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Home My WebLink About0026 CUMNER STREET i II FDateIssued.. number...:` ,�—'�� ®� ......................... o BARNSTA13M ® ' I ...............? (yl/„off,... .... ...... �► mess. moo► a6 Building Inspectors Initials....... 12 TO�t"�h+� � Map/Parcel........:..................:..... .:.....:..................... 7/1, Iq TOVVN OF A STABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEA'THERIZATION PROPERTY INFORMATION Address of Project: NUMBER STREET VILLAGE Owner's Name: /kQ-/f ��L� phone Number__ 9i s S Email Address; _f o Cell Phone Number Li� Project cost$� p q — Check one Residential V// 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: S e,- �-{�Q � C��,.-{cG -� Date: TYPE OF WOE LD Siding Windows (no header change)#_(a_❑ Insulation/Weatherization 17 Doors (no header change)# Commercial Doors require an inspector's review r'--1 Roof(not applying more than 1 layer of shingles) Construction Debris will be going to 14f asfe-/ytGiJa0/d I CONTRACTOR'S INFORMATION Contractor's name 1;6'a„ - o„A-e cn �Je-i Fr, (ev4 kfcl)j Jw s Home Improvement Contractors Registration(if applicable)# 17 3 Zy..S (attach copy) Construction Supervisor's License# S 7O1 (attach copy) Email of Contractor Phone number01- ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUE.IECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ For 'Vents 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 I 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 df 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 prn-4.30pnL Commercial events may require Fire Department approval YWOODICOAl..l!PEL LET STOVES x Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S NER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number i understand my responsibilities under the males 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 PLICA Q tl 9 S SIGNATURE JE Signature Date 7— /i All permit applications are subject to a building official's approval prior to issuance. 1 Renewal AgreementiDocument and Payment Terms, * Andersen. dba:Renewal By Andersen of Southern New England Rosemary&Charlie McLaughlin Legal Name:Southern New England Windows,.LLC 26 Cumner St Rl#36079,MA#173245,CT#0634555, Lead Firm#1237 Hyannis.,MA 02601 WIND 10 Reservoir Rd I.Smithfield,RI02917 - _ - - H:(914)552.1732 - Phone:866-563-223S I Fax:401-633-6602 1 sales®renewalsne.com C:(914)552-0613 Buyer(s)Name: Rosemary & Charlie McLaughlin. - Contract Date: 07/05/18 26 Cumner St, Hyannis , MA } Buyer(s) Street Address: Y • Primary Telephone Number: (914)552-1732 Secondary Telephone Number: (914)552-0613 Primary Email: r0gome01@aol.eom Secondary Email: bozzcM@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 b the parties and incorporated herein b reference(collectively,this "Agreement'). y p y Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under.this Agreement. Total Job Amount: $13,909 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: _. $6,954 Balance Due: $6,955 .Estimated Start: Estimated Completion: :7-10 weeks 740weeks Amount Financed: . , $13,909 Method of Payment. Financing 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: 50% deposit by bank,balance on completion by bank Buyer(s)agrees and understands that this.Agreement constitutes the entire understandings between the parties and t6t: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 07/09/2018 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER SEETHE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Southern New England Windows,LLC. dlia:Ren ' .1 B Aii rsen of S ihern New England Buyer(s) Signature of Sales Person : Signature Signature Paul Sandrey = -Rosemary McLaughlin Charlie McLaughlin Print Name of.Sales Person" Print Name Print Name, UPDATED: 07./05/18 Page 2. 11 Office.of Consumer Affairsf and Business Reg�.iiatiort 10 Park Plaza - Suite 5170 Bosto'n, Massachusetts 02116 Lorne 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. Addiress - Renewal Employment - Lost Card ===- ffice of Consumer Affairs&Business Regnlamon Registration valid for individual use only before the_O . . HOME IMPROVEMENT CONTRACTOR expiration date. If found returnto: Office of Consumer Affairs and Business Regulation _ Registration: 173245 Type: Id park Plaza-Suite 5170 Expiration: 9H9/2018 Supplement Card Boston,NIA 01-1I6 OLITHERN NEW ENGLAND WINDOWS LLC. :ENEWAL BY ANDERSON -� RIAN DENNISON 6 ALBION RD Y� INCOLN, RI 02B65 ,�-Iadersecreiary Not valid without signature J CS-095707 .,BRAN D DENNISON A MB S POND CIRCLE 9;�$ 2cis The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 . Boston,MA 02114-2017 Workers'Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print LeLyibl Name (Businessforganization/Individual): Address: .2 ALiwol, 111 City/State/Zip: p Phone#:An . 