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"�� :s� �P.ost<This-Card So�That;it�s Visitife:'From�the,Street ,aAp ,roved Plans,Must be Retained on�Job and,this Cafd Must�be Kepxa � 3- 1A CAOMALQ, bs Posted Unt:i-l�vFinal�lnspectio, n Has�,B, e.en Matle, � � Perm it Bates Where,a ertifica�te of Occupancy is,Required;such�Building shall Nowt be Occupeduntila aF nal Ins4pectonas� •� made �� r Permit No. B-19-769 Applicant Name: William McCluskey Approvals Date Issued: 03/13/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 09/13/2019 Foundation: Location: 141 MONOMOY CIRCLE,CENTERVILLE Map/Lot 191 206 Zoning District: RC Sheathing: 7-7 Owner on Record: CARROLL,CINDY LOU ContractorName �WILLIAM J MCCLUSKEY framing: 1 s fi Contractor License CSSL-102776 Address: 141 M_ ONOMOY CIRCLE 2 CENTERVILLE, MA 02632 Protect Cost: $3,800.00 Chimney: Description: Add R-38 fiberglass,and R-37 cellulose to the attic.Air seal',the attic Permit=Fee: $85.00 P Insulation.. plane with expanding foam.General weatheriation , Fee Paid:_ $85.00 Final: A 19 Project Review Req: ; Date 3/13/2019 V. E REN Plumbing/Gas g .._ Rough Plumbing: -' ui in icia This permit shall be deemed abandoned and invalid unless the work au hori zed,by this permit is commenced within six months after iss an Final Plumbing: All work authorized by this permit shall conform to the approved applation and theapproved construction documentsfo�r wh ch,this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or or adga'nd shall be maintained open for public inspection for the entire duration of the" work until the completion of the same. x t a Final Gas: z: , The Certificate of Occupancy will not be issued until all applicable signatures by the Budding and,Fire Officials are provided onhis permit. Electrical Minimum of Five Call Inspections Required for All Construction Work � � 1.Foundation or Footing sy z �^ Service: 2.Sheathing Inspection a 3.All Fireplaces must be inspected at the throat level before firest flue lmiM, nstailed ', �^° Rough: „s ., o,..,.: , 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "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 Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: - ONCE em OX.L- 5 T Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 3/20/19 Et) ZE C> Brian Florence CBO Town of Barnstable Building Division W 200 Main St. Hyannis,MA 02601 o RE: Insulation Permit 19-769 Dear Mr. Florence: This affidavit is to certify that all work completed for 141 Monomoy Circle,Centerville has been inspected by a third party Certified Building Performance Institute (BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey I Town of BarnstableetE�PT ` ,, " 200 Main Street, Hyannis MA 02601 508-862-4AS ~' Application for Building Permit ' PP g Application No: TB-16-3187 Date Recieved: 10/28/2016 Job Location: 141 MONOMOY CIRCLE,CENTERVILLE Permit For: Building-Solar Panel-Residential Contractor's Name: SOLAR CITY CORPORATION State Lic. No: 168572 Address: 24 ST MARTIN STREET BLD 2UNIT 11, Applicant Phone: (508) 640-5397 MARLBOROUGH, MA 01762 (Home)Owner's Name: CARROLL,CINDY LOU Phone: (774)316-1442 (Home)Owner's Address: 141 MONOMOY CIRCLE, CENTERVILLE,MA 02632 Work Description: Install three(3)additional solar panels to MP3 to solar system on roof of existing house,with any upgrades, if applicable,as specified by PE in Design;To be connected with home electrical system. New Total System Size: 8.19 kW 26 Panels JB-0263339 Total Value Of Work To Be Performed: $3,100.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor;or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. i I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief.` All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. ; Signed: Cheryl Gruenstern 10/28/2016 (508)640-5397 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $3,100.00 Date Paid I Amount Paid Check#or CC# Pay Type Total Permit Fee: $90.00 10/28/2016, $90.00 XXXX-XXXX_ XXX_ Credit Card 8975 Total Permit Fee Paid: $90.00 KKK f .r s HISIES THYfte ' - Solar0ty Date: November 7, 2016 TO: Barnstable Building Department 200 Main Street Hyannis, MA 02601 From: SolarCity Corporation-Cape Cod Warehouse RE: �14-1-Moriomoy Cir_cle;_Cerit___ erville� Permit Nos.: B-16-2778 E-16-1952 System Size: 23 Panels @ 5:98kW Permit No.: TB-16-3187 First Revised Size: 3 Additional Panels @ 8.19 kW Second Revised Size: 20 Panels @ 6.3 kW Our Job No.: JB-0263339 . 