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HomeMy WebLinkAbout0179 BRISTOL AVENUE M 9 -3r,i s4ol n \fe i I Town of Barnstable Building ``= -,.<.�"`�-"w*t': 4Z',rx'�.�`.:_'_, a� -.,r :.S°� •, ��;�� 3 a��# .i>�, ::�:' „^•`,�$'a� "�':� r.33"�:�i++ ;���."'" �.r_'.T t-"� w� X< ' `�g� �°na 1. Post-This Gard So That itas,Visible==,From the Street „--Approued;Plans�Must°,be;Retained�on,Job an�tl4this Card Must b`e'�Ke;pt w WPedUntil'.Finallis pection Has;Been�IVlade w � 'E Permit it163P ot Permit No. B48-2154 Applicant Name: BRIAN D DENNISON Approvals Date Issued: 07/31/2018 Current Use: Structure Permit Type: .Building-Siding/Windows/Roof/Doors Expiration Date: 01/31/2019 Foundation:. Location: 179 BRISTOL AVENUE,HYANNIS Map/Lot 291-107 Zoning District: ' RB Sheathing: Owner on Record: HOWARD,PATRICIAA cop tractorNarne e BRIAN D DENNISON Framing:,_ 1 Address: 179 BRISTOL AVE* ContractorKLicense CS 095707 2 HYANNIS, MA 02601 , . ... Est Projeact Cost: $ 11,996.00 Chimney: Description:. replace 7 windows 4 Permit Fee: $61.18 Insulation: ' Fee Project Review Req: Paid;: $61.18i Final: y 7/31/2018 AP Plumbing/Gas R P ough tubing: u r Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within'six;months after issuance. Rough Gas: 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 structuees`shail,be in compliance with the local zon rig by-law' 'd codes. Final Gas This permit shall be displayed in a location clearly visible from access street�o zroad;and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical. The Certificate of Occupancy will not be issued until all applicable signatures by the Building,,nd Fire Official's°are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or FootingZ Rough: 2.Sheathing Inspection . 3.All Fireplaces must be inspected at the throat level before.firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work 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). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT g, Application number......... . xt+►srnsr.E. MDate Issued................... W.. /. Z ........ 1639. Fo �� t 0 Building Inspectors Initials.......RV .� Map/Parcel..... .: f t /( .................. .. ......... ..........A..:.:.......... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PR®PF'RTY M®RIATION Address of Project: 17 fir;S-(!o /P 1-�vq 0/11� NUMBER STREET VILLAGE Owner's Name: s� � .{�-�.. Phone Number 5(fig — -�S� 7 Email Address: Cell Phone Number Project cost$ 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 CUR Owner Signature: Se p "d,lba 01- 24 Date: TYPE OF WO>t1 ❑ Siding Windows (no header change)g )#_7_❑ Insulation/Weatherizatiori ❑ Doors (no header change)# Commercial Doors require an inspector Is review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to 1Jks4e-/�'1Gi1a�P,y���1 - �,Y►�olrt /r' L CONTRACTOR'S INFORMATION ATION Contractor's name f�d�an ��n�t,so✓� - �,r�.��n #\fP&J qFr 1,.4 Home Improvement Contractors Registration(if applicable)# !7 3 Lq (attach copy) Construction Supervisor's License# y9 S-7 p y (attach copy) Email of Contractor Phone number 1/0 i— Z 2 R -9 .F ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IV A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. T APPLICATION NUMBER *For 'dents OnIV* 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 9 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 betaveen the hours of 8e 00am-9.30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval *WOOD/COALJPELLIET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S 0'V'NJ R'S LICENSEEXIEM C H 1 014 Homeowner's Name: Telephone Number Cell or Work number f understand any responsibilities under the rates 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 980 CMR and the Town of Barnstable. Signature Date PLICANT'S SIGNATURE Signature Date 7 Sal All permit applications are subject to a building official's approval prior to issuance. Renewal Agreement Document and Payment Terms Andersen. dba:Renewal B Andersen of Southern New England y g Trisha Howard Legal Name:Southern New England Windows,LLC 179 Bristol Ave RI#36079, MA#173245,CT#0634555, Lead Firm #1237 Hyannis,MA 02601 WINDOW RE LAcFmr.NT 10 Reservoir Rd I Smithfield,RI 02917 H:(508)246-8597 Phone:866-563-2235 1 Fax:401-633-6602 1 sales®renewalsne.com Buyer(s)Name: Trisha Howard Contract Date: 06/20/18 Buyer(s)Street Address: 179 Bristol Ave, Hyannis, MA 02601 Primary Telephone Number: (508)246-8597 Secondary Telephone Number: 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: $11,99B 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: $3,ggg Balance Due: $7,998 Estimated Start: Estimated Completion: Amount Financed: $0 7-9 weeks 7-9 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: 1/3 deposit,1/3 at start,1/3 at completion.Customer to receive $2774 back. 