& Parcel Q! Permit# Q Conservation Office(4th floor)(8:30- 9:30/1:00- 2:00 zo-n Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) � wee. 0 >�4 ` Engineering Dept. (3rd floor) House# Planning Dept. (1st floor/School Admin. Bldg.) cC INS � ' ' is-1.0 CE TAU D*tree PIproved by Planning Board 19 __ "WRONG . DE AND TOWN OF BARNSTABLEtT®� ������® � Building Permit Application Pess Village !97/�,j& '!" U46— Owner fi_,�j,,L ��fi1/y7.c r'/J�� � Address Telephone __3 6 ;A -3Tl rPermit Request —7_-e` f f 4- First Floor square feet �oQ Second Floor square feet Estimated Project Cost $ Zoning District Flood Plain Water Protection L Lot Size 'A"--_.; P7 Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway / Number of Baths / No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name ✓j} _XRI L__ Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i SIGNATURE ATE BUILDING PERMIT D NIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. l ' i DATE ISSUED MAP/PARCEL NO. .' ADDRESS VILLAGE i OWNER , DATE OF INSPECTION:' 4' t FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: W} RrOUG� FINAL + , GAS: �R' U U FINAL • + FINAL BUILDINGS rl in DATE CLOSED O ASSOCIATION PLAN_No. i r - The Commonwealth of Atassachusettc Department of Industrial'Accidents 600 N osbin,tun Street 46 Burton,A1ass:' 02111 Workers'-Compensation Insurance Affidavit X51lan-rnformatio5. 7.7.7.:' " Please PRiIYT legibly ,-�name: l /Ly/Y ©N .D A 1 7T/+Nl g',l 1 i __111"Iocntion: l,{ / ti S S A - 3 6 - �. am a homeowner performing A work myself. 1 am a sole proprietor and have no one working in any capacity �' e •...� YiA�'.'3�+`?+!`..,.. ..�.._ _:do .:�A��....�..�T!�43�+`t"'�"'�!e?�;�r!..�,.1•�^.�.+ocrRc 1 am an employer providing workers' compensation for my employees working on this job. comran3'name: address: MI.: phone#• insurance co. oplicy.# :'...:.i�:�.,......:aa:... _- "t'+►".•.'%-.t9�t0.3T'r�s� ���"'����'_ .-tr'_'c"r�,• _ .a .�.'°�.:,_�r•r`�'�''r.'°�:_ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: ........ . ... company name: address: city: phone No instirnnce co. policy# ^��: .. . a- - Yriiei.-•.s =:r�wn-a-rrz •� s, rc yuaGv±rg '0!+ 3?��TCe?�ra✓^ +��►aR1r• - y.s.tsta'�'`-•._`-':5F'P�3";, —- - --- - ssr._-"y�,-'• �.' ctimpany name: address: city: phone#• insurance co. police# Atiach'idditioiial'slicei ifiieets��yr ;,<<_ .-:- �S'w:.+r:rry r,:._'-;_ •1�:' �. A < E1,ilure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to$1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herehr certifj•raider the pains and penalties of perjuq•that the information provided above is true and correct. ignature ate rint name u D Phone# ?official use only do not write in this area to be completed by city or town official city or town: permit/license# rilluilding Department oLicensing Board O check if immediate response is required OSclectmen's Office (:)Hcalth Department contact person: phone#; rlOther Irev;sed 3,95 P1A) ' information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an ennpl(rnee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An empl(tver is def fined as an individual, partnership, association, corporation or other legal entity, or any two or more of the fore=oing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling]louse of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean employer. MGL chapter 1'52 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. f i .�)•Y!fi- .Yid:+'),'1't:r... !�i .d^• :� b: 1.� >Y: �5-1. ! ... Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying-company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any for regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. .. Y �e�,r�. }.•LS.y Y i'.� 4��c F 2`:. r'1 'aZ J:7c. 33•�i%:ih,;:v tY �i� i 'rWAt rY!"247,.. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. y sa.v!!!T,ra! Y .... A. } ...:v rc.,. 'S^�'7�+.�.q•!w+rv�'ti�w'''+!1. +•.ice .....r..-r�r-z!vasa•.< '""-!�,'.'•4? _ ':!',£r'.;'.?': -::a:: -.-.:ev%:.... ...�.^�,.]J�'d+ '�j�i��.t.. -.. t�:::iwt.��'' t ten' :e.F:: .. The Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. ✓DATE _ .. .. • • ; .:. tl B LOCATIONAkC3 / r A/S% 'Number Street address Section of town "HOMEOWNER" IVI - 71 Name Home phone Work phone MAILING ADDRESS of FOY'd' AL PRESENT '. ty .town State Zip code'; The current exemption for "homeowners" was extended to include owner-occupi, dwellings of six units or less and to allow such homeowners to engage an inil dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sl who owns a parcel of land on which he/she resides or intends to r side, on which there is, or is intended to be, a one to six family dwelling attached or detached structures accessory to such use and/or farm structure A person who constructs more than one home in a two-year period shall not b considcreda homeowner. Such "homeowner" shall submit to the Building Offi on a form acceptable to the Building Official, that he/she shall be respons. for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes ,responsibility for compliance with the Building. Code •and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirementI and that he/she will compl with said procedures and requirements. • r I HOMEOWNER'S SIGNATURE • APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or larger, will be requirec to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided tha; Home Owner engages a person(s) for hire to do such work, that such Home shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assumi the responsibilities of a supervisor (see Appendix Q. Rules and Regulati for .licensing Construction' Supervisors, Section 2.15) . This lack of awz often results in serious problems, particularly when the Home Owner hire unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home"biaaer: as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities communities require, as part of the permit application, that the Horne Ow certify that he/she understands the responsibilities of a supervisor. 0. last page of this issue is a form currently. used by several towns. ' You r care to amend and adopt such a form/certification for use in your commun: i 4 4 0 1 �a Application to 1995 69 0> 01.",N4 Ov'tpNS Old Kings Highway Regional Historic District Committee e in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, id triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑'Addition ❑ Alteration S Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other / d0 // y F- P 2. Exterior Painting: ❑, 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE qS ADDRESS OF PROPOSED WORK ,2 79 �f •5 W 1314/3 NSW#96ESSORS MAP NO. OWNER Tl,q-y�l1 ITR A(Lc—M/ ASSESSORS LOT NO. HOME ADDRESS y`t' 5_ / i��¢ Sd TEL. NO. 3 1( 3/ 7 f ' l .FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet-if necessary). /M PPS K y A.dTr ?33 N 6 N S tj 67?,1'021k _Zai y /h a /y o A , 17'A Alice M/� 9 s /�{ !� S%l 1.G G AGENT OR CONTRACTOR TEL. NO. 3 6-2 -71 Z ADDRESS DETAILED DESCRIPTION OF PROP SED WORK: Give all particulars of work to be done(see No. 8,other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). C�ft f"A� Signed 1 w/ i1.