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HomeMy WebLinkAbout0065 MAGGIE LANE I ° 1 } i o llll UPC 12543 Now, 53LOR HASTINGS MN r mom iL XYa Vie Town of Barnstable Building SU Post This Card So That it is Visible From the Street Approved Plans Must be Retained on Job and this Card Must'be KeptBARN w MAS& Posted Until Final Inspection Has Been Made: € Permit NaMo.+° Where a Certificate o Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-18-3873 Applicant Name: MEAGHER CONSTRUCTION INC. Approvals Date Issued: 12/19/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 06/19/2019 Foundation: Residential Map/Lot: 217-047 Zoning District: RF Sheathing: Location: 65 MAGGIE LANE,WEST BARNSTABLE _ .. Contractor Name:- MEAGHER CONSTRUCTION INC. Framing: 1 Owner on Record: CLANCY,ROBERT W TR I Contractor License: 162938 i 2 A Address: PO BOX 876 I -. Est. Project Cost: $ 13,800.00 Chimney: WEST BARNSTABLE, MA 02668 i t Permit Fee: $120.38 Description: Remove existing bathroom, Rebuild to include new sheetrock,tiled , I Insulation: Fee Paid:r $ 120.38 shower, new plumbing,frame for closet. New Floors,vanity,toliet, Final: trim 1 r Date: f 12/19/2018 r Project Review Req: _ f Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: !. Rough Gas: t Final Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved- nstction documents for which this permit has been granted. - �co-- ru- ` Electrical All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. ' This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Service: work until the completion of the same. r __ •'`` Rough: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Final: 1.Foundation or Footing 2.Sheathing Inspection Low Voltage Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Health ;`Final Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Fire Department .W+rk shall not proceed until the Inspector has approved the various stages of construction. • Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). 7 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map j 7 Parcel << Application �K1 pp Health Division Date Issued Conservation Division Application Fee Planning Dept. r Permit Fee :,30 ING i)�P-r Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis NOV 272018 Project S eet Addre & S A4Rf�S7�,�Li` Village Owner Address tk) Telephone Permit Request S 'AC—' [L5� LAAI ; Square feet: 1 st floryryo��r: existing proposed 2nd floor: existing proposed Total new Zoning District YL- Flood Plain Groundwater Overlay Project Valuation /3 $en Construction Type Lot.Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ea Two Family ❑ Multi-Family (# units) Age of Existing Structure lq 13 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: lull ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 13 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 2rOil ❑ Electric ❑ Other Central Air: ❑Yes Ilo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing Q.new size_ Attached garage:0 existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes2<o If yes, site plan review# Current Use 12�5 a�!�. A Proposed Use S'di `'CLQ APPLICANT INFORMATION —(BUILDER OR HOMEOWNER) AName 4-. L_J� Telephone Number Address License# S 0� — S Cie.. 5 Home Improvement Contractor# 3 Email144—�!WoCep' Worker's Compensation # 545SZY DaC)��� ALL CONSTRUCTION DEBRIS RES ING FROM THIS PROJECT WILL BE TAKEN TO 0. 6 SIGNATURE '' , ' S,�. DATE 4 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. y ADDRESS VILLAGE OWNER. DATE OF INSPECTION: FOUNDATION FRAME INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINALor GAS. ROUGH FINAL . FINAL BUILDING DATE CLOSED OUT- ASSOCIATION PLAN NO. , r u/. 4I TOWN dBARNSTABL&UILDING PERMIT APPLICATION Map a9 I Parcel G << '� I Application # k5l' Health Division Date Issued Conservation Division • Application Fee Planning Dept. 9 •~ Permit Fee /7�I • S r I Date Definitive Plan Approved by Planning Board A Historic - OKH Preservation/Hyannis Project Street Address._ & ���la-ga, i e _ la Villageo F Owner — 'i1�c. `�C ry- Address �awMcc'Vc•.y� c. Telephone c'r D, Permit Request I vt1 d -p— .tx 6a . r c-vn . 1(?t' 6LfN i 1 � N. au-) _a .� it oc lL -� (Q d.. S Ito CA c2 1a.t,�a ; �-"1 co OS , Qa ,L i-A J c Loy 4 iL4,n Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Ir , ' r Zoning District �' '. FloodlRlain• ,c�.:a' % Groundwater Overlay Project Valuation 13 S.cn Construction Typq_&_)�__Clla,,0.1 Lot Size_ Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family i0' Two Family ❑ Multi-Family(# units) Age of Existing Structure �� 7,,j -. Historic House:,0 Yes `❑,No On Old King's Highway: ❑Yes ❑ No Basement Type: YFuII ❑Crawl 1i0'W6'lkout ❑Other Basement Finished Area,(sq.ft.) Basement Unfinished Area (sq.ft) - Number of baths: Full: existing ne _ Half'existing f new Number of Bedrooms: '1 existindCnew Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas 00il ❑ Electric ❑ Other Central Air: ❑Yes U No Fireplaces: Existing 1 New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage:A existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 0 No If yes,, site plan review# Current Use S , � 2s�. 