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0012 EDGEWOOD ROAD
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I�`...~Y�1� .•,<. t t:.. -,a .-,t"i;�i r "'� n Town of Barnstable Building PostTfiis Card SovThat rt is%UlsiblenFrom�tfie�Street~�A roved Plans Must,6e"Retained,on��9ob�and�this Card Must�beKept ;F NAM Posted Until Einal Inspection Has.Been wMade - � � � � �` � �� � � �' � �' � Permit.; z Where aCertficate of Occupancy isRequ�red;suchBu�ldmg shallNot be Occupieduntdja F�nalInspectlon has been made ., Permit No. B-18-1077 Applicant Name: WINDOW WORLD OF BOSTON, LLC. Approvals Date Issued: 04/13/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/13/2018 Foundation: Location: 12 EDGEWOOD ROAD,CENTERVILLE Map/Lot: 248-142 Zoning District: RB Sheathing: F M Owner on Record: POPLASKY,RICHARD P&NANCYk Contactor Name '°, Jeff C Steele Framing: 1 Address: P.O. BOX 416 y Contra ctorLicense:�CS072772 2 WEST HYANNISPORT, MA 02672 ;� - Est'; P Octo Cost: $3,645.00 Chimney: Description: repl.8 windows.29 u-value Permit Fee: $35.00 Insulation: r : � a Project Review Req: Fee Paid $35.00 - Final: Date 4/13/2018 77 r �� Plumbing/Gas 1.�2Rough Plumbing: � ... _ Building Official. Final Plumbing: ;Kt ice..; This permit shall be deemed abandoned and invalid unless the work authorized bythis permit is commenced within six months aft" RoughGas: er Issuance. All work authorized by this permit shall conform to the approved application�and the approved construction documents for whichhis permit has been granted. All construction,alterations and changes of use of any building and strutue s shall be in compliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access st or road and shall be maintained open for public Inspection for the entire duration of the reet work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building!and fire Offi Ic als are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction 2 Work: ' Rough: 1.Foundation or Footing .... 44, 4W, . �... ... 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable aBuilding hi �' 'r'= o That it¢is Visible From=tFre.Street =A roped Plans,Must'be Retained on„lob and this Card Mustt Kept Post T s Ca d S pp . +' IARNfTCAtlS.6. »ec' Posted Untll Final InspectlonHas Been Made , s . . �.,.. Permit Where a:Certlficateof;Occu anc is Re ured,such,Buildmgshall,Not=be Occupied un#�Ia,Final Inspectonhas been made ;NW. &, :p o, y'„e'?',s '� Permit NO. B-18-1077 Applicant Name: WINDOW WORLD OF BOSTON,LLC. Approvals Date Issued: 04/13/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/13/2018 Foundation: Location: 12 EDGEWOOD ROAD,CENTERVILLE Map/Lot: 248 142 Zoning District: RB Sheathing: 1 � x Owner on Record: POPLASKY, RICHARD P&NANCY Contractor Narn�e Jeff C Steele Framing: 1 Address: P.O. BOX 416 g �' Contractor License: CS 072772 2 WEST HYANNISPORT, MA 02672 g � h Est Protect Cost: $3,645.00 Chimney: T E Description: repl.8 windows.29 u-value f PermtFee: $35.00 Insulation: x Fee Paid. $35.00 Project Review Req: Final: Date ` 4/13/2018 Plumbing/Gas �u �> Rough Plumbing: ,�1-„Building Official � f Final Plumbing: This permit shall be deemed abandoned and invalid unless the work a thor¢ed'by this permit is commenced within six months afteissuance. Rough Gas: All work authorized by this permit shall conform to the approved appl coat on a d th !approved construction documents for which h s permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structuresshall�be in compliance with the local zoning by lawsand codes. .:. et .- ' This permit shall be displayed in a location clearly visible from access stre or road and shall be maintained open for public inspection for the entire duration of the 116, work until the completion of the same. Electrical 11, fin ' Service: The Certificate of Occupancy will not be issued until all applicable signatures'by the Building and Fire Officials are provided on this permit. th,Minimum of Five Call Inspections Required for All Construction Work rx � r Rough: 1.Foundation or Footing .,'�, , :', 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final:. All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �FTNE r Town of Barnstable Permit# B-I �. 