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HomeMy WebLinkAbout0657 MARINER CIRCLEr(,,57 i Ali I J ti r: L-7 aFIPME Town-of Barns CDC) ( table *Permit# Regulatory Services Expires 6 monthsfrom issue date b �7 • �xtvsTast.s, � �� Fee MASS R i639- ��� Thomas F.Geiler,Director ASS P ArfO MA't a .. ei ��1 Building Division Tom Perry, CBO, Building Commissioner SEP 2 7 2013 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us TQ�N��8 Office: 508-862-4038 �*&WJ%t-@30 EXPRESS PERIYIIT APPLICATION - RESIDENTIAL ONLY Not Valid wit/lout Red X--Press Imprint Map/parcel Number 0 6 Property Address X2- � pkesidential Value of Work Minimum fee ofS3S.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Nurnber��J/� --�'-- F Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) �Cd' rkrnan's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner " P;111'ave Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certifi ate must accompany each permit.V Permit Request(check box) 14 64-e-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side of doors ❑ Replacement Windows/doors/sliders..U-Value (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Properry`Owner must sign Property Owner Letter of Permission. A copy oft e a Imp r vemen.t Contractors License& Construction Supervisors License is r uired. GNATURE.: �s The Commonwealth of Massachusetts r i d Department of Industrial Accidents M.:. Office of Investigations 600 Washington Street % Boston, MA 02111 { www.mass-gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):- Address: r City/State/Zip: hone #: F n employer?Check the appropriate box: F1.0n ject(required): a employer with� 4. ❑ I am a general contractor and I constructionoyees(full and/or part-time).* have hired the sub-contractorsa sole proprietor or partner- listed on the attached sheet.# odeling ship and have no employees These sub-contractors have lition working for me in any capacity. workers' comp. insurance. Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its required.] officers have exercised their ical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL . ing repairs or additions myself. [No workers' comp. c. 152, §](4),and we have no 12•V Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13•0 Other *Any applicant that checks box#I 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. iContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that isproviding workers'compensation insurance for my employees._Below is thepolicy and job site information. Insurance Company Name:J� Policy#or Self-ins. Lic.#: vlIg 4fli 11we Expiration Date: Job Site Address: 6 City/State/Zip:4W71_71&1_z140; � Attach a copy of the workers'compensation policy declaration P p y 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 maybe forwarded to the Office of. Investigations of the DIA for insurance coverage verification. I do hereby cer under t pa ns and ennalties of perjuryrthat the information provided above i�Ir a and correct Si azure: Date: Phone#: FFOther only. Do not write in this area,to be completed by city or town official n: Permit/License# ority(circle one): Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector s =4. 3 t sKkj k l.Y i � ,;h�c�lu l License or reg'►stration valid for mdividul use'only s / �, •?i p _.+ v' .� !( O.77277L049iLGGn.Ci'l O 4�• before.the expraUomdate. If found return to: _ Office of Consumer Affairs&Business Regulahon . t -BIOME IMPROVEMENT CONTRACTOi2 Type. Office th Consumer Affairs and Business Regulation' {' 4 j l — egfstratfon '114813 10 Park Plaza 5170 f Individual Boston,MA 02116 7 Expiration 1Ol27f2015 JAMES`D DANFORTH REMOD .3F f -s DAMES'DANFORTIH _ - I P * 1105 OLD POST RD _ Qa --z — r x t v id i Undersecretary rs COTUIT,MA 02635 . F r 13 �rcF�f si�€t41c 2ealialatrtins an 3 Standards� e a s 1 r� 2 Qtfi§?t,5tta€#Y► 1�ry riliia��r y §4 s a; a rd a• t;15� t n r a� rtJ 4 C lre�rs CS-008267 - ' '' h t rYA1 IES RD4NFQRTIFI s PQI30X973 '£ ' ti� r " 'fi QTLTIT MA 42��M { �. S., +yFx- v y ",r -n. 'r s.. 1 s��. ••s ;s '', •3 '.,, h i t ,�'.di'7"f?'!'rd5 s f OY,,1" ' + ,.p �, • :, tZ F m»fl :v�' d wi -: k :�, �+ - x: � ; a�k t .