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0079 GREEN DUNES DRIVE
>. v , , _ ._ , .: ,. � . .. ( *� V i n � S Y� � �:+ � a n 0 f. JI - � � .. d Town of Barnstable m FAA 5" T^ *». 2aw' r s,tr ""rM p w?" " ` R 2e •,• bxy a, "ek..a. ,..^ -': 'y ,^=' - �` ', 04, t t".". 4°� '"IB %:s Building r+acrsreeuc Post This.Card So That�t 1slVisible From,the:Street Approved PlansJ st berReta ned on Job andthis"Card Must be Kept - PostedUntl�F,mallnspection„HasBeenMade:"• l639�- � � g..Hmc�;�._ � vr,:s.r a ;fir..;- �.,„ uc ,. ,{m. �^•.�' .arm �:a .., .. � 'e ucc' . Where a Certificate'of.Occupancyiis Rea'uired-such Building'shallF.Not be Occupied until a Final Inspection has been made , v Permit �. _. ,. Permit No. B-18-1533 Applicant Name:. DENARDO HOME IMPROV. OF CAPE COD, INC. Approvals Date Issued: 05/17/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/17/2018 Foundation Location: 79 GREEN DUNES DRIVE,CENTERVILLE Map/Lot: 246-200 Zoning District: RD-1 Sheathing: Owner on Record: GOGGINS DENISE M Contractor NamePENARDO HOME IMPROV.OF Framing: 1 nxd CAPE COD, INC. Address: 20 BRIDGE ROAD 2 FLORENCE, MA 01062 y' ` ` ^Contrartor=License �143379 Chimney: Est Project Cost: $56,100.00 Description: SIDING - 4 Permit Fe: $286.11 Insulation: Project Review Req: ." . Fee Paid': $286.11 Final Date 5/17/2018 Plumbing/Gas ' R j ough Plumbing: Final Plumbing: x Building Official 1 , Rough Gas This permit shall be deemed abandoned and invalid unless the work authored by tFiis permit is commenced within six months after issuance. Final Gas: a. x All work authorized by this permit shall conform to the approved ntl application a the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street orroad and shall be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. } �, 4 Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire-0 icials arelprovitletl:on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: , . - 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Application number...,� �� .� .-...f.. ....�. ..*' Date Issued........ .. ...... ........ Building Inspectors Initials... . .... .. ..................... ............. ..... ... ........ ` �� Map/Parcel......42x.6.... ................ TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOW S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project:may' 6r-,e,n ✓la..gG`, �� c ��v�� NUMBER STREET VILLAGE Owner's Name: ,rY-c`e i-ly Iva Phone Number _1/1' ` .S'-.3 Email Address: Cell Phone Number 0-3 1-G-22-4 Project cost$ lU Check one Residential l/ 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:SP 7� Date: TYPE OF WORK Siding ❑ Windows (no header change)# ❑ Insulation/Weatherization ❑ Doors (no header change)# . Commercial Doors require an inspector's review ❑ Roof(not applying more than 1 layer of shin les) 1P�//Construction Debris will be going to &.!.' � CONTRACTOR'S INFORMATION Contractor's nam Home Improvement Contractors Registration(if applicable) (attach copy) Construction Supervisor's License# G? 2 7 6 (attach copy) Email of Contracto J &jL4 CC Q '` Phone number377,9 ?�G ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN. A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ c *For Tents Only* Date Tent'(s)will be erected Removed on number of tents total Does the tent have sides?Yes No, (If yes please attach floor plan with exits marked) t 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 *WOOD/COAL/PELLET STOVES Ma nufacturer# 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 14V�P4w,s SIGNATURE. Signature Date �L All permit applications are subject to a building official's approval prior to issuance. r y - - --- ------- -... The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington-Street Boston,MA 02111 wnw mass.gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organimtion/lndividual): A� Address:' City/State/Zip.&L, rs Phone#: ZF 2 3. Are.you employer?Check the app opriate box: Type of project(required): L* am.a employer with _ 4. [] I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees 'These sub-contractors have . g, ❑]demolition workingfor mein an capacity. employees and have workers' Y aP t3'• x 9. ❑Building addition [No workers'pomp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.El am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs p insuranCe required:]t c.152,§1(4),and we have no 13. Otherl�i employees..[No workers 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 hive outside eonhaators most submit anew 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 employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is thepolicy and job site information. Insurance Company Name: e ✓1 S •� Policy#or Self-ins.Lic.#: ACC �)CI�(�� 9" 5_�40 7if Expiration Date: > �J�S I(/C� City/State/Zip: �� c rIl=c Job Site Address:?� (2�� Attach a copy of the workers'compensation policy declaration page(showing the policy number (nd expiration date). Failure to secure coverage as required under Section 25A of MGL G. 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 the pV��of perjury that the information provided above is true and correct Si e: Date: �� l Phone#: Offrcial 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#: . r Information and .Instructions Massachusetts General Laws chapter 152.requires all employers to provide workers'compensation for their.employees. Pursuant to this statute,an employee is defined as"...every person iri the service of another under a�contract of hire, express or implied, oral or written." An employer is defined is"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or epair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate_a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage'requu'ed." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of ties chapter have been presented to the contracting authority.". Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes.that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation mIrance, If an LLC or UP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insuranCe license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space h the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding th e applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the.affidavit that has been officially stamped or marked by the city or town may be provided,to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog lioense,or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The CommonwWth ofM ssachusetts IDepamnent of Iudustriat Accidents face of luvestigatlow 600 Washington Street BG MA-02111 . Ted.#617-727-4460 ext 4-06 0r 147,7-MASSkFE, Fax#61' 727-774g Revised 4-24-07 www'Mass.gov/dia , f °A�'M"111D0"""'' CERTIFICATE OF LIABILITY INSURANCE 0710112017 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ELOW. 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 POUCy(les) must be endorsed. If SUBROGATION 18 WAIVED, subject to the terms and conditions of the policy,certain policies may require an endomemenL A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NTACT Larry cowan Cowan Insurance Agency,Inc. PHONE .978 372.1451 FAX 978 $21- 359 Maln Street cowaninsurance.com Haverhill MA 01830 INBURERIBI AFFORDINGICOVERAGE Nalco INSURER A:Associated Employers Insurance Company INSURED INSURER B,• Saft Insurance Company DeNardo Home Improvement of Cape Cod Inc. INSURER C: 17 Wllann Road Mashpee MA 02649 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, RLTR/SR TYPE OF INSURANCE AD UB M&TEF POLICY UP____POLICY NUMBER M LIMITS X COMMERCIAL GENERAL LIABILITY EACH CCU 1000 O00 B CLAIMS4MOE a OCCUR DAMAGE TO REHTEO SOL- 1OO OOD BMA0025805 0911012017 09/1012018 MEo ons 5 000 PERSONAL&ADV INJURY 1000 000 GE N L AGGRE TE LIMIT APPLIES PER: RAL 2 X POLICY JJERe LOC PR ACTS-COMPtoP Aaa AARON $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per pawn) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per aeddent) $ HIRED AUTOS NON-OWNEDPROPERTY DAMAGE S AUMS S UMBRELLA LIAR OCCUR CH OCCURRME EXCESS LIAR CLAiMSAAADE AGGREGATE WORKERS COMPENSATION X TH- AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNERIEXECUTNE EL EACH CCIDE 1 000 A OFFICERANEMSER EXCLUDED? YD N/A WCC50050159652017A 0610112017 06101/2018 E.L.DISEASE-EA PL 100 000 (Mandatory In NN) y RCOMM a dsaalbe 18tdK OPERATIONS bO, EL SEASE-P ICY MI 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD IOI,AddldoW Remark&Seho"e,may be aCaehad tf more apes*k rsquImd) Realdendal camoby. Marc DeNaMo le not covered by the wDrkets com ensadon pollcy, CERTIFICATE HOLDER CANCELLATION -- -. SHOULD ANY OFTHE ABOVE DESCRIBEOPOLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN — ACCORDANCE WITH THE POLICY PROVISIONS. AMORIZED ATNE 01888-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are fog >g imarke of ACORD Commonwealth of Massachusetts q�( Division of Professional Licensure '--� Board of Building Regulations and Standards Const\4L ��n S�Spervisor P �� ires 02/12/2020 CS-072276 _ MARC A DENARDO' i 17 yVILANN Rdi a0 MASHPEE MA 026 Commissioner C4 Construction Supervisor : Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to Possess a current edition of the Massachusetts State Building Code is cause for revocation of this license.For information about this license Call(617)727-3200 or visit www.mass.gov/dpi or registration valid for individual use only before the expiratiowdate. If found return to: - - Office of Consumer Affairs and Business Regulation 10`Park Plaza-`Suite 5170 p� �e WP.7zaruoeai�� areCtf-\ Office of Consumer Affairs&Business Regulation Boston,MA 02116 OME IMPROVEMENT CONTRACTOR b, ,Registration: , 379 Type: Expirations: ( Private Corporation HOME I a DENARDO MPF3Q1: 0 E COD, INC. { Not valid without si nature g =� MARC DENARDO ; i 17 WILARD. _ NN �:. MASHPEE,MA 02649 — Undersecretary 7-1 r• Liability Insurance DeNardo Harvey Workman's Compensation Home Windows 4 Year Labor Guarantee Improvement Mastic MA HIC Reg#143379 Of Cape Cod,Inc. Building Products MA Cont.Lic#072276 (508) 477-5574 vinyl siding 17 Wilann Road,Mashpee,MA 02649 Aluminum Trim Established 1984 www.DeNardoHome.com Proposal Submitted To Phone Date Patrick&Denise Goggins 413-531-6226/Cell 413-531-1659 5/2/18 Street Other Phone 79 King Street patrickgoggins@gogginsrealestaie.com Work-413-586-7000 X 102 City,State,Zip Code job Location Northampton,MA 01060-3223 79 Green Dunes Drive,W.Hyannisport We hereby propose to furnish materials and perform the labor necessary for the completion of the following... 1. Remove wood siding and underlayment paper;leave paper around openings and corner boards. 2. install Typar housewrap to ail wails.install Mastic T-5 Cedar Discovery Harbor Grey vinyl shingles to all exterior walls using the following:aluminum and stainless steel nails,aluminum starter strip,3 new gable vents,and J channel to finish edges as needed. 3. Remove rotted trim board sections in 2'pieces and replace with new preprimed pine on rake boards and fascia boards. 4. Install Harvey white vinyl beadboard to all soffit boards,sections under front casement windows,and around front entryway. S. Remove existing casings from all double hung windows and all door casings.Remove all frieze boards and corner boards.Install Wolf "5 4 white composite boards with built in receiver to all double hung / P g window casings,all door casings,and all corner boards.Install 3/4"Wolf composite boards to all frieze boards,and 2"x 2"Wolf composite sills to windows. 6. Garage door header to be heightened and to receive a 5 projection,using Wolf white composite. 