'P. Expires 6 months frvPf issue dote hP �� Regulatory Services Flee s m Richard V.Scali,Director OD• i6-9. ,0 - Building Division APR 11 20 j Tom Perry,CBO, Building Commissionern'OWN r t F ����11`I,1��� 200 Main Street,Hyannis,MA 02601 l 1!!b'1 O U6 /1 %vww.town.batnstable.ma.us Office: 508-862-4033 Fax: 50S-790-6230 EXPRESS PERMIT APPOCATI®N - RESIDENTIAL ONLY k1apiparcel Number �1 ilk 4/2 Not Valid without Red.Y--Press Imprint Property Address residential Value of Work S 36o91T Minimum fee of$3-5.00 for work under$6000.00 Owner's\lame ' Address �j(�ad� (��14jk), - 12 CjAewood RZ .t/ /`7 D 2-& O Contractor's Name UU FF a tF,�..- Telephone Number 78'1 Home Improvement Conti-actor License=(if applicable) L&(o OZj' Email: Construction Supervisor's License-(if applicable) 87 Z7 — yvorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance i Insurance Company Name i4 -fd ! Workman's Comp.Policy# 22 W-C-GJ 2b ,5 s Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side q Q1"Replacenienf Windows/doors/sliders.U-Value - L / (maximum.32)_#-of windows b of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. --Where required: Issuance of this permit does not exempt compliance with other town deptjrment regulations,i.e.Historic.Conservation.cte. QO Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is equired. SIGNATURE: C it;sets\Deco)tw.. atat cal\\•licrosu + 'mducvs\Temporary Internet Fi1cs\Content.0ut1ookLP101DHR\EXPRESS.doc Revised 04021 IL i Window World of Boston,LLC` MA HIC Registration, t?ffices&Showrooms Number: O.t5A Cummings Park cl 295 Old Oak Street 166025 Woburn MA Of a0t Pembroke,fv1A 02359. Federal lD#- "simply the Best for less" (Tat)932-48Q5, (7all 828 8281 f 4�665 vvW WindowVl/orldofeoston.com. Customer: 2/G ,q 071LA$ ` Phone th>�l7� Install Address: 7> / Priiors(w) City:I—IVAAll 5 State:,sAArp0Z160/ 'E-ma8: WINDOW WORLD GLASS OPTIONS 1000 Series Single-hung AH-Weld $189 -4e—SOIorZone Effie $119 95Z `2000 Series DH Mach/Walded Sash $215 _Triple,Glazed TG2-e $195 "7 4000 Series DH AINNeId $2z5/57 ("Series 6000Only) _BOOO Series DH All-Weld $260< WINDOW OPTIONS �2 Lite Slider It Glass Breakage Warranty $151N CLUDED S Lite Slider nn.ux ear tuti,rc +r $545 10 Screens $91 CLUOE . _�Picture/Fined Lite $354: Foam Insulation on Jambs and Head $11 MCWDEO _Awning $28p Double Strength Glass $15INCLUDED. Casement: $910 _ Double Lacks(>.28") $5'INCLUDED 2 Lite Casement $595 Full Screens $22. _3 Lite Casement =Colon"ret Grids(ContotuedjFTat). $45 rraira.�iiar. rvi,1R.114) 0 �BasementHapper Wit _Prairie Grids $61' _Baty Window. Soffit Mount./INS Seat$2680 —Diamond,Grids S69 Simulated Divided Lite $192 _Bow Window-Soft Mount/INS Seat$2785 Tempered DH Sash:(BSO)`,(TSO) $65 _Garden Window. $2040 Obscure Glass(BSO)(TSO) $35 Specialty W ndow _ . $ _Oriel Style(40160 or80140) $30 _:Beige/Almond $40: Foar'Ettancedframe $3$1 _wood Grain interior(Series:400016o00pmy)$100.., (Glght Oak/Dark Oakl Cherry.l Fox PRE 1978 BUILT HOMES(EPA LEADSAFE RENOVATION)' Wdod. ,Lead Safe Practices-Required $30 00 Rich Maple) MY HOME WASeuiLT7N�THEYEARZ 16 In{tlat IT, Brown Exterior(Arch,Bronze Amer'can Terra)$100 - Designer Color Exterior 5176 MISCELLANEOUS. —Custom Exterior Muminum Cladding' WindowCofor 7' l AJ7J 0 Textured$75 O Smooth$751 $ Inside amsrde` Facing Color NON CUSTOM DOORS —Metal Window Removal $50 Unyl Roaiq Patio Door 58;or b7L S1o96:- _New Construction Vinyl Removal $175' - Vnyl Rolling Patio Dowell. gt t95< Speclalry Wlrtdow Exterior Trim $. _:Add to We price'or Cti loin Rolruig Folio Door$1250 —Mull to.Form Multi Unit $3.0� French Rail Sung Party Door St or bit. $1395. - Install interior/Exterior Stops $50 ,_French Rail Sl ding Patio Door Olt $1495 —Install Interior Casing, Starts At $45' -_French Rail SIfQiing Paso Clear 91t $1595 _insulate Weight Boxes $20_ _Custom Exterior Cladding 4150 Rootfor Bay/Bary Windows $500 _SOlarZone OiM;or ETC Glass Existing New Cont.Ext.Redo Fit _Grids Patio Door.. $149L Remove of EXisfing Bay/eaw $250 _WOodgraln Interiors '$295 Repair Sill,Jamb or replace sai nosing $50 _Exlsrior neColie. S9. Full Sub-Sill(Single)replacement $150 Interior Casing Via 3to 5175 _Mullion Removal S30 _Handlesst gpiloits $ Pay/ Ext.Retrofit $350 $. (New Sidfng Will NotMateh). Door Color' I-We � a<srde c•"Rt�tti/lpolPv ,{IfllNt�MIyW :AIR . �! > ratYJfte hildrenMt�lea(elejjot ... �• Customer declines exterior wrap and understands painting anti/or repair may be requiredlnitia Customer declines rids an�.windows/doors Initial Bi&CLAIMER•Cu*merismspbosiblef&lhefoUdvMgIncunnecUcRwinkftCMctPWnlhgStaWny Alarm Sy dscohmcVi¢comect BufdfngPermitfsesin- excessat$25.00,RameawiwardofCondiAssociatbnA pmvit,Mhotc0'stdclAppmvat.CityofBostonpArt;&slderralk➢a iitfeesinconnechcawah rstafation: NO EXTRA WORK IF NOT IN WRITiNGI ustomer>agreeS tothe terms ot payment as follows: Extra'I oboe&Materials $ Z-56 SlteSet Up,Permit,Disposal&Delivery Fees 3389.00;. Total Amount Custom Order Deposit tO% S ,0" Ck_#- �V\ Balance Paid to Insmller upon Compfet!on $ 0' Amount Financed $ .3&0 \tV►� YlydayVlOridm Boston anbeipatassfaWgthsworkan; *exceed and bring substandalt/campieledin eys.Secorry.rest Yes No \\ Any deposit required fn advance of ih stanof rite work 031/3%of The Intel contract price or the actual cost of any material Or equ1pment 01 a (+� sandal crueler custom in ado mature,which mrsl be ordered in advance oflhe slam of the work to assure treat to pmiect will proceed on schedum.No tnal payment: V shall he demanded un®the contract is completed to The satisfaction ar both parties. All home impravemem contractors and suticontradars shag be registered and that any iaqukes about a contract or subcontractor retatingto a registraflon shout d.be drcet,M to:Ofte of Cruc umar Affairs and eeriness Regulath ns Tan Palk Plana,Sung 6110 6dstan,MIT 02116.Phana.(617)973-g700 No umk shag begin priarto the signing of the contract and Transmittal to the owner of a copy of saeh contract. V/mdOWWorld of Bo tat under PAPAS109 of Chapter 142A of the general Muss required to apply for and obtain all construction-slated perm ts.HAndocy V'iodd at Boston shag not be deemed responsibleror,delysinINviork described Inthisagrearnent caused byregulatory,permit granting agencies,sumaraiesatlndr+iduals t ' Nolice:If The PURCHASER(S)obtain this own construction related Permit$too thework described under Ibis agreement ordeals with unregistered contractors, tke PtU1CHASQi(S)is berehyadvised thatla Oa event of a dispute,judgemantandfmnpaymeat,flit PURCHASE11116)win mot be entitled to'mate a clalm'or coaecdon tram she gusaesy Ned establlsbe0 try chap1er142A,M.Ga. Youth buyer may oancef this.transaction at any HMO prior to midnight of the third business ayafter the date at Ibis transaction.. NOUN of cagcalfation must be in willing postmarked no later than midnight of the following third business dap. This Mcdow Nand'Fra rrddse is indeoerdmS yawned andoperated h'indow Nodd of Boston LL11 under license from window Wodtl;in. PAN[% Owner.DonotSign if them are any aank spoeas. Oars 3 13.an:Qo nor eere'eny bknk spaces.. ate OtmecDo not sign if there are any blank Sparse. -'Date - .eCSranerrr .. . White Cooy'-original Yeltow Copy-5le Pink Copy-customer . ..:- Mry(c vap`rgxeamti5a 4 , 1. Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constructi'dn Supervisor CS-072772 Expires: 04/07/2020 JEFF C STEELE 24 SHERWOOD,AVE ;;•+ r DANVERS MA 01923 Commissioner �fr �%'aarrurn�rritea/(�r{n��r:r:;rrc�rrtrll` Office of Consumer Affairs&Busitmess Regulation HOME IMPROVEMENT CONTRACTOR TYPE:.LLC. Registration-.-,.._.Expiration 166025'+ .