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0098 LONGFELLOW DRIVE
a ,l.7ie �� .. p& P� Application number.... ...... .. .... ® gU1LpING DEPT. Date issued...............t 1..4 )....... . anR.�vsrABM A 2020 MASS. aa3�. 3 Building Inspectors Initials............ . ...... ............... �0� � N 2 gARNSTA6l E Map/Parcel...l.8 ��0. .- ................................... 3 ' TOWN OF BARNSTABLE SCANNED EXPEDITED PERMIT APPLICATION: JAN 19 2020 ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 4g 0 w h r. ee6elr U 1 L. NUMBER STREET VILLAGE Owner's Name:��IS Q lV ey Phone Numbei( fl Z 7 Email Address: Cell Phone Number Project cost$ 2 3Z I Check one Residential _ 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: 5ee F\4ac64 C,,-t,,a,4 Date: TYPE OF WORD ❑ Siding Windows (no header than )# ElInsulation/Weatherization ❑ Doors(no header change)# C cial Doors require an inspector's review ❑ Roof(not applying more than 1 layer of shingles) Construction Debris will be going to t,JO.5�e CONTRACTOR'S INFORMATION Contractor's name Je�'Fee(e — i;.l6 ,.J W o Home Improvement Contractors Registration(if applicable)# �,� 0,2 S (attach copy) Construction Supervisor's License# 07 2—7 7 2— (attach copy) Email of Contractor w e�-� a (.car► Phone number 7 5'1 — ALL PROPERTIES THAT HAVE STRUCTURES OOER 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............................................................ *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) 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 *MOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles:front back left side right side HOMEOWNER'S LICENSE EXEMTTION 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 C1dM the Massachusetts State Building Code. I understand the construction inspection procedure s, specific inspections and documentation required by 780 Clot and the Town of Barnstable. - Signature Date LICANTIS SIGNATURE Signature _ Date l �� All perms a -ons are subject to a building official's approval prior to issuance. Town of Barnstable Building ', iPost�-This Ca',rd�So Th„at it is Visible From theyStreet�=A "`roved'.Plans Must`IieRetaned on.�Job and this Card.Must be�Ke t ':- pp p ;��' Posted Until Final Inspection Has.Been Made � �,� � � � � ` Where a,Certificate ofOccupanc'` is.Re. uired,such Buildiri shall Notbe,Occu ieduntil>a�Final.lns ection has} een made Permit Permit No. B-20-219 Applicant Name: WINDOW WORLD OF BOSTON LLC. approvals Date Issued: 01/24/2020 Current use: SCANNED Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 07/24/2020 JAN 2 9 2020 Foundation: Location: 98 LONGFELLOW DRIVE,CENTERVILLE Map/Lot: 188-013 Zoning District: RD-1 Sheathing: Owner on Record:. FALVEY, DENNIS M Contractor Name Ty Jeff C Steele Framing: 1 ,4 Address: 98 LONGFELLOW DRIVE - Co.ntractor,License CS;072772 2 CENTERVILLE, MA 02632 " Est Project Cost: $2,321.00 Chimney: Description: replace 4 windows Permit Fee: $35.00 Insulation: Project Review Req: Fee Paid:4 $35.00 i Date: 1/24/2020 Final: Plumbing/Gas Rough Plumbing: g \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after'issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained openpublic inspection for the entire duration of the Final Gas work until the completion of the same. - Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided oh-this permit. Minimum of Five Call Inspections Required for All Construction Work: ,J Service: 1.Foundation or Footing ` Rough: 2.Sheathing Inspection L 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural IMembers(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ...,..vuowlnv,uou��lagu ,ir�lyl.rrt n{{anyvnumatW t�o{�attnnty-al'tNlvl lbpun.tnayuts tFllUtICU Uuuar'"�11 'Et 63..:' ;S t mer delciings gnus on windows/doers initial jam{LAIMEH Cusiomeris tas�8 b( (o10i0 rellpwlnq 18 eom)ee8bn with this conjrorl Painitng St�lning N2rfi Sysfdm dlsconnentjrecomtbet Dui dh10 Pemd{fees In !' -excess df$26.00,Homeoymar, odo gssac a0on Apployal Hlglodc blsbkl Aitproval.CJIy b!Boslbn parktpp&sldowai Pamdl fees In conn8pflon wtltj.)psLUloboq, tyt)EXTRA WORK!� Q IN W ITWGI Customer agrees tot a terms ot•payment as toilows tt 1 ! r , Extra LiBN&Materlais $' J J Site Set�Jp;P4Rt1fl Dlsp0hal,4',Dellvl?it fees$ -7 TOtal Amod6t $ �`,,(r���,,_ i j) ' Cuslotn Qrd�tr Dapb9il 3S% T CkYf ! 1 Project Start Payment 39"u pe(anye Dub Day of lhstatlation l , ,Amount�i an ed 3 rh ( lNlhdowWotidolBoatonanllbjpa al r(Inpihl@workgg agdtief substantlaltycoptplltcdtp aye Sgcurt�lpplerost 1(q;^t )Job_ My:dByosil,togWrgdl6 idvgnc9' e:Iatt'el CiejwotK@S�gHAtI NOT exceod 331139�o e tp4Pl cenbabi�Y18e.ar the ocWal cas[of any fiatenai ar'equipdt�in(gt o :{ sball'aloidda ded nhl�lre 6'a ' 5 lmpluied[koolhesmislae}idtColha(tipardest'ollryow8dtlaassurelh�t(hopro}dctVrlll.progbaJpn�a�hedU lj�o6nalpaymorit hll'hame jmpttivament'conLrdctais ubcenlrautore shall he reglstei0d and atfony+tpgulresabout b cogtta"et of con5uclOrrolalirlll,to 3rq$IsUalturf ah0uidtbo sy d'injtifed lo.�t0ce o1'Gonsymer/if r`s; ou Bbstness REguiation,TagparkPlhke,Splle 6170 Beston,MA.02f 16.ors (617)973 6701 No woik shelLbagln prior�o.lhn s id pt lho cohltoct and transmlHa},ta 1hQownpr of a gppy of each conirect I .,- i �. Wlndow�Wdrld of 0oston utidec:p" stn otChepter 1d2a.df the.geperal lawsjl4 required to app{y:for adp o6laimail u�onslruction rotated pemtd�SYndei�lNorld•di �, 1 �� Bos(anslio14gg4he•deemgdresp� ble�.CdetayslPltflewarkdescdb@d.InlhlsagreQmantoallsgd,Dyuggufatgypermtlgruo0pgaggncles,;authorj0as.grtpolvldQalS. Nallca:tlthePUl}CNASER(S}oq a l'.awnconaaa0banref@ladpbrmila(prthew�rkdescrib�dundgrtNsagtgelnenl4tdqatswithunrepisiered.cprdtadote; i( the AUBCHpSER($))s hp)ohy>#p ot�lhat;ln Ihn QQvedto)p Cis�ule;;}}Idgarhenl and noppaymentjlhe t'Ui1CHASEt1(S)wtllnatba gnu0ad to make a da(rp ar callecllan Irdm lho guaianly'tond fe ilshed 6jikhapter:ld2A,M G C T , 1 s 1. YOU t e buyer may raft a ►sgransac on eh$1)y tlme;prtor to m Jn ght at t ea Ir usgilpss ay J or t e ate p s r..nsacbon Notice o1 cancci idh must bklq.wRllnp postriiarke�nDa'atl rihen.;midn(ght:pt ihaiollowing third business day ALEI I ihls.Wlndcw YtoddR Fj ilchUa Is'lode 'nden owned'and operatedb'.L.ltr•R Bostori•C gt ilri';hic>ilndrr•ficense irom intlow.WoitA.Inc .`c:i a. I L Ownek.DO pot slenlf there are any bignk epacga le �.7s IN. t r f $ele?man Do ar any blan spaces at Owner Do nqf alOn it Inpto aro any blankspacae Dale i .' iNhtOopysGdnlnall YeltowCclpy Fte PInKGopy Ct)siamet ;( eq-not to�t�flB B1yy 9 (py o; one)dwoo.@4i 7e J)auBlaq Q41 UMalrlA 0.411 egoplpL'e'w)o)Wk-uBis B Jab§ay,lp!>3u(antl'te4►6a0od. 11'i4uilhap s{eiet�e's� o) >ItoM'aw eM esBagtj{m u{ go(RBp c io Z'e.oq lllµ)119;2)un euop s{go(sot IIq BIsJUTeietieb dM no7(r y11M ejWp wavilelsut oyl dot o' suit)atj)e mei5 dio.lbl QWrflentiiA'pali6edxele'gl,o na,t estAps'IIIM b}��•soµltg e)nttetlatjtliue itrn(Jry g (. 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N-V SMOt7 1M M3N N OA dOd JN Vd3ad ` I Ll • " t t 1 t: S :K i Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction Supervtsor CS-072772 Expires: 04/07/2020 JEFF C STEE1 E 24 SHERWOOD AVE DANVERS MA 01923 / .