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HomeMy WebLinkAbout0009 RED OAK LANE i NO. 152 1/3 ORA ESSEL E "t#�-� T®WII of Barnstable *Permit 0 e Expires 6 arailbs froin issue date Regulatory Sere Fee anruasTABM 1639. Richard V.Scali,Director ' q .51 n a 1e�Building Division SEP ft/o/i Tom Perry,CBO,Buildirt� ftner O 6 2011 200 Main Street,Hyannis,M www.town.bamstable_ma.uskax:Office: 508-862-4038 508-790-6230 EXPRESS PERIWT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address oal< L/1 ❑ Residential Value of Work$ ,2-ak, N S 3 — Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address E-4 d --A rV1 3c-L l t t'►L2 (1(eL'a wf. S4 L fMA Qa.6(0 Contractor's Name Telephone Number Horne Improvement Contractor License#(if applicable) / 73 s Email: Construction Supervisor's License#(if applicable) 7 0 7 EKorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ IAm the Homeowner I have Worker's Compensation Insurance Insurance Company Name E f°em&_ n Insurpn C a ef,Z. Workman's Comp_Policy# W C A 3 1-5_A 7 2 9 2 D Copy of Insurance Compliance Certificate must accompany each permit. y 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) ❑ Re-side [� Replacement Windows/doors/sliders.U-Value 30 (maximtun.32)#of windows /L #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 pith other town department regulations,i.e.Historic,Conservation,etc. ***Note: P tygOwner must sign Property Owner Letter of Permission. A copy the Home Improvement Contractors License&Construction Supervisors License is require C, SIGNATURE: C:\Users\Decdilik\AppData\Local\iiticrosoft\Windows\Temporary lntemet Files\Content.Outlook\2P101 DHR\EXPRESS.doc Revised 040215 KeneWal Agreement Document and Payment Terms byAndersen. dba:Renewal By Andersen of Southern New England Ed&Ann Bertolino Legal Name:Southern New England Windows,LLC 9 Red Oak Lane RI#36079, MA#173245,CT#0634555, Lead Firm#1237 West Barnstable,MA 02668 WINDOW RE MCENERr 26 Albion Rd I Lincoln,RI 02865 H:(617)922-0282 Phone:866-563-2235 1 Fax:401-633-6602 1 sales®renewalsne.com C:(857)210-5888 Buyer(s)Name: Ed &Ann Bertolino Contract Date: 08/24/17 Buyer(s)Street Address: 9 Red Oak Lane, West Barnstable, MA 02668 Primary Telephone Number: (617)922-0282 Secondary Telephone Number: (857)210-5888 Primary Email: ezed1953@aol.com Secondary Email: anniewrap@aol.com Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement'). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: $22,453 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $7,483 Balance Due: $14,970 Estimated Start: Estimated Completion: Amount Financed: $0 8 to 10 weeks 8 to 10 weeks Method of Payment: Cash/Check We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later date. Rain and extreme weather are the most common causes for delay. Notes: Deposit Paid via ; Check# 717; ; Taxes paid in Barnstable MA Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s)and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 08/28/2017 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. e�JBy�ndersNe hern ewLegNaem o Buyers i��db Signature of Sales Person Signature Signature Josh Ocharsky Ed Bertolino Ann Bertolino Print Name of Sales Person Print Name Print Name UPDATED: 08/24/17 Page 2 / 11 Massachusetts Department of Public Safatf 3Gard of Building Regulations and Standar s icense: CS-095707 BRIAN D DENNISON - 7 LAMBS POND CIRCLE, CHARLTON MA 01507- Commissioner OW0812018 _~ Ce , r`,Y`. S �1d BUS: leSS ,�QlliaUon- i O iJCSU-Irle. laI S 4{ 10 Pa_k Playa-Sai:e 5 Boston. Nifassacauser s T el to irrtrrc remient rO CTICCGC R?"