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HomeMy WebLinkAbout0068 DANIELE STREET ��� � �/ � 7 F D 4-1 - t' O�A i e� Town of Barnstable ' R C E IMP 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-17-1069 Date Recieved: 4/14/2017 Job Location: 68 DANIELE STREET,COTUIT R Permit For: Building-Siding/Windows/RooVDoors Contractor's Name: ELIAS VOSSOS State Lic. No: .CS-074286 Address: BROCKTON, MA 02301 Applicant Phone: (508)427-6444 (Home)Owner's Name: LEWIS-MURPHY,NICOLE M Phone: (508)776-870.1 (Home)Owner's Address: 68 DANIELE STREET, COTUIT,MA 02635 Work Description: direct replacement of patio door with no structural changes ��.,F1 ra Total Value Of Work To Be Performed: $1,932.00 . t Structure Size: 0.00 0.00 0.60) 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 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: Elias Vossos 4/14/2017 (508)427-6444 Applicant Date Telephone No. a Estimated Construction Costs/.Permit Fees Total Project Cost : $1,932.00 Date Paid Amount Paid Check#or CCii Pay Type Total Permit Fee: $35.00 4/14/2017 $35.00 XXXX-XXXX-XXXX- Credit Card 2082 ..........................................................................:................................................................................:....................................................................................................................................... ......... Total Permit Fee Paid: $35.00 Town of Barnstable *permit#C;,)O®Ya90?�/,Z7 Expires 6 mo the ro»s issue date P f ]regulatory Services . Fee �?5 X®PRESS PERMIT Thomas F.Geiler,Director G11�� Building Division Q� JAN 16 2008 Tom Perry,CBO, Building Commissioner 4 200 Main Street,Hyannis,MA.02601 TOWN OF BARNSTABLE www.town.barmstable.ma.us Office: 508-862-4038 -Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address tru i`� [.Residential Value of Work 16,;1)0 . Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 1yy� M a r y i v ! L - � r 1 Cl S"% C a� u i%� vt/�lrt Contractor's Name j1 a 1Ye iW Qej2zT At d i e .sz eui a t' Telephone Number- S0 9-- 4(c)-d k t/Q Home Improvement Contractor License#(if applicable) Construction Supervisor's.License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor co ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name !Vi W_ ytt rn 02 s A Ire .1"M :5 CIO. Workman's Comp.Policy# a 9d 1.C3 0 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box). ❑ Re-roof(stripping old shingles) All construction debris will be taken to ' ❑Re-roof(not stripping. Going over. existing layers of roof) . Re-side [� Replacement Windows/doors/sliders. U-Value ` 3�� (maximum.44) *Where required: Issuance of this permit does not:exempt compliance with other.town department regulations,i.e.,Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter.of Permission A copy of the Home Improvement Contractors License is.required. SIGNATURE: Q:Forms:expmtrg Revise061306. [ x::' , I{ i1•*h�!I ti 1E{' :1�f f� }4,-,f T!f 1lSiti t• r il}' i h c'� .i,�:I. t. ,•,a i5 1illi {,i.;l;f!1` !`I(�[' ,, ^.$ t _ rI3 i(� r�?:t I [..'! r� � F 'd � �'.!. t Fjt, t Fx- ;t rrt t, I' tT ✓ ra1r -"Y f&r� 4/,!: .I. �, ,. ..;.IY" (~t $ �3";. t.t`(ti,. I } t t t !� t 1le..t.r �k"I �'l� ). ! 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E ^r^- .....y ..j.., s� ��.� . >zi•;�411���f�r,:.�i.�Y}4 t �d.. a 4 It. ,r��"�..1![ J�` :}°,fl�l i!{�t 4.�"1 E" p cl,. tii i j:�- c2S+.r\• ,���if�l It .,3" t '.�ft?.,'.t.t r:I�:-.�,•. ,..t' 'n t,s�l If+! ... rf'}�.4 •�' ` S. ---- NOV fly l 9 i �Dc artn:cjrt o licdust,=ra/Acctdc E I 1 1it ,n r 1 r NOVl`-, 1 01 d l �"�(r"�i+.y 4.•��r9'1...7-1i �i.t l r.l:-i x_:.., y1E;l i r r •E t4 i {i� k t n I:r l { F t j -, � o In t esttpatcons f ,.f,l�l ' l ,•.,�0 laf t , I ;l GOO,N'as%ington Street I dr . !( - � Boston, MA 02111 � � `~I .}www.nrass.govMia fidavit Builders/Contractors/Electricians/Plumbers Workers' Compensation'Insurance,Af r1 l € Please Print LegibIN Applicant Information f Name (Business/Organizai ion/Individual): /Q lM f .:.j•�, -4 C P S Address: ,.�: e�r 4 { s♦.7rj+� tca Id t s f .x ``::, p x , City/State/Zip t: t,uh•�4 .3 D 3�� f Phone#: 0 Q U ' 6..5 � r�� t� i }, Are you an employer? Check the appropriate box: E c } A Type of project(required) 4.. I am a general contractor`and I 1.[ ] 1 am a employer with ❑ ' 6. ❑ New construction employees(full and/or part-time) * have hired the subcontractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ De: molition employees and have workers' working for me in any capacity. 