(A/1 Mow WINDOW WORLD OF BOSTQN;LLC. JEFF C.STEELE 15A CUMMINGS PARK WOBURN,MA 01801 Undersecretary ` The Commonwealth of Massachusetts Department of Industrial Accidents 0 I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERM ING AUTHORITY. Applicant Information Please Print Legibly Name (Business/OrgwdzationMdividual): ( ,t �a,J I�f-ld� �Si' L` C f Address: 15',q K City/State/Zip: 4) n Qjfo I Phone#: -7$ 1 —q Z _ o 5— Are you an employer?Check the appropriate box: Type of project(required): 1.[3'1 am a employer with 50 _employees(full and/or part-time).* 7. New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 3Q lam a homeowner doing all work myself.[No workers'comp-insurance required.] 4 ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ]0 []Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.F310ther w 1 n[o 152,§1(4),and we have no employees.[No workers-comp.insurance required.] 1 Q 0 re,f/7+e1tfi5 '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. $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 subcontractors 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. rr Insurance Company Name: Tn S J RA C E G© - Policy#or Self-ins.Lic.#: Z Z W C_ C L; 3, Expiration Date: f— Z 7— 19 Job Site Address: Z 64,aa✓0 o cl t2 City/State/Zip: 9 Attach a copy of the workers' com ensation policy declaration page(showing the policy numb r and expire tion date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable 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$250.00 a day against the violator.A copy of this s tement may be forwarded to the Office of Investigations of the DIA for insurance coverage verifi lion. A in f do hereby cer . under a pain erjury that the information provided above is true and correct Signature: Date: Phone#: — .3 9 - 05 a use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: A v® CERTIFICATE OF LIABILITY INSURANCE DATE DDrYYYY) SM gal THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER.THIS CERTIFICATE DOES NOT AFFIRIIIUITWELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERACE AFFORDED BY THE POLICIES BELOW. THIS CER"FICATE OF INSURANCE DOES NOT COMSTITUM A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESIZENTAIME OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the Certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED,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 Ijetr of such eudorsement(SL PRODUCER cT CaM Witcher CIC,C[3R,CB)A Marsh&McLennan Ageficy LLC 3625 N.Elm St. PH_WiONE o •336-544-6850 No:212-607 6516 Greensboro NC274a5 as AIM: caru.IAAtdw@-Marshryuna.com INSURIM(S)AFFORDING COVERAGE M4IC$ INSURER A:Alimerica Financial Sendt 1 31534 INSUREV WNDo•2 uasuR 9:Hartford Fire irmiwance COm a 19682 Window World of Boston,LLCny 118 Shaver Sheet INSURER C:IMaSSacliuse8s BaY Insurance COMPaM 1 22306 North Wilkesboro NC 28659 ffsuR�RD: INSURER F: COVERAGES CERTIFICATE NW MER.101601S1T2 MVISION NUMBER. THIS IS TO CERTIFY THAT TKE POLICIES OF 1NSURANCEILISYEO'BELOW}LAVE BEEN ISSUED TO THE VISURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT Ok OTHER.D000MENT NATIi P.ESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAILJ,THE INSURANCE AFFORDED SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, GEXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAPAS. L•rR 7YPEOPiKSUItANc1_ AWL- 'PDLICYNU!ktg POLICYEPF MOW& F RS C X I cowERCAL GEDIERALI3AB(LnY I 01�202 7 4/V418 4na019EACHOCCURRENCE $1 MD806 CLA!!d&Gt9 aF a O,^CUR J PJREM S o�N�Tn!D PR RS_ ocRee)__ $59RCOD MED W(Any m paman) 55.000 PERSOPIALRhwouuly $'<A0%coo j GEMA.GGRGGATEUA7ITAPPLIES PER. I ; GENCRALAGGRC-GATE $2.000,000 PCUCY LOC i PRODUCTS-COMP:OPABG SZOMOW I OTHER: $ A AUTO B_MOBEUABILnY. AM8757615 i E!'ISY,1017 e:1fg1�1E 00.11MNED OWNED SCHEDULED NGLEUmrr $a X ANYAUTO 1 CEF u SOMY INJURY(Perperm) $ D � AUTOS ONLY i- AUTOS ! BOD iLY INJURY(Peraeddenl) $ HIRED AUTOS ONLY I NOPI-0WNED ROP-c RTY D PJAG� E — I AUTOS OD 1Ly 1111i (Pa ec C IF X r— ;E CE SUM8R SUA X LMO OCCJR ; 00879025L7 j 4PIt2017 4H2O18 FACHOCCURRENOE 52.a00.1+0J CLAIMS PAADE 1 ! AGGREGATE 5 00D-o0p S i I]EO RETENTIOM r $ 3 IlrOR1(RR$GOI9IPENSATION I 92bYcCld283'o ! 