(,t.C/�''�" — Owner-Contractor-Agent .Space below line for Committee use. - Date T e Certificate is ereby y e 7/pv'0 V ` 1-Tim CEP 51995 Approved ❑ IMPORTANT: If Certificate is approved, approval is subject t the 10 day a4pperiod provided in the Act. vf C Town of Barnstable Old Ring's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE / COLOR ✓�.c e CHIMNEY TYPE „��� COLOR ROOF MATERIAL COLOR PITCH WINDOW .j ,rv�,� , � SIZE TRIM COLOR DOORS ��h�� COLOR SHUTTERS GUTTERS_N✓C vc� DECK GARAGE DOORS COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plans, when applicable. Plot plan need not be "Certified", but should show all structures on the lot to scale. + 1 �x S SPECSHT j ^ti�..Y...r 0-r �1�.».y ..�"1•r. ...(v.,.r.-.•--i.r.-.,✓'r'Yrv�.v..-..-._,...-i s.-�,.may .. _ `-:,-�-•--�-�i•� --+n 1r`w`�•.., �, ... ...t..._.. �.r-.�.. , Assessor's office(1st Floor): Assessor's`map and lot number Board of.Health(3rd floor): Sewage Permit number Z saa�9rsncc S Engineering Department(3rd floor): MU& House number °° i6'39' Definitive Plan Approved by Planning Board 19 ��No,!a• - APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only r ;TOWN - OF BARNSTABLE M BUILDING INSPECTO _� APPLICATION FOR PERMIT TO I /[�t/77tar�i S 6 TYPE OFF COO NSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: l r 1 '. � z t • The undersigned hereby applies'for a permit according to the following information: Location ,2 79 H a �! Proposed Use f Zoning District l I• Fire District W-,;t 13��/�— Name of Owner' 1 4y v � Address 29 rAW-4t F/, `Q ' Name of Builder Address 7 Name of Architect Address Number•of Rooms Foundation ,/ t Exterior ekj -41t - Roofing A� LAJ— &J­A�h Floors Interior Ai. Heating -edeTr��i Plumbing t Fireplace /` Approximate Cost ) 0 Area �O . ' Diagram of Lot and Building with Dimensions Fee 1 r , j tlt I I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name 'r .�ixew�.( � x .u� -v� 1 Construction Supervisor's License 7 �� AITTANIEMI, RAYMOND 1 -A=111-018 No- 34445 Permit For ADDITION Single Family Dwelling 4 Location 279 High Street West Barnstable Owner. Raymond Aittaniemi Type of,Construction Frame Plot Lot Permit Granted July 10 , 19 91 Date of Inspection 19 Date Completed 19 i e PERMIT COMPLETED 1/1/, 1 Assessor's office(1st Floor-): SEPTIC SVSTE,; .% :��!?;�,;'� BE DI�' Assessor's map and lot number — INSTALLED IN CC�f�'',4-.ANCE moo*TwE to` Board of:Health(3rd floor): =, , WITH TITLE, �3 Sewage'Permit number -- �Jr��t Engineering Department(3rd floor):. ENVIRONMENTAL '°' � N t EAR23ToD1,11 House number TOWN REM NS 'oo 1630• Definitive Plan Approved by Planning Board 19 �a rEr d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only A P P' R 0 V E TOWN OF B A R N S TAULEConznn nn DCormission BUILDING INSPECT (0 Sig d Date APPLICATION FOR PERMIT TO D TYPE OF CONSTRUCTION ' 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 2 7 9 y -j Z� Q • � i Proposed Use ' Zoning District Fire District !'-I;�,t L3� Name of Owner j Address 9 LAO-u qs,,R.:4W.2W_ Name of Builder �raa-v Address Name of Architect Address y ` Number of Rooms �- Foundation O �� I Exterior Roofing — _�,� �'�-✓J•. Floors _ Interior adfee .1.n�.2 Heating ",I Plumbing i,z2=�` i • I Fireplace Approximate Cost fig, 4 P D Area • �O ov Diagram of Lot and Building with Dimensions Fee f 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 ' AITTANIEMI, RAYMOND ;No 3 4 4 4 5 permit For ADDITION Single Family Dwelling Location 279 High Street WP-; - Barnstable Owner' --Raymond Aittaniemi ; P Type of;_Construction Frame - Plot Lot a Permit Granted July 10, 19 91 Date of Inspection 19 Date Completed 19 to rs y, Application to '• _.