�-s'CaClCP - --- Registradon: 113245 --- Type: Supplement Cam - - Expiration: 9lr9/201S SOUTHERN i*\IEVNI ENGL8NID\P/H\1D0FVVS-LL =_ BRIAN DENNISON 26 ALBION RD — LINCOLN, RI Q2885 - -- —--- r_�udnre.address and:eerry ard.Ylar::casua`.'or.,:nan�m Rmplay ment •—Lust Card Iricc ui Cnasamer.UTairs a 3asinez Regdaano RegisQ•ativa-+alid iar individual use only be-Aire tke'' e\piratiao Gate Ufound, cn eta Eo: .sHOME IMPROVEMENT CCNTRACTCR ^.Rc:rFCooszimeca:Tai,.,aud3usinw.3e�-a;tine ik Regisnedon: 173245 Type: W Park Pl=-Soim 51-0 2spira0an:..969912D13 Supplement Card 3+ntun.AA 93116 SOUTHERN NEW ENGLAND WINDOWS LLC. .� RENEWAL By ANDERSON 3RIAN DENNISON 26 AL310N RD uNCOIN.RI 02665 '-Undersecrrury Not v - amre i The Commonwealth of Massach usetts t } Department of Industrial_Accidents 1 Congress Street, Suite 100 Boston, M4 02114-2017 www.mass.gov%dia Workers* Compensation Insurance Affidavit:Builders/Contractors/ElectriciansiTiumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. .-4,pplicaint Information Please Print Leciblr' 'dame (Business/Organizaiion/Individual): E e u—) F— Address: .2(o .L ( DLD Clty,/State/ZlP:LAWJP Phone Are you so employer?Check the appropriate box: Type of project(required): I am a employer with 20 temployees(full and/or part-time).` ;. New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling anv capacity.[No workers'comp.insurance required.) 9. ❑Demolition 31-1 I am a homeowner doing all work myself.(No workers'comp.insurance required..) 10 E] Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5.❑I am a genera contractor and I have hired the sub-contractors listed on the attached sheet. 13.[]Roof repairs These sub-contractors have employees and have workers'comp.insurance.+ 14. her 6.❑we are a corporation and its officers have exercised their righi of exemption per MGL c. �t 15L,eI(a},and we have no employees.[No workers'comp.insurance required.; /�P�1Are/V7 e/1 f -Any applicant that checks box 91 must also fill out the section below showing their workers compensation policy information. 'Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. !Contractors 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: Irk MQ sct-£J Policy#or Self-ins.Lic.#: C�3 Z L — Z'0 Expiration Date: / Ll Job Site Address: �Qa 1�• City/State/Zip: riSf A Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a y against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under th ains and penalties of perjury that the information provided abopve is true and correct. Si mature: Date: / 5 Phone# ��1 2Z•�� �� 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.Cityi"Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person. Phone#: �1 ESLERCO-01 SANDERSO CERTIFICATE OF LIABILITY INSURANCE DATE 2017Y' 06/07/2017 THIS CER71RCATE 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 have ADDITIONAL INSURED provisions or 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). CONTACT PRODUCER CoBiz Insurance,Inc.-CO (AIC,N,E,d):(303)988-0446 (AAic,No):(303)988-0804 1401 Lawrence St,Ste.1200 E-MAIL COMaiI cobizinsurance.com Denver,CO 80202 ADDRESS: INSURERS AFFORDING COVERAGE NAIC k INSURER A:Acadia Insurance Company 31325 INSURED INSURER B:Firemens Insurance Company of WA D.C. 21784 Southern New England Windows,LLC.dba Renewal by INSURER c:LibertySurplus Insurance 10725 Andersen of Southern New England 26 Albion Road,Suite 1 INSURERD: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE AD p LTRy�UBp POLICY NUMBER MMI DCOY EFF Mao ExP LIMITS A X COMMERCIAL GENERAL LDABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE �X OCCUR CPA3158728 01/0112017 01101/2018 EL— DAMAGE ET E.occurrence 5 ENTED 305,000 MED EXP An one person) S 5,000 —I PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE UMIT APPLIES PER: 2,000,000 X POLICY❑JET LOC PRODUCTS-COMPIOP AGG S EBL AGGREGATE 5 2,000,000 OTHER: COMBINED SINGLE LIMIT S 1,000,000 A AUTOMOBILE UABILITY X ANY AUTO CPA3158728 01/01/2017 01/01/2018 BODILY INJURY Perperson) 5 AUTOS OwNED 0 ONLY SCHEDULEDAUTOS BODILY INJURY Peracadent S HIRED NON-OWNED PerOaaRtlenDAMAGE S AUTOS ONLY AUTOS ONLY S A X UMBRELIA LIAR X OCCUR EACH OCCURRENCE S 1,000,000 F�(�UAB CLAIMS-0IADE CPA3158728 01/01/2017 01/01/2018 AGGREGATE 5 EXNTIONS 0 Aggregate 5 1,000,000 B WORKERS COMPENSATION X STATUi ERA AND EMPLOYERS'LIABILITY. Y/N CA3158729-20 01/0112017 01/01/2018 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EA ACCIDENT S pFFICER/M�MBER EXCLUDED? 