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 06/23/2018 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:Ren Wyrsenuthern New England Buyer(s(� Signature of Sales Person Signature Signature Paul Sandrey Trisha Howard Print Name of Sales Person Print Name Print Name UPDATED: 06/20/18 Page 2 / 10 I Office of Consumer Affairs and Business Regiiation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Horne Improvement Contractor Registration Registration: 173245 Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL Expiration: 9/19/2018 BRIAN DENNISON 26 ALBION RD LINCOLN, RI 02865 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card '-Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the - HOME IMPROVEMENT CONTRACTORexpiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 173245 Type: 10 park Plaza-Suite 5170 Expiration: 9/19/2018 Supplement Card Boston,NIA 02116 ;OLITHERN NEW ENGLAND WINDOWS LLC. iENEWAL BY ANDERSON IRIAN DENNISON 16 ALBION RD - .IN.COLN, RI 02865 �-Vndeasecretary Not valid without signature GN'i ;l vi l.,d,1'.Ji. .. - SLara ~t. r�:.dii.rN a— ReaL;ipt1GJ�25': �eil� viG% aiC�.:3 r s , CS-095707 BRIAN D DENNISON 7 LAMBS POND CIRCLE CPHARLTON MA 01507 Ssi 09,JOB! 018 ' The Commonwealth assac M of Massachusetts Department of Industrial_Accidents I Congress Street,suite 100 . Boston,MA 02114-2017 www mass.gov1&a Workers,Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMn- ING AUTHORITY. A licant Information Please Print Le ' l. Name (BusinesslOrganization/Individual): !✓ e t,t �uJs Address: City/State/Zip: p Phone 4. ' ,Q/ _ Are you an employer?Check the appropriate box: Type of project(required): 1 I am a employer with �O 1-employees.(full and/or part-time). 7•_El New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'compAnsurance required.] 3.D I am a homeowner doing all work myself.[No workers'comp.insurance required_] 9 ❑Demolition 4. am a omeowner and will be hiring contractors to conduct all work on m 10 Building addition' ❑I h y property. 1 will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions S.Q I am a general contractor and I have hired the sub-contractors listed on the attached sheet These sub-contractors have employees and have worker 13.❑Roof repairs P 'comp.insurance.! _' 6.❑We are a corporation and its o$cers have exercised their right of exemption,per MGL c. i4•u"`ber--/�{/�✓1 / 152,§1(4),and we haveno employees.[No workers°comp.insurance required"] �� �l�c f 'Any applicant that checl¢box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such 4Contractors 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 worker'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy Ad'ob site information. _ Insurance Company Name: Ire men$ 1ps. l'p m Policy#or Self-ins.Lic.#:U)C �/��7 Z q - Z. Expiration Date: 1 Job Site Address:_ 171 /3,,- e., City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy nufaber and elpiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation pilimhable 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 certify under th ains and penalties ofperjury that the information provided above is true and correct e Si_gnafore: Dste: — S It Phone#: 40 at- Official use only. Do not write in this urea,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.CityfTown Clerk 4.Electrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#: P AF coRO DATE(Mtd/DDM'YY) `� CERTIFICATE OF LIABILITY INSURANCE 12129/2017 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 UONTACT CoBiz Insurance, Inc.-CO NAME: PHONE 1401 Lawrence St., Ste. 1200 No.FxtI*303-988-0446 1 IN. N,:303-988-0804 Denver CO 80202 E AIL oRIES : COMail Cobizinsurance.com INSURERS)AFFORDING COVERAGE NAIC p INSURER A:Acadia Insurance Company 31325 INSURED ESLERCO-01 INSURERS:Firemens Insurance Com an of WA,D.C. 21784 Southern New England Windows, LLC. dba Renewal by Andersen of Southern New England INSURER c:Homeland Insurance Company of New York 34452 10 Reservior Rd INSURER D: Smithfield RI 02917 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1252851165 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 ADDL SUHR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY CPA3158728 /11/2016 1112019 EACH OCCURRENCE $1,OD0,00p dLAIMS•MADE OCCUR PDRAEM SET occurrence $300.000 MED EXP(Any One person) $10.000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: _ GENERAL AGGREGATE $2,ODO,ODD X POLICY ERCaT 7 LOC _ •• - PRODUCTS-COMP/OP AGG $2,ODD,DOD OTHER: $ A AUTOMOBILE LIABILITY N CPA3158728 1/12018 1/12019 COMBINED SINGLE LIMIT Ea accident $1 0Dp p X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X X NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS I Per accident $ $ A X UMBRELLA LIAR X OCCUR CPA3158726 1/12018 1/12019 EACH OCCURRENCE $10,0D0.000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,D00.00D DED I X I RETENTION$ $ B WORKERS COMPENSATION WCA3158729-20 1/12018 1/12019 _ X PER OTH- AND EMPLOYERS'LIABILITY Y I N STATUTE ER ANY PROPRIETORIPARTNERIlEXECUTIVE E.L.EACH ACCIDENT $1.000,00I1 OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,OD0,000 H yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMB 1$1.000,000 C Pollution liablTdyicy 7930073340000 1/12018 1/12M9 Each Occurrence $1,000,13DO Retroactive D ate 06I2012013 A99regate $1,OD Deductible 0.000$10,00000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) 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 AUTHORIZED REPRESENTATIVE - ©198&2014 ACORD CORPORATION. All rights reserved. ACORD 25.(2014/01) The ACORD name and logo are registered marks of ACORD