3 Note: Attached are the revised plans for our solar installation located at 141 Monomoy ._ Circle in Centerville: Since the permits issued and first change was submitted, all panels have been 1 removed from MP3; at the customer's request: . We would greatly appreciate the revised plans be added as a modification to our permit applications. SECOND Revised Size: 20 modules @ 6.3 kw-DC. Please contact me directly with any questions/concerns. Cheryl Gruenstern Cheryl Gruenstern f Permit Coordinator Direct Line: (508) 640:5397 cgruenstem@solarcity.com 112 Great Western Road,South bennls,MA 02660 T (888)SOL-CITY solarcity.com AL 05500.AR M-8937.AZ ROC 243171/ROC 245450.CA CSLB 888104.00 EC8041.CT HIC 0632778/ELC 0125305.DC 410514000080/ECC902585,DE 2 01112 0 3 8 6/Ti-6032.fL EC13006226,HI CT-29770.IL 15-0052.MA HIC 168572/ EL-1136MR.MD HIC 1 2 8 94 8/118 05.NC 30801-U.NH 0347C/12523M.NJ NJHIC#13VH06160600/34EB01732700,NM EE9,8-379590,NV NV2 012 113 5172/C2-0078648/82-0079719.'OH EL.47707.OR C8180498/C562.PA HICPA077343.RI AC004714/Reg 383T3.TXTECL27006.UT.8726950-5501.VA ELE2705153278.Vr EM-05829,WA SOLARC•91901/SOLARC-905P7,Albany 439.Greene A-486.Nassau H240971000Q Putnam PC6041.Rockland H-11864-40-00-00,Suffolk 52057-H.Westchester WC-26088-H13.N.V.0#2001384-0CA SCENYC:N.Y.C.Licensed E]ectrician.#12610.#004485.155 Water St 6th Fl..Unit 10,Brooklyn.NY 71201#2013966-0CA All loans provided by SolarCityFlnance Company"LLC. CA Finance Lenders License 6054796.SolarCity Finance Company,LLC is licensed by the Delaware State Bank Commissioner to engage In business in Delaware under license number 019422,MD Consumer.Loan License 2241.NV Installment Loan License IL11023/I1.71024,fd Licensed Lender#20153103LL.TX Registered Credl for 1400050963-202404.Vr Lender License#6766, ;;SolarCity � . Date: 11/03/2016 To: 40RfMOt Building Dept. From: SolarCity Corporation Cape CodWarehouse 112 Great Western Rd South Dennis MA 02660 - NOTICE . OF CANCELLATION This notice certifies our proposal to install Solar/PV @ -141 Monomoy Cir will not move forward. The customer and SolarCity have decided to no longer move forward with this project. Please cancel Building Permit#B-16-2778 and Electrical Permit# E-16-1952 Please contact myself directly with any questions/concerns. Thank you for your assistance. BU'L®�/VG DEP 7. Best regards, NOV 03 201 s Nathan Tissot 7'0wN4lrgq Permit Coordinator—,Cape Cod �` � SolarCity Corporation 112 Great Western Rd South Dennis MA 02660 4 Work#508-640-5389 ntissot@solarcity.com SOLARCITY.COM AZ ROC243771!ROC 94545WROC2.77498,CALICM888IN,CO EC8041,CT HIC 06317ME L c 012a!0.DC#711014136vKC9ar58S HI CT-<9770,MA 11IC 1(i8572 MA EL-1133MR,MD MHIC 1284,18. NJ NJFt;C4131..1 OM160tb0134E801792700,OR GB18044lLC56VY@1102.PA MCPAOT'343,TY.TECI-27006,WA SOLARC'919JI/SU ARC•tM...0 2011 SOLARCITY GIMPORATIC"ALL RIGHTS RESERVED. ` *Permit#Town of Barnstable �3 ? , Expires 6 mon r is a date Regulatory Services Fee BMWSTABLK v� Mass' �' Richard V.Scali,Interim Director ArEo�.�,� Building Division . Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY f �� Not Valid without Red X-Press Imprint } Map/parce'�1�N be16[ 1 "Prop dress �y� ~ ���/d.V C�/ . �/`e/i�/�- �[`r O 33 ❑Residential [ Value of Work$. / I Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) Y.PR PERMIT ❑Workman's Compensation Insurance " Check one: N O V 13 2013 I am a sole proprietor TITam•the-Homeowner I have Worker's C npensation Insurance TOWN OF BARNSTABLE Insurance Company Name t Workman's Comp.Policy# 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 e-roof(hurricane nailed)(not stripping. Going over existing layers of roof) �e-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#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 tractors License&Construction Supervisors License is requi SIGNATURE:6 Q:\WPFILES\FORMS\buil ' g permit fonns\EXPRESS.doc Revised 061313 f The Commoniveakh of 1lbassackuseits Department of Industrial Accidents .- fi,Q`ice of Investigations 600 Washington Street ..�, Boston,MA 02111 wm v.mass.gov/dia Workers' Compensation Insurance Affidavit:Bmlders/Contractors/FAectricians/Plumbers Applicant Information Please Print L.emW Name Musm�nizatian,U&vidaal): city/s4wzip.CCKA-u U A e- ao Phone4- 3 Are-ytiu—an employer?Check the appropriatebox::—� Type of project(required): 1.El �'1 I am a employerwith .