7. Install Mastic white aluminum trim sheet to the following: all fascia boards,rake boards,and trim around front casement windows.Guttering and all home accessories to be removed and reinstalled to do our work. 8. Remove existing shower enclosure from rear deck.Reuse existing 4"x 4"post.Install white vinyl and composite sections creating a shower enclosure with a hinged door using stainless steel fasteners. 9. Install 2 white vinyl Harvey Classic replacement windows to garage;to be energy star rated Oriel style with full screens and grids between the glass. 10. Clean up and discard all debris. No work to front brick. NOTE: Price includes changing visible rot only.Changing rotted plywood and framing will result in additional cost of material and$80 per hour for labor. All material is guaranteed to be as specified,and the work is to be completed in a substantial workmanlike manner for the sum of: If all of above is accepted:Fifty six thousand one hundred Dollars ($ 56,100.00) with payments to be made as follows ...$500 deposit,$18,200 on 5/17,$18,700 half completion,$18,700 at completion Any alteration or deviation from above specifications involving extra costs will be executed only upon written order,and will RespeWNre- meted become an extra charge over and above the estimate. This oposal may be wi drawn by Owner to carry fire,tornado,and other necessary insurance. us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices,specifications,and conditions are satisfactory and are hereby accepted.DeNardo Home Improvement is authorized to do the work as specified above.I,(We),agree to make payment as outlined above.Owner consents to allow photographs of the property,name,address,and telephone numbers to be used by contractor for the purposes of marketing and advertising on the internetand/or in publications.All legal fees incurr or made necessary,by the collection of the dollar amo t is above,shall be the responsibility of the perso s) amed above signed below. Date Signature Signature_ ' Town of Barnstable *Permit# - -?- . q? � Expires 6 nrou2hsfr6nrissne date } Regulatory Services Fee snarrsraBIXNAM • 9$ 1659- Richard V.Scali,Director Building Division MAY Q 3 2011 Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 W N O� BA R N S B/i/�®B L E www.town.barnstable.ma.us 1/ �7 Office: 508-8624038 Fax:508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY / Not Valid tvithaut Red X-Press Imprint Map/parcel Number rP 200 Property Address :7 9 <�fP v n �un C t (' W. f-I Yai✓l✓1 i 4, irResidential Value of Work$ 71(o Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Denise G,Pd rs Gp a�i✓1 S 7 °I 6irc.'I 7-'),nPs -'o , les 44anil i �?vr�" �/k (9 2-G -1 I- Contractor's Name n ArE ndvuj fa/1 1 4t;5p/( Telephone Number(qo 1 (D Home Improvement Contractor License#(if applicable) 1 7 3 Z 14 S Email: Construction Supervisor's License#(if applicable) S 7 0 7 MWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ m the Homeowner I have Worker's Compensation Insurance Insurance Company Name (Ivq Workman's Comp.Policy# WZ 6 5136209 1 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) Pe-side Replacement Windows/doors/sliders.U-Value U (maximum.32)#of windows �C #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property caner must sign Property Owner Letter of Permission. A copy the Home Improvement Contractors License&Construction Supervisors License is require � o SIGNATURE: C:\Users\Decollik\AppData\LocalWlicrosoft\Windows\Temporary Internet Files\ContenL0utlook\2P101 DHR\EXPRESS.doc Revised 040215 Renewal Agreement Document and Payment Terms byAndersen. dba:Renewal By Andersen of Southern New England Denise Goggins W, Legal Name:Southern New England Windows,LLC 79 Green Dunes Dr RI #36079, MA#173245,CT#0634555, Lead Firm #1237 West Hyannisport,MA 02672 WINDOW NE LACEMExr 26 Albion Rd I Lincoln,RI 02865 C:(413)531-6226 Phone:866-563-2235 1 Fax:401-633-6602 1 sales®renewalsne.com Buyer(s)Name: Denise Goggins Contract Date: 04/18/17 Buyer(s) Street Address: 79 Green Dunes Dr,West Hyannisport, MA 02672 Primary Telephone Number: Secondary Telephone Number: (413)531-6226 Primary Email: pmgoggins@aol.com Secondary Email: dmgoggins@comcast.net 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: $16,716 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: $0 Balance Due: $16,716 Estimated Start: Estimated Completion: Amount Financed: 8- 10 Weeks 8- 10 Weeks $0 Method of Payment: Financing 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: Financing TBD.Taxes paid in Barnstaable 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 04/21/2017 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:ReneyV By An n of Southern New England Buyer(s) 1(411 J -0--f _Ay" - Signature of Sales Person Signature Signature Eric Tavares Denise Goggins Print Name of Sales Person Print Name Print Name UPDATED: 04/18/17 Page.2 / 11 Massachusetts Department of Public Safety pillBoard of Building Regulations and Standards License: CS-095707 Construction Supervisor BRIAN D DENNISON 1,1 7 LAMBS POND CIRCLV 6 '1 CHARLTON MA 01507 Expiration; Commissioner 09/08/2018 LJ 2e ayiwea,N Cv �(CGiiCrG1?LGJPr�rtil Office of Consumer Affairs And Business Regulation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration =: Registration: 173245 - ";,•. ,'�1 '_ Type: Supplement Card SOUTHERN:NEW ENGLAND WINDOWS1L5;ti =b,r Expiration: shs/2o16 BRIAN DENNISON 26 ALBION RD LINCOLN,RI 02865 Update Address and return card Marl:reason.for change, SCA T A 20M-05111 [7 Address Renewal �F Employment 'EJ Lost Card Mee of Consumer Affairs B Business on Registration valid:for individual use only before the OME.IMPROVEMENT.CONTRACTOR -expiration date-If found return to: Office of Ca s++mar Affairs and Business Regulation Regtstratlo -•1n. S Type: 10.Park Phm Suite 5170 Expira0on: 9/79/2016{ Supplement Card Boston.MA 02116 SOUTHERN NEW ENGLANDWINDOWS-LLC. RENEWAL BY ANDEASON -= �BRIAN'DENNISON 'j�-.