1,000,000 (Mandatory m NH) E.L DISFl+SE-E A EMPLOYE S It yes,desrribe under ,000,000 DESCRIPTION OF OPERATIONS below E.L.E DISEASE-POLICY LIMIT S B Worker's Compensabo CA3158730-20 01/01/2017 01/01/2018 1,000,000 01/01/2017 01/01/2018 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 1111,Additional Remarks Schedule,may be attached if more space is required) 17-18 Workers Compesnation Includes-All states except ND,OH,WA,WV,WY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORLZED REPRESENTATIVE nlPr ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ,fTME,� TOWN OF BARNSTABLE Permit No. . 9 AC) ...... BUILDING DEPARTMENT { Cash "8:wa TOWN OFFICE BUILDING i6s9_ �tnur► HYANNIS,MASS.02601 Bond .... ... a CERTIFICATE OF USE AND OCCUPANCY Issued to Address r.�+- 4;1 Q Q r) -.rq rl ,I- n 4. n 4---,},1 . 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. April24 19......8.7....... ............................................ Building Inspector e'�y��•: TOWN OF BARNSTABLE BUILDING DEPARTMENT =7pb s��� _ TOWN OFFICE BUILDING.679 ,►�alu'��'� HYANNIS, MASS. 02601 t� MEMO TO: Town Clerk FROM: Building Department DATE: P7 An Occupancy Permit has been issued for the building authorized by BuildingPermit $k...._ .�_ _....__................................:..........._............_.... ........_._._.._........_...... issuedto 1 . .........................._.............................................. Please release the performance bond. TOWN OF BARNSTABLE, MASSACHUSETTS PERMI JOB WEATHER CARD DATE 19 PERMIT NO. APPLICANT ADDRESS ' (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) DISTRICT (N0.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT."WIDE BY FT. LONG BY- FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: AREA OR PERMIT VOLUME ESTIMATED COST $ FEE /�/)fJ�/�,1�(C,cU�t�BICc/SOUA E F lT)I OWNER 1J/ O►L�4 ��/�/ BUILDING DEPT. ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED ► FROM.. THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF, THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR 4LL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING ,STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO (-ATH)r FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. ' POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING NSPEC ION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS oe 3 HEATING !N5PEC'TING APPROVALS R I ALS I� 1 • jUft .. 2 'EPLTH R A B40 H I � �T7WN QFMBAR STA LE r` _ ECJME NULL AND VOID IF CONSTRUCTION iNSPECfI0N5 INDICATED ON TH!S CARD n; 4-., DATE THE CAN BE ARRANGED FOR BY TELEPHONE 13, Assessors officAlst floor): �L /J _ _ /� OIa TNEr Assessor's map and lot number ...f.............. ............. ...... C��P��G SYSTEM�� ���� Board of, Health`13rd floor): METALLED IN COMP Sewage Permit number ..................... :^.. . .;z.... WITH TITLE 5 Z 33Afia9TADLE, Engineering'Department (3rd floor): ��I����E�I'rAL C® o �" 3q e� House number .............................. .. ..... /...��.. .... TOWN REGULATI oMpva� APPLICATIONS PROCESSED 8:30-9:30 A.M. and- 1:00-2:00, P.M. only TOWN OF "; BARNSTABLE BVILDIN6 ' INSPECTOR APPLICATION FOR PERMIT TO ...............�!.4..��......................................... /.:/................................... ................. TYPE OF CONSTRUCTION ....... r` �' .... ................... . .......................................................................................... ................... ry..............,9A TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....4 l f Rr, � � ............. /....a/4i�/Il$7'��E: ......................................... ........... ............... .................... 