9. ❑Building addition comp. insurance.t :[No workers comp. insurance }: 10. Electrical repair's or additions required.] 5• ❑ We are a corporation and its ❑ 3.❑ I am a homeowner doing all work officers have exercised their I LF Plumbing repairs or additions r myself. [No workers' comp:° , right of exemption per MGL 12.❑ Roof repairs =r c. 152, §1(4), and we have.no ,. insurance required.)t 13.❑ Other ,H cfvcx/sYL employees. [No workers' r„ comp. insurance required.) ' r *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. tContract6s;that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities haveof ' employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site .` information. Insurance Company Name: /2tt,`5 •,�o rn p S.�rr e .�h 5 G.3o ` ' oZ `� i Expiration Date: 3`- �' t`) 4 . Policy#or Self-ins, Lic.#: p Job Site Address: a c ter ( P City/St ate/Zip:(Jon t�, F //Lth U Attach a copy of the workers'compensation policy declaration page(showing the poliIcy 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investi ations of the DIA for insurance coverage verification. I do hereby certify under the pains and pena fties of perj Signature: that the information provided above is true and correct. v. Phone# Official use only. Do not write in this area, to be completed by city or town ofjciaC City or Town: Permit/License#" Issuing Authority(circle one): . 1.Board of Health 2.Building Department 3. Cit}'/Tt wn Clerk 4.Electrical Inspector S: Plumbing Inspector 6.Other Contact Person: Phone#: r+ IF�� t{�'a �l��(ff�y to"�,V fskl,�:J�f���•Nif [rrd!;<°i���l�ti M'N �i�€'{� �fFF I�lr`k Tl lr�,'!4_. � ,•n - . ;t t! - 6 "C., l"�}{ t ,: , Ff�f�` P # i`d i s s jl F f` tIr !d 4 r j f�I f(Irt r�.feiv ,g15, yr l '$•. i4 1 # `t .,;.�a.r.:: .!�.? , :t`d t '�. . 1 1 ti F I l,-G•., ,} 1_ 't`• .. t.er•.3 I 13 (t ><[f! �k (tit� f 'tH is"��� r � •[S�'s� � -��� � r i r F yr • �) �i� f'[,� .,lr,z , i 1 } nand F1nst c o :,{�{, 1 Iifo� rnatlon u ns k Ef t � t�i:+f� r: �f {?Il'° ,s� .'} iR" 4a*!rr.f' � `�:i:' , � ';� P ..;t: v 't f^` �'t iR liv.. i d. .i,�: p '!,!":1 S 17;r. � r'+.�tt i �1�,:' z r:}�` �fi lr e7K -1 as :i�:J _ tl ri° '.tq��:; �i } .`� ,�•_ ?. Iv ..�F17^ ,g€ lk ��n71 ed ,>' rt S kY .t.31!}d i.'d'(�..1.1t• .1� t�,! t i _ -iy'� ;"t , kf� r :N# IdIFL:•�.f �( �k+_...9j`.�.�yd'�I1. � ��P' s' 2r t 7F,, '� �asl I _t 5 I f� _I,T .,r r4 x ! f �lassachu etts_C.reneral l;a«s chapter I�'2j;Feauires all eniployers to p►o fide «•or'e.rs4 compensatfoii tur;theFr eFiihlc��ens �+ t - rn ( ., f f 1 ;Pursuant o this statute.,Fan}emplo}ree is Id med as ever} perso�i Fn the sere ue of another under am contract of hire express oi implied. oral or WTFtten, An employer is defined as an individual, partnership,association,corporation or other legal entity,,or any two or more 1.of the foregoing engaged in anoint enterprise;:and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,'partnerstup,`association or other legal entity,employing employees., However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer.' MGL chapter 152, §25C(6)also states that"every ery state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct Buildings in the commonwealth for any applicant who has hot produced acceptable evidence of compliance with the insurance coverage required. 'A ditionally,MGL`chapter 152, §25C(' states"Neither the commonwealth nor any of its political subdivisions shall ,• . enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance 4 r have been resented to the contracting"authority." requirements of this chapte _..p Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance: If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial .Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their _ self-insurance license number on the appropriate line.. City or Town Officials - Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the perrruNlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A.copy of the affidavit that has-been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each . year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate.to.give.us,a call._:. .._: . The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 11-22-06 Nv"v.mass.gov/dia a ,Itil! •soy - _ -Y', IL£4R^fe i . _ ..=� C�S.i may.•,:. !