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Town of Barnstable �����
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wuvsrne[a PostThis'Card So That it is Visible From the Street Ap,p"roved_Plan s:.Must be Retained on Job'and'this Card Must.be Kept
Posted Until Final Inspection•Has Been Made �' • I �� ��
Eoixo�° Where a Certificate of Occupancy is Required,such Building shall Not tie`Occupied until a Final Inspection has,
made. :
Permit No. B-20-2205 Applicant Name: Dzmitry Labkovich
Approvals
Date Issued: 08/17/2020 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors. Expiration Date: 02/17/2021 Foundation:
Location: 38 SEA MARSH ROAD,CENTERVILLE Map/Lot: 227-132 Zoning.District: RC Sheathing:
Owner on Record: BRESNAHAN,ALICE M TR Contractor.Name: ROOFING AND SIDING OF CAPE Framing: 1
COD LLC.
Address: 38 SEA MARSH ROAD 2
CENTERVILLE, MA 02632 Contractor License: 170787
Chimney:
Description: New White Cedar shingles on Left Gable walls s Est. Project"Cost: $6,750.00
Permit Fee:
$35.00 Insulation:
Project Review Req: ? {
Fee Paid: 535.00 Final'
Date: 8/17/2020
Plumbing/Gas
l Rough Plumbing:
Final Plumbing:
Building Official
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas:
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Final Gas:
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. Electrical
_ -The Certificate of Occupancy will not be issued until all applicable signatures,by the Building and Fire Officials are provided on this permit. Service:
Minimum of Five Call Inspections Required for All Construction Work: Rough:
1.Foundation or Footing -
2.Sheathing Inspection Final:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to frame Inspection Low Voltage Rough:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Final:
7.Final Inspection before Occupancy
Health
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Final
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department
Building plans are to be available on site Final
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �� -�
TOWN OF BARNSTABLE BUILDING PERMIT APPLICfATION'
Map Parcel Application
s I�
Health Division Date Issued �z-Z I I
Conservation Division JUL 11 2.Mpplication Fee
Planning Dept. TOWN CIF BARNS-RggjD� Fee 17q (0 V
Date Definitive Plan Approved by Planning Board
Historic - OKH Preservation/ Hyannis
Project Street Address.3R 940r,?U4 )w
Village Owner 04' Address
Telephone Sb rt -),!�' '9;?"C`7
Permit RequestZe
r
0
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family e-' Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes Flo On Old King's Highway: ❑Yes ❑ No
Basement Type: C1 Full ❑ Crawl ff' alkout ❑ Other
Basement Finished Area (sq.ft.) A1W Basement Unfinished Area (sq.ft) 460
Number of Baths: Full: existing: ZI new Half: existing new
Number of Bedrooms: 3 existing —new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: CT Gas ❑ Oil ❑ Electric ❑ Other
Central Air: E YeS ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes a"fdo
Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑,N"o If yes, site plan review#
Current Use fit . ,,„tom.,.( Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name � �®._ Telephone Number '')!2 41 5A 76 2-7
Ad-dress syw.��►�us License # 0-7C1 3 1
Home Improvement Contractor# 1 7
Email -zej i-,_ 6 Q Cd "t&d ¢ 49%vr Worker's Compensation # ) -W5& 7_�0
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS ROJECT WILL BE TAKEN TO
C F
SIGNATURE DATE
FOR OFFICIAL USE ONLY
APPLICATION #
DATE ISSUED
MAP/ PARCEL NO.
ADDRESS VILLAGE
r
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
t
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
"U''LI)I G DEp-
JUL 2017
r
Bresnahan,Alice&Ponero,Julie T�w���f3AF'�J,9TASLE
38 Sea Marsh RdJ
CONTRACT Customer Name_ Centerville,MA 02632 Customer Signature_��
SKETCH
Contract Date 508-775-9247 Sales Representative Signature ---�.
• Customer Phone Contract Price . 15
.ATTACHMENT —
1 2 3 4 5 8 7 8 9 10 11 12 13 14 15 18 17 18 19 20 21 22 23 24 25 28 27 28 29 30 31 32 33 34 35 38 37 38 39 40 4, 42. 43 44 45 48 47 48 49 50 5, 52 St 54 55 58 57 58 59 e0
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30
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33
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34
35j�-
NOTES: Qonk Cb�ur�s2 62e+� a'd door's Each box equals one foot unless otherwise noted.This sketch is a good faith
representation of the work to be done,it is understood that all dimensions
derived from this sketch.are approximate,and that all locations of outlets,light
fixtures,plugs,jacks and/or switches are subject to change if necessary.