5 Proposed Use ........:. �Pi�17ci�� Zoning District ..............�.. ........................................... District ..f!Y.:... W Sal ................. .................................................... Name of Owner U7465.... -. ..........Address ....1. N��n� ��11?� �1... .:�1�... .............. ....................................... Name of Builder ..............................Address Nameof Architect .................. .. ...................................Address ..........................:................................ Numberof Rooms ....................... ....................................Foundation ........... ................................................................ Exterior ....... d....'F�.. ...........................................................Roofing ......... �� ! �T /%`'/�j�se�G $......... Floors . `V...........................................................Interior .. RCCk.. ....................... �, ... ..rJ p,.. Heating ....r.............................................................................Plumbing .................................................................................. 1 tC�c u Fireplace ............... � ..........................................................Approximate Cost ... ......... /57- �/i- /g-/�........... efinitive Plan Approved by Planning Board19��. Area o?f.?d..........87YO............ ' Diagram of Lot and Building with Dimensions Fee ..40re9e S7,f� ................ . SUBJECT.TO APPROVAL OF BOARD OF HEALTH a � 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 ... �. .............. Olr6/................ .. WILLIAMS, DOUGLAS A=128-012 1�Ica 29409...... Permit foki...151.QKy..s.in ],p....... fm �y...dWe�.J ing......................................... Location>..Uj� ...#19.....9 .......... ...........WA.S L..Banns t able................................... Owner ..D9uglas..Wi11A?.4S............................ Type of Construction fr.ame .... ....................... ................................................................................ - Plot ............................ Lot ................................ Permit Granted ............ .Ray...28..........19 86 Date of Inspection .9'1a- %........:::....19 Date Completed ...�,�— .�..':;3 ........19 t 6 PLOT PLAN in b BARN.STABLE4 MASS SCALE: 1" 40' MAY �20' 1986 t BBC / CAPE COD SURVEY CONSULTANTS C!3/•0ISA-! 3261 MAIN STREET BARNSTABLE VILLAGE, MA. 02630 (617) 362-8133 V PROPERTY LINES SHOWN HEREON WERE COMPILED C� FROM PLANS OF RECORD. AND DO* NOT REPRESENT 0 �\P AN ACTUAL SURVEY ON THE GROUND. Q` _ THE STRUCTURE DEPICTED ON THIS PLAN WAS LOCATED ON THE GROUND BY SURVEY ON 5/15/B6 AND EXISTS AS SHOWN AS OF THE DATE OF LOCATION. THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND SHOULD NOT BE USED FOR ANY OTHER PURPOSE. DATE PR FESSIONAL LAND S EYOR N • �\AH Of �ygsJ PAUL q�yG RYLL H A No. 32448 Q 9 1 _ - � o��d' 9FC►STER�p a . m��NgI LANp SJ 'cam "\"4 �VIN o R=-45 00 'O _ L=47•/.3 N 4.09 .3462 14 TOWN OF BARNSTABLE ZONING BY-LAWS DATED FEBRUARY 1985 ZONE: RF Q SETBACKS B.M. OVA IL /t/ p,4 K TR�c 11� FRONT 30' = 9'2.4 7 ,d ss0MEo �( SIDE 15' REAR i5' PROJECT NO. 3-1754-00 1 . NPPL[Ca,n,c: JObr2A. fZ e-IM967-12 R R FIM) t1d, bE; `13W. 4 Oq4 Pa,C�rc/-. 2q� T Sca►s 1"=� b� s- APRI L 22 Iq9 7 11t2. z��� lnp�� 1 o' MV LOT 19 ;N', ; 1 ZSTORY _ � ' • f DWELUN(o ' LDT OAK '. ' h����[',� /��•y�* CU Tip y't�7�•�-�•- •_ �L-,'r,,� `'�- .a i '.t.. 3.•!4w "'I I L�..K>' �-IZCI 1 J W, �1 Lr zjDc 2 Z�?�dt 1)eLUY2U S12(Jt Ut2 �'�fc 12 dOES ►2gr- f loxU I r2 F2-CX� .I;2�6 a..saEc�a.L.. �,,.n2 a,•- a. FOQ,-C2e' C-on2rT9 iI u C/-3 OF= 68Kr7 a 6l E " E =FEC>vtV� dam- - IQ, Ig8,5 �. 212E LoG2Lton of -a? dtt)EL11t1G- WrI OtZ1'12 CO WE LOCa..L- ,7-(Dt'1tt'2C?