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HomeMy WebLinkAbout0005 HENRY F LORING ROAD .. �/ 4 - � .. .. � �'. . .. � _ _ �� A ., 4 0 o a o .. e Town of Barnstable . *Permit#C�p �9 . . Expires 6 months from issue date Regulatory Services Y Fee a ?, W IFLUMML `0$ Thomas F.Geiler,Director X-PRESS PERMIT. Building Division Tom Perry,CBO, Building Commissioner ; AUG 7 2013 200 Main Street,Hyannis,MA 02601' www.town.barnstable.ma.us r ;; Office: 508-862-4038 TOWN OFFRAWTO-RbZ EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY y�� Not Valid without Red X-Press Imprint ' Map/parcel Number 1 1, ri Property.Address 'GV Q.t/ �► O r � [Residential ValueofWork > Minimum fee of$35.00 for work under$6000A6 Owner's Name&Address ! �e Contriab - Name %;gtettt N� 1�;4✓S / Srt&A� s� Telephone Number Home Improvement Contractor.License#(if applicable) f 7 3 2 1 S' Construction Supervisor's License#(if applicable) Y 21�orkman's Compensation Insurance r Check one: ❑ I am a sole proprietor am the Homeowner II have Worker's Compensation Insurance Insurance Company Name .y T •Workman's Comp.Policy# /I'�f✓ � 7��$ 3 5� 3 I Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) El Re-roof(hurricane nailed)(strippingold shingles) All construction debris will be taken to r ❑Re-roof(hurricane nailed)(not stripping. Going over . existing layers of roof) ❑ Re-side #of doors [replacement Windows/doors/sliders.U-Value 19t-5 O (maximum.35)It of windows. ❑ 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 Owner must sign Property Owner Letter of Permission. A copy,of the$ome Improvement Contractors License&Construction:Supervisors License is required. SIGNATURE: - L QAWPFILESTORMSUilding permit forms\WRESS.doe Revised 053012. { s Southern New England Windows d.b.a Renewal by Andersen of SINE Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Super%itior License: CS-095707 + BRIAN D DENMSON ', k 7 LAMBS POND CIRC�:IE s Chariton MA 01507 1 1ti ` Expiration Commissioner 09/08/2014 &XepoarUrrt�acuetc�Cl aCJ�GZcza�tzicuteG ` Office of Consumer Affairs nd Business egulation YJ 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 173245 - Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL Expiration: 9119n014 DENNISON BRIAN 1137 PARK EAST DRIVE WOONSOCKET,RI 02895 - .Update Address and return card.Mark reason for change. scut 0 munvit Address: ❑Renewal ❑Employment M Lost Card _ rry'/,,.Yr.;w�w,.u�,na///..��.�/,�.u..r/.,r.irq,• -1 ofConsomer AR in&Bosiaea Beaoletioa License or registration valid for IndWldul use only ' Ok1E IMPROVEMENT CONTRACTOR before the expiration date.If found return to: Office of Consumer Affairs and Business Regulation �Mratbn: 173245 TYps: 10 Park Pins-Suite 5170 Eytirallon: 9I7912014 Supplemenl::ard Boston,MA Oi 116 _ SOUTHERN NEW ENGLAND WINDOWS LLC. - - RENEWAL BY ANDERSONDENNI - 1137P ON BRIAN _. 1137 PARK EAST DRIVE WOONSOCKET,RI 02895 „ . Uoderrerremry Not valid without signature 1 t The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations 1 Congress Street;Suite 100 Boston, MA 02114-201 www.mass.gov/dia Workers' Compensation,Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Y�w4k /✓ /VC�cc� 1��/�llFi.41/� WJN ue, Address: (o AM/ow City/State/Zip: L/NGoIN 0a86S Phone#: . Are you an employer?Check the appropriate box: Type of project(required): E 1. VI am a employer with 9 G 4. ❑ I'am a general contractor and I .. * have hired the sub-contractors 6. ❑New construction employees(full and/or part-time). . 