-M 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 sbip and have no employees 'These sub-contractors have 8. Demolition working for me in any capacity. employees and have wodcers' 9. E]Building addition [No workers' comp.insurance comp.insurance. , required.] 5. ❑ We are a corporation and its ME]Electrical repairs or additions 3.❑ I am a homeowner doing all work offers have exercised their 11.0 Plumbing repairs or additions - myself [No workers'camp. of ex exemption per MGL 12.❑hoof repairs � iummance 1 c.152,§1(4X and we have no ,� - ,�p n l d] employees-[No workers' R ther"T i d e rs�, 1-K :DE7l e S i comp.insurance required.]: 'Any appliciair that checks box#1 mast also fill oat the section below showmz then wailiers compensation policy informstion. T Homeowners who submit this.aidavit m&catmg they are doing all wcA and then hire outside contractors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet shoumg the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employee%they must provide their workers'comp.policy number. I am an employer that is prvilding workers'cons wnsation insurance for my emplgjwes. Below is the policy and)ob site information. Insurance:Company Name: Policy 4 or Self-inns.Lic.#: ExpitationMte: _..,. ..� .. Job Site-Address:I tl`I hr�m �^ ► --- cityrstatelzip_ e&N�,l e 9 0,-0 A G 3 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 S 1,500.00 and/or one-year imprisonment,as well as cixil penalties in the form of a STOP WORK ORDER and a fide of up to S250.00 a day against the violator. Be advised that a copy,of this statement may be forwarded to the Office of Investigations of the DIPI for insurance coverage verification. I do hereby ,f r un . thepains andpen nfpedury�that the infotmatisn pm ided abm a is true and correct Si - Date: Phone#: Official use only. Do not write in this area,to be completer/by city or town official, City or Town: PermitlLicense Issuing Authority(tdrele one): 1.Board of Health 3.Building Department 3.City/Town Clerk d.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone it: 6 t Town of Barnstable Regulatory Services pFtME Richard V.Scali,Interim Director Building Division t anxxsrestE Tom Perry,Building Commissioner 9� ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print JOB.LOCATION: "1 O h OYvk D number street village "HOMEOWNER":1�� �I� Cox C d ? / �` ✓ i �' I —\ll a- >~ '-name home phone# work phone# CURRENTMAILING_AD.DRESS: sa;yK city/town state zip 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. DEFINITION OF HOMEOWNER Person(s)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 pnr,acedures Z' e irements an - at he/she will comply with said procedures and requirements. Signatur of er Appioval 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 person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2,15) This lack of awareness often results in serious problems,.particularly when the homeowner hires unlicensed persons."In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 r �TNE Town of Barnstable Regulatory Services RAMSTABM MAM Richard V.5cali,Interim Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 b Property Owner Must Compete and Sign This Se ion `'If Usling A Builde I, , a Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work autho :'led-by this building permit\andafl "1 Address of Job) **Pool fences and alarms are the responsibility 000ls are not to be filled or utilized before fence is instainspections are performed and accepted. � Signature of Owner c _ Signature of Applicant Print Name Print Name Y Date Q:FORMS:OWNERPERMISSIONPOOLS 10/13 . l :.. ?7:e corrimanK'ealth of Massachusetts Department of indFrshial Accida7& office afInvestigations 600 Washington Street Boston,MA 02121 wn%7nassgmldir: Workeis' Coiupensai an Insnr uce i�davit;BuiIders/Co c Iectrici�nslPlumbers Please Print gib. AnpliC3n��Ormaf�cfn aaaress: ty St&7.rp c4reon-an employer?Check the sppropriate boa: Type of project(required): 4_ � I am a gerlesal contractor and I 6 New comsiruction I.❑ I am a employes with have mired the sub-contractors, employees(fu11 andlor part-xlme).