•--- . a'J-IAW,5` ul-eFFF.CZ Z. flea COn ZCVL.lCcr--�d* wtd-i tZE5pecc rD dtrr�r2slot� c2c-QutuE;rn�c���'- �f2 is pLdk'Z zvas t�o>✓ mabE Fo t2 rzEcolt- t?44c2 po sEs ot2 F(D2 'PIZ�pdR112G 6ec6 6FSCtZtpCt0tt'3 VEt2sFiCa.>✓lOt2 OF PtZQPC-12Z3 Lt'2E dtC�125ipt'�S� . ,*' •`~�:ti. t ' JLdlC2Cr p si FEt2GES aZ E3;,-- NCCornRAgvr'-a Ot2L4 W4. an dCCU t2dZ?c InS�ZLaIt�t 2='SLlt2 �. , 1H OF A( T. C/ ,A1?�6ii�in� �o., e. nc. 617- 344- 1776 F" 313 o f'•' C�STEa��Q� ` 14 PACE. TERRACE NpQTH STOUGHTON, MOSS, 02072 F ti Assessor's office (1st floor): • F THE r Assessor's map and lot number ........�" a�,., C-$, SYSTEM �.(J�� �E Q.,° off` ........... Board of Health (3rd floor): 22 q� a� ws l e; "E L1.Sewage Permit number ........ >4.".J. g. , ........ 9 f1.,. 9 iTLE 5 Z B6Hd9YGDLL. i Engineering Department (3rd floor): V Efb " . ��� CODE .� moo M 9 \e� ,,,n House number .......................... . ...... "�?'................ TQIi N REGULATIONS '�°"pY' Definitive Plan Approved by Planning Board ________________________________T9__._____ . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only" TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..........F—"Ce—OsE 17,FG '...................................................................... TYPE OF CONSTRUCTION ............Lry D..........FW!2.44.F............................................................................... ........................ —/. ......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............ .......2 .c�. .........eq#/.4.......LR E... ( . ... ��... % :........:... Proposed Use ............P.Afeq.1.4............................... ............. ........................................................... Zoning District ......................1. ...............................................Fire District /'r , Name of Owner .(.'f'omv...1q..*.F44Z.....�..).E!E!e?W.WAddress ........7...........;2-&-D.......Q,'!,.k ...—,vc f n Name of Builder �...._..,.... ..�. ..............:Address ... .... ......... R —� ... Nameof Architect ..................................................................Address ................y................................................................... Number of Rooms .................eyF.......................................Foundation ........C..4 h!l�lVl................................................... Exterior ...... /.&6.4.E.......................................Roofing .......0-3.©l 1. ...7 ...................................................... Floors .........O.&C.D................................................................Interior ...... Lb?�Ji ! ........................................................ Heating ............................................:..............Plumbing ............. /07!i....................................................... . Fireplace ......./VIA' ..............Approximate Cost ....... Area ....... FI....... Diagram of Lot and Building with Dimensions Fee .... r ................................ 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 ...... ... ..............0....... . Construction Supervisor's License ............. RENFREW, JOHN A. & ELIZABETH R. �p��Rse Deck, ... ermor .... . ... . Single Family. Dwelling........ - Single..................... ..... Location .........9....R.e.d...Oa.k...Lane .................... .. . .. ..... .. .. .... .. West Barnstable . ............................................................................... Owner .....Jo.hn...A.......&....EXA.z.aket.h...R......Renfrew Type of Construction .....F.r?kM.Q........................ . ............................................................................... Plot ......... .................... Lot ................................ Permit Granted .......9�4 �A� Y.. !.... .......19 88 ro Date of Inspection .......... . . . .... ........19 Da?6 Completed ....... -19 ............ J Engineering Dept. (3rd floor) Map Parcel a Permit# 3))1-kq . House# Date Issued �/(! Board of Health(3rd floor)`(8:15 -9:30/1:00-4:30) Conservation Office 4th floor 8:30- 9:30 1:0 - .( )( / 0 2.00) o � Planning Dept. (1st floor/School Admin. Bldg.) SEPTIC SY ST BE Definitive Plan Approved by Planning Board 19 �NSTALLE ANCE a EM/iRONM DE AND TOWN OF BARNSTABLE TOWN REG LATIONs Buildii g Permit Application Project Street Address e�7 1�1 Village "_ . lddzft�2�/6LE 0wner�,k��Z",9 �2�7✓� Address �',V� 0,91� �.t.� �/ ,��iJ I Telephone Permit Request �� j� � jy� 2T c���,�/��ir� ��2i�es�'116" First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ /gg2 01 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes UrT Teo On Old King's Highway ❑Yes UrIC Basement Type: Ufa ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size)) ❑Barn(size) ❑None ❑Shed(size) " ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name /O C� / Telephone Number ��`9�/�' Address_4;yKr ,K-W>vw.� a �i��i� License# c t.S-�032 Home Improvement Contractor# /Oo 71lZ1 Worker's Compensation# l.,47AI B30 Z 9 z 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 SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) { FOR OFFICIAL USE ONLY AtRM1T NO. DATE ISSUED' ' MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION FRAME ?-----, INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL in PLUMBING: UGtg FINAL cr Q tc O GAS: t J Fe � FINAL FINAL BUILDING A N/ifn 3 29, 4 r DATE CLOSED OltG Z [tea ASSOCIATION PLAN . Q ' i't m 0 The Commonwealth of Massachusetts Department of Industrial Accidents exce 011fi estigatJans 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit ca i �� �G _ Ctv G ;i y/T '" dZ!as' phone 9S/S _ I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing'workers' compensation for my employees working on this job. co m Ilanv nam addre city- phone#• rG.. /f % < insurancecfi /' /f-� porc, ss d �s3>3Z'ZB: I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contract ors below who have the following workers' compensation polices: company name: address: ein phone 4 insurance co .. ofilicv _ coml2nov name- address: city phone : insurance co -t+--c*�r po t 'Attach additional sheet Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties oC a fine up to S1 500.00 and/or one Vicars'imprisonment as-AelI as civil penalties in the form of a STOP WORK ORDER and a fine ors10o.0o a day against me. I understand that a copy-of this statement may be for-warded to the Office of Investigations of the DI.k for coverage verification. 1 do hereby cervifr u pains a penalties of perjury that the information provided above is true and correct. Siena[ure Date Q�97 Print name /�ZeV -D ����� Phone official use only F"ydo not w rite in this area to be completed by city or town OMCial cin'or town: permit/license# riBuilding Department C Licensing Board 0 check if immediate response is required C)Selectmen's Office 0Iiealth Department contact person: Phone f. r-Ot _ - - her .r fire,neJ;'nc PIA) i The Town of Barnstable • asaxsr�sr� • 9� 165 . `0�' Department of Health Safety and Environmental Services 'biro ` Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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 requirements. ot� Type of Work: Tier Z5Xr2eEa,F Est.Cost Z2 �Bd Address of Work: Iiy AJc z Owner's Name✓df f�4�`�yL �1�1/�' Date of Permit Application: —La .97 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: yea 94f Date n ct Name Registration No. OR Date Owner's Name - �.• titi .•.' r •.1�:: ,�::i:-�. _�=i:�j t:::�:�':_:S '- 'S,i�vl.••_�_:�'-fir:� A. it•.:i .v. - - .i�i= :i•.<- •�-. .. ''{�~::: .i��.^.-ice. .i• 'i.- � .�.r� •i '�' •. L. "OME . IMPROVEMENT CONTRACTORS REGISTRATION I tz or Euildins Regulations and Standards One Ashburton Place - Room 1301 I Boston, fitassachusetts 02106 •-L--------------------------------- It';PROVEMENT CONTRACTOR I castration 100740 Expiration 06/23./98 PRIVATE CORPORATION ( HC!