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0173 GUILDFORD ROAD
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'THE Y :R�Jj.� Application number ....................... y 0� • • BARNSTABLE ° ®! b► C i Date Issued................Y ... . !►sass. 4D,,r 1639• a�0� Building Inspectors Initials........... APB 04 21013, - .................... fOWN Or 6AKNS I Mb Map/Parcel........ ..... ................................ TOWN OF 13ARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHEW-ATION PROPERTY INFORMATION Address of Project: /7 NUMBER STREET VILLAGE Owner's Name: h„ //r'S Phone Number V ZP- /O 741 i Email Address: Cell Phone Number Project cost$ 7 S 3 S --- Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Sep A:Az cha Oc,--{4 Date: TYPE GE WOE ❑ Siding ❑ Windows (no header change)# ❑ Insulation/Weatherization Doors (no header change)# 2- Commercial Doors require an inspector Is review El Roof(not applying more than 1 layer of shingles) n Construction Debris will be going to 1(i a s4e-/rW a 9 P,r/P� CONTRACTOR'S INFORMATION co Contractor's name �t an `7R n�,'so✓n - So„(�.2�n +�pAl r (�v,� '� w S Home Improvement Contractors Registration(if applicable)# 17 3 2-Lh (attach copy) Construction Supervisor's License# UJ S 7 07 (attach copy) Email of Contractor Q wee- q • C M Phone number 2101- L Z R -`�900 ALL PROPERTIES THAT HAVE STRUCTURES VER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS/IU A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATIONNUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X , X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOIMIEOWNER'S LICENSE EXEMEPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CAM the Massachusetts State Building Code. I understand the construction inspection procedures; specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date PLICANT'S SIGNATURE Signature Date 4/- 3 -/01 F All permit applications are subject to a building official's approval prior to issuance. Renewal Agreement Document and Payment Terms Andersen. dba:Renewal B Andersen of Southern New England y g Phyllis Dwyer Legal Name:Southern New England Windows,LLC 173 Gifford Road RI#36079, MA#173245,CT#0634555, Lead Firm#1237: Centerville,MA 02632 WINDOW BE LACEMENT 10 Reservoir Rd I Smithfield,RI 02917 : H:(508)428-1079 Phone:"866-563.2235 1 Fax:401-633-6602 1 sales®renewalsne. m' 73 Q�.,Ld.�,ro� Buyer(s) Name: Phyllis Dwyer Contract Date: 03/23/19 Buyer(s)Street Address: 173.Gilfo"rd Road, Centerville, MA 02632 Primary Telephone Number: (508)428-1079. Secondary Telephone Number. Primary Email: Secondary Email: 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,any documents listed in the Table of Contents,and any other document attached to this Agreement Document, the terms of which are all agreed to b the parties and incorporated herein b' reference(collectively,this "Agreement"). p yy Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: $7,535 By signing this Agreement,you acknowledge that the Balance Due;and the Amount' Financed must be made by personal check,.bank check,credit card,or cash Deposit Received: . $31768 Balance Due: $3,761 Estimated Siart: Estimated Completion: Amount Financed: $78535 . 6-8 weeks 6=8 weeks Method of Payment Financing : ,We schedule installations based on the date,of the signed contract.and secondarily on, the date in which we complete the technical measurements.The installation date that we are providing at this time is.odly an estimate..We will.communicate an official date and.time at a later date: Rain and extreme-weather are the most common causes for delay `. Notes:. 