* 7- ❑Remodeling listed on the attached sheet_ 2_ I am_alsole proprietor or partner These sub-contractors have g_ []Demolition `rs and have no employees �P. employees and have wozleers' g- ❑Building addition working forme in any capacity- cep -1 0 10-0 Electrical repairs or additions INo workers'comp_insurance 5 We are a corporation and its required-] officers have exercised their 11_[]Plumbing repairs or.additaoms 3_❑ I am a homemmer doing all work right.of exemption.per IYIGL 12-0 Roof repairs, myself[No workers comp- c-152,§1(4),and we have n4 BE Other insurance required-]i employees-[NO workers' ctxnP insurance required-] 'Auy appli caw.that chedcsbox'l nmst also fill out the secteonbelow showing ibetr warkexs'compewatiompolicy iafo[matio' are dAiar,allwa and dhea hue outside conttactorS Mast submit a new affidsrs i61fititub`- i Homeowners who submit this affid2V t utdicattng they uatae of @�e sub comnac�ors and stare whether or not those entities bare +Contractors that cbeck this boa mmst attached as additional sheet shoo ng oli number- 1 they must pmvide their workers'romp.p c9 employees. If the suh-urnttastots bare emF vy�s, e3` f ? rFIo3` po 'otld'Q�site I a!n an employer that is providing w ark¢ 1pe rs'conitsntion i!lsurtutce arm*¢!! ees. $eiots is rile 8c J iteformadv+l. Insurance Company N2me: Fxpiratiartl}ate: Policy#or Self-iris:Lic.# CityfStaWZip: Job Site Address: the: number and ezpu-ation date). Attach a copy of the workers'compensati«n policy deciaration page(shown 152 can lead tothe ag p°�ositien Of criminal Penalties of a Failure to secure coy erage as required under Section 25A of MGL c-penalties �STOP WORK ORDER and a fine fine up#o S 1,500.00 andlor One-year imprisonment,as well as civil p of up too S 0 0 a day against the violator- Be advised that a copy of this statement maybe forwarded too the Office of Investigations of the DIA for insurance coverage verificatiorL _-_..._._------ - ----- — -- -----—_______-- _ _ under t ¢ "is an pen 'es of p�erfury dlQt the rnlforn!!lfim!proirzded above is an I dD hereby c tore— Phone#: pf itiat use wit), Do mitt lvrite in'his srerc,�be completed by�t3'o'rtmvn a,�jicu�t peermitaAcense# City or Tows: Issuing Authority(circle oae): ector 5.Plumbing Inlec#or 1.Board of Iisatth 2.Building Depattmg�t 3.CitF1 Iowa Clerk 4.Electrical Ensp d.Other Phone 9: 6Contact Person:. e Town of.Barnstable *Permit.# S ,� Expires 6 rn ontks from issue-date Regulatory-Services Fee s • + HASNSFABLE. � � MASS.. Thomas F.Geiler,Director �-® 3 • a 1� F7 . Building Division Tom Perry, Building Commissioner 5 E P 1 0 Z003 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 TOWN OF BARNSTABLE Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint a / arcel Number M;P P -T--- -�- � Property Address �esidential - Value of Work �- Owner's Name&Address Contra , ame l L-- Telephone Number ?.ime Improvement Contractor License 1(/' apph'cahle) Construction Supervisor's License#(if applicable) tfs Compensation Insurance Check one: ❑ I am a sole proprietor, ❑ I am the Homeowner orker's Compensation Insurance Insurance Company Name S' ar-6 Workman's Comp.Policy Permit Request(check box) 4 ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over, existing layers of roof) ' ❑ Re-side [4-Rep Rep Windows. U-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. ent Contractors equired. Si e Q:Forms:expmtrg Revised121901 v; . AUG-19-200 iTUE 08:54 AM P, 003/003 WINDOW CONTRACT Maine(1c.NO.D01M 1': I NH LID.No, SERVICES&MATERIALS PROVIDED BY Meaaaenuaetta tic No.12MB 1 . Home Services 1911"Ray Aluminum $Edln Corp. VermomtJallo.g p fUMS Mono l]o,No.13707 I Bowen:BOO-SEARS•31 Of Queens, inc. New York City Department of Hartford Area:800-SWS49 Consumer Ababa Uc.No,07aoe99 Providence Area.-888-SEARs.g1 A Sears Authorized Contractor Yankue 1327-PUMM PCesa EhD,No.11 s8204ae wea master WCoel3+te7 : ' ! New Hampshire:800.829-2375 cartnaodoul D•partrnant of 190 Cedar Hill Road, Marlboro,MA 01752 Consumer Affelra Lb No,00632774 roe Serv)ee/RepatrS: 1-888-245-7294 NE #' i SOLD TO / !^ DATE ADDRESS ! 7 dy►f 'y rt crrr STATE ap d2f32 ; PHONE Mora( L y WM(54 512)1 EMAIL I JOB SITE ADDRESS pF DIFFERENT) ! i APPLIED VINYL WINDOW Elf STEINS v GAnersl Peatorl"On of Work at Above Address: Approx Stan Date 1, e Type of House C)Frame ❑Mason, (l ry Apprax Completion Date � '17 (WFJ,1116R AND Mn PERPAITM,G1 ` 8PECiFICATIONS )• Sears app ved mat•riala will be finished and Installed to these apeetftesttonS: 0 PLEASE'READ CAREFULLY:ONLY ITEMS CHECKED WE9" ; ARE INCLUDED IN YOUR ORDER, ji 2 Remove windows from opening where in sits:on; �7 li l i ❑ FIRST LEVEL 0 Openings #Now Window UNM r R{ ; 3. SECOND LEVEL #Openings #New Window Units 7 i 4. (3 g THIRD iAVEL #0p11n1rWs= #New Window Unite �+ 6, ❑ BASEMENT #Opednga #New Window Undo 6 DINER #Openings d New Units 7, Removal of Metal or Other unite requit moaned atsmliadon #openings #of Uhhs ))' a, q�. Instal[new palntable Moulangs inside Stops#of Openings CamrJudl ar casing N of ppenings 1' 9. 