HomeMy WebLinkAbout0297 BISHOPS TERRACE oW7
. Wit. Town of Barnstable Building
st§This Card So"°Thai itis Visible>FromaFie"Street A : roved=Plans.Must be,Retamed on Job,:and this Card Must?be;Ke t ,. .,.
BARNl3TAB1Ji; � :.�r` ,ro�rw q.�`s l�$ z.�". ,� �, .-t &. pp.,�, � r�N g�''� �` n '�O` r� r � g�, "�`'`,�:�•3';-� "� �;Y,,3' p",i '� ! '� !,r
KAS& 0P1639.
osted Unti1F nal,lnspect�o.n Has Been,"llllade p` r ? 3 F <
Wherea"Certificate,,of Occu anc;,is Requred,such�Bu�ldfng;shall Not;be Occwpied until�a Final�lnspection,�has been:made����w;
Permit
.ape; Y, ��... .._..,.�. ��t��,.�� ,..> .:..� ..,,,�::� �•� ��,s �;�.�. � 4��A � �;,
Permit No. B-19-529 Applicant Name: Lloyd R Smith Vivint Solar LLC Approvals
Date Issued: 03/01/2019 Current Use: Structure
Permit Type: Building-Solar Panel-Residential Expiration Date: 09/01/2019 Foundation:
Location: 297 BISHOPS TERRACE,HYANNIS Map/Lot: 251 181 Zoning District: RC-1 Sheathing:
Owner on Record: REYNOLDS, MARY ELLEN TR Contractor Name.�BRIEN LANGILL Framing: 1
x �Contractor License`s C� 106675
Address: 297 BISHOPS TERRACE 2
.;
HYANNIS,MA 02601 Est- Project Cost: $22,506.00 Chimney:
k , a
Description: Installation of roof mounted photovoltaic systerns33 panels, 10.23 Permit Fee: $ 164.78 ,
Insulation:
kW � � -'Fe $ 164.78
Q� Final:
Project Review Req: Date: 3/1/2019
x
Plumbing/Gas
a �
Rough Plumbing:
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This permit shall be deemed abandoned and invalid unless the work ai honzebythis permit is commenced within six months after issuan2. Final Plumbing:
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and st uctures shall be in compliance with the local zon ng by laws and codes. Rough Gas:
This permit shall be displayed in a location clearly visible from access street or'road and shall be maintained open for piubiic inspection for the entire duration of the
work until the completion of the same. N1s Final Gas:
11
The Certificate of Occupancy will not be issued until all applicable signatures by�the Building and Fire,Officials are provided on this permit. Electrical
Minimum of Five Call Inspections Required for All Construction Work ; Rough:
�5
1.Foundation or Footing { V. Service:
2.Sheathing Inspection k'
3.All Fireplaces must be inspected at the throat level before firest flue lin ng isa nstalled ^" t ,:.
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection .
S.Prior to Covering Structural Members(Frame Inspection) Final:
6.Insulation Low Voltage Rough:
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Person -cenu cting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final:
Buildingplans are to be available on site
p Fire Department
�.:Or
c All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
� ii
Application number 'k_ ... 1.
,Date Issued.. t 1.� ..........,.. .. ...... .....
sax.�usrAs� V 2Z '1 LL .......... .1.. . ° ..................................
MAS
039. .0 JAN i 6 20'1 Building Inspectors Initials
/.......... ...
QED MA'S a a � .a ...................
TOWNfj� BARNS L:Ma p/Pr rcel.a.5... 1 ....... ..................................
TOWN OF BARNSTABLE
EXPEDITED PERMIT APPLICATION:
ROOF/SIDINGI INDOWS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY MORI ATION
Address of' Project:-`z77 4616 JY�/�q-,�iVj s
NUMBER STREET VILLAGE
Owner's Name:&W g� Ucas Phone Number uP 9 - 7 7/- 019 5�
Email Address: Cell Phone Number
Project cost$q3'{7 Check one Residential Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authorize
to make application for a building permit in accordance with 780 CMR
Owner Signature: -i S e,.- Og-Az- - Date:
TYPE OF WORK
0 Siding WWindows (no header change)#3 Insulation/Weatherization
Doors (no header change)# Commercial Doors require an inspector's review
Roof(not applying more than 1 layer of shingles)
Construction Debris will be going to /? L
CONTRACTOR'S INFORMATION
Contractor's name (�f Gn `7z n�,'sc✓� - So,�(���� We...J Fr,s 1e-V4 1-11'n c(ow S
= Home Improvement Contractors Registration(if applicable)# 17 3 2- ,� (attach copy)
Construction Supervisor's License# , 01 S 7 0 y (attach copy)
Email of Contractor QS ea 9 q5 ' C M1 Phone number q01- Z 2 R -�900
ALL PROPERTIES THAT HAVE STRUCTURES VER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
t
APPLICATIONNUMBER............................................................