-•—}r_` 26 ALBION RD _ .LINCOLN,RI.02865 �-Undetsecrit�ary— Not valid without signature h' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,AM 02111 WVw.mass.gov/dda Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians l umber bs Plea Applicant Information Name (Business/organization/Individual): ,r✓� �� Address: Dq City/State/Zip: �C / F2.0 re you an employer?Check the appropriate box: ]he Type of project(required): 4. [� 1 am a general ctor�and 1 6. New construction V1 I am a employer with '. have hired the sntractors AI employees(full and/or part-time).* 7. Remodeling listed on the att sheet. ❑ I am a sole proprietor or partner- These sub-contrs have 8. ❑Demolition ship and have no employees employees and orkers' 9. Q Building addition working forme in any capacity. comp.insuranc [No workers'comp.insurance 5 We are a corpo and its 10.❑Electrical repairs or additions required.] officers have eed their 11.❑Plumbing repairs or additions 3.❑ I ant a homeowner doing all work right of exemper MGL 12,�Roof repairs myself. [No workers' comp. c. 152;§1(4),a have noinsurance required.]t 13.E3'Otheremployees.[Nkers'comp.insuranuired.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. cO tractors must submit a new adavit ndicating x must amttached an additiothis affidavt indicating they nal sheeg showing he name of the u' doin all work and then hire outsde n $Contractors that check f b-contractors ors and state whether or not those tentities havech. t Homeowners who submit this bo employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. mployees. Below is the policy and job site 1 am an employer that is providing workers'compensation insurance for my e information./- elly�• /4/5 Insurance Company Name: 7 � 3 j ,3 o g / Expiration Date: Policy#or Self-ins.Lic.#: I � Gfce I v� S _City/State/Zip: Job Site Address: 7 d expiration date). Attach a copy of the workers' ompensation policy declaration page.(showing the policy number an imposition of criminal penalties of a Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imp fine up to$1,500.00 and/or one-year imprisonment,as well a vil penalties thtsist8tem statement may be forwarded ttoe form of a STOP ot the ORDER of d a fine of up to$250.00 a.day against the olator. Be advised that copy Investigations of the DIA for ins ce coverage vercation. 1 do hereby ceRi der tl:e pa' a d pepalties of perjury that the information provided above is true and correct } Date: L — l Si ature: ' Phone#: " D 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 f Phone#: ------------ Contact Person r 1 i i SOUTNEW-01 CZOLLINGER DATE29120rrYYY) CERTIFICATE OF LIABILITY INSURANCE- s,�29r�o1s 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(tes)must be endorsed. if SUBROGATION IS WANED,sub)ect 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). ' JPHONE CT PRODUCER CoBiz Insurance,Inc.-CO _(303)988-.0446 FA)I No (303)98"804 821 17thStDenver,CO 80202 Ss_CoB_''MInsuran obainsurance.com INSURER( AFFORDINGCOVERAGE NAICB INsuR RA:Continental Western Insurance Company 110804 INSURED INSURERS: Southern New England Windows LLC INSURER : DISIA Renewal by Andersen INSURERD 26 Aib)on Road : Lincoln,R10286S INSURERS i I INSURERF: 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 INDICATEQ. NOTWITHSTANDING ANY REQUIREMENT, TERM OR_CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICFI THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE.POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL TERMS, IXCLUSS AND CONDITIONS OF SUCH POLICIES:LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- ION INSR ` PD EFF POUCYEXP- LIMITS LTR TYPE OF INSURANCE !INSD YYVD POLICY NUMBER I D A X COMMERQAL GENERAL LIABILITY I I 1 i EACH OCCURRENCE 'S 1,000,00 CLAIMS-MADE OCCUR i I CPA3136080 i 07/0112016,071011201T'1 P 136 I-DAMAGE FMWE5 S 100,0 MED EXP(Arty one person) S 10,00 'F--I j PERSONAL&ADV INJURY i S 1,000,00( I 1 GENERAL AGGREGATE is 2,000;00 •�'GEN'LAGGREGATELIMITAPPLIESPER: ` i I �O�,BOfl PRODUCTS-COMPIOPAGG:S POLICY�SECT 2,000,000 LOC EMLOYEEBENE i OTHER I i i I COMB )SINGLE LIMIT �S 1,000,000 AUTOMOBILE LIABILITY A X ANY auro CPA3136080 07101120161 07101/2017 Al10WNED I 'SCHEDULED i j i BODILY INJURY(per acadenf)jS AUTOSAUTOS I ON-OWNED i j f i PER DAMAGE S HIRED AUTOS j _�I AUTOSPer I f 15 i UMBRELLA L1AB 1.X OCCUR ! I I EACH OCCURRENCE S 5,000,000 EXCEss LIAR I cLA1Ms +AOEi I ICPA3136080 OW01120161 07/0112017 AGGREGATE !S A 5;000,00 DED X RETENTIONS O i ggfeg� S WORKER5COMPEF"TION j I ATUTE �� ! AND EMPLOYERS'LIABILITY YIN I I 1 000�O A ANY PROPRIETOR/PARTNERIEXECIJTiVE ❑ �WCA3136081 07/01/2016 07101/2017 EL EACH ACCIDENT S ' N r A( I 1,000,000 OFFICERIMEMBER EXCLUDED? ! i E.L.DISEASE-EA EMPLOYEE S (Mandatory In NH) If yas,descIibe wider i EL DISEASE-POLICY IJMrr $ 1,000,000 DESCRIPTION OF OPERATIONS below I I t i I DESCRIPTION OF OPERATIONS 1 LOCATIONS I VERICLES(ACORD toll AddIdanal Remarks Somftde,maybe attached B more apace is mqtdred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE-wrni THE POLICY PROVISIONS. AUTHORIEED REpRES@LTATiVE - ©t966-2014'ACORD CORPORATION. Ali rights reservecL ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map o? Parcel Application i�'et Health Division Date Issued 1 , Z Llb Conservation Division Application Fee Planning Dept. ' Permit Fee ' 7� Date Definitive Plan Approved by Planning Board l lhQ Historic - OKH Preservation/ Hyannis — Y Project Street Address A.?_S YLAV—' Village W LJ AAl -P& — C)2,67Z- Owner DqALS-2- 02�cNS Address �-GA Telephone Permit Request I�NLc- p1Aq.