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HomeMy WebLinkAbout0080 TOWNHOUSE TERRACE oil'73- 1 ct -f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map a b Parcel 1 Application # I Health Division Date Issued Z ( Z-- Conservation Division Application Fee Planning Dept. Permit Fee, Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address ©�n " 3 Village tt `- Owner i G. J Ja v '�` QrS`t i Address 0 e�J�n r,�JS _I_QrrC.C-0_ �t�s Telephone Permit Request • �� l� t� ?�� rt 0 to ra t.J n J OWS' JU SvL 4-r� ka Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District . Flood Plain Groundwater Overlay Q � Project Valuation D Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King' ghway:M Ye8❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other `"' c-, C� Basement Finished-Area-(sq.ft.) _Basement Unfinished Area(sq-ft-, Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Countg `1TI 4`F7 Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) e ,C Name +� �%.� +�SO�I_her n I�_ ,(/J;A elephone Number yb l ` �7 )- ( _b Address f �) N t S , License# L 0 0 Y) S 0 14�2 �- jZ p 2 of S� Home Improvement Contractor# Worker's Compensation # ZC �) 35 J�`f ALL CONSTRUCTI EBRIS RESULTING FROM THIS PROD .CT WILL BETAKEN TO D�;SOLI >Z Ct3 SIGNATURE DATE b 12 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED t Y t f MAP/PARCEL N0.- ADDRESS VILLAGE OWNER DATE OF INSPECTION: C;FOUNDATION? j = FRAME INSULATION ' r FIREPLACE ELECTRICAL: ROUGH FINAL y PLUMBING: ROUGH FINAL - GAS: ROUGH >*:+ t FINAL t r '.FINAL BUILDINGt`_v., t4ily-i R r DATE CLOSED OUT ASSOCIATION PLAN NO. �.... .. �.: •L y- s ' r J The Commonwealth of massachresetts I Deparfinent Of Industrial Accidents Office of Investigations kv 600 Washington Street Boston,MA 02111 www Mass:gov/dia Workers' Compensation Insurance Affidavit Builders/Contractors/Electricians/Plumbers A licant Information Please Print Le 'bl Name(Business/ft=izadon/Individual): ���J7�t�Y �L¢j cJ s L L Address: Ci /State/Zi : W&mNSBrk2 �, -o a,f 4Sp hone#: P� Are you an employer?Check the appropriate box: 1. I am a employer with 19-0 4. ❑ I am a general contractor and I ��°f project(required): employees(full and/or part-time).*- have hired the subcontractors 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 working for me in any capacity. employees and have workers' [No workers'comp. insurance comp. insurance.t 9. ❑Building addition required:] 5- 0 We are a corporation and its 10.[]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11. Plumbin myself ❑ g repairs or additions y [No workers'comp. right of exemption per MGL 12. Ro of r insurance r c. 152 ❑required.) , §1(4),and we have no repairs 3a.❑ I am a homeowner acting as a employees. [No workers' 13.0 Other general contractor(refer to#4) comp.insurance required.] 'Any applicant that checks box#1 its¢also fill out the section below showing their workeas'compeosatio30olicy information t Homeowners who submit this atTidtvit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContnutars that check this box must attached an additional sheet showing the name of the sub•conteactora and state whether or not those entities have employee. If the sub-contractors have employees,they mast provide their workers'comp.policy number. I I am an employer that is providing workers'compensation insurance or inrformadom I my employee& Below is the policy and job site Insurance Company Name: D (> NS U2A7UGJc` Policy#or Self-ins. Lic.