1 r Proposed Use 1�0C•drAJ 1 Q APPLICANT INFORMATION (-BUILDER OR HOMEOWNER) Name i �� GCt C `1.0 . 1 r,ri<ZA L-dC' Jst ir Telephone Number Addres15� s �,�o- JA �.- - -^- License # -S' -- ja- t, t t� fi Home Improvement Contractor# Email • ,-v\ C) it— i (ir.rcn' Worker's Compensation # `�kSS�X� ( a@014,A ALL CONSTRUCTION DEBRIS RES LTING FROM THIS PROJECT WILL BE TAKEN TO tiff I SIGNATURE DATE I Z ( [ I FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t ' 0 ®�s. Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constr, CtiC3rlf bpgrvisor ,may e7 CS-102260 E- ires: 11/05/2020 MICHAEL S MEAGHER;JR 87 EMERALD°CANE MARSTONS MILLS MA 02648 ?� Ito 0 Commissioner �e�o�ce�rcn�ccuerz�l�n�C�/j�iutic�cclelt Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR -_ TYPE:Individual Registration Expiration 162938 04/26/2019 MEAGHER CON'STRUCTION;;INC: MICHAEL MEAGH4ER 776 MAIN STREET OSTERVILLE,MA 02655 Undersecretary ' 46. 0 Construction Supervisor Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.gov/dpl Registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park PI -Suite 5170 Boston, 02116 t valid without signature Tlie Cote11110m+*eaull of Massachusetts _ Department of hdirstraat Accide��ts t Of ve of lavestrgati s 600 Was)tington St+seet T Boston,MA 02111 ►vrvw.niass gov/dia riciansipli mbers workers' Compensation Insurance Affidavit_B�ritdersJCantracbnrslElejqease Print licant Info46 rmation Name �{phanlln�vldual} Address: f?"? 'v # ��-�C1 C)wS phone City/StAd = to box: Type of Project(required): Are emploger''Check the appToPr4. ❑1 am a gear contractor and I 6 0 New construction 1.q lam a employer vrrth * have hired the sub-contanctoss 7. ❑���g employees(full and/or Part-fie) listed on the attached sheet 2.❑ 1 am a sole gropfid"ar Pam Theme sub-coutractors have $. ❑Demolrt►on ship and have no emplayees employees and have vrodms 9. '❑Building ad"ou working for me in any ' comp_insuranm' 10.❑Electrical repairs or additions [No worIMM'comp-insurance 5.❑ We are a conmra�and its 11. Plumbing or additions required_] officers have exercised their ❑ 3.❑ I am a howeovrIder doing all womk rigs of egemptson per h+IGL 12.0 Roof repairs mlrel£[No workers'come- C.152,§w),and we have no 13.0 Other insurance required.)° employees.(No vvad=s' comp.insurance requrred] their v;0*is'caM nsamu policy ink are doing all waDt attd rheabile outsde rant==nmst submit a aew af�rt�°�such 'Any aPPh�tgat checks mox#1 tttost also fill out fire sectioatM OU slnoteiag ss and state uheth�o�nott�ose t r+ase 1 gameovraPrs-wbi,submit this aim�t�g fty afire name of the sou iConu9am do dmh this bm must amcb 2d an additional sheet dW='- o number. ihey must prtovide their vm'kets'camp•P iic9 d ob sfte emP�.If the snitrsoauacmtsbm IM s J3eto►v is @re polio ln3Rirarrte fDP eWIplDf'ee�J I am an einployet that is Pro++i+tM*Wrkers'cawrFer+s _�•— informddOIL incuzance Compazry 1!3ame ®` l t ExPiratioaBate. Policy#or Se-ins.Lic.#: e ..�_ / City/State' Zip: ��'�� � nation date). Job Site Address: a shaving the p,Rey number and cap' at'anto a Attach a copy of the workers'eompe policy declaration Page( os ou of criminal penalties Failure to secure coverage as Section 25A of MGL sw 152�ffi the fo m off a 5 fOP WORK ORDER a�a fine to$!500.00 and/or one-year imgr1S°m°e�'as welt as civil penaltofthis s may ded to the Office of fiae the violator. Be advised that a copy of this statement be forwsr of up to$250.00 a day against a coverage v cati InvesEijoons of the DIA for under the 'res and peetalties Pegn that the inforrnadon prrrezded above rs drre aerd core• I do hereby ct�rtifi• Z l cial rise only. Do not wrjW in this area,to be completed by�or town ofi'rczaE � PermitlLicense# City or Town' Usuing Authority(circle one): PFovM Clerk 4.Electrical Inspec#or S.P umbbg Insl�tor 1.Board of Hedth 2.BuildingDepartment I City 6.Other phone#: Contact Person Client#: 16665 2MEAGHERCO ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/31/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling&O'Neil Insurance Agy PHONE 508 775-1620 F 5087781218 A/C No Ext: A/C No 973 lyannough Road E-MAIL P.O.Box 1990 ADDRESS: Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A;Penn-America Insurance Company 32859 INSURED INSURER B:Associated Employers Insurance Company 11104 Meagher Construction Inc.Timothy Meagher INsuRERc:INSURER D: 776 Main Street Ostervllle,MA 02655 INSURER E: 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 SUB POLICY EFF POLICY EXP LIMITS LTR INSR WV POLICY NUMBER MM/DD/YYYY MM/DD/YYY A GENERAL LIABILITY PAV0186320 10/16/2018 10/1612019 pEACH�OECCCURRENCE $1 OOO OOO X COMMERCIAL GENERAL LIABILITY PREMISES Ea o.Tu ence s50,000 CLAIMS-MADE 51 OCCUR MED EXP(Any one person) $5 000 X BI1PDDed:500 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 X POLICY PROECT LOC $ J AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acadenl _ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per acc dent UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION WCC50050054422018A 6/23/2018 06/23/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $100 000 OFFICER/MEMBER EXCLUDED? � N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $100 