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HomeMy WebLinkAbout0061 EMERSON WAY �.`� _ T .. ® ❑ p � w s 9 m ������� 2� EY� X '��� 4' � P � � � �� a ����� �� � , ,�, ����� �; �!x� .� 9"�{ ik{ ��. v� � LC �Via 1" Town of Bar nstable _ u i Iln IPost This Gerd So That if Visible From the Street Approved Plans Must be Retained on Job and this Card'Must be Kept °MAC $ Posted Until Final Inspection Has Been Made. hermit Fad" Where a Certificate of Occupancy is Required,such.Building shall Not be Occupied until a Final Inspection has been made Permit NO. B-20-1494 Applicant Name: gmazares@renewalsne.com Mazares' Approvals Date Issued: 06/18/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 12/18/2020 Foundation: Location: 61 EMERSON WAY,CENTERVILLE Map/Lot: 188-024 Zoning District: RD-1 Sheathing: Owner on Record: RODMAN,THOMAS E H TR Contractor Name:`".e: SOUTHERN NEW ENGLAND Framing: 1 WINDOWS LLC Address: 61 EMERSON WAY 2 CENTERVILLE, MA 02632 Contractor License`. 173245 Chimney: Description: Replacement of entry door and 8 windows {#+ Est. Project Cost: $ 18,439:00 I Insulation: Permit Fee: $94.04. Project Review Req: Fee Paid: $94.04 Final: Date:,� 6/18/2020 Plumbing/Gas Rough Plumbing: final Plumbin " g °Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents-for which this permit has been granted. � All construction,alterations.and changes of use of any building and structuresa 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 street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:! 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 �" IME r, Iq-S�v Application number......................................o . gpp* Date Issued.......ql.. ........................... BAILN BLZ 19 ,�t, I MAS& e 1639. SEP 26 2019 IA1 Building Inspectors Initials...D..................... T01A 0� 8ARNSTAK Map/Parcel................/.....8.1....... .......................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: -ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVESIWEATIqERIZATION PROPERTY INFORMATION Address of Project: NUMBER S-I'REET VILLAGE Owner's Name: 1,F (-.? I Phone Number -S n -7 7S- 1 2_- Email Address: is aqI3 tv me rem_Cell Phone Number Project cost 37— Check one Residential V1 Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: 5,e A--f —! '�---(Q,4 Date: TYPE OF WORK ❑ Siding FZWindows (no header change)# 7 ❑ InsulationiWeatherization L Doors (no header change)# I Commercial Doors require an inspector's review Roof(not applying more than I layer of shingles) Construction Debris will be going to F— CONTRACTOR'S INFORMATION Contractor's name Ak Home Improvement Contractors Registration if applicable)# 17 3 2-q5 (attach copy) Construction Supervisor's License# yq S-7 0:7 (attach copy) I Email of Contractor C7 tjee+9qS66/y'W; I- Cbrn Phone number qoj- 229 -�goo ALL PROPERTIES THAT HAVE STRUCTURE5,6VER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATIONNUMBER............................................................ *For Tents Onh Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No of yes please attach floor plan with exits marked) Dimensions of each Tent X X , X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location (s) of each tent if food is being served at your event please obtain a health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. I *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the'Town of Barnstable. Signature Date A-MPLICANT9S SIGNATURE Signature Date 9-2 All permit applications are subject to a building official's approval prior to issuance. Renewal Agreement Document and Payment Terms Andersen. dba:Renewal By Andersen of Southern New England Karen Rodman Legal Name:Southern New England Windows,LLC 61 Emerson Way A RI#36070, MA#1732.4.5,CT#0634555;Lead Firm #1237 Centerville,MA 02632 .00. NE UCEMENT 10 Reservoir Rd I Smithfield,RI 02917 - - - H:(508)775-1412 Phone:401-349-1384 I