0 install new Master Rome n of Openings 10.�' IN WINOw units to have double strength irsu a ass t/a-ION thm ose r t 11. Now window units to have fusion wetaeo sash# 12. New endow units to have fuela wafdea irame# 13, window units to have eomploto F.ragy Package sane ng of: 13AJ Low E Argon Paled Imulated glass #of Unite 13B,)Low E kryptoNArpri Insulated dose with Keeled foam lttrtddted frames&sashes #of units 14. ❑ New window units to have cam Lock(s) or Lath Lock(e) Y,, 15 y'-e cl Now window uAitt to have NlghtNentLatches 1 e.C3 ew window units to have obscured Bless# Had Rdi . 1, 17.W133 window units to have half I1/2)wean u scan on raeemein type window) is. II PVC coama aluminum to Window frames Color N of Openings 19. k and opal windows wan a point sy$Wm 20. ove and dlapoto of ndows and/or arm windows 21• r of windows to be Tlmbarmna Sandtone (Full Energy Package Not Avsliablo) 22,❑ ❑ WlrxfowS ro have Grids d Diamond ❑Full p 112 ! irdo Adtiaorrel $, �•f�0 Total#at Doueio Hunga Tots)#of hoppers Total#of CaSemsMe TOMI#of AwNngs of TWO Lite 6rdR- Total 0 of Three Life Gliders 6td,`or Equal AM#of Dead Lad Pictu Total 0 of Basement Skiers ,, 24.0 SpedalOrdarWlnaows(inAddiapntoAboue) Y 3 26, Oman up.All lob related debris will bit removed from property on eomplWon of ware 20, Insurance• I workmaneompaneadon and Ilao!oty it maintwnad ©AD MrAume sieve Sew A7p11¢p warrsmy-Mailed to customer upon compiet)on wq fall pp$y�(Is roceMed n6 2e,❑ Payments-(On non-finanped orders)is payab Installer on day of nstallation(tfu ���PIIrm tnleren wit Aeaue. +^ 20. p All Discounts have boon applied i �1 f 11 ) Cash Total$ 3"'iP Less de Dell 25Y, Balance Measure 1/2 ❑CASH CED S L does not include Interset Completion 1/2 i i�-�- P It nnanaee,balance payable In monthty Installment or approximately$ 63' f but a financed b Owner then Owner wla Per month,payable by`Owner"to contracts: Y pay sold amount pp tlIe landing auNtaaon plus such Inlerast and credit service chaBe of Bald corking IrNdb>don payable dlmctty to the[ending Indfib*n loaning Such mortal to*Omar,and wig axecuto a Retail Instillment obilgatbn and any eocumonts required by such boding instlardon In r COMe01I0rf Wlth t ban. f) i i 3a.❑ Add'dlera[Information 31.0 O' Work Not m Be Done "CONTRACTOR IS NOT RESPONSIBLE FOR AN,(EXIFnNq SECURITY SYSTEMS.PLEASE REMOVE ALL SHADES,IVERIfICALs, j IBLINDR,CURTAIN$,DRAPES OR VANdOW MOUNTED,AIR CONDrriomna PRIOFr To INSTALLA • M INSTALLATION.OF YOUR NEW a' WINDOWS..INSTALLERS ARE NOT RF$PONSIBLB FOR THE REMOVAL OR INSTALLATION OF THESe TYPES Off ITEINS.'' i Notice:H financed,any holder of this Consumer Credit Contract is CONDENSATION INSIDE THE HOUSE DOES NOT INDICATE A WARRAtTtY aub1ed to ail claims and defenses which the debtor could assert PROBLEM. i ago lnSt the seller of goods or services obtained pursuant hereto or i with the pre0eede hereof.Recovery by the debtor shall Dot exceed SALESMAN HAS NO AUTHORITY TO CHANGE ANY HEMS OR MAKE ANY{ amounts paid by debtor hereunder. REPRESENTATIONS OTHER THAN CDNTAINEO IN THIS AGREEMENT AND "OWNER"REPRESENTS THAT NONE HAVE BEEN MADE TO OR RELIM "OWNER REPRESENTS TO HAVE READ AND RECEIVED A DUPLICATE UPON BY"OWNER".YOU ARE ENTITLED TO A COMPLETELY FILLED IN ` ORIGINAL OF THIS AGREEMENT AND TO BE THE AUTHORIZED AGENT DUPLICATE ORIGINAL OF TWS ADREEMENT. i OF ALL"OWNERS" OF THIS PROPERTY UPON WHICH THE WORK I OR THE MATERIALS ARE TO BE SUPPLIED. NOTICE TO THE HOME 'YOU THE BUYER MAY CANCEL THIS TRANSACTION AT ANY OWNERS) GUARANTOR(I),LESSEE(S),CO-SIONER(S):' ' TIME PRIOR TO M16NISHT OF THE THIRD BUSINESS DAY AFTER COntre0 1,,attheexpenseofowner,,shaliprooureauparm(tere ulredh law. THE DATE OF THIB TRAN8ACTION. SEE ATTACHED NOTICE OF 9 Y CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT, 1, 0a not Sign thin agreement before you reed it or it it contains any ON ALL ORDERS CANCELED AFTER THE RECESSION } blank spaces of If It deal dot Contain everything agreed upon. PERIOD CUSTOMERS WILL BE RESPONSIBLE FOR A 4E% 9. Any person who thall have eo•ol nod,guaranteed or signed any credit ADMINI6f TRATIVE AND REBTOCKINO FEE," appllcatlon or note rele4ng to a agreement hereby acoepta to be hound