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 OOO DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S222476/M221069 RPSW1 MM Town of Barnstable :asp•� Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barmtable.ma.us office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder i Cs Owner of the subject property hereby authorize (tCL '4 to act on my behalf, m all matters relative to work authorized by this building permit application for: _S � (Addre Job) v qSilXftwner ate PnInt Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\DecollikWppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.0udook\2PIOIDH.R\EXPRESS.doc Revised 040215 NOTES I RECEIPT DATE NO. 4706 RECEIVED FROM ' ADDRESS 1 FOR l�" l ACCOUNT HOW PAID AMT.OF CASH I I ACCOUNT (� PAID CHECK I� I BALANCE MONEY BY I DUE ORDER m2001.N3 081.808- Town of Barnstable t ermit: OFTMEt Regulatory Services tit a4eRLE Thomas F.Geiler,Director2004 OCT 14 ^ •warrsTasi.e, Building DivisionI y Mass. Q�AT 1639. a�0� Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA d2601—`., , www.town.barnstable.ma.us U V l f�' Office: 508-8624038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLI FUEL STOVE PERMIT >� ,so d- Owner: a`"Z' tN�/ Phone:Tyl Install at: (O /, /"` �� p Village: Map/Parcel: '� J -7 L,57 I-X Z Date: Stove A< Used B. Type: Radiant/Circulating A. C. Manufacturer: Lab. No. D. Model No.: Chimney A. New/Existing (If existing,please note date of last cleaning B. Flue Size C. Are other appliances attached to Flue? D. Pre-fab Type and Manufacturer E. Masonry: Lined/Unlined Hearth A. Materials: B. Sub Floor Construction: Installer��� � d` ) � � /a0, Address: ©� Name: (/ V Phone: Location of Installation: APPROVED BY: / Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev 122801 ��. QIIMI Pr Page No. of Pages .. `�Gt11MNfy ;0 G0& P.O.Box90 N2 2239 �P % Sandwich,MA 02563 9 508-888-5114 PROPOSAL SUBMITTED TO : ' PHONE i �8`.Mr. i.;�.a I i:j7 ._ �.�J 6 i 7 C.�'.t7---TDATE � STREET JOB NAME 3� i Fills Ozi• ?` ?v .!a + ��X'k a?3'� a`:<-'.'.rtod a i CITY,STATE AND ZIP COD JOB LOCATION' r ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: L_'.=,4: Z Zc rlf33% :TUI�'1� .a':fZ7:"� ,3 1C' t� 7?' �•`i u;c F?'r� 2 7C :1�^'mil? e r.':'e—�lYJ f« ':.'e i'v n- it of stove Pe ^e rz ::K :3 i r. d: i" Fa^�sfJ? % 't1^.ii+J 7f�>V= :. 7 1 =..�� :33.fGd ..:'�� '^ ? ._:3.ttp_'.L' ?Zc3. '�q .s l'7U ti � OL. ' 3_ m"r'b?3' tat .7iE- Rio .._ ..• , e 80 ,.a. CIS �i-,-•:4�. ,�.oz-a l;y.,l, ti_,-,,r .ti;t.. .i? 4a. '.•= '.'.Ok"O�r. ( i-3 S C'�Zk`.$ o `; ainl 3. s _ 0 .# 3.a'?.i_r r^v ,' f�. U,� t_.i.ze ^y1.".Tt�., <„E ?f. a� {aFg:?a :?d'.`..e;�iaq of ona . ._. ti Ah..".!u s;iwS .n._y _�.a. rad .low—i-'L: ..._.::_ ',�'Y �i7rJ ...s.:CcJf::i... ':,�1_ �':xtr-r <z?2::a..; Or your a °ov1! into iL'��� �✓' CIA:t'r':i�!'� f :1 °7 r-'''r p:.,t'r. .'bzs zrot :?:i1i:l',} L- tv ie `^..lo st for, a.:.t` :stove .t j .....S .,,.�.I.y'a'•.r., ''. .-`.. S ..^.a.. ^ ^i.-^'r > .rw , n 'i^!�'`i �1L27,.1; �.i'_'W �°4J�` •.'��o _. stove 1il�ua. . ... z' 1. �,1`v ,.•il:it,,.� j _ ?a�'Y c, trTa .. C:�� �;'tTr+�;irgrT',� 1^v oncsil31'11t'',: to :3"�";<:Jire. _ y "i 3 t. -2 .�I3. c. Me joropo8E hereby to furnish material and labor-complete in accordance with above specifications,for the sum of: ift��_ '. `f)L►v�11i�A 1701-I1: i on— and, Ti -- ? 7$: l ' Dollars($ 1 n401 I Payment to be made as follows: s.. 0's: �0f ;iC::8!1, ($7«70 s i:3). %�i:L= 7�1�.1 G r?Ca ',�ca ;yi ,°".t.ST::;s I;r3Y;:L;7Y�1 ✓t 1..C?`�{:��i_'{.�-��;.°!^,y 'JiiFs c;j.i�i:tom?. "i�:0'3' tD 90,c�� -t31 '.c� 5�1 i tttSL % L'CxY�Y tiY G'ilC IV .r,t's^ 3ttV ^'��^f' {,_rt 4" •nc, c„ . Authorized i.ri z/ All material is guaranteed to be_as specified.All work to be completed in a workmanlike manner Signature according to the standard practices.Any alteration or deviation from above specifications involving • ' ''f't ;�` extra costs will be executed only upon written orders and will become an extra charge over and . above the'estimate.All agreements contingent upon strikes,accidents,or delays beyond our wntrol. Note:.This proposal m6y,be Owner to carry fire,tomado and other necessary insurance.our workers are luly covered by Withdrawn by us if not accepted within' s� days. Workmen's compensation Insurance. Acrieptan a.of thoposal—The above prices,specifications and additions are satisfactory and are hereby accepted.You are authorized to do the work Signature as specified.Payment wiii be mane as outlined above. Date of Acceptance Signature I f_ U I t a:7 , ' � 4 it a . 14 , r4-1 ,c. _�.. - -_—�_ _ ti i � ,r� ` 'f g � � _� _,� �� �r � ':� U . �� rt � � g x ._.;�, �'��`_ � _ r � �_�7,i — �r" _r,�! t �. ���� ,. e.. ,. r �. � -� `� . �''. •. c ..�, sl n -. - - � .�. ��� � - -�U - - ,�,,., � - �a3'=i �+ - �'_. i S. ��-v�. ' �S r} � y_�, ,. R __ .� t � I yp ��`N�� y. ^` 1 � !: , a . �f � �� �- � �� � � ; ♦ � ! .«�'� -.yam y gv ��...��� , ��� �, � s, ,-� �� � a +� .�, ., t= ;;,rx ,,`� ,�r� '� �y ��" Town of Barnstable *Permit# 2 Lk 7 3 FINE 10 Expires 6 months from issue date „ STAB Regulatory Services Fee MASS. $ Thomas F.Geiler,Director �p t639• p�0 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 X�PRE � PEW . . Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENT0j?004 Not Valid without Red X Press Imprint TOWN OF BARNSTABLE Map/parcel Number Vv Property Address &Residential Value of Work ll Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address �� Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) �BCIa Construction Supervisor's License#(if applicable) 0 rktnan's Compensation Insurance i Check one: ❑ I am a sole proprietor <'= I am the Homeowner G have Worker's Compensation Insurance A { co Insurance Company Name , q Workman's Comp.Policy# •• D Copy of Insurance Compliance Certificate must be on file. o rr- r Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows. U-Value - �(maximum.44) Where requi red: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must si .Property Owner Letter of Permission. H Improvemen ntractors License is required. Signature Q:Forrns:expmtr Revise063004 yoY HE Tp Town of Barnstable B.egulatou Services I Thomas F.Geller,Director N�$� BuRding Division Tomperry, Building Commissioner 200 Main Street, Hyannis,MA 02601 . . W",tatin,b arnstable.ma.us , office; 508.862-4038 Fax-, 508-790-6230 i Property Owner-Must - --Complete at.(i Sign This Section _ if,using A Builder X, �b ,as Owner of the subject property. lierebyauthorize .'to a ,et on mybehalf . in 4 imtters relative to work authorized bytbis building permit application for. 6 kXdffxess of Job) Signature of Owner Date Print Name F THE Tp� Town of Barnstable— Historic Preservation Division Old King's Highway Historic District'Committee BAMSfABM MASS. ��ED MA'S p MEMORANDUM. TO: Building Commissioner FROM: a DATE:. �A-`.f) o SUBJECT: MODIFICATION TO PRIOR APPROVED PLAN A minor modification to a prior approved plan has been approved by the OKH .Committee for the applicant(s) named below.. The modification is briefly summarized and I have attached backup material for your records; Applicant(s): Address of Proposed Work: L119 Assessor's Map & Parcel Number: Minor Modification: . I SI/ i y3�t2V Jeffrey ilso , Chair Date Town o Bar stable Old King ighway Historic District Committee wi DeAlE1GTE NNNttN FaoDDTxa _.... "a CKNIFICATE IS Mang Aa AvATTEN of AiiptNanom CST u0 fbnrtts MARSH USA INC. No 11oMTS HFON TNe amw wArt Notott oTwEa TNAN THOs tao"m N THE ATTN BRENOA BOOKER ►DLia.Wo IXRTIF CAX DOES NOT ATTEAID,EXTEND DTI A►TIS 00 CO I"M 3475 PIEDMONT ROAD,N E. AFFaaota Rn TN[ratcta DESaRED NESEn ( 9gS94 2 OFFICE COMPANIES AFFORDING CO GE (�60.5768 FAX A TA30305 ccw ftv 00482JMSTR4�1A• RMA A STEADFAST INSURANCE COMPANY MwREa - COAPAWT' THDAT-HOMESERVICES INC. 6 NIA DOA YHE HOME DEPOT A�-HOME SERVICES COMPANY 24%PACES FERRY ROAD NW BUILDING C-a C AMERICAN HOME ASSURANCE'COMPANY ATLANTA,GA 30XI9 COMPANY 0 .'ni IS TO CEILTiY THAT PQICWS OF INS9RROGE DESCRIBED HEREIN HAVE SE99 ISSUED TO THE INSURED NAMED"MEAN FOR TwE TQIC►PMOD INOCATEO NOMTµITANONG ANY REQAdRFNE"i TERM ON CONDITION CF ANY CONTRACT an OT4R DOaAIENT w74 RewECr TO NMrCN THE cERTtcICATE MAN 012IL&FOOR YAr PEATAN,TIE iN9.WMKF AFFORDED I Y THE POU0650"GLEE)HEREIN IS SUE ECT TO A L T+E tfFJ"CONaTtONS AND f=USO S Cs SUCH POLICES AGGREGATE LIMITSS40NN MAY NAl£SEHi 4MUCEDNYPAD CLAMS ao rDUC1rEFAECTM PCLMY EIPINAIM TY aFawR1N� LTR ADUCTNYNue DATE P.waRTI DATEpowDAIn1 try, 4XVIBAL UTAwnY G:NFRAL AGGREGATE f 000.000 A X CoMMERox G ENF"uABUTY IPR 3757 608-M 020104 noll0S PROauCIS-COWPAOPAG'G = 4.000.000 QAIMSArAOE Ocom LIMITS OF POLICY ARE EXCESS PERSONALS AOYIN13Rr : 4,�Q000 OARAMSSCA NTRACTGtSPRoT i0i SI.WD.OWPEROW EACHOCCURREPAGE i 4,000,000 FM DA TAM mA : 4.000,000 ma = EXCLUDED rNTOrw►E LRAanen C:01181IE®lINGtEIDnT f New Mira ALL 0rMlE9 AUTO9 a0mviolm s SWOULM AUTOS (P•Pe-9 HwEOhim SOOtY1N.URV 3 �a eonreal IIC"4 M M AUTo6 oaoTERiY OATACE S CAItAG[UATT AUTooNLY-EAACOOENT S MY AUTO OTMER THAN AUTOCKr ^:►..rq.w+;� EAOI ACODEWT f AGGREGATE s EaassuAAsm EA04 OCCURRENCE t Lw8MLAFO m AGGREGATE f AtIIH¢A THAN UMNRELLAF VMA $ D pEPUcrvxA♦r EN1A lw X TGLY IIANTS 6t "1'�w...`.I EL EA01 ACCIDENT f 1,000.000 C T14EPROMEM eiQ RMVVC29519MADS 0=1104 =1105 EL(lSEAgpQICYUMIT t 1.000000 PAwTNEA9ElECilTRVE El aSEAEADN EMPLaNFE f 1,00D,o00 CP D gf$RSARE Flatict-, C WORKERS COMPENSATION otsGRtTON Or Or9tAn= Lounoms+NENTCLE&JF[wL ITENZ RE:LOCATION NO.RMA ��j�. �:.i•+�•.:e.��:.i+fd�+U+=::'r^Y.`u!-3:+.►a r'•: //�,�A/�T.:+`.i.:..e::::.s�.•.w.*. r.s.t•...c..,.:.w'::.1--cAloc" :THE INiAEN AKA OWMAO W U FM MANOU f0 AWL OUS 9110Cill"i Nt<>z+1 NAMED IeRm M PAn1Re To MR aAoi"i IEYL�' , U$Alli if .Mani•AAroAaq+C CryFUOF../t A6l MA M ANMi i NAfAT1R 1 00 TIF i=iA d TH ACIT11i Atax um FTC, Ir Frank 10nnell "::�s - _.-..-e: -r.- _.•------`-^ r. � •= ,`'1`` -_VALID AS OF:;cZ :.e�=:�a.s;•yam..^- ,Mi�••�.��W•y.• i...a.' ............�_.v.�.:� �........ ..U. .4•�.iJ'Y�+A+.+.:..''.r 1f�.a-i2.�.-.+, a•K "mot:+,�'.! _.�i.eltitl_A.:rI.N<-4:1:�.e s.-L..ia:'�-�.:A!•al:Y .'•1.: .�_. t_;.,.. .a...L r.aa �W:41'w-4'.:.•i'tuLL•.•i�!i.•tf.:!.�..::�'3�•u.•lr•:wl�•�=a' r.�•'.�.-.L•.•:..•_.�•. ...•.ate.•..-�r•..:.L.b.4: License or regbvattos valid for hWlvhM use a* before the expiration date. if found return to: Board of Building Regal Mons and Standards One Askbar#on Plat Rm 1301 Boston,M 6 02109 Not valid*Uhoot slgaatnre — l//D. ' rYI.L[ a6Lf0 Beard of Ualldiug RM- and StandardE KOf1E IMPROVEMENT CONTRACTOR P.