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0033 DANIELE STREET
�� �, r �. l I li i �I �=- 1 i I i i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Pi Map OR 7- Parcel 077 Application 1� 14 J 19,3 Health Division Date Issued Conservation Division Application Fe a Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH — Preservation/ Hyannis Project Street Address L 3 Den to L S Bred- Village Co �-, ►T Owner :5V5a,n Calewv�,,.,,-t Address 5 &11e C. Telephone Permit Request 0- 12a 22 TZ ,-a41 3 &We_e_- -VJX-_ Square feet: 1 st floor: existing &16 proposed /D�2nd floor: existing-5,30proposed Total new c2(a� Zoning District R Flood Plain Groundwater Overlay Project Valuation 3, ac o Construction Type odcb t> Lot Size e �� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family �' Two Family ❑ Multi-Family(# units) Age of Existing Structure 1 Historic House: ❑Yes VNo On Old King's Highway: ❑Yes )d No Basement Type: dFull ❑ Crawl ❑Walkout ❑Other e4 e�2�;�t ter► Cd^��[. Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new �_ Half: existing 52 new Number of Bedrooms: existing enew �/�,� Total Room Count (not including baths): existing knew First Fl orI)Room Count Heat Type and Fuel: 'Gas ❑ Oil ❑ Electric ❑ Other T of Central Air: ❑ Vv-CV r�Yes )9 No Fireplaces: Existing f New � E t rigyw o /coal stove: ❑Yes No Detached garage:existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: U existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes )4No If yes, site plan review# Current Use d-sloen rlo-4- Proposed Use 5-1i APPLICANT INFORMATION ® (BUILDER OR HOMEOWNER) -- Name a) Telephone Number CW �a? Address License # �12*xgv Home Improvement Contractor# 17 Email Worker's.Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE r FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER a. DATE OF INSPECTION: FOUNDATION t FRAMERhm�N�Iy-�� } INSULATION Lq e . FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL -GAS: ROUGH FINAL FINAL BUILDING 7 !� ° t ���� � ( ] DATE CLOSED OUT ASSOCIATION PLAN NO. C As..essors office (1st floor): ` �^ THE T Assessor's map and lot number ....................................... 4`. SEPTIC SYSTEM MIDST Board of Health (3rd floor): rINSTALLED IN COMPLIA Sewage Permit number ..........................ram.... � " .... WITH TITLE 5 Z Easa9Tl►DLE, Engineering Department (3rd floor); ° ra'a m� :1,. 6dVIRONMENTAL CODE A t639 �0 Housenumber ................................' ..3.3........................ am a• �'®@1NId 13EGQ:��.�,TIOs�IS APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF PARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....................19 R...&. ,. ................................................... ........................ TYPE OF CONSTRUCTION ............................... aco....................................................... ........................ C TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............... .. .......1�!4 � LG .............. .......... ................................................... ProposedUse ..................�.�' � .4{� .................................................................................................................................. Zoning District ......................././...�:.........................................Fire District ............. r//....��(............................................. Name of Owner ........f ..... .... 5 /y1 I�✓.........Address ............ ......, N...�F�G�.............................. Nameof Builder ......... .......... ..........Address ............ ...................................................................... Nameof Architect .................. -.................................Address ..........—.-.............................................................. Number of Rooms ...............2..IF.....................................Foundation ....: .......................................... .................... Exterior .........................................Roofing .........A3` /��� :t7................................................ ......................... .Floors ! ..... .............................Interior .................................................................................... /V Plumbirig Heating `........... .....UN ............................I.......... ........I..............,.. .............................. ................ Fireplace .........................................:........................................Approximate Cost ........... . QDos.................F �. . ...... Definitive Plan Approved by Planning Board -----------__-_---------------19--------. Area .....J �7......................... Diagram of Lot and Building with Dimensions Fee 17 ............. SUBJECT .TO APPROVAL OF BOARD OF HEALTH Y'�0 O ,b N3 a p ��yr • - H Y h a f• - t� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 't I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........ .... ............................. . Construction Supervisor's License .....G '.. $.b...... it T Town of Barnstable • Regulatory Services Richard V.Scali, Director Building Division RAMSTABLE, Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: r JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occu-pied 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 procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the . State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a 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 to amend and adopt such a form/certification for use in your community. THE Town of Barnstable Regulatory Services ` BAxxu TABLE, Richard V.Scali,Director i639• Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601. www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property.Owner Must Complete and Sign This Section If Using A Builder I, 5 u SQ e7 Cle~'J�-77 ' ,as Owner of the subject property hereby authorize 4 C l-ve-e to act on ray behalf, in all matters relative to work authorized by this building permit application for: 3.3 De IPi!'L& 514— (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all.final inspections are performed and