2.❑ I am a sole proprietor or partner- listed on the attached'sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition - working for me in any capacity. employees and have workers' [No workers' comp.insurance comp. insurance.: 9.'�Building addition required.] 5. ❑ We are a corporation and its 10. Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 1 I- Plumbing repairs or additions myself ' right of exemption per MGL Y (No workers comp. 12.❑ Ro repair insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13. Other comp. insurance required.] (,,Jy *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. ZContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below fs the policy and job site information. Insurance Company Name: /—G-s+t Policy#or Self-ins.Lic.#: -'ZC ?2 / 6 [ 9,6 2,3 1.y Expiration Date:9XP/113 i Job Site Address: avr1 City/State/Zip: C""'ti',f!� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine'." of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ceMbLux4er the Rains and enaldes o e 'u that the information provided above LS true and correct signafar : Date Phone#: "l d C F ial use only. Do not write in this area,to be completed by city or town ofciaL 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#: ' Client#: 30124 SOUTNEW ACORDTM CERTIFICATE OF LIABILITY INSURANCE OATDIYYYY) 5108/208I2013 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 Anita Little NAME: Willis of New Jersey,Inc. PHONE 856 914-4660 FAX 856 914-1881 1015 Briggs Road MA Lo Ext: Alc,No ADDRESS: Anita.Little@willis.com PO Box 5005 INSURER(S)AFFORDING COVERAGE NAIC# Mount Laurel,NJ 08054 INSURER A:Selective Insurance Co of the S 39926 INSURED INSURER B:Argonaut Insurance CO. 19801 Southern New England Windows LLC Beacon Mutual Ins.Co. 24017 D/B/A Renewal by Andersen INSURER c: INSURER D 26 Albion Road Lincoln,RI 02865 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR - POLICY EFF POLICY EXP LIMITS LTR INSR WVD - POLICY NUMBER MMIDDIYYYY MM/DD/YYYY A GENERAL LIABILITY S202945900 8/10/2012 08/10/2013 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED - PREMISES Ea occurrence $SO,000 CLAIMS-MADE EX OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 ` GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PROJECT LOC $ A AUTOMOBILE LIABILITY S202945900 - 8/1 O/2012 08/10/2013(CEO, OEaMBINED accidentS INGLE LIMIT $1,000,000 0.X ANY AUTO - BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident A X UMBRELLA LIAB OCCUR S202945900 8/10/2012 08/10/2013 EACH OCCURRENCE s5,000000 EXCESS LIAB CLAIMS-MADE _ AGGREGATE s5,000,000 DED 71 RETENTIONS$ $ B' WORKERS COMPENSATION AIC927698352394 8121/2012 08/21/201 WC STATU- OTH- AND EMPLOYERS'LIABILITY C ANY PROPRIETOR/PARTNER/EXECUTIVE 68028 8/21/2012 08/21/201 E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under _ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) - CERTIFICATE HOLDER CANCELLATION. Southern NE LLB: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 26 Albion Road ACCORDANCE WITH THE POLICY PROVISIONS. Lincoln,RI 02865 AUTHORIZED REPRESENTATIVE - ©1988--2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S214638/M214631 AXL Rnewai D s{.j' T jy �vr xlr9 . {,�, - iF. .