*For Tents Only*
Date Tent(s)will be erected Removed on number of tents total
Does the tent have sides?Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X X X
Additional tent dimensions can be attached on a separate piece of paper.
Check one:this event is a: for profit non-profit event
Check one:Food served Yes No
Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent
If food is being served at your event please obtain a Health Department approval between the hours
of 8:00am-9:30 am or 3.30 pm-4:30pm. Commercial events may require Fire Department approval,
*WOOD/COAL/PELLET STOVES
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles:front back left side right side
IIOMEOwNEWS LICENSE EXEMPTION
Homeowner's Name:
Telephone Number Cell or Work number
I understand my responsibilities under the rules and regulations for Licensed Construction
Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand
the construction inspection procedures;specific inspections and documentation required by 780
CMR and the Town of Barnstable.
Signature Date
PLICANT'S SIGNATURE
Date
Signature: 6:
gill permit applications are subject to a building official's approval prior to issuance.
Renewal epnewal Agreement Document and Term Payment Ter
{7lll lder$en' dba:Renewal By Andersen of Southern New England. Mary Ellen.Reynolds
M.El
Legal Name:Southern New England Windows;LLC 297
RI #36079, MA#173245,CT#0634555"Lead Firm#1237 Hyannis Bishops Ter.;MA 02601
10 Reservoir Rd I Smithfield,RI 02917 : "" - - - .
Phone:866-563-2235 1 Fax:401-633-6602 1 sales@renewakne.com- C:(508)280-0742"
Buyer(s)Name: Mary Ellen Reynolds: Contract Date: 01/05/19
297 , Hyannis Bishops.'Ter.,.MA 02661
Buyer(s)Street.Address: Y
Primary Telephone:Number: (508)771-0165: Secondary Telephone Number: (508)280-0742
-
Primary Email . Secondary Email: .
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: _ $4,341 By signing this Agreement;you acknowledge than the:Balance Due,and the Amount'
Financed must be made by personal check;bank check,credit card,or cash.
Deposit Received: $1,448 .
Balance Due: $2,899 Estimated Start: Estimated Completion
Amount Financed: $� .6 to 8 weeks 6 tog 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: Barnstable town hall
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)he 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 - py. a time you sign..
this contract rf blank.,You are entrtled to a co of the contract at th
YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANYTIME NOT LATER THAN MIDNIGHT
OF 01/09/2019 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..
Legal Name:Southern New England Windows,LLC_ -
dba:Renewal By Anderse of Southern New England Buyer(s)
�
Signature of Sales Person: Signature Signature
Ray Thivierge Mary Ellen Reynolds
Print Name of Sales Person Print Name Print Name
UPDATED:-01/05/19 Page /.1'0 _"..
1
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
Type: Supplement Card
SOUTHERN NEW ENGLAND WINDOWS,LLC' Registration: 173245
Expiration: 09/18/2020
10 RESERVOIR ROAD
SMITHFIELD, RI 02917
Update Address and Return Card.
sCn 7 C, 20M-0511-
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:Supplement Card before the expiration date. If found return to:
Registration Expiration Office of Consumer Affairs and Business Regulation
173245 09/18/2020 1000 Washington Street-Suite 710
SOUTHERN NEW ENGLAND WINDOWS.LLC Boston,MA 0211
BRIAN DENNISON
10 RESERVOIR ROAD u
SMITHFIELD,RI 02917 Undersecretary ;°vt day Without signature
Y
Commonwealth of Massachusett-
Division of Professional Licensure
Beard of Building Regulations and Standards
Constr c Supervisor
CS-095707 = — Epp s res : 09/08/2020
RIAN ® DENNISON — `-'
y ro
8 BLACKWELL.y DRIVE
CHARLTON MA.-01507
Commissioner
The Comimnwealth of Massachusetts
Department of Industrial Accidents
1 Congress Stree4 Suite 100
Boston,MA 02114-2017
www.mass gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERNIITTLYG AUTHORITY.
Applicant Information t ' Please Print Leeibly
Name(Business/Organization/Individual): S bG►fh e r f, ►V e o f cl f 1),.3/A d- 1
Address: I U SPr V0/r TZA
City/State/Zip:M t_H1A e1 t??! OM 9 Phone#: y0/—ZZ 9— �y -
Are you as employer'Check the appropriate box: Type of project(required):
1.01 am a employer with 20"t- mployees(fiill and/or part-time).* 7. New construction
20 I am a sole proprietor or partnership and have no employees working- for me in
8: Remodeling
any capacity.(No workers'comp.insurance[squired.]
