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HomeMy WebLinkAbout0180 GREENWOOD AVENUE C � Joi, � Z r � r � Town of.Barnstable =Permit,2J 1561�65_ Oa, Etipires 6 months front issue date Regulatory Services Fee o BARNSTABTNAASMS. .E, n F, �' ,"r+ _ Richard V.Scali Interim Director t Building Division OC T 3 Tom Perry,CBO,Building Comiissio er Q 2015 200 Main Street Hyannis,MA 02Y04�(U F BARIVSTABL wtivw.town.bamstable.ma.us E Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMU APPLICATION - RFSIDENTI.A L ONLY Not Valid without Red X-Press bnprint Map1parcel Number �� , J 0 Property"Address� O O �/Pv�a/o (Residential Value of Work S_7T 7j}7— Minimum fee ofS35.00 for work under$6000.00 Owner's Name&Address, ��r1P�hta✓i i . 7 Contractor's Name n aj,C.Q;r�n,�,S J j��iG✓1 t�OrIA Telephone Numberao 1)1_2 9-q k(7p Home Improvement Contractor License-.--(if applicable)_ /7 3 7 4 S Email: Construction Supervisor's License E(if applicable) p 9-,E 7 n-r 2f Workman's Compensation Insurance rj Check one: ❑ I am a sole proprietor ❑ I°am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Qrew n gut arlsutgyiCe— Workman's Comp.Policy` tAlG�}Z,gp S$ 3�52 3 9 L4 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping_ LIg ❑ Going over existing layers of roof) R -side - Replacement Windows/doors/sliders.U Value • 30 (maximum 3�) 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 with other town department regulations,i.e.Historic,,Conservation,etc. '`Note: PropertylDwrter must sign Property Owner Letter of Permission. A copy o the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: QAArPFILES\F0RA4S1bui1ding permit Eonns\EXPRESS.doc _ Revised 061313 Renewal b,A[xknwi1. RENEWAL BY ANDERSEN :e s �3Ryi WINDOW aarngaaaar-m,eer,�c�r `26 Albion Rnaii !,.Lutcoln,.RI 02865, "Lead rum a 1237 Phone 866,.5.63.2235!Fatt:401,633.6607 redeia�Ta,t m a�a osassso S64 New EaQlaud Windows;LI.0 d/bi ' Benewtl by Aedereea of SSoatheea New Eagf.ed (�1 CUSTOM WINDOW ANA 11004 REMODELING AGREEMENT" OD Bujer(s)StiirEAddno;a0'Seor.wd Zt9 Code/ OAM- S. m. _ 771,7tr/7� NbrkTe!eplaneNum6aei, �-"(OOP*G} !'. Buyers)hgebyloindy and severally agrees to purchase the products and/or aervttea of Southern New England'Wtndows,LLC d%b/a Reneiya) by Andersen of•Souitiern New.England_.("Contractq_ m accordance with the terms and xondaron3 descnbed on the front and the ieverw'of this agreement and on the,auachedWcijhhcanoe atiee't(s)(collectrvelg t}iis Agreement�: ❑Hiitoric:;O Cosdo ;a ROAt. Total Job'%lmount aC ZZIsI.C, Estlnaad Sarttna Dice Metlo4:of P�ymecCheck O 6adt O fliui+ced:. Rem c�3xy.,s _ `"Crcdit'firEs ue'acapoed fas41pmk onljr.-nn>Ynun,i/3 of-ilia: ptgea cost(Phase sa t reds!_Cbrd Paraatt Forms lly ii' hr ithls. g pnj�g tlstance ae Sart,w Je�b(33X);e( sbi Etdmated.Compkdon.Daoa' Agreement,you adtnoiviedge tint ehe tla8itoe a Start o(Job and the; 8alaiice oil SubstarH�l Q`-�(�� Balance a►.Subsrmdal;Compk+doii of Job anrrot be made try cr�c- Canpk:ilan of Job(3354)J�S' r' card and mint be made by perxoial di tank cheek or calk Hsyer(s).:agrees a'd nndersiini& hat"AAgreeIiJi consdtntes the entire anderstaniff between the paraey anti that there are'no verbal andeestaading!ehaaQing aay'of the liana of tWs Agreement Bayer(a) acknowledges that Bayer(s), (I)has rend thi'Agreement,ttadeestandi the terms of this Agreement,and Las ieceiyed a coanpleted ngaed.i+ad tilted iw of dds is cln die tiro attar3ted Notices of Caacellatioa,oa, date 8a+t wsfttoa above and 2):was orally n dmg i:[ormed;of Ba s to oaacel:this Agreement:DO NOT$IGN THIS CONTRACTIF THERE ARE ANY BLANK SPACE$: Yt<' to du of ekes avails oboe to 8uyee(1)Do not sign thsri►geeement d any of the!paces intended foe the agreed teem!; (Rhode Island Sales Only). ble ioiorinatiCaa are le8 blank.(2)Yon are mdded to a copy of ibis Agreement.at the time Y"—sign} it.(3)Yota;may at any Ilk pay oB'fbe falhuepaid balaaoe tine.ender tlss Agreemment,sad is w doing yod may be;entided,to, receive it gardal kebab of;the ilaarice and iesarance change!:(4)Ttie seller has no sigh t to anlawfull.enter your psernises orcommit nay breach of the peace to aepossess goods pm�cbased under tbss Agreement.