^ -. A MARw.a$q Y � ' GERTIFICATB NUMBER`_ PRODUCER „ ATL-0dF234410 01' LL THIS RIGH CERTIFICATfi iff tSSUED AS A MATTER OF INMATION ONLY ANCONFERS MARSH USA INC. NO TS UPON FOR O'THE CERTIFICATE HCLOER OTHER THAN THOSE PROVIDED IN THE homedepot.certrequestQmarsh.cam pOLICY..THIS CERTIFICATH GOES.NOT AMEND,EXTEND OR ALTER THE COVERAGE FAX(212)948-0902 AFFORDED BY THE POLICIES:DESCRIBED HEREIN, 3475 PIEDMONT ROAD,SUITE 1200 ATLANTA,GA 30305 COMPANIES AFFORDING COVERAGE COMPANY' 00492-THD-IPUSA-07-08 IPUSA A STEADFAST INSURANCE COMPANY INSURED COMPANY HOME DEPOT USA,INC. !'2455 PACES FERRY ROAD NW CE 8...' ZURICH AMERICAN INSURANCE CE COMPANY BUILDING C-8 COMPANY ATLANTA,GA 30339 C AMERICAN HOME ASSURANCE COMPANY COMPANY' - Q NEW HAMPSHIRE INS COMPANY ' '�-•-•n a� ,.:.'�,� :.�'�' xa.�+ t`�'A �" Sa'2Ss~'n�, cas-� •a*�rm_4 . e .L•u'��,�3Po► . =♦ D�atg�el�t� ��.:r��` �,-�� -� � ;� _ TH IS.IS TO CERTIFY THAT POLICIES OF.INSURANCE.DESCRIBED HEREIN HAVE BEEN ISSUED TO THE•;:INSUREO'NAMED-HEREIN-FOR POUCY,P.ER100'oVO1CATTeO NOTWITHSTANDING ANY REQUIREMENT;TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTABV,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO.ALL.THE TERMS,CONDITIONS A EXCLUSIONS.OF SUCH POLICIES.AGGREGATE LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CIAIMS. ...:''" " DO POLICY EFFECTIVE POLICYEXPIRATION ,. LTR TYPE OF INSURANCE ;_ POLICY NUMBER •LIMITS DATE(MMIDDIYY) DATE(MMIDOIYY) A . GENERAL LIABILITY IPR 3757 608-02 03/01/07 03/01/08 GENERAL AGGREGATE $ 4,000,000 X COMMERCIAL GENERAL LIABILITY 'LIMITS OF POLICY ARE EXCESS', PRODUCTS-COMP/OP AGG $ 4,000,0 � cuR 00 ' CLAIMS MADE Gc 'OF SIR:$1,000;000 PER OCC' PERSONAL 3 ADV INJURY $ 4,000,000 OWNER'S 6CONTRACTOR'S PROT EACH OCCURRENCE $ 4,000,000 FIRE DAMAGE Any one w $ 1.000,000 MEO EXP An one erson $ EXCLUDED B auroMoelLEuaalurY BAP2938863=04 03/01/07 03/01/08 X ANY AUTO COMBINED SINGLE LIMIT $ 1,000,000 ALL OWNED AUTOS' BODILY INJURY SCHEDULED AUTOS (Perperson) $ HIRED AUTOS.:: ` BODILY INJURY NON.OWNEDAUTOS (Peracddenq $ X ELF-INSURED AUTO HYSICAL DAMAGE PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $" ANY AUTO OTHER THAN AUTO ONLY' EACH ACCIDENT $ . A EXCESS LIABILITY AGGREGATE $ IPR 3757 608-02 03101/07 03101/08 EACH occuaRENCE $ 5;000,000 AWORKER BRELIAFORM AGGREGATE $ 51000.000 ER THAN UMBRELLA FORM S COMPENSAT ON AND• 2921209(CA)' 03l01/07 ` . 03I01/08 X 7 �y EMPLOYERS'LIABILITY ORY LIMITS ER - E 2921210(FL) O3/01/OT 03IOi/08 ' EL EACH ACCIDENT $ 1,000,000 F THE PROPRIETOR/ X INCL 2921211 AZ,ID,MD,VA 03/.01/07. 03/01/08 D ' PARTNEHS/EXECUTNE ( ) EL DISEASE-POLICY LIMIT $' 1,000,000 OFFICERS ARE: - EXCL 2921208(AOS) 03/01I07' 03/01/08 EL DISEASE•EACH.EMPLOYEE $ 1,000,000 �.. orH R ... 2921213(QSI) ._ 03/01/07 03/01/08 E WORKERS'COMPENSATION ` 2921212(KY,MO,NY,WI)': 03/.01/07 03/01/08 u TEXAS EMPLOYERS TNS-C4484208.6.(TX) 03/01/07 03/01/08 EACH OCCURENCE 25,000,000 EXCESS LIABILITY SIR 2,000,000 JESCRIPTIONOFOPERATIONSILOCATIONSIVEHICLESISPECIALITEMS a� .. '�' 1 I� a4,"`2+,r, s. . '�. "FM,"' x 'Y�Xi• ?y„ St' .3• ''tea,, "SicF LEA ax ``� y'a ++ G'Yt nU6� 0uC4«� i �-�.Trtw�aY ��« y yy� �w '�'�' SL1 �"'• •y)i:(f,'/i'."rrRG (b'LF+1 Gbi:�A l. '1iliR ' rain• i� .3'y���,'�.`v �''•.Ye� Yi+y4 SHOULD ANY OF THE POLICIES DESCRIBEO HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL• DAYS WRITTEN NOTICE TO THE FOR,EVIDENCE ONLY - ;,' :: •;<• - CERTIFICATE HOLDER NAMED HEREIN,BUT FAILURE TO MAIL SUCH NOTX:E SHALL IMPOSE NO OBLIGATION OR s LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE,ITS AGENTS OR REPRESENTATIVES,OR THE I' ISSUER OF THIS CERTIFICATE 7 ali';1, °ii�at E 17+ I��I Fh I uslt{Ir MARSH USA INC 9q1 I{j_I I •_.. ! 7 `' v SI'� I ',^ i 7 L"I,,�.,,,. •BY Mary 920Szewski E+•a't,J .Ey-`v { a.• . t ID AS OF%02128/07 ra Yg.- ItA fE I �I al I r I {{hI yf ' �srr>,fll 1 0 c�l��:�', ONO -i v6l�-Ilmur' �o C®MPANIES AFFORDING COVERAGE PaaouceR ,: 1 , , I r I MAO MARSH.USA INC. I COMPANY hamedepot.cewiIquest aQmarsh cam E. ILLINOIS NATIONAL INSURANCE COMPANY01 FAX(212)948-0902: 3475 PIEDMONT ROAD SUITE 1200 ATLANTA,GA 30305 coMPa,NY NC F ... . NATIONAL UN FIRE iNS CO 100492-TH D-IPUSA-07-08 IPUSA INSURED COMPANY HOME DEPOT USA•;INC. G ILLINOIS LIMON INSURANCE CO 2455 PACES FERRY ROAD NW BUILDING.C-8 ATLANTA,GA 30339 COMPANY H , l i I_ F t s n : .' ,.., .. SUNNI gn yon TWA oil r lb ,,., 'u"'�}1`t-:s-'r S'y..'�y&''F• �`'a` i"'`+`�`wv.7w'�,..,`.;^` t�P+�kb ,wit's{ `? 'r„ar�xva`4t;'K''h'.�Y+sK ` .e.