� a. , 3, . rF i 05 .•.iMwea"sC x x c�;'R,r:, - [ - . 5 •✓ .. .- � :4 i ply'. �. { f�.y.= -41 Construction Supervisor Home Improvement License Number#008267 Contractor Registration#114813 OSHA Approved Member of the Better Business Bureau Home Phone#508 420-5131 - CELL PHONE#508 280-0802 ESTIMATE JAMES DANFORTH P.O.BOX 973 COTUIT, MA. 02635 Bill Pender, 657 Mariner Circle Cotuit, MA 02635 September 14, 2013 Work to be completed on the entire house roofs. Remove the existing roofing shingles. Install 8" aluminum drip edge at the roof eaves. Install ice and water shield 3ft. up onto the roof. Install a Rhino roof underlayment paper over the remaining roof sheathing, from the top of the ice and water shield to the roof ridge. Install a 30-year Architectural type roofing shingle, using CertainTeed Landmark, which are algae resistant shingles. Shingle weight is 240lbs. per square. The standard wind warranty is 110M.P.H. I will use CertainTeed starter shingles along the roof eaves and rakes, I will also use CertainTeed shadow ridge for the roof caps, over the ridge vent. This process will increase the wind warranty to 130M.P.H. Install new aluminum vent pipe flashing. Install a ridge vent on all roof peaks, using Air Vent Shingle Vent II. House and shrubs to be covered with tarps while work is in progress. Removal of rubbish. Material and labor $5,100.00 ` This price includes the building permit. Insurance certificate will be issued prior to the start of the job. There is a limited lifetime manufactures warranty on the shingles. will provide a seven year warranty against any roof leaks. All materials are guaranteed to be as specified.All work to be completed in a workmanlike manner according to standards practice.Any alteration or deviation from above specific ' volving extra cost will become a ra charge above the estimate.Our workers are fully red by man's ensation Insurance. Y2-DATE OF ACCEPTANCET CUSTOMER SIGN TRACTOR SIGNATURE . z' TRAVELERS J WORK ERS`COMPENSATION AND EMPLOYER&LIABILITY POLICY TYPE AR ; INFORMATION PAGE WC OQ 00 01 (.A) POLICY NUMBER. (GKUB-4861 P48-8-12)�' f RENEWAL OF (6KUB-4861 P48-8-1 1 ) ,,' INSURER: THE TRAVELERS INDEMNITY COMPANY 1 NCCI CO CODE: 11347 f' INSURED: PRODUCER DANFORTH, DAMES DBA e PAUL .PETERS AGENCY INCH JAMES DANFORTH REMODELING 680 FALMOUTH ROAD P0. BOX 973 , MASMPEE MA 02649` COTUIT MA 02635 Insured is AN INDIVIDUAL Other work places and identification numbers are shown in the schedule(s) attached. 2. The policy period is from 09-29-1.2 to 09-29-13 12 01,A M at the insureds mail!ng address. 3. A. WORKERS COMPENSATION INSURANCE: Part One.of,the.poi{cy applies to the.INorkers Compensation Law of the state(s) listed here MA B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in item 3.A. The limits of oura{ability under Part Two'are: Bodily Injury by Accident: $ 100000 Each Accident Bodily Injury by Disease $ 500000 policy.Umit Bodily lrjury by Disease 6 00000", ach,Ernpioyee , C. OTHER STATES INSURANCE. Part Three of the policy applies to the states; if any;listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06A � J D. This policy includes these endorsements and schedules: SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE 4. The premium`for this policy will be determined by our Manuals of Rules, Classifications,.Rates and Rating Plans. All required information is subject to verification and change bn audit to be made ANNUALLY. . DATE OF ISSUE: 08-23-12 CP ST ASSIGN: MA 'OFFICE: ORLANDO INDUS AFF 161 PRODUCER: PAUL PETERS AGENCY INC 28LBR HB Town of Barnstable *Permifi�C)t%— Regulatory Services Fee 6 t m w 4 + f f + =ABNBrABIA 9 esass.1659. -Thomas F. Geiler,Director EpMAra Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number D I Property Address � � L CEP(�K.