accepted. J Signature of Owner S' e of Applic- C/e.k-i eIA7 i G� Print Name Jhntme Date Q:FORM&OyVNERPERMISSIONPOOLS armation and lastructions c M��cjiusetts GeheralLaws chapter 152 regoaes all empIoyees de VO33Les' ompensation far their employees. Pnrs�ant 5o this stye,an��y �� as"_;every Perso to provin M tho sm vice'of another under any contract of hire, express or implied,oral or vrftb=." An employer is defined as Cart mdjvidr a par(neisbip,association,corporation or other legal entity,or any two or more . of the foregoing engaged in a joint enterpase,anal incln.dmg the legal reprmentafiyes of a deceased employer,or the receiver or trastee>of an iadiviffimL partamship,association or other legal entity,employing employees. However the owner of a dweIImghoase havmg not more than tiaeeaparEmexfs and who resides iiierem,or the occupant ofthe- dw e; ing house of anofher who employs peons to do maim e=w,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shaIl not beano of such employmmrt be deemed to be an employer." MGL chapter 152,925C(6)also states tlat"every state or IocaI Ticensiug agencysha.Ilwithhold ffie issuance or renewal of a Ticeuse or permit to operate a Dusnress or to construct bufldiugs In the commGnwealth for arT applicantvPho has notproduced acceptable evidence of compfiance with the insurance coverage required- AdditLonaIly,MGM chapter 152,§25C )states fileithm the commcmwealih no a'IIy of its political subdivisions shall enter into any contact for the perfbrzaanc,ofpubho work uatil acceptable evidence of eomplia iffincev the mm'aa sce.. regtm-emerrfs of this chapter have been present�d to the conractmg auth.ozity." APPlican-ts , Phase fa out the workers'compensation affidavit completely,by checking ib e boxes$at amply to your situation and,if necessary,supply sub-Contractor(s)name(s), addresses)and phone numbers)alongwiththeir cerdficate(s)of instaance_ Limited.Liability Companies(LLC)or Limited Liability Par (LLP)withno employees other than the members or partaeis,are not rbquaed to taffy workers'compensation insarmce- If an LLC or LLP does have eamployees,a.policy isregaired. Be advised that this.affidayif maybe submitfr--dto the;Depal-finentoflndustrial Accidents for conformation of fi m` =coverage. Also be sure to sign and date-the affidavit The affidavit should. b eretumed to$he city or town that the application for the permit or license is b eing requested,not the D ePartmeaA of .�l cci dm-ts. Sbouldyou havo ray questions regarding the law or if you are requited to obtain a workersLaxin.strial ' compensation policy,please ma the Dep arfinent at the number lis�-d below. Self-insared companies should enter their s elf-i„ur ce license mmnbm on the appmpriate Ime. City or Town officials t _ PIeasm be scam that the affidavit is complete and prhted.legibly. The Deparfinr-at has provided a space at the bottom of the affidavit for you to f01 out in the event the Office of Investigations has to coact you regarding the applicant Please be sure to E I in the pen�i/liccmc;mrnbez which will be used as a reference nzmiber. In addition,an apphcmt that must submit multiple pemsitllicense applications in aay given y , rnrrent ear need only submit one affidavit indicating - p olicy ftjfb ation Cif necessary)and under`-Job Site_Address"the applicant should ate"all locations iu (clY or towns"A copy of the-af idavit fiat has been officially simnped or marked by 13 a city or town may b e provided to the applicant as prooftbat a valid affidavit is on file for fr�re permits or licenses Anew affidavitmust be fhIled oirt each _ year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial verse (ie.a dog license or pemit to bum leaves etc.)said person is NOT reqirired to complete Ibis affidavit The Of of In7e s6 tuns would hke to thank you in advance for your cooperation and should you hake any questions, please do notheshde to givens a caIl The DrR rtm=f address,telephone and fax nxi ber. - " Tha CG-MMMIRMI h of Massachns1A . Depa tMent of hidrfial Acoide<n.:ts . =Ca ref InVM 9W do-= `I`v1,: 617-' -4 �t 4-06 orr 1-977=IyLA��� Fax 617-727 Rmvised 4--24--07 ?7ae Commiarripeall1i of-Vassachusetts Deparkrrejrt af1ndastria1 Acciderds — lr}��ite o}'lni-wligations 600 Washiirgtort,Street Boston,CIA 02111 wyV v.ma-&LgovIlldrta attar•leers' Campensa im Insurance Affidavit:Bmlaer-JCuntractursMechicians!Plumbers Applizant Please•prin#Le 'bl Name s ss gan�atianllncli�r r3na➢ Address: �a? � J� Phone Ai a you an employer?Checkthe appropriate b= ' Type ofr project �: general contractor azrd I ( ����: T.El I am a employer with ❑I am ae 6. New consiiucfica ,�, yees(full an�dlor part-time * liave hired the subs contmctoas 2:ll.Y1 am a sole proprietor argaituer- listed oa the attached sheet 7. ElRemodeling slip and have no employees 'These cab-confractors have . 8.,❑Demolition worling fornm-many capacitS. employees and hme wo&ere 9. ❑Ruilding addition INo wodmne camp.insum re Camp.inSUMV-11 reT=d] 5. ❑ We are a corporation and its 1 Q [�Electrical repairs or a dd tans ofcen!rave e=cised theme or additions 3.❑ I ama homeavener doing all;work . 1L0 Plutatziagrepaus . myself-[No kecs'comp- right of exemption per MGL 17❑Ito ofrepairs insurance retp irea]E c.152,§IM andwe have no employees:[1Vb workers' 13_❑Other cpmp_insurance mquired_11 'Any Wffcaat&at cEecksbox ftl nm;z also fill out tILe swdoabgmshnning eieirvmaecs'compensafinape&cyinfoEmsaan. T mnmu=ecswho suWa this if dazia iunrid mg they ugdoing sllwcA RnAd imbim outidecontractors— submits new affidavk iad�sacs_ fCbn=ctors iiirt rhxY tb6 bmc mast attached an additinnal sheet shoa-hxg the nmw of the smb-conhsrxas•and stsip whE&er or not those entities have emplayees.Ifthesub-cantactmshaveemployees,gheymastpzmddetheir workers tomp.policymmmtser_ I atn art einp1ger that ispr&4,dhW,markers'congwisafian imuraucefor my employees $etoiv is Me policy turd jah site in,jormatiori. Insurance:Company Name: Policy or Self--im.Tic_ ExpiratiouDate:'" Job Site AdaL-_—� � l�L CityrstaW :60l//'`r r_ Ill Attach a copy of the workers'compensationpolicy-dedaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 2 A of MGL c-157 can