HomeMy WebLinkAbout0255 PRINCE HINCKLEY ROAD v r-
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Town of Barnstable . ,
Regulatory Services
�=
Richard V.Scab,Interim Director = • `Iry
HaMsresu. = `^)
Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
rn
Office: 508-862-4038 Fax: 508-790-6230
PERMIT# o2 4 L` FEE:
SHED REGISTRATION
RESIDENTIAL ONLY
200 square feet or less
Cep&7?-Vn,1'E, A14
Location of shed(address). Village
Property owner's name Telephone number
r
Size of Shed Map/Parcel
Izz
ignature Date
Hyannis Main Street Waterfront Historic District?
Old King Highway Historic District Commission jurisdiction? _
If over 120 square feet,you must file with Old King's Highway
Conservation Commission(signature is required), .
Sign off hours for Conservation 8:00-9:30&3:304:30
PLEASE,NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE
ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION
FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS:
THIS.FORM MUST BE ACCOMPANIED BY A
PLOT PLAN
()forms-shedreg
REV:110413
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Town of Barnstable *Permit# �
Fapires 6 months from issue
t Regulatory Services Fee 2 Z f ,
mass i6 Richard V.Scali,Interim Director
39����
PeRe
Building Division
Tom Perry,CBO,Building Commissioner ly
200 Main Street,Hyannis,MA 02601 MAY
- - www.town.bamstable.ma.us 14 2015
Office: 508-862-4038 TOWN OF �T790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ORM ABLE
A, —T? Not Valid without Red X-Press Imprint
ao/parcel Numb `
Property Address �C G �—
Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00
—T.
Owner's Name&Address S(L13 ci-SIM4Z
A T &4kYZ,-l(e Ink 024 3
Contractor's Name S o u"hPIN 0-�•- W ai w-s CNN/ O Telephone Number �b -u-�` gco
Home Improvement Contractor License#(if applicable) c��73�`f Email:
Construction Supervisor's License#(if applicable) D /6'70 7
XWoi-kman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
I have Worker's Compensation Insurance n
Insurance Company Name ^4n0A)A9-1- �I A) • (�
Workman's Comp.Policy# Wf�
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)
❑ Re-side
Replacement Windows/doors/sliders..U-Value `�y (maximum.35)#of windo
#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
required.
A e
SIGNATURE:
T:IKEVIN MBuilding Changes\EXPRESS PERAUDEXPRESS.doe
Revised 061313
t '
Renewal ' W Limnsc#36079
RENEWAL BY ANDERSEN r(7- t hLicennse#17y245
,. ..t bYAC1deCSen. Cr L License#0694555
- WINDOW eEPLACEMENT .aMa�„mc�wd. 26 Albion Road • Lincoln,RI 02863 Lraa nrm k12357
' Phone 866.563.2235'Fax 401.633.6602 00 /11H.ra1 Tax ID i346-056600
Southern New England Windows,LLC d/b/a
Renewal by Andersen of Southern New England
c CUSTOM WINDOW AND DOOR REMODELING AGREEMENT
Buyer m R
s)Na e: V 0�✓7�.rL Date ofAgreemene '— o
�,�{' iD
5-
Buyer(s)SveetAddnns,Clry Snte.and Lp Code PD..Box:—F� ���Av�• �/n�`�•� Y� 11
c fI�-j,�ti . ,tXh1 6"3 2
E-Mail Address:_ PL l?•V L F i 2: e-`CW(033 r'Ft aTelephone NumberLDO 4a SL_J /S/Work Telephone Number:
Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England 4trndows,LLC d/b/a Renewal
Iry Andersen of Southern New,England("Contractor"),in accordance with the terms and conditions described on the front and the reverse of
this agreement and on the attached specification sheets)(collectively;this"Agreement"). , ❑Histor ❑Condo ❑ HOA?
Total job Amount i Estimated Starring Date:. Method of Payment: O Check O Cash ❑Financed
Deposit Received(33%)L_,CQ y57 � Credit Cards are accepted for deposit only-maximum I!3 of the
Balance at Stare of Job(33%)i project cost.(Please see Credit Card Payment form.)By signing this
Estimated Completion Date: Agreement,you acknowledge that the Balance at Start of Job and the
Balance on Substantial i?g Balance on Substantial Completion of Job cannot be made by credit
Completion of Job(33%): s� card and must be made by personal check,bank check,or cash.