�.'8.7. I.;rct,xiit.7vY:as, "J n. _ '�tT�ceeee ilpR3d555 mdeoe uruoceiart c. , KXA;j3nItoat)Y• Ltncglri,RTQ2$65 iemityrm#ice Pitjrne'$66 56g.2235 Fez 4111,633,fi602' ?.�Pedenfl tlix;itJ#aSe95ti66.w`•. •$outhera IYew F.n�lapd Wiudgiyp,td:C'rl/b(a Renewal by Aadeesiea al Soatliera New England CUSTObI WINDOW'AND D(JORREMODELiIV(3A011ENT tH n}ame ___-- •:'� ..�. - �,' :. __:: _ ,paceofAg<ttnent ...• :';,. :9;, � Y f s •eurvts),Sveer aamas.crir�e>ee.mA zia seen�PO,t3ox _ -__� .,r _ - - � :-- ...--V �, _. � •. -tit�lAddieu _a � �: -.• •.-. ...'.. "-...� ,' WornF7eftp5wlst�im�r_ WGAtTelpghoneNoin6er Buyer( fiereln of idq and severally agrees top a the prnducts.an'd/nr rvicr§07 Sonttttrn`Nt v�ngland Windows:LLt:dll la R etlewal:{+ by Attderseil of Stnithertl�Nt`w England("Cgntractor"�r ui�nrt�rlce with the._ternts and txtndtttbns described Qtt the ftnan and tl►e t�evtc�•bf tlnsagreement andirtt the attached spectfichrttsn sloe@t{s}(collec6vr]�;;ih "Agtcement C3_trietor�c O Cmi D`HOA?`, #. Tota1 Job Airioun y' Estimaied Stirtlr>�:tk g )m? heck Crib k D;{inan�ed.. 4 t pd Dips enc 0 C .L D-pp stt Recened{33X} t l g'C*k Cazds are accepoed for d�aric ti y-ma>umum il3 of the 5' Balance at Start of job{334d) ° *r,F t Pro1T'cost{Yletan`sef Credc t and Rene Form)By signing this i Estirratee Completioh Dan Agrewneit You acknowledge t'A.ith Balatiee ac Smrt of Job are!tfce , ( i Balanta*on�ubscailtlai �rD r --� �- Balance at Substancdl Completlon of Job cannot tie maiMz by credii; 4, ,.Cmnpletlilnat�ob'{33S}. J ° tiYiT)srson w card and must be we d Check barite check or rash; Bnyer(s) and naderataads_tbat dus:Agmaaeat aonsiatotes the reatsre.',osder9` teetweea the ,sad tl af,`. _ �8 4 tillY ax ao verbal paderstaathags eiaagang id!the,teswe Of�thleLy!!(9}ae>sat►wledges that J$Jil (s) (l has read tbas Agreement'anderataalls:the terat9 of rind-Ags�eemint,low —aved w e o&ied,e!gaed,.aaad baud' copy of'thas Agi eemem,aneladm�the twe attadscei Notiee9 0f Cancellation,ou the date first writ><en atbove aml( )wse orally. ='I infenued of.S>iyer's right to cancelths9Agaeemeni.DO NOT SIGN THIS:GONTRACT IF THERE ARE AN'YSLARK SPACsE$,= rRkode lalowd Sales On1)Notm to Buyer:(l)Do not saga t4i i Agsee o4t K any of the spaces isteim"'for the agreed terige_ to tie extent of;then available amoemataaa are left ltlaak (2)YbuYare eotided to a capty of,this Agireea3erit at the tame yoas gin,. :at.(3)Yaa may iat any fume pay o>y the fioll nepaad 6oi>tnce diic toader'�tha9 Agr eaoe4%,sad m r�,daaeg yott msy he eatttted:to receave:a p"t rebate of the finance and'iasnraacc cbatges 1( )The sellerhas no right to udawfully hater yonie premases:_ or tin to each of the peace to repotsseas goods ptarebaunad aluiler this'Agreemeuf (5}Yon may cancel finslgreeaueaf d at has;aot been sagned;at the naaaa office or a b=snch oi&ce of the seller,provided.yon notify tbe'seiles at�ns or her aoaio- office or branch office shown fn the A�reemeat regieteied'or eestiSed mail;:svhich shall be pbs red not later t>.aa mad> t of the tbard cwieudar day site:the day oa wbach the boys:slga9 the Aga eemeat�excbndiag Sanday sad any 6ohday ma,wl+ici, regdlwr xd"deli nee are not made Seethe accompaayang notice of<cancellatloa fox m for as is dtsa of bnyer'a tights., Bt1yeP(s)-,*Wpd the cblt4uiner educa[i�n materials ptcrytded by tti It}tode