_ pplo4e_y C31TR„CTOR I Re;istzat:aa zaer�o F CRP IZZI HOME It",PROVEMENT., INC. t Thomas Capizzi , Sr _ I 16 4 5 Newton Rd . I CAF, ,j HOrc W'FIVU"E , IH- Cctui t MA 02635 I _ i�asas Cap zr* Sr, .I • n 7DEPARTMENT Y= '= OOSTUN, RUC =G�1' SUPECtVI5Of; LICENSE Expirp-s: . E3irtiida �0:10.�2� O9125l1S47 ,, OSIZb!??C •; - ' - • - .. 'aScGIIRiTY.=` �ti F�?off;;�',�►`IA•` 0 Z 6 b II ' \ _ ,�. . Assessor's office 6st floor): Assessor's map and lot number ... ...�..................... Board of Health (3rd floor): Sewage Permit number r ? i BASa9Tl1DLE ............ .............>..............,.._ Engineering Department Ord floor): -( , Q / 900 039,a\��0 Housenumber ..................................................................... o m APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN. OF BARNSTABLE BUILDING INSPECTOR . y APPLICATION FOR PERMIT TO ................ ............................................................................................................ TYPE OF CONSTRUCTION ....... Od v�. r�i9rl1 .................. ......... ............................. )or./...............19A. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: .��;- �� A EA,V,� 4 A-,V F �. a A6VS;,y61 ,6- Location ............e..............,...../................. .................... ......................................................................................................... Proposed Use �FS!C�,2i17i�, L.. .................................................................................................. ............... .............................................. Zoning District �� .........................Fire District ..N!f.'...4 /��N�Ti9,r,3 .......... ...�...................... .. NFL /s�c ,L..L, .¢•-m S ,/ rJ �,�✓r1 /fit • �j. Nameof Owner S�s....�:....w ................................Address .....�..7.............. :�..................................................... -NameN ........................of Builder S�"Y?.!rh .................................Address ...........`...........?.`... ....................................................... 1 Name of Architect ..................t�!O?.f...................................Address Number of Rooms .......................�U....................................Foundation ............ ol.. !.. .::.,..:. ...................................... Exterior ....................................................................................Roofing ......... �../��} ..T...///..... ...... ................................. Floors .....!✓Od C�...........................................................Interior ..c-�GG�.... � .' .. L.(j L� Heating �' �• ..fJ D�� .................Plumbing ................... ......................................: .... Fireplace ..............: .!.C!t............................................:.......Approximate Cost .�/o7U�D U.d........ ............................. Definitive Plan Approved by Planning Board __��,_[_� n 19�� Area f.f.......... .y ............ T Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 ..:?-�;�•��,�Y�-------rr'�'�"�-..... Construction Supervisor's License .................................... WILLIAMS, DOUGLAS No 2-9.40.9,...... Permit for ..1-13..st0x-Y..sjMg1e. Jamily-Awelling............................................. Location LqtJ�jq.....LRe.d...Oak...Lap.e.............. West Barnstable ..................... ....................................................... Owner ......... .. ...... . .ms .... Type of Construction ............frame.................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ............ May. . ... ..2.8........19 86 ...... Date of Inspection .....................................19 Date Completed ........................ ..............19 �o/-// +}�iw'fr,„e.,>4ku7r'i�t.:.-.y:.itri"rr!^ux•+rr+M...�M..e-<�.�.-++a;*pa...':7"4#.:rw...h.:+a: 'ww.e.r.y+ rr�-.