lead to the impasition of criminal penalties of a fine up to$L50D OD andtor one-year imppsisonmerif,as w611 as cif penalties is the form of a STOP WORK ORDER and.a fne of up to$250-00 a day against the violator. Be advised that a copy of this statement.maybe forwarded to the Office of lavestigations ofthe DIA for iflsumnee COV5agpVapfication Ido hereby carfi ,ran ,er��XA/dLap rurrs aT pen � of]etju e injormagmi.prat ded above is true and correct Sipnature Bate Phone Official use anly. Do not avrke in tads area,to be compteted by c-ify artonvi officiat City or Town: PermitlLuense:g Inning_kntharity(code one): 1.Board of Health 2.Building Department 3.C;tylTowa C1eA . d:Electrical Inspector S.PPfurnbmg Inspector 6.Otherr Contact Person: Phone#: 14 _ _... -- - --.. _- -- -----.. i Registration valid for individual use only before the expiration date. If found return to: o I Office of Consumer Affairs and Business Regulation' 10 Park Plaza-Suite 5170 Boston,MA 02116 ' Not vaFid with t signature Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of ` enclosed space. Failure to possess a current edition of thRe Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit: WWW.MASS.GOV/DPS v l .� U/ZG'�(JO•%729%7.0%'LLL��0����C[11� - Office of Consumer Affairs&Business Regulation] i HOME IMPROVEMENT CONTRACTOR s e: Individual ! ''`E$egistration Expiration f I _ .7z';822 02/01/2019 Gregory M.Cad'-yu: i Gregory Caulk .r ( 33A Baxter Ave:.., W.Yarmouth,MA a73•;; y Undersecretary r ,tea Massachusetts bepartment of Public Safety ("g Board of Building Regulations and Standards License: CS-009013R Construction Supervisor GREGORY M CAULEY ' � r 33A F3d1XTER AVJ. f W YARMOUTH MA 02'"34 a CA— Expiration: Commissioner 05�11/2018 - i Esi� oa�-- v /v Q ✓O G��B-4G� G�/NOE.2. .f/OEW.�LG .d.2 A /,4�5..� O S.f: . Bo TToMA.eE.Q = Sa -5•� _ `�} � �� fo _Sr. G.A?O. 7;P7 4A EXify- ToTAL. IJ.4/L}�FLoFd= �3O6•Po `�� •��✓a �Es/G.t/.PE•E'�OG4T/CAS/.2.°! " /"/.t/2.N/N. UELE /g t /�o , �ZE Ste „ ly�ttOF l P"TER tl0.J9 �� t" o SAX i ER esNO 24 7 l� �`4 f Vim•!/ •y �Ar� 74$. - 3,97 /ao, /,000 //V G,4L. 1---A--Al P/T yam'8 SEPnG TANK y. N✓Ar.'/EO :� �= 8.G GOT �L�Qit/ tGP��'���j •• •rr�.vE .� y 4� 9 OE,2T/F/EO f •SIDLE/'_So 0A7;f pL.J,V ,2,EfE,2E�VcE / GE.erif'y 77/f1T Tf/E � .�i1/.f Sh°orcc�.t! '/E,�Ea�/ GQ�+-1PL•Y.S W/1�/Tf/E S/OE!-✓NE B�XTE.e€NyE, /.vG. 4iV0.fETI9AGe Tf/� .eE6isrEeO.�✓v s�,e✓Eya2S Am G oc�rfv W/THiN THE �L QooOt�4/�V NoT ,94.r,E0 a°✓ A°V%Y.ST.Q- � Ta E.ST�IdL/S.�! Lar- G/NS 1 � � • ' r !% F /� - � - . '. ' . � ' 1. !�� �� . _-_` - ,.,� ,y L ti `, F. � . . E �Syy - � , 'C1 .� f :k .. .. d i t� j '�2. �� �� �ti� ���� c Town of Barnstable Permit# I6 7" Expires 6 months from issue date Regulatory Services Fee 6? - 7 7 • ,narsrnstA • v� KAM Richard V.Scali,Interim Director DN1°� Building Division ~' Tom Perry,CBO,Building Commissioner J - 200 Main Street,Hyannis,MA 02601 Act 2 6 2011 www.town.barnstable.ma.us Office: 508-862-4038 F 8Flax ,&I,"90 6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 0317 077 Property`Address z-,—= Lat Residential Value of Work r /a,JiV Minimum fee of$35.00 for work under$6000.00 , Owner's Name&Address W3r<11�1 ��/11 �14fiT 114?��PO O RA,l Contractor's Name .SDI✓ Telephone Number4d�-2Zr—fdoW rV e Home Improvement Contractor License#(if applicablea 7 A/ Email: Construction Supervisor's License#(if applicable) O TS70 7 �Workinan's Compensation Insurance Check one: . - -.❑_.Iama sole proprietor `-._� _._,....,__ �._ t... I am the Homeowner .I have Worker's Compensation Insurance Insurance Company Name & NaLO— &A-9N7 Workman's Comp.Policy# W 0,—9a 9�9?,33 031 47 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 //ll Replacement Windows/doors/sliders.U-Value i3 y (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 Contractors License&Construction Supervisors License is required. SIGNATURE: Q:IWPFILESWORMS\building permit forms\EXPRESS.doe Revised 061313 - Renewal Agreement Document and Payment Terms Oil /07 Andersen. dba:Renewal B Andersen of Southern New England Y g Susan Clement and Matt Carrozo Legal Name:Southern New England Windows,LLC. 33 Daniels St RI#36079, MA#173245,CT#0634555, Lead firm#1237 Cotuit,MA 02635 WINDOW pE IACEMEXT 26 Albion Rd I Lincoln,RI 02865 - H:(774 -2480 Phone:866-563-2235 1 Fax:401-633-6602 1 sales®renewalsne.com W L' 4 Customer(s)Name: Susan Clement and Matt Carrozo Contract Date: 01/13/17 5 Customer(s)Street Address: 33 DanieldSt, Cotuit, MA 02635 Primary Telephone Number: (774)994-2480 Secondary Telephone Number: Primary Email: mattyl Sc@gmaii.com Secondary Email: susanclement526@gmail.com Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,Notice of Cancellation,Itemized Order Receipt,Sales Cost Savings Program(SCSP),Terms and Conditions of Sale,Important Project Information,Greensky Payment v2 copy.pdf,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: $12,307 By signing this agreement,you acknowledge that the Balance Due,and the Amount Deposit Received: $6,154 Financed must be made by personal check,bank check,credit card,or cash. Balance Due: $6,153 Estimated Start: Estimated Completion: Amount Financed: $12,307 6 to 8 weeks 6 to 8 weeks Method of Payment: Financing We schedule installations based on the date of the signed contract and secondarily on Notes: the date in which we complete the technical measurements.The installation date that Hyannis town hall stage we are providing at this time is only an estimate.We will communicate an official date funding 50%/50% sill nose and time at a later date. Rain and extreme weather are the most common causes for bath window delay. Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understanding changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s)and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement, understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO OWNER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 01/18/2017 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Southern New England Windows,LLC Customer(s) dba:Re/ By A dersen of Southern New England Signature of Sales Person Signature Signature' Ray Thivierge Susan Clement Matt Carrozo Print Name of Sales Person Print Name Print Name I 01/13/17 Page 2 / 11 F assachusetts Department of Public Safety ard of Building Regulations and Standards icense: Ma5707 nstr:uctio.n Supervisor BRIAN D DENNISON 7 LAMBS POND.CIRC CHARLTON MA-0160 g F i Expiration: Commissioner 09108I2018. _1 ,�C��iGc�il��r,�r�e�i1 Office of Consumer Affairs d Business Regulation 10 Park.Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvemenf:contractor Registration OEM RegistnAi0h: 173M jn 4. Type: .Supplement Card J{ Expiration: :9/19/2016 SOUTHERN NEW.ENGLAND WIND€VV- .BRIAN DENNISON 26.ALBION RD LINCOLN,RI 0286b y is ^� :y Update:Address sud:retura.®riL Mark;reason foreLange. E1 Address p Renewal ❑&W►oyroer t []Rost Card so;1 u zoM os y / �y�r'eair......'... Ma of Consomer"aiis&Business'ftolotion Registration valid for individual we only before the OMEIMPROV,EMENTCONTRACTOR eapiratiun date.If found return to: Office of Consumer Affairs and Business Regulation .Regiytratiott�� qg; Type: 10 Parkpb a-Smte:5170 .. F�cpiratlon 32=1,8� :Suppl—ditt Caid .Boston.MA 01116 SOOT}1ERN NEW ERd.& ...6OW9.LLC. RENEWAL BY'ANDi9&-'-'-f%;';� . 'BRIAN DENNISON :', ` ULJNCO ION RD NCOLN,RI 021165 Not valid without signature _ r ` The Commonwealth o,"1-fassachuset!s = �DCci'??TIC'PZI of 11tArstrialAccideitis C oral;r ess str•eer,. "r,ite 100 Boston. _1•L'4 0211-d-201 iviv11.'.m ass.�oY1CLIa -� Voti leers' Compensation insurance AffidnAt:BuiidersiContraciorsJE]eczicianslPlumbers- TO 337 r_i..FU lY tTH THE PER:I'U i i\G AUTHOFt'sT`_•. Dplicant tniormaaon Please Print Legib ) �JS?TIC !Business�Or�anizalion�indi:iauai:-�t�='j'll tJ� !�-+�� r�i���••�u\ 1/��I::U�f�?��"J� :dress: �:i ? `��/�;C� - ✓: Citj:i•State/Zip: T1 ",� phone= -4 i Nre eau an emolti !:r'Chet the appraorate bits_ 1 bit.,,,- Ty of project(required): j kil am elnolo_C:•rith -.J Trini6}cCS(full ano^r a tiLnr;. \V construction I .Izr a Birk:p Lcrictor or pare _rshin and nave ao;:mpio.:ces working•''ar me m S. 17 Remodeling I an,capacit<'.i o—ore comp.insurace reouired.i _ I _ 9. Demoi:don 3.7 i am a immeotcner loin all wore :rt•scit:I to n o_ cr:.n. ns rc,:accd.] '-F—I Q If l am z itcmcnt:•n�-r aand:rill be h _ u�crin contrict to=Induct a.'F tvu:n on rap oron_rr:. F:vill 10 Building addition ensue_:!tat ail c-ontmctors tither have v:arkers'compenszEmn insurance or arc sole .Lec,,r!cal repairs or addi o,-s ..J proodctors--cith no emnlncecs. _ ` L_:- Pl 11n ` ,n Q repairs. I _-J. � i or additions (( E i am a ecnerai ccnrac:or and:have gored the sua cont ac•urs Fisted on rite atachcd sheet- 1 R i, f �--- _ 3. oofrepai:s ? � .Hess suit-conEz`cter,;are empint�es and sv_� aers••.oral..irs� -c�_ ( :'.'::are a corporation and it.;are reels have c:crescl choir dvht of c:::e:[rgiiun per anti 9e^a+;e❑o e;i Ca. -�.nv applicant chat checks nox.=1 muse also all ont ri.::section�ciu�"si.or:in,their tcurLe:,-er.[t+.ncnsa?tor.•rnliey in�orrrtation. =i otneowner,who submit this aff dnvi-indicaun'g they are doing zit:Porn and than!tire outside contractors must submit a new at,davit inuicatm g such- :Contrctors'itat check.his hox:nut anached an additional sheet shoninz the nanic of the sub-con7ndors and.state tvhcthcr nr not:hose entiti:_s c:nple} a. i_t c etio-con[r etnr havectreploy .:hev must pravide ctccir t:orker;comb.aoiic a rbcr. arty t.rz 'rllAlo:'L'r:Iry.'s orovIdi71 :workers conwerisation ilisurancejor?T°i:n71Iplovees, Beloit'is the politj%and oh sft0' r ' _ nSurance Company Narne: .J;U =Uriti� Policy x SelF-ns.Lic.? �s�%� 1 Expiration.DaCe:_ ! t i • <33 �Job Site At dress. �" �� Ciy/StalelZip: Attach a co_.,;of he-=o-kers' compersa or.police decal.ration paac{silow-ing the policy number and expiration date). '-ailurt Lo secure coveriagg-,as required under'•I Jr C i52-ti75_1 i5:3 criminal -violatlon-punishable by a :ine up to !.500-00 a_d-.1 Tr one-+ear imprisonment,as lte!tt as clvii rperalt!es in the form oFa STOP` ORIC ORDER and a fine of up to S'?0.00 a day aSainSt the t+iola[or.z com, of this statement may be For.varCied IC:he Office of Investi-ations of the D?�for insurance Co,vera=e yei,Rcattoi:. ct f do thereby cer i itiz'ler the pi is and penalties of perjury Ihat tine infornzat:on provided a ve is zie and correct. \,:7nattire , �-I �"�: 1 G� y ,7 I ia,Ilse onl;••. Do nor of ite in this area,re 5e completed bjl eitir or roiwn official. Ciit: )C T1R`n Per mrt,i7 icense ?ssu'na:uthority(circie one): 1. Board Qf r ealth ?Building Department City:To��n z ler: �. lectricaI Inspector S.Plumbing Inspector o- Other ` ' ContactPerson- Rhone:AE: SOUTNEW-01. UOLLINGER .4C�R0- DATE(MMIDD29120IYYYY) CERTIf ICATE. OF .LIABILITY INSURANCE, srz9�zols THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY.AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER:THIS CERTIFICATE DOES NOT AFFIRMATIVELY-OR NEGATNELY AMEND, EXTEND OR.ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS_.CERTIFICATE OF INSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE.ISSUINGINSURER(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 WANED,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 and orsement(s). C ACT PRODUCER NAME. CoBiz insurance,Inc.-CO PHO11E 303 988,-445 a No:(303)988-0804 821 17tiT St AIC No E3 :(3 ) Denver,CO 80202 E-MAIL SS:CoB zlnsuranc obizinsurance.com INSU AFFORDING COVERAGE NAIC d INSURER A:COntrnental WeSteRi Insurance Company .10804 INSURED INSURERS: Southern New England Windows LLC INSURER C: D/BIA Renewal by Andersen INSURER D: 26 Albion Road Lincoln,RI 02866 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 F.OR 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 ISSUBJECTTOALLTHETERMS, C LUSIONS AND CONDITIONS OF SUCH:POLICIES.iLIMITS St{OA N MAY.HAVE BEEN REDUCED,BY PAID CLAIMS. INSR ADDL .. V EPF LILY EXP LIMITS LTR TYPE OF INSURANCE INSD'.W VD POLICY NUMBER MMOD MMID A X COMMERCIAL GENERAL LIABILITY ! EACH OCCURRENCE '$ 11000100 CLAIMS=MADE OCCUR I I CPA3136080 07/01/2016 07/01/2017(PREMISES Ea acaarenoe $ 100,0 I MED EXP(Any one Parson) $ 10,0 00 ! PERSONAL&ADVINJURY $ 1,000,0o � Z 600 0 GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ + + j X POLICY PRO- n PRODUCTS-COMPIOP AGG ,S 2,000,00 JEcr LOC EMPLOYEE BENEFI ,s 2,000,000 I OTHER: i OMBINED SINGLE LIMIT $ 1,000,000 AUTOMOBILE LIABILITY A X ANY AUTO. I CPA3136080 0710112016.j 07/01/2017-_BOD1[Y INJURY ALL OWNED SCHEDULED BODILY INJURY(Per accident)I S AUTOS AUTOS I I I PROPERTY DAMAGE ;S —7 NON-OWNED I Per a=dent HHIRED AUTOS AUTOS i I I I g ! 