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Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint 1 Map/parcel Number 2 3'-f 030 Property Address TE ZQ `—u le Residential Value of Work$ Z/ 300 - Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address /(' O✓1 (A i 1 T,e r "Pi ('ra4 rci 1 vi . (tow l-e 't/'( f e, MA 02- 3 Z > Contractor's Name WIJc OWwot"10 / rc s riet Telephone Number 7a l"' ?&2 7 hJ of SDI Home Improvement Contractor License#(if applicable) (4,6 OZ.. Email: Construction Supervisor's License#(if applicable) 07 2_7 7 Z. [6orkman's Compensation Insurance Check one: gelPFIEs ❑ I am a sole proprietor Q., 4.. k ❑ I am the Homeowner OCT18 ��� I have Worker's Compensation Insurance (y ` p fxr Insurance Company Name �fA'i f� `>i'llZ Iusli EOM ! �J�� ��J I�®�� Workman's Comp.Policy# 22 VI GC.—l--T 2 , 3 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to L .. ❑Re-roof(hurricane nailed)(not stripping. Going over N existing layers of roof) ❑ side Q Replacement Windows/doors/sliders.U-Value . 2-1 (maximum.32)#of windows 3 #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. 'Where required: Issuance or this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation.etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is equired. SIGNATURE: C\Users\Deco)t ata\ cal\Vticroso t tndows\Temporary Interact Files\Content.Outlook\2PIO1 DIIR\EXPRESS.doc Revised 040215 ...- F ►'^, � A_ °Window World of Boston,LLC MA MC Registration i 41 -7IGflt� S Offices&Showrooms Number. i ,, a q1 0 15A Cummings Park C1 295.01d Oak Street 16602$ L. o/f, Wobum,MA 01801 Pembroke,PAA 02359 Federal ID# 781 932-480$ 27-1 4 81 6 6 5 "Simply the Be-stfor less" ( w yw.WindowWorldofDBo ton coca 1/� Customer. L-45-49 i✓�/cp /i/,E Phone(h).7r o'zg0- 2 install Address:4'/{Cgi/f/ j24/t o-9Z% '/7 Phone.(w)Xag'Z Guy:( 4 4 State:MA ZII OZ Z 'E-mail WINDOW WORLD GLASS OPTIONS 1000 Series Single-hung AU•Weld $189 .3. SolarZone Elite $119 357 2000 Series OH MechtWefded Sash $215 ltiple Glazed TG2* $195 24000 Series DH Ali-Weld $225 F0 ('Series 6ogo Only) _6000 Series DH All-Weld $260 / WINDOW OPTIONS 2 Lite Slider $354 Glass Breakage Warranty $15 INCLUDED 3 Lite Slider pn,va on ort.irs.iw $545 1i2 Screens $9INCLUDED T Picture/Fixed Lite $35 Foam insulation on'Jambs and Head $11 INCLUDED. _Awning $280 Double Strength Glass $15 INCLUDED Casement w„+o Double Lacks(>26") $5 INCLUDED �2tate Casement $595 _Full Screens $22 3 Lite Casement ,tra,va,vat uu:,n rri. $880 _Colonial Grids(Contoured $45 i,f,� _Basement Hopper s$34 Prairie Grids. $51 _Bay Window-Soffit Mount/INS'Seat$2660 Diamond Grids $69 SewWindow-Soffit Mount/INS Seat$2785 Simulated Divided Lite $182 _Garden -r Tempered DH Sash(BSO)(TSO) $65 • $2040 Obscure Glass(BSO)(ISO) $35 Specialty Window $ Oriel Style(40/60 or 60/40) $30 Beige/Almond $40_ _Foam Enhanced Frame $35 Wood Grain Interior(Series4000/6oaoonly):$1003-Q PRE 1978 BUILT HOMES(EPA LEAD SAFE RENOVA71O/J) (Light Oak(Dark OW Cherf/1 Fox Wood Lead Safef§aetices.Requ lied $30 _ Rich Maple) /17/ H/LL51]aE iQ� MY HOME WAS.BUILT IN THE YEAR/9 Initial Brown Exterbr Arch:Bronz Amtxican7arta 100. 7 _Designer Color Exterior $175 MISCELLANEOUS 1/�J / 3__Custom Exterior Aluminum Cladding Window Color /y!y/ l A XTextured$75 9 SSgrooth$75 $ 23 inside Outside Facing Color At17 NON CUSTOM DOORS Metal Window Removal $50: _Vinyl Rolling Patio Door 51t.or Mt. $1095 • New COnslruc9an Vinyl Removal $175 —Add Roiling Patio Door en. si 195 —Specialty Win w.Exterior Trim $ Add to base price fru Osstom ROOng Paco Door$1250 Mull to Form ulti Unit $30 _French Rail Spring Patio Door 51 or 61t $1995- _halal InteriOr/ erior Stops $50' French Rail Sliding Patio Door lift. $1495 install Interior acing Starts At $95 French Rail Siang Patio Door9tt. $1595 _Insulate Weigh Boxes $20 _Custom Exterior Cladding $150 _Roof for Bay/Bow Windows $500 _SclarZone Elite or ETC Glass $205 Existing New ConstcExt.Retro Fit $150 _Grids Patio Door $149 Removal of Existing Bay/Bow $250 _Woodgrain Interiors $295 Repair Sill,Jamb or replace al nosing$50 _Exterior Designer Colors $395 Full Sub-Sill(Single)replacement $150. _Interior Casing-2to 31i2 $175 Mullion Removal $30 _Handleset Options $ Bay/Bow Conversion Ext.Retro Flt $350 (New Siding Will Not Match) Door Color I - A., -'ORNP 11(�r--- . . 