#: T 9oV7 6 9 g 3�j a� 3 Exp�tion Date• ;t/ II 3 Job Site Address:_ UUA A 06S0 J(/ware City/State/Zip: 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 fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties of a ORK ORDER an of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to Office of d a fine Investigations of the DIA for insurance coverage verification. A d®her cerdi ender a pains and penalties of pelury drat the information provided above is p►rte and correct. ' Da • C 2 Z D 2 P ®fflcial 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): I.Board of Health .2.Building Depirtment 3. Clty/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone tt! i Client#:30124 SOUTNEW ,�ACORD,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 10/02/2012 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(les)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 Anita Little Willis of Massachusetts,Inc. PHONE FAX 100 Huntington Avenue �c,No, xt E :856 914-4600 A/C,No: 856-914-1881 ADDRESS: anita.littie@Willis.com INSURER(S)AFFORDING COVERAGE NAIC# Boston,MA 02116 INSURER A:Argonaut Insurance Co. 19801 INSURED Southern New England Windows LLC INSURER B:Beacon Mutual Insurance Company 24017 D/B/A Renewal by Andersen • INSURER C: 1137 Park East Drive INSURER D: Woonsocket,RI 02895 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 CONTRACTOR 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. IN TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP INSR WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY pEAACCH�OECCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- JE T LOC $ AUTOMOBILE LIABILITY COMI SINGLE LIMIT Ea acBpNED dent ANY AUTO F BODILY INJURY(Per person) $ ALL AUTOS OWNED SCHEDAUTOS UTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ UMBRELLA LWB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A AND EMPSCOMPENSATIONYES'LIILIT AIC927698352394 8/21/2012 08/21/201 X wC STATU- OTH- AND EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 68028(RI) E.L.EACH ACCIDENT $1 000 000 OFFICER/MEMBEREXCLUDED? ® N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1 000 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Named insured is a Renewal By Andersen Dealer CERTIFICATE HOLDER CANCELLATION Southern NE LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1137 Park East Drive ACCORDANCE WITH THE POLICY PROVISIONS. Woonsocket,RI 02895 AUTHORIZED REPRESENTATIVE • o I- ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S212686/M212684 AXL 1 } Renewal w Bog Cr 12259/30839 ' Cr HIC.0562725 byAMe(Sen. RENEWAL BY ANDERSEN MAH1„119535 wuuow arruerrnr m c 1137 Park East Drive•Woonsocket,RI 02895 Icad Hnard Cmtml tin„ Phone 401.671.6401 a Fax 401.671.6262 license#LHCF-0059 Federal Tax ID#46.05666SO Southern New England Windows,LLC d/b/a Renewal by Andersen of Southern New England CUSTOM WINDOW AND DOOR REMODELING AGREEMENT 8uyer(r)Name Data of qK �9weT PRE Cw !Z- surx(r)same adds..Cigc stam.and Zip coda 0yrywriWouse, 7r&fr4GG 11yAnal r> 144, OUpt--"' E-Mat Adder fix Telephom Number Work Iihpl rNunilv Buyers)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 on the front and the reverse of this agreement and on the attached specification sheet(s)(collectively,this"Agreernent"). CY�GOzi'Total Amount i+Z I Estimated Sm"Date MediM of Payment O Check h U Financed Deposit Received(33%): / vim►---U �y Credit Cards are accepted for deposit only—maximum 113 of the Balance at Stan of job(33%): �9 y fi Completion Date: P cost.( seeCreek Cad Papient Form)By�n8 this Ageement,you adavoledge that the Ikhnce at Start of job and the Balance on Substantial y��jAjC Balance on Substantial Completion of job cannot be made by credit Completion of job(3396): card and must be made by personal check bank check,or rash. Buyers)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings changing any of the terms of this Agreement.Buyer(s)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.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. (Rhode Island Sales Only)Notice to Buyer:(1)Do not sign this Agreement if any of the spaces intended for the agreed terms to the extent of then available information are left blank.(2)You are entitled to a copy of this Agreement at the time you sign It.