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Owens Corning Basement Finishing Systems
® of New England
Bresnahan,Alice&P•nero,Julie
P38 Sei'Marsh,Rd
Contractor / Agent Authorization From Centerville;MA 02632
508-775-9247
authorize Owens Corning Basement Finishing
I, i
Systems of Boston to sign the building permit application on my behalf,to perform the work at:
HomC Owners Signature:
Date: lam-
Project Manager Signature:
Date:
60 Shawmut Road • Canton,MA 02021 • Phone: 781-821-0060 • Fax: 781-'821-8552 • www.ocboston.com
-o 63
Town of Barnstable *Perms�
Regulatory Services Fina `IN
NAM Rickard V.Seali,hsterim Dk actor
Building Division
Tom Perry,C'BO,BW t g Commissioner
2W Main Street,Hyannis,MA 02601
www.town.barnstable ma us
Office: 508-862-4M8 Fax:508490-6230
FXPRESS P ID
Na V&W"ftow&Mlrm bgrW
Maplparcel Number oZ oZ711,3
Property Address (3 �A S OLL
ResWemial Vahm of Work$ Wmimam fee of M00 fiKwork Tder S6MOO
Owner's Name&Address YEN
d'f, So "AgfeAk Izol, er�il z63Z
Contr�tcror s Name tJ��f✓I f�1Nr i1 �l�s Telephone Number 9.D1-Z ZL— Of)
Home Improvement Cormactor License#(if applicable) /7 21gq Emad:
Construction supervisor's License#(if applicable) J
Check one.
❑ I am a sole proprietor JUN —5 2014 ,
I am the Homeowner
I have Workm's Compensation Insurance
Insurance Company NameTJ, -[w ref 1 cz- �V V'V of - _ AIr►,2AB
Workmaa's Comp.Policy 2 LE
Copy of Insurance CqMpl6ft Certificate mast accompany each permit.
Permit Request(check box)
❑ Rio-roof(hurricane sailed)(stripping old shingles) AR construction debris will be takm to
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side
ja Replacenent WiadoVW&oW5bders.U Value • 3 C) (mammwn.35)#of s
#of
❑ Smoke/Carbon Monwdde detectors 4 floor plans marked with red S and nsspectians regohv&
Sgwate Electrical&Fire Permits required.
+Wbm reqwa Ise of fts pemut does not exmpt cwmpbmw with other Iowa depsrtma t rums,Le.Histod c,Conm rvsti,etc.
***Note: Property Owner must sign Property owner Lett of Permiasmu.
A of the Herne Improvement CGUtracters License&CWS&UWM Supervisors Licence is
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SIGNATURE:
T.VCffVDt_DTuWAg CmWADtPRS3s
Revised 061313
ti uKttot x3sura
._ter-'• �,�
Wlwaer QiILLCtYlM ,.,�.nfetc.ramtu knemal
64bicroRN:4t1 a 1,:iRC010;RI02665 tad>umdt23,
rmn4 aee,565.2233•Fax 401,633.,6602 P r tti�.m�raass�ao
sowt8¢rnllevrlits�itndw;uaauw,l3,ca/b/a
(� CUSTOM W OW AND DOOR REMODt U-NO ACRTYWENT
sea#?s•�ax�aan��a�:a�,aaca�1Faea �l' � ,v'lzt�1 fn e� ��GZ �I�,L`�f-r--� (�.l$Z
EMaiAtktitc 4 1laaroarpsl.N�-nor 6 ���Yltxtkiuw reilun6es`��77 offllt
]B%-c 3j hereby jaandy and sewxaily attar to putt hale the pmdwcts and/or SMacea of Soudwn New Engtmtd AVIrdrnwa,I.I.0&W%itarl
by A dersom of Soattlft m Kqm Engtwi {'Coazt mrlj,in acamdam with.c4c oceans and wndificas described on the front and the rent a cf
tliis apxem®t and oo,the ars Aed specif. Ern..s h t#*}(conectiva%Ibis°Aqrecu)ejix,` 13 RMork 1313 Condo ®HdA?
Taetkfal,Artvrmn„ Frtfttaulda�stine Method of Payinant (]a, Pi ❑Fkwoet
Deposithecei'asd(334'(C CrcdttCa�karoaot fordeposicanty—ma�umune If3 offt
f3thrtce as Stars of fob(3396): peo�C�t tesc(PV sesee CtedQ[rod inyntett poem)B,v sgtkng eb at
erJm3rq t arnt�leoo [:tad r'inwo nt,ycuaduwWW&@ that the 3a14ncQ at Start of job and the
B*nto an Subaudal BaLuice en$Ubsun*J CempWm cd)oh mmx t be trade br creak,
tyeeeplaifonoflob(33a1: Carts andmuubeodicbypersonalcheek,bftYel*ik or cash.
Bayer(s)agrees dad undersitatnde that dlds tl gmvmcut ppnatitntss the entire undemsiauul;ag bgtwenu the puiema,and(bad.
there are no sErbal tanderskmel ur chatag1iog aay o£the terms of this Agreement.Bayov(s)acknawledVes that Buyar(s)
oekod a coin tad road dated 2 has read this emcee andevstwsds ties terms of thins at.a h 15 re p]r , tgoedt
copy of tMeApretateng including tho two avmchedbiodees of Cancenation,an thedate 6rstwritten aboveand(21 was really
informed of Buyerla ulghtto cameA dds Agreement.DO NOT 1SWN1 THIS CON7RACTIPTHMEMW ANY BIANKSPACES.