(5)You may canoe!this Agreement if h his sot brain signed nt the mats officeror a bradsb offioeof the�,pnoviiaed you nota[y ltbe seller'at his or her malq, of6ux or banal►office shown io the Agrewent by segLterid or oeetified aaail,:whieh shall be posted not nice thou midoighE M o>F tbe'tldird.cateadss day.aRee ttie dey oa wHscb the.Myee rigor t6r/lgatemeoti excladiag 8mday and nay holiday on Mbicb:, re assail deliveries are sot made.Bee ilia eeeompssy3ng:souce of caseelladon Form for an eplaastoa of Bayer's etgitts; Buyer( rtcetved the. umer,education matetiala:pmvtdcdby tie Rhode island:Contractors Regtsfranon Boaid_'_ (B+lf Iaraolrf iRettetvalby N' > dti Buyers) Buyci(a)! ure:of 1'rodtitt aaager: Signature Stgnap►re Print Name of Product iwlanager Print;Name Pent Name 3 YOU, Tilt:HIJI'ER(S),•MAY CANCEL THIS TRANSACTIOi�i AT ANY TIME PRIOR TO DMGHT OP THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION:SEE THE ATTACHED NOTICE OF CANt^>as r arrtON FORMS' FOR AN'E�LANATiON OF THIS RIOHT >< - -x 1 NOTICE'oP CANCELLATieN sK' Date of Tnrrsactlon 0, '� You may can. I Dace'of Transiedon You May cancel this transaction,wtehouti any malty or obligadon,width ehis transaction without arty:patalq or obligation,widiln;. ' three business.. 5om die above date H you ancel►any ! dmee,welhess.� from the above date If you.cancel,"'. prapertr';traded any.palrmanq made,bj►�you under die'1 property traded,any,payments made by you under the,: Contrest;or Sw is and any:nettodable instrument exewted_ I Contract or Bile,and arty negodabM instrument executed by You will be'returned.within N"eft business daps itilowitss: I by yoti win be roturned widurt'ten husirtess days toting neceipt'br the_Salter Your cancellation notice,avid any I roeaipt b(r the Seller of Your cancellation notice.and airy' , security; fnterost arising out of;she trartsscaon..vtnll be; I seeuriq mteirose arising out of the trataactton will be. canceled.Hyou`cancel,yyoou�.must make avaiWble to ttie Seller, canoe" _jrou c ncel,yau Muir Maine available do die Satins' at,your residertcs;in substartdallyaa good condition,as when` :I at your roside+ute,In substantial as ry good condition v wheir rttcalved.arty goods delivered to you undec.ehis Cogtraet or I rocsived,any>Toods deliverod o you udder this Gntraor• Sale;or 1►�+mq,H you whh,oompl(►with ilia imtruedom of I Sala•or you g�,it you•wWt,comply wMli din Inatri dOt = the Seller rogarding the retarrn shipmento.( et ga: s a the; theeller regarding die return shipment of the good at PC Seller's eexxppense a�rick.If-YOU.,tb:;make die gg000ds.available 'X Seller's rise and risk.ltliou do make die Aoode availabli. m ilia Seiler aril!ohs Seller des.not pick them uP within to rile Se F and die"Sailer does not pick up wi--- tvrertty.d�s of tlia date-of caricellatron,vat may robin or: I twettly of die date of cattcellaLon;you map retain:or, • sposs of dse tip without aury:furdter,obligadon.ff you! I dispose die goods virlthouf am..turtlier obligation tt you; htl to,trialae lice goods available to;dte Seller,or.FP sou agree:,i �l to make die goods available.to the Seller,or tf you agree; ea!!,turn the to she Stiles and fart to do so then you I to return the ods to`the Seller and.foll to do so,then you; remain liable for perlbi?mance of-A obligations under the: I r+emsln liable r performance`of ail obligation's under,the; Contrast.To cancel this tratwetton.rrtatl or dative►a signed Cbkt;iitLU cancel this ttansacdan,mail or deliver a signed: and dated wpy of this eaneella'a' rwtiee or arty other, l and-dated copy of this cancellation notice oe wi w otiiee isritten notice,or send i Lei tp RenewaAn" At deraan o/'i written notice',or,send ate. to RanevAd byAeders n of; Southani New:��rt d at- Albion Road,L ' 0]665,,:I Soutf tern New Eres,g�l1and at ton Road,Lincoln,RI fl286S NOT'LATER TFIijN MIDNIGHT OF I NOT,LATER.THAN MIDNIGHT OF " (p Data t, ,I E. i_F REBY,CANCE�7HISTRANSACTLON . HE YCANCELTNISTRAIAC1tON.. s� : - � riilirs Name. -lrat� _ av,.r..tyae.. , rer,e:Nanie, naN;, W Copy:White &rygr,Coplr Yellow The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Invesdgations ' I Congress Street, Suite 100 Boston,MA 02114 2017 www massgov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): SOUTHERN NEW ENGLAND WINDOWS Address:26 Albion Rd City/State/Zip:Lincoln, RI 02865 Phone#:401-228-9800 Are you,an employer? Check the appropriate box: � ._ Type of project(required): I.F01 I ahl a employer with 20+ 4. 