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Home My WebLink About0059 WESTBURY WAY y, ,. . ., dr .. , .' a ANC� ,. •. �� , r 1 i �1 - � ' �� . A �.. .. �11 . [ .• ". . �� .. . ,. .. �� [ �e , �' r, wY�n � , •. [,[ � ., _ .. t ,. r " � •.L.. v v. � I ,. � r. .... � a. , l' rx. a,. [ tt m I: r � 1. ,. � � ,. �', „ - ` ,. �. .• ,�,. . O },. Q�� _,�,.- -_ t r �. , , � �r �, ,. ,� ,. - 2, �; � , i t ,, �� - , r r �� ,�}� ,r �. ' f � ,r: t a �� a r , 11 (1 � 1 ' 1,. �.( ` . * � ., •� i � ^ ll n ii ,� i4 -� � ,. - .� is .. � y, _. .. � p � _ _ � - � n �. n ,. L1 FROM 71 C TOWN OF BARNSTABLE -.Mtee. +- ♦ 1 rani. :J.iCtkl.LG�1.� f e-wat •�,w s-+c - w ,�iF x „�.,Z e-9,.***w 4-" T MAIN STREET -HYA NIS, W . Phone,.775-112Q SUBJECT: 4 „FOIO HERE - ^ .DATEJanuary '2% 198 A '.MESSAGE _ F a+m1F°.•S''��'.'?Y.Hcm 4,.ro.R�i+a4- -,- - .. ,... Wark has been c!a�eted ftder P�J269€�7 t(ice s firwt) - Please mleaseffi& «. - - - • arip airvr',:+sr,r.s�.�.+e•,c 91�?`ap n.a�f w.rr -o..s _ - - '- _ - SIGNED -0ATE _ RE,Pt1( ' SIGNED Nei-RMl RECIPIENT: RETAIN WHITE COPY,RETURN.PINK COPY PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY,ONLY.SEND WHITE AND PINK COPIES,WITH CARBON INTACT. ' r TOWN OF BARNSTABLE 25� ?� � _ Permit No. ----------------------------- Building Inspector saoxaa Cash ------------- 6"''�� OCCUPANCY PERMIT Bond ----------- Delaney Homes Trust Issued to Address lot #i; 59 Westbur-y Way, Cotuit Wiring Inspector %�- Inspection date Plumbing Inspecto Inspection date Gas Inspector , �,�,,f / Inspection date '. Engineering Department Inspection date/)! r r! Board of health. , t s * t Inspection date THIS PERMIT WILL NOT BE VALID; AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN-ACCORDANCE wrrH.SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. L 2�69. _.... .................. ............... .. :... .......... .........------...------------------- Building Inspector r Assessors =map an number .......... .... i. ' d lot THE Sewage Permit number .....................................................:.. House number ..................... .4,......:......... .../.�..........:.............. y�o MA89 q��e`. 1 'EO MPY TOWN OF %BARNSTABLE BUILDIN6 INSPECTOR i APPLICATION'FOR PERMIT TO f -............................................ TYPE OF CONSTRUCTION � ��R Ao ........ .7. ........ .. .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information Location .....��1...........................................................� .......1j. .......................................................................... Proposed Use Zoning District .....T .........................................................Fire District ......`- ......:..............................................^.........//3 : Name of OwnerI..:6.7,0.1:t:�/.d..�.�...(AJ, 9!.Address ..�..�..>....�I`�l��f�/f!`'�Y....!!�.M./?1.. Nameof Builder .� .. .......... ..... Af...........Address. .........................I.....................................(.................... Nameof Architect ..................................................................Address .................:.................................:...............:................ Number of Rooms ..................................................................Foundation .../ . {ti'I!!!ea..................... Exterior ,.. ...................................Roofing ...... r !� ............................................ .. ............. G(.(�t,A� Interior ..........�!.... Floors .. :.......................................................... Heating GJ....... t,�j ....a-�-................................Plumbing Fireplace Approximate Cost ......... .............�................ --77 'J Definitive Plan Approved by Planning Board __________________��__,______19 Area ....../..b.�........................ Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH f f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnst•'ble regarding the above construction. Name Construction Supervisor's License ..................................... DEIANEY HOMES TIUST A=27-66 *' 209O7 No -----.. Permit for ...—l .��t9xy-----.. ............. —_-----_-----.�~.... ............ Izot � 59 V�av Location ._—.��L--..��.--^---.. ' � _____{��it_^__.________.____ ' Ovvner-- .{{ g..T.r.klqt......... ........... ' �zanx� Type of Construction --------------. , -------------------'�------. F4o* ---------' Lot ................................ — ' Permit G,onne6 ................August'2.7...1p84 ' ^ Dooa of Inspection ------------lV Dote Completed ------------..lA ' .' ~ ` - �, ' «� ' ^ - . . ` ~ . ' ^ . . � | �-t ` : A � _ .� E Assessor's map,and lot number ....o?7 _e................ .......... ! OFTHEtO " Sewage- Permit numbers s p Si • ddp� tl • • eT i Z 8JHB9T4DLE' a M. /rl House number ....................... INSTALLED IN CO 1 oo rb 9 9 TOWN OF f,BA s 3A L ` TOWN BUILDING". APPLICATION FOR PERMIT TO ................ .. ........... .... .... . . .. .... .................................................. t ' TYPE OF CONSTRUCTION ........ :.:.. . .... ........... ...............19...... TO-THE INSPECTOR OF BUILDINGS: of • r The undersigned hereby applies for permit acc rding to the, following informa `on: Location . :..�� ... ............... 1�41. . :Proposed: Use. ..... .................................................. .. .... .................................. .... Zoning- District .....e.•.r .... ......... ......Fire District ..... ... .. .......................................... Ndme of Owner .... .. .. .!......,.....liw!! .Address ... f.U... ...'LC..........,..,.. /..ZG/J Name of Builder .. . ... Address ........................................................... Name of Architect ..................................................................Address ................................................................. Number of Rooms - �. Foundation ...1� f /!P ......................... ........ IL Exterior ... .. ...................... .�,................................Roofing .tf+v�t.`..r ... Floors Interior .........�1..�-... C"S -� .............................................. Heating ..... .......... . ...............................PIumbing .................................... 9 Fireplace ... t Pp......�................................................................A roximate. Cost .........'��.. .�.. .................... ................ Definitive Plan Approved by Planning Board _________________?-� ______19 Area. ......,l..Q.a........................ 7r Diagram of Lot and Building with Dimensions Fee. .............. . ................... . . SUBJECT TO APPROVAL OF BOARD•OF HEALTHQ�4 ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations `of the Tow Barnst a re ding'the above construction. Na Construction Supervisor's License ..Cl� (.. � .......... DELANFY HOMES TRUST A=27-66 No 26907 Permit:for ...1..Stm. ................... .... .s- nc ie...family dwelling..................... .`� Lot #17 59 LVestb .W �� •. `. �-� �' '� � - r Location .......... ......... .. ..I......, ...1?rY... a............ Owner Delaney---B .-TnIst... '..... .... Type,of Construction Frame � r .�� -�. � � �;• ......... .............. r .... .........n .................................. Plot .......... Lot ................................. ermit Granted ......... ug1St..27........,:19 84 ,,� /-'i ' . Date of Inspection_. `"....' . ..-n19 Date Completedrry��. Li .. j. _ _ ,s.,.rat 5"}. ✓#= « T .� "`If�.�'•..� ,. I ';S 6COR0OM T `s. - u�"t GAR@PGE �jCZ►NDEt'2 F�.o�n/ ttv x 3 = �30G•Ro D - 33ox?5o% = A97G.P. o I c�hELL-,e QJ� :5F-PT%G , ANK = 1"` %000 v5E I o oO GAL. t�t5Po5AI- �tT � ' S.r Dr+vJALL ARG e a I,o s r PD _1I •C. .o i5o 5. 0 S.F,_ BOTTOM AREA PST 50 S:F x t► 0 to G.Pc�' �oTA.L DAtt.Y F�olr! = 33oG.Po ',� .. .o PE2Go�ATIotJ RAT1r r 10IN ZMIM oV L>:SS rr r ti _ , J 4z`i� �g per, WILLIAM yGv � At.AN N Y E "' d JONES ,p No. 19334 a A Nn. 151U O � S SURv�� N /1rdi c- � Top FNU=100.0 P-33 k • to Q l� �r��'^' '1 7 , loon INv._ q7.0 DUST. IN�1. G4rV. 04A- : I000 INv: INY.1. INS. f � w I'T r� 95'•8 `�'� .. I I ' 101,514.1%L 4 0 I� ` �• � _ 5 w .. . VJASNGD Ll GE2TtFiGD . PLOT PLAN pRUF1LE: • O .. . 40 6 P I � REF62Er1ca� I) GE R•?tFY THAT.?N 5uowo N�,tZ6oI� GompL.N?S YJtTN'THE S t VSUW G I-C�'(' t-7 AIJP SETt .GK 26QVIR.EMEN`J'> OF �N�' t'C..� C Z�JG 1ldt r� Zb.� ,I -TOWN OF: SPA- -�5'C s AWD I, 1-w - A� �; LOGA'TED VVITF11V) TV" .FI. oD Pl.AI1�1 : . 8.15 gAxTEtZe ' � _ .� ;-REG I ay-F->✓26�'1-AN D S u i�Y E oeS Lam t 5 w�- 4n5�o cb A os-rEtzvlt.LZ ems• 'Iwr> PuMENT SVtz.VEY r-TIA oy'.FSE•T5 B�1CV� APPI_Irnp sj r Wf�� y IuSTR. TO t7�Ew^INE L•oT L.IH F—li I,to-c D� u5E D 1 6)01060�1 �oF1HE Town of Barnstable *Permit'# O Expires 6 month r issue date Regulatory Services Fee o • IARNSTABLE, r MAC Thomas F.Geiler,Director - } �A i639. ,0 _ TfDNW�A , Building Division - Tom Perry,CBO, Building COM o e � �� 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us �EB _2Q10 Office: 50M62-4038 TOWN Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - . RESIDEFTNAR L Not Valid without Red X-Press Imprint Map/parcel Number Property Address 5 Y tljc 5-� rl,3u n y W A esidential Value of Work � Minimum fee of$25.00 for work under$6000.60 Owner's Name&Address 2) P,M t 5L Contractor's Name 8;J ��l p r F �` 'L Z ll r�� H�i*O CG� Telephone Number �Z r Home Improvement Contractor License#(if applicable) / "l/ Construction Supervisors License#(if applicable) PRIESS orkman's Compensation Insurance m PERMIT Check one: FEB2 ❑ I am a sole proprietor 3.2o'o ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance ®MY OFBARNSTABLE Insurance Company Name f?l 4 Vl r'i2 Workman's Comp.Policy Copy of Insurance Compliance Certificate must ac ompany each permit. 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 , ) #of doors 0/"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: . Property Owner must sign Property Owner Letter of Permission. A e Home Im vem t Contractors License& Construction Supervisors License is req i . f' SIGNATURE: Q:\WPFILES\FO S\ uilding permit forms\EXPRESS.doc Revised 090809 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations h' 1 r,� 600 Washington Street Boston, MA 02111 �--y,..�''• www.mass.gov/dia «'orkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeaibIv Name (Business/Ormnizatioti'Individual): N E W P AO Address: 2b CEDAR_ ST • =83bb City/State•-Zip: W 013U MA 01 go Phone r: r78/ 93.o� ExT �5 Are you an employer' Check the appropriate box: Type of project(required): 1.9.I am a employer vx ith 50 t 4. ❑ I am a general contractor and I 6 ❑ New construction employees(full and/or part-time).` have hired the sub-contractors iTi �.❑ i 3 $sGie prvYiictur Or partner- listed on the attached sheet. + 7• Remodeling ' ship and have no employees Thes e..sub-contractors have S. ❑ Demolition working for mein any capacity. workers' comp: insurance. 9, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152. §1(4),and we have no 12.❑ Roof repairs insurance required:] t employees. [No workers' 13.❑ Other comp. insurance required.] :any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: 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 their workers'comp.police information. 'am an employer that is providing workers'compensation insurance for my employees. Below is the polio}•and job site 'nformation. Msurance Company Name: H0 C k i n+i r c 1:n s r a f1 C e A(leer)cl.P ?olicy or Self-ins.Lic. #: W G to y S 994 Expiration Date: 5- 1 -Z 0 t o I—Q Lj. 9,tj 2 �� G c � c t fob Site Address: J City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the police 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 S 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 S250.00 a day against the violator. Be advised that a copy of this statement may be fonvarded to the Office of . Investigations of the.DlA for ance coverage verification. . I do hereby certify de the pains-and e a ies o erjur}'that the information provided above is true and correct Sienature: `' � FOR Date: Phone". 9 $ 1-G53- 8IL4to Official use only. Do not write in this area,to be completed by cuy 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#: YHE r Town of Barnstable Regulatory Services BARNSTABLE, Thomas F.-Geiler,Director - �caas. 0 39. � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 5087790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 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 Propea Owner is applying for permit please complete the I Iomeowners. License Exemption Form on the reverse side. O:FORMS:OWNERPERMISSION oF��Tom, Town of Barnstable o Regulatory Services r RAxxs7es Thomas F. Geiler,Director ntnss. 039. ,�� Building Division pIEDI'��A 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: JOB LOCATION: ' number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-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 and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when.the homeowner hires unlicensed persons. In this case,our Board cannot'proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for..use in your community. Q:\WPFILES\FORMS\homeex empt.DOC From Our Home to yours Gi& ... MosReg,#146589 Federal ID#20-2625.129 ' '''�T-Reg#0605216 RI Reg#26463 wiedow:s . 5. 639 Corporate Headquarters,26 Cedar St,Woburn,MA,(P)800-342-2211.(F)781-933-9626,www.newpro.com THIS CONTRACT MADE THE day of rtc,cw 20 L0 between (Home Owners) (Home Phone) (Bus/Cell Phone) ofj06 (Address) (City) (State) (Zip) the"Owner"and NEWPRO Operating,LLC, "NEWPRO". The job address is a condominium. NEWPRO hereby agrees that it will for the consideration hereinafter mentioned,furnish all labor and material necessary to install the following r. described work at the premises located at t v4 CtnM CC6 he� (Job Address) E-Mail) proprietary use only TOTAL Purchased Additional Model TOTAL Windows NEWPRO Work Number Qty CASH Z �� Window Color In: Out: Sliding Glass Door PRICE Capping Color Steel Security Door Q Door Color In: Out: DEPOSIT Q� Model Name Model Numbers) Qty Sidelites — WITH Double Hung _ New Construction Unit ORDER Picture Window Storm Door _ BALANCE Casement — Obscure Glass TOP BOTTOM DUE AT Ott 2 Lite 13 Lite Slider Screens HALF FULL INSTALL•. Bay/Bow Frame — Please Initial: Roof' ❑ Soffit: ❑ Customer understands that NEWPROO does not OAS Garden Window — do any painting or staining: (ie:when removing Balance paidt installation Awning — or replacing interior stops or trim) Hopper . NEWPROO is not responsible for.conditions or Shaped circumstances beyond its control including con- . FINANCE Other densation resulting from or due to pre-existing Bank completion form signed at installation GRIDS Colonial I SDL Euro lconditions, DESCRIBE WORK: �✓ oc � vt- ct�l vta r1 rl G!S Est.Start Date: Custom understands this is an"estimated date" ditias' Est. Comp.Date: Initials ustomer understands all steel security doors will have a 3/4"aluminum threshold installed over existing threshold. It shall be the obligation of NEWPRO to obtain any and all permits necessary under this agreement,as the Owner's Agent. The Owners who secure their own construction-related permits,or deal with unregistered Contractors will be excluded from the guaranty fund provisions of MGLC, 142A. All Home Improvement Contractors and Subcontractors,shall be registered by the Director and any inquiries about a Contractor or Subcontractor relating to a registration should be directed to: Director,Home Improvement Contractor Registration,One Ashburton PI,Room 1301,Boston,MA 02108,(617)727-8598. If the Owner is obtaining financing by way of a Retail Installment Sales Agreement,such Agreement shall include a time schedule of payments to be made under i said contract and the amount of each payment stated in dollars,including all finance charges. The Retail Installment Sales Agreement shall be incorporated herein by reference. If the Owner is obtaining a revolving credit line to pay,in whole or in part,for the contract amount herein,the terms of the revolving line of credit including interest rate and payment terms,shall be clearly set out on the credit application. The portion of the credit application referencing a time schedule of payment,to be made under this contract,and the amount of each payment stated in dollars,including all finance charges,shall be incorporated herein by reference:. NEWPRO represents that it carries Workmen's Compensation and Public Liability Insurance in the amount of$100,000-$300,000. If the Owner refuses to permit NEWPRO to proceed.with the work herein,or in the event of any breach of the Owner of this agreement,for any reason whatsoever shall cause the owner to pay NEWPRO a sum of money equal to thirty-three and one-third percent of the price agreed to be paid,as fixed, liquidated and ascertained damages,and not as a penalty,without further proof of loss or damage. NEWPRO shall not be held liable in damages for delays in the performance of this contract due to causes beyond its reasonable control. Owner warrants that he is the owner of the property on which the work is to be performed or that he is otherwise authorized on behalf of the owners to enter into this agreement. This contract represents the entire agreement between Owner and NEWPRO and cannot be changed except in writing signed by both the Owner and , NEWPRO. You are entitled to a copy of the Contract at the time you sign. Keep it to protect your legal rights. We,the aforesaid owners, certify that immediately after the signing of the aforesaid agreement,a copy was furnished to us. You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller, which may be his main office, or branch thereof, provided you notify seller in writing at his main office or braid ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. (Saturday is a legal business day). See the attached notice of cancellation form for an explanation of this right. DO NOT SIGN.THIS CONTRACT-IF THERE-A'RE-ANY-:3LANK-SPACES. The owner has seen"sample"warranties that will be provided by NEWPRO upon.installation. Sample warranties provided to Owner. IN WITNES WHEREOF,the parties have hereunto signed their names this tt'7, day of Jail '7) ' 1. �• V' EIN# Signed K Marketing Representative Printed Name . Owner r Accepted: p ,peratin ,LLC . By V 9 St ned Owner CORPORATE OFFICE \ WARWICK B NCH O FICE --•.m- 26 Cedar St 24 Minn to Ave Woburn,MA 01801 (P)800-242-9974(From NE) Warwick,RI 02888 (F)781-933-0717 = (P)800-356-3312(From NE) (F)401-732-1371 WHITE: Branch Copy YELLOW: Customer's Copy PINK: File Copy GOLD: Finance Copy Us-15 R05OR .t i m sw v?F c CERTIFICATE OF LIABILITY INSURANCE 7NK75 1 F-A-- (5w)3se-5202 I T I ORIMATICM H13 CZRTIF:CAT!.2!8 ISSUED AS -A?4A T ER OF IMF r 00;9A3 NO'RiGH73 UPON THE C-ERTIFICATE k Jp t ir-e jr;syr-Bince Aaenty, Inc NLY AND c R HOLDER.TH13:10ji�, TIFiC A7!-c- 0,ofa-1407 A�IAEIJD,SATEAD 0 1 ll We3t Main StTeet ALTER 71,-iE.00Vc_ ORDEZ -BY T'_r4v_�PPOLICMZ BELOW, *estblo rough, MA 02;531�-1931 INSQRZRS AFFORDING COVERAGE !NSQRERA: P29'Aje5:5 JAS4.131-anCR CO, H Cedar St. Woburn, MA 01801 INSURER Q` INSURER 0: [INSURER 11 C. V12AW THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE 1�,JSURSD NANIED ABOVE FOR THE POLICY PERIOD INOICAI'ED,NOTvqiTHSTAmOING ANY RECUIREMIENT,TEIRM OR CONDIT ION Or'ANY CON7PACT OR OTHER DOCUMENT NTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLIOES,-DESCRIKO HEREIN IS SUBjECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS Olt SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY F1 POLICY E LIMITS m5a or) TYPE OF INSURANC2 POLICY NUMBER - 11ME, LTR INSPA DILTE-Im CB? 8'88370 12/31/2008. 12/31/2009 EACH OCCURRENCE �1,000,000 GENERAL'LIABILiTY COMMERCIALGENFRAL LIABILITY D�R 1 300,000 _Pj MED EXP(Any one person) S 15,000 __j CLAIMS MADE IA I OCCUR A PERSONAL&AOV INJURY_ S 1"000,000 GENERAL AGGREGATE $ 2,000,000 PRO 21000,000 GEWL AGGREGATE LIMIT APPLIES PER: DUCTS-COMPIOP AGG S 7 POLICY -7 F7 LOC AUTOMOBILE LIABILITY BA 8584174 12/31/2008 12/3112009 COMOINSO SINGLE LIMIT ANY AUTO ��l�00O 00N ALL OWNED AUTOS BODILY INjURY jPer person) A 7 SCHEDULED AUTC$ HIRED AUTO$ BODILY INJURY (ftf actidenil' NON-OWNEO AUTOS PROPERTY DAMAGa S (Per eccidoni) R _ GARAGE LIABILITY AUTO ONLY-F-A ACCIDENT $ ANY AUTO OTHER THAN EA ACC 6 AUTO ONLY- AUG $ _06 EXCESSIUMBRELLA LIABILITY cU 8S&z578 12/31/200a 12/31/ZU09 eAck OCCURRENCE S 5100010 OCCUR CLAIMS MADE AGGREGATE 51000,000 .A DEDUCTIBLE S RETENTION 10,000 3 OTH- WORKERS COMPENSA`TION AND WC8645074 OS/01/2009 05/01/2010 EMPLOYERS'LIABILITY El,EACH ACCIDENT $ S00100 A ANY PROPRIETOR/pARTNER[EXECUTIVE Ill.oiseAsE.CA EMPLOYEE $ OFFICERIMEMSER EXCLUDED? Snn.000 frguriflOr p doscribe E.L.DISEASE-POLICY LIMIT S 500,000 S tAL PROVISIONS otslow OTHER DESCRIPTION OF OPERATIONS I LOCA'nONS I VEHICLES f EXCLUSIONS ADDED By ENDORSEMENT f SPECIAL PROVISIONS TE HOLDER CANG ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 06 CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUINO INSURER WILL INDE:AVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THC LEFT, 15UT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OOLIGATION OR LIABILITY. OF ANY KIND UPON THE INSURER,ITS AGENTS OR RePRESENTATIVE5. PAUTHORIZrD REPRESENTATIVE Tir*thv 3. 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WOBURN, MA 01801 Adia�.��•Q��Q�- ki Highlighted Regions O- N ® Quallfled In all zones NEWPRO MANUFACTURING iNFR cl`� SERIES G NEWPRO 2000 4 idDOUBLE HUNG Cellular PVC frame,Triple glazed, NafbnW Feneafratlon Low E coating(e-0.021,S2&6), Reanp Caundl® Krypton/air filled DEWK-27-00030.00001 ENERGY PERFORMANCE RATINGS U-Factor(U.SJI-P) Solar Heat Gain Coefficient Owl-7 0024 ADDITIONAL.PERFORMANCE RATINGS Visible Transmittance Air leakage(U.S./l-P) Om4O 081 Condensation Resistance 70 --- MenulacWrerellWleteathett�eae.ret)rtae aontormto appfkahle NFRC praeeduroa lardetarmpfinpvfiele . productper[amerce.NFACretlrtpeeredeteimlrtedtoral6tedeetolemlronmatdaloondidoneende epeoMa pproductelta NFpCdaeanotrocommend any oradua era aaee notwnreralaeeufleblaHmairy product ror any epecl uee.Carouft manufecturer'a re far od�erproduct performance hdonne0on, wwwnlrc.or0 oFZME la,,, Town of Barnstable *Permit# 2 ti yP O^ Expires 6 mont/is from issue date ,nxtsrnstE. : Regulatory Services Fe vMASS. Thomas F.Geiler,Director �ATED MA'S A 0 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 .Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Vaiid fvithout Red X-Press Imprint Map/parcel Number 0-,?-7 _ 06(a Property Address -5,*` Wt, -t' / [9esidential Value of Work Owner's Name&Address Contractor's Name j� � M� / Telephone Number Z/c; Home Improvement Contractor License#(if applicable) `00 7' o Construction Supervisor's License#(if applicable)_c 5 Q,S"7 03 Q_ orkman's Compensation Insurance X,PRESS`PERMIT Check one: ❑ I am a sole proprietor, MAY 17 2002 ❑ I aul the Homeowner D-TI-ave Worker's Compensation Insurance .TOWN OF BARNSTABLE Insurance Company Name /L Workman's Comp.Policy# C&�C r�'._6-0-;LOCj Permit Request(check box) Vte-roof(siripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) R-lie-side ❑ Replacement Windows. U-Value (maximum.44) Other(specify)-G.AZ M. l (S "Where required: Issuance of this permit does not exempt compliance with other-town department regulations,i.e.Historic,Conservation,etc. Signature ` Q:Forms:expmtrg Revised 121901 V CAPIZZI HOME IMPROVEMENT INC . SPECIFICATIONS &IND ESTIMATES PAGE 1 OF 2 CIlC % M CAPIZZI HOME IMPROVEMENT PROPOSAL Established 1976 , Serving the Cape. for. 25 Years - 1645 Newtown Road Cotuit , MA 02635 508-428-9518 1-800-262-5060 ' Fax 508-428-1547 Date : f/w Ad Name : VV V ► J/s" Veej s lam( Job Address : Address : G f y Town: City : S I f„J�sfi�W Home Phone : Ste' �✓�`SI-hUP�( Other Phone : oc:;LG 3 S Estimator : Job No . . We hereby submit specifications and estimates to furnish and install aluminum trim coverage on the following trim : fascia , vented vinyl soffit , frieze, rake boards , rake tips , window sills ( full ) , window casings , door casings , corner boards and ear boards . All trim will be bent in a manner to cover all wood trim and edges with aluminum trim nails 1 1/4" hidden as allowed without scratches or buckles on entire house . Not including basement windows . USING SINGLE-COAT , BAKED-ON ENAMEL ALUMINUM TRIM Lr%LoCZ LABOR & MATERIALS $ 7 7c ui -in c anne / LABOR & MATERIALS $ SI�.L�. ✓L �G.1 �/r%t ( S(iL✓ �`(/S 0, aO Job is estimated to commence approximately 2 1/2 to 3 months after deposit received unless otherwise noted here: Any work above and beyond the specifications outlined in this proposal will be performed at $57 .00 per man hour plus materials or priced on request . All additional work , including travel time and lumberyard runs , will be subject to extra charge . In the event of rot- repairs , roof repairs or any related work requiring immediate attention , we will proceed without customer approval . We look forward to working- with you ; please call if you have any questions . Sincerely , 7 /� CAPIZZ . - E. IMPROVEMENT ACCEPTED BY CC, - DATE a A- THIS PAGE I r PART 0 ND" TN" dONFORMAN 7 , WITH PROPOSAL #