5,000 000 X UMBRELLA LIAR I X OCCUR i i EACH OCCURRENCE $ + A EXCESS LIAB CLAIMS-MADECPA3136080 j 07/01/2016 07/01/3017 AGGREGATE $ 0 rn I gggate s 5;000,00 pEp X RETENTION$ �WORKERS COMPENSATION STATUTE ER AND EMPLOYERS'LIABILITY YIN CA31360B1 !07/0/12016 07/01/2017 E.L.EACH ACCIDENT $ 1,000,00 A ANY:PROPRIETOR/PARTNERMXECUTIVE ❑ NIA I 1,000,000 E.L.FFICERIMEMBER EXCLUDED? E. DISEASE-EA EMPLOYE $ (Mandatory In NH) 1,000,000 If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below f ES(ACORD 1 o1,Additional Remarks Schedule,may be attached if more space ls.requlnad) DESCRIPTION OF OPERATIONS 1 LOCATIONS!VEHICL 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(2014/01) The ACORD name and logo are registered marks of ACORD or �fi�l�y Town of Barnstable *Permit# Regulatory Services ' Fft tfae�. Richard V.Se@14 Interim Director Building Division Tom Perry,CBO,Building Commisak mer MAY' - 8 2014 2M Main Street,Hyannis,MA 02601 .. www.town.ba=table.m us Office: 508-8624038 TOWN OFF so89 ffiLE EXPRME P Not VAM witWW Rad x,Ams hwft wptparcel Number 0a7 077 Properly Address 33PIE—L. ST C,� U-t 7 KResidemial Value of Work S �S Wmimnm fee of$3&00 for w=*sunder$6000.00 Owner's Name&Address�lLL � � A U-6� / (•[LL��7O el.J a 3 Lh p) C�Tit;t �'►1 rya 6 Contractor's Name241 "OU �J_ �c�i -�I A �1 W s Telephone Number gD1-2 �� �Of� Home Improvement Contractor License#(if applicable) /73 245" Email: Construction Supervisor's License#(if applicable) o fs7 x-7 gworkman's Compensation Insurance Check one: ❑ 1 am a sole proprietor I am the Homeowner I have worker's Compensation Insurance AInsurance Comptmy Name Workmaa's comp.Policy#041 e,- 2 f Copy of Insurance Compfinci Certrflicate must accompany each permit. Permit Rffuest(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 WindoWdooWsh&n.U Value (maximum.35)#of wi ws #of ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections requirred. Separate Electrical&Fire Permits required. -Wbewmpnv& Ummoe of this permit does mt em mpt oompbom with other town depe Wet repbbom s,i.e.Hutmw.Cons m t M etc ***Note: Property Ownct must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is req r SIGNATURE: T:tT EM PM3UHM41 C tS3SPERIAMEXPRESSAoc Revised 061313 RxNEWALSVIANDMaw r� s�ro�arr �iia�rm000K re AW Bar rivii I wmoww4416 S& "OWN" AIV � x 1 ►+�+ ►�o► "< � �it��'�wt brie� LEA eta Idw + � a1 awr.or�r.�.oap.�t�.°i.oM�ay►- ,�fitir,lr� t�ls. t+�r .. . a �+�...r..r ► .� a AlitftA .mot WW p�I1�Irria�rM �.w...s ��� t�A�.a�siaelt�►a!��a�r�w....is�w,r. mm All ..�a ►.r �Ilrri�� s�►,tad► � +Mh► i ►red � ��!ll�bued4 t4 +16a��es'8 Eby e�ia�lAaarwa , �. Olt,.7 J. �� its • R z, mob" Oi►` � fwv.AwvAmt' !�re. • s w. r .w nfl► „ .w +sir rs .Mr Lei .. i.`... r :. ,. .» .. �� r �rrrpe rn ■�qr�ior�dat 'ip �'rw tlwa i � U�`1� ara► �`� q�1 �1!M►ahlMIAIIM/1�1M �Aww�1.Ir�M '!� '�M►11��1�M���1'�'� .�,1Y,/�Ml�Y�ffiO ffi ffiF{p_ i�� i j. ale M °�f �i► � li A1�1� �MMM�► ,R _. Raw a�'COW aWwC*Mo* 1 • I Southern New England Windows d.b.a Renewal by Andersen of SNE Massachusetts-Department of Public Safety Board of Building Regulations and Standards Convtr»ctiun Sn en ixor License: CS-095707�/ b BRIIAN D DENMS r , 7 LAMBS POND CIQtC Charlton MA 01507 Expiration Commissioner 0910&2014 anzo�r..rantzl�1 . /16,�jcr.�,,lr�r�,fts Office of Consumer A 42BOSineSS Reguihon 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home ImprovementContractor Registration RoilietroWn: iM45 Type: Supplement Cord SOUTHERN NEW ENGLAND WINDOWS LL EXW°N0n` SM9*014 DENNISON BRIAN - —:..----- 1137 PARK EAST DRIVE _ _-.. ___.....-._--.... WOONSOCKET,RI 02885 Update Address mod retmrs card.Mark tuna for eLenge. Sur 0 rawy+r v Addwt G Renewal Employmeat ❑LMCard r AXi:lfr.wN/I,Mnrrll//..�r'I/,rJYrr�ir/Y//J •. . '��mtofCoeraawrAl4lndBwhetrW�eWiee Lkeleearregirtrstion valid forindlridalWonly giWME IMPROVEMEttT CONTRACTOR•. kerm the expiration date.If @and retard to: Rop 173240 ORiit of Conwmer Af4in sad Bmdmett Regulation Mntbn: Type: 10 Park Phu-Salle 0170 rxrf' Expirtlba:lvlseots Suppkmenl:brd Bwton,MA01116 SOUTHERN NEW ENGLAND WINDOWS LLC. RENEWAL BY ANDERSON - - DENNISON BRIAN 1137 PARK EAST DRIVE WOONSOCKEf,RI02095 - vm* •r m,1, NW valid wlWaot dgnmtun - r - .. ` ��` The Commonwealth ofMassachusetis Department of Industrial Accidents Office of Investigations 600 Washington Sheet s Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeQibl Name (Business/Organization/Individual): �N ~ LLL' Address: (o loll/ gO City/State/Zip: L/A/CD/N , •/t. � OABbS Phone#:_ !/D/ ,?P g- ?VDO Are you an employer?Check the appropriate box: Type of project(required): 1.[t I am a employer with 90 4. ❑ I am a general contractor and I employees(full and/or part-time). have hired the sub-contractors 6. ❑New construction 2.El am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• Demolition working for me in any capacity, employees and have workers' . insurance.# 9 ❑Building addition comp. [No workers'comp.insurance required.] S. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LEI Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c.152,§1(4),and we have no 13. Other employees. [No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isprovi&ng workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name- 5(Jrl1,7U aZv Policy#or Self-ins.Lie.#:R'16 7..Q 3 Expiration Date: Job Site Address: 3 � � � �v'7. City/State/Zip: u,t Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerd under die pains and penalties of perjury that the information provided abov;lsZtrand correct Sianature: Date: � Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.