`n. 7 t - „st,�,^`Y 3"..n 1 1.;a• c 3sy I 1 wl a:M:r f'�F ,t7. GERTII;ICAT�NQL[�ER �d�sanestt�.� c.s::5m��.�s4��,s�,*v:a�r'°��',. 7v .,w I,•��..-s»$,,�.�5``�e:.-? c�tM��:..�w3�.��� ^'�.SSf.:�u..lY4 z� �E`.fiyt?k`..,.,�%Ya'ka.::l�,E:e'�a,.-�vfu.1�5'a' FOR EVIDENCE ONLY .. .. j - y 9 1 i AAMHUSAINC BY i 1 } 1 I, 1sl Fnlli K .e'uId t took . Ma Radaszi:wskt n: arx 1 F` III I 0E-3-A-033 40-45 DH CM .100 Renovations Double Hunq - Vinyl xPac Al:-c on/bOw 'E SC 8S r r No Grids 1-800-746-6686 NFRC 2001 ENERGY PERFORMANCE RATINGS U.Factor USA-P) Solar Heat Gain Coefficient 0 . 34 0 . 29 TI NGS ,ADDITIONAL,PERFORMANCE RA ; Visible Transmittance 0 . 49 Manufacturer supulatea tlmt ttim mthi p contom to applicable WC procedures for determining whole product performance.NFlIC mtingsare determinedtorafted set ofemlromnental conditions and a speciticpmductsb.ConsultmanufacWmes lfterature for other product performance Information, wuuw.rrfrc org . EtdE�Y SF�W Unit qualifies for Energy star Region(s): Northern, North Central, South Central, Southern IND: REIN 00/GLA99 HS/H-R30 DP : 30 Test Size: 44 x 60 O-cder #:383i]8?3it3i100I 90318 HS 711e 6m�r�a uvea o�/j�vac�cluraella Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to. Board of Building Regulations and Standards Registration:,..-126893. One Ashburton Place Rm 1301 Expiration 8/3/2008 Boston,Ma.02108 Type ;Supplement Card THE Home Depot At Homeervc MNIEL PELOQUIN s f 3200 COBB GALLERIA PKWY#20 �'Q Not valid without signature Atlantic,GA 30339 Administrator Jan 07 08 01:50p Hession Enterprises 7811-545-6/2�6,6 p.1 Yt/ HOME II IPROVLMENT CONTRACT (✓I�.%Q w S T14. Sold,Furnished and Installed by: Braneb Name. Date: 0�f- THD At-Horne Services,Inc. d/b/a The Home Depot At-Home Services 345A Greenwood Street,Worcester,MA 01607 Branch Number: 3 Job#: .353 a� j Toll Free(800)657-5182; Fax:508-756-2859 Federal ID#75-2698460 ME Lie#C 02439 RI Cont.Lie#16427 CT Lic#565522; IMA Home Improvement Contractor Reg.#126893 Installation Address: G , Y'I�1511 G-' 60 f"U iT M(�a'. "� City State ` Zip Purchase a: Last 4 Digits of Driver's Lk.#&Exp.MotYr: Work Phone: Home Phone: ( ) ( )77 - 7 Home Address: (If different from Installation Address) City Stite Zip E-mail Address(to receive updates and promotions fiom The Home Depot): Project Information: 1/We/You("Purchaser"),the owners of the property located at the above installation address,offer to contract with Home Depot U.S.A.,Inc. ("Home Depot")to funrish,deliver and arrange for the installation of all materials as described on the attached Spec Sheet# ,incorporated herein by reference and made a art hereof..Z7�']� 2.�77UL p Home Depot reserves the right to cancel this contract If,upon re-inspection of the job,Home Depot determines that it cannot perform its obligations due to a structural problem with the home,pricing errors or because work required to complete the job was not included in the Spec Sheet or Contract. DEPOSIT E&YMENT OPTIONS -Jec to fund verification anaTitr t rove].) C r- (1 :]Ch- Cashiors Check or US Postal Service Money Order CONTRACT AMOUNT $�Z. payable w The Home Dept l p Q 2. Credit Card"and/or otllcr *LESS DEPOSIT $ 31 T�' U payment options-Circle One Below Visa MasterCard Discover American Express t BALANCE DUE / The Homo Depot Homo Improvement Loan The Home Depot Credit Card ON COMPLETION $ Ii 3 New Account L Existing Account (HIL&HDCC ONLY) *Minimum 25%of Contract Amount due upon Available Credit:S (HIL&HDCC ONLY) execution of this contract, �l Acct#: Exp.Date: ?dame as it appears on card: Indicate Payment Method For my/our signature below,I/We agree to allow Home Depot - BALANCE DUE ON COMPLETION": charge the above referenced credit card for the deposit in 'cared. "7k�8nL C.�p.�c.K ardholder's Si ate **May be subject to Credit Approval,Fund HIL or HDCC Authorization Codes Verification and/or Credit Card Authorization Deposit Final Payment #. # Purchaser agrees that,immediately upon completion of the work,Purchaser will execute a Completion Certificate and pay any balance due. Purchaser also agrees to be jointly and severally obligated and liable hereunder. INCURRED FRO. INAD RTEN Date: d —��- SUBMITTED B ' "r~ Sales nsul Date: ACCEPTED BY: Homeowner Date: Homeowner NOTICE:ADDITIONAL TERMS AND CONDITIONS ARE STATED ON THE REVERSE SIDE AND ARE PART.OF THIS CONTRACT Wtifte-Branch File Yellow-customer Pink-Sales Consultant 10 24-06 C-SC f .. " iL , /T / 7 t�i eG Assessor's map and lot number ..........4:.:r?./. ...................... CF THE Sewage Permit number ............:.........