*gU&a on: 126M £aplradon: almo06 Typo; Supplement Card TvjS Home Depot At-lime Servic fy{ARK AUDETTE 3200 COBB GALLEMA PKWY#20 ALTANTA,GA 30339 AdndnlAmtur Town of Barnstable *Permit# '? QFSHE Tp Expires 6 nconths from issue date Regulatory Services Fee UARN ss L'E'g Thomas F.Geiler,Director Eo;9. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 r Office: 508-862-4038 (� Fax: 508-790-6230 EXPRESS PERMIT APPLICATION ressLRnErSIDE PI Not Valid without-K p J UN Z 4 2004 Map/pazcelNtmber TOWN OF BARNSTABLE AS �—� tf Property Address Value of Work esidential Owner's Name&Address Telephone Number SG Contractor's Narne �� Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) orlanan's Compensation Insurance Check one: I am a sole proprietor 0 I spvft Homeowner have Worker's Compensation Insurance Insurance Company Name c� Workman s Comp. Y ___--�— 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) �] Re-side eplacement Windows: U-Value `�_ maximum.44) *Where required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Property ty Owner must sign Property Owner Letter of Permission. e Improvement Contractors License is required. . Signature Q:Forms:exp g Revise053003 Town of Barnstable vY o��HE rp�Mo Itegulatoxy Services Thomas F.Geller,Director qcb s639, Aim Buiidling Division jO�Fn � Tom Perry, BuildingCommissloner 200 Main Street, Hymnis,MA 02601 . wrw,town.b arnstable.ma,us Fax; 508-790-6230 office; 508-862-4038 Property Qwner Must Complete and Sign This Section If Using A.Buslder o� �f 44t ,as Owner of the subject property to act on mybehalf, hereby authorize in a1S,matters relative to work authorized by this building pest application for. V' Address of Job) I Dat igna=e of Owner . print Name C. Y ' i 063-A-04740-45 DH NFRC6100 Renovations Double Hunq - Vinyl' .Argon/Low E- SC NdwW Fam*d n ss Raft Cmud. •For mae UMOrilwom caa or t+btit b1AiyC't web tbe�t wwwrrt�I:.orp 0 3 wHwwrl 0 . 2 t� 0 4 -----�: --------0 072 --------U 4 M=ftcUW swift ft"M rAV=ftm to apv+ua*We l M for deterrni" whole praW me wimmm imFRc onp are ddemtined for a fixed sd of al*mmenw cm bons and Wft prodllet sizes, C rc.a.94. ,..,y'g Ocder.#:3367129010001 40199 HS �,,:,-R:. . :< `�"^'dam: • }. �:• Board of 8.0dia9 Regulatloss sad Standards HOME IMPROVEMEN-T CONTRACTOR b : Registration: 126893 Expiration: 8/312004 Type: Supplement Card e Nome flepot At-Home Services MARK AUDETTE 3200 COBB GALLERIA PKWY#26 %--TANTA,GA 30339 Adruinistrstor ; art RL gional Committee In the Town of Barnstable E C E Q V E CERTIFICATE OF APPROPRIATENESS MAY 1 9 2004 with four complete sets,for the issuance of a Certificate of App PQ �, � on Application is hereby made, rns, 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as descn eto r �h ,,��10/U drawings, or photographs accompanying this application for. CHECK CATEGORIES THAT APPLY: erior building construction: ❑ New ❑ Addition ❑ Alteration J. ❑ House ❑ Garage ❑ Commercial 1.1 Other Indicate type of building: � 2. Exterior Painting: 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting E)dsbng Sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole LJ Other DATE S— r O TYPE OR PWNT LEGIBLY: - L-- a �n ADDRESS OF PROPOSED WORK 04 9 If- ASSESSOR'S MAP NO. / G ASSESSOR'S LOT NO. © V7 OWNER ADDRESSE- :R;He- TELEPHONE NO. �� 3 HOME A FULL NAMQy AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any ublic streel&way. (Attach additional sheet if necessary.) V, G4 I WO 13�0�w t.._ 0 5 F✓ t ` TELEPHONE NO. AGENT-OR CONTRACTOR (� ADDRESS 3'7s lUt�eNw°6'a�" ESC TIO F P OSED WO Give particulars of work tp be done, including materiais to be used. Please Include locations f proposed signs. CT �4 ti Signed 7 Own coer - N ' For cgmlttee Use Only ED O �. This Certificate is hereby Date Deni Committee Members'Signatures: N V Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET Mq y 9 2004 FOUNDATION lgAt I V 0F .... PR SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCB WINDOWS d2 96(p (JJr (,� SIZE CO TRIM COLOR DOORS COLORS SHUTTERS - COLORS GUTTERS COLORS DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS ' SIGNS COLORS I FENCE COLOR NOTEBt Fill out completely, inoludiag maasuremauts and materiala/colors to be used. Four copies of this Lorin are required for submittal of an application, along with Four copies of the plot plan, landscape plan and alavatioa plane, Mhea applicable. BPECSRT Revised 11198 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map off/!7 Parcel jQ Permit# fZC/QZJ � Health Division J�/ _% �/��9 Date Issued - �� Conservation Division dee_Wb?,�Tax Collector ,�i" � 970�� Treasurer l7 SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address CDs Village J J. Owner gf cSGt SA-Ili " C�Address �J! )J,+6Gn1r &XS76,W- � Telephone 296 - 09 Permit Request L. Z Jl"ibA&LS - U M 0 XL 4!5 -&W er v6�u1InID0 S IS Square feet: 1st floor:rexisting proposed 2nd floor:existing proposed Total new Estimated Project Cost #41 30D Zoning District Flood Plain Groundwater Overlay Construction Type _ 0 Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 5' Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: es WNo On Old King's Highway: WYes ❑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 Detached 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 El Yes WNo If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION G Name_ Z Zi ffz"15 ] (;MF'Z . Telephone Number Address License# &,S_D_7029 CPS7ZL C yh� L1n? 3.