*4 (Loom ,, 6AIIA Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation d 7 00 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's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 3 new I Half: existing new Number of Bedrooms: -S existing O new Total Room Count (not including baths): existing b new First Floor Room Count 6 Heat Type and Fuel: was ❑Oil ❑ Electric ❑Other Central Air: d�Yes ❑ No Fireplaces: Existing 2 New O Existing woad oal stogy; ❑!P Leo Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: existing gInevv:>size_ Attached garage: a existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:Q Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ N :C"w w Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION lac S� _(BUILDER OR HOMEOWNER) Name t' 1^� C� ( I�`'� Telephone Number s eG_2� y_ 1 Z W P Y 4( 3 S PG-0Z57 Address lu/� �r� Si License # d ,Q �� : �C�L_r Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �!� } FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS - VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME C INSULATION Q— s FIREPLACE ELECTRICAL: ROUGH FINAL = w. PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ?x a-!� r DATE CLOSED OUT ' ASSOCIATION PLAN NO. ,r ,cam i€ I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street c Ht Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business%Organization/Individual): I k J t C I Address: 7� G 0CA " D VLA- � City/State/Zip: Phone -7 Are you an employer? Check the appropriate box: Type of project(required): 4. I am a general contractor and I . 1.❑ I am a employer with ❑ 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors listed on the attached sheet. 7. ❑ Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers'comp. ❑ Building addition [No workers' comp.insurance comp. insurance. e o wor.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12 ❑ Roof repairs insurance required] t c. 152,§1(4), and we have no q ] 13.❑ Other employees. [No workers' 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. $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 sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins, tic.#- Expiration Date: Job Site Address: 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 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. 1 do hereby certify-under the pains and penalties of perjury that the information provided above is true and correc4 Signature Date: Phone.#: Official use only. Do not write in this area, to be completed by city or town of City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other. Contact Person: Phone#: ` 1 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." r MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." . Additionally, MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance-of public work untilacceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractors)name(s), address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a.policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit.. The affidavit should be returned to the city or town that the application for the pen-nit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in.the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant.should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for f6t..ure permits or-licenses.'-.A new affidavit must be filled out each year.Where a home owner or citiwn is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax # 617-727-7749 www.mass.gov/dia r �ofY�ray Town of Barnstable o Regulatory Services g Y Thomas F. Geiler,Director s..�itxsntst.e, = . � 1639. .-,�� Building Division PrFo Mai Tom Perry,Building Commissioner 200 Maid-Street, Hyannis, MA 026.01 'www.town.barnstable.ma.us Office: 509-962-4038 Fax: 509-790-6230 HOTMOWNER LICENSE EXEMPTION Please Print DATE: 7,7 JOB LOCATION: <f, `✓U�� D�� � ���M number street • ^� village - --HOMEOWNER":_ 1 J J( /"�• ��f�`'�S �C J S F( --02 S-7 name home phone# work_phonc# CURRENT MAILING ADDRESS:_ cityAowo state, rip code .The current exemption for"homeowners was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFIr MON OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there,is, or is intended to- be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than,one home in a two-year period shall not be considered a homeowner, Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that_he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she.will comply with said procedures and requirements. v Signatiire of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section.(Section.109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a poson(s)for hiro to do.such work,that such Homeowner shall act as supervisor." Many homeowners who use this rxcmption are unaware that they are assuming the responnbilities of a supervisor(sec Appendix Q. Rulcs&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awartncss'often results in serious probIrms,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot procccd against the unlicensed person as it-ould with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsiblc. To ensure that the homeowner•is fully aware of his/hQ responsibilities,many communities mquire,as part of the permit application, that the hnmeOWner certify,that he/she understands the responsibilities of a Supervisor. On the]ast page of this issue is R.form currently used by scvcral towns. You.may care t amend and adopt such a forrn/ccrtification for use in your community. Q:forrns:bomccxcmpt VEr�. Town of Barnstable Regulatory Services Was. Thomas F_ Geiler,Director Building Division Toni P/nab Commissioner 200.Manis, MA 02601 wtabl e.ma.us Office: 508-86 038 Fax: 508-790-62_ Pro 'erMustComplet This Section zfuilder as Owner of the subject property hereby authorize to act on my behalf, in all matters relati to work autho d by this building permit application for. Address fob S#ture of Owner Date Print Name roe Owner is-applyingfor erndt lease complete the If P P P P Homeowners License Exemption Form on the reverse side. ENRROY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE; AND TWO-FAMILY DETACHED RESIDENTTAL*CONSTRUCTION (760 CMR 61.00) Applicant Namd: Site Address: !