1 am a general contractor and I employees(full and/or part-time).*_� have hired the sub-contractors 6 ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition workingfor me in an capacity. employees and have workers' Y P tY- 9. Q Building addition [No workers' comp.'insurance comp.insurance.1 required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no IA - employees. [No workers' 13.j Other' �Jo IA-) comp. insurance required.] f e c�ei✓t ee%r *Any applicant that checks box#I 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. TContractors 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:ARGONAUT INS. CO. Policy#or Self-ins.Lie. #:WC 928058352394 Expiration Date:8/21/2016 Job Site Address: (;!'een tA)o2J City/State/Zip:_14 /1 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).' Failure to secure coverage as required under Section 25AmfMGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a-copy of this statement may be forwarded to the Office of Investigations of the DIA for urance coverage verification. I do hereby cerI&under the ' s andpenalties ofperjury that the information provided above is true and correct. c / Signature: Date: l — Phone#: 4012289800 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.Electiica 'Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Southern New England Windows d.b.a Renewal by Andersen of SNE Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License:CS41195707 BRIAN D DmNg6 , 7 LAMBS POND Charkon MA 01507 Expiration Commissioner 0910812016 � V�2P �ti'Y�Y!/!I2lYJ�i.t'.I1EAffaim-04dd Z Office( Consumer Business Regulation 10 Park Plaza-Suite 5170 u Boston,Massachusetts 02116 Home Improvement Contractor Registration 3 Registmdon: 173245 r Type: Supplement Card a SOUTHERN NEW ENGLAND WINDOWS LLB Expiration: fUtflrlotB DENNISON BRIAN 26 ALBION RD r .{ LINCOLN,RI 02865 i d 'Update Address sad return card Mark reason for change. A scat o amaosM 0 Address (_—j Renewal 0 Employnnot (]Lost Card b �do a c�6�aa+aa�rmeQ3 tee of Commer Affiin&Business Regulation License or registration valid for indhidul use only E BAPROVEYdFJiT CONTRACTOR before the expiration date.If found return to: Office of Consumer Affairs and Business Regulation egbtratlon. 1732A5 Type 18 Park Plaza-Suite 5170 { Ezpiratloi gjj9n016 SuppliunaN'and Boston,MA 02116 SOUTHERN NEW ENGLAND:WINDOWS LLC. RENEWAL BY ANDERSON DENNIS.ON BRIAN J. 26 ALBION RD �= r tl LINCOLN,RI 112gg5 UndersecretaryNot valid without signature SOUTNEW-01 SHETTYSHT ACOROS CERTIFICATE OF LIABILITY INSURANCE DAT /YYYY, 8/1912019/2015 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: Willis Certificate Center Willis of New Jersey,Inc. PHONE g77 945-7378 FAX (888)467-2378 C/o 26 Century Blvd A/c No Ext:( ) ac No P.O.BOX 305191 E-MAIL Nashville,TN 37230-5191 ADDREss:certificates@willis.com INSURERS)AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Company of Southeast ' 39926 INSURED INSURER B:OneBeacon Insurance Company 21970 Southern New England Windows LLC INSURER C:Argonaut Insurance Company 19801 D/B/A Renewal by Andersen 26 Albion Road INSURER D: Lincoln,RI 02865 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 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. ILTR TYPE OF INSURANCE NSD WVD POLICY NUMBER MMI POLICY MM DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY - EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR S 2029459 0811012015 08/10/2016 PREMISES eaoaurence $ 100,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER-, GENERAL AGGREGATE $ 3,000,000 POLICY NECT LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: - $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 A X ANY AUTO S 21029459 08/10/2015 08/10/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ X UMBRELLA LIAB [X OCCUR EACH OCCURRENCE $ - 5,000,000 A EXCESS LIAB CLAIMS-MADE S 2029459 08/10/2015 08110/2016 AGGREGATE $ 5,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN X STATUTE ER _ B ANY