Island Gontraetars Regi§tithon$irards :(Bliyeti Inttioli)° EN RepeiralhyAnderseaxo�fSo>rtbernIiiew� tl $ayek(s) $uydt{s)� - i S ureo uctManaci agnature *'t 'Signatiare,= -,Pnnt Name of Product Manager, ' ' {Pnn't Name a t'nnt Idamc M YOl);'THE BiIYER(S),..iti�AY CANCEL HIS tRANSAC MAN AT ANY fit1VME�MoR 1�0'11 DTIGHT OF "i D,' BUSINElSS�AYAt�7iR 1 FIE DATE OF THIS TRA1V_SACTION SEE ATTACHED ATOTICS O CANCELIdI ION PQRMS': rFORAi+TE71�LWAxiO1tT;AF7'iilsli]GflT ,; } V _ of Tran971tllOm �� �^ iYOY ttnry3lCmacol I 1'�ACe''O�`Ii°i'atllklk1011 - T '` rYOat'traq eaacei this tral�7atCtlea�1tllttlnl :at17r Or"Aftidoe,it wfi I dd!traasseffoa,tNtNlout malt peneky_orgy m.��n s+ ttlaeie bsuiatesa dqs[rote;the above drEe.`N you cancel,hay �I litee butinaes train the abaral dnt., i/your wry. >Cpmpet`47 traded.la*awry: 'tnade,by yeti under the' 1 Pld#il n,agy paryrRtnb tnnde hr yoa'snider the ;.Coplratt or Snle,and entry negeeioibie Itrrttmeett axectrted' I Coybatet fir Sate,andwr noble tastrumea!ax+octabad br y u:viAo be retltnted yaithln tp/budttess dogni!io�wlta I by rod ww_be weailmed tN}dttn 660 batflme9s diles loifdrato=. rscelpt rile 5tatleF of?;yout a ttlon neldce.`tlmd 't.i ram iry+lltia Seper of your csat on ttolke,mend r4ery } e security Ii IN pll aridny Dire o1=1ho tasasf3on,rgrib- be; iecutity itlbeeest arisin= ottt,of the" aasaltdon vrla`;be oncet!ad Nybecaacel, . utltsaatt ltlltesgratbiaWbmal-ir� t. canceled HyeltsR•meir6 uitiustitul�tiardhiWebstheSiiMt• �rrt yolk regidemee,lm 9r;wa good•aanbn wiieia 1 nt yet+:toaFdana,iii,` aia dit od mndiEiom es vnliea ..,rlaeetved,at1)r goods deiverod ib lnsta tamdaF,th}s Csbta,mt Al ,I I*dved,aay^g6edt?delWered m you tinder this Con IN 0 Ot ,S 1 Oril-bumay,ifyouiwisb,sompy theInmtrt�oHoasart p Salsgeryroutrisy,Hyouwlsb,eomplyvt1ElifileIm niof tileSallmtegavdlmgtheretuemsilpmetltoYtheBoodsatIls , tlleSellarteSatdipgttunraturn,sid�heotthosoodsattlsn* ",�Sella�s etlpemse?and tielrNyo;t do-,mtfknjtfiw s metlhSrM:•� Seflei�s and rltk.Bynnvde arladti�e;oodstaalWd!a to tine SdMr 3tid she Shca does riot p k Wttitp to tfie Se er send ilm$41w d p*twt #i ilio wNl lei 4 €�'tviewty'; }ot:llse datefiatsntlee11rb1oui) hebim or at tie dace of alfitee�eio 7talt Mtg*r�ebsia t I dp+, obflg�iHon N you dispose the grinds wit1wut mtay+-further��ebtSeadom N y,oa I dispoile d dlb;cods witbsaaE airy:�ip�P � #°fllilan�taoketheBlaadsmvpitadtiet0o#1teSe1lerorNygptgrue, ( $lifeotna�celfiegoerds•sysltmlde'tsffieSegeroritlronf" bo return the Dods to'.+kbe Seiler told fall to ds sq them 1 to return lie de bo tie Seller atad liil to dp om,thdit 4tyoetreaitatt►tlia6le fe:perhrtnance of ap;abtigadoiis under i you remadn ter petifartaaeae of iaMp oblpdves tathe Contract.�e rsneeel'dd9 trspmaetlsa;t nail nor.dethru the one .Tb eanad lMs fson,irsrit er dalivsr it'sigaled and daaed Dopy of this ealleeSlltfon aotfce or aelr• l' a algied tmtlf dented aepy et is ealoegtltloe laeefce or asyt, other waittenlnofiee,or need a tlo Renewal by<,I otbe'vvel6dei�'twdcgrer stN►d;m tdepam4to kemevtn�a7 t 'All of sal ;New! at 1a37 Park'East Dri_. ( Anderseh ot;SouthewMiW1 liagti d iit,i i27 p"r East CJ'r- t ` "' ,NC�I'.LA RTHAN[MIDNl6H['Ol:-A� "VYoornsocke#,ttlA'tS95Nt71'hA T�ANlIIDIiIf�HT^OF a1H B CANCBLTHISTAyWSACT1fSTi 11HEMBYiCANCl4T i1STMNSACiYONf c _. '�� � 14im Ntnm t ,�paq• ,:�W11'"Ztl ` pat'"= 4 RbA C7'Vvtiite i; &ire:GopY Yellow Buyer�p3`•'Pink'^ t m Town of Barnstable.. . :. *Permit# ��.