✓fS YL pnn! Town: -�,� r.�{Jo1'lo� Applicant Phone: Applicant Signature: Date of Application: A5 —10 NEW CONSTRUCTION: choose ONE of e followin two—options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS ACUQM.UM MD4DVIUM Ceiling or Slab Q Option 1: Fenestration exposed Wall Floor Basement perimeter Wall AFUE HSPF SEE U-factor floors ,. R Value. R-Value R Value R Value R-Value and Depth National Appliance Energy 3 5 R-3 8 R-19 R=19 R-10 R-10, Consuvaiion Act(NAECA)o: 4 ft.• 1997 as amended,minimums c eater as applicable Note: This form is not required if you choose either of the two versions of REScheck as listed below. Option 2: REScheck Version 4.1.2 or later variant software analysis must be completed 780 CMR 6107.3.2 REScheck—Web which can be accessed at http://www.energyCDdes.Rov/rescheck/ ADDX� OIVS;OI2'ALT RATXONS.TO EXISTING TT�LDlIGS.OVER'5 FEARS OLD* *]3uildings under S years old must use option#1 or#2 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b_ a) ' SF 100 x - _ % of glazing (b) Glazing area equals SF b a If glazing is<-40% 4s`; e chart below. "`" *If-glazing is> 40 °10 rgceed to,"SUNRODM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM I ugmuM Ceiling and SIab Perimetei Fenestration •Wall Floor Basement Wall Exposed floors R-Value U-factor R-Value R-Value R-value R-Value �d De th .39 R-3 7 a R-13 R-19 R-10 R-10, 4 feet a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e.not Compressed over exterior walls, and including any access openings). ' SUNROOM—An addition or alteration to an existing building/dwelling unit where the total ET glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note: Owner.to fill out ConsuinerIn ormation Form found in Appendix 120.P I� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2 Parcel Z Permit# If Health Division /S Date Issue 9 g-0 h Z- Conservation Divisio $J a.►. 0 k Fee Tax Collector Treasurer o�- ��(� SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis T0VD!RED"t,fq° Project Street Address 7 CPs t2c:C>� �vLr�c�s ,7R ✓tom Village j f --- - i (' T&! Owner D 6W a 5 L= M &Wl ! Address Telephone Permit Request 0U(?-rn6[z 13Pr_tG ®t= do c 4!! E �(S . AO D -Ti-lo f5&13(Z0orn5 O? 6Ak7ht -00i f ANp 'j04-A)r 2por►L , 41-4_ -�N 5&-00r,0 i tiao2 Square feet: 1st floor: existing 2z9I- proposed 2nd floor: existing proposed TZE 'Total newer Valuation �(��l�I"Zoning District Flood Plain �dwjf-e)rOverlay Construction Type Wpot) Lot Size 1 It-yug Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes &M-o- On Old King's Highway: ❑Yes C9-NT Basement Type: ill ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing Z new 1 Half:existing I new Number of Bedrooms: existing_ new 7 Total Room Count(not including baths): existing 7 new First Floor Room Count 7 Heat Type and Fuel: ❑Gas it ❑ Electric O Other Central Air: Qr�e_s O No Fireplaces: Existing -2 New C, Existing wood/coal stove: ❑Yes C 14U— Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn: ❑existing ❑new size Attached garage:i5 a isting ❑new size 3 7b 16 Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name E0t?1 WV0 V: i AC � r t�L Telephone Number 501 V -Z--X- 55 L(6 J` Address—1 7 License# C S 6 7 55-7 3 05 e&Vi L_t t_ , to A- a Z6 5'5- Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 664P_n/5T11-3 i 2/t✓SFC� �1''%�o i✓ SIGNATURE DATE '�2Zl v-z— FOR OFFICIAL USE ONLY 'PERMIT NO. a T DATE ISSUED I� MAP/PARCEL NO. ADDRESS VILLAGE ; OWNER s r . DATE OF INSPECTION: ; FOUNDATION FRAME r' INSULATION f 1 FIREPLACE ELECTRICAL: ROUGH FINAL a PLUMBING: ROUGH FINAL 'F !9 5 t"ll . . y GAS: ROUGH., �-w FINAL FINAL BUILDING �• z DATE CLOSED OUT ASSOCIATION PLAN NO. i=I v 'J P . RESIDENTIAL BUILDING PERMIT FEES.. APPLICATION FEE New Buildings,'Additions S50.00 Alterations/Renovations $25.00 Building Permit Amendment. 525.00 FEE VALUE WORKSHEET NEW LIVING SPACE -7_._?'-square feet x$96/sq.foot= ���`�� x.0031- 2 0 plus from below if applicab le) ) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= 6.��2. ' x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ftt >120.sf-500 sf S 35.00 ' >500 sf-750 sf 50.00 ' >150 sf- 1000 sf 75.00 - >1000 sf-1500 sf .100.00 - >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= . (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool`. $60.00 Above Ground Swimming Pool $25.00 - Relocation/Moving $150.00 (plus above if applicable) Permit Fee Proicost � --_� The Commonwealth of Massachusetts DOartment.of Industrial Accidents 600 Washington Street Boston,Mass 02111 Workers' Compensation Insurance Affidavit lion homeowner o phone I am a P� �8 all work myself Iaam a sole etor and have no one working in and mpacity y I am as employer prwidulg.workers oompensatton for my employees working on this job. . ...:..:... ----------------- r r •:r ::•.v:::.• ::w{.}:::.v.4:;.:.:.:?'L t•Y:t4:vr:{�i : „ i:•lih4':�Yj.v yt::':iiiiitS+�ii.;:;.y. •. .. ...............:.x:::.,}4::+-;•}:•5):;•riyii�;4}i::}'•}^!.T}}5:;+.:•}:0::;};•}:•T}:•:;?G:}}}}-;.} •. ::_?iv-:+ n.:•::•.r:•:•:.v.:v:..::w.:::.:::::::..:•�:/:.}.............. .' :::::.:.v.,v::•:x{:.v:n.v:.}vS.:v..v:r}: II ' ...:.:..................:.. .::. I am a sole proprietor, general contractor,or homeowner. 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I�ders4md that a if this atatetneat mad be forwarded to the Omce of investigations of the DIA for coverage TO Reallon, iaeby certify under paau and penalties of pediuy the the injorrnation provided abovr it trrs,mid correct �e . . . Date•�T-.