� Home Improvement Contractor# �Yo Worker's Compensation# ' C "W &6?F/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO afilo/Zz/ VA6�J .GhVs � SIGNATURE DATE r-6x Chi ZL! pp— T FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED =a MAP/PARCEL NO. ` Q ADDRESS �' VILLAGE OWNER DATE OF INSPECTION FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. F", _ ; -- - - - The Commonwealth of Massachusetts Department of Industrial Accidents € n� 600 Washington Street Boston,Mass. 02111 yWorkers' Compensation Insurance Affidavit can ' Q[�13t117iC,✓.. ri �I7%'�//�/i!/�/ ��� e: ocation: �S cityai� hone# 3 75--U ❑ I am dborneow=performing all work myself. ❑ I am a sole roprietor and have no one workin in any capacity I am an employer providing workers',compensation for my employees working on this job. eompnnvname: address: .. .. . . :::;.:..::: .. : . ... . . .... .. . .. .. dw. 0 741/r Date,3S phone#: dr) 6/81r- 9510 insurance co. nitcv# /////!6=/'lGVIMAI/.l%//IMI!/ !/ c /.(// ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have . the follo%%ing workers' compensation polices: eomyanv name: address: :;.•......:•::•:;.;,..: city phone#: insarnnce cn. UitG/lGi%/ ............... eomnanv name: address: �h_ ... phone#: ::.•..::::.; . :::.. ftsurance CO. go CV FaIIure to secure eovenC-e as required under Section 25A of MGL 152 can lead to the imposition of erbninal penalties of a tine up to S1300.00 and/or one years'tmpcisontnent as well as cfvil penalties in the form of a STOP WORK ORDER and a One of 3100.00 a day against me. I understand that a copy of this statement may he forwarded to the Office of investigations of the DIA for coverage vetincatiota I do hereby certify under the pains and penalties pequry that the information provided above is&u:mid eorreed si�tan,rc� — 1i _ Pate fl3 lq _ ` Print natne die EDE�rueK V. (1�A s c H ,�z. Ph=# Cor do not write in this area to be completed by city or town otnciat permHNcetse N ❑&tllding Department ❑Licensing Bwrd ediate reapome n regmrrd ------ - selecanen's 01[tce---.---❑Health Department • phone N. - ❑Other pevuec 9,95 P�JI y' ' Town of Barnstabl The _tom t 9 K" & �' Department of Health Safety and Environmental Services ` &61¢ .`e Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Building Commission:- Fax: 508-790-6230 For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW ' SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other re/quiirements. AAL�ov� Type of Work: i��IPL V '� `^'/ lu� Est.Cost Address of Work: )—M al 80A 31 Owner's Name Date of Permit Application: 3 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit ' i Notice is hereby given that:OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED HOME IMPROVEMENT WORK DO CONTRACTORS FOR APPLICABLE GZAM OR GUARANTY FUND UNDER MGLO 14Z�A� ACCESS TO THE ARBITRATION SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: D Q 3 j Contractor Name Registration No. Date - 9A, 64P /I . OR • �y ,- as -Y:s 'S Name r �e L�%omrntartufe�(� o� llaunc/u.teCLi cc �/te'Pattemaxt�eo�i o�./uawadlu.�ella �25 t r 1 f`.?d T 0: )7 HOME IMPROVEMENT CONTRACTOR TdeMAS CAFI%:i Registration 100740 :64; NEWTOWN ?r. Type — PRIVATE CORPORATION MA Expiration 06/23/00 CAPIZZI HOME IMPROVEMENT, INC � � as Capizzi, Sr. ADMINISTRATOR 1 45 Newton Rd. Cotuit MA 02635 oo�a��ra�zaietrh/1 o/�ll,�radt�c/n:;etl� $ DEPARTMENT Of PUBLIC SAFETY !~ CONSTRKTJON SUPERVISOR LICENSE Number: - Expires: - Restr-icted To: 00 THOMAS X tAPIZZI JR 286 PERCIVAL OR _W BARNSTABLE.. MA 02668 4 ,a? OEFARTMENT OF PUBLIC SAFETY CWTH-C,TON. SUPERVISOR LICENSE ,. Number: :noires; Restricted To: ae _ FREDERICK V RASC ill BOURNE RO PLYMOUTH. MA 02360 i I -t JU �7-99 WED 2 46 PM BARHSTABI.E. PIAHHIHG, DEPT FAX H0, 508 790 6288 P. 1 Application to 1 99g­` 202 Old Kings Highway RegicxW Historic Distract Committee In the Town of Barnstable for a CERTIFICATION OF EXEMPTION Application Is hereby made. In triplicate,for the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470, Acts and Resolves of Massachusetts, 1973, as amended for proposed wort as desalbed below and on plans,drawings,or photo- graphs accompanying this application.TYPE OR PRINT LEGIBLY _ DATE -- 1ha/9g ADDRESS OF PROPOSED WORK i0'5 E,�w , ASSESSORS MAP NO. a!7 OWNER CV—AWCt! ASSESSORS LOT NO. HOME ADDRESS -P 0. O • l-� TEL NO. AGENT OR CONTRACTOR Z _ ADDRESS J&i15 d a ma 1 �,,,�q� Q 3`j �. t.' Lull. �JU �.. TE L.NO. This application is for exemption of proposed exterior construction on the ground that: (1) It will not be visible from.any way or public place. [] (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission. (Check applicable box) PROPOSED WORK: Describe and furnish plan of proposed work,showing location on lot.and,if an addition Is Involved,show• ing location of existing building. , (r�) Repluc��, s-k+- sgdnj uJ,0M&S `r,'r' Skytil/�f�TS (a ) 1,/hn-{i�'1 r,J)nl 1d_1S (oil rnd) �ASi N(3i V (366) P,04r 6JiNdares l SIGNED space below line for Committee use. Owner-ContraCror.Ags�t The e Ina Approved ❑ The categories of work entitled to exemption are listed on Disapproved 0 the back of this form. C �y Roe E,c-T Town of Barnstable ' Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR yY)Cite�j e e/�TLn!