PROPRIETOR/PARTNER/EXECUTIVE 0000068028 , 08/2112015 08/21/2016 E.L.EACH ACCIDENT $ - 1,000,000 OFFICER/MEMBER EXCLUDED? -N N/A - (Mandatory in NH) -If yes,describe under E.L.DISEASE-EA EMPLOYE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C Workers Compensation WC928058352394 08/21/2015 08/21/2016 See Attached DESCRIPTION OF OPERATIONS/LOCATIONS 1 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. AUTH ORIZED REPRESENTATIVE Evidence of Insurance ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD. f " - -� Town of Barnstable INKErow Regulatory Services 1% Thomas F.Geiler,Director • Building Division BAMSTABM v Mass. g Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790 230 Approved: c e Fee: Permit#: fir]a �' HOME OCCUPATION REGISTRATION Date: a' G L 1, , I Name: iA U J\ �� Jv Phone#: Address: L'i Cc-,)�J A J Village: Name of Business: `� ^-,5 t-L i VIA Q J Sl N Type of Business: L—� i\s, o 'J L Map/Lot: of D V .JO INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. f After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. •. There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot.containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersign have read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: ( a Homeoc.doc Rev.5/30/03 TO ALL NEW BUSINESS OWNERS DATE: Fill in please: �� �.� � �� ,� YOUR NAME: >tc' \j APPLICANT'S ��� � x <. � BUSINESS �'�� ` ri „��� , � � �� YOUR HOME ADDRESS: ; 7,�: i.:�a�°•.( � � ci�� � � . ^� r�:� r' �� Tele hone Number Home�TELEPHONE SAME;OFE 13: JSINI`SS HYPE OF BIJ9N[~SS S THI;S A Ht�ME OCCUPATION YES N 4 r► •r d�t G 7 Have ou been given a royal from the bu�ld� g div�s�on. YESNN:NO r�. �( y h cac� ADDRESS bF BUSINESS MA(P/PARCEL NUMBER `When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and license.. GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) and you will find the following offices: 1. BUILDING COMMISS NER'S Off ICE This individual has be ormed of permit requirements that.pertain to this type of business. u orized Sig ature** COMMENTS: �' 2. BOARD OF HE This individual ha be n informe f th ents that pertain to this type of business. Au ized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) n in re uirements that pertain to this type of business. T This individual een i rmed 10, o a g q p Yp Authorized Signature** COMMENTS: C_Q,else— r)Win Business certificates (cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate - you must get that through completion of the processes from the various departments involved. **SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ®IDLY SIC A lel Town of Barnstable *Permit# p� Expires 6 months from issue date Regulatory Services � ��B' Thomas F.Geiler,Director AjE1 9. Building Division , ,:. Tom Perry, Building Commissioner �Oj�M A� q 200 � VIP 200 Main Street, Hyannis,MA 02601 OP Q Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red%Press Imprint Map/parcel Number Property Address lee 6:,fh:�fiI W®04) 4-V5' residential Value of Work Owner's Name&Address Contractor's Name /✓& q��/ �� Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) M/Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ am the Homeowner KrI have Worker's Compensation Insurance ' Insurance Company Name // i 'Zo /V Workman's Comp.Policy# _ /®1A)a,3 ®®,;z 200 3 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- 17WAI. . 112/fiI . ❑ Replacement 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. ***Note: Property Own must sign Property Owner Letter of Permission. Home jimro em t Contractors icense is required. Signature Q:Forms:expmtrg Revise053003 °p,HE Tp Town of Barnstable ti Regulatory Services rBARNSUBMMAS& ' Thomas F. Geller,Director `bpr � Building Division Tom Perry, Building Commissioner 200 Main street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder ..0uinex.,of the.subject pxopep ._....._._.. .: �i /Gr/�. hereby authorize _ ........ ... . . .to act on my.behalf,. in ail matters relative to work authorized-by this building-pexmit-application for: (Addtess of Job) Signa a of Owner Date Print Name mum MA. Builder's Lic.