•r o z _ name 60 m u.rVp • %r, L.Ae—y Q2 •phone# SO �1 Z 8- SSY6 dal me only do not write to this area to be eompleW by city or.town ofncbd ' or town• pea umceme# - nDaUding Departzmmt &eddf fnmedWe respome h required (]I�g Om ❑Sdeetmen's's OIDu tad persona phon d, (3Hea1th Department ❑Other lid 9NS PJ/a Qy ti The Town of Barnstable ' EARN STAB�$ Regulatory Services tas9. �m • '°rFo,u�► Thomas F. Geilert Director Building Division Peter F. DiMatteo,Building Commissioner 367 Main Street,Hyannis MA 02601 ce: 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:moderruzauon.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 traits 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: fir"ts�- 6� otz- Estimated Cost y, Address of Work: fx2[ ,/ FAIL t✓� l� �s��aNi�Gbh T i Owner's Name: ^n���t� o��-G�,✓� Date of Application: 1 I hereby certify that: Registration is not required for the following reason(s): C]Work excluded by law []Job 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. Date Contractor Name Registration No. OR Date Owner's Name Table J.LZlb(OM"msd) - Preseripehe Padcagm foraaa and Tw-family Reddoadal BaUbw Sued with Food Fads miamuM 11u1U111d1 Qlarirrg GlaIIag Ceiling WaU f Floor Baa®mt � R ' Am'('/•) U-votucl R-values P.-value, &V:lwau Padcate R.valnae &vaiod 570 i to 6500 Ressfa;D Daw. 0.40 31 13 19 10 6 Norma! It 12% 0.32 30 19 19 10 6 Normai S 129E 030 3s 13 19 10• 6 tS AM T isw 036. 31 13. 25 WA WA- Nonnd U 15% 0.46 31 19 19 10 6 Normal . v 15'/. 0.44 31 13 25 WA WA 11 AFUE. W 15% U2 30 19 19 l0 6 SS AFUE X 11•/. 0.32 38 13 2S WA WA Norma! Y 11•/. 0.42 31 19 2S" WA WA Now Z IE•/. 0.421 31 13 • .19. 10 6 90 AFUE AA 18% 030 30 19 19 l0 6 �► 1. ADDRESS OF PROPERTY: V-f. 4Y1r1V,115;Pvpx— 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: a� 4. %GLAZING AREA(#3 DIVIDED BY#2): 5.. SELECT PACKAGE(Q-AA.-see chart above): Q NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a , 9 LOT 37 N7818 0 LOT 36 E c -- - p K 0 I LOT 35 \v"�T RES. ZONE.- "RD-1" This MORTGAGE INSPECTION Plan is For FLOOD ZONE- "C" Bank Use Only TOWN: __E-,S''T__,ffYANN_I,P_0,91-- ___ REGISTRY OWNER: aZjYtFA_:_9.__aOGGINS ------------------ DEED REF: -==-BUYER: _ ?FF-INAN-C -------------------- ------ ---------------- DATE: 4GI11194 ---------------------- PLAN REF: _106 4_D_SHEET 2--.--SCALE:1„_- 40' • FT. k I HEREBY CERTIFY TO —_ —_ _____________________THAT THE BUILDING �pF '"�'qs�c �'ANKEE °SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS L CONSULTANTS I;SHOWN AND THAT ITS POSITION DOES ---- CONFORM 40B (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE MERITHEW N TOWN OF _ BA&LZT_ BLE_--_-_ -_AND THAT o• 32098 aQ INDUSTRY ROAD IT DOES_ 1VOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD or 9 �c �� MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED_V2�9_ __ �`�sio <<SiNpS�Q TEL: 428-0055 Communit -Panel ,250001 0008 D FAX: 420-5553 ________ THIS PLAN NOT MADE FROM AN INSTRUMENT 14577 DPG PAUL A. MERITHEW,—PLS SURVEY. NOT TO BE USED FOR FENCES ETC. �1.e.m eu�eaCl/z o�, Cwaar/iva BOARD.OF B'UILDWO RE(�ULgTI License CONSTRUCTION SURERVI'SO'I `. Wum'bet' 075573 I E hdW&a / t3/�tg58 f. i �0�9�9��003 Tr.no: 75573 i r � a a e rie�e4 Toy do EDMUN®V LAGJI L��« 137 STURBRIDGE'bR--� i OSTERVILLE, MA 02655 Administrafor lugBoard of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR R if t,IMPon 9816 xpirat!46 3IfB/03 t gyp #�lavidual EDMUND V.LAC�YYF j ;' EDMUND LACYJI s s �"r 137 STURBRIDGE OSTERVILLE,MA 02655 Administrator i j �v SMOKE DETECTORS @9X h a`L BARNSTA LE UILDING DEPT. Illy . irvx(lN.Nrr T"rGl wool 11 aN/w)N/5 6 /iwrn.wr � Na Li �// __ �\ - r/,It•AAa t/.w<r wr r, MrIG JY)alw—�� ni/au,x / _ _---�^_.. � rr,^l aa• ___-•_-_.• L � /,l%t✓rw MwwO h0/ w.ro'F7 I I ,•ICA,a-,� Cln _ s/a/Ne /r•a^re arAe °fin � B y f R 0 N T 1/aN N v e � -4•//N.lcmw . ., lY.L -,n xea< `-.T ..� 1 � � L_�. .�•/ HA^� —__ .._ ware�..su 'y I ti 4.Mnr.a a ry/-[iu5 fGco21-- { •,v. 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P 16OE3 _n_.v_a__._. / F-�Y IIIVIne a tPA� lalo aaAxo arvLa wL.DDaolr n,Muxlax CA Sj/NS 57JF � aY Dalai . fULL, SIM TYP• M141 DfTA/LS Aaoxmm IRVING E PALMOUIST•Aauu+ Wm�,ID _ rd eaio � RICNARD B.PDLLMAN•Daioxaa / sl � , r .......... wu 1 I r l�11i �11 1 A A E R / sNsw,rls --Jcrvt r.4•./:O' Jcw.,•y,/.O' ��/d�Pl:J/: /YIFS) — en.,u.ry •. —•„GeFi J/Y.S)TFtllSd>'C'=J'o.c. -: ... - - ::.— �... � ...L _ Y n •wa.nun � — ,� S __� ' I� �l�—"--���f, -.. .... __ .._ .. �r'—..._ 't ih•,urF�GY4at Pryrva.Mrin - -- SfC;7./ON--0' . 1 . R E A R ' _..... d ,:N.•/lo• PUN No. G�Na HOME PLANNERS.INC. 16:08 . y1e. y°jd 1010 GRAYG RMa AVE, tl .DORG17 ,MICNIGAN j sxYYHYYv IRVING E PALMOUIST•AKwma i qY. 10 RICHARD S.POLLMAN-on,axaR rr 24 $E�j:Roon1 : p�pRo r�' S '(Room iiv�'- JW P� i — / r-L• `. . � I it BEO20oNl °L Q�ORa fiw�`S •GLR'I Roo M:. _ i.iT. j � I .. . Assessor's map and lot number 3 9PTTIE SYSTEM MUST BE �j INSTALLED VN COMPLIANCE 0 Sewage Permit number .......................................................... 1NiTW ARTICLE II STATE SANITARY CODE AND TOWN �Qy�iTNETO�o TOWN OF BARNS IfNWIME` - -; - i DAUMSTOBLE, i - ° o pYa��O� DUILD'ING INSPECTOR APPLICATION FOR PERMIT TO ....J ;.. /.P. f......,��w.. .`1.f...�1.. ' TYPE OF CONSTRUCTION .... . 0.. -.�q.!m.c.......................................................: v wj.: .........9-2......19.7 TO THE INSPECTOR OF BUILDINGS: The undersigned ''^hereby applies for a permit according to the following information: —tiion: �.P.Location .. ./...........�¢........�lA....... /'. .SfJ..... .�vl'l.. S.........( eS./.......�7..t�� �. s.......�6f" ProposedUse ......�!..`?yle...........1 R./?!I C............................................... .. ....... ................ . ......... .. ... ..... Zoning District ...... /..........................................Fire District .. Name of Owner &.1. .. .A.0. ...... Cl / .4j.%. ...........Address .��g......S/Q-4--le ......*� ....... Name of Builder - ..../r.......BA.1...�..1../..d...........Address ./4Y4w'......Q/4;/...... .