2'a' Are you an employer?Check the appropriate box: Type of project(required): I.XI am a employer with 40�employees.(full and/or part-time).* T..�New construction, 2-M I am a sole proprietor or partnership and have no employees working for me in' any capacity-[No workers'comp-insurance required.] 8• `0 Remodeling 3.�1 am a homeowner doing all work myself[No workers'comp.irtsarartce required)t 9. ❑Demolition , 4.❑I am a homeowner and will be hiring contractors to conduct all work on m 1 Building additiOIl Y property. I will I' ensure that all contractors either have workers'compensation insurance or are sole 11.[]Electrical repairs or additions proprietors with no employees. 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet 12.0Plumbing repairs or additions These sub-contractors have employees and have worker_.'comp.insurance.+ 13.F�Roof repairs 6. We are a corporation and its officers have exercised their right of exemption,per MGL c. 14•[ 'Other tn///I C/O"I 1 152,§1(4),and we have no employees.[No workers'cramp.insurance required.] re/>1-*`e M e4 S 'Any applicant that checks box f1 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. !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 bird job site information- Insurance Company Name: t--1 re inn n s' Policy 4 or Self-ins.Lic.4: �(�C�131S��7 2;9 — Z Expiration Date:. / f Job Site Address: 112 City/State/Zip: 4n/1,,.s 11 Attach a copy of the workers'compensation policy declaration page(showing the policy number and a piration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation pdrushable 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 sins and penalties of perjury that the information provided above is true and correct Signafore: Df'te: Phone#: 40 IT pi k Official use only. Do not write in this area,to be completed by city or town official. City or.Town: Permit/License Issuing Authority(circle one): 1.Board of Health 2.Building Department 3:City/Town Clerk 4.Electrica)Inspector 5-Plumbing Inspector 6.Other Contact Person: Phone 0: Aco® CERTIFICATE DATE(MMIDD,YYYY) OF LIABILITY INSURANCE F12/29/2017 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 CONTACT CoBiz Insurance, Inc.-CO NAME: 1401 Lawrence St, 1200 PHONE Ext):303-988-0446FAX ! E-MAIL A/C No):303-988-()804 Denver CO 80202 ADnRE COMai1 cobizinslarance.com ' INSURE S AFFORDING COVERAGE NAIC 9 INSURER A:.Acadia Insurance Com an 31325 INSURED ESLERCo-01 Southern New England Windows, LLC. INSURER B:Firemens Insurance Company of WA,D.C.- 21784 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 SUER POLICY EFF POLICY EXP LTR WVD POLICY NUMBER MM/DD MIDNYYY1 LIMITS A X COMMERCIAL GENERAL LIABILnY. CPA3158728 1/1/2018 ItV2019 EACH OCCURRENCE $1.DD0,000 CLAIMS-MADE FK OCCUR DAMAG T RENTED PREMISES Ea occurrence $300.000 - MED EXP(Any one person) $10.DD0 - PERSONAL&ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.ODD.000 X POLICY ECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 'N. CPA3158728 - - V12018 1/1/2019 COEaMBINED SINGLE LIMB - accident $1 000 000 X ANY AUTO ALL OW BODILY INJURY(Per person) $ NED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS I Per accident) $ A X UMBRELLA LIAB N OCCUR CPA3158726 1112018 1112019 EACH OCCURRENCE $10.000.000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10.004000 DED I X I RETENTION$,, $ B WORKERS COMPENSATION - WCA3158729-20 d v1no19 1/12019 X PER OTH- AND EMPLOYERS'LIABILITY Y/N , STATUTE OR ANY PROPRIETORIPARTNERIEXECUTIVE - -E.L.EACH ACCIDENT $1,000,00D OFFICEtory in H)EXCLUDED? ❑ N 1 A If b NH) (Fyes describe under £L DISEASE-EA EMPLOYEE $1,000,000 , DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1.000.000 C Pollution Liability 79M0733400DO 1112018 1112M9 Claims-Made Policy Each Occurrence $1,000,000 Aggregate Retroactive Date 06202013 Deductible 1.000.000$10,000 DESCRIPTION OF OPERATIONS I LOCATIONS/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 r ACCORDANCE WITH THE POLICY PROVISIONS. For Informational Purposes: AUTHORIZED REPRESENTATIVE 01988-2014 ACORD CORPORATION. All rights reserved.. ACORD 25.(2014101) The ACORD name and logo are registered marks of ACORD