#021330 OFFICE: (508)997-1111 R E F R E E Home Improvement FAX: (508)997-1297 flWCA meS IriC. Contractor's License TOLL FREE: 1-800-407-1111 #100503 MA. WEBSITE:wwwJw.cf-homes.com 239 HUTTLESTON AVE. (RT 6)•FAIRHAVEN, MA 02719 #15179 R.I. NAME .�1�( ���0zWza/ DATE a y Oy ADDRESS ��0 .�2� ZIP CODE C)d-& U/ ADDRESS OF JOB TEL 6V9 77/ —W79' JOB DESCRIPTION (�[.>���✓/ '� /tam �{.L�/L2/LL�d9AA/111 �Li�Zy ���� /l�Cr L i L'if/Ufii..Pi4 �.!%�JZyr�li� u,LJ7iy.�fl00'iY"'[�is��...�+ 9' � C�iC�i9.¢ �./Lem[ cY�... �.t.✓rr..�.v G%u& t- o � �?itQ/J c - D ✓/EGG g �N� arcr� �!l �r �✓_¢Z e Scheduled Start 0 ,c, — Scheduled Completion y" A. Replacement of missing or rotted lumber is not included unless specified. B.All start&completion dates are approximate and could change due to weather conditions. C. Stripping of roof includes removal of up to two(2) layers of shingles, each additional layer to be charged @ 2. , D. Replacement of rotted roof boards/plywood to be charged @ ft2. E. Existing chimney flashings will be reused; replacement, if necessary, is not included. F. Care Free Homes, Inc.is not responsible for mold/mildew conditions that are pre-existing or result from leaks not brought to the attention of C.F.H., Inc.promptly. The Company hereby proposes to furnish labor and material to complete the above work for the amount herein. Fulfillment of this order is contingent, however, upon the want of strikes, fires and any natural disasters,the ability to obtain materials, or any other conditions beyond the control of the Company. Cost of Project$ `�F'i�/d 00 PAYMENT TERMS 63"n Date o2 O y 1. You,the Owner,may cancel this transaction at anytime prior to midnight of the third business day after the date of this transaction. 2. You,the Owners,agree to pay any and all expenses incurred by Care Free Homes,Inc.in collecting money due under this contract and enforcing the terms of this contract,including but not limited to,reasonable attorney's fees,interest and court costs. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES CAR REE HOMES, IN!4ne — y( ACC PTED: By: / . Buyer acknowledges Owner CARE FREE HOMES,INC. receipt of fully completed copy of this Agreement Owner All contractors and subcontractors shall be registered by the director and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director, Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston, MA 02108 Tel. (617)727-8598 f Board of Building Regulations and Staudsrds HOME I VEMENT C NTE Repestxa _a0503, I` MAIN Esar- 2004 t ! ,. 9 r- 1 element Card CARE FREE HO " ROBERT PICKU -E 39 Huttieston aveeS Fairhaven, MA02'79.9 .: Administrator TOWN,OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel /6-D Permit# BJ�� Health Division .> 4W Date Issued qbl 100 Conservation pivision 41 Fee rS•c� Tax Collector SEPTIC SYSTEM MUST BE Treasurer" 5 `� -- oa 71 INSTALLED IN COMPLIANCE Planning`Dept. WITH TITLE 5 N ENVIRONMENTAL CODE A D Date Definitive Plan Approved by Planning Board M TOWN REGULATIONS Historic-OKH Preservation/Hyannis t Project Street Ar1dress i 8® Grem Woaj 40f—. VillageadAhm's Or Owner J ewn �;�e n dLr)I S Address ) 9 0 67reeo, WOO Telephone T7 I Permit Request ens w ? (t G A M4C evdm �✓/ Square feet: 1st floor: existing/ Z proposed M ' 2nd floor: existing proposed - Total new -- Valuation 066 Zoning District A-6 Flood Plain Groundwater Overlay Construction Type 00 c Lot Size P000 a 2 d &o"� Grandfathered: ❑Yes /olf es, attach supporting documentation. Dwelling Type: Single Family 2 Two Family Cl Multi-Family(#units) Age of Existing Structure ,15- wee, Historic House: ❑Yes O'No On Old King's Highway: ❑Yes �o Basement Type: Cif Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 60y1c, Basement Unfinished Area(sq.ft) AV.0.3 Number of Baths: Full: existing new Half:existing new - Number of Bedrooms: existing new 49- Total Room Count(not including baths): existing new fe First Floor Room Count Heat Type and Fuel: C'Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes &IVo Fireplaces: Existing /I0t7G Ne � :) Existing wood/coal stove: ❑Yes CH�o DetaeHe Fad . . Attached garage: , xisting ❑new size Sh ZonWoard o AppealsZo rization ❑ ppea # Commercial ❑Yes If*es site plan review# C Fl#lgse ProposPd Use BUILDER INFORMATION • � I w ,p Name �I`� e i�� Telephone Number `1 Z o QS3 3 Address 2 �m& �� License# d 4 2(oJ l A�s°yvi rnl i iS Home Improvement Contractor# Mz&,F/ ®01 a YS Worker's Compensation# MCP .3510� 5- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO f Arr�6�6)t � SIGNATURE DATE �'� f FOR OFFICIAL USE ONLY MIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS ..'