12 201$ U2712o18 PER i iOT*t 1 AND EMPLOYERS'1iAMM YIN' ANYPP,OPRIETOMPARTNER/a(ECUTfVI OFFICERIMEMEER EXC LUDW? FINIA ; ELFACIIAOCIDFNr S D00 (PRandtRVrginNH) I E.L.MS RAS S-F.A[�MP 1.01 E E $5%000 If yes,descn'ba under i DESCRIPTI0NOF0 EPATIO S4e1av ! < E.L.MEASE-POLICY L1W S5= 00 i I i I DI3ciiwuo.s oar oP.RATION$I LOCA'ROrIS I VEI#cuiS(ACORD 961,Add fi ior�I RegtarlS;Sdi9dvre mw"mrhed lrmere matt,is fe.4w CERTIFICATE HOLIDER CANCELLATION SHOULD ANY OF THE ABOVE-DESCRIBEO PO ICIES BE CANCp.LED$EF¢RE THE EXPIRATION DATE THEREOF, NOTICE:W€l,L BE 11MW D IN ACCORDANCE WITH THE POLICYPROWSIONS. At"HORR£D RE PRP.S ENTAT IUE { ©1988-2016 ACORD CORPORATION. All rights resenmd. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD Assessor's office (1st floor): , 7� � � ' -fin Cp� Y EMnA Mp�!� m'i���'�o SY���IMII IYIVST 8 CFTMEtO Assessor's map-and lot number ..P. . 11NS'TALLED IN COMPLIA Board of Health (3rd floor): • dNIYH YIY6E E ��s± o pp �s d Sewage Permit number ....A=110.. . .::... VIRO la�'QL d0®G STABLE, 9� NO • rasa engineering Department (3rd floor): - Yoh ao '6}9 0� House number .......12...............:•• • N REOUt YIOWS °�o war a. APPLICATIONS PROCESSED '8:30.'9:30 A.M. an -2:00 P.M. only' TOWN-. . .,OF BARNSTABLE BUILDING JNSPECTOR APPLICATION FOR PERMIT TO ......Cons-truct••addi•t1aa................................ TYPE OF CONSTRUCTION .....WDod..fxc1tT18..:................ .....................:............................................................... .....Pagust...6,.......................19._86.. y TO THE INSPECTOR OF BUILDINGS: The undersigned hereby-applies 'for a permit according to the following. information: Location ...KNX...12..Edgewo-ad: e.......Center.v.i.1.1.e,..MA_................Lots...1.83...20.................................................... Proposed Use ......Additia.nal...1•i.vinrg...spa.ce...:................................................................................................................ Zoning District ........................................................................Fire District, Centerville..-...Qstermi.11e.......................... X Joseph Cohen X 'X 28 Dick Drive Worcester,MA. 01609 Name of Owner .....J.aseph...Cohen.......................................Address ....1.2..Edg.ewoo.d...Road....CQ1lt,e1^Y.1.1.]e.>...Md....... Name of Builder .. . . .. .. .. '.. Address ...35..RT.E••134... 6....5....DenniS.,...MA..:...Q2bb.Q. J $Ltl 1d.i.ng..CO�............................ Nameof Architect ..................................................................Address .................................:.................................................. Number of Rooms .......th.ree................................................Foundation ...........P.Oured..cOACret.O.................................. Exterior ............Ced.a.r...sh.i.ngles...........................................Roofing ..........Asphalt........................................................... j Floors ............Vinyl...and...carpet.......................................Interior .........../z.....sheetrock.................... ........................... Heating 0.1.1...)G S.../..F.H.4d....................................................Plumbing ............a.ne..ba.throw............................................ Fireplace ...........Approximate Cost .....$33,.000 00 Definitive Plan Approved by Planning Board ----May---10y___195.&-19________ . Area ... .. .. ..................... Diagram of Lot and Building with Dimensions Fee .....� /. ......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I 2 50, N � , a8' en C G dQ,e was,( OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... . . ..� ........................... ........... Construction Supervisor's License .....##027.807................. COHEN, JOSEPH ,No Permit for ...ADDITION................................. ..................... 12 Location ..... Road (Lots #18, & 20)� ....................................... ....................Centvilie......... ............................. Owner .......4.9s p��..Cohen . ........................................... Type'of Construction Fr.dme................... ...... ...... '0 ............ ................... ...... ....................... .................. Plot .............. ............ L�t ........ .......... ... P4rmit Granted ........19 86 Date of Inspection .......................................19* Date Completed ............. 9 > Ic 04 L Assessor's office (1st floor): Cha OF THE t0 Assessor's map and lot number ... � !4r Bard of Health (3rd floor): �9 Sewage Permit number ....�..( ......11'...1..�... .:..... i Basa9TADLE, i ....,... 6gineering Department (3rd floor): 90o MAM t639- House number .......t ......................................... . .......... ' o war a�e� APPLICATIONS PROCESSED 8:30-9:30 A.M. andll-:062:00 P.M. only TOWN OF BARNSTABLE - BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......0 0nctrLart.c? .11 .1.!1.!i.....................................\. TYPE OF CONSTRUCTION .....W.00.(,Lfra.I?lw.......................................................................................................... 1 AI.I.O.u.St...6..........................19.86_. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...k. ...1.2..Fdc-ewo.o.d.. `�. .e.......�P!?ter.y.i...i.?.P.....M.P...................i...0ts...?.. .. ..20..................................................... Proposed Use ......Ad.di..t i 0n.a 1 1.i..v i.119...SPa.(.e.................. Zoning District .................................................................... Fire District Cent,erv... .,l¢......0.s.e..r./.iIle.......................... Joseph Cohen . )UX 26 Dick Drive Worcester,MA. 01609 Name of Owner ....]D.SeDh..Cohen.......................................Address ...12. Erid.e%lnnrl...unad.....r?ntprmil l e., ..Ma........ Name of Builder , Address .... ... ? .F... . Q...# .....5......Den..n,i.S.,...MIA.,.....0266.%. J.-T--....a jd.`.B.;••C �............................ �.... Name of Architect ....Address ` ................................................................. Number of Rooms .......t.hree................................................Foundation ...........i?n,.ure.(Lcc..c.rete.................................. Exlerior ............Ceti¢?r...Sh .n.g1.es..........................................Roofing ...........A.cnh.al..f:..l."......................................................... Floors ............. ..1Li.ny1...and...C.arp t........................................Interior ..........!1?.....shP,.et.rock................................................ Heating n.z.i...?( +x...�.....y. 9 n.,.....a..,.h..o.................................... ` . F i,t....................................................Plumbin ............!1..P h t r �m .............. Fireplace .................................Approximate Cost .....$,33.:.0.0 0.0 e Definitive Plan Approved by Planning Board ----May___?Q -__1g5E19-------- . Area ........................ 7 Diagram of Lot and Building with Dimensions Fee.........,....-...�........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ()i _ "Lq' M o ry OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ?..... �. .................................. ................. ........ .. r Construction Supervisor's License .....O.aK17................ i COHEN, JOSEPH A=248-142 29972 BUILD ADDITION No ................. Permit for .................................... Single Family Dwelling ............................................................................... Location 12 Edgewood Road (Lots #18 &20) Centerville ............................................................................... O Joseph Cohen Owner ..............................:................................... Type of Construction .Frame ............................................................................... Plot ............................ Lot ........................ Permit Granted ........Sep.tember 26, 19 86 Date of Inspection ....................................19 Date Completed ......................................19 5AA �2-Y o; l J