50% paid now, 50% paid at eompl. Taxes.paid in Barnstable - Bu er(s)agrees and understands that this Agreement constitutes_the entire understandings between the parties and that there are no verbal" . understandings 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 BUYER: Do'n"ot sign this contract if blank.l'ou 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 03/27/2019 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 dba:Renewal er thern New.England .. Buyer(s) ^. . Signature of Sales Person Signature Signature . " Kevin Desmarais Phyllis Dwyer, Print Name of Sales Person Print Name: Print:Name uPDATED: 03/23./19 - Page 2 / 12 r Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS. LLC Registration: 173245 10 RESERVOIR ROAD Expiration: 09/18/2020 SMITHFIELD,RI 02917 Update Address and Return Card. Office of Consumer Affairs 8 Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Suoolement Card before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business'Reo_uiation 173245 09/18/2020 1000 Washington Street-Suite 710 SOUTHERN NEW ENGLAND WINDOWS.LLC Boston,MA 0211i8-�� a BRIAN DENNISON - 10 RESERVOIR ROAD SMITHFIELD.RI 02917 Undersecretary 'wtvau without sisgrature Board of Building Regulations and "Standards VL+2ts Su �''llp 1 MAN D DENNISON CHARLTON MA ' � Commissioner Th e Co intito it wealth of Massach usetts 9'- Department of Industrial Accidents I Con;ress Street,Suite 100 a Boston,MA 02114-2017 www muss gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PE2NIMLNG AUTHORITY. Applicant Information f Please Print Legibly Name(Business/QrQaniiation/lndividual): o uz) t- /Cj 4d I A d' tDWS Address: City/State/Zip:S m t_4 e-1 t??i DZQ !7 Phone#: Arry anemployer?Check the appropriate boi: Type of project(required): a employer with � employees(full and/or part-time).* 7. ❑New construction Z❑I am a sole proprietor or partnership and have no employees working for me in $: 0 Remodeling any capacity.[No workers'comp.insurance required.] 3.[]I am a homeowner doing all work myself.Flo workers'comp.insurance required.]+ 9. ❑Demolition 4.[][am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions proprietors with no employees. 12.[]Plumb inga repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet These sub-contractors have employees and have workers'comp.insurance.' 13.Q Roof repairs r 6.o We are a corporation and its officers have exercised their right of exemption per MILL c. 14.[6thero&f i O C'r O y 152,§l(4),and we have no employees.(No workers'comp.insurance required.] r e 14 'Arty applicant that checks box 91 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is prolridin;workers'compensation insurance for my employees Below is the policy and job site information /� Insurance Company Name: T!6�0. fi15U{aA -- (0 • OF VVs`�., b. (1 . Policy#or Self-ins.Lic.#: yV C A .3 15 li' 7 2 G Z. Expiration Date: Job S ite Address: l 7 3y G -ro i-d <;z City/State/Zip:C.p t-pti;t(e-, l-O Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$L,500.00 and/or one-year imprisbnment,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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the poi d penalties of perjury that the information provided above is true and correct Signature: ' Date: Phone#: C21 7242— 9 JM 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#: 1ACn►RL> CERTIFICATE OF LIABILITY INSURANCE DATE(MMIMNYYY) ��.. 12/28/2018 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(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 CONTACT NAME: CO Biz Insurance, Inc.-CO PHONE FAX 1401 Lawrence St., Ste. 1200 c o Ext: 303 988 0446 we No:303-988 0804 IL Denver CO 80202 ADDRESS: COMail@cobizinsurance.