�5 ��... �7.�' 9 rasa 1-4— ` fi �33 M S IL LE, i House number ............................. ......................................:.... o \ ` C / 0MAId TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...CONSTRUCT. ...N.E ...HW OUSE...... .. ..... .... .............................................................................. TYPE OF CONSTRUCTION ...WOOD„FRAME .............................................................................................................. June 24 , 19.85.. . ................................. TO THE INSPECTOR OF BUILDINGS: J The undersigned hereby applies for a permit according to the following information: Location ...Lot...7 Danielle Street.►....Cotuit,,...MA.....Q.2.63.5......................................................................... .................................. ProposedUse .................................................... ...................... ...................................................I......................... RF ........Fire District .......Qot uit............................................... Zoning District ................................................................ ... .._. .. ......... Delaney Homes Trust Name of Owner Cahn J. Delaney,.,,,Trustee......Address ...?.�$.Q...Rt,P, 1_[�g� . Mir t.ox�s...1�1115.y....r�A Name of BuilderJohn. J.... Delan.ev..............................Address ...2.30.. Rte.,,,149�...Mf3. ,at.S�T10 ... .1 .8....MA Name of Architect NONE.................................................Address NONE ................. .................................................................................... ......................Foundation ..1Q." P.P.C.,............................... Number of Rooms ............................................ ..... ........................ WoodShin 1e ................................Roofing .......... ........................................... Exterior ........................... ...................... A��? .'�t............... Wood &..Car e.t.................................................Interior h."....5hee.t2mck............................Floors ... . . ... . . .Heating Warm.. ?.r...b '..Gas.........................................Plumbing ...2.............................. .... . . .. ................................. Fireplace .q�..............................................................................Approximate Cost ...$4.5.,.0,0.1.. 00....................................... Definitive Plan Approved by Planning Board _Deze.mher----------19_$3__. Area .8.16.-Squar•o•••Feat Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 1' STORY FRAMED STRUCTURE OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reg ding the above construction. Name ... ............ .... ...... ..................... + Construction Supervisor's License .... v. 4% ... DELANEY HOME TRUST A=27-56 28314 No ................. Permit for ory................ ...............Sin .....8le..Tamily...PWpjjing................. Location ..... Cotuit ............................................................................... Owner T'K!4!�.t..................... Type of Construction .....F.K.Aw.......................... ................. ......... Plot ............................ Lot ................................ April 12, 85 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 Z, Assessor's offioe (1st floor): Assessor's map and lot number ....... Q°F THE To` Board of Health (3rd floor): Sewage Permit number ... .. :.�1....`.....f�s�.?..v Z BARE9TAXLE, S Engineering Department (3rd floor):- / p �� 90 YA°a ems House number (�Q i639 c ray 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 brFP b 6 a r c1 rd ...................... TYPE OF CONSTRUCTION .... ....................:. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a/permit according to the following information: Location .../0t S f/e et (fd't f m9 ..................................................................... .. .... .. .0 " .......................... ./ ......... Proposed Use ..........OrfezcwA $ GAY' MG� ................................................. ........ . ...................................:................................................ Zoning District ............. 1-r................................................Fire District ...........