(� PITCH WINDOWS COLOR SIZE TRIM COLOR DOORS COLORS i • SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS GARAGE DOORS COLORS RGbF Gt)i rJ 0 V LJ S 'I �a) SKYLIGHTS 7a/Y4-L- SIZE 3U �X��o COLORS aR0,A1 Z E SIGNS COLORS FENCE COLOR �_Viz I NOTES: Fill out completely, including meaeurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11/98 max' . � � diBW vn of Barnstable *Permit# 5d"1 I " 3 Expires 6 mon s from issue date . ulatory Services Fee S 106sftt cmPmFha= as F.Geiler,Director SnitcMoaiffi (Sy alsa9o3 uilding Division 0748 �'e WA oeffer,Jr. Building Commissioner i Street, Hyannis,MA 02601 w XmP B"�E FS S E:F,r - Fice: 508-8624038 Fax: 508-790-6230 MAR ' 2004 EXPRESS PERMIT APPLICATION :. _ Not Valid without Red X--Press Imprint TOWN OF B�Ri`�L) ,-, L Map/parcel Number d_' 7a$A Aav— >� Property Address esidential OR ❑ Commercial Value of Work -- Owner's Name&Address Contractor's Name //� 07— $T 4/yt£ U/ Telephone Number 509 -W7— `6-'�Z. Home Improvement Contractor License#(if applicable)_ � �G 3 � �✓/ `'"� Construc . n Supervisor's License#(if applicable) orkman's Compensation Insurance o :� Check one: o ❑ I am a sole proprietor M I the Homeowner v o I have Worker's Compensation Insurance N al _ m CD a Insurance Company Name Workman's Comp.Policy# w r Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Y J[7 eplacement Windows. U-Value (maximum.44) / Z21— 04C ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature expmtrg HOME IMPROVEMENT INSTALLATION CONTRACT Branch Name:. s,0P-J Date: 3,17 U Sold,Furnished &Installed by: The Home Depot At-Home Services Branch Number: Job 4: fl 71 345A Greenwood Street,Worcester,MA 01.607 Toll Free(900) 657-5192: (50F,) 756-6686: Fax: 505-756-2859 i'ederaI ID#75-2699460 MF.Lic f1 C 02439 RI Cont.Licti 16427 CT Lrcrt 565522 MA Home tinpruvcmcnt CoJJnir//actor I(cg.ll126R13 Installation Address: �1.AGdrl� LAA)z UJ. &M t4,7,AVL City State. Zip Purchaser(s): York Phone: Home Phone: {z.J 6 G1� A Home Address: � ltel (il'different from Installation Address) City State Zip Proiect Information: 1JWo("Purchaser"),the owners of the property located at the above installation address,offer to contract with Horne Depot U.S.A., Inc. ("I Ionic Depot")to fill-nish.deliver and arrange for the installation of all materials as described Oil the atlached Spec Shect it \.)3135? incorporated herein by reference and made a part hereof. Home Depot reserves the right to cancel this contract If, upon re-inspection of the Job, Home Depot determines that it cannot perform its obligations clue to :I structural problem with the home or because work required to complete the ,job was not included in the contract. DEPOSIT PAYMENT OPTIONS fSubicet to land verification:+ndior credit appro+•:d.i 1. Check,Cashier;Check or US Postal Service,honey Order CONTRACT AMOUNT S (matte payalwc to The I lome Dcpoo. "LESS DEPOSIT S D 2. Crcdil Carl'aml!nr other payment optioi).y-Circle One Relmr �LJJ✓✓ Visa t astcrCar Disci+ver American 13xpress BALANCE DUEL /- � ON COMPLETION S. U� Flomc Irnprovemcm Loantlomc Depot C:rcdit Crud Available Crcdlt:S (II11,& fIDCC ON1,YI *251/ of Contract Amount due upon execution of this Acciff:��. ( y Exp.Dilic: contract.One-third(1/3 d)of Contract Amount is required for MASSACHUSETTS RLSIDENTS ONLY. -- - "By my/our-I,nauuc bcloty.1/1)c agrcc to allow*rlic Home Ocpot io charge dtc Indicate Payment Method For bovcJ <+)a ced ccrjdii.,ud fi) ,c dcpnsi,indicated. /h BALANCE DUE ON COMPLETION � � -J Card)old rs Stgnauuc ale GC HiL or HDCC Authorization Codes Deposit Final Payment Purchascr agrees that• immediately upon sotisfaclory completion of'the work, Purchaser will execute r.Completion Certificate and pay ally balance due. Purchascr also agrees to bejointly and severally obligated and liable hCI'eLIndcr. For Mass. Residents Only: Contractor shall procure all permits required by law acting as the ow'ncr's agent. O',vncrs who secure their own permits will be excluded from tte guaranty fund provisions of MGL Chapter 142A. Unless otherwise noted within this document.this contract shall not imply that any lien or other security interest has been placed on the residence. Entire Agreement: 'rhis agreement and its attachments, including any financing agreement,contain the complete agreement between the patties and can not be amended or modified unless in writing in a separate agreement signed by both part.ics. NOTICE TO PURCHASER Do nol sign this contract before you read it. You are entitled to a completely filled-in COPY of the contract at fire time y'OU sign. KccP it to protect your rights. Du not sign any Completion Certificate ar•agreement staling that you are satisfied with the cnlire project before this