F&:401-633-6602 1 sales®renewalsne.rom Buyer(s) Name: Karen Rodman Contract Date: 09/12/19 Buyer(s)Street Address: 61 Emerson Way, Centerville MA 02632 . Primary Telephone Number: (508)775-'1412 Secondary Telephone Number: Primary Email: krodmanO913@me.com Secondsry Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor'),in accordance with the terms-and conditions described in this Agreement Document and Payment Terms;any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference{collectively,this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under.this Agreement. Total Job Amount: $16,937 By signing this Agreement;you acknowledge that the Balance Due;and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $5;646 Balance Due: $11,291 Estimated.Start:. Estimated Completion: Amount Financed: $p 6-8 weeks 6-8 Weeks Method of Payment: Credit Card We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later date. Rain and extreme weather are the most common causes for delay- Notes: 113 paid now, 1/3 paid at start, 1/3 paid completion. Tax Barnstable Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s) and.Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement, understands the terms of this Agreement,and has received a completed,signed,and dated.copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT_ OF 09/16/2019 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT Legal Name:Southern New England Windows,LLC' dba:Renewal f Southern New England . Buyer(s) K, L Signature of Sales Person Signature Signature Kevin Desmarais Karen Rodman Print Name of Sales Person Print Name Print Name UPDATED: 09/12/19 Page 2 / 13 Office of Consumer ,affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card Registration: 173245 SOUTHERN NEW ENGLAND WINDOWS, LLC 10 RESERVOIR ROAD Expiration: 09/18/2020 SMITHFIELD, RI 02917 - scn i 0 zoM-osin Update Address and Return Card. Office of Consumer Affairs S Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Suoolement Card before the expiration date. If found return to: Reaistiallon. Expiration Office of Consumer Affairs and Business Regulation 09/18/2020 1000 Washington Street-Suite 710 SOUTHERN NEW.ENGLANQ WINDOWS,LLC Boston,MA 0211 BRIAN DENNISON: 10 RESERVOIR ROAD U SMITHFIELD,RI 02917 Undersecretary tiv� out signature Y , C.Oommonvvea#th of Massachusetts Division of Professional.Licensure Board of Building Regulations and Standards Censtroctfbin' Supervisor CS-095707 p ; IUA -p i res: 09/08/202.0 sr SRIAN ® DENNISOIV r� S BLACKWELEt DRIVE CHARLTON MA -01307 Comwdssioner The Commonwealdt of Massachusetts Department of Industrial Accidents I Congress Stree4 Suite 100 Boston,MA 02114-3017 . twww massgo►►/dia Workers'Compensation Insurance Affidsvit:Builders/Contractors/Electriciads/Ptumbers. TO BE FILED WITH THE PER UT1'4YG AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organintion/Individual): �tj6`f'h e f y� �e �j�Q�t O/ r� f 15 Address: U er UDi r 1Ze j City/State/Zip:S�tfl►-�i el�t�! OZg l7 Phone#: 40/—2.Z r— ? e0() Are you as employer'Check the appropriate box: Type of project(required): 1. 1 am a employer with �' mmpoyees(full and/or part-time).* 7. New construction 2 am a sole proprietor or partnership and have no employees working for me in 8:any capacity[No workers'comp.insurance required Remodeling 3.0I am a homeowner doingall worts m selE 9. ❑Demolition y (No workers'comp.insurance required]r 4.[3[am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 D Building addition ensure that all contractors either have workers'compensation insurance or are sole I L[3 Electrical ct:pairs or additions proprietors with no employees. 12.0Plumbing repairs or additions i.Q I am a general contractor and I have hired the subcontractors listed on the attached sheet. These sub-cattractots have employees and have workers*comp.insurance.t 13.[]Roof repairs 6.