Buyer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that
there are no verbal understandings changing any of the terms of this Agreement.Buyer(s) acknowledges that Buyer(s)
(1)has read this Agreement,understands the terms of this Agreement,and has received'a completed,signed,and dated
copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and(2)was orally
informed of Buyer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
(Rhode Island Sales Only)Notice to Buyer:(1)Do not sign this Agreement if any of the spaces intended for the agreed terms
to the extent of then available information are left blank.(2)You are entitled to a copy of this Agreement at the time you sign
it.(3)You may at any time pay off the full unpaid balance due under this Agreement,and in so doing you may be entitled to
receive a partial rebate of the finance and insurance charges.(4)The seller has no right to unlawfully enter your premises
or commit any breach of the peace to repossess goods purchased under this Agreement.(5)You may cancel this Agreement
if it has not been signed at the main office or a branch office of the seller,provided you notify the seller at his or her main
office or branch office shown in the Agreement by registered or certified main,which shall be posted not later than midnight
of the third calendar day after the day on which the buyer signs the Agreement,excluding Sunday and"any holiday on which
regular mail deliveries are not made.See the accompanying notice bf cancellation form for an explanation of buyer's rights.
Buyer(s)received the consumer education materials provided by the Rhode Island Contractors Registration Board. (Buyer's luitia4)
RenewAWW^ Andersen there New England Buyer(s) � � e - Buyer(s)
Signature of P, ucti4Ianager _ Signature Signature
bo c,s 7fk .
Print Name of Product Manager " -` Pont Name Print Name
YOU, THE BUYER(S), MAYCANCEL THIS TRANSACTION AT ANY TIME PRIOR TO.MIDNIGHT.OF.THE.THIRD
BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORMS
FOR AN EXPLANATION OF THIS RIGHT.
NOTICE OF CANCELLATION - N IC OTE OF CANCELLATION-
Date of Transaction Zf�s- .You may cancel Date of Transaction You may cancel
this transaction,without any penalty or obligation,within this transaction,without any penalty or obligation,within
three business days from the above date.If you cancel,any I three business days from the above date.if you cancel,any
property traded in,any payments made by you under the property traded in,any payments made by you under the
Contract or Sale,'and any negotiable instrument executed I Contract or Sale,and any negotiable instrument executed
by you will be returned within ten business days following I by you will be returned within-ten business days following
receipt by the Seller of your cancellation.notice,and any I"receipt by the Seller of your cancellation notice,and any
security interest arising out of the transaction will be security interest arising out of the transaction will be
canceled.lf you cancel,you must make available to the Seller I canceled.lf you cancel,you must make available to the Seller
at your residence,in substantially as good condition as when I at your residence,in substantially as good condition as when
received,any goods delivered to you under this Contract,or I recelved,any goods delivered to you under this-Contract or
Sale;or you may,if you wish,comply with the instructions of I Sale;or you may,If you wish,comply with the instructions of
the Seller regarding the return shipment of the goods at the the Seller regarding the return shipment of the goods at the
Seller's expense and risk.-If you'do make the goods available X Seller's expense and risk:If you do make the goods-available _
to the Seller and the Seller does not pick them up within i to the Seller and the Seller does not pick them up within'
twenty days of the date of cancellation,you may retain or I twenty days of the date of cancellation,you may'retain or
dispose of the goods"without any further obligation:If you I dispose of the goods without any further obligation.If,you
fail to make the goods available to the Seller,or if you agree I fail to make the goods available to the Seller,or if you agree
to return the.goods to the Seller,and fail to do so,.then you .1 to return the goods to the Seller and fail to do so,then you
remain liable for performance of all obligations under-the remain liable for performance of all obligations under the
Contract.To cancel this transaction,mail or deliver a signed I Contract.To cancel this transaction,mail or deliver a signed
and dated copy of this cancellation notice or any other I and dated copy of this cancellation notice or any other,
written notice,or send a telegram to Renewal byAndersen of I written notice,or send a telegram to Renewal by Andersen of
Southern New England at 26 Albion Road,L'nc In R102865, I Southern New England at 26 Albion Road,Lincoln,RI 0286S,
NOT LATER THAN MIDNIGHT OF C4 J — I NOT LATER THAN MIDNIGHT OF
(Date). (Date)
HEREBY CANCELTHISTRANSACTION. I HEREBY CANCELTHIS TRANSACTION.