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance Company 31325 INSURED ESLERCO-01 INSURERS:FiremenS Insurance Company of WA,D.C. 21784 Southem New England Windows, LLC. dba Renewal by Andersen of Southern New England INSURER C:Homeland Insurance Company of New York 34452 10 Reservior Rd INSURER 0: Smithfield RI 02917 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER:787175890 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 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 LTR POLICY NUMBER MM/OD/YYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CPA3158728 V112019 1/112020 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTFD CLAIMS-MADE a OCCUR PREMISES Ea occurrence $300,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO —� GENERAL AGGREGATE $2,000,000 POLICY❑JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 N 0 OTHER: $ A AUTOMOBILE LIABILITY CPA3158728 I/l/2019 1/1/2020 EO,B'WernSINGLELIMIT $1000000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ F A X UMBRELLA LIAB X OCCUR CPA3158728 1/1/2019 1/1/2020 EACH OCCURRENCE $15,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $15,000,000 DIED I X I RETENTION$p $ 9 WORKERS COMPENSATION WCA315872924 1/1/2019 1/1/2020 X H- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N NIA E.L.EACH ACCIDENT $1,000.000 (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 C Pollution Liability 7930073340000 1/1/2019 1/1/2020 Each Occurrence $2,000,000 Claims-Made Policy Retroactive Date 06/20/2013 Aggregate $2,000,000 Deductible $25.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 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. FOR INFORMATIONAL PURPOSES ONLY AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD i Town of Barnstable *Permit �� ��q Expires 6 months om issu date Regulatory Services Fee 9cb 1 �e'g Thomas F.Geiler,Director Building Division Q'f Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION : - RESIDENTUL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address --,. 2d LI T ///P . S Residential Value of Work , v Q, Minimum fee of$35.00 for work under$6000.00 . Owner's Name&Address PIN /j I) P�Ll 1 73 rTul /4 o d Rd 0. vi 4-IC .0 26 z Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance X®PRESS. PERMIT Check one: PERMIT �Y� ❑ am a sole proprietor, �I am the Homeowner MAY j 4 2012 ❑ I have Worker's Compensation Insurance Insurance Company Name TO Mni OF ARNSTABLE Workman's Comp.Policy# ` Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) [� Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to . Re-roof(hurricane hailed)(not stripping: Going over existing layers of roof) ❑.Re-side ` #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#.of windows *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. i f SIGNATURE: QAWPFILESIFORMS\building permit fommAE .d c Revised 051811 The Commonweakh ofMassackusets Department oflu serial Acciti Qffwe ofInsstigations 600 Washington Street Boston,M,! 02111 m*mu mamgovldia Workers'.Compensation Insurance Affidavit Baders/ContractorsTk-ct6c ans/Plumbe<rs Applicant Information Please Print LeMMy Lee Address: 3 , citylstaiae% L� a S= v z6 3 v Phone `D a8- p 7 Are you an employer?Check the appropriate box: T of project 4. I am a Type P ] (required): 1_❑ I am a employer with ❑ general contractor and I to full and/or 6_ New construction employees{ part-time).* have homed the sub-contactors ❑ 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling These;sub-contractm have ship and have no employees8. ❑I}enwlition working for me in any capacity. employees and have wodms' g Budding addition [No workers'comp-insurance comp..iasurauee 1 � _ . 5: ❑ We are a corporation and its. 10.ElElectrical repairs or additions 3. am a homeowner doing.all work officers have exercised(heir 11.❑Plumbing repairs oradditions myself[No worbm'comp. right of exemption Per MGL insurance &]T. c.152,§1(4h andwe have no 12.❑Roof repairs . employees.[No workers' 13.0 Other comp.insurance required.] 