3.01 am a homeowner doing all work myself(No workers'comp.insurance required.]t
9. ❑Demolition
Q4.[]l am a homeowner and will be hiring contractors to conduct all work on my property. [will 10 Building addition
ensure that all contractors either have workers'compensation insurance or are sole 1 L Electrical repairs or additions
proprietors with no employe. 12.C1 Plumbing repairs or additions
S.Q I am a general contractor and I have hired the sub-contractors listed on the attached sheet 13.Q Roof repairs
These sub-contractors have employees and have workers'comp.insurance.*-
6Q We are a corporation and its officers have exercised their right 14.[]Other
rP ght of exemption per MGL a
152,§1(4).and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information
1 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 praviding workers'compensation insurance for my employees Below is the policy and job site
information: ',rn
Insurance Company Name: re>�IP S (I�St,W'Qnt (A • pf YVf'I., l�.(i .
Policy#or Self-ins.Lic.-#: _ ��(�S 7 2- ff 1 c.( Expiration Date:
Job Site Address: f City/StatrAip:
Attach a copy of the workers'compensaftion policy declaration page(showing the policy nu er and expi ation date).
Failure to secure coverage as required under MGL c. B2,§25A is a criminal violation punishab 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
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby ceriR under the p ' penalties of perjury that the information provided ab ve is a and correct
Sianature: Date: S
Phone#:
Official use only: Do not write in this area,to be completed by city or town ofciaL
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#:
DATE(M
Ae>1D6 "NDo"YYY)
�, CERTIFICATE OF LIABILITY INSURANCE . 12/28)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(iss)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 endomement(s).
PRODUCER CONTACT
CoBiz Insurance, Inc.-CO PHONE 303-988-0446 No:303-988-0804
1401 Lawrence St.,Ste. 1200 Mat 59�Denver CO 80202 ADoRe : COMafl@cobi;dnsuranre.com
INS S AFFORDING COVERAGE NAIC#
INSURER A:Acadia Insurance Company 31325
INSURED 'ESLERco-01 wsuRERs:Firemens Insurance Company of W D.C. 21784
Souther New England Windows, LLC. INStrsaFRc:Homeland Insurance Company of New York 34452
dba Renewal by Andersen of Souther New England
10 Reservior Rd INSURER D:
Smithfield RI 02917 INSURERE:
INSURER F:
COVERAGES CERTIFICATE NUMBER:787175890 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.
LTR TYPE OF INSURANCE ADDL S BR . POLICY NUMBER POLICY EFF Y EXP LIMITS
A X COMMERCIAL GENERAL LIABILITY CPA3158728 1/1/2019 111/2020 EACH OCCURRENCE $1.000 GW
DAMARE
CLAIMS-MADE �OCCUR PREMISES Ea occurrence $3KOW
MED EXP(Any oneperson) $10,001)
PERSONAL&ADV INJURY $1.0KOW
GEWL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000
X POLICY ElJECT LOC PRODUCTS-COMPIOP AGG $2 0KWO
OTHER: $
A AUTOMOBILE LIABILITY OPA31SB728 Illime ill/= COMBINE I MIT $
(Ea accident)
X ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOS
X HIREDAUiOS X NON-OWNED PROPERTY DAMAGE $
AUTOS r accident
$
A X UMBRELLA LIAB X OCCUR CPA3158M 1/1/2019 1/1/2020 EACH OCCURRENCE $15 W0,000
EXCESS LIAB CLAIMS-MADE AGGREGATE $15,000,0w
DED I X I RETENTION$, $
B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY WCA315872824 1/1I2018 1/1/2020 X STR ER
ANY PROPRIETOR/PARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $1,000,000
OFMCER/MEMSER EXCLUDED? Q N 1 A
(Mandatory In NH) E.L.DISEASE-EA EMPLOYE $1.000.000
Ilyysass desc�eunder
DESCRIPTION OF OPERATIONS bebw E.L.DISEASE-POLICY LIMIT $1000.00D
C PolAtion Llab00y 7930073340000. 11/2019 1/IMM Each Oaurrence $2,000,W0
Claims Made Policy Ag�egai�s $2,000.0W
Retroadiva Date OS/20/2013 Deducti6b $25,W0
q
DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES WARD 101,Additional Remarks Sdnedule,may be attadred If more space Is regrdred)
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.
FOR INFORMATIONAL PURPOSES-ONLY AUTHORMM REPRESENTATIVE -
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