(Jtbodi ly"Ssfas Oydy)Native to Ru7wr-(1)De rot sign this Agreement if any of the spates Is"aded forthe agrood teems,
to the wavut of then available information an ltft blank.(2)Yon are eatided t0 P eohiy of ffi�Agreement at oho time you sigp
Is.(3)$otr may at guy time pay OR the,full unpaid-balance tine ruder this Agaeemeu4 dad is.so doing you»say be asdtted to
iyo a partial rehate of the finance said insoraabe chraraes:(4)no seller I�no right to uoh%**enter your preu dseu
Or Commit soy breach of tfir peace to repossess goods jparehaiaed ender 1his.Agroeme�(5)Yqu way cancelthis'A�meps,
f£it has not been sin red at the niusi&office or.a branch office,of the:sober,provided yea aoelfy the r.elIer at his or her martini'
office or branch Drum shownist the Agreement:by regietercti.or cad-Sedma%which shell be posted not laser than min5eiiOt.
of the third calendar day after the tiny on which the bnyer signs flke Agreement,ensihading Sunday add any holiday ou,V4"
regular mail dehsesies are not anode.See the acorn pa►W ing nottm of eandellatien fierm for an a xphnat3on of buyer`s rights.
l3u r 1 rers?ned th er eduC2lttou tx aatex3als ymvided Iry die Rliode Island Ccabacto:s Ztn&uatian Board �libyrs5 Inrfir:3tJ
Renewalby - on Southern NewFinnbmd Buyi!k(e) Buy4T(s)
&i .tatduti 11eu1 S? re S'tgrsatuxz '
Perot dome of Pmdu-.t A�tn t Ftvrt Wame Wet\fume ,
YOU, THE BUViX(S�i MAY' VAN CEi.TM51,TRANSACTiON AT A-W M M. PRIOR TO'XIIJI iGlif;T OF THE THIRD
HUMMSS DAYAF=TfM U&Tlx OF TMS T RASISACLRTON.SEE THE ATT'ACMD NOTICE OF GANCIEld,ATION FORMS
FOR AN EXP ANATION 07I=11MUT.
bi&FiCEOi=-CAMCF]LI-ATIONI — —7[— - 'NOT( 1=aF tJiitiCELLAMOid
Data of Trantacdon ;Pew V.Yo u;rash.tweet 1 Date of`itansaedon .You magi cancel
this transaction,without dwf pot Icy obligation,within I this transaction.without any penalty yr obligation,within
three business days from the a Ira LW-N you cancel,any I three business days from the above dato.If you cancel,'my
property traded IN®sty Pagments made by you u*kr the 1 rop0rty traded In,any payments rtlide by you under'the
Contract or Sale,and my negotiable Instrument'exeeuted 1 n1 tract or Sale,and airy nePvdabte i istrurti�t eaeeuted "
by you will be returned v�tHi ton business days following I by yoir•will be returned witltm ten business'signs following
receipt by the Seller of your cancellation notice,and arty reeetpt by,the Seller of your canccllativn nvirce,and any
security interest arising out of the trainmction will be security intei nt arising out of the transaction will be
eaneeted ifyou cancel.yatr must make available to tits Seller I mneeled If you carteel,you must make available to the Seller
at your resldenee.in subs attiit ally as pod totxition as when I 'at your residence,in substantially as good condition as when .
received,any goods detiver+s l to you under this Contract or I reeettredt arty goods delivered to you under this Contract or
Saoe;arpou rrta�lrt�if you wisit,cotrt�fy,niitit tFlr:inshwtebion9 of 1 Sale;or you maAif you•wish,complywith the i us of.
the St3lter rej;Ang the rowrn slnpmaitt of doe$both)art the dfe Seller t*gg ng thew return shipment•af the goods at the
Seller%a etas and risk.if.you do.nuke,the-gooda avallablo•� .Scalar's onepstrso and riche;if you do make the Wooels available
to the-Sole and the Seller does not.Focht them up.within .. to the Seller and the Seller does not pick them up within
twenty days of.the bate of caneellationt you may retain or. I tvyttltty days of the dWm of canaWinn,you may.retain,or
d6pose of W6 goods without any further obltgadorr if you I dispose of the goods without any further obligation.if you ;
falf to make tine goods available to the Seller or if you.agme i fall to make the goads available to the Seller,or If you agree
to return the dfe to the Seller end fail do do soy then you t to return the goods to.tbe Seller and fail to do so,then you
remain liabra for poitormi n" of all vbligadoms under the remain liable far performance'of all obligations tinder the "
Gontract.Ta cancan the transaction,mail or deliver a signed t ConeroictTb cancel this transaction,mail or deliver a signed
and dated copy of this cancellation notice or Any outer I autd.dated copy of this cancellation notice or any other
written notice,or send atelegmmtoR.newalbrAndersenof i written notiee,arse!nda telegram 1*RenewalbrAndcNsenof -
Southern New England at 26 Albion Roa&Un t W 02V. f Southern New England at 4 Albion Road,4invdn,R.10286S,
NOT LATER THAN MIDNIGHT Or 1 NOT LATER THAN MIDNiGHT OP "._.