project is complete. Law prohibits home repair contractors from requesting or aceeptinf; a Completion Certificate signed by the owncl. Prior to the actual completion of the,vorlc to be performed under the contract. You may cancel this transaction at any time prior to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of this right. There will be a service charge equal to 25% of the contract amount it'the job is cancelled by Purchaser AFTER the third business flay. nV t.IV/0l:11 Clr.NATIIR1- 1161(1\V WWI: ArRFF m ni? RnifNr) RY THF. TRRMS OF THIS CON'rRAC'T. Imil-, A('xNOwLL'DGr 2 -Cl809EB66809 Iod89 awoH e6t• :60 b0 bZ JeW w Proiect Information: I/We("Purchaser"), the owners 01,111c property located at the above installalion adthuss,offer to contract with l lunlc Depot U.S.A., Inc. ("Home Depot") to furnish, deliver and arraw,,e for the installation el'all materials as described on the altached Spec Sheet ti 1,J�135� incorporaotcd herein by reference and [nude a purl hereof. Home Depot reserves the right to cancel this contract if, upon re-inspection of the,job, Home Depot determines that it cannot perform its obligations due to a structural problem with the hoine or because Nvork required to complete the •job was not included in the contract. DLI'OSl"r P.AYvILN'I'OPTIONS lSubiecl to t.iad veriliCaicm ond/ur credit approval.) I. Check,Cashiers Check or US Postal Scrvice Nloney Order CONTRACT AMOUNT S_ lulade payable to The"nine Dcpo:). O� 3. CrcdA Caro:,and/or other payment options-Circle One Below DEPOSIT S. �,�J*LESS DEPOSIT Visa fvl tcrCwd) t)iseover Americau Express BALANCE DUE ON COMPLETION S I fun e Impruvcmenr Loon i luntc Dchot Credit Card Available Credit:b (1111.&fInCC ONLY) '125%of Contract Amount due upon execution of this Accttl: contract.One-third(113"")of C'ontt-act:\mount.is required as ii appears on curd: 1'or MASSACfIUSI TTS RIsSIt)EN7'S ONLY. 113y my/our gnattlrc below,IA+c awU to allow'riw liotac Dcpol io charge the Indicate Payment Method For buvcyf>tLrprc'cdcr ditcxlr cdeposil indicated. BALANCE DUE ON CONIPLE:TION Cardhuldcrs Sign:uurc � ❑le HIL or HDCC Authorization Codes Deposit Final Payment Purchaser agrees that, iuurlediately upon satisfactory completion of the work, Purchaser will execute a Completion Certiticate and pay any balance due. Purchaser also agrecS W bejointly and severally obligated and li:II)IC hereunder. For Mass. Residents OnhV: Contre,ctur shall procure all permits required by law acting as the owner's ugent. Owners who Secure their own pernlitS Will be excluded Isom the guarunty fund provisions of MG.L Chapter 142A. Unless otherwise noted within this document, this contract Shall nut imply That any lien or other security interest has been placed On the resilience, Entire Agreement: This agreement and its attachments,including any financing agrecinent,contain the COmplcte 1grecanen( between file parties and can nut be amended or lnodil led unless in writing in a separate agreement Signed by both parties. NOTICE TO PURCHASER Do not sign (his cunlracl before you read it. You are entitled to a completely filled-in copy III the contract at the lime you sign. Keep it ro protect your rights. Do not sign an)-Completion Certificate or agreement stating that you are satisfied with the entire project before this project is complete. Law prohibits haute repair contractors front requesting or accepting a Completion Certificate signed by the owner prior(o the actual crrmpletion.ol'the work to he performed under till contract, You May cancel this transactillu at ant• tinle prior to midnight o1'like third business day after the [Idle of this contract. See Notice of Cancellation tin• an explanation o1 this right. -there will be a service clrurg;e equal to 25%of the contract amount if the job is cancelled by Purchaser AFTER the third business day. BY NvIY/OUIt SKINATURF 13ELO\'v'. f/WE AGREE TO 13E BOUND BY Ti-if- TL--Aws (,)I: Tl-I15 CON'riwi,. 11WL ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICEOF CANCELLATION. BY MY/OUR SIGNATURE E3FILOW, I/WE UNDERSTAND THAT THE AGREEMENT IS SUBJECT TO REVIEW OF MY.OUR CREDIT HISTORY AND 1/WE AUTHORIZE HOME DEPOT TO VERIFY AND REVIEW MY/OUR CREDIT RECORD WITH AN INDEPENDENT C:Rlil.)IT REPORTING AUI:NC ' AN tt EL'AS.. TIIL'M FROM ALL LIABILITY INCURRED FROM INADVERTENT OMISSIONS OR ERRORS. SUBMITTED BY: I ;� fl� -/ � Date: ;7 10 S�Cunwlr n�ACCEPTED BY: �. Date:_ �f D ITur ieowncr % ������� Date: liomanvrcr -- -- N(YrICL:Allnl'I'IONA 1,TERMS.CONDITIONS AND WARRANTIES ARE STATED ON THL REVEHSE SIDE AND ARE 11.,N10'OF THIS CONTRACT Whilc-Hr mb File Ycllow-Customer Pink-Soles Consultant 1.14.04 C-SC E 'd 809EB6EBOS 4oclaa OWOH e6f+ :60 b0 bZ JeW Board of Building Regulations and Standards a HOME IMPROVEMENT CONTRACTOR Registration: 126893 Expiration: 8/3/2004 I Type: Supplement Card Home Depot At Home Services �Y MARK AUDETTE. TV 3200 COBB GALLERIA PKWY#26 v ALTANTA,GA 30339 Administrator f i r License or registration valid for individul use only before the expiration date. If found return to: Board of Building Regulations and Standards ' One Ashburton Place Rm 1301 Boston,Ma.02108 Not valid without signature