[:3 we ace a corporation and its officers have exercised their ri&of exemption per MGL c. 14.EOther �,� 152,¢1(4),and we have no employees.(No workers'comp_insurance required] 11 �C'P.n�it� *Any applicant that checks box#t 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 sbeet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have emplayees,ft must provide their workers'comp.policy. atunber. I am an employer that is pralMng workers'compensaden insurance for my employees Below h the policy and job site Information. Insurance Company Name: r ame— OF WR . a , Policy#or Self-ins.Lic. �7 ]a ?8?7 Expiration Date: Job Site Address: ( ,e. City/State/Zip: �' A Attach a copy of the workers'compensation policy decla ation page(showing the policy number and expirat oa date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,S00.00 and/or one-year imprisonment,as well as civil penalties in the farm of a STOP WORK ORDER and a fine of up to$2S0.00 a day against the violator".A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby ce under the p pendda of pegary that the infarusWon provided above is true and correct i Da r? r Pone 9 /) rC600a,11, eial use only. Do not write in dds area,to be completed by city or town opWal or Town: _ Permit/License# Issuing Authority(circle one): oard of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing inspector her act Person: Phone#: i DATE(MM/DD/YYYY) �`�� CERTIFICA►T'E CF LIABILITY INSURANCE 1 Z/26/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT - CoBiz Insurance, Inc.-CO NAME` PHONE 1401 Lawrence St., Ste. 1200 t•303-988-0446 A/c No):303-988-0804 Denver CO 80202 ADDRESS: COMaiI cobizinsurance.com INSURE S AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance Company 31325 INSURED ESLERCO-01 INSURER B:Firemens Insurance Company of WA,D.C. 21784 Southern New England Windows, LLC. INSURER c:Homeland Insurance Com an of New York dba Renewal by Andersen of Southern New England 34452 10 Reservior Rd INSURER 0: Smithfield RI 02917 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:787175890 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. WSSR TYPE OF INSURANCE ADDL SU R . POLICY EFF POLICY EXP LTR POLICY NUMBER IMMIDOIYYYYI (MMIDDNYYYILIMITS A X COMMERCIAL GENERAL LIABILITY CPA3158728 1/1/2019 11112020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE a OCCUR _5AWGF TO RENTED, PREMISES a occurrence $300,000 MED EXP(Any one person) $10.wo PERSONAL&ADV INJURY $1.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY❑JEC LOC PRODUCTS-COMP/OP AGG $2.000.000 OTHER: $ A AUTOMOBILE LIABILITY CPA3158728 1/1/2019 1/1/2020 COMBINED SINGLE LIMIT a accident $1 000 0 0 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED ALTOS X NON-OWNED AUTOS $ PROPERTY DAMAGE AUTOS (Par accident $ A X UMBRELLA LIAB X OCCUR CPA3155728 1/1/2019 1/112020 EACH OCCURRENCE $15,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $15,000.000 DED I X I RETENTION S $ B WORKERS COMPENSATION WCA315872924 1/1/2019 1/1/2020 X AND EMPLOYERS'LIABILITY Y/N ST TOTE ER OFFICER/MEMBANY ER�EXCLLUDED?ECUITVE N I A E.L.EACH ACCIDENT $1,000,000 (Mandatory in NH) If e de under E.L.DISEASE-EA EMPLOYE $1.D00,000 s, scribe DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,ow,000 C Pollullon Liability 7930073340000 1/1/2019 1/1/2020 Each Occurrence $2,000,000 Claims-Made Policy Aggregate $2,000,000 Retroactive Date O62012013 Deductible $25,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) i 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. FOR INFORMATIONAL PURPOSES ONLY AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 2014/01 ( ) The ACORD name and logo are registered marks of ACORD j TOWN OF BARNST,ABLE BUILDING PERMIT APPLICATION Map Parcel Permit# 0,00 1,01IQ 6' �`�" Health Division 'C���^g `fl1g��- Date Issued XConservation Division /1 t-9a �e O SEPTIC:SYSY'EM MUST 9FApplication Fee '�eo. INSTALLED IN COMPLIANCE Tax Collector VMWTITLE 5 Permit Fee 3� Treasurer ENVIRONMENTAL CODE AND _ TOWN