-- ' .Commissioner V 4 Office of Consumer ANairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:LLC Rffgl F_xwrati�, 161=) 04111/2020 WINDOW WORLD OFBOSTON,LLC. JEFF C.STEELE. 15A CUMMINGS PARK WOBURN,MA 01801 UndersWrGkq j_ Pie Com-mo iwealtlt �J i�Iassa.c�aasarrs ;;; Department of Industr%al Aceidems I Copt;Tess Street, suite 100 b 114-2017, lL0 www.mass.gov/dia V1'6rkers' Compensation Insurance Affidavit:Builders/Contractors/ElectriciansiPlumbers. TO BE FILED WTI'H THE PER:MIITTIIi iG AL'i'HORITY. Applicant Information 1 Please Print Le-,ibly Name (Business/Organization/Iudividua():L,�(i--) jS r,417r �ei4 t./.iitlaa d-,f Address: 1 5 /A City/State/Zip: U/ M Phone#: 7,?I - Z-�Jf n S Arr an employer?Check the appropriate box: Type of project(required): 1. I am a employer with L% 0 employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.lido workers'comp.insurance required.] 9. El Demolition 3.7 I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10 Q Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. [will ensure that all contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 3.f7 I am a general contractor and I have hired he sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.; /� o.❑we are a corporation and its officers have-exercised their right of exemption per MU c. 1 ��CCOther tO(N 132,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box 41 must also Sll out he section below showing heir workers'compensation policy information. 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'oomp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. r Insurance Company Name: A sync', o f e G Fri 0141e r S Policy#or Self-ins.Lic.(#/t tl G c -5-no- I O R- Z O t Expiration Datee:,,�L/—_ -- 2 0 Job Site Address: a 10� City/State/Zip:l 4tt etc 1 4_t Attach a copy of the workers'com sation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 1NIGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the tolator.A co o this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verific 'on. I do hereby certi and he pa' a enalties of perjury that the information provided ab a is a and correct Signature: Date: LZ LU Phone#• 8 Official us;-a 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#: Ac hr CERTIFICATE OF LIABILITY INSURANCE r ATE(MM/DDIYYYY) 03/26/19 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 have ADDITIONAL INSURED provisions or 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 NAME: amy roberts All M.P.Roberts Insurance Agency Inc. PHONE o Ext: 978.683-8073 A/c No: 978-683-3147 1060 Osgood Street North Andover, MA 01845 ADDRESS: amy@mprobertsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC 9 INSURERA: WESTERN WORLD INS COMPANY INSURED INSURER13: MERCHANTS INS COMPANY L&P BOSTON OPERATING,INC INSURER c: ASSOCIATED EMPLOYERS DBA WINDOW WORLD OF BOSTON INSURER D: 15A CUMMINGS PARK WOBURN,MA 01801 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY 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. LTR TYPE OF INSURANCE INSD UuLrWVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑X OCCUR O PREMISES Me occurrence) $ 100,000 MED EXP(Any one arson) $ 5,000 A NPP8525379 04/05/19 04/05/20 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JECT 7 LOC PRODUCTS-COMP/OPAGG $ 1,000;000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWMEB AUTOS ONLY AUTOS X SCHEDULED MCA1002569 04/05/19 04/05/20 BODILY INJURY(Per accident) $ AUTOS X HIRED X NON-0VMVED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ :AND UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LJAB CLA1MS4MADE AN065362 04/05/19 04/05120 AGGREGATE $ 1,000,000 DIED RETENTION$ $ RKERS COMPENSATION X STATUTE ER EMPLOYERS'LIABILITY Y I N ANY C OFFICERIME BEREXC UDEoXECUTIVE7 N/A WCC-500-5018609-2019A 04/05/19 04/05/20 E.L.EACH ACCIDENT $ 1,000,000 (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/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN EVIDENCE OF INSURANCE ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REP EIFTATIVE����""``�� O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD N -1�4151 oFtt�r Town of Barnstable *Permit ltg O Erpires 6 mondrs from issue Jute Regulatory Services Fee RAMsrnu;i e 35 .0b 1639 `0g' Richard V.Scali,Director e (f QED MP'�e Building Division Tom Perry,CBO,Building CommissionerSEP 1 200 Main Street,Hyannis,M 2 20'� www.town.bamstable.ma. WV OF LI//�� Office: 508-862-4038 °°lI��j ' Sp8-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONL Not Valid without Red X-Press Imprint Map/parcel Number 013 Property Address 4614 fe/%tom Residential Value of Work$ S-0 1 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address n S CalVey ail C FOAMV ( rW✓d be ri A © Z y� Contractor's Name tw Wo(r J/ FF > ibFL� Telephone Number Z �` �yTZ - YSI OF aV1C_1V&_) Home Improvement Contractor License#(if applicable) 16(,OZ1�' Email: Construction Supervisor's License#(if applicable) (37 2—:7 72 - YVorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name i4m7ED(L 'f I s.F— 1 A).Q3ai"- ftlpiW Workman's Comp.Policy# aZ W F—C1--T 26 .34 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) side Replacement Windows/doors/sliders.U-Value •2 (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. "where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is equired. h SIGNATURE: C:\Users\Deco) to cal\Micros endows\Temporary lntemet Files\Content.0utlook\2PIOI DFIR\EXPRESS.doc Y. Revised 040215 P j a Window.World of Boston, LLC MA HIC Registration i Offices St Showroorns Number. I315A Cummings Park 0295 01d Oak Street. 166025 Woburn;MA 01801 Pembroke,MA o2359 Federal ID „Sim 7 e Best a (781)93244805 (781}826-62Bi 27-1481665 - /(t^,� ,? r pJy h/e Best forcers"� rnvw.Windo vWortdof8oston.com I t.r=t 1 Customer �-4/s/;$. /—[// _ i J � Phone(h)�go �'7H-�33J' InstallAddress:�� 9�/Gl=c G'OA0 �jy Phone(w) city: ---__State:State:MA Zp 0 Z E-mil WINDOW WORLD GLASS OPTIONS _1000 Series Single-hung All-Weld $189 /Z SolarZone Elite 5119 Zlg 2000 Series DH MechiWeided Sash $215 _Triple,Glazed TG2►. $195 0 4000 Series DH AIimmid $225M� (^Series 6000 00,,) 6000 Series DH All-Weld $26o WINDOW OPTIONS / 2 Lite Slider $354 Glass Breakage Warranty $15 PICLUDED _3LiteSlider nn,a,s1 rxvz+w $545 /112.Screens 011CLUDED _Picture/Fixed Lite $354 Foam Insulation on Jambs and Head $11 IflCLUDED _Av,ning 3280 __90oubieStrength.Gfass $15IPICLUDED _Casement $310 _Double Locks(>261 $5:NCLUDED 2 Lite Casement gags Full Screens $22 3 Lite Casement nra.»+ar on.:rc vv 3880 Colonial Grids(Contoured/Pat) $45� _Basement Hopper �4 Prairie Grids S51 _Bay Window-Soffit"Aountl INS Seat.