-Plumbing Inspector 6. Other Contact Person: Phone#: Client#:30124 SOUTNEW_ ATE(M YYY)MIDD ACORD. CERTIFICATE OF LIABILITY INSURANCE Ds►osnol3 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(les)must be endorsed.H 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: Anita Little Willis of New Jersey,Inc. PHONE 1015 Briggs Road,PO Box 5005 (cam`Ede:856 914.4660 No): 856-914.1881 PO Box 5005 ADDRESS anita.little@willis.com, INSURERS AFFORDING COVERAGE NAIC A Mount Laurel,NJ 08054 INSURER A:Selective Insurance Co of the S 139926 INSURED INSURER B:Argonaut Insurance CO. 19801 Southern New England Windows LLC DB/A Renewal by Andersen INsuRERc:Beacon Mutual Ins.Co. 24017 26 Albion Road INSURER D: Lincoln,RI 02865 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE A SRL UB POLICY NUMBER M�pY EFF PAO�LIP EXP LIMITS A GENERAL LIABILITY S202945900 DOM 0/2013 08/1012014 pEpACCH OCCURRENCE $1 OOO OOO X COMMERCIAL GENERAL LIABILITY PRE1dISFf sj EaE,nED.ms $1 OO OOO CLAIMS MADE a OCCUR MED EXP(Any one Person) $1 O 000 PERSONAL&ADV INJURY $1 000,000 GENERAL AGGREGATE $3,000,000. GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGE- $3,000,000 POLICY Jr PRO=CT LOC $ A AUTOMOBILE LIABILITY S202945900 8/10/2013 08/10/201 �e MSINGLE LIMITEa 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X AUTO QED PROPERTY DAMAGE $ Per accident $ A X UMBRELLA LIAR occuR S202945900 8/10/2013 08/10/201 EACH OCCURRENCE $5 0OO 000 EXCESS LIAR CLAIMS MADE AGGREGATE $5 OOO OOO DED I I RETENTION $ C AND EMPLOYERS' YERS'LIABILITY COMPENSATION 0000068028-RI 8/21/2013 08/21/201 X WC STATU- on+ AND EMPLOYERS'LIABILITY B ANY PROPRIETORiPARTNERiEXECI>iIVEY/N 1AIC927818352394 8/21/2013 08/21/201 E.L.EACH ACCIDENT $1000OOO OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $11,000.00 O If yes,descn'be under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,B more apace Is required) CERTIFICATE HOLDER CANCELLATION Southern NE LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE, WILL BE DELIVERED IN 26 Albion Road ACCORDANCE WITH THE POLICY PROVISIONS. Lincoln,RI 02865 AUTHORIZED REPRESENTATIVE 01988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S215109/M215088 AXL Assessor's office '(1st floor): 1 of THE TO Assessor's map and lot number ........................ ...............:.. SEPTIC SYSTEM MIDST Board of Health (3rd floor): 1�I�ISTALLED IN COMPL A Sewage Permit number ........................................... • , t EAEB9TODLE, Z WITH TITLE 5 Engineering Department (3rd floor): r rb 9. i 3 3 U.-BIVIRONMENTAL CO®E A �,. House number .......................................... ................... TOWN REGULATIONS �YaY APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only i TOWN OF -,.BARNSTABLE BVILDINS INSPECTOR APPLICATION FOR PERMIT TO ....................4, /P ( s.:................................................................................ TYPEOF CONSTRUCTION ...........:.................:. 0................................................................................. ...............10 40...... .....19.1e TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... � LG .......... ........ r.... �� 17-.................................. ProposedUse ..................CZ.M.4 .4'................................................................................................................................... ' ZoningDistrict ....................... . ...!........................................ Fire District ............. ............................................ Name of Owner ........f! �1.7. .... 5� /rl/9i✓.........Address ...........��... ....... % ./ .G�............................. Name .of Builder ......... ...........:. .................... ...........Address ................................................................................... Nameof Architect ..................aw.. .:-.................................Address .......... --............................................................... Numberof Rooms ............... .....................................Foundation ..... .......................................................... Exterior ......................... .........................................Roofing ........%!: ?rT ................................................ �>✓!� /P Floors ...................................Interior ..........:......................................................................... Heating ............................................Plumbing Fireplace ..................................................................................Approximate Cost .............�ja.Cf004:.................. .................. • c Definitive Plan Approved by Planning Board ________________________________19________ . Area .....J.0.. ........................ Diagram of Lot and Building with Dimensions Fee ........1.. .-� ............. SUBJECT .TO APPROVAL OF BOARD OF HEALTH Mei � •t l a Qb ye N Y 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. s Name ........ .. .... ....... ................ Construction Supervisor's license .....C? ..?k6..... SHERMAN, WAYNE 28934- Build Garage No ..................* Permit for .................................... Accessory to Dwelling .............::...... ..................................................... 33 Danielle Street Location ................................................................ Cotuit . ............................................................................... Owner .........Wayne...Sherman ........... ...... . ...... Type of Construction ...Frame ..................... ................. ...................................................................... Plot ............................ Lot .............. ................. - Feb r ua ry... 1..3.,...... 86 'PermitGranted Date of,Inspection .....................................19 Date' Completed ..................;Z,,<!.........-..19 0 > j M M < - M l\\ Assessor's office (1st floor): \` Assessor's map and lot number ...... ....................../.............. Board of Health (3rd floor): Sewage Permit number `....................>..:......... Z BA ISTODLE, i Engineering ^Department (3rd floor): Ask- 3 3 9°0 16 9• e� Housenumber ........................................................................ '°�oMp�a` . 