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HomeMy WebLinkAbout0277 OAKLAND ROAD�d77 (�AKLono( � , � j— � l � > Town of Barnstable *Permit# Expires 6 months from issue date l Regulatory Services Fee aces. Thomas F.Geiler,Director s6;g. ♦� Building Division ess Tom Perry,CBO, Building Commissioner Np V 3 200 Main Street,Hyannis,MA 02601 7- 0 2006 www.town.barnstable.ma.us �VVN OF BA Office: 508-862-4038 Fax:508-79'0'- 8LZ� EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 1 t'� Not Valid without Red X-Press Imprint Map/parcel Number 1,. 1 V Property Address 7 Oakland -Pd Residential Value of Work_ /t_, &'7R-0 O Minimum fee of$25.00 for w\J under$6000.00 Owner's Name&Address �'� 7� 0-1414 hd Wd Contractor's Name_ B c�i ✓� W S 1./1/� Telephone Number �idp-�p 7�Q'�o a ;x() Home Improvement Contractor License#(if applicable) / /9 3 7 Construct' Supervisor's License#(if applicable) c?/ 3 7 3 orkman's Compensation Insurance ) Check one: ❑ I am a sole proprietor ❑ jxnSe Homeowner 1 have Worker's Co pensation Insurance Insurance Company.Name �PL'� ,P$S _fi'Ais (� �++ T� Workman's Comp.Policy#_ �i(JC� ad 9 7 ;L, Copy of Insurance Compliance Certificate must be on file. 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-sid ' eplacement Windows. U-Value (maxi mum mum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: NProperty Owner must sign Property Owner Letter of Permission. ome Improvement C ctors Licensq is required. SIGNATURE: Q:Foans:expmtrg Revise071405 L The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street i<t 1 Boston, MA 02111 ., www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Pe//,a A�GCOGyS Address: City/State/Zip: ��"�� Phone #: Are you p oyer?Check the appropriate box: Type of project(required): 1. am a employer with 4. ❑ I am a general contractor and 1 6, ❑New construction art-time) employees full and/or .* have hired the*sub-contractors( P listed on the attached sheet. t �• ❑Remodeling 2,❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. g• ❑Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their right of exemption per MGL 11.ElPlum ing repairs or additions 3.❑ I am a homeowner doing all work g P myself.[No workers' comp. c. 152, §1(4),and we have no 12.❑ of repairs insurance required.]t employees. [No workers' 13, Other h� comp.insurance required.]. *Any applicant that checks 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below.is the policy and job site information. l � Insurance Company Name: IN Policy#or Self-ins.Lic.# Z a,7, Expiration Date: / D Job Site Address: o?`' �2`CLG j'!G[ /`Y�f City/State/Zip:f 4 d/1/S �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 Section 25A of MGL 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 insurance coverage verification. I do hereby c i under the pains an alties of perju7ry that the information provided above is true and correct Si ature: Date: Phone# 6 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.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ✓/ie Paovno�.uuealr.! a�.�aaaaclrzcaeCla Board of Building Regulations and Standards License or registration valid for inJividul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:. :_. g8g0 Board of Building Regulations and Standards f#ivn- 2 — One Ashburton Place Rm 1301 at /,13/2008 Boston,Ma.02108 4 _x Tyke Ltd Liability Corporation PELLA WINDOW, i17Q0OR " STEPHEN. DICKIFJ (� L _y:',c; 1325 AIRPORT RA Lam OAD FALL RIVER,MA 02720 Administrator �Nol valid without signature - ✓`ie 1°am�noaruaecr,�E� o�./�.aannezc�u�aella WWAM F°"M XI S L� ens COPRIJ T�I 'N S'UPI f�%150R 08vT80 a I WON 08 Tr.no- 17237 IuIERI�IvIAC, MA "Q 7 .. t ;. Cnm'm7ss�oner , + Pella Windows & Doors I 1325 AIRPORT ROAD FALL RIVER,MA 02720 t TEL.508-676-6820 FAX 508-676-6823 June 19, 2006 To: Whom It May Concern RE: Contractor and HIC License I hereby give permission for Steve Correia to use my Contractor Supervisor's License #CS08-1843 and my HIC Registration#149840 to pull permits in the State of Massachusetts for all projects related to work performed for Pella Windows & Doors, Inc. Ao 44w&� Steve Dickinson Operations Manager Pella Windows & Doors, Inc Windows, Doors & Skylights ACORD CERTIFICATE