�" ,� Ide-JL. L®� co+V [Residential Value of Work$ a v o'o Minimum fee of$35.00 for work under$6000.00 Owner's Name&Addressr,,,Qbe-e Contractor's Name 17 l l Nis�felephone Number a� — i�'O �� Home Improvement Contractor License# (if applicable) 0 / 73 9!U'Email: Construction Supervisor's License# (if applicable) + -?d r7` E�4rkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner MCI have Worker's Compensation Insurance �Q�� Insurance Company Named TO /�' 2 C� Workman's Comp.Policy# �T I1 n, �g7 ,8 2 d 5a J ( � SrAfte Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) [Re-side ` Replacement Windows/doors/sliders.U-Value ®, '3 O (maximum.35)#of windows a #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: _ t•.1.1' C:\Usets\decollik\AppData\Local\Microso8\Windows\Temporary Internet Files\Content.Outlook\8R76BDVA\EXPRFSS.doc ` Revised 061313 Southern New England Windows d.b.a Renewal by Andersen of. SNE Massachusetts -Department of Public Safety Board ofBuilding Regulations and Standards Construction Supenixor License: CS-095707 ° 1 1 i♦ BRUN D DENNISON - 7 LAMBS POND CIRCLE c Charlton MA 01507 D f , �%�..,.�/ 'I N7• Expiration Commissioner 09/08/2014 Office of Consumer A airs n Business 1n�eg-u_llf('ation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 173245 Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL Expiration: 9119n014 DENNISON'BRIAN 1137 PARK EAST DRIVE WOONSOCKET,RI 02895 Update Address and retard card Mark reason for ehaage - - srw r o zauryn 0 Address. Renewal Employment 149 Cord r'S'�'fowiu.•n.aai///.r�n.// .r/..cam//: mce orCoosnmer A16in 8 Barmen Bey laeoa. License or registration valid for ladivbdul ote only'. i OME IMPROVEMENT CONTRACTOR before the ex p ration data If found retury m: Office orconsumer Again and Busim3 Regalation Re9lotratl0n: 173245 TYPO: 10 Park Plaza-Suite 5170 ' Expiration:911 9 12 0 1 4 Supplement:)erd Boston,MA 02116 SOUTHERN NEW ENGLAND WINDOWS LLC. - - - RENEWAL ByANOERSONDENNIS - 1137PAON BRIAN ,. 1137 PARK EAST DRIVE - WOONSOCKET,RI02895 Uaderrerretary Not valid without signature ' ' The Commonwealth-o Massachusetts , -a f Department of Industrial Aceidents Office of Investigations 600-Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leaibl Name (Business/Organization/Individual): LLe Address: a2 (o joA/ �DltC� City/State/Zip: 1-lA/CD1N /L�,Ltl 0;;LUT Phone.#: YO/ ?YJ® Are you an employer?Check the appropriate box: Type of project(required): . 1.4 I am a employer with AD 4. ❑ I am a general contractor and I employees(full and/or part-time). have hired the sub-contractors 6. []New construction 2.❑ "I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling' ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.$ 9. Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL ILE]Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.2'Other e.Kl comp.insurance required.] N '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 is providing workers'compensation insurance for my employees. Below is the policy and job site information. �D Insurance Company Name: $(lllhzz l (� Policy#or Self-ins.Lic.MAL&7.2 T /O 3&Z 3 Z J( Expiration Date: g .- Job Site Address: J.d a C" LA-!5 City/State/Zip: 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 certify under the pains andpenalties ofperjury that the information provided above is true and correct Signature: �— Date: l Phone Official use only. Do not write in this.area,to be completed by cite 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 S.Plumbing Inspector 6. Other Contact Person: Phone#: - Client#:30124 SOUTNEW ACORD. CERTIFICATE OF LIABILITY INSURANCE °AT °/YY,"' 8/061206/201-3 - TH1S-C-ERTIFICATE 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"DR-ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - NAME: T Anita Little Willis of New Jersey,Inc. PHONE 856 914-4660 FAX 856-914-1881 AIC No at). A/C,No 1015 Briggs Road,PO Box 5005 E-MAIL ss: anita.little@willis.com PO BOX 5005 I INSURER(S)AFFORDING COVERAGE NAIC# Mount Laurel,NJ 08054 INSURER":Selective Insurance Co of the S 39926 INSURED INSURER B.Argonaut Insurance Co. 19801 Southern New England Windows LLC Beacon Mutual Ins.Co. 24017 D/B/A Renewal by Andersen INSURER c:, 26 Albion Road INSURER D a INSURER E Lincoln,RI 02865 . INSURER F? ' COVERAGES CERTIFICATE NUMBER: I REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IS$UED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED..NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS., INSR