$2660 —Diamond Grids S69 Bow _Simulated Divided Lite $182 Gar Window-Soffit Mount/INS Seat$2785 _Tempered DH Sash(BSO)(TSO) S65 _Garden y Wincloovi $2040 _Obscure Glass(BSO)(TSO) S35 Soecietty!vindow $ Oiiei Style(40160 or 30140) S30 _Beige/Almond WI _Foam Enhanced Frannie $35 _iftod Grain Interior(Sens,docol=0 only)S100 ORE 1978 BUILT HOMES(EPA LEAD SAFE RENOyATiON). (LJgr,rOaklOarkOak/Cherr�l Fnx:7ocd // Lead Safe Practices Required S30 O RchMaple) MY HOMEWVASBUILTINTHEYEAR��inllla _En rein Exterior;Arch.Bronze/American TelralS100 _Designer dolor Exterior $1715 MISCELLANEOUS _Custom E:deriorAluminum Cladding Window Color /r7J� /�j� O Textured$75 ❑Smooth$75. S lsida G.tside Faring Color NON CUSTOM DOORS _Metal.Nindcw Removal $50 +1iinyl Hailing Patio Dcor sit.or go. =95 Nex Consituelion Yinyi Remoyal $175 Wtroill Rolling Patio Door an, suss —Specialty Window Exteriorhim_ $ j - �ddtotiaseaiceSr Custom Roiling Palo Lear S1250 1,1uiltp-FormFAulii-Unit $30 French Rail Sliding Pal"lo Dorn SR.or eft. $1395 _Install Intetior/Eiderior Stops $50' _French Fruit Staling Patio Door Bit. $1495 Install Interior Casing Starts At $95 _French Rall Skdelg Palo 0corsk S1595 _Insulate Weight Boxes 520 _QslomExteriorCladding 5150 _Floor for Bay/BovjWinddNs S5Op _SrlarZcne Elite or ETC Glass o205 Existing New Const.Ext,Retro Ft $150 _Grids Patio Door S149 —Removal of Existing Bay/8av WSC Woc lgrain interiors .S295 �RepairSill,Jamb or replace sill nosing $50 `_[xt=_rior Designer Cniars $39$ Full Sub-sill(Single)replacement $150 =lntarior Casing 21G 3M S»5 _Handle etOptions $ _Mul6on'Removal $30, _Bay/Bow Conversion Ext.Retro Ft $350__ (Plow Siding Will Not;latch) Door Color 1 tnxo; •;.. rlOUtiD V{*fOBIIfN16 5 �. Oataida Customer declines exterior wrap and understands painting andfor repair may be fired Initial Customer declines grids on_/—:rinclows/doors initial pI,C-MAX,Cowomarisrasponsideorth-f0fiRiegincauleckon.viththiscontract.Paiillig,Staicr.9,Narm9/stem siscenmcitreeainecta0dingPetml fees in excess of 525.60,Homewiner and or Cc no Assaoikicn Apprc>al Historic Disaiil Approval City of 3osian paddag a sidr4R?arml fees in ectmeif9n vrdh insiak93n.- NO EXTRA WORK IF NOT IN WRITINGI Customer agrees t0 the terms Of payment as follOWS: r/�?71j-1V1LL,2.Vl1LL,m Extra iabor&dlateriats a" Nb 5-1.c�WED 9,4'2ir/7- 0-��Al Site Set Up,Permit,Disposal&Delivery.Fees g $389.00 f7F w.f�/ST���r �7Jc Total Amount Y�I Custom Order Deposit 5014 S&06Ck# Balance Paid to Installer upon Completion szg6ol / Amount Financed S' WIALUv7foddof Boston antlatatesstalling his-dark �6/✓ andhaingsbstantiatycwna,eledir✓Z7ays.Securirylmerast:'les .Ia Mydeoos t rep rived in advarre a1111a start of the tao,te SNAIL I 0 exceed 33 ti3A of 15e total commit price or.tne actual cost o1 any materia or equ pmenl 01 a spedalorder or custom made naatie,wir'ih must be amend in advance of the start at ins vrcrk to assure Vat I'D project zral proceed on schedule.No final paymem shah he demanded until Poe contract is complded to the saitsfaclich of bale parker A4 home m tirnment ocnimmon and subdr4mctors shall be mostered and that any In4uaes about a ccMul or subconbaclor reeling to a registration should ire directed to:Office at ConsumerAlfalrs and ousiaess Regulation,fen Park Plan,Suite 5170 Boston,61A 02116.Phoao:(617)973-OM � Ro we shall begin pilot to for sigding of the contract aid inlistailial to the owner of a upy of such conbacl. t=Andovi tillautfli of Boston u afer prov sign of Chafer 142A of Ito gerPJel isyn is retrt:ired to a,Dply let and obtain altcmrslydctian-related petmits.Aini cly yiodd at 30bn st eltiot be deemed respan§id'e tar delays In the rroytdemibed In this agreept end caused by regulatory,aermit gramirdii agencies,aulhonRes at individuals. Notice:0Ike PURCHASER(S)obtains his own cons imIlloo related permds for the walk described under lkis agreement or deals with unregistered contractors, The PURCHASER(s).is hereby advised that in the ovent of a dispute,lodgement and nonpayment,,the PURCHASER(S)will not be entilled