(3)You may at any time pay off the full unpaid balance due under this Agreement,and in so doing you may be entitled to receive a partial rebate of the finance and insurance charges.(4)The seller has no right to unlawfully enter your premises or commit any breach of the peace to repossess goods purchased under this Agreement.(5)You may cancel this Agreement if it has not been signed at the main office or a branch office of the seller,provided you notify the seller at his or her main office or branch office shown in the Agreement by registered or certified mail,which shall be posted not later than midnight of the third calendar day after the day on which the buyer signs the Agreement,excluding Sunday and any holiday on which regular mail deliveries are not made.Seethe accompanying notice of cancellation form for an explanation of buyer's rights. guycr(s)received the consumer education materials provided by the Rhode Island Contractors Registration Board. (Buyer's Initials)1 Renewal by Andersen of So."New England B s) Buyers By: Si tune duct Manager Signature Signature ,� �1 ��lAE�(.>� AN^P.1'"�.eP:f�$1-BCtJ '• �W(� �"(�N Print Name of Product Manager Print Name Print Name YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT.. :-C— - - — — - - - - - — — — - -� — — — — — - - - - - - *c- -- -_- - -'- - - - — =pc NOTICE OF NWICE OF CANCELLATION Date of Transaction .You may cancel I Date of Transaction You may cancel this transaction,without ty or obligation,within this transaction,without any penalty or obligation,within three business days from the above date.if you cancel,any I three business days from the above date.H you cancel,achy property traded In,any payments made by you under the I property traded inn any payments made by you under the Contract or Sale,and any negotiable instrument executed I Contract or Sale,and any negotiable Instrument executed by you will be returned within ten business days following I by you will be returned within ten business days following receipt by the Seller of your cancellation notice,and any I receipt by the Seller of your cancellation notice,.and any security interest arising out of the transaction will be security interest arising out of the transaction will be canceled.if you cancel,yyoou must make avaiable to the Seller i canceled.If you cancel,you must make available to the Seller at your resklence,In substantially as good condition as when I at your residence,in substantially as good condition as when received,any goods delivered to you under this Contract or I received,any goods delivered to you under this Contract or Sale;or you may.If you wish,comply with the instructions of I K-Sa or you may,If you wish,comply with the instructions of the Seiler reganding the return shipment of the goods at the the Seller regarding the reborn shipment of the goods at the Seller's expense and Ask.if you do make the goods available .Seller%expense and risk.If you do make the goods available to the Seller and the Seller does not pick them up within I to the Seller and the Seller does not pick them up within twenty days of the date of cancellation,you may retain or I twenty days of the date of cancellation,you may retain or dispose of the goods without any further obligation.if you I dispose of the goods without any further o"gadon.If you fail to make the goods available to the Seller,or if you agree I fail to make the goods available to the Seller br if you agree to return the.goods to the Seller and fail to do so,then I to return the goods to the Seller and fail to+;do so,then you remain liable for performance of all obligations under you remain liable for performance of all obligations under the Contact.To cancel this transaction, mall or deliver i the Contha<t.To cancel this transaction, mail'•or deliver a signed and dated copy of this cancellation notice or any I a signed and dated copy of this cancellation notice or arty other written notice,or send a telegram to Renewal by I other written notkm,or send a telegram to Renewal by Anderse of uthern New En�gII�arhhd at 1137 Park East Dr, I Andersen of Southern New England at 1137 Park East Dr., Wool 2895,NOT LATER THAN MIDNIGHT OF Woonsocket,RI 02895,NOT LATERTHAN MIDNIGHT OF i HERE NCELTHISSTRANSACTION. 