REGULATIONS Planning Dept. r Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address F—mEy6oA1 A y Y Village e�/UTf'R ✓/L1-A5 Owner MA. f) i'j'A6 . T-F1) R D,8 MA.AJ Address -44r?7 _ Telephone 5 0�— `7 7 I J Z lay /0 Permit Request - _ 42 -s4 � 6AVW1A)bQLQ--�4MC- QPEA)Z1J6.' &A ° a �o-grp��) Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District /- Flood Plain Groundwater Overlay Project Valuation �(' 000• Construction Type Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family(#units) Age of Existing Structure Histori61-Iouse: ❑Yes ❑No . On Old King's Highway: ❑Yes 0 No Basement Type: U(Full ❑Crawl ❑Walkout ❑Other 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 Count Heat Type and Fuel: ❑Gas 0 Oil O Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes O-No Detached garage:0 existing 0 new size Pool: 0 existing ❑new size Barn:0 existing ❑new size_ Attached garage:0 existing ❑new size Shed:0 existing ❑new size Other: "' Zoning Board of Appeals Authorization ❑ Appeal# Recorded 0 n, = Commercial ❑Yes 0 No If yes,site plan review# �•w r Current Use Proposed Use BUILDER INFORMATION Name 111� I�{ /hMA-4/m i0d. Telephone Number L12 Address `a y5 NEw Yy pi R OA4' License# Y C3 n E-70ZZ2 007'V % A,19 O zG3 S Home Improvement Contractor# -Y Worker's Compensation#*PPA3 f 0,55 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO $1,Wabb1JW J)/SPdSAL *A/64 SIGNATUREf ( DATE IL FOR OFFICIAL USE ONLY ' PERMIT NO. ' + DATE ISSUED MAP/PARCEL NO. • h 7 zs ADDRESS VILLAGE OWNER - li DATE OF INSPECTION: 5 FOUNDATION �0 1 SID rplle`0�. t' fr1 ta ` FRAME ,L r � . c) INSULATION r' i FIREPLACE ELECTRICAL:n-E);R© GHj FINAL 1 M S PLUMBING: X, TROUGH FINAL m GAS: ROUGH FINAL ti . FINAL BUILDING U • a DATE CLOSED OUT z ASSOCIATION PLAN NO. ` r � .i;I ,i,1a('� - },+,, �..•i.i j:1s.��7•�t; a�3���rt,�,c;��3c�13� ;t13��.r�•��'.�� ►� ��.�.�r �;1.r���t)�•� Repi:;1»iion: 1007.40 :. .. : . ,• �iy+.�r:: }.,rivaii Corhoraiion Expiralion: 612312ODG CAPIZZI HOME IMPROVEMENT, INC. Thomas Capizzi,jr. _--___—.- 1645 Nevv.on Rd_ Coiuii, IAA 02635 Updsiie Address and reinrn card.-'lark mason for chant Ej -Address El P-ent"m'a3 D Employment Losl C ��+�' Z�i�immwr. f�,/f�aeaocJeueeG7.� Board of Building RcduWions and Standards '" �• �� Drensearre-gisiraiion valid for individul use only HOME IMPROVEMENT CONTRACTOR before flmexpirnfion dais. If found return to: Pe-gisiraiion- Board 05nilding Re uiaiions and Standards 1007A0 � U " "u> Expirziion: fi12312D06 OneAshkirion P13ceRxn 1301 Type: Private Corporaiion Bosion,MP-02108 CAPIM MD10E IMPROVEMENT,I •`i' Omas Capri,jr. 1645 NeMon Rd. Caiuii,iiAA 02635 r s Administrator l+�oi s�alid mwii �- :rFC6- _.cam BOARD OF BUILDING.REGCILATIONS License: •CONSTRUCTION S - _ Numbet.,,-.CS, 057032 Mrthdate 339126L1�963 Ex Tres 0 /26/2007 A ° THOMAS X CAPIZiR `y�.. I r 1645 NEWTOWN.RIJ, COTUIT, 'MA 02635 nllssio4er' .' i °Flw,ti Town of Barnstable ' Regulatory Services + BAMSUBLE, • MASS. g Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT .. HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence.or building be done by registered contractors,with certain exceptions,.along with other - requirements. Type of Work: 160 ( d 6)11J �6T- Estimated Cost 06 0' Address of Work: �MUS ft) L Owner's Name: I '`f T4& kd Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law OJob Under$1,000 Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: l OCo TV Date Co actor NbLe Registration No. OR Date Owner's Name i Q*nris:bomeaffidav CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6 STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT OWN THE PROPERTY LOCATED AT ��YLQ SGl Gl t; r l n IN MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER. OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 NEWTOWN RD.; COTUTT, MA 02639 APPLICANT'S TELEPHONE: 508J428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: ACCEPTED BY A T E THIS PAGE IS PLART OF AND