� Expires 6 months from issue date Regulatory-Services Fee - 4-a Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner �Q CT 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us $ P 1 2 2005 Office: 508-862-4038 Fax: 508-790-6230 . .EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY BARNSTAE�LE / 2 Not Valid without Red X-Press Imprint Map/parcel Number / 76� O l� ..Property Address- 17efla Lorr' de_�� t'G lfet-Vil�te [✓Residential Value of Work DOOM _ Minimum fee A25.00 for work under$6000.00 Owner's Name&Address . OL `Ia. A0 y je_ Contractor's Name rt ,P ���f r,V Telephone Numbe<sc)(L s�—/Q L y Home Improvement Contractor License#(if applicable) l a a S �- Construction Supervisor's License#(if applicable) C 5 $44 D a G S257 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I-Aim the Homeowner I have Worker's Compensation Insurance Insurance Company Name / C CU/i?�li G .YJ �svL f Workman's Comp.Policy#��/ Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ErRe-roof(stripping old shingles) All construction debris will be taken to T ❑Re-roof(not Stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. V-Value (maximum.44) "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation;etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Im rovement Contractors Ycense is required. SIGNATURE: Q:Fomrs:expmtrg Revise071405 oFzyE'�. Town of Barnstable ti Regulatory Services • s + BARNSTABM MASS. Thomas F.Geiler,Director 1639• ABED Mai'' Building Division Tam Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 1 R , as Owner of the subject property hereby authorize A Z44 to act on my behalf, in all matters relative to work authorized by this building permit application for: O - V (Address of Job) Signature of Owner Date Print Name Q:FORM&O WNERPERMISSION Board of Building Regula ons and Stan Ards One Ashburton Place - Room 1301 Boston. Mass husetts 02108 Home Impraveme tractor Registration r Registration: 126252 . Type: DBA Expiration: 5/6/2006 M. A. SLIWA HOME IMRPOVEM MICHAEL SLLIWA P.O. BOX 1461 MASHPEE, MA 02649 4 Update Address and return card.Mark reason for chang ❑ Address Renewal Ej Employment Lost Card ✓fie Vianvnwvzusea�C o�,./�aaaac�zuaelta - -----'------------ Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CbNTRACTOR before the expiration p tton date. If found return to: Registriq � 126252 Board of Building Regulations and Standards n_ /2006 One Ashburton Place Rm 1301 pe-DBI�r Boston,Ma.02108 tr.—,art M.A.SLIWA HON1:E4-IC+IIif'f T MICHAEL SLLIW � .:.3 94 REDBROOK RD � � MASHPEE,MA 02649 Administrator Not valid wit out signature 311te Board of Buildingq Regulations One Ashburton' Prace, F�m 1301 Y �r Boston, MaAG2108-1618 -` License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 10/04/1955 Number: CS 082655 Expires: 10/04/ T — Restricted To: 00 MICHAEL A SLIWA PO BOX 1461 — MASHPEE, MA 02649 \� a Tr.no: 82655 Keep top for receipt and change of address notification. Assessor's office(1 st Floor): Assessor's map and lot number Board of Health(3rd floor): )f Sewage Permit number CO N oga upo,( CONrt(2PJi 'r O f Engineering Department(3rd floor): Tiut�(2J IlA�L�tP` rasa House number S by c7CccvM.z "� °o i639• Definitive Plan Approved by Planning