TYPE OF INSURANCE ADDL SUBR - POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MMIDD MM/DD A GENERAL LIABILITY S202945900 8/10/2013 08/10/2014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAM" E T RENTED PREMII Ea occurrence $100 000 CLAIMSMADE F OCCUR j. MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY $1,000,000 - GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 'I. PRODUCTS-COMP/OP AGG $3,000,000 POLICY JP Q LOC $ A AUTOMOBILE LIABILITY S202945900 8/10/2013 08/10/2014 COMBINED SINGLE LIMIT 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 1 BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY DAMAGE X HIRED AUTOS X NON-OWNED AUTOS j _ Per accident $ 1 $ A X UMBRELLA LIAB OCCUR S202945900 - - 8/'t 0/2013 08/10/261 EACH OCCURRENCE - s5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE s5,000,000 DED RETENTION$ ° $ C WORKERS COMPENSATION To 0000068028-RI 8/21/2013 OS/21/201 X"WC sTAru-IMIS oTH- AND EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE -_ ER N AIC927818352394 ' 8/21/2013 08/21/201 E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH): E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below ( E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Southern TIE LLC sHOULDANY 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, Rl 02865 AUTHORIZE .REPRESENTATIVE :ter ©1988-2010 ACORD CORPORATION.All rights-reserved. c J ACORD 25'(2010/05)s 1 of 1 The ACORD name and logo are registered marks of ACORD #S215109/M215088AXL Aug 251311:02a Jim 508 699 3938 p.2 �---' ' Renewal ,1ACCMI,e 5 bY/�1Tlde(S2R. wRENE`'VU BY ANDEmEN sonic me,ktrvz4s cr i.iscr:rr u4xivsss armor REPLACEMENT m.Arle C—pm, 26 Albion Road Lincoln,RI U2t365 i s rrn xtzs: Phone 866.563.2235•Fax 401.633.6602 redenil Mix m#46-05rrd10 Southern New England Windows,ILC d/b/a . Renewal by Andersen of Southern New England CUSTOM WINDOW AND DOOR REMODELING AGREEMENT surer(:)Name DatectAgreement a ^/ Buyer(s)Street Admen,oty.Sum and Zip Cane r P.O.Sax E•Maa Adldren i4c eTelephane Vomtrer Work Telephone Number 77ry' 6S� -o Buyer's) rely jot severally agrees to purchase the products and/or senrioes of Southern New England Windows,LLC d/b/a Renewal by Andersen oC 5o ern New England; Contractor"),in accordance with the terms and conditions described on the front and the re%crse of this agreement and on the au-shedspecification sheets)(collectively,this'Agreement-). ❑Historic ❑ Condo ❑ HOA? 1 1e TotaijobAmounc ,L Estimated Starting Date Method of Payment: '9 E•heck lr,*h inanced Deposit Received(33%): Credit Cards are accepted for deposit only-maximum 113 of the Balance at Start of Job(33%): project cram(Please see Credit Card Payment farm)By signing this Ester ed Completion Date Agreement,you acknowledge that the Balance at Start of Job and the Balance on Substantial Balance on Substantial Completion of Job cannot be made by credit Completion of Job(33%):_ card and must be made by personal check,bank check,or rash. Buyer(s)agrees and understancts that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings changing any of the terms of this Agreement.Buyer(s)acknowledges that Buyer(s) (1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and(2)was orally informed of Buyer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. (Rhode Island Sales Only)Notice to Buyer:(1)Do not sign this Agreement if any of the spaces intended for the agreed terms to the extent of then available information are left blank.(2)You are entitled to a copy of this Agreement at the time you sign it.(3)You may at any time pay off the fall unpaid balance due under this Agreement,and in so doing you may he entitled to receive a partial rebate of the finance and insurance charges.(4)The seller has no right to unlawfully enter your premises or commit any breach of the peace to repossess goods purchased under this Agreement.