� Name of Owner r...U...C....C.......�e r Address � ................................................................. rt"o N .utira�e �o I� dvt�w ©r- . E-�1M to /vl�► . r Name of Builder .................... . Addr ss �'V 6u t...................�s'n�i'� ................................ .... ...................... .s. . Name of Architect ! r.u.ct/a'N .................Address .................................................................................... Number of Rooms ........Foundation Uby�"e Ca,vCYe � � Exterior ..W. . ..............�.��..r..........................................Roofing ..... .5.1�..At, I f ........../..................................................... Floors Interior .....�.!�. � !V .. "� .. .. ......D.. V. .................................................................. .. .. Heating N."...........................,. :......Plumbing ....../VO�.e....................:..................................... .. } Fireplace /�a/�-e.'...........................................................Approximate Cost .....-</,404. Definitive Plan.Approved by Planning Board _________________________ ------f 9-------- . Area l 07 .... Diagram of Lot and Building with Dimensions Fee .....�......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH R �o . Q. �h 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 ..�. ........... ..... ..G`�LG.............................. Construction Supervisor's License .................................... 1 J PELCZARSKI , BRUCE A=27-56 No 30549 permit for ..Build Breezeway ....................... j Garage/ Single Family Dwelling - .......................................................... , Location .......Lot.....#7........._....68...................Danielle................Street.... Cotuit ............................................................................... Owner Bruce ................................ ..........Pelczarski.................... f , Type of Construction ..........Frame................................ ft .. ........................................................................ - t i ` E Plot ............................ Lot ................................ Permit,Granted .... March 24, 19 87 ^ Date of Inspection ....................................19 Date Completed ......................................19 CJ C o. } Munroe Building, Inc. P. 0. Box 1004 East Falmouth, Massachusetts 02536 (617) 563-2044 '7/9 aefM e. you 6 r` Our QO� CE'S"r of 'to A/'re t �l�#N "C' 3Y`/US ,`i3� kVI� 1 'V ' aA1 ,' ' . Assessor's offioe Ost floor): /Y f7�. `;Assessor's map and lot number ...... , ' �...... ��TIC SYSTEM MUST BE �oFTNE Toy . .. ..... .............. ... r Board of Health (3rd floor): TALLED IN COMPLIAN Q Sewage Permit number ... .. ......... ....vim..cf. WITH TITLE 5 t SAWSTADLE. Engineering Department (3rd floor): �J� r;m'ORCNMENTAL CODE A �'oo NAB \e� House number ................................ ...�. ........................ jyf941 REGULATIONSo 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�P.C.u....bf'FeZC „V r P e f Gl'� 1 TYPE OF CONSTRUCTION .... o c( ............................................................................................................... . '� ......... 19..g7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ...... :� 1.:�.11,°....sfre M� Location �C................................................................................ ProposedUse ... .� �.���� V1 ei G e-............ ............................................................................................................................................ ......................Fire District ....................!� Zoning District ............. `�.......................... ......................................................... Name of Owner �^UCt'....(�e...G..z: .r.S......�........Address ..15A.!A-1c ................................................................ 1110, Name of Builder .`I . .............. Address 6t .SM Name of Architect .. .e.s.5.... '' Y L?C�P tf✓� ...................Address .......... ..... /............................. ........................................ Number of Rooms Li t eC f .. .......................................................Foundation Pdu..9 ...e..�...C...O..N.....C...V...e....... . .. Exterior ... .A..^...........................................Roofing / F ........�...................... Floors ......0.1V...'