(Date)
I HEREBY CANCELTHISTRAKSACTION. HERIRBY CANCELTHISTRANSACTION_
f)vphtttlnaaam PrtrtNwso Can rtryawt(�atntee ttAntNuss cats `
R6A Copy:Wlln2 Buser Ceps^Yeibw Euycr Ccpr'Pink E
�aFt r ti Town of Barnstable <DqL-rim,it,,
Erpires 6 months from issue darn
Regulatory Services
kA_Rje7.r3r.s, : Fee
161 v ��� Thomas F. Geile-r, Director
BuiIding Division
Tom Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.bamstable.ma.us
Office: 5 08-862-403 8
EXPRESS PERMIT APPLICATION Fax: 508-790-6230
- RESIDENTIAL ONLY
Not Valirl without Redd--Press Imprint
Map/parcel Number ' �.
X
Address e � Ce �� " /e V I I/ C3ential Value of Work 7 Minimu fee ofS35.00 for work u 11 nderS6000.00
�Owner's Name & Address
Contractor's Name T Roc^
Telephone Number
yConuctibn
rovement Contractor License#(if applicable)
Supervisor's License# if a licabfen's Compensation Insurance JAY`
Check ne:
❑ I m a sole proprietor " �=oRNS `^ BLF
❑ am the Homeowner "
I have Worker's Compensation Insurance
Insurance Company NameAV�v
Workman's Comp. Policy# '�
Copy of Insurance Compliance Certificate must accompany each permit.
'ermit 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)
❑;Reeplacemtde
ent Windows/doors/sliders. U-Value 0. 3 #of doors
(maximum .35)#of windows
*Where required: Issuance orthispermit 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 Horne Improvement Contractors License & Construction Super required. visors License is
NATURE: ' �...,
ern c-cl COD MCIF„Udi- a_ �.
1137 Park East Drive pyp B.A.Reg.x:IZZ59130939(Moon Assoaates Im j
Woonsocket.Rhode Island 02895 Ol3IG];neu:+o Conn.HIC.05fi2725(Moon Azsocatr>Inc I
j800)975 6666 _ Mass.HI x tt9535(Moon Assocow,Inc
Purchasers)Name: A 144G
Installation Address: atq /C- IftP/ fi4n
Mailing Address: 3R -SA MAilld AAn 6nti /&, lT IWA Ddb.-Q
Home Phone:_�8 �"���� Cell Phone: E-mail:
Year Horne Built:i 99Q,Customer Initials: Taxes Paid in Town of: 649d, �C
I/We,the above purchaser(s)("Purchaser(s)")and the owner(s)of the property located at the above installation address,hereby jointly and severally agree
to contract with Moon Associates,Inc.("Moonworks")to furnish,deliver,and install of all materials as described in this agreement("Agreement"),the
attached Spec Sheet(s)and diagram(s)which are incorporated herein by reference and made a part hereof.A Completion Certificate will be executed for all
jobs at the end of the installation.
Order Number. Order Nurnber. Order Number. I
I
XPject Type-CAB L&NArdc1 i Project Type: Project Type:
/Au[ •
Agreement Amount 5 4,1,14, Agreement Amount S Agreement Amount $ i
Less Deposit $ Less Deposit# $ Less Depositt $ )
Balance Due On Completion $_Ayj Balance Due On Completion $ Balance Due On Completion $
t fdimmum 33`s ul A rermrnt Anpunt due upon esetttron AMiwmum 331%of Agree.meet Amount due upon execution. tMinimum 33%of Agreement Amount due upon execution.
, B
I
indicate Payment Method For Balance Indicate Payment Method For Balance- indicate Payment Method For Balance
Due at Time of installation: Due at Time of Installation: Due at Time of Installation: i
(f*"W,r C*4W
Est.Start Date: 11 Est.Completion Date: Est.Start Date: Est.Completion Date: Est.Start Date: Est.Completion Date
4s A4y��-3 s�
DEPOSIT/PAYMENT OPTIONS(Subject to fund verification and/or creek approval)
1.Check,Cashier's Check or Money Order Ck n 3.Financing
(Made payable to Moonworks) Acct If Approval Code
2.Credit Card'(circle) visa asterCard Discover Acct N Approval Code
./�� -JJWe agree to allow Moonwotks m charge the referenced credit card for the oeiwsit amount
Acct N SrNr�p/ tQ'}aS�G Exp Date Se[urlty Code_qQ_ indicated.Balance to be charged to credit card upon wattAtion of installation it noted above.