�.,r��v,.F,rwp'p..�'.w.'-,-a�F,.r�>nr.:Tn:;.�-.;. :.-.,.r r'i�.'^R,w* -n:„'a -gym. .. •.-�,. -... .a sw.c..w�, ...}.r, oftxe�. -TOWN OF BARNSTAB_LE Permit No. . nn9....... ." BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ............. :.. ■6 9 - ` 'hnr�r HYANNIS,MASS.02601 Bond x.. a CERTIFICATE OF USE AND OCCUPANCY T Issued to Dniir l ;4 c Wi '1 `I i amp Address T.�+- 410 0 1?mA r)1- ,'..n'% rn?—c a#- 'R-a_'i' 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. April4, 87e .. .. , 19...... .... . . Building Inspector. Assessor's office (1st floor): p p�THE>o Assessor's map and lot number .........�-2r--..(!�. ...... �Q� o Board of HePIN, (3rd floor): Sewage Permit number ...........U...(,:P .��.. ....... . t BAHDSTGDLE, Engineering Department (3rd floor) YASI o ta39. House number .........................: .......9.... ... .. ........ .. 0 VPY 101,-6 Definitive Plan Approved by Planning Board __------------------------------19________ , APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..........E"ce-OS E DEC) .............. ............................ TYPE OF CONSTRUCTION .............(WPD.........F..MM.�.............................................................................. ........................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...........9........12E-z) ©.41/ .......1-04AIE . Gf.p- //2/he l ,s)v&41f /LEA:............ ............. .....,....................................................................... .,�.... Proposed Use 2 C M .. .....�...............................:............... .. Zoning District ......................l.................................................Fire District ................ J." /..... .(. .................................. Name of Owner .!'1•CwH .../7..+ EG1Z••••2�.•,••��-Eti1FIeEWAddress ........ ........ I�LED /9K ���iF � p Q.......................:.r................./3,�/1%s Name of Builder .............................. ..................Address ...:.............. .. ,............. - /��- ��..........-»ter.. ... ........... ..................».....L. Name of Architect ..................................................................Address Number of Rooms ................. ..........Foundation Ci E�14Eiv'i Exterior ......4 0aP:....Sff/ti�o.e .......................................Roofing .......l l�/fR C-)r . . . .............................................................. Floors .........0!�,-D................................................................Interior .......... ........................................................................ Heating ........../V/woE....................:. . ..Plumbing ,(/QlvC Fireplace ........Al .............................................................Approximate Cost ......... Area ....... ...... �' .. !....... Diagram of Lot and Building with Dimensions Fee ............................................. 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. r Name .... . . ............ ............... , ................................. U Construction Supervisor's License ... ....`.��..�.�-..•t•............. RENFREW, JOHN A. & ELIZ BETH R. A=' 128-020 �Vos e No ..3.2.0.6.7.. Permit for .....9A9...PP.q...PeQ.% Single Family Dwell* ..................................................... .......... Location ....9 Red Oak Lane ............................................................ ................W.e.s.t...BArn.sta.b.j.p........................ Owner .....John. A......&...E.li.z.ab.g.th...R,....Renfr*ew ' Type of Construction .......Frame..................... ............................................................................... Plot ............................ Lot ................................ Permit Granted .......j:q!y...X.4...............19 88 Date.of Inspection .......................................19 Date Completed ......................................19