(5)You may cancel this Agreement if it has not been signed at the main office or a branch office of the seller,provided you notify the seller at his or her main office or branch office shown in the Agreement by registered or certified mail,which shall be posted not later than midnight of the third calendar day after the day on which the buyer signs the Agreement,excluding Sunday and any holiday on which regular mail deliveries are not made.See the accompanying notice of cancellation form for an explanation of buyer's rights. Buyers)received the consumer education materials prohided by the Rhode island Contractors Registration Board. �Bir s f a►s) Renewal b dersen of Southern New England Buyers) Buyer \ By- Siaanansrc of P t Manager to Signature/I fAJy/5� rti tr or' Print Name of Product Manager Print frame Print Name YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. - - - - - - - - - - - - - - -D-C- - - - - - - - - - - - -- - • - - - - - �- - - - - - - _ - NS2L1_CE_O�CANCELLATION SP b1JCM9E_OF_CAkI10ELLATI H =Date of Transaction s �t/`r 3 You may, sa cancel I Date of Tranedoa X" )-}e`Ir You may cancel this transaction,without any penalty or obligation,within this law saction,without any penalty or obligation,within three business days from the above date.if you cancel,any I three business days from the above date.If you cancel,a" property traded In,any payments made by you under the I property traded in,any payments made by you under the Contract or Sale,and any negotiable instrument executed I Contract or Sale,and any negotiable instrument executed by you will be returned within ten business days following I by you will be returned within ten business days fallowing receipt by the Seller of your cancellation notice,and any 1 receipt by the Seller of your cancellation netice,and any security interest arising out of the batrsacdon will be security interest arising out of the transaction will be canceled.lfyoucaneel,you must make availableto the Seller' I canceled.ifyourancel,y>tu -am stmake available to the Seller at your residence,in substantially as good condition as when 1, at your residence,in st srht'ally as good condition as when received,any goods dervered to.you under this Contract or I received,any goods deivered to you u mler this Contract or SW q or you may,If you vddi comply wins tkm Instructions of I Sale;or you may,1f you wish,comply with the ias&uedonu of the Serer regarding the reharn shipment of the goods at the the Seger regarding the return shipment oftbe goods at the Sellers expense and risk.If you do snake the goods available Sent'.expense and risk.If you do make the 161"ds available to the Seller and the Seller does not pick them up within i to the Seller and the Seller does not pick thaw up within twenty days of the date of cancellation;you may retain or i twenty days of the date of cancellation,you may retain or dispose of the goods without any further obligation.If you I dispose of the goods without any further obligation.If you fall to make the goods available to the Seller,or if you agree I Fail to make the goods maibble to the Seller,or If you agree to return the goods to the Seller and fail to do so,that I to return the goods to the Serer and fail to do so,then you rentals Gable for performance of all obligations under you remain cable for performance of all obligations under the Contract-To cancel this transaction, mail or deliver I the Contract.To cancel this transaction, mall or deliver a signed and dated copy of this cancellation notice or any I a signed and dated copy of this cancellation notice or any other written notice,or send a telegram to Renewal by I other written notice,or semi a telegram to Renewal by Andersm of Southern New England at 1 137 Park East Dr., I Andersen of Southern New England at 1 137 Park East Dr., Woonsocket,RI 02895,,NNtDT LATER THAN MIDNIGHT OF I Wo hsock t;RI 02a95,,NNOT LATERTHAN MIDNIGHT OF 1 HECANC�ELTHISTRANSACTION. 1 H REBY CAN EL 15 THISTRANSACTION. Buyer's signature PMtn Name Date Byer signatura _ Print Name Dam. RbA Copy:White Buyer Copy:Yellow Buyer Copy:Pink L--Assessor's office(1st Floor): ,�j , J Assessor's map and lot number 44 3 O ` poi THE ro` '--Gsnservation I-136a-r—d-of Health(3 floor): •114STAQ.