'Piny app&cant that checks box#1 nnst also fill•out the section below showing their workers'c-RM ation policy'infarmari� �Tiameowners Who submit this affidavit imthcatuig they are doing all wank and then hire outside contractors mast submit a new affidavit indicating such lConiractors that check this boor must attar an additional sheet showing the name of the sub-comdoactm and state whether moot those entities Barre emphtyees.lfthesubtonttacturs have employFee%they imist provide their workers? o rAmP•policy number., I am an employer that is pravidbrg w orkers'compensadan.insurance for my anq%&7j ees. Below is the policy curd f ob site. information. Insurance Company Name: Policy#or Self-ins-Ltc.4: Dxp rationDate: Job Site Address: City/Stat&Zip: Attach a copy of the markers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A ofMGL c. 152 can lead to the imposition of criminal penalties of a. fine up to$1,500-00 auvor one-year unnpni or nt as well as civil penalties in the form of a STOP WORD 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 cerh j�corder the pains a aI#ies of pe ury�diet the infotmatiart pr oW&9d above is rate and correct Date: v� Phone#: v``'D Of jiciai rise only Do not write in this area,to be completed by city or town offickl City or Town-Permit/License Issuing Authority(tar de one):: 1.Board of Health 2.BaBding Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: 6 . . �nxivsr�ar.E. • Town of Barnstable prFO MA'S A Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 1 200 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, as_Owner_of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for-permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPHLESTORMS\building permit forms\EXPRESS.doC Revised 051811 f� ' l �TNE Town of Barnstable Regulatory Services MASS.1HA99. Thomas F. Geiler,Director 1659. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION. Please Print DATE: S—// 1 1 2- / JOB LOCATION: 73 (mil//�tG�/�2t✓ ���?� �6�1 11C number T_ street village "HOMEOWNER": LS /�� �(()(f �O oZ�1�79 name' 'home % onne# work phone# CURRENT MAILING ADDRESS:f 73 f.!/Y,49 2� /C, c%' city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements aa that he/she will comply with said procedures and requirements. Signature o omeowner Approval of Building Official Note: Tbree-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION - The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as'supervisor." Many homeowners who use this exemption are unaware that they are assuming the'responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. - Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 051811 06y1e, Brenda ; From: Niemi, Maureen Sent: Monday, May 14, 2012 8:58 AM To: Coyle, Brenda Cc: Niemi, Maureen Subject: Roofing permit 173 Guildford Road, Phyllis Dwyer Parcel 148-015 Dear Brenda, Per our conversation on the above property, I will authorize a roofing permit to be issued. This property is delinquent in real estate taxes for the fiscal years 2010, 2011 and 2012; however,whereas it is a necessary measure to be taken, I will authorize a;permit to be issued. - If you have any questions, please do not hesitate to contact me. Very truly yours,. Maureen Maureen E. Niemi Town Collector Town of Barnstable P.O. Box 40 Hyannis, MA 02601-0040 Tel: 508-862-4055 Fax: 508-790-6310 Email: maureen.niemi@town.barnstable.ma.us 1 • model; OSTERVILLE Qy�FT14Er TOWN OF BARNSTABLE Y � � 19. BABB9TdHLE, i aMY�`e�►, BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..........BLl �d ,One,,,Fmly Dwelling TYPE OF CONSTRUCTION Wood Frame , ........ TO THE INSPECTOR OF BUILDINGS: •.•• - _-_-Y • -• - • -. s_ The undersigned hereby applies for a permit according to the following information: Location ...... ,?....... ill. .....4� ....... �2.. ....................... !l ProposedUse .....R@Sde2ltial........................................................................................................................................... Zoning District .....RD?S.1........................................................Fire District ......Centerville. . . . . .-.Osterville... .... .... .. .. . .. ..................................... Name of Owner ......Normest Homes Inc.. ..., ,,,,,Address .........Ashley Drive? Centerville Name of Builder ....NOrmeS t Homes.... Inc.