0AK6 APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..................... R.4r? ................................................................................. TYPEOF CONSTRUCTION ...............................1 W��-� ................................................................................ ............... .....:.. ...-- .....19A TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �LG� STlrr'EC- T fG7"G fl�-. - Location 3 ......I�!.......... ....................................................... .............................................................................. ................. : , . ProposedUse ...................�....,........`...!�....:........................................................................................................•......................... ............ rr�r . Zoning District .......................��......................................Fire District ................. Name of Owner r.'� .....5/f °9"f ......Address ........... � �....... ! N�c e�+ .............. .. . .................................................. Name of Builder J � � '� .........Address Nameof Architect ..............................---..................................Address ............. �-�--.............................................................. Number of Rooms ..........:....l:.f�J. ........................................Foundation .....:-d -� Exterior '/ta ...................................... Roofing y7�1� ! I.-/. Floors „ `r .Interior ...........-".` ............................................................. s Heating' .' ... ..Plumbing ................ ............................................................... i Fireplace ..................................................................................Approximate Cost ...........>:, . ..................................... Definitive Plan Approved by Planning Board __________________________ -----19-------- . Area...................•: ................. Diagram of Lot and Building with Dimensions Fee / ��.-2:. .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 a v t\ v� b A G/G , i v'.r w vv 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 .......... •tr ... .......... ........................................... I Construction Supervisor's License ......Gl./?. .. ��..... SHERMAN, WAYNE A=27-77 28934 Build Garage No ................. Permit for .................................... ! Accessory to Dwelling ............................................................ Location ......33 Danielle Street .............................:. Cotuit ............................................................................... Owner ........Wayne Sherman ................................. Type of Construction Frame ................................. ................................................. .:. ...................... Plot ............................ Lot ................................ Permit Granted .......February 13, 19 86 ...... . . Date of Inspection ....................................19 Date Completed ......................:...............19 Assessor's moo-,and lot number ...........'................... r THE �o� o� Sewage Permit number y Z BjHBSTe11LE, i House 'number r "aee ................................................................ oo''rF 039 D�pY TOWN . OF BARNSTABLE BUILDING INSPECTOR a APPLICATION FOR PERMIT TO .......Construct. . . ....New. .....House......... .. .... .. .... .. ..................................................:............................... .KgPd F aims TYPE OF CONSTRUCTION .....................�:.........-.....................................................................L�......:........................ J ]ra S ............19........ TO THE INSPECTOR .OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......Lot...28I...Dani . ...... .................................. ..... .......................... ProposedUse ..S F. D................................... 9. ............................................... ................................................................ Zoning District RF ......�................. .. ....... .......Fire District ...,,Cotuit Name of Owner ... ..!4�::�•• ..Address ................... .......... ................................................... ✓r Name of Builder ....Joh>a.... .....n el a.n.e.y .......................Address ....Rte. ......14...s...Mars 4t?ts...I`.'xAJAS... ..MA .... Name of Architect ....NO.1?0................... ..............Address ...None Numberof Rooms ....��:...........................................................Foundation ..1Q•.....P.C.t....................................................... Exterior WOOd.,Shincrj.e .....:.... ......Roofing ...Asphalt ............................... Floors q4Xmot........:.......: Interior . Sheetroc)c , .......... .................................................................................... Heating ...wAX'.M...A.,.1r....b?_ ...Gia ..................... .......... ...Plumbing 2...:........................................................................... Fireplace 1.......................................................................Approximate. Cost ..... .5 .0.(1.0.1.10.n..................................... Definitive Plan Approved by Planning Board Dec. 3 , ---------19_7_ __. Area ....I 1:6...5.... .... t............ Diagram of Lot and Building with Dimensions 4 Fee .............. ............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 STORY FRAMED STRUCTURE r ti i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Tawn of'rnstable reg ding the above construction. Nam .............!v..... ................................................... Construction Supervisor's License ...0T9.9.h..a................... FT,ANFY EQUITY TRUST A=27-77 No ...27439... Permit for 12 Story ............................ Single Fan-Lily Dwelling ............................................................................... Location ...Loot 2 8, 33 .Danielle Street ............................................................. cotuit ........................................................................... Owner ...De.lanev...Equi.ty..T.rust................... .... .........I ........ ... .. ........ Type of Construction ...Frame............................... .. ............................................................................... Plot .............................. Lot................................. Pe I rmit Granted ....January...1.8..............19 85 ........... .... . . . Date of Inspection ....................................19 Date Completed ......................................19 0-0 2, 7 f1 0� TOWN OF BARNSTABLE Permit No. Building Inspector cash ------------------------ -- 't°" OCCUPANCY PERMIT Bond Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ....................................................... ]9......_.... ........................................................................................................ Building Inspector TOWN OF BARNSTABLE '. BUILDING DEPARTMENT S DA83lT = TOWN OFFICE BUILDING rqa �� 16J9•��� HYANNIS, MASS:02601 �o�ut MEMO TO: Town Clerk FROM: Building Department DATE: 'L - A/1 An Occupancy Permit has been issued for the building b r Y cy. Building Permit #.. r, ... .» . issued to cr. tC f:f. /-' 1/�� ...... .:... ....... Please release the performance bond. S/N6L E F<fiy/L Y — 3 BEO�ooM %�a I �� • NO GQ.2BA45E G�/NOE�2 O,4/L Y FLO"/ = //D X_3 = 330 G. SEF�T/� T,4Nf� = ��0,�(/SU o ='`�`9�G.P.O.. �. a T- 2• ffSE /,OUO GAL•. ��o�Zj �� O/.r�S,4L f�/T•--USE /,004 es',4� . ' 37�G. 2 7 �}Z.S 7-oTAL. IJ,4/L}��Low= .3.30 G•�o. C�,� .�ti�:-� P It TIER �Es/G�s/.�E.�C�L.4T/aN.P�1T�.' /"/�(/2•N/N. U,�LE�"�:. ----_/o�. ' - . �. ,eP01CIO, AF RICHARD BAX ER AU -a i Iy. �6• _ /dam� ;, '� Ta.�fvQ= /l��•..� /,voo /.v✓. Gam. /.v✓. :. yy �- i O 6AC. /y✓� BDX y. l'✓A.ryEt7 ' /r ' • ; .rTGNE ��f•y� .98.G, G'EeT/F/EO PG OT P/_4it/ r . 9 z.z L oc,QTiay �aT-v;�— ,SLGLE SG� OQT,E' ' PLe.V ,2EfE,Q�.c/cE I / LE.eriFy 7711,47- 4A10.SETI�AC•� .eE4v/�EMENrS o�= THE ,eE6isrL�-P1J A.4i✓o s�e�Eya2S Toyt/.v aF��'�YS'? �� I�NIJ /S NOT GiS�.eli/LL.c a �Y/,QS�. L.o�QrE� Y✓/TH/N T.�/E FL c�ovoC..4/�V t /ca J T//!s Uti AN /iY.ST,e- -!/ti1E�YT.SU.�!/EY.•4�c%O Tf/E o�fS�T,S ' Shy K�.t/yE,�E4r✓..S.�aC/�-�NoT L� l�SEO Assessor's map, and-lot 'number ..................... ...... `/ yi �' ' yra� dR a f7HETo�y t • Sewage Permit number ......, ..:.� '`� fFWe�Ll. � d � .� �°' Q x: WITH i TITLES BAUSTADLE, i House number' .... ........................,....................... �. ?"` air r *o rhea - �� AL COS � ° O �63q. 0� - s` TOWN' . OF BA`eRNSTIABLE , r BTU IL D I NAG;' I'N SO E C T O R n APPLICATION FOR PERMIT TO Construct" New' House ` ......... . .......... TYPE OF CONSTRUCTION WR9s�:.kx.amp...........:.........:.... ........................................_ .....................:......:.... .....l A`.%...8.....19.85............19........ TO THE INSPECTOR OF BUILDINGS: t? w g 1 The undersigned hereby applies for a permit according to the following information: Location .......L.�t...28 ....DAnie•11e....S ...,....GQt.ili�.,...Ml#.. .. :..:....... Proposed Use ..5..F...D.................................. .. ................ ...................... ... ............. p. Zoning District .....RF ,F•re District Cotuit.....°.................................. 6.................. , Name of Owner .... �� ... Address ......... :. ... .... ........... .. ............. .. . . .. . . .. . .. Name of Builder ....JohD....J.....Delanzy. .........:......:.......Address .:.Rte. 149,....`? S.tR1�s...Mills......MA...... Name of Architect ....NQ.n1e................. .........Address None .' Number of Rooms ......6.......................... . y. ........Foundation ..10.� .P.C.. ........... ............................ Roofing •„Asphalt Wood Shin .........::..:.................:....:..........::...:... Sheetrock Wood & Car .................Interior ................., ' Floors .............................X?�.t................................ ...........................:..:..........,....................... Warm „Pfumbin Heating ,,,,,,,,,,,,,,,,,A r...by,...G,as...................................,. g :::.........:............................................. Fireplace .........J.............................................'...�.: ............:....Approximate. Cost :.... .�5.. QO.O..:D.0....... ............... Definitive Plan Approved by Planning Board _ ___________1::_______19 7 3__ , Area 8�6••s• } pp Dec. 3' Diagram of Lot and Building with Dimensions Fee ..... ..7. .......... SUBJECT TO APPROVAL OF BOARD OF 'HEALTH x . 1%Z STORY FRAMED,STRUCTURE . � . t , OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS hereby agree to conform to all the Rules and Regulations of the T n,o -B ,nst le r g ng•the above construction. Na ... ..................................... .......... '. Construction Supervisor's License ... 4W �T DELANITY EQUITY TRUST ��7439 No ................. Permit for ...kLsto.ry............... Single Family Dwelling ............................................................................... Location .....Lot...2.8.......33..Dardel.1.e..St.reet ...... . ... .... .... ........ . .. .... ........ Cotuit ............................................................................... Owner ...Tx.0$t ................... Type of Construction .......Frame.............!.......... ................................................................................ Tv" 1 PlotLot ...................................................... t Granted-..-.::��uar .........19 85 ......y rPermit G ..;�qj... Date of Inspection ....................................1.9 Date Completed ............. ............. .........1_9 y i I ' ,I i Fr}Yvll t. � iLcrJM � F x 1ST!Nei ?-{pUSG N ' I El i I SU5lV CLJ�I eTJT oATF: NEVt5E0 33 LANt�(� ST C�YJ1T, Me, . . � t-�iLJi-1T E LE V Vh'Tl OI�I f��171-?�Tl Jti1 OQAW Wf NVMOCM � of v t t i E l ; Y I -Z�c$ .f—Zxb U��YER- 3:x_$.__........_.`._ -I 1 2 4'4 x 1�/a l.•J� i � I �,W19tt�.� %%i" \\=_ 1 I 1 I I Y i Ex��.rtn��;, no�s6 R-dd�I-tJN F�h AC� 17, uICNELE �qnA S J S -r! C(_EMI I CUOILO :TRUC4 IRAL �, r � na y4�� l kti wvr+wvEo w: O Q. 9CwtE: 1 OIIwwN M' 'SIS�.. � GATE: 11Ev18ED o AWING MU.SEN RI�hT- e-t;t`u,�-�va f2ovF- Ft,T.ta2 Z �R ___vjaDstrt»a ? 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