�ED N ' Sewage Permit number V q�rsTLnt.t: • Engineering Department(3rd floor): T� House number # F.NVIRONME. Definitive Plan Approved by Planning Board 19 rows 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 V TYPE OF CONSTRUCTION _tt)Q�� a 19 �� TO THE INSPECTOR OF BUILDINGS: �_— The undersigned hereby applies for a permit according to the following information: Location Location 6- Z� '�l r Proposed Use Zoning District Fire District � - ® 3 Name of Owner, Address Name of Builder J-.-,Pj'I'I b . Address Name of Architect Address Number of Rooms Foundation �(,�� �� Exterio L11 Roofing Floors Interior Heating Plumbing c� Fireplace Approximate Cost " Area f>� Diagram of Lot and Building with Dimensions x Fee 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 ° v�-,eIA4 Construction Supervisor's"License PENDER., PAUL J. a No 35905 Permit For REPLACE DECK. Single Family Dwelling Location' 657 Mariner Circle Cotuit' - - - - F Owner Paul J. FPender Type of Construction Frame F Plot / Lot 1 Permit Granted May 261 19 9 3 -Date of Inspection 19--• Date Completed 19 _ 1.41 ZZI ; • 1 ' . � ti�.ef ors r> • •, _ ' 1 J~ �'x a ,} •� - h- f r TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION Number Street Address Section Of Town Name dome Phone Work Phone PRESENT MAILING ADDRESS D /3� Z__ City Tow State Zip Code The current exemption for "homeowners". was extended to include owner- occupied dwellings of six units or less and to allow such 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 to six 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 perrniit. kSac-ic,i The undersigned "homeowner" assumes responsibility for„gompliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL i Note: Three family dwellings 35,000 cubic feet, or .larger, will be required to comply with., State Building Code Section 127.0, Construction .Control. MISCS r HOME OWNER'S EXEMPTION The code states that: "Any Home Owner 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 Home Owner engages a person( s) for hire to do such work, that suc Owner shall act as supervisor. " h Home Many Home Owners who mse this exemption are unaware that•'they are assum' the responsibilities of a supervisor (see Appendix Q log for Licensing Construction Supervisors, Section -2 .'15) Ru. Thisalackeof lations awareness often results in serious problems, particularly when the Ho Owner hires unlicensed me persons. I against the unlicensed person as it would cwith ase �licenged ur Board cannot proceed Home Owner acting as su�,crvisol: is ultimately responsible. er -tlo` The To ensure that the Home Owner many communities require, as part fofl the wpermit application, that are of his/her 1the 1Home Owner 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. 0 zxH 0 y x.�UVb� �oo`TC� Sti1cu ' .•. ._ 'dT.�1:+anm�lOy� .rniN.m.ws. M.,.., ...:d.ti �....vLA. s. j_9 .. 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I01.1` laisaasllarilgl/ i e11i �# r islannsi■//iiiiieaiin� �ssaaa`i/aaaisaiaai#i#iis/aiasslriail.��rPif�ts�s�a�liisliilasialag�w�rl�A�� � ii■s#rlirsiisnairsa■n■snniiannnnll■■iiinssilsalas■iilnsg■#illlisii■ jsaaaaliisansaiiiiasiii#g ■liar■ ■■lli�siii�snelssaiiiisra#n�elaliiieit sa#iasaaran#a#a■alslags■ai#as■iiarilsomei■■iiirsiilsrsiisassnglsiarseil� tagiisgiinsinsiiigssnsaailn■■rasaUsiiarrr■lsig#snrilissilsagiasinliana talninnai■aaaiiiisiainiiilar#sNaaal!'sairAlaiaiallii/i#slliailarllllii/ /mini■i/salilails■■milli/aa■■#a■■aril!!g■iiiielsi■■#i■nil/sgl■lnnleirin1 ■■gi■■i■srii■■ig■inlii#■■moil�iil■e■i■iaalniia�i■mini/aa■■ar!/!!algnnl, ■inri■iainsanlnniiisinalssi■ ■■sail■■r■iirl■/#aiiliiia■li■aa■■sn■isiit iaafsi■■inli■clime!■soils!mails■nirit#aissa#slam■slenli�igsiiisrisniaas ■■ig■rali■ng■■aiiainil■i■ails■■igiaiiinani■saitaiisiia■ ■illsaal/n'ieaat, ■aassnlal■nniiii/■a■■■la■siO#■moil■#imam■snlni#iai■#/■is■!!■#alma/!lain ■■sans■iini#mina#/■gsaaiasisaiaiigiasaas■■■iirisiarlis#i■nislna■!ii■//, ■l■liaaannnsnl■nnsi■■naiiiaaigai■salmis■#lssigsialiaaialaaaa#irs#aisiii tag/slimes!!■eilisslsiaiasilis##■i!■mile�lsriisgasi#ailiail#iiairiinlis sal■gisaalnsinssgilsgiassi�sa aagissusnr si/lgsagliig■■iasriailaiiiaan; ■ai■g■■■■■sniienlnial�aarall�iaaniinnigai�nli■aga/n/mill■li■aisallnrast sisiasiiiaiianii■iiilsi■n■liialnsaig■■■sin■■iissigilnnssisr■#ilsn■/issn� #aisasgaglsnl■gslrnisgisnssln■mamainarggiinn■iaiainiiniliinairiiiiliiis. ■■ini■a■rillnas■ia■lails■!a!