OF LIABILITY INSURANCE PEOPID 27 DAT07/11/0 LLA-1 07/11/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Preston Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1350 Division Rd suite 303 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 810 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. East Greenwich RI 02818-0810 Phone:401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE NAIC# INSURED PFR Acquisition, LLC INSURER A: Peerless Insurance Company 24198 dba: Pella Windows & Doors INSURERS: 1325 Airport Road Acquisition INSURERC: LLC 1325 Airport Rd INSURER D: Fall River MA 02720 . INSURER E: COVERAGES 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,AGG&6GATg.HMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDM') DATE(MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CBP8022572 05/01/06 05/01/07 PREMISES(Eaoccuenca) $300,000 CLAIMS MADE a OCCUR MED EXP(Any one person) $10,0 0 0 X EBL - - PERSONAL&ADV INJURY $1,00 0,00 0 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PjERCT LOC Emp Ben. 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A ANY AUTO BA8022972 05/01/06 05/01/07 (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $10,000,000 . A X OCCUR ❑CLAIMS MADE CU8024072 05/01/06 05/01/07 AGGREGATE $ 10,000,000 DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND X TORY LIMITS ER EMPLOYERS'LIABILITY A WC8023972 05/01/06 05/01/07 E.L.EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 It yes,describe under I ISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 _ -- SPECAL PROV OTHER - DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOWNBAR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN- Town of Barns table - NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Attn: Building Division IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 200 Main Street Hyannis MA 02601 REPRESENTATIVES. AUTOO IZEDIZEp REPRESENTATIVE ACORD 25(2001108) ©ACORD CORPORATION 1988 �N" _ Contract for Customer Project:Findway,Martha Order No: . . f.";o' .....r:_a.,...,,,�.."} . _... E .. .<... r l riP, o , < 1 ,..,xi . ,o-� . ry.f ..,. y ... , Sry «,.. 1 .. .. }.+IA... .. I. � u...,. . „.s r. ,.i,. { i . a•. ..n.... , k,. :T,:,q tit , wi,,.:,. , A..a .. Y.,. ,.....,. ,. { s. ,. . ...E � . ,,,'� � ., „.. : .. ., . ... ,� .. a.�. 9 � ..� Tha. Y ,. �� .L<. ak :xn,aw..ur,.... ,,.:.,�.a„, s�t .9'��,,,..r.....�,r.n.,.�Ju3,�V..3,r,�. .x...S..,,aL .. .:.�., a. ,.� Sp d, ,..,,.,.x r s.��.,., € v u..,,a.rv». ACKNOWLEDGEMENT OF C.S.R. REVIEW WITH CUSTOMER(Customer initials): Terms and conditions: This order is made especially for you, the customer. No cancellations are possible after 3 business days of the signing of this order. This agreement becomes a binding contract only upon review and acceptance by authorized Pella Windows and Doors corporate representative in Fall River, MA. All promises of shipment are estimates only, and our best efforts are used in every case to ship within the time promised, but there is no guarantee to do-so. Seller shall not.be liable for any direct, indirect or consequential damage caused by delay in shipment. For non-installed orders the customer represents that the window/door sizes and specifications shown on this order are correct and may not be changed or cancelled. The Scheduling Dept will call you with your delivery date. We provide tailgate delivery only, please arrange to have assistance on site at time of delivery. For Installed orders, 50%deposit required at time of order, and 50%upon completion. t 1' � � Taxable Subtotal $ 10,480.82 Customer ignature Pella Sales Representative Signature MA at 5.00% 524.04 None at 0.00% 0.00 None at 0.00% 0.00 / �� Non-taxable Subtotal 5,867.70 ta /e, Total $ 16,872.56 Date Date Deposit Received $0.00 WARRANTY: Pella products are covered by Pella's limited warranties in effect at the time of sale. All applicable product warranties are incorporated into and become a part of this contract. Please see the warranties for complete details, taking special note of the two important notice sections regarding installation of Pella products and proper management of moisture within the wall system.Neither Pella Corporation nor branch