1 HEREBY CANCEL THIS TRANSACTION. Buyer's 81smwre print Name Daft Buyer%Sipnpwe Print Hams' Date RbA Copy-White Buyer Copy.Yellow Buyer Copy-Plink �. t9al r y� ► sen. WINDOW REPLACEMENT an Ande,$CnCompany WoudNinyl Composite IF Low E „;;: g20vrtrs C% Dual Argon Glider 1oo-b03898.33-002 ENERGY PERFORMANCE RATINGS U-Factor(U.S)/I-P Solar Heat Gain Coefficient _ 2 0 030 _ . ADDITIDNAL PERFORMANCE RATINGS Visible Transmittance 4 OP . 5 product 0 whole Manufacturer stipulates that Lhese retlngs conform to applloable NFRC procedures for delemtlN solno n9 rod c use. NFR does notrec ommend ny product end does not warrant the sultabllity of any product for any sproducusize. ance Infonnallon. . yyyyyr.nirc.o ��I t , t SSA this product meets Gre � seat's environmental standards ovemlri energy efficiency,heavy p metais in the frdme an •,. "•, X. sash materials, packaging,and consum R'l education materials. MUM DESIGN PRESSURE(PSF) MutxcWre�Aasm ' iil www.wtlma.com .. :... ........ .. HC 3 V RbA Horiz Slider. (XO) IN: x cared to NAPS or AAMAM1W DMlvYSA lOLI51A44P0.t. Mmudnga er eft motes waformauc,to the a licoble sinadnrds Y . Meets or exceeds M.E.C.;C.E.C,&I.E.C.C.Air lnfllltretlon requirements WDMA-Hallmark Certlticetlon Program• i Massachusetts- Department of Public Safety j Board of Building Reg ulations and Standards j Construction Supervisor License License: CS 42926 I PAUL H THIBEAULT 1 • 26 LESTER ST ;. N SMITHFIELD, RI 02896 i. �--G— Expiration: 2/16/2013 0inunissioner Tr#: 9563 • O fice otonnsaumer Affair and Business Re ul n .g 10 Park Plaza - Suite 5170 w .Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 173245 Type: Supplement Card Exp i gat i o n: 9/19/2014 SOUTHERN NEW ENGLAND WINDOWS LL, - PAUL THIBEAULT 1137 PARK EAST DRIVE WOONSOCKET, RI 02895 Update Address and return card.Mark reason for change. ;-CAI Co 50M•04/04-G101216 Ej Address Renewal Employment Lost Card ' ✓lie �amwnwm�ueae a�./�aaoac/u�aeka Office of Consumer Affairs&Business Regulation License or registration valid for individul use only V° OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration,':1732.45 Type: 10 Park Plaza-Suite 5170 Expiration; 911.0/2614 Supplement Card Boston,MA 02116 SOUTHERN NEWENGLAND WINDOWS LLC. . RENEWAL BY ANDERSON: PAUL THIBEAULT -• 1137 PARK EAST DRIVE ���-- — WOONSOCKET,RI 02895' Undersecretary Not valid without signature r' ter' 1. r a ° .. �►�'ar�oi�va`u�vaw�et�iscav: ,��►� ��+nt;�r,�C�[�r ' ,.To wholnit mavzat k crir.• -"the Association,ar Its'Management Company;giants passion to Reo:e►vai byAr>�etsen oo�sta11 rustom•��acte ir�l��ct�nant w�cla�vsTn tNo tallawi ti�lti{a.�`f' _ u • W t �O �talnei�Depmer�i '' ._ , CJltStofriP,i;�d8�• -:Addrss � GJr�1/ ;c& L /�rC`,�„ Ur►)ic i'.l .stale' ;bt� :.t,YUi91t7LPof Wi�OwS..m `Sdm@?t3' w :;��': :Style+(l.e 4,io-Ale huln .caserrnt excll- 2i € erlor Wind lilm finish +_Yos 1 f i �No L ids between 4he pages `Yes�' ] NO ftrr- Gfl ioffgtiratan appraved'''�tes Na} f F.. <.tr",r •._s.r.y,,..p:.i,:1r, .K } :iM1`-:6 a :n+ r .:J. - ' »q, ? -'":,;' �aiF Y r1"fx ,rJ : ,"x iNl,p '•t Fi N �4 +y 's.',wf f ";,i k-L�.yS':. '.Ed r, , _ . ' �proposfld veloevs are'epprove for ins#allatioran tNet�ovelted unit.: QWz -Titles Ir�QTte .YY16�•' +•.JS�� ili f-s/.��" tV - t04 {..�F�..41��t•' �{ dffiCes, � • I dA�adifiCo�3at + Not 4 t121rat�9cfst�rWP - * 'tlt3Cd�Oe'rtyCris0 & ' Rt 02$A� Vd StOt lo�ep�®®s;CT OWN , ' E -f0167i 8162;f Ti 37194