■■i#i■■saiiain!#l■■■llsl!■/#!■igniiariisis■! /■nn/■is#■ail■a/l■aiiagasn■l■/#i/i#laeiiiiisi/n■■annninnlia ■limn■irsat �tanng■alssn■s■■mail■nsa■mini■!n■s/#sii■■iinaiaii/i■aialai■i /assosarm■s �saillsa■■lna/aasaasleaeas■s■iaaaiiila##iaslni■#lies■#saalgnisiiisiarnit; Li■■asiannis■a#■igiggsiiaislis■ig■innnaaii!olio■igaaisasglinlannsgag#i■ ■ i�sNEON lini/rsmirrsurps :M ar s ri ssatisr l ri l�r�i�_s �il��r/,rif a#1� dCd Assessor' mp� and lot numbe ! .?..... _... .... �l .CFTNEtO !!` SEPTIC SYSTEM MUS Sewage Permit number J 3/ .. o� g _ INSTALLED IN COMPL House number �i 5 WITH TITLE . 9 B AR33TADLE, ............. .....:......................... ............. MAB6 ENVIRONMENTAL COD 9. .0� T LATION YpY a' TOWN OF BARN-STIREI.:j BUILDING INSPECTOR ; APPLICATIONFOR PERMIT TO .............. ................:.................................................................... ��,,cc TYPE OF CONSTRUCTION ..... ��..."fQ...../.194 al4pC.&.....a .......... ........ .............................................. .......... ... <:7../...................19........0 TO THE INSPECTOR OF BUILDINGS: The undersigned herebyapplies for a permit according tol�the effollowing information: /� Location .t% '.•:..•.:.. .. /............................................. % 7/.....-4.4. .. .r......e0.�f�. ............... ProposedUse ........'.L.l............. ... ............... ...................................................................... Zoning District ........... .......................................................Fire District ........ ................................................ Name of Owner ...d°.m...' .... .....Ie. ....Address ................. ....Name of Builder ..�aG� ........ Address ............................................................... Nameof Architect ..............................Address .................................................................................... Numberof Rooms ...............er..�................................................Foundation .... ..�..... . ................................................. GtZ�t/�G / ��Exterior .��i�'i... .......,.....` �`!!v... . ........ . ..... .............Roofing ... ���`T<�%�/' ....... ............................ Floors . ...... .......................................Interior J ' :.........Plumbin Heating / r..l.'................. /. Ag .........,.......... ............................................................. Fireplace .................. ...........................................:...............Approximate Cost .... ©.............................. Definitive Plan Approved by Planning Board Area ,/<...f� .. '..� Diagram of Lot and Building with Dimensions Fee ......4q SUBJECT TO APPROVAL OF BOARD OF HEALTH t n�D w • 33� 01q 4- I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r Name . ...... .... ........ ,..:... ;.-,CEDAR ACRES REALTY TRUST 4 F t No 22.542... Permit for Sin..le Famil y..Awe].ling....................... ..................... L'��ation ...;at...#3;1...6.5.T.Mar.inex...C•irc1,a " Cotuit ............................................................................... i x Owner . Cedar„A.crg.5...Re?I.ty....T,x u.a t Type"of Construction ..FlZaae................... ` ............................................................................... Plot ............................. Lot ............................. Permit Granted September 2 6, 1 q 8 0 Date of Inspection ................. ....... 19 r �' Date Completed ....... � PERMIT REFUSED f' ..... "W.......>........................................ ,19 ' . .................................................. .• /,,/f '' , .( ♦ �.� "••4r) i....4k...'N. . ......... ✓ F ✓ .........ti .. .�.:L .i ............................................ Cr ....� i V a.�y !" c Approved .............. 19 ............................................................................... ` •. J,' , q= a ♦,- „`,,,, lr�x:' r ;, . f s s-4 A �? a" kx ff•{x >5)�" f; s iti i7 .:?�° ,r x� x .\5 .