Buyees Signature Prink Name Date` Buyer's signature Print Name Date
RbA Copy:White Buyer Copy:Yellow Buyer Copy:Pink ,
A/30/6, 2
Town of Barnstable *Permit#
Expires 6monthsfrom issue date
Regulatory Services Fee BAMSTABLE,
-,Zs
v MAN.
9 �' Thomas F. Geiler,Director
�pIED MA't aim
Building Division -PRESS PERMIT
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601 0 C T J 0 2002
Office: 508-862-4038 -
Fax: 508-790-6230 TOWN OF BARNSTABLE
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address ®f��
l �
aeesidential Value of Work
Owner's Name&Address
Contractor's Name d iJ Ile Telephone Number
Home Improvement Contractor License#(if applicable) ��% 2 Z'S
Construction Supervisor's License#(if applicable)
❑Workman's Pmpensation Insurance
CheA one:
I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Permit Request(check box)
ELRefroof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roofl
❑ Re-side
❑ Replacement Windows. U-Value (maximum.44)
❑ Other(specify)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
J j
Signature
Q:Forms:expmtrg
Revised121901
Assessor's map and lot number ...,�.�1..:. ..�/..(p.. /�...... o�THEto
g C SYSTEM MU
Sewage Permit numbe �... .���............................:...... SEPTIC , .
INSTALLED .
�� '� C®MPL [ 4TODLE, i
House number .................................................................... WITH TITLE 5 9°0�-1��6339. e�
ENVIRONMENTAL CODE
TOWN OF BAR TEA hK1 LATsONS
NS
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO . ...................
........................................................................................................
TYPEOF CONSTRUCTION ....... ...`' ..... .............................................. . ...............................................
... ...............;9
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a p rmit according to the following inf rmation:
Location ... �... .,rE ....../. .................
. .................................................
�� ..........................' ............
ProposedUse .... .. ....................., .................. ........................ ...............................................................................
Zoning District .............................. ..............:........................-Fir e District .......
Name of Owner ... .. Address ...... ...
Nameof Builder .......Address............................................................. .................................................................:..................
Nameof Architect ..................................................................Address .......................:............................................................
Number of Roo s ..... ...........................................:............Foundation ........
Exterior .... ... ............. ..........................................................Roofing ............:........ .... .......................................
Floors ..............................:...........................................Interior ...... ....a.4ll -zl.....................I.........................
Heating ...... ....... . ....../................ ........................Plumbing ........ ........................................
Fireplace ...... ... ..............................................Approximate Cost .......... .. /.(1...:...-............ .
...
Definitive Plan Approved by Planning Board ________________________________19________. Area . .... .... ... ... ................
Diagram of Lot and Building with Dimensions Fee 1 q...
SUBJECT TO APPROVAL OF BOARD OF 'HEALTH
l
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regard' the above
construction.
Name ... ....... ..... ..... .
SMALL, ALAN
No ...U.74.Q. Permit for Rne....St.q)a...........
.. .... • .... ..
Single Family Dwelling..............
.............................................................
Location .....Lot....#.7.8.....2.5...5.....P r.....;L1.j.Q.e..JJjnck).ey Rd.
Centerville
...............................................................................
Owner .......A.1.a.n...SmallJ...........
....... A
Type of Construction ....Fr.aMP a.........................
.....................................................................
'Plot ............................. Lot ................................
December 9, 80
Permit Granted ..................... ..................19
Date of Inspection -117j..-S/...........19
Date Completed ..........19
PERMIT REFUSED
...... ........................................ 19
.........
. ...................................................
...........; ►
.............................................................,..
................................................................................
Approved' 19
. . .. ..... ................
... .... ..... ........ .. ... . ..................4".
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f {ter r..jI.= -�`a@ %)
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINAL (S)
IA , 1-1
m / �C(�� LI
DATA
.•�% TOWN OF BARNSTABLE Permit No. _------------------
1 YA"n.X Building Inspector cash
Arwa -------- -------------
Val
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 \Lan �4yw.tl Address
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.
4.
.....................................................1 19............ ..............................B.u............ .........I......:._:....
Bildi n g nspecttoo r