to make a claim at collection hem the guaranty limit 1103➢,ishld!bychapter142A,M.G.L You the buyer may cancel this transaction at any time prior to midnight of the third business day after The date of this transaction. Notice of cancellation must he in writing postmarked no later than tlaMighl of the fe0owing third business day, I .. Th's t'dndow Nod,'Farctise is nde endanil omed and apaiated by'Jlndmo'J od0 ostoa,LLC.radar rcen 1 iadaw yicdd,61c: 6 Owner.no not sign It there ore any bta k spaces. O to / Sal-sman,.o not si9. .reany b kspaces.'oat. Ovirar.Do bat sign it there are any bin k spa-7Deli_ -uiKa:c'Fii V4uta Copy Original Yarcv.Copy-Foe Fnk Copy-Qntemw x,i note.v:9aapwrii,a Massachusetts Department or Public Safety ® Board of Building Regulations and Standards License: CS-072772 Construction Super./isor JEFF C STEELE 24 SHERWOOD AVE DANVERS MA 01923` Expiration: Commissioner 04/07/2018 .__.':I, �C:LriN.L.:.;nvi:;�/7 _ (�in.:.:ar•/%!r..:•i'. Office of Consumer Affairs&Business Regulation —' HOME IMPROVEMENT CONTRACTOR Registration: 166025. Type: Expiration:. .4/1 2120 1 8 LLC WINDOW WORLD OF BOSTON,:LLC. JEFF STEELE 24 CUMMINGS PARK SUITE 15-A WOBURN,MA 01801 Undersecretary License or registration valid for individual use only before the expiration date. If found return to: office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 *ot valid without signature CS The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street;Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers,Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers- TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/1nditzdual): All, rd'brJ A/br1 /O-r �p/1 GL C Address: I.S�A C r►,,•-,,rt{ t r K City/State/Zip: id,06urn tln Qieb I Phone#: -7g l -q S 2- - U&o 5- Are you an employer?Check the appropriate box: Type of project(required): l.�am a employer with,�employees(full andlorpatt-time).' 7. New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.(No workers'comp.insurance required-1 °. ❑Demolition 3.a I am s homeowner doing all work myself[No workers'comp.insurance required.]t 10 Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. Iwill ensure that all contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance. 6.❑We are a corporation and it officers have exercised their right of exemption per MGL c. 14.FOther W 1 ri d o 152,§1(4),and we have no employees.[No workers comp,insurance required.] *Any applicant that checks'box 91 must also till 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information.Insurance Company Name: (4 a- -14 o-rrr E-m Tn S J R fl/t/L C© Policy#or Self ins.Lic.#: Z Z j/i/r C L ,),Z Expiration Date: Job Site Address: �'T g /0,7 3 `e//mac✓ �/. City/State/Zip: t� „��/1/,/�� ;qA Attach a copy of the workers'compensation policy declaration page(showing the policy number and expi tion date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this ement may be forwarded to the Office of Investigations of the DIA for insurance �evet g I do hereby cer under a pat erjury that the information provided above is true and correct. Si ature: Date: �- Phone#: — .3 L- P j j 70ther nly. Do not write in this area,to be completed by,city or town ojjruiat : Permit/License# rity(circle one): ealth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector n: Phone#: f • ''�� WINDO-2 OP 1D: HI aCORo CERTIFICATE OF LIABILITY INSURANCE °ATE r 05/04/201714/2 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 Marsh&McLennan Agency-GSO NAME: Carli Witcher CISR,CBIA,CIC 3625 N.Elm St A"CN o :336-272-7161 ,,No-336-346-1397 Greensboro,NC 27455 �ess:Carli.Witcher marshmma.com C.Timothy Ward,CPCU,CIC INSURERS AFFORDING COVERAGE NAIC# INSURER A:Hanover Massachusetts Bay 22306 INSURED Window World of Boston,LLC INSURERB:A]Imerica Financial Benefit 118 Shaver Street North Wilkesboro, NC 28659 INSURER C:Hartford Fire Insurance Co. 19682 No INSURER D: INSURER E: - INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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. INSR' TYPE OF INSURANCE DLiSUBR POLICY EFF POLICY IXP LTR I INSD!WVD POLICY NUMBER MMIDDNYYY MWDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,00 C AIMS MADE ; X OCCUR OD6790252708 04/01/2017 04/01/2018 DAMAGE RENT 500,000 E -- PREMISES Ee occurrences MED EXP(Any one person) S 5,000 — PERSONAL&ADV INJURY S 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER:PRO- GENERAL AGGREGATE S 2,000,00 POLICY — JECT —. LOC PRODUCTS-COMPIOP AGG S 2,000,00 OTHER: S AUTOMOBILE LIABIIJTY ? Ea ac1LED SINGLE LIMIT S 1,000,00 B X ANY AUTO iAW68757615 06/16/2016 06/16/2017 BODILY INJURY(Per person) S ALL OWNED SCHEDULED _AUTOS _AUTOS BODILY INJURY(Per accident):S —HIRED AUTOS NON-WNEC _ .PROPERTY DAMAGE der accident) S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 2,000,000 A EXCESS LIAB CLAIMS-MADE� iOD6790252708 04/01/2017;04/01/2018;AGGREGATE S DEE) RETENTION S WORKERS COMPENSATION S AND EMPLOYERS'LIABILITY YIN ` X 'STATUTE FOR C :ANY PROPRIETOR/PARTNERIEXECUTIVE 22WECLJ2635 OF ICERIMEMBER IXCLUDED?under N 1 A 01/27/2017 01/27/2018 E.L.EACH ACCIDENT S e50D,00 If yes,describe undF ❑ (Mandatory in E.L.DISEASE-EA EMPLOYEE:S 500,000 - DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule.may be attached tt more space Is required) I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE .EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD ` h ` e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 4 +9 Map ( Parcel Per mit# 1r Health Division Date Issued ' " Conservation Division Feed, S` Tax Collector Treasurers q�t,0UV1.� Planning Dept. �I Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address f /fO� pig Village d-e /3YA A/.I, Owner i4-) ! Addres Largo,FeAlocrJ 41- Telephone Y6 Permit Request rwrly3ik, !tee i it e r C) -eS'I" 29 Square- : 1st floor: existing proposed 2nd floor: existing proposed Total new f Valua i n Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family CAI 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 new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn: ❑existing ❑new size Attached garage:❑existing ❑new size Shed:0 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 7�fl r Name �TU-e �OC��({Q�R�d)�!��/ Telephone Number � �1 al Address 20 )_--AS T License# CS 07 3 a V l IL411146IU14 rV^ a a S X Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO S SIGNATURE DATE 7 —,;�j59 FOR OFFICIAL USE ONLY i F r PERMIT NO. - f DATE ISSUED K — MAP/PARCEL NO. " ADDRESS VILLAGE K"•rR:4cF% 1 t ^ r a OWNER, vv- DATE OF INSPECTION: FOUNDATION - FRAME - INSULATION t Z + FIREPLACE ELECTRICAL: ROUGH FINAL 4 PLUMBING: ROUGH FINAL 1 GAS: ROUGH FINAL =` FINAL BUILDING DATECLOSED OUT C t f ~ ASSOCIATION PLAN NO. c. - . e oven ot Barnstame ' atarrsrAsr.