�j�<lh..n. ............... Nameof Architect ................................................................ Address .................................................................................... Number of Rooms .............7................................................Foundation ...... Exierior ....................................................................................Roofing .....A.SXII..l...(....................................................... Floors WGQ. ........�t.....�.�.r�"�. .............................Interior ..../J..r ............................................... Heating ..O-z' 1........� ,...c.�!...............................Plumbing ......�7../�....................................................... Fireplace ..........2....................................................................Approximate Cost �k �. l>CJO. — 1....1. ............................ Definitive Plan Approved by Planning Board ---------------____-----------19_______. Area 7,4 ��7 ........�....................... Diagram of Lot and Building with Dimensions Fee �Y,..7.77..5 ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH ff . a p � f 3 O O 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 7gName ................ Curran, Dr. John 3.1 No .....1:6}.... Permit for ......one. st... .. ......... single family dwelling Location 66 i................. .............en.............. V M] 4G (/(51n /�;{� t ...........................L— ..... �il l C1 Owner Dr. John Curran . .................................... ...................... M Type of Construction frame 1 .....................................................I......................... Plot ............................ Lot .............. 6........... ' Permit Granted .August. ..... .19 22 73 ........ .. .... . ....... i Date of Inspection /..-! .. 3 ...!w .. 9--..,, + iA �� rm ,U�y9 j Date Completed ....... ... PERMIT REFUSED I � ....................................................... ..... 19 ............................................................................... ............................................................................... { Approved ,............................................... 19 ............................................................................... ............................................................................... fi _. • i m oo�3�34 m� SMOKE DETECTORS REVIEWED11 Z�� < o a m,, o °° °an A UILDING DEPT. DATE FIRE DEPARTMENT DATE' BOTH SIGNATURES ARE REQUIRED FOR PERMITTING d f, ti r----- ----------- d' N r-- ------------ CI L IMPORTANT 7 . � I I C!I ' � � PlVmb nq cJector pump � � .. � - ANY CONSTRUCTION THAT INCREASES LIVING SPACE • . 'I I L.- and eeptia aonnert on I I ' __11 Sal. EEYOND 1200 SQ.FT. PER LEVEL MAY REQUIRE THE SMOKE DETECTORS. F 01 INSTALLATIO c:i N i y -j CNE: A'SEPARATE PERMIT IS REQUIRED-FOR THE o i i Ni ALLATION OF SMOKE DETECTORS-THE ELECTRICAL < 111T DOES NOT SATISFY THIS REQUIREMENT. EG Eh II l TONl�00M �, W I 0 , e P Lull t' I G unlcr/Pool-9heWe 'L- (L J 1 - - na IF io big • I" �� __--____________ _________________ - —i orm v __ -- CD .... u 6 J < °c i Zi.0.3,. # ¢ f$. ,.o �FOUNDATION PLAN. .. a m I MEIJIA F.oOM �. ycnlc: I/4"- 6'_O" 87. 'V £O =�.. HVAG ve-n4•ila4•imn ,uppliacl by y a ?a - . I _ Avaraye finished eailimy heiyh4- V-4" - ' • - I Lnrye ecreep Ty_ _----------------------- __-_-__-_-_-_- vov 0°.,...W=N CI.0 L LL', L ' KILv DRAWING TYPE: Basemen}plan SHEET NUMBER: A ( V'0 - � �^ �� -, . -, • � ] � �, '. 1:�`Z� _I + �- ' '� _ �� .._ :.-.. .... — ......_�. . sl i`.—= '' - -.. ..... -fix xk.,*.k.,;t '.I,.s .'Y� V`. -{ t t _ _ - _ � �� �� � I� ' '� .. 1 f �° �4 7t(# +� '1 gFgI '1 �tti �� � }--' � i �1 � t i� °'TJ ' / - �-7 .. . � lJ9 �?3 „� 9`T i DUNN 500 6-61• 1. t ,/NMNNIII/ll//1//'I Stt ➢A LP)(111I%It 's , alit EcT 31 ERI:c'To 32 III,ao4T �33 s1i1G'II1'1�137 E.R, '1 IF&FICT� a ERticT q ERfcT to IalleCT0II McT 12 Xc- G4R 2D-G43oL Xc-1!o4L �j ••.,���'75 ti 1 poll XC- 4K DSO.- 9G . ; DSL- "16 NX- g95a we- 443G %-48 D-483GL NX-4o We-323G NY,- .� • _ oil W M� X W - - SToR• -1 r 11►�1 t r 11 iI 4 11 ( A 3a '' 43-.6 5'z 41-A '35g 15 4a4 3s a-° - E.aEcT�. 35 CO ' ePo- I88 ERacT1 6adcT 2 EQacTP3 ° �. F , R,. �1 L• W.Z. � � -�. 4. ' Xc- 96 R DSL- 14 X-32: Wo- 483G Nx-321S v i .04 �+ N d _ _N Po-48-8 + 1 cr K yr - _ - a, f° r- a1 116 1 x VI r Po- 192 Z+ M. B. R. �, v N to PDSP- 112 r7 ra Ar On dl r z '' Pc-9G-12 r. �' — i -'o 4t A R• of ' ao 4A P- 1o4 M-G4 P l00- 6 a- N . v W o r- s PG-94-1211 4 o s� 1% ► V. � 1 3n :. 4" � s. o; � — 5• I m 231434 5� 3S 15-o''g o. 3b 8-04 30 2-os 3.4 3-4g 3b 22- 04 3g IG- o 3a 3S o' HD-108 PD-'12-te %9on 38 3 i y, O 9-0 1 2-4,� 3.216 �«--� Id 0+0 1 pD•96-12 _o at CA Q 2;»4.FRtnG. o[ isG WP- SQGI NXP-5G 60 _ IWO PC-lot 'gyp O. i EF.6 tT 15 . EREcT 1q• f.RE�-L 1'3 JtL ►- — ---r -- - - -- , pv- loo-6 -' a 24 A. a. NXc-4GSL HD- 1954 NU-44 R W Z •.o �o �► 4,14 N v v 6R!` 40 e a a c•T 41 N _N • S1i1P 40CS0.i �c;+ oC d w/. K ' 2- .71 1r 12S rc rr10 SO -- 61 -41=0--- 3�•Itb Z- Z,�lo's 3�t4 FsM�. - -�+ -- ----C 2ti4:f11 4. N ..o ;o , � .� s2- U - wo-326o wP- So61 wo.32oc `Xc-G4R: 20 32 L XP i4 'In PD-41-IS Ho-4S P- 48-12 i1:EC-r tRrcT* 19 ER¢c7�' I$ o.Itsl:T o =4 3 • w f 1 t M �. iCA C 0 M P O N E_ N 'r P l- A IJ 14 � 1- 0 ' SMOKE F)FTECTORS 0•K, :n�; Xc-G4 L wo- 4860 X- G4 fwo- 4540 XG-G4�t. '"�► . r a a r-"T 2 re F. P. E c T * 2 5 BARNS s, !_DING DEPT. ^( md • ISSUED FOR DATE REVISIONS, BY DATE RICHARD a POLLMAK DESIGNER IRVING E. PALMQUIST. A.I.A. DESIGN NO- ISSUED ' PRELIMINARY O PRELIMINARY _..._ NOTEI � . 1608 CHECKEb O COPVRISHY w N-ME PLANNIMS. (] PRODUCTION INC.. DttTRDIT. AND Is NOT To Rc SHEET NO.` OF APPROVED ERECTION COFI60RN rNCIeKWO DUCCD WITHOUT O m e planners ,n n e r s Inc .o ..__ 5 I 0 1dl10 GRAND RIVER AVE14UE DEtROIT 27 MiCHIGAN