•..............Address ...............same ..... .............................................................. Nameof Architect .......aMg1 ...............................................Address .................................................................................... Number of Rooms 6 Poured Concrete Foundation .............................................................................. Exterior ....................Sidlnf................................................Roofing ...........Asphalt..................................................... Floors ......................Car.het................................................Interior ............Drywall..................................................... Heating WaI'A1-Air..........................................Plumbing ...............Ba.t...... ................................................. Fireplace ................Y.4'5..........................................................Approximate Cost ......VQsOQ0....................................... ....+ Definitive Plan Approved by Planning Board -----------_______-----------19 . / -7Q ,j J - Diagram of Lot and Building with Dimensions !� Z 7 SUBJECT TO APPROVAL OF BOARD OF HEALTH 2 C) I Ir7 D Ld g `O� z 3zv /00 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. \ I/ Name .. v.. �r(. L..................... Normest Homes, In . No ...15844 one story • Permit for .................................... single family dwelling .........'..n................................................................... locat on/ 3....Guildford Road......................... Centerville ............................................................................... Normest Homes Inc, l Owner ` frame Type of Construction (; (� ................................................................................ \� 8# 7T5 � \` -._. Plot ............................ Lot ................................ _ 3 Permit Granted January 22 19 '73 1 ..................... .................. Date of Inspection Pr 7 3 Date Completed tt Y f j PERMIT REFUSED t i 1 ................................................................ 19 ..................................................... ...................... i ................................................................................ ............................................................................... I ............................................................................... Approved ................................................ 19 ............................................................................... e dF w Barnsta61.0 0 L Telephone(508)771-7222 .MASK ,�e Housing Authority 146 South Street•Hyannis,Massachusetts 02601 ZONING VERIFICATION TO: Gloria Urenas FROM: Leila R. Bruce, PHM, Leased Housing Coordinator RE: Uerifying legal rental unit Date: 7 Address: Village: < Unit type: �� Bedroom size: Map D Parcel No.: The owner of the aboue listed property is entering into a contract with us for the rental of the property as listed aboue. Please uerify by signing below that the unit is legal and meets all zoning requirements for a rental in the town of Barnstable. If it does not, please list reason here: Thany,you for your assistance in this matter. Sigfiaturfe Print name .Date VIA FAX: 790-6230 Miava Section 8 Rev. 10/96 Equal Housing Opportunity Agency .. ....... ....:.::.::............ . .......................................::.:. ......................................... ......:::.. L R €' 1 ... GUILDFORD STREET�:: E�..TERVI.' ................... LLE ........... :>: .....::. . a ,...,:..Z.E. -- --B.H.A. .1�€. LEGAL t <y•..6a -fi h' :. S TOWN OF BAHNST88LE REPORT S PLEMENTARY/CONTINUAT4REPORT NAME (LAST, FIRST, MIDDLEY7�/ zi/-- DIVISION /DHP7 De , NOTE DETAILS 6 OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL IS ETC. 