Board 19 [( � �o Nil 6, APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARN-STABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ` c > S¢, qz— 17 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use e�2 �4if2�e Zoning District `' Fire District Name of Owner.U JJ�(i Address )q4 n 4,!y Lei r #,.N Name of Builder sti.L '7 t�`A-�eci Address /.J//Y! A6ji /qv Name of Architect (, Ze.1 v, ��/}�-e Address Number of Rooms Foundation_ /U� X Lf 6 %�itza8� Exterior ��G /a/, Cla-, Roofing 4&-(7 4- Floors P je a Interior / Heating �O Plumbing Fireplace �G Approximate Cost Area b� Diagram of Lot and Building with Dimensions Fee O r iG 7 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License 6 2 4 2-3 ENRIGH`I', WILLIAM No 33213 Permit For TWO CAR GARAGE % Single Family Dwell ; nq Location 5 Henry Loring Road Centerville r _ = Owner William Enright ,.. L? Type of Construction Frame Plot Lot i Permit Granted September 15 . 19 89 Date of Inspection 19 y ' Date Completed 19 II .r . ' asessor's map and lot number 11 /1:::.1 ...i�f y D . .. A"-1(r X/�,S/PY Sewage Permit nu- mberr 4. -� : ...... ' , ': ie•"Py� o� 4 S t� f°4� !tti i�, y i `BASd9TOBL i _ @@ ,� LEDIN 6.J House number ry 39 WITH TITLE 5 TOWN � OF 'B:A` N � �® tis ' BUILDING INSPECTOR APPLICATION FOR PERMIT. TO � . ......... ....................:...... .................. ..... ... ...... ....... *,• �� ! � TYPE OF CONSTRUCTION ... ........ ... .... . . ....... .... ...... ......... �... .. . ....... .....ls.. ... 3 y. .i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit. occording to the .following information: Location .. . _G 2 . ............. ......... �.0 �... ........ ... .......................� e / . ProposedUse .... ............................. ............................ ...... ................:.......:............ Zoning District ...........................�.�...... .................. .. .:.:..Fi're -District .. .............. ...................... I.............................. Name of Owner :� 0 ................... .:. ................. ..... Address Name of Builder" .............l..t.................7............. ...........Address ...... ,./...................... Name of Architect ...................................... .. .................... ............ Address ... ..... .. ......... ..... .. .... Number of Rooms ... ............................... ...... Founda#iori .... .................... Exierior .......................... i Roofing ........... ............................ ..... Floors ....... .......................................:.......................Ihterior .....:.......... ... Heating .............. ...... ..................... .............. .PJumbing ..... ... ,. ...... . .. ................ Fireplace .... . ....................:................. .Approximate Cost .V f... ......... .. Definitive Plan Approved by Planning Board ---------------_______________19 Are® ,...... .... /. �� Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL*OF BOARD OF HEALTH 740 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules,and Regulations of the Town of Barnstable regar ing the above construction. Name ........... .. .......... ................... ShALL, ALAN E. 24956 � • � ,• .No Permit for ....Two Story,•••,•,•• ' Single FamilyDllin ' ....................................... ............we....... ..g.............. l : Location Lot...2 4 ...5 Ha ?.rY...F::...LQx.i,n g Rd. s F Centerville .................................................................... Owner ....Man. E....Small............ " 4 Type of Construction .Frame........................... . .......................................................... .................. ti* Plot ............. .... ....... Lot ... Permit Granted ....:APz a .............19 83 Y Date of Inspection .......................:.............1,.9 - Date Completed .. �jl.. ...........19 • Al -s/YV IN Assessor's office(1st Floor): Assessor's map and lot number / 7 Z ypf Ys E.tp� Board of Health(3rd floor): w � Sewage Permit-number a�� �p T1�`6Ar1T �f�fl'Y o c=k(;=l1�f1R�'� cD�! vi— ZO T1j4 Pre Z BAHd9YADLL i Engineering Department(3rd floor): �7TvaC2� l�Gti+ �`�S rasa House number1609- ( Definitive Plan Approved by Planning Board 19 -1'bt 4 V APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M.only ' TOWN ` OF BARNSTABLE _ BUILDING INSPECTOR APPLICATION FOR PERMIT TO AM/ /-IarQ p oa X2'f 1�✓2/�c�. TYPE OF CONSTRUCTION �^ �j S1,27— i7 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit.according to the following information: Location f,2 h r� Lo A-c°tuy /� n Co M t a/711: Proposed Use r 4 Fl A � 1 J S ' Zoning District �. Fire District Name of Owner.W;MA-91 F k)(2l r4 Address S /-gyp nD`U t',-)r7 J ✓ " Name of Builder Address /)% y J/ Name of Architect ��� ,� /�l�l Address Number of Rooms Foundation /6 X G ;i a Exterior GCi�L � � �� Roofing 4 r0�.rs-�f Floors � �Q Interior / Heating o Plumbing �C Fireplace �G Approximate Cost . S� Area Diagram of Lot and Building with Dimensions.- r Fee 9 • Septi G J '!i 7 'i /6-7 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. + Name Construction Supervisor's License 00-2 4 27 l ENRIGHT, WILLIAM A=172-215 No 33213 Permit For TWO CAR GARAGE Single Family Dwell ; nq Location 5 Henry Loring Road Centerville Owner William Enright Type of Construction Frame Plot Lot Permit Granted September 15, 19 89 Date of Inspection 19 Date Completed 19 i "Lf r..,:.+,.�.e -r1, r Z ,y.{ .,t au-Y + ;�� �, ��;:,::1 ♦.ay:,:. - ,..,,r,,., .a,„ r�- ^."" !.. �c ....:Asses erP Sewage ,Permit number. a esaaST&OL 8 .. House number '............... 9ab 39 p a t6 i y a �OtlAY6• 1 R APPLICA►TIORI, FOR. PERMIT :TO ............................................. f .... TYPE. OF CONSTR0CT10Pd .............................................. ? i r ...•. • •• ••• .................................... •• z • •• r TO THE' INSPECTOR OF. BUILDINGS:,., ; The.undersigned`.hereby°applies'for 'q permit according fa,the:following information: :..::. 4 1. .....: i r c .. ... Proposed_ Use ,.;.A. C ...a.....f��r, .. ... Zoning Distract � C..�, `. Fire Distract ..:. �� • Name of Owner, ... . ...... ........ . .,.. ..:.:. ......,. ......,:Address Norne of Budder f .Address . r .. N6me'of Architect . ............................................. .Address .. . ...... Number of 'Rooms . .. ...... t� ..... ...... ......i. ,.Fo /� l.c t P undation Exterior .... :Roofing ..n %�{;: ........ ..:..... :...: .::. ... ..................t/ lC%'z' Lfi . ....... ..... .... ... Interior � l Floors ......................... ..... . r`��� Heating f... ........ ....... . ......:. ... ...: .....:.:Plumbin 1 .. ... ....... ... ............. . . _ ' / Fireplace f�`?..