by this agreement, SEE REVERSE SIDE FOR ADDITIONAL TERMS AND CONDITIONS. j 8, Owner(s)repreeehte that the contents an the back of this agreement y i i Is a true part hereof and has been read and acceptsd by Owner. I 4. ALL INSTALLATION LABOR GUARANTEED 1(Olt YEAR, C�' /•�/�® / 6 Print DATE $Cf II 901eemen'stfame C t/ 91gnalur. ; ! li i! 3altman's Lh enea No. C)I"ZI Signature REV 3103 1 , 1: I l I a i F cMOVAccu-Weld HIGH PERFORMANCE WINDOW&DOOR SYSTEMS NFRC A An Arch America Company "Equal Sight Line" Vinyl Double Hung. National Fenestration ARGON FILL LOW E i Board of Building Regulations and Standards i Rating Council HOME IMPROVEMENT CONTRACTOR I s Registration: 120456 Expiration—1004 Energy savings will depend on your specific climate,house and lifestyle Type Supplement Card For more information,call 1-800-782-047 or visit NFRC's web site at BIL-RAY ALUM.SIDING.CORP. www.nfrc.org PAUL MACDONALD _ `40 ELMONT RD Solar Heat Gain Ysible Light ELMONT,NY 11003 lru-Factor ■ Coefficient 4,� Transmittance■43 Administrator _...— — Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determinin whole product energy performance.NFRC ratings are determined for a fixed&et of environment: conditions and specific product sizes. 'c 11 ll. CERTIFICATE O3 LIABILITY JNSU .ANC9 , OPM � DATE(MM/AW-) 1 YHC�DUC'!•4 — LRA-"1 11/21j(I� O� �787tC7?l T.tlr THIS CERTIFICAT—i! I d A MATTER OF INFORMATION ONLY AND CONFERS H0 RIQHTS UPON THE CERTIFICATE° P.U. box 220493 HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 11 Craze Ava1+_u� 2ctito 300 ALTER THE COVERAGE AFFORM)BY THE POLICIES BELOW. lvroat Nock NY 1:102,2-0193 — ."-OrO®, 5].6-461i-6007 7Ia7LLd16-829-5857 IN�SURERSAFFORDINGCOVERAOE INIiURED � "�'— INBURERA: Hermits a Insuranca Ccm *n INSURER W AmtriCan Home Aa3luranco Co& 8i1-Rey Aluminum Siding Corp. c?t meims' Inc. 14URERC: Scottsdale Insuraalec Company 4_ R '91 t RriBd INSURERD; Zurich-American Insuranca Co. H nt SM'IC 11003 Cl don National its Co CQVERAGES ::::i THE POLICIES OF INSURANCE LISTED KLOW HAYe mm ISW90 TO THE INSURED NAMED ABOVE FOR THC POLICY PERIOD WMATED.NOTWITHSTANDING ANY RBOUIREWNT,TERM On OONDITION DF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CWTIFICATe MAY BC IS3UGD OR MAY PERTAIN,THE 81SURANCF AFFDRDQ)GY THE 0OUQE9 DESCRIBED HERON IR BL18JECT TO ALL THE TERMS.EXMIJ$IONS ANb CONDRION9 OF 3UCN rOLICIGS.AQGRG"7G LIMITS BROWN MAY NAVIS KWI RGDU=oY PAID OLAWS. L TYPEOFIN9URANCE POUCYNUMBER TION LIMITS GENERAL I IMLITY EACH OCCIIftmucr IS1,000,000 A X COMMERCIALG6NS 41.UAUI4Irj NOL431843 08/25/02 Ofi/23/03 FIRE DAMAGS(ARY ono A.) 3 100,000 CLAIMS MADE L$)OCOuk MED EXP(Any one Panora) i 5,000 -- - ---- - PMSOKAL a ADV INJURY 31 000,000 99KGPAL AGGREGATE 3 2,0 0 0,0 0 0 I GEN LAC'�(icGATE LIM!'f APPU6$PER; PRDOUCTQ•COMP/OP A00 $.1,0 0 0,0 0 0 �POUCY L I Jjk 1 LOG AlrrC1MOF+IL[IJAAILITI' _ - CONIEINED SINGLE LIMIT ANYAUTO leaaoaaanq 3 ALL OVA99ED Aura, SCHCOULED AUTOS BOOILYon) s (Par Oen.On) HIRED AuYOs NON•OWNBDAUTOS BODILY INJURY 3 (Pit wckW*4) - - _— KOPGR•jYDAMAGE 4I _ (Pei ecWerW GARtOI;LU1131LI7Y AUrO ONLY-CA ACCIOGNT S ANY AUTO FA ACC ` , OTHER THAN �. AUTO ONLY: AGC 3 9XC"S LIAS(LrrY EACH OCCURRENCE 3 2,0 0 0,0 0.3 ,A X LxcuFt �MAIUSMADIE XLS0009269 08/25/02 08/25/03 AGOREOATE s 2,000 00MOULTISLE � 3 7 R57ErMON 3 WORKERS C014PENSA710N AND X TORY IM 8 EMI'IOYI'R9 LIABILITY W056.13330 09/24/02 09/24/03 E.L.EACHACCIDGNT $500,000 $ rc!' n173GO301 . 0?mc 05/14/02 05/14/03 E.L.DISEASE-EA EMPLOYVI 3 500,000 E.L.D3EABE-POLICYUMrr 3 500,000 OTHER D Diaab�ltiy Benefit 1794030-001 10/01/02 10/01/03 9t4stutor DlscrarlioLa oP oaa na Iayl ocnnaNBrvE>uarsrExcLuswNe AoDaD BY ENDORBBNENTfBPesaL PNwrnoN5 CERTIFICATE HOLDER )ITWMAL INSURED;INOWWR LETTER: CANCELLATION 5&AR9-1 SHOUIDANYOFT)4CA00VFD6SCR18EDPDL41U101CANC3LLED BEFORE THE E)MMMITIO DATfi TWMOP,YNV MVWG M45U"A WILL rWbUvOR TD AUJL '4 0 DAYS WRrM EN NOTICE TO TW*CPM IRATE HOLDIR NAMED TO THI!LZFT,BUT CA)WAC TO b0 90 SHALL 3 - 3 3 3 n at 3 3 3 3 eElvex 1y ltD ad,llCS-C$Og INFOSJ!NO OIYLIO.AnaN oR LIABILITY OF ANY KIND UPON 7Nc INVVRGR,ITS AOEN $otlmAn 399rate6 IL 60179 R TATIVF ACORD 25 (7M7) -- ®aC0 ORATION to88 Assessor's map and lot numberfIHEr �• Sewage Permit number a SEPTIC SYSTEM MUST BE t 33,aB9TA13LE. i House number: ........................ ....... !NSTALLED IN COMPLIANC 90o " 9 WITH H TITLE 5 prEosraY,,�e TOWN' OF ARN: _ ��� Y. l l• DUILDIG ASrPECTOR • r APPLICATION FOR PERMIT TO ` .. � 4-.................................................... TYPEOF CONSTRUCTION .............................. ..................................... ......................................... II y .............� ... :...................1 �. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according tQ the following information: • t. h •..•Location ........ ./. ............................... ...................... .... .......... .. ...... .. ..... ..................................................... Proposed Use ..... ,... .... ... . /.IfT.Zr .... ............... :........................................................ ZoningDistrict ........................................................................Fire District .............:................................................................ Name of Owner .../C........ .....................................................Address ............................ s - Name of Builder" .-` ..... "......Address .:....................: ............................................................ Name of Architect ..... fir..... ¢''v"' ..' ..............Address .................................................................................... Number of Rooms ..................................................................Foundation ........... es�..................................... Exierior .....Roofing........................... . .................................................................................... Floors ........................................................Interior ................................:................................................... Heating ................................................................................ Plumbing ............................. .....................:.....,........................ t , Fireplace ..................................................................................Approximate Cost .............. Definitive Plan Approved by Planning Board ________________________________19________. Area ...................... Diagram of Lot and Building with Dimensions Fee .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH ; © S® e c 5 4 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 ... ................... ..:.' 4 ........................ F 4:'BROS�1'1', KENNETH No Permit for ............. y..L)W.ejLijag.......... Location 141 Monomoy Circle ............................................................... Centerville ................... ........................................................... Owner ...... k.e.n' n.e.th...B.r.o.. ..c.k........................... .. .. .... .. .... .. .. .. A Type of Construction .......Fr.ame...... .......... ......................................... ...................................... F j7 Plot ............................ Lot ................................ A DecemberA��,...19 81 7 Permit Granted ................................. Date of Inspection .................I...................19 A- t Irv, Date Completed ...................... 19 4e e/o ti Q IIQ f y.7Z Is. A4otilo. �' 4 1 Cr.t2T%P 14 Tt.4A r TNT �t�Uh3U�Ttat�Sc-�arv� t t_Ar,.1 4Z�1±' R� t-tr,-er,oW COAAPL-eS WIT" Tt-tG LoT- .74. . . awn S�tp,�cK Rc-gUtczE�trt +-t�S atr TNt~ r GZCGt5tt.1Z;✓D L.Awo SueV�,�fo2� 15 L. OT BASe�O 01-4 As.1 o5 �c .� o MA,5-5of I tWSi'r�UME?�.1T 5U2VC-�{ � T11� UF�"r,�fS Si.iGe.iW APP�.t GA►...iT �' , ,- t%'t.1' BC Usco ro oecev-M%%4C- LO-r LlWaS ., t �� 1 ►J ;. r UO GArraAc.� C-�RI1.lD�•FC �''' • LadILY >`I�w _ Ilb ,c 3 t 33d usE- ood POSAL PIT - USE loco GAI -. �CL�W�►,LL A2EA = ISD S F. V �y�N ''} :_t !_.l ISO SF >< . 2.S + 3 1S G.P.D. .+- _ ,. • ' . B97'r bAA AeeA= SD ST-. n.e� } `• I. SO S►J=. A 1 .p TOTAL L>ES16W = 425 G•.P.D. UNt yaN� `� � �'f , � fir, s . TbTQ L v,dl L?{ FLow * 330 6.PD. r r ; ' � •�. PEiZGD wnow QQTE ; (j"Its �.MIIJ oQ LF-% i i 1>IVeJ.C1IJ� ap(4vmilk _t. �f�A,� !. t ) r��l� S n�'� f ' f i .58 i ' '• ' ' t ! � F � t AM AL A. BAXTER y� (�, JOri 0 D N 4 0.2 ,+� , �JnA1:�.'j � , GOF� L ;[ r 07, E,- , . .....,,, a :. .. � �oAwi a �uK• en o-s�i S�JDSII�..r ' rp,PEs �P I000. : Z- 4 �ISi I W- G,aL. + t r y r ) ` INV. P -8ox �C SC-4'TIC ( ' i '• J t� i F �.r �00 QS•Q i i 1' L t' } r ', ' 7.,- p GAL ! INV =.