.:.;. VILLAGE i tt 1 OWNER .y eNo a DATE OF INSPECTION:•.: FOUNDATION ti FRAME � •• ' INSULATION C°'�C v " 2 G FIREPLACE ! ELECTRICAL: ROUGH FINAL T PLUMBING: ROUG FINAL i , s GAS: ROUGHy r R= FINAL = " ; FINAL BUILDING . , DATE CLOSED OUT ASSOCIATION PLAN NO. i ~ ..�4 � , • f , y • r` /rr e Town o.1 Barnstable • aearrsrwsts • 9161Y9. Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 _ Raloh Crossen Fax: 509-790-6230 Building Commis: Permit no. Date AFFIDAVIT. HOME mmovE1V1ma CONTRACTOR LAW SM.LEIInNT To PE n=APPLICATION , MGL c. I42A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction ofan addition to any pre-existing owner-occupied building containing at least one but not more than fbur dwelling units or to stratum which are adjacent to such residence or buitdiag be done by registered c onuw=z,with certain exceptions,along with other requirements. Type of Work: i �$ Cost A WQ Address of woric �,p�� 9�hi j ;i Owner's Name.- Date of Application: IUD - s I hereby certify that: Registration is not required for the following reason(s): C]Work excluded by law A.:_ QJob Under$1,000 DBuilding not owner-occupied QOwaer palling own permit ` Notice is hereby given that: OWNERS PULLING THEM OWN PERMIT OR DEALING WITS UNREGISTERED CONTRACTORS FOR APPLICABLE HOME ZIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR-GUARANTY FUND UNDER MGL G 142A. SIGNED UNDER PENALTIES OF PER MY I hereby pI fora permit as the agent o the car. Dat7 Contr==Name Registration No.' OR Date Owner's Name q:forms:Affidav The commonweamis = y. Department of Induced Accidentsmyeff i -- ��, 600 Washington Street Y ,. Boston, OZIIl davit Warktss, camumnati •�aiio%:'w�"mom/ --- � - - • Bi2o ...2Bf loc..tion� hcae 1 42v' ;�a hpmet>WnQ PC �IIO tIDt: �7J""" la=ff I am a sale neiar�d i1WYW� sau=mr 7j •.`i:{i:'rri5:[;:y;::}:;:i::tiY.!:.,..:♦..::::•;?:::.:::•.•?.;.:'::i:. . .... .... ..........r.............a r.........h... ...., .:ram., -. ... ..;:;:.;..... ...:..♦...n:...t.w„•±x r...!�.-....:,v, •• r,•>n. ... ..... :.:'::..::.... • .n. anv name... .......... . .... ... >} �•}n::,:. coma •�:?'. - - . �A4 ... ......... .n .n.4...; ..,C.., ... .. ... .. Tp .::::::v.:::•rwnt;::.::.K..Y•.♦.... .... .. ... ...,+r ...,}%y:Y,f}'^Yri'.'•�"4:y{}::h,}nr{Y}ii:V�•>{ii::.. mil...:.n... V,,,%.:"M•.. y ..}, .>i,tiiv:::4:::::� address.. ...........:::::i::}4:ti{•:r.♦LYL•...:y-:'..y,���•/4 •y�y,Vyy.• n � :....,�]•rM n .. 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C/rid/r:�CL%////// ;.... .. r{20�.,,/'12..:-F:;}:}Y7W:Y::{:•:::;;�v :�?:tii;:;:;��::':':..._:.:.':n....�: �;,<::ix:,•,:}r:;.' .t..-.:�ti.. •`::>{:}4tiv::•is{:;':i`v:'•.;�,L.:.;.._.,,- camnanvraln :..... ....... .. .....a,•.n y ...::.. ...... ..... :. ...::::-/r:..:/.•i;f lJxn.,/wr{ .>..... •. � ,}Y%,'N,:ti x{ti i•'r}:!:�l'�y;:�:ti:i}�%:::':`C.:' WO N .. ...v....•:::•. ..::::........n.•r:r,c:' .::.,,:•:{...•`?2 .::.'t4.;.??.;;......... .... . . ••t•}xr.••x ?•::• .':?3`ir;.L;{:5 ?,?.... i Cite' •ell ........ ..... l IIJ4T87f[C•tOr:�'."s:�":::...... of�p�of a�aP tO SZ.540.0 md+or emla•dSo thei I smderssand thu a F�mtmsee:aseores:teae��der6a����'�i'S'rQpWO=�g$�sso°ofS100.00adga=�ma onr years'}mptssomaent ns weII as d�II Pmaitlss o[mtl�piot ao�ssie ' copy of this statratentnsa7 ba�p�ardadtothaQIDeaoila .... .. .,,.� . �rdPend is ofP�ffid r;hciaform�xPrO'i&d�ovriSVW- I do hcrchy certify L:inc name . omdal ofSdaiuseoniy do notwiteinthisamtobeconwi b7m7°ltO� ❑BuIIdinCDenasanCut petmdylteema 11 ❑Ltceavt►g BOoi�CC dry ortowrt: ❑Selectt:test s response is required - -- ._ ❑Heaith Dep nrstt resp ❑ check ifimm ' ❑Other��� Pia contact r,reon: µ Information and Instracfions cl- all eazplovers to provide workers' comp..