-y Y, Y r `�s n� �s ,, �t 2'�f{a� ,aJ'^.,h s s`,k�' s',.,`r!+r`. c�.Y a c '� � •: 17 41 a • ' r I(6ZT Z.2. PLAN SHOWING FOUNDATION :LOCATION -GOTUITo MASSACHU" T T'S OWNED BY C.Ci .� s �-r°• T1u ►''�` t SCALE <<$ � DATE of 151Fy C� �� ofA`��� NO'RMAN GROSS~------REGISTERED DLAND SURVEYOR. flORMAN I HEREBY CERTIFY THAT THIS FOUNDATION /S LOCATED ON INE LOT AS SHOWN AND CONFORMS TO THE. TOWN OF BARNSTABLE ZONING REGULATIONS REGARDING T14fS PLOT PLAN,,WAn NOT ASAMIFRON SETBACKS FROM STREET LINES AND LOT LINES . AN I t ts uM�r4TBURViY Ar DJS Fop T'HE use OF 1"N Br►Mtik iONLY. UNDER NO CIRCUW a STAt4CES. A okFS .E S. To � uS D MR- 5 96 �, t.�'_ �e• >~ A►; UA� HEDGES, or-, kd NOROAN• GROSSMAN R.L.S. DATE ' ` Cam. • . • tt '' .t _,,,'�`A�'.����'..s°BSc. ..'>:�...s•.. .:`°•_ - — •" . '� r TOWN OF BARNSTABLE Permit No. ___.____—--------- smIT.n ; Building Inspector Cash ------------------------- ��o OCCUPANCY PERMIT Bond ----___-__________ No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ............................................1 19......_» ...............................................................................................»..._.._._._ Building Inspector Assessors ma and lot number p ✓... 5.... '� .j ....... iTNET `sewage Permit number .....{.....cJl ....�..... .. 33AUSTODLE, i House number ...�J.��..... ................................................::... r MAD& �p 1639• 0� CFO N a TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .............. z ....................................................................................... TYPE OF CONSTRUCTION .... icrUz'iG ... 1 .... tK.?............................................. ........ z......... :...............19.c � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the information: following Location -��... ... . /....... ..t�!;��t........! ........5: ................. L ProposedUse ..................................................................................................................................... V Zoning District ...................................Fire District Name of Owner .......1< X, !.f C (I t�J �/ // Address .................c . `' ./,,................. J ' ................,................ ................... ........... ...................... Name of Builder �r';f. '.. !/�:.i' ?!{�i '............Address .................................................................................... _ y r Name of Architect ....` ...................................::..................Address -- �---�_` r— Numberof Rooms ................7 ...,...........................................Foundation ......................... ..........;.:f`................................ :..... �-Exterior Roofing .. C:; � ..... .... ............................... /,U�!J «1.?t� ..........Interior '(. -����( Floors ...............: ..........,. .................................................... l f Heating �..../:..! 1...... ............`�'...........................Plumbing ..................... .. `:..................................................... Fireplace ..................` ................................:...........................Approximate Cost ......., .{ ..CJ.v. ................................... Definitive Plan Approved by Planning Board /)_____19, . Area .......................................... V Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH k r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �,�/ r Name ... z..:.. /..;, 1; �'�... siC: ...... �= CEDAR ACRES ���� TBDS` ' A=23-37 No2-25.42-. Permit for ..Ooe.. --- � Si l -------...---- ---..'`~----- / r� Location .�ot-�3].--' ^..Uar.iner...Circle ................ t---------------. ' ' C)wmar ... R.e a.Lty. ..Tmust Type of Construction .-Fr.aoue.......................... . ... ............................ � Permit Granted ~!�P.temb ...... .......19 80 . uo/e Completed 19 � PERMIT RE SED ......' 9 __.e .. -''� '�r'��'----'' -- ---.-. -.y^----------' -^'---'---''~-''-^~^'----^^-^^^--^' � ` ^--''"'-----~-----~^^^^'-''^----''' ^ - Approved ----------.-----.. lQ � -------'--------~-^-------~' -------`'--^---------^~^^~^^^- �