� Approximate Cost 1 Definitive Plan Approved by;Pidnning 'Board ___ ______: 1-9 _______ Area ... Diagram of 1cit and Building with Dimensions Fee .: .�: ...... f SUBJEC%T. TO APPROVAL OF BOARD OF HEALTH °a OCCUPANCY PERMITS RE©UIRED,'FOR;NEW DWELLINGS I hereby agree to conform.to all:the Rules and RegOations of the.Town:of Barnstable, regarding the`above , A construction x. ;., Name .:. SMALL' ALAN E. A=I72-215 No -2445.6.. Permit for ..��W.C\-5.t.QjCY.......... .........S ' -.Dacellino_____ - Location ..Liat�-24......5...ELemr.y...F....Lzrin9 Rd, ' ' / ------- a .� -_---...----.. ' Owner -Alan-II~-S.nzalI-.-----.-----' ' Fzaoma Type of Construction .......................................... ----~'~~^^'~~^'~--'~^-~'''`^'^^~~^'-^-~'-'- / Plot ............................ Lot ................................ � ` April 15, O] Permit Granted -----.--------..l9 � Date of Inspection ....................................lA Date Completed ---.—.--...-----1R ' ' � . � � r47 � ' ' . � ^ ' . . St►.�Gt.G— FAMtL.Y -'�- B�ORooM . . \ ,� � . � l� I,JO. GARBAGE GwtuDE2 w • , pAlLy F1.oW s 11O X 1+= 4,40G.P,0, I SEPTIG -rA*JK = q,4oylso . =A97;&.P. o AZ l* y� GAL. / ot5Po5AL PIT USA IvoO GAL. Sol ........ boa s.t= x 2.5 � ��`J`� �,Pc, • t BOTTOM AQF-A: ;`l 5iF• . . �� '"'' hd o trx . -TOTA 1- DS-51C.N =.g1'O TOTAL TDA I L`( J:%-av4s PE2.Co�ATIou RA?E i I'�IN 2MIN D2LESS -r�� V .56 FA WILL6AM G `' o`' ALAI) . ! C. N Y E •P No. 19334 O 0 00, 2510 2'ST �� \ ao su NAl E �� ` ��ruo�l� p►Li::..v�ls�tThT3�-'= ��'Il Mamie t A�:..- �v.cL. ro ,� . . • 6. TOP FWD Iwv. a4x � {z5d IFIV• �,/ �� BMX INS. GAL.. ✓�6i.a i f/4r1'! � IdoO INV. SG: G ,TANK y' CW, LISAGII INV. . INY. , - - WITu JS6.Z SG`•�{ WA SN S D .9� 6'TvN� • _ I �J Sao I CEQ.TIFIGo PLoT PLAID ' NO SGAI.E $CALF 2 �G.o 3� 9•/fs3 1 Pti-AN RE�62ENGE { GE QT1FY THAT INE �ouu�ATtoIJ 5{1011YN IiNER6o1�1 COMP%-%(5 YJITN THE S I�tr1_1N E n Y' � Au s 6's eoe►GK 26Qv1 cz. MEN'T'� of -t NE i. GEwrc—aw% II -to W N Or- C3a 9=+4 e--rAA-,9. ,A N V le., til >T LOGP.T D WITN IJ T G1r.o D PLAIN µ1G1-� 4kND5 ScGT:�, DATE t3'AXTEtZe 1�I`{E INC. ��Za �i3' iZEG I S�E�6'D'tA1,1 D S u Q.V EYo245 Tuls Pt.QN I�� Norr g�5�v Id Ati! TR. osT'�eR.Vll.tls -.MASS• �� • INSutArmWT SV2C`( 4 V 'TN OrW$S'T5 SuouO NoT t3G- VAC r,TG`� C7C.?t:.t'1^I►�C t_�'t VING�� APPLIGA►�I"1" p►ItJ s�A1�- rNG . > TOWN OF. Permit�ARNSTABLE No,. -24955 .- -------------------------:- I , i Building Inspector I, 2AUIT Cash t, 0tley OCCUPANCY PERMIT, Bond --------�---_ Issued to Alan E e Small r ' Aciciress t Lot 24, 5 Henry F. Loring Roaa,o Centerville R Wiring Inspector 4 � //. 'Inspection date Plumbing Inspector �y� -T) ® Inspection date u _ Gas Inspector- ;: � Inspection date 7 X Engineering Department.J---t�'f/2�� :== a <--^-- Inspection date Board of Health t'��.� Inspection date �a THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Bulldln Ins ector t. 1D �4 NewPr 6A+iAye,fD ��Qx 1��At.s v� P4 i log, /4 o UIQ 01,ri ,2 x 4 Fa, I '3 pp t. d: i - X,-t 5 DX t 2X �F•�c �+s A4 P7 LAZ, III '� • .• • • ". ." �... •;.� �„ • � -" r.r.., "`,. ea • •.• r••e: ���� •� . ..y' `ter�L�" " ._ "w p• A :♦ '�a s// p� �, ;� wall I • f' � ar _ w:.. .• ,+ � i+k � �' � Gip.► ,fit � : i.• •� v o Idd 3�3 k ; . F-( , r•P. 0 I , . SCALE: Q APPROVED BY DRAWN BY DATE: DRAWING NUMBER t: '1Ka18.EDt'%E POST 18AB-15 I