'Am�l/wl 4dz&42 SUBMITTED BY PAGE i PROPERTY ADDRESS STATE ZONING I DISTRICT CODE SP--Dlsrr.�-vya rEPRINTED CLASS PCS NBHD KEY NO. 0173 GUILDFORD ROAD 10 RC 300 loco 07/09/95 1011 00 36BC R148 015. 8367C LANDIOTHER FEATURES DESCRIPTION ADJUSTMENT FACTCRS TV - UNIT ADJ'D.UNIT D W Y E R I R I C H A R D J & M A P- Lana BylDate s�:e D� —cln LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Dexriptlon / CD. FF De th/Acres #LAND 1. 29/100 CARDS IN ACCOUNT - L 10 1BLDG.SIT 1 X .44 =lOC 158 39999.9 63199.99 .46 291.00 #SLDG(S)—CARD-1 1 89,400 01 OF 01 A #PL 173 GUILDFORD RD CEN . —TTU r N BATHS 2.0 U X C= 100 7000.0 7000.00 1.00 7000 3 #DL LOT 35 ARKET 91800 D FIREPLACE U X C= 100 3100.00 3100.00 1.00 31100 B *,RR 0640 0100 INCOME SE A PPRAISED VALUE D 118.50C . D J ARCEL SUMMARY A U AND 291CO T g 3LDGS 8940C A T —IMPS M I OTAL 11850C F E CNST E of DEED REFERENCO Type DATE. RecordeRecordedR I 0 R YEAR V A L U T - _ .. - Book Page -Inst. MO. . yr.D A $eIM Priee AND 2 91 D D T S 1807/304, 0/00 3LDGS 894CC OTAL 11850C U R E 't BUILDING PERMIT S I _ - Number Dne Type Amount ' LAND LAND-ADJ INCOME SE SP-BLDS FEATURES BLD-ADDS UNITS 29100 10100 15844 1/73 N0 Conts Total r B It Norma DDSV. Class Vn s, Vnns Base Rate Adj.Rate A I Age Deer. C.bn%. CND Loc %R.G Repl Cost New AOI Rapt Value SIwI Hephl Rooms Rms Betne •Fis. PYIywW FeC. 01C 000 105 105 55.65 58.43 72 75 19- 30 100 80 111705 39400 1.0 5 3 -.2.0 - 7.0 Descnphon Rate Square Feet Repl CosI MKT.INDEX: 1.00 IMP.BY/DATE. / SCALE.- 1/01D.66 ELEMENTS CODE CONSTRUCTION DETAIL - BAS 1UO 58.43 1704 99565 6 S FWD 65 3.50 240. 2040 *----16---* N STYLE 03 ANCH 0.0 T 9 -ESIGN AVJ_AT JT cSfGN ADJUST ----5.0 R 12 ! XT R:°JALL S-" Ul-i1 Dab-FRAME-------D:O U ! FWL---16----* EATtAC-TYPE- JZ AY---------- ---D-.CJ C *-------- * ------------------ 32--------- 68--------------------* NT�R":fITiISR- t70 U:0 T ! NTcK:LAYQOT- JT ------------------trX U ! ! NTEH.-QUA—TY- UZ S AWE-AS--EXTFR-.---Dd R ! LOWT-STRIJCT- ZJO ----------------- A d24 24c t0iltI -COVER-- DO ---- ------------D-� L D TOlal Areas Aux 240 1704 ! BASE ! OOF--TYPE-- - `10 ---- ----- - ---TO E __ _ _BUILDING DIMENSIONS i i L E TR I CW_ _LT(J __ _ _ ___ __T_ S W15 SU W36 NO2 W16 124 FWD ! ! GUNITATIUTI- - JU -----------------99:9 > 12 E16 S09 E16 S03 W32 .. SAS ! ! --------------- --- ---------------------- Ebb S24 *----16---* *----16--_X ----iTEIG1 ORH 6 3�HC-LENTERVICLE-- . L 2 2 LAND TOTAL MARKET *-----------36----------* PARCEL 29100 118500 - AREA.... 1229 VARIANCE +0: +9540 STANDARD 2:5 it F ,E " RESIDENTIAL PROPERTY I MAP NO. LOT NO. FIRE DISTRICT SUMMARY " STREET /173 Guildford Road Centerville LAND o 0 y q.148 15 _C-Q..-__-:._ BLDGS. sLj/O J OWNER TOTAL 7V 9400 LAND ' RECORD OF TRANSFER' DATE BK PG I.R.S. REMARKS: `cl'] BLDGS. jqO�j Ol d TOTAL 0 30 O 0 ,46'aC LAND BLDGS. T-- r , Richard J. & Phyllis M. tens ent) 2-16- 1807 304 39 $ a — TOTAL LAND 730(�/LDFo/{??A ^ D. ��![1�. �I1y.02GSZ BLDGS. TOTAL a LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: 0f BLDGS. _ TOTAL ` DATE: LAND ACREAGE COMPUTATIONS rn BLDGS. D TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE Or 7/ 16 pU 3 O oo LAND CLEARED FRONT BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. ` TOTAL LAND l Uu BLDGS. 0) LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND J 0 u ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. FOUNDATION BSMT. & ATTIC: 1` LUIVIGIIV4-a PRICINU . LAND COST Walls Fin. Bsmt.Area Bath Room Base EILOG. COST ^•r `Blk.Walls j Bsmt. Rec.Room St.Shower Bath Bsmt. V PURCH. DATE 1. -'Slab Bsmt.Garage St.Shower Ext. Walls PURCH. PRICE c Walls ` Attic Fl.&Stairs Toilet Room Roof RENT ,Walls Fin.Attic 7 Two Fixt. Bath , Floors INTERIOR FINISH Lavatory Extra F� 1 2 3 Sink 1/21/4' Plaster Water Clo. Extra Attic �� 9 TER•IOR WXLLS Knotty Pine Water Only Zyp 3 2 r 9 le Siding Plywood PI No Plumbing Bsmt. Fin. 4, le Siding't-� -, Plasterboard Int.Fin. pL3hingles 1,41TILING Clz_z • Z Blk G F P Bath Fl. Heat Brk.On'• Int.Layout Bath fe&Wains. / of�' Auto Ht.Unit O `veneer Int.Cond. / Bath Fl.