will be bound by any other warranty unless specifically set out in this contract. However, Pella Corporation will not be liable for branch warranties which create obligations in addition to or obligations which are inconsistent with Pella written warranties. Clear opening (egress) information does not take into consideration the addition of a Rolscreen [or any other accessory] to the product. You should consult your local building code to ensure your Pella products meet local egress requirements. Per the manufacturer's limited warranty, stainable exterior, wood windows and doors must be finished upon receipt and prior to installation. Stainable exterior, wood windows and doors must be refinished annually, thereafter. Variations in wood grain, color, texture or natural characteristics are not covered under the limited warranty. 16o _3-; L y4 � Contract-Page 3 of 3 J >e TOOT OF BARNSTABLE Permit No �---,- 7 Building Inspector 1 s.aInsc d Cash ---- - •' �+c rar a� dAX OCCUPANCY PERMIT: Bona No building nor structure'. shall be erected, and•no land, building or'structure shall be used fora new, different, chang,ed, or enlarged' use' without a*'*Building Permit therefor ` ..*.first having been obtained from"the Building,Inspector. No building shall be occupied until_ a certificate of occupancy has been issued by the Building Inspector." t Issued to : John Beggs r Address: 9yanz�FII :tat fi E` •?`7 Oakland Road I�[yannis Wiring Inspector } •1 ���o <"T Inspection date Plumbing Inspecior� " � i Inspection date Gas Inspector Inspection date VfEngineering Department Inspection date/: G -- •—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. Lr .. .. � Inspector uild�g " 2 xxr ox Assessor's map and lot number ...:..W71... .... X....+ +� O%THE t0 Sewage Permit number' .... .. ....�...........:....:.. ' . � SEPTIC SYSTEM MU 'ro`Q+ j INSTALLED K CONAI • r� AHH9fiAD E, i Mann House number. ..�o 77...........:......................................... 9 t639 r �,�'ITH TITLE 3 00 i63q. � TOWN. OF BA-RNSTASLX' ' Tt; BUILDING INSPECTOR "i C s� LL APPLICATION FOR PERMIT TO Ql?... .. ..... ........:....1.............. . .... ....... .....�1 .. ... .......!1..: TYPE OF CONSTRUCTION ...... !.ram o. . ./... '—. ...................... .. 5<... /.......... to • • f TO THE INSPECTOR OF BUILDINGS: The undersigned`hereby applies for�}a permit according to the following information: Location ...........4!: ...�o... ....4 .` :.'.G�'�� .......��0 CI ....................... yam' fi.:q�S.................................. Proposed Use .......... eS( �Lel�,/;•!,�LI ............One— :�°Q E'!!.�.!. ...............................:........................................ ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ...... ...... .� .f�/5........................Address .................�x `7 0.15 Name of Builder .........Qr(.S/�J.......l ......Address ..................... ...............� .. ........................ ................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ............s. . //��.......... .....A........ . ........................................ .Foundation ..... e ppuLnj LExterior .......(2fa ..�.04..6: ....4&...s t.f!i .`.f',�...........Roofing ............/.1..5. .S t.�?,��/�c..................... Floors . CY .Interior ........... u �. ................ . . �.iL.......w�.a..,................................. �� ...�. Heating ........ C. .f?(.C....... ......Plumbing .................................................................................. Fireplace ...U...... .......................................................Approximate Cost � Y f Definitive Plan Approved by Planning Board ________________________________19________. Area ............�(. � Diagram of Lot and Building with Dimensions Fee 1;::A.7 SUBJECT TO APPROVAL OF BOARD OF HEALTH f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �.Name ... .. + ' ° . . . ` 23642' One Story 4 - Single Family Dwelling ` -------.^---.----.--.--.-----. . . Lot #lO 377 Oakland Road' ' Location --.--....�--------------- _ - 'Hyannis ---..�..�_---.--~~-------..---- . � Beggs ��,ner ...... .......................................................... Frame .' Type 'of ' / — /="`"w. -------`--..