- ' r ' •tip i i s t SAy'. LsAai4 _ ' t, t { s yi 1 • r r L o WASHED I ; t r /'� ! ! CEIZTIt~IED pl.br p>L.Q�J' j Iz 85,0 ; 1..00ATI o� � ho uict/ercn II�� /��'t✓ I-r'j '. t LGRTIF ,{ TI-(AT'' . TNE Z7WEI..L�NC. Stla�vl.! Ptr41�1 RG'CE� r F' 1-1I_►:L-t�W .Cc�PLVS W I TIA TWIGt f ; Awn Sr=,ruACV_ ' VGquIjZENti=u c, ot= 'ti'►a�, -'o W w ofr •gA2+S� LA 1 ,r46t 77 ! I , T I-1 I'S P LAW 'I OT w i 5 T�,A,C'O ' Oti-1 A�'J IJSfLe1MC1J7- �U��/h�' � TI•IC-. �F{=�i � �'i -1Gi�ll.D - � . . �. ; � , 1,. I ,,ux)-rTc,:..:1».;1(:EMI. L._L:.1..o"C:_.1_i .� ` - - --� _ TOWN OF BARNSTABLB 20043 Permit- No. ________ HA"�T� Building Inspector NSA "aoa Cash - - -- --- 'o N,A OCCUPANCY PERMIT Bond _ No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Bertha Brock Address Centerville lot #74 141 Monomoy Circle, Centerville Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department' Inspection date 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. ...................................................... 19...... ....................... .. ....... . �. . ............................................... ................................ ...... Building Inspector .Asses otrrc,J map and. lot number ..... .... .. ............................ . SEPTIC SYSTEM MUST 13 . x INSTALLED IN COMPLIANCE Sewage .Pe.rmit b , numer .......................................................... WITH'N ARTICLE •II c r- lrl � I • yOFTNET 'r TOWN OF- BARrA STABLE i BASI.9TA➢LE, i '=V' ?- ` BU11DING ' INSPECTOR 9�0 k 39• ::v APPLICATION FOR PERMIT TO ..... :... ................................................... .... ............ ............................... TYREOF CONSTRUCTION .... d.. .... . ................... ....... .................................................. y� 7 .. ................19)?. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........ ... ..:� ....7... ...............,. �'�.¢./ �).............................. ProposedUse ...� . ... ...................,.. .. Q. .... .................................................................................. Zoning District .....Fire District .......... ....:........ ................................................... Nameof Owner ......................... ............................................Address .................................................:.................................. Nameof Builder ....................................................................Address .........................................................................:.......... Nameof�,Architect ..................................................................Address .................................................................................... Numberof Roo s ...... ......................................................Foundation ...... ...::.................................................. Exterior ............ ..........................................................Roofin g .. ... ...................................................... Floors ........ ..............................................................Interior ...... //..Y! ..................................................... Heating _fi ..Plumbing Q........... ............................... ....... ..... ...... ............................................. Fireplace Approximate Cost ..... ................................... .............................. l Definitive Plan Approved by Planning Board -- -- - ------ - - -19 - --. Area ............ .............. . Diagram of Lot and Building with Dimensions Fee ....... ......��............ SUBJECT TO APPROVAL;OF BOARD OF HEALTH 61 I hereby, agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam ..................................................... Brock, Bertha � . °vN!3 ................. Permit for .................................... - | ������--------.. .0 . —..cle --.—. , . ................... .................................... ' Owner ......AAKtI4.4.�����_________._.. . . . � . Type of Construction .........frame.--.----.. . . . ..—..~.—.~--.-------_-------.—.—' ' � -~ \ . #74 . p�t ` Lot � . .� , ^ ' � ���cb �4 �� Parmk Granted —_.—. ^ ' Dote of Inspection Do/a Como��a6 ... .........................l9 ' . - . ' . ' ^-PERMIT REFUSED � � ' ..-------,.--.--.---.---.—' l� ' � ' . ..�----.—.., ....................................................... - � . � —''~—'--'—'~''---^—~'—^--'---'--'—'—'- - ' —..~.—.,.--...----.--...—.~--^...--^ ^ .----.------..—.--...--.--.-.--...~. ~ ` � . ~ � ---------------' lg ^ -------.....~--.—.-.—...---.—.~--, . � -----------.---------~--.—.. . . � '