&Walls' Fireplace • Brk.On HEATING Toilet Rm.FL Plumbing • , r Gom. Brk Hot Air Toilet Rm.Fl.&Wains. q � Tiling L (' # Steam Toilet Rm.FL &Walls , ket Ins. Hot Water iAf St. Shower w' Ins.` Air Cond. Tub Area Total - Floor Furn. r •f. s ROOFING 2— yi e_; COMPUTATIONS t c: Shingle Pipeless Furn. v+ S.F. Z .' Shingle No Heat Z S.F. QQ Shingle Oil Burner S.F. Coal Stoker S. F. Gas S.F. OUTBUILDINGS ROOF TYPE Electric S.F. 1 2 3 4 5 6 718 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED e Flat Mansard FIREPLACES S.F. Pier Found. Floor brel Fireplace Stack Wall Found. 0.H.Door LISTED FLOORS Fireplace / Sgle. Sdg. Roll Roofing _ _ LIGHTING Dble.Sdg. Shingle Roof DATE h` No Elect. Shingle Walls Plumbing lwoad ROOMS Cement Bik. Electric L Tile Bsmt. 1st TOTAL Brick Int. Finish4, PRI tie 2nd 13rd FACTOR S REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. qc Y ` TOTAL , [ ] [R148 015 . ] • y LOC] 0173 GUILDFORD ROAD CTY] 10 TDS] 300 CO KEY] 83670 ----MAILING ADDRESS------- PCA] 1011 PCS] 00 YR] 00 PARENT] 0 DWYER, RICHARD J & MAP] AREA] 3GBC JV] MTG] 0000 t DWYER, PHYLLIS M SP1] SP21 SP31 173 GUILDFORD RD UT11 UT21 .46 SQ FT] 1704 CENTERVILLE MA 02632 AYB11972 EYB11975 OBS] CONST] 0000 LAND 29100 IMP 89400 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 118500 REA CLASSIFIED #LAND 1 29, 100 ASD LND 29100 ASD IMP 89400 ASD OTH #BLDG(S) -CARD-1 1 89, 400 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 173 GUILDFORD RD CEN TAX EXEMPT #DL LOT 85 RESIDENT'L 118500 118500 118500 #RR 0640 0100 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE100/00 PRICE] ORB11807/304 AFD] LAST ACTIVITY] 06/26/91 PCR] Y IV Z. R148 015 . • P E R M I T [PMT] ACTIoR] CARD [000] KEY 83670 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR .CMP NEW/DEMO COMMENT 1 R148 015 . P R A I S A L D A T A is KEY 83670 DWYER, RICHARD J & LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RC 29, 100 89,400 1 A-COST 118, 500 B-MKT 91, 800 BY 00/ BY /00 C-INCOME PCA=1011 PCS=00 SIZE= 1704 JUST-VAL 118, 500 LEV=300 CONST-C 0 ----COMPARISON TO CONTROL AREA 36BC ----------------------------- NEIGHBORHOOD 36BC CENTERVILLE PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 291001 LAND-MEAN +0% 1185001 87274 IMPROVED-MEAN +2% 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 100%] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] BARNSTABLE • , •i HOUSING AUTHORITY LEASED HOUSING DEPARTMENT TELEPHONE(508)771-7292 146 SOUTH STREET-HYANNIS MA 02601 ZONING VERIFICATION TO: Barnstable Building Inspector FROM: Leila R. Bruce, PHM, Leased Housing Coordinator RE: Uerifying legal rental.unit Date: DRAFT Address: Village: Unit type: Bedroom size: --- The owner of the aboue listed property is entering into a contract with us for the rental of the property as listed aboue. Please uerify by signing below that the unit is legal and meets all zoning requirements for a rental in the town of Barnstable. If it does not, please list reason here: Than on for your assistance in this matter. Signature Print name Date MRVP Section 8 TOWN OF BARNSTABLE REPORT SUPPLEMENTARY/CONTINUATION REPORT NAME (LAST, FIRST, MIDDLE) �/N, 4j FIE EF2 DIVISION /DHPT �� NOTE DETAILS 3 OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL IS ETC. 712 ' Z;L& ' wc SUBMITTED BY _ PAGE # V i [ '] [R148 015 . � ] LOC] 0173 GUILDFORD O AD CTY] 10 TDS] 300 KEY] 83670 ----MAILING ADDRESS------- PCA11011 PCS100 YR],00 PARENT] 0 DWYER, RICHARD J & MAP] AREA136BC JV] MTG10000 DWYER, PHYLLIS M SP1] SP21 SP31 173 GUILDFORD RD UT11 UT21 .46 SQ FT] 1704 CENTERVILLE MA 02632 AYB11972 EYB11975 OBS] CONST] 0000 LAND 29100 IMP 89400 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 118500 REA CLASSIFIED #LAND 1 29, 100 ASD LND 29100 ASD IMP 89400 ASD OTH #BLDG (S) -CARD-1 1 89, 400 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 173 GUILDFORD RD CEN TAX EXEMPT #DL LOT 85 RESIDENT' L 118500 118500 118500 #RR 0640 0100 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE100/00 PRICE] ORB11807/304 AFD] LAST ACTIVITY] 06/26/91 PCR] Y . 