IN CONFORMANCE WITH PROPOSAL # WWY Imov S -- - - - - - _ PT - Gf� - y � PT -65 TA 7- 6C4LF /y. J „ o c (7-Y, ) Aok5c-4 R OOIF ©✓U ,>EGe Fk gmjN1v ALAN - - Z- 2-Yk" A/,b _ A,A,.b 4,e 5 _ ZI V A b BTU.bS:(90 %4," 0, F q } Y N� I I _ FAQ ��,E✓ Tiotil _ g �� 3!5-6G -. CICAVl"exjJ/uE, m19. i a,?s65 e 4mn9 P1,6,j6ce5 - - la�ScvU�9rUljF FDDr�N�S r y�11ECd G� C-��AJ�E EMIR SpN 45 �00p AY 596, ` 20.52' J EX �X15T1A)4 �! DWELLING Roof, (j✓�� NN 1D REMOVE AND (0 REPLACE EX:DECK (6 MAP 188, PARCEL 24 #61 EMERSON WAY BARNSTABLE, MA 14.93 � .93, NO WETLAND INVENTORY WAS .J2 4S' MADE IN CONJUNCTION WITH THIS PLAN. NO SEPTIC SYSTEM AS-BUILT IS ON FILE AT THE TOWN HEALTH DEPARTMENT CERTIFIED PL 0 T PLAN RODMAN RESIDENCE I CERTIFY THAT THE IMPROVEMENTS SHOWN OF #61 EMERSON WAY HAVE BEEN LOCATED WITH AN INSTRUMENTM�Ssgc BARNSTABLE, MA SURVEY. Roes yes DATE: JAN. 6, 2006 DRAWN: RBS SYKES �, SCALE:1"=30' JOB , :. E00771 No. 35418 y I DWG. CPP EASTBOUND LAND SURVEYING, INC. s% P.O. BOX 442 ROBB SYKE'S, PAS. DATE FORESTDALE, MA 02644 508-477-4511 Town..of.Barnsl able *Permits �.5' p` Expires 6 months om,is date!. ' .- Regulatory Services Fee.. "'.6'M Thomas F.Geiler,Director �i°rFD MA']p Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038T X-PRESS PERM.. Fax: 508-790-6230 - EXPRESS PERMIT APPLICATION - RESIDENTIAL ONL F 2 7 2003 Not Valid without Red X-Press Imprint gyp' Map/parcel Number Q 0 TOWN OF BARNSTABLE Property Address 0 ( 1P%tey'1 �y.,r,0 If M/� ❑Residential Value of Work Owner's.Name&Address 6M'I-eylae, Qc e&,r .dif Contractor's Name /� 1 t�I(�vh;�t>�^ Telephone.Number 4 4ir 14;2 q q dome Improvement Contractor License#(if applicable) 3 71 t: )onstruction Supervisor's.License.#(if applicable) ❑Workman's.Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [ . I have Worker's.Compensation 'Insurance. � Insurance Company Name G �n f v✓H,t'� Workman's.Comp.Policy#��� q I Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will betaken to ❑Re-roof(not stripping. Going over existing layers of roof) F ❑ Re-side , Replacement Vjl�s. U-Value (maximum.44) *Where required: Issu of this p d not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: perty must sign Property Owner Letter of Permission. om ve Contractors License is required. Signature 49 Q:Forms:expmtrg r Revised121901 Board of Building Regulazns and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 135174 Type: DBA Expiration: 3/11/04 • y ALL CAPE ALUMINUM SCOTT PRESTON 192 IYANOUGH RD. HYANNIS, MA 02601 Update Address and return card.Mark reason for change. R LiAddress F-1 Renewal iJ Employment Lost Card • � N � ��ce i°oon�7uynvieall�i a�✓�aasac�ivaeQa Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 135174 Board of Building Regulations and Standards 49t One Ashburton Place Rm 1301 Expiration:. 3/11/04 Boston,Ma.02108 Type: DBA ALL CAPE ALUMINUM SCOTT PRESTON a 192 IYANOUGH RD. _ �o HYANNIS.MA 02601 �. Administrator r, Not valid without signature r - x e TM ti Esti m a. F� A kQ06 Aluminum $}F <- a pate " Estimate# < 'i., r Kw7t r , T 1192 Iyannough 1 ' r.a -07/2412003 r Hyannis;�VL�A 0260 � a � 508-775-4299 Name/Address ,J7`/ TED &KAREN ROD PO BOX 200 {' CI TERVILLE MA 0263 s ,A ` _ - � .. .. � .. .• Project Terms P.O.No. Te . ' DOORS. r Rate . ,Total , Qty ' Description 1 385.00 = 1 r ,x385 OOT u, IviARY DOOR STEEL PRI PERMA BRAND FOR FRONT OF HOUSE,INCLUDES LOCK: "` 220,00 f r 220.00T T AND DEAD BOLT —NU1 SE STORM DOOR CCOASTAL WHITE HI LITE .�5 �385.00• a 385:OOT } �, 1 , FOR FRONT y DOOR FOR BRAND STEEL PRIMAR - , PRIMA GARAGE INCLUDES LOCK SET AND DEAD 285.00 285''.00T BOLT �. is . ` k COASTAL WHITE HILITE STIRM DOOR W� a,'X s=s85.00k- 85.00 ¢ a�{ SPECLAL TEMPERED GLASS lJ� �� 3 00.00 Permits&Dump Fees S' \ ' �6 �... Labor i o su btotal $2,260.00 Sales'Tax (5 0 0), ram: f $63.75 Total i $2,323.75 jf TU bind I A 50% deposit is re gwred to this estimate. signature r This estimate is valid for 30 days Y