�---.. ...................... .------------.�—'�---.. ` '` Pko ' �� �� ---------. ---.� ------ ' � f� ' Permit Granted ...��}!�gl����'.*/�—l9 81 ' Date of Inspection -----.]q ' ~���� o��� �/ "".= C" " �\ PERMIT REFUSED ' --':—'-----'`''�---------- 19 ..~ .— ............................... �� —.----.. .. � � .---.—.. —� . —. .� ! - ' , ---_-'�...~.---.. ........................................... 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HAS : BEEN 13:4'8 ROUTE 134 LOCATED ON THE GROUND AS INDICATED. EAST DENNIS MASS ` l r JOB ; NOS/ /3 'G CLIENT aaa;.ti .0 s7 vK aeh t rt7.awnfa .aL tie-'rw4 wr4 -rx.ar� y AT REGISu E `,.LANDr"SUR;VEYOR. '�. :pR gY �`"� ��` SHEEtT"L OF Assessor's map and lot number .. 7 ...+...0... ......... . TN E Sewage Permit number ....(4? �.�..�.........:................. 1211�- �,... l BARNSTADLE, i House number .�77..................................................... ./� V, VABL,,r 0 M 14� TOWN OF BARNSTABLE BUILDING LHSPECTOR APPLICATION FOR PERMIT TO .. �. (i......... ....... TYPE OF CONSTRUCTION ...... ~r2 ........... .............................. /�- Vic° c.. .� :....19 ja .... r - TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...........k°. ....6v.......... . k n. .......� 0 u.. ?.................. y .l�./I/S.................................. ProposedUse ......... ,eS l CY.t t?. ............................- .�.....f.. �.f ?.r.l ........................................................................ ZoningDistrict ..............................................................<...::....Fire District .............................................................................. Name of Owner ...... ...... `!y/S. r ...........Address ................ C2 n 01-5.......................................... Name of Builder S/ ( /��f�% 5.......Address . ( �� �� ...., .........................1��/1.......................... Nameof Architect ..................................................................Address ............../:.................................................................... Number of Rooms ............:Zr .X..........................................Foundation ..........P-s �O c� 2 nd....C,,on........... ................ .... C. do 04. .J /�c S���� jP.�s..........Roofing / SDh� .S/li,17g1„e Exterior .........:...d?....... ... ...K... ..........�..............s....... ....... ........,............. . ........................ Floors /-/1 .�f. .[i c%f.:.CY Interior .F44-'."&M/', `T .. ................................... .................. .... ..................................................... Heating ........ ....... Z!.�q?5.d.......Plumbing .................................................................................. Fireplace .................Qzi-C.................................................Approximate Cost ...,?`°... .. a.U...............................I., Definitive Plan Approved by Planning Board _______________________________19________. Area Diagram of Lot and Building with Dimensions Fee C,�d....:'........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH t t t x I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....:�P ,. - BEGGS , JOHN -,-Xi=271-89 No . 23642 Permit for . One Story ................ Single Family Dwelling ............................................................................... Lot #10 277 Oakland Road Location ....................................................:.......... Hyannis ................................................r......... .....C,.............. 'Join Beggs. ............................:Owner .... ................................. - ame Type of Construction .....F -........... ................... Plot ........................ Lot ..... ..................... Permit Granted N `'vembe 17, 19 81 Date of Inspection ..............19 Date Completed ..... .............. ................19 PE T REFU D ................... ...... ........... 19 MV-1' !d?......... .1....1. .�....................... &......... .._:..... ........ .............. ...................... . ............................................ ..... CSC - Approved . ....................... :......................................................