- General Laws chapter 152 section 25 requires msan is the service of another untie:��•"V—- �iassachusens " In ee is defiaedas M, quoted from the law",an easp Y �mpio�•ees. lie oral or written. -. of hire. •press or imp - association, c=MMf M or other legal entity, or any o oTho..r to°^' _ •An emploi+er is defined as an individual,parmershiP, of a deceased etnplo.er. • in a joint a and including employees. How�'�the o�•a'o:a :he foregoing engaged or other lqd entity, am a d-7mllin.house -: of an individual,partaersbip, association resid�"�or.ft accup of th.. ^- `�' not more than.three 3Par �°hD an M=h dwelling house or on the amour--o= �nelling house hay ersons to do aiaiateaaace, Cantu � work another who employs p be tabs an employer. Unenant thereto sban not because of Sack empioyme� building app shall witbhoId the issuance 52 Section 25 also stators that every state or focal ftce�sml; w�th for and app • iicant wnc ._ charier 1 • MGL or to consirvct Ad��1��,ncirher th." of a license or permit to operate a businrss .. table evidence of comp m Puce of public work uy== not produced accep .oiitical=bdivL*W sbaII.enterioM m3' eatedto the cow=== �•�}},,�� nwealth nor n3'of P • aft-Co i ==with accstable evidence • �PB y INS�MWCMI;/ PrEMM A,pphcanis ... _.,..._. 1D V= and y b,�g*cboz taPPr •..day may be Pl.nse fill in the compeasatten �alamg with a scam afms= am n=S,address and phone age• Also be sure to sign suPPly CO�,D ash of IndustrialAcadartsfoy °fi nfortim P�or iic=se .� submnted to the affida�►h should be recto the°ywortown «Iaw"or e- date the affidaviL .`Shouldymhm� _ e re not the Dep===of bdus=W. _ �D at At,mamba b �- mgtured to ObL'dln a WOeIS are jWi/ �%i; /!'/�� � ram,. :-. .. •"�' ... �. City or Towns azthe bottom °: a �" - . u dad pried may. •=_D - ,aPpiic..Qs. P.=Se. ,. Die a C f •- �7l the . ...,as..b..sure that Df3ia vasto°°art'actpoa may bed t" aiadavit foryou to fill outmthe eveatthe �anamber. •Ibe affidavits 'ore sure to fm in the Pie member wbtcil have beeamadQ . *.he Deparanent by mafi or FAX unless other •_ - . rs. o - • and should you hay a and•cp. ti would IBe to thank you in advaaee.fcr wa C0.--. - roe 0 fnec .of Invesn_Qations a call. - ,,, ,� :A,ease do not hest= liRMF7:. :ai„ ��;": < r�Dip ent's address, on.• dad fax number: =IcPh The Commonwealth OfMassa�� Department oflndustrid OMCB of Wesnuailoas 600 Washington Street Boston,Ma. 02111 far 0: (617) 727-7749 _:.,:.,e •.(617177.7-4900 exL 4069 409 or 375 pmliciipt.ve paeksM ford"mdTvMFBMUY Ru"mdaiHa P��wad Fom3 $tab l;ooiia8 c wan Aim'c'/i)' Dwaiae� i� Rrvaina bmdmo•:; iW,,.iuer P=k= sloi f�6sooA�> P N=md Q 12% 0�0 13 .:.: ro : Nw=si g ITN' OSZ 30 U �10 SAM g 12'A OSO 3i T IS'Ni 036 8 � �.�. _. ,:..,, ryA. - No�ai$ t --toU IVA Od6 t3AME V 1 A OM 3= O- 1WA VAFUE 19 � 10 `. W 15% Q.SZ 30 WA - Normal X 1S'/• Q3238n • No�ai 19 30. WA ' N/A 6 z IEA aai FUE i0 6 90 A AA IEiG uo ._. _._ .... of 1. ADDRESS OF PROPERTY: 164 - 2. SQUARE FOOTAGE OF ALL ECrMUM 1VALMO -3. SQUARE FOOTAGE OF ALL GLAZIN G AREA #3 DIVIDID BY 42): 4. %GLA23N (.. - _- - •-= - S. SELECT PACKAGE(Q AA-sm ch=abwma N OTE: OTHER MORE INVOLVED MEMODS OFDv RhMMG ENERGY REQU� ARE AVAILABLE. ASK US FOR THIS WORMATT'ON• K. BUILDING INSPECTOR APPROVAL: YES: NO: q-farms-f980303a 780 CMR Appendix J Footnotes to Table J=Ib: assemblies (mcivag sT•idiag-eM dooms'skylights, and ' Glazing area is the ratio of the area of the $fig bat e�ochrdiag OpaQne dooms)to the gross wall basement windows if located is walls that enclose �����from the U-value regttiremcnt. M, =pressed as a per�taga Up m 1/o of the total glazing with 300 fl of glaring arcs. For example,3 fF of decorativeass gl may be esrciuded '0m$ tilAinst � in accordance with 2 g8er January 1, 1999,glaring LT'"urs must be umd and do��by*a the National Fmeszration Rating Cottnefl (NF= test procedure, or taken fr= Table J1.5.3a. U-values are for Whole units:caner-of-glass U-valnrs csant be teei ff the insulation achieves the full ' 'Ihe ailing R-values do not assame a raised or ° -30: r�Y snbstittd for R 38 insulation thickness over the ezzeior was withoac won+ R for iasalatiaa. Cefl'mgR. eatthe stets of cavity insulation and R 38 insulatioa may be �mgs, fimtotin qhcsftgmast be placed between insulation plus insulating shesthiag(if wed the conditioned space and the veatt7ated po: °f-mm,26 nn �hNnI g(if used).Do not include Wall R values represent the strm Of F��1 an R-j9�mt could be met EITIdER extczior siding, structural sheathmg, R-6 itM1�g ry�g. Van requitemCuts apply to by R 19 CMM insulation OR R-13 csvity m metal flame t�nsnuaion. to VMU��='but do not apply used erawlspaces,basements, wood-;mrne or mass(coaa'ete,masonry,log) (Mh ss� 7be floor requirements apply to floats over or garages).Floors over onside airmast meets ceTmg less zhaa 50%below grade must . . mdtvtdnaI basement waII with Mn ofaay ,. of.conditioned aralls. Windoms g..8� met: the same.R:value requrremeaias albove•°g . .