It Is agreed by and between the parties that this Agreement constitutes the entire understanding between the parties,and there are no verbal
understandings changing or modifying any of the terms of this Agreement.Purchaser(s)hereby acknowledges that Purchaser(s)1)has read the front and
reverse of this Agreement and has received a completed, signed, and dated copy of this Agreement,including the two accompanying Notice of
Cancellation forms,on the date first written above and 2)was orally informed of his/her right to cancel this transaction.DO NOT SIGN THIS CONTRACT IF
THERE ARE ANY BLANK SPACES.
Purchaser Purchaser Moonworks
nature Signature Qatiire
k 6iPeeSN�i�,� JAi»�S OON
Print Name Print Name 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 NOTICE OF CANCELLATION FORM BELOW FOR AN EXPLANATION OF THIS RIGHT.
NOTICE OF CANCELLATION NOTICE OF CANCELLATION
Date of Transaction S /LT Date of Transaction
You may cancel this transaction,without any penalty or obligation, You may cancel this transaction, without any penalty or obligation,
within three business days from the above date.If you cancel,any within three business days from the above date. If you cancel, any
property traded in,any payments made by you under the Contract or: property traded in,any payments made by you under the Contract or
Sale,and any negotiable instrument executed by you will be returned sale,and any negotiable Instrument executed by you will be returned
within 10 days following receipt by the Seller of your cancellation within 10 days following receipt by the Seller of your cancellation
notice,and any security interest arising out of the transaction will be notice,and any security interest arising out of the transaction will be
canceled.if you cancel,you must make available to the Seller at your canceled.If you cancel,you must make available to the Seller at your
residence,in substantially as good condition as when received,any residence, in substantially as good condition as when received, any
goods delivered to you under this Contract or Sale;or you may,if you goods delivered to you under this Contract or Sale;or you may,if you
wish,comply with the instructions of the Seller regarding the return wish,comply with the Instructions of the Seller regarding the return
shipment of the goods at the Sellers expense and risk.if you do make shipment of the goods at the Sellers expense and risk.If you do make
the goods available to the Seller and the Seller does not pick them up the goods available to the Seller and the Seller does not pick them up
within 20 days of the date of your Notice of Cancellation,you may within 20 days of the date of your Notice of Cancellation, you may
retain or dispose of the goods without any further obligation.If you retain or dispose of the goods without any further obligation.If you
fall to make the goods available to the Seller,or if you agree to return fail to make the goods available to the Seller,or if you agree to return
the goods to the Seller and fail to to so,then you remain liable for the goods to the Seller and fail to do so,then you remain liable for
performance of all obligations under the Contract. To cancel this performance of all obligations under the Contract. To cancel this
transaction, mail or deliver a signed and dated copy of this transaction, mail or deliver a signed and dated copy of this
cancellation notice or any other written notice,or send a telegram to cancellation notice or any other written notice,or send a telegram to
MOONWORKS, 1137 Park East Drive, W ket, Rhode Island Moonworks, 1137 Park East Drive,, W onscFket, Rhode Island
02B95,NOT LATER THAN MIDNIGHT OF o iris 711 (Date). 02895,NOT LATER TITAN MIDNIGHT OF Wad/l/ —(Date).
I HEREBY CANCEL THIS TRANSACTION. 1 HEREBY CANCEL THIS TRANSACTION.
Consumer's Signature Date Consumer's Signature Date
Rf V_-AQ! e�� R E F'"W E R
�FIKEl Town of Barnstable „ P
Q� Expires 6 nionthsfrom is i date
Regulatory Services Fee
* BARNSTABLE, * - -
�� 639 ,� Thomas F. Geiler,Director
Building,Division
Tom Perry,CBO, Building Commissioner.
200 Main Street,Hyannis,MA 02601
www.town:barnstable.ma.us
Office: 508-8624038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL:ONLY
l Not Valid without Red X-Press Imprint .
Map/parcel Number
presidential
� � cel ylery,;1 11 010
Residential Value of Work- Y �ri (l0O_°-� Minimum fee Fof$25.00 for work under$6000.00
Owner's Name&Address 1 J tc if u 'r' /y� m /n C_`
Contractor's Name-A AzV es A00d Telephone Number `>Ltl b J - `/00
Home Improvement Contractor License#(if applicable)
Cons ruction Supervisor's License#(if applicable). `T ORESS PERMIT
Workman's Compensation Insurance
Check one: MAY,
❑ I am a sole proprietor
[� m the Homeowner TO
WN OF.
F:J'I have Worker's Compensation.Insurance ARNSTABLF.
Insurance Company Name �.Y%� 0(l/ (� �✓I�
Workman's Comp.Policy# S
Copy of Insurance Compliance Certificate must accompany each permit..
Permit Requ t(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
#of doors
Replacemenf 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: Property Owner must sign Property Owner Letter,of Permission.
A'copy of the Home Improvement ContractorsLicense&Construction Supervisors License is
�required.',
SIGNATURE: ;
Q.\WF IIESfiOtMS\butiding permit
t forms\E PRESS d oc
Revised 090809 ' ,
�®® 508 746 4856 - p 02
.� pp
X
� IYI M �I1 Yami-iomE Agreement
ofsetIt ON IMPROVED
1i',I License J0$39&12259
MA Lrcensd 119533 Job#C oa—] a R E P =141*,W E, R
CT License 0502125 u 9 M P
If 1`4 It 0911ilflon Add Pew- y A&'Vi 0 6Vb -
street City State 7t6
ltufchd§e §"i Home Phone: Cell Phone.
"/ 7
9111hi Addfesst
(tfdiereet ff66at lftstailatton Addfess) Street city state — die— —
k4fidit Addfesst.......... ...
virdJot tuforitidtldtl. IfWe/You("Purchaser"),the owner of the property located at the above installation address,o('t'ef to gontMq!
With lrloonWofis to t'uibiA deliver and arrange for the installation of all materials as described on the attached Spec $hggt
i�jai& `/Z ihcdtpdMted bereiii by reference and made a part hereof.
ufki faefvm the right to cancel this contract if,upon re-inspection of the job,Moonworks deterwhico that It eannpc
pataftit its ubligaHuus dice to a structural problctri with the home,pricing errors or because work required to complete the
A*dt fist ifa1116d le the sired Mat Of Agreement
t� t, DEPOSIT/PAYMENT OPTIONS
AdkEt I NT AMOUNT. U (Subject to ttmd verification and/or credit approvul) i
e I I.Check,Cashiers Check or Postal Service Morry order (i O
(Made payable to Moonworks)
2. Credit Card*and/or other payment options-(circle one below)
OAWNIP I 9j �"aa MasterCard
��C�11bl�f.�TIbN $-.� Gl3'
Acet N S-et !2' 40 h'sP Date Security er*
MIliifilusJM/odt'CdatrsctAttldtint due ti 'o[ Acctp 401tjWki0►tt�th gspDatc sccaritycode
r'i(ceatfuti Of this endtfut, — —
3.Financing
Atet d A rovat code
4lfldiedta i3Aytttcnt Mdtltud For PF ------
i1ALANCE DUE ON COMPLETION- •'.tnwc agree to allow Moonworks to chargo the above rcfcrcnccd endit 9@td_for the
deposit indicated Balance to be cberg it to credit card upon coM.?I4ti0ti or
installation,
d fchasef dgtees that;iitititediately upon completion of the work,Purchaser will pay any balance due to job foreman. A t c nvietiop
Gertiticdte Will be executed fot Atiaacgd jobs.Purchaser also agrees to be jointly and severally obligated and liable 114MNAdr r•
NOTICE TO PURCHASER
ba Not sip idib edffttffdt before You read it.You are entitled to a completely filled-in copy of the contract at the time YOU sign.
R€ep it€0 O Hteet ydut rights,bd not sigh a Completion Certificate before this project is complete.Low prohibits hoot®repair
e6fittae(06 i'fdifl tequeAltig of aecepting a Completion Certificate signed by the owner prior to the actual completion of the work
tit be�iofftliiHed tld et'the ed►ttfact,In the event of damages,defects or manufacturer's error or delays,no more than 10%of the
feitiiiiftift�+k#10110F to be withheld by the homeowner—remainder to be paid upon completion.A service charge at th@ rate of
1-1/1%per uldHth will he added to the entire balance outstanding if not paid when due as specified above,All t oits,dlsburst ll.ints
cud ett6tuy fees made of Incurred in collecting this account shall be included and paid as part of the debt due,
Trod they eoflm this tratisactlon any time prior to midnight of the third business day after the date of this contract,boF Notice of
Cut 009tioli t'dt fill explattatlde of this right.There will be a service charge equal to 10%of the contract amount if job is Fdntwgllgd
by Puktitsw AFPPIa,the third business day,but BEFORE Mattrlais are ordered.There will be a service charge equal to 50%of
tht tbfittiidt t1tH6tiflt Ifldb 19 caiii:elled by Purchaser AFTER materials are ordered.
BY MY/OI_Jlt gIONATUkt Btt OW, I/WE UNDERSTAND TI4AT THE AGREEMENT MAY BE SUBaj ICT
TO ktVWW OV MY/OtJR CREDIT HISTORY AND I/WE AUTHORIZE MOONWORKS TO VERIFY.ANF)
REVIEW MY/OUR CREDIT RECORD WITH AN INDEPENDENT CREDIT REPORTING AGENCY AND
R.tLWE T14EMf FROM ALL LIABILITY INCURRED FROM INADVERTENT OMISSIONS OR I RItQi39_
$V 1Y/Olin SIGNATURE BELOW,UWE AGREE TO BE BOUND BY THE TERMS OF THiS CONTRACT.
OF A COPY OF THIS CONTRACT AND TWO COMPLETED CQPII OF
TICNOTICE ill CANC A ON
Sf1gmTT8d i�Y' ..,-- "- --. _ Date: Milo
lit rtt
ACfiB BY - Date:
Date:
P(itc}ia3tT '
f
ITown of Barnstable *Permit# DW
N
SS PE® j Expires 6 monthsfrom issue date
R e ulato Services Fee -z'g ry G 2 4 2007 Thomas F.Geiler,Director 1 Building Divisionvf= 9 l��o�OF BARNSTABLErom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-862-4038 ` Fax:508-790-6230
EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press forprint
Map/parcel Number 42.1 132.
Property Address 34 v CQ M/}R S 4q P e fr ft leui!!e N R
[°Residential Value of Work • b a Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address LI.z e $✓$.5 AIA A 4 h
36 J'>c'AA4.4XX9 Celtrervl!!e. MA 0z6 VP
(o !3
Contractor's Name �!)4`(/ (�(/�C/Qj O 2 h Telephone Number 4/at ya�
Home Improvement Contractor License#(if applicable) / 0 S 7,�7
Construction Supervisor's License# if applicable)
"oran's Compensation Insurance
ChAk one:.
I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
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. U-Value • 3 Z � (maximum.44) °cv � j��`j
e k ah.A as
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Owneint
ust sign Property Owner Letter of Permission.
o Improv Contractors License is required.
SIGNATURE: -
Q Forms:expmtrg
evise07l4O5
Town of Barnstable
, Regulatory Services
Thomas F.Geiler,Director
Building Division
Tom Perry,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstablema.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must '
Complete and Sign This Section
If Using A Builder
I �l Zi *(e 3re5X1,4 GA/
as Owner of the subject property
d c� w Pe�
hereby authorize -� H to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of Job)
13'0 a 7
Signature of Owner. , t ate
F •
Print Name `
Q:Forms:expmtrg
Revise071405
x
Town of Barnstable *Permit# 3�
Expires 6 months fro !s date
p�RllOil�f Regulatory Services Fee
�.� 'Ess Thomas F.Geiler,Director
cc, 0.3 m6 Building Division
BARNS-ABLE Tom Perry,CBO, Building Commissioner
-OWN OF 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
[ap/parcel Number a 71 34�__13 d2
roperty Address 3 lemb
Residential Value of Work l o� Minimum fee of$25.00 for work under$6000.00
iwner's Name&Address Ab LCI 'S/- e-sl AIA , kAl
U. zo�
:ontractor's Name By kk S;-,_Vfr-es Telephone Number 529 - .962- 6
[ome Improvement Contractor License#(if applicable) 1 9- 6 ? q 3
zcens�applieablej
- Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ am the Homeowner
have Worker's Compensatio Insurance
rsurance Company Name Pw 5 41it
Vorkman's Comp.Policy
:opy of Insurance Compliance Certificate must be on file.
ermit 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 fl - 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 co y of the Home rov a Contractors License is required.
;IGNATURE:
i:Forms:expmtrg
.evise061306
-` °f�►��°,,ti Town of Barnstable
Regulatory Services
s. Thomas F.Geiler,Director
�a`�� Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
s Owner of the subjectproperty
l
hereby authorize lN�l �u.C�l 1��� �/ /l to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of Job) ,
s �
Signature of Owner Date
Print Name
Q:FORM&OVJNERPERMISSION
'TOWN'OF BARNSTABLE, MASSACHUSETTS BUILDING PER IT
DATE 19 PERMIT NO.
APPLICANT ADDRESS
(NO.) (STREET) (CONTR'S LICENSEI
PERMIT TO (_) STORY 17
NUMBER OFDW ING UNITS
(TYPE F IMPROVEMENT) NO. OPOSED US
ZNG
AT (LOCATION) R RIOT
(NO.) (S EET
BETWEEN AND
(CROSS STREET) (CROSS STREET)
SUBDIVISION LOT BLOCK LOTSIZE
BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS:
AREA OR PERMIT
VOLUME ESTIMATED COST $ FEE
(CUBI S AR EET)
OWNER
BUILDING DEPT.
ADDRESS BY
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC® PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS.-
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE .CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MINAL IN IRE INSPECTION
70 LATH)BEFORE
FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE
OCCUPANCY. -
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
Z ---
HEATING INSPECTION APPROVALS ENGINEERIN DEPARTMENT
OTHER BOARD OF HEALTH
WORK SHALL NOT PROCEED UNIII. THE INSPEC PERMIT 'W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
CONSTRUCTION. lI PERMIT (S ISSUED AS NOTED ABOVE. NOTIFICATION.
:::'.s.ey,..rt���it^.:ti-+x,.,�`-.is1.�+�.r-y-a:�-.-w.w�9•8..,�,�.�.,;t•.p,,,,�,.:�.w�,�7. w�»J'"�a+^�ee."�'i*n'.�jypA�''�.x'd i� r"Y:.�bW�.�:1;�(F�►^T-�j�'� ,rr:���T(<`tk°:i•'�.'�^.w ,.. .'a" 5t
P ire _"Mw'
14
O'THE�� TOWN OF BARNSTABLE Permit No. .....31086
BUILDING DEPARTMENT
I "°"` F TOWN OFFICE BUILDING Cash
i679• - X
�EUY HYANNIS,MASS.02601 Bond ................
CERTIFICATE OF USE AND OCCUPANCY
Issued to CHARLES R. MADDOX
Address lot #32 38 Sea Marsh Road, Centerville
USE GROUP FIRE GRADING OCCUPANCY LOAD
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.
AuBust..30... , 19..88........... �..... ..... ..... ............
Building Inspector
.......
• � 1� 3� 2
33
K nr.
f
A _ pppp
i ♦tt�[[1���,,1�pppp
CE.eT/.c/EO G,L1�T GL4.t/
<' T/.cY T,�/AT T/1E o�/��T'lcx/ ,GaG.4T/d�C/
5�10Wit,�yE.2EO.C/C0�1P,G YS k//ry SCA L G-
ir
SETBA Cl,,
�EQU/,eE/�JE.t/YS o� 7,4/�' Tot�t�it/aF l�.0�I�C/ .eE.c"E,2EiC/CE-
,C•�oc�1 r�'r� Lsi/Ty/�t/ Th�� F,CoavPG4/.i/ , �; � � � .
�;�r.�: 8�•5 87
V�
,E3AXT,E.P_�
B•4SEo dN.4it/ .26G/STE,2E1� ,L,�/O SU.eYEya v '��
�l.4Ss.45'E'Ts syau/y S.�vt� M07- B�
r..,. _. �✓fir 'cam //06 Y� X-
�Asseasor's offioe (1st floor):'-` ` :
��� ��30? r SEPTIC SYSTEM MUST of THE
Assessor's map, and lot number ........... ...,,. ... .......Board of Health (3rd floor): F��S�'E�LLE® EIS �.®INPLI�
' _�.� i � p�1 ) `;
Sewage Permit number ;..(,� ....................... ...,.......... q WITH TITLE 5 L Baaa9TGDLE. :
Engineering Department (3rd floor) Y" aZ¢�t3G�9IdELdTAi. CODE oo 039.
0�
''((// --yyam�
House number ................ ..... ...... .Q.......'l.l:. 4.
� � EG�ILATI®6�S �0"pY a�
TO
APPLICATIONS .PROCESSED •8:30-9:30 A.M. and' 1:00 2:00 P.M. only•
A ? PizOVE � N. :OF- B�ARNSTABLE
I Earnsta le Co servation 'Stull ,
UI.LDINVIHSPECTOR
� "Si nod Date
-APPLICATION FOR PERMIT TO ...(�.�r✓S�l2G�r� /.✓ / J�'a,�,.Ly r f»/z ............
L✓ �e
TYPE OF CONSTRUCTION .:.........1 .. .......:.......::..............................................................................................:
.7
r J�
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
i
ns ......... :. - r
Location ............` .................................
Proposed Use .............../.. �S.l.: <: .....--:..✓...r �.. e?s� .L y ' .:. .................................................... . ......
.. t!i✓TPixv����?
e ✓� ��Zoning District Fire District ........S.T.........:.........?�:.........
Name of Owner 071 ...:1../C....� .� X.............Address ................... �!. a.� Pw-r;e/cv./le
2�� �! , f�f �S �S�e-r
Name of Builder ..C�./�fG/�1e/..rC .........,r N:..... C............Address' ...................................:":.`...........................................
Name of Architect .�L s„/2:✓�2.. :x...........Address SZ....:`..:�'r.��°�...
............ ....................
Number of Rooms Foundation, ..C-....! e
..
�1iD tea/ Cn JLi�r Jh!^'
Exterior :.... .../ ..........3...........f�"..I{!,...r.......:..... �r5...........Roofing ... � ... ......5...............................
Floors . .Ad(,,.V.V2...- 1 % c....t�.. 7� ............. Interior «`
...........................................
ti Heating `../7,. s......... ............................,.....,..Plumbing ...4r.� .e.n....-..li....✓.C.:.... . ..
Fireplace .....:..............................................Approximate Cost•... .... !..v a............
Definitive Plan Approved by Planning Board MA-_ ---------19 Area R
Diagram of Lot and Building with Dimensions Fee. / �'
SUBJECT TO APPROVAL OF BOARD OF HEALTH
. €. •j
r '
0� ti
4 `
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.
i NameW4.7,10.. .. <.. ... ....... .........................
Construction Supervisor's License .��.al. ?. ......:..
INIADDOX, CHARLES R.
r �.-No ..310 8 6 . Permit for,a Two 5.�Ox'.y...........
-14
.. .:... S in4.......................ly...DWQ��.j, ,ng. ........
ti Location ....
...............of, • 8 ea. Marsh,•Road
,4 •. - ,, � �ti, � ,t."'p�f.• ? - ,.• t'
......Cent.... le... .........................
F Owner CharlesR. Madd eX
.... ....... .
.......................
Type of"Construction Frame
ra s
t
..................................... st...... .. ..* ..............
. ...... ... ..........� Lot-.................................
Pe'rmit'Granted August,,14.�........"19 8
• 4(Y
i . �i
"Date of Inspecfiion .......... /f..................19LTO
Date Completed .......wd
3�........:.......19
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