� - 91679. Department of Health Safety and Environmental Services s Building Division 367 Main Sores,Hyannis MA 02601 Office: 508-862-4038 fry Ralph Crosse. Fax: 508-790-6230 BuiIdinz Cora —4t Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. I42A requires that the"reconstrnetion,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or consnuctian of an addition to any pre-edsting owner-occupied building containing at least one but not more than,fair dwelling traits orto structures which are adjacent to such residence or building be done by registered cm==tms,with certain exceptions,along with other requirements. Type of Work: I��S�►( 1 rc�� ¢ �' ��n Estimated Cost,-3G�C--'o.0 O Address of Woric L p/)a, Pet Owner's Name: Date ofApplication: I hereby ca fytltat: Registration is not required for the following reason(s): . Work excluded by law QJob UnderSI,000 pBuilding not owne:wccupied QOwnerpulling 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. 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As quote - �f litre. :press or iamued, oral or written. �•rno or = .. auociation, cozpo�°n or other legal enttits•, or an. m0': emplover is d � ed as an individual,parmersbzP�P, of a dec=sed emp}o- emery or the. o- - Tore�oing e~='wed in a joint eaterPrise, and moreso:",ng=pioye - HOwIver oR� - dip, association or other legal eaaty, aa�ofthe dv:ei.iin_house c: .:ustte of an individual,p ararie them,ortbe oceup not more thaw thr�-ap and who zaid or on the - dwellin_house ha,%Ing , e®saactian or��work ca such dw house who employs persons to d0 berme of snC�i empiopate�be�CIta`be sa empioyQ• zoth�. �� not ouiidinff anpiirtn3"t ,.D shall staffi a-local licensing MWey shaII withhold the issuance fl• r mtbe commonwealth for an` applicant wnc ,N1GL chapter 152 sac dodo a o�construct buff&UP _ � n,,,,�r ermit to P �the�M coverage mod• F: "'' �' of a license or p • not produced 3C�ptahie svideacx of f, •�shaII.e�eria�o=7, forthe performance of public work u.-=: any of rts oirttcai sub oftb%sdiapterha bem preseated to the eD = nor P - - - _ w� with the iasarat / of iiaace IN .-,ppiicanrs ftby d=kiU9 bostbat applies to votQ �d D�., z :111 III 111:.S i�L.^'� CD�CaSa�ICm �""' 'j' a Of an 3tIIQaS'ITs SII3 _. ` y saes,address and phaaa mm�� Also be sure to si=u s-aLait ing ca=P-=Y for m aft • cw.s IS Acad ••,,�, •permit or U e 15== tZ= . bC1 � CttoWIIZb'dC 3C�Yr'.."`�'"" .. . "Taw"the 0. date the aiudavit. The 3 P== c f ymeve=F 4aeSd= eioiv F -pTseste.'z, not the Dcparsmeat gI the Depart9 atfbe amaber listed• � p � ,per- to _ Ciro• or To _ at the botwm o= ac.. p Ieg�1y. 'IIm Depa P10 a appliG=nt- Pie:se :�. ..._., r:� vrt is�0$cx of ha.S to c�Q Tb`'"`.�,�ems,i?e��1� to fiI1 out lathe sr�t w�w3lbe��asef�� �& _ +� -11 is is,'P� case aIImber bee�mada. - or FAX ualrss otbzt - •.he ��„�w:t by taa�3 - - and should you hat"'=Y Vcs �•� V %.e f Investi O :ce o _ would IUe to thank yin?inad==for'Co e do not hesitate w give us a=1 _ %% ' _ faxm�Q: �e ,y�C=;S address,tel dad The Commonwealth Of M$ssach set ts Department ofbdustriuoas Accidents GMCC of IMSUD 600 Washington Street Boston,Ma- 07-111 fax*: (617) =7--7749 -e GTE .ca::�jrd of Bt..iilding Regulations and Standards One Ashb rton Place - Room 1.301 Boston , Massachusetts 021.08 Home Improvement Contractor Rega..stration Registration: 1.311S2 Expiration.: 06/12/2002 N ✓TLC L/dllNl[0921UP.Q��6�✓llakICLCI[lG1P.�b Type: Inclividual = HOME IMPROVEMENT CONTRACTOR o Registration: 131152 STEVE BIL.ODEAU Expiration: 06/12/2002 STEPHEN BIL_ODEAU Type: Individual 20 HARRINGTON ST . EAST FAL_MOUTH MA 02S36 j STEVE BILODEAU WHEN BILOOEAU ADMINISTRATOR 20 HARRINGTOH 51. EAST FALMOU MA 02536 .BOARD OF BUILDIN(a REGULATION$;,{ License CONSTRUCTION SUPERYISOF� ,1• f � � , ,1 Number CS 1;0 �1 � ,` I Birthdate 06l27M962 l a Ezpin3s06t27/2002 Tr no: 73281 Restiictett To '00 STEPHEN L 81LODEAU r 20 HARRINGTON ST E FALMOUTH, MA 02536 Administrator