1 R148 015 . 40 P P R A I S A L D A T KEY 83670 DWYER, RICHARD J & LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RC 29, 100 89,400 1 A-COST 118, 500 B-MKT 91, 800 BY 00/ BY /00 C-INCOME PCA=1011 PCS=00 SIZE= 1704 JUST-VAL 118, 500 LEV=300 CONST-C 0 ----COMPARISON TO CONTROL AREA 36BC ----------------------------- NEIGHBORHOOD 36BC CENTERVILLE PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 291001 LAND-MEAN +0°; 1185001 87274 IMPROVED-MEAN +20 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1000] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] R148 015 . P E R M I T [PMT] AC [R] CARD [0001 KEY 83670 00 0000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT 1 TOPERTY.ADORESS - I - I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I STATE CLASS I PCs I-.NBHD I PARCELKEY No, 1 0173:, - _ GUILDFO.RDIIROAD.. 10: RC: 300. 1000: 07/09/95 1017 :00:='368C'', R148 015.' 83670 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T,, UNIT': ADJ'D.UNIT- - DWY E R I R I C H AR D`'J 9 MAP. La es/Date- - Size Dimension - ACRES/UNITS' ;.VALUE• Deepription ., + Y _ CD. FF-De IhlAtres LOC:/VR.SPEC.CLASS ADJ.- COND. P PRICE ..PRICE .� . 7. #LAND ,.4.,, w 1:I_ „:29i1O0° . CARDS IN ACCOUNT: %110 1:BLOG.SIT'1 X :4 =1 00 158 39999.9 _' b3199.99 .46: `29100 <t #BLDG(S)-CARD'=11,1v _'89 400 01--*D0 61 4130.173 GUILD FORD RDrCEN�" BATHS"w 2:0` U' X w` C= 100 7000.0 °7000.00 1e00 7000'-8'f pl/DL'>LOT85 r ARKET.'= - ;91`800; `• F PLACE . U' '° X.b C=,, 100 3100.0 3100.0 1:00 3100 B #RR Ob40_'01DD INCOME S E D( j. ARCE RAISED VALUE . 1T8500 �, . ,. _ -`SUMPIARY- AND 29100 S - - - LDGS 89400 T _- vp —IMPS M OTAL" 118500 E CNST N DEED REFERENC Tye " DATE qyb R I O R'YEAR. VALUE T eeok" Pam meL Mo. Yr.p " 5♦les Prim AND 29100 ' g. - 1807/3041- OJ00 LOGS 89400 OTAL' 118500 BUILDING PERMIT - - _. - Number. •- Data .. Type Amount _ LAND. LAND—ADJ : . INCOME SE SP—BLDS FEATURES BLD-ADJS UNITS ' 29100. 10100 15844` 1173 ND Const. Total r B 'I Norm. Obsv. CIasS ,Units Units Base Rele Adj.Rate A I I 1 Age Dap, ConC CND L- %R.G Rapt Cost New �Ad, ReDI Value StOrie9 Heigh' Rooms Rma Bathe efla. Parlyw.11 Faa. 0 000 105'105 55.65 58.43 . 72 75 19 80 100 80 .111705 89400:'1:0' 5: 3. 2.0 7.0 . ription-=ro.,. Rate are Feet - Repl.Cost MKT.INDEX: 1.DD IMP.BY/DATE: J SCALE: 1 J 00.66- ELEMENTS CODE .CONSTRUCTION DETAIL ? 100< 58.43 1704: 99565 -FWD_ 85.- 8.50: 240 2040 *----16Tr *- N TYLE+f- 03 ANCH 0.0 1 ! ' 9' ESL-GN�AD.Ch1T; Ut ESf6N ADJUST`- .-0 12 XTEW'WA'LLS--- UT D'Ug FR-KNE----- -M.Q ! FWD---16----* EAT_tAtiTYPE : _UZ AY._ -------=-D-.Q ---- ---------- - UO Q ' j NTER.GAT'QUT- -OT ---- --- - -D--Q NTE7i:9UA1-TY; UZ AWE"AS ERTElt---U.Q o ; tOD-k-STRUCT- W ----------'-=-=----MU 24' 24E LOO`R` COVER- w - -------------�� 0 240 1704:. ! " BASE OOf-_TYPE- -- UII ------------------U� ETotal Areas Aux_ Bese. , BUILDING DIMENSIONS t EtTR LCA1 UD -U T SAS W :5 'W 6 N W 6 N24: FWD � OUTMATION- `- .tW -----------------99:-9 A N12 E16_ S09,E16..S03 W32 BAS ' I . ------ --- -----------------7---- A� E68 524: ..• *----16---* *----16---X -----NEIG-HHORH 6:315ffC-C"ENTEAV-ICCF-- L - 2 2 LAND 'TOTAL MARKET *-----------36----------* PARCEL 29100 t118500 AREA ",122.9 e_ VARIANCE i0 +9540 STANDARD - -.E ,. .:.:... y, '.r5.,. :.,..,:... .:_3 -^. .. .: ti:. •.-:>. < :i �- .... t;: .v :. '.v •.. +-..� },.�.y`�.:s....':ti....�-c h...w.� y, a.,p-. :..-v. � .b'wir'aG#.t.,ifar�.: n..a....-u..,--......w—:f.-.i.t:t_.J..`\. . .:u...w-ate_+-�.. .-..w . .. ...._..-..a..-=rt-.<i��C -........ 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