- ���'�'mttst-meet the door U-value.requirement basements must be included with the other.&i* d_scriaed in Note b. _ slabs Add sdtyttiamat R-Z fior howd slabs. The R-value requirements are for g C=p1j= a approach 3,4,of S. If you p�to install more a If'the bwldiag.ddUZMs elc=ic resistaaa the equipment with the lowest than one Pic= of heating equipment or more titan b ft�� , efficiency must mect or exceed the�cimuy by For Heating Degree Day regW=cnts of the closest sty ortowa sx Tabk JSs.ls NOTES: levels laser R-ralaes are minimtmt acceptable levels. a) Glazing areas and U-values are maxmium b:de �� R-value requirements me for insulation only mud do not than 035.Door U-values must be tested b) Opaque doors in the g eaveiope sMUCMMI . s U the N no g n p or taken from the door U-value and documcntcd by the maaufactU r in accordance�the NFItC test procedure gad an IT.vahm rating for that door is not available, include the in Table J1S.3b.If a door�s glass use ��U- �piiance of the door. glass area of the door with your windows ent(�� a U-value than 035). - One door may be excluded from.this requirlem __ _ o two or more areas with c) 1 f a ceiling,wall,floor,basement wall, �or crawl space waII� than or equal to different insulation levels,ihe�componeni� �if the area•�reighted average R-vahte is� door, CMply.¢the ales-weighted average U- the R-value requirement for that componeaL Glazing to ft U-� cnt(035 for doors). value of all windows or doors is less than or equal ESTIMA TED PROJECT COST WORKSHEET Value LIVING SPACE (high end construction) square feet.X$115/sq. foot= (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot GARAGE (UNFINISHED) square feet X$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$151sq. foot= OTHERC r-C square feet X$??1sq. foot= Total Estimated Project Cost C1 J ,� •. � Fife�oan•,Ho,unea/.��✓uaaaaafu�e!!e � , ONE INPROVEHENT CONTRACTOR Registration 4381-= Ezpjration ,' 9/3/01 x Type. Inds JOHN C.`VIEIRA ' JOHN ,VIEIRA F aoM""RAroR NARSTON NIL _71e V�omvnw�uoeai o���iraaac/,uoelta BOARD OF BUILDING REGULATIONS g License: CONSTRUCTION SUPERVISOR j' . Number. CS O42651 Expires: toit;. 001 Tr.no:; 10031 Red o: 00 JOHN C VIEIRA 32 COLOMBIA AVE . MARSTONS MILLS, MA 02648 Administrator I License or registration valid for individual use only before expiration date. If found return to:One Ashburton Place. Rm 1301 Boston Ma.02 08 l + 00-35,000 d enclosed space t (MGL CA 12 S.60L) 1A-Masonry only 1G-1 8 2 Family Homes Failure to possess a cumeM edition of the j Massachusetts State Building Code Is cause for revocation of this license. , n i F ; DIG SAFE CALL CENTER.' (888)344-7233 " 5EDROV 1 1 cL CL cL eATH CASEMENT WINDOWS NEW DOOR ,(i v 5EDROOM 3 CL sxa PA>QtrtoN NEW SLIDING GLASS DOOR I ' /� Door�S HAL L,r- -�--E7CTENDED 5h CL o a PROPOS�� N WOW WITENt WI OW Wltl-1 M LP CIRCLE FA hi 1t 1 L 1�/ ABOVE L I V INGcROO I KITCHEN ROOT"i 5ATH 221011 DININGROOI"I #1111AE PF'IGJT i�AR��4-I 0 T y SLKIGYgo Aj� OTAL WINDOW LIGHT PROPOSED sK F It EPA FA I I L YROOM 5>4T1—I 4 HALLWAY RENOVATIONS -r���"o �arnst ;,own of Barnstable P 0.Box 534 Hyannis,ViassachusOM 026a1 i k�EDROOM i BEDROOM 2 GL GL GL 5ATH BEDROOM 3 GL cmiDE OW OARAW pooR HALL POR GLDom a UN GARAGE wum LIVINGROOM KITCHEN 22'®° D IN INGROOM EXISTING r-LOOR PLAN INSTALL NEW CASEMENT WINDOWS FULL SLIDI Cs LITE CsL 65 POOR.r'OOR REAR ELEVATION INSTALL NEW SKYLIGHTS 1/2 C IRCL WINDOW CAS ENT f EDE ELEVATION - 2X10'S 2X10 RIDGE SISTER ALONG EXISTING RAFTERS R-30 INSULATION IN CEILING VENTING 2X1O COLLAR CHUTES �� TIES STRAPPING 16 "OC. 2X10 HEADER R- 13 INSULATION IN WALLS R-19 INSULATION IN FLOOR rf MIL 2X4'8 fro"OC WITH 3/4 FLYWOOD FOLD' XX eECTION