�N`'j?PYN�'S EP AGM 0P pE��N� Old King's Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, id triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Constructlo ❑ New Building Addition ❑ Alteration Indicate type of building: [House ❑ Garage [] Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read'other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE )1 9 ADDRESS OF PROPOSED WORK 7 514 iG/4 6' /�� � ' ASSESSORS MAP NO. l� OWN ER :2 Alf Me til ,D jr A/V/L'/`1 j ASSESSORS LOT NO. HOME ADDRESS k95/ 14-/ G is S TEL. NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). A n is .4 Tr i4 N I r M I j Al AGENT OR CONTRACTOR B 1 Q N A 13 t7 An Dr- (?S o Al TEL. NO. 'ZDr 7 6 ADDRESS 7 wr0 /Y6 -f14 AN A,4A(,;' , Sn ►v a to/)GN 1, 1C , At o 0 r)/`I DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). A DDIrloN /d xao Signed C1y �G Owner-Contractor-Agent Space below line for Committee use. 1-1 _� Received by H.D.C. All a: ECEIVE ®AGteDa a is hereby Date MAY 2 9 TimeHin WA �+ Approved ❑ IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved 171 Form "A-V' OLD KING'S HIGHWAY HISTORIC DISTRICT Spec Sheet Foundation Type /D Siding Type �� Tn /Jkrw� /n" Chimney Type Color Roof Material Color 4�L Pitch 12i Windows Size Trim Color Doors _ / 3(, ° �0 ` Color Shutters Gutters 7I"•,,-,,,l ?_,u, Deck Garage Doors Color Notes: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan; landscape plan and elevation plans, when applicable. .' pplicable. . r (; 0 V ED *Plot plan need not be "Certified", bu- , should show a 1 struct ' ( +, of to scale. MAY Z .9 1991 r: OLD KING'S HID1 WA`( ° b , Z Q Z o ° l o I I I�` N 40• Z o'3o"E 1 ' a c 40 F-A �ood a 0 o I LA..rD, of c n of - -- - - - ' - - -- PLAN( of LAND rrt (3A R ICI STA B L E VC , T'•• , v • [J/aTB A o /963 ica7�r - SCAL6 I /NGH = .�O �aLT .. R6c .C.a�n+v$�/�.- 8E.�7•.�/9.v/) C•F.?tNC.V .. �66.•j: •�r�r.4� . Y✓f 7 P per/ iEr �. w oR .'�i:�''��A ��j•-;iF~ Pc4A/ /✓ s- Ze -63 - 43 3�cSif ASP II _ /tea/iy.T-.5 nc ,moo vN.a.4�--/0 1V'� � .• •�- _ ' - -- hl E.5-T EL _c3�tsMr'ivrLi CaNGi77'r- _aR O � ICE EIV'E _5 LD KING'S HIGI`il lk( sT t}r/cN/TE�T&AL 017 wN.l3L-/VP. �1---r--�f=7_..-�-'-------a--•--•-'---- ' � -AS./�N/,V f_T s hJ_N6 ti.ES. -'--(,--i..----- .__ moo' O ' Gy'Ja •�:: 3�a x3'6° 9 j,5 rOviv.oA7/d/1/ FO'C//yP/}7 5'O-U7 H E L EVATiO Al --F-- .. TRUS6 t.Li� r" • i Aa copyFovNo,q7'/o tom.?.q.i'./�°os,c-.A ,4.00iT�d� ,�,o LO 'X/6 �o „ !3 ��✓, i-r�sse� ....__.._.....-- EVE RECEIVED ov- MAY 2 9 1991 - " --- - - -- - -- OLD-KING'S HIGINWAY TOWN OF BARNSTABLE Permit No.133 .256..... ` BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Richard Aittaniemi Address l a A i`_t , ATJ ' *e, , West Barnstable a 7 9J S1— 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. July 7, 94 19................. ........ ..... ................... Building Inspector ; � V r a.::r.r__.n..•si.•..emR�fr10ayrs O. 7 �r 4• G � I cs 7' 61v ry lb c� 2 �► G _ CDT -0 � Sf=-� -7--/ oiyco ale _.._ �ID ------�-' -r- -- - - -- �� - - - I i i As .—_8. .._ _-. f! /J`.s� •f,•s ,g•L �- ,'9'C�O�/ �v C - - L_ O o 1/ /;F- (l rr JL 00 -15 _....__ -...... - ps A - , , _ � -. w _—, .. .. .r,+llr+rll�ec� ale► PAI RECEIV ei Ti'I'93 �j LLows L/N � .41 h L 4, �e za,.E �..�Ss,>-,cn.-,a... t �• � ti y� ;' ,�°J` / 1 • *a w. tdT AeE.74: 43,540 s$jqq.�+• i._ ..� A'IOi553G• • � A � Mlu.b1.D6. 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