°.......................... .Interior f�.✓ �/✓v l' $ C! ..................................................... Heating ':..............................................................Plumbing ......ilJ©N e Fireplace ...!.?J.l✓. "e.............................................................Approximate Cost .....�.7/.0.40©........................ Definitive Plan Approved by Planning Board ------------------------_-------19________ . Area .7.°?......................:....... Diagram of Lot and Building with Dimensions Fee ........�......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH -1, r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... . . .. . % � ................................ Construction Supervisor's License qq-�-7 6. ... .............. FPELCZARSKI, BRUCE 1�- Leo ...3.054.9. Build Breezeway .. ....... .. Permit for .................................... Garage/ Single Family Dwelling ......................................................................... Location .....L.o.t...#.7.........68...Danielle...S.treet Cotuit ............................................................................... Owner Bruce Pelczarski .................................................................. Frame Type of Construction .......................................... ...............;......................................................... Plot ............................. Lot ................................. Permit lGranted ....Ma..K.c.h....2.4.r..........t.19 87 -d Date of.-Insi5ection ...................................19 Date Completed ..... 19 r a- r y i 28; L/3vy r, t ri H of v F{ICHARD A. OAXTER H tNa 24048� G at's fig{ � ' T/. Y 7;tIAT T�/�/-t�h Ir'T/cx SNO.Wit/,yE,2E�.1/COHIOL YS !s//Tf/ ..SCA L f -'(� OATS ��7 -SA0,S4/,GeZ-- ANO SETBAC/--- �2E�E�2EiC/CE- ,�Ec�U/r2E�-lE.t/y'"S OF T.y�' row�VaF 40CAT,E'L� T/V25 F.L27anP44/.t% OA',01 A 7;4i/S f3C..�1.t//S /i'o7"B.QSE.O apt/Ai(/. .2EG/STE.2E1� .1.�/O. SIJ.eY�'Y /�t/ST,E'!/�/,�if,/T,$'U.21�E'Y€ 7"/-/E• - �sT.E,e�//,C,�.�a /'1,4SJS. DXr4SETs .</aT BC /CW1 Z:�G J o� TOWN OF BARNSTABLE Permit No. _____28314 Building Inspector' W sa■na i Cash -------------—-------- — +eia ""° OCCUPANCY PERMIT Bond --------_X__ Issued to - Delaney Homes Trust Address Lot 7, 68 Danielle Street, Cotuit I Wiring Inspector ,1' � _ Inspection date Plumbing Inspector Inspection date Gas Inspector 11' Inspection date xEngineering Department Inspection date Board of Health Inspection date v ��- 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. i ............................................ 19..._._._ ....`�................. . _...................... ._ ............._. Building Inspector ��QOF ro`.ew TOWN OF BARNSTABLE BUILDING DEPARTMENT t sARIST : TOWN OFFICE BUILDING HU& A39• �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been 'issued for-the building authorized by t Building Permit .... _..._.. __ ... issued to ...... ( .! .................. ............ ...... .. . Please release the performance bond. I � 4:6' �v �\ t . --OF. ,�.� , RICHARD A. , BAXTER" Ias No,24043 b, � Sr- AID c�,eTi.�/Eo o4 7- /lA,y ,C 0C.I7-%O.t/ ,s'�10Wit,r yE�2E0�1/COis-1OL YS Gl//Thy SCA L G- � ��(�� oATE /OE 4 AA/O SETBA Ck �2EQU//,2Fit7E,t/7S O.� Tf�� 7'oWiV DF ,C 0CA 76'.,�=> ,BA XT,E,26 /it/C. .4,,/ �2EG/STE.2E0 LA�/o SU.eYEyoc O��v ETS SyaL�/y S,�,bUL� it/�T B� ,q PP/. r Assessor's map and lot number .......... .` ....... I SEPTIC SYSTEM THE T INSTALLED MUSTS of o�y Sewage Permit number ......:................. .s.......� .. ....® WITH TIT�E PLIA J — Z F ENVIRONMENTq Z BAUSTADLE, House number ......................•.............................�......,..... TOWN REGUL TIO S '�o aY A,- TOWN 'OF BARNSTABLE r BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....CONSTRUCT...NEW.•HOUSE••••••••••••••••••••••••••,•••.•••.••••••......•.•.........•.....•..•• TYPE OF CONSTRUCTION ....WOOD..FRAME........................................................................................................ ..... June 24 ,................... 19.85 x ............. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....L.°t... ...Danielle Street CQ.tU .t..... "1A.....0.2.G3.5......................................................................... .... .�....... ProposedUse ..S.FD................................................................................................................................................................... ZoningDistrict ..RF................................................................Fire District ........C.otuit...................................................... Delaney Homes Trust Name of Owner John„ J. Del?.rle.y......'�'�C LiS.t�.Q......Address ...23.O...E2t ....1.4.9.,...LvI<3z stoiZs••bti,l.l�'�...IvIp, Name of Builder John...J. De1dnQ.y..............................Address ...2H...Rte....14.9.....k1ZLr .tQn5..M.1.7.la,....MA Name of Architect .......NONE.................................................Address ...NOE.. ..................................................................... Numberof Rooms ..........6......................................................Foundation ..1Q. .,. ......................................................... Exierior ...Wo.od.............. ......................................................Roofng ........ASpxalt......................................................... Floors ... .................................................Interior a......She.etr.oak................................................... Heating .warm Air..by..Qas.........................................Plumbing ....2........................................................................ ,..... Fireplace .1..............................................................................Approximate. Cost ...$4.5.,00.0-0.0....................................... I Definitive Plan Approved by Planning Board _D.e-r-embex-------'---19_$.a_ . Area $1.6•••Square....Feet.. Its O� Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH / \ 1%z STORY FRAMED STRUCTURE ,w t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reg ing the above construction. Name ... .. .... . . . . . ............ ... ....... ................... Construction Supervisor's License ..... DE"NEY HOMES TRUST 28314 11 Story No ................. Permit for .... .............................. Single Family Dwelling . . ............................................................................... Lot 7, 68 Danielle Street Location ......:......................................................... Cotuit .. ............................................................................... Owner Delaney Homes Trust .................................................................. Frame Type of Construction .......................................... .............................................................. ................... Plot ............................ Lot ................................ sr Permit Granted .....A.P.r.i 1...U.................19 85 A.- Date of Inspection ....................................19 .' Date Completed ..../:7?V:7�...........19 fr- 0 0 M '3 in 4� Cr 4C t•,•�.+�-l�-tv��' I��,��LI �; �Q L L,gel iS cJ'J 4 U' + �oF THE lam, 3 The Town of Barnstable '" MAS&'E ' Department of Health Safety and Environmental Services 9`bA 16 9. �•� Building Division lF0 MA'S 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen IJ - Fax: 508-790-6230 Building Commissioner TOWN OF BARNSTABLE a g SOLID FUEL STOVE PERMIT Date: 170. --69- Owner: Cue, ] -tom ir z/.LQ-wl S 11 Phone: �QO a7Sr s Address: t �Q ' I e..L 5r 0.21 3 j'*- Village:rC, T U r .T Map/Parcel: `?�� ( Dater 11,31/c" Stove A. New/U�se�d B. Type: Radiant/Circulating C. Manufacturer: j„r, t4icc� Lab. No. D. Model No.: Chimney A. New/Existing (If existing,please note date of last cleaning),.y e.. vz ; u f z�•(. B. Flue Size C. Are other appliances attached to Flue? D. Pre-fab Type and Manufacturer E. Masonry: Li _Unlined Hearth " A. Materials: r, C B. Sub Floor Construction: O Installer Name: /.-7 Address: Phone: . ci irk Location of Installation: 1--irc le, R APPROVED BY: , Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Stove.doc THE FOLLOWING IS/ARE THEBEST IMAGES FROM POOR QUALITY ORIGINAL (S) Im DATA . The Town of Barnstable � ,,� Department of Health Safety and Environmental Services 1639. 6 3�A�0 Building Division 7c i;2y 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 � ' Ralph Crossen Fax: 508-790-6230 Building Commissioner TOWN OF BARNSTABLE3a SOLID FUEL STOVE PERMIT ' Date: g-Z a d 0 KSi a _ B. Flue Size C. Are other appliances attached to Flue? D. Pre-fab Type and Manufacturer E. Masonry: Livad/Unlined Hearth A. Materials: r c B. Sub Floor Construction: Installer Name: Address: J! Phone: Location of Installation: �i APPROVED BY: Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Stove.doc