1)IE6, I.gde. Outside C�J t o d d- i tr fatisf(Id;r nt ii1w Aye Customer declines exterior wrap and understands painting and/or repair may be required Initial Customer declines grids on windows/doors Initial , MEM Customer is responsible fcr the Mowing Inconnection AthiscontractPainingS%%infsg,AlarmSystemdiscamset/recdnneetSlidinnPermrtieesix . worse al$25.00,Homeowner and or Condo Asseaadan Approval,Historic Mold Appraral.City of Boston parting$sidewalt Perrot fees in connection with insbtellaa. NO EXTRA WORK IF NOT IN WRITING! Customer agrees to the terms of payment as follows: Extra Labor&Materials $ leM — Site Set Up,Permit.Disposal&Delivery Fees$ $389.00 Total Amount S 5340— Custom.Order Deposit 50%.S`!50 Ck# Balance Paid to Installer upon Completion $ / 0 Amount Financed`$ Winnow World at Boston anticipates staffing this work on%- •-._and being substantially completed in/2days.Seaidty interest:Yes No Any deposit required'n advance of the start of the work SHALL N I exceed 331/3%of the total contract price or Me actual cast of any material or equipmeni T • special error or custom made nature,Which mist be ordered in advance o1 the start of the work to assure That the project wit proceed an schedule.tie final payment shall be demanded tmlitthe contract Is completed to the satisfaction of both parties. AI home improvement contractors and subcontractors shone registered and that any irrisirs a000t a contact or subcontractor relating to a regislalbn should be directed to:Office of Consumer Affairs and Business Regulatlea,Tea Park Naze,Suite 5170 8osibn,MA 02116.Phone:(617)97341700 Ito work shall begin prior to the signing of the contract and transmittal to the owner of a copy al such contract Window World of Boston under provision of Chapter 142A of the general lows Is required to apply tar and obtain all construction-related porlti is Window World of hoston shall not be deemed responsible ter delays in the Nerd described in this agreement caused by regulatory,permit grardbrg agencies,authorities or individuals. fleece:If Ina PURCHASERS)obtains hts own construction related parrot's fat the work described under thisagmement or deals with unregistered contractors, that PURCHASERS)Is hereby advised that in the avant of a dispute,judgement and nonpayment,the PURCHASER(S)will not he entitled to make a claim or collection from the guaranty tenth established by chapter 142A,'MILL. /(3/ You the buyer may cancel this transaction at any time prior to midnight of the thud business day atter the date at this transaction. Z Hahne at cancellation mush be in whom postmarked no Later than midnight nt the following third business,day. M THiS IS A CUSTOM ORDER NOT FOR RESALE! ' This Window World'Franettliy:„InCepandonly awned andlerated by tialatcw World at Boston,tic,under Enloe fromWindow World,Inc. I Is, rl t.Li4fX► Al/Wntv1 /O/ e 7Own,:Do not sign If thorn ere any blank spurs Oa 0/ Do not stgn i are any blank,spaces. ate - Owner:Do not stgaIf there ere any blank apneas. Date ewmnotn 4411a0 Copy-Original Vattern Cony-File Pink Copy-Customer Hap.Pining er50ul4rte- - 0o`,Q-O7 S s" ( ' 'own of Barnstable *Permit# Expires 6 months from issue date a*s�, Regulatory`Services Fee 3 BARNSTABa-*- yS tangs. g ThomatF.Geller,Director - pREss Building Division PERMIT Tom Perry,CBO, -Building Commissioner DEC _ 6 200 Main Street,Hyannis,MA 02601 2012 www.town.barnstable.ma.us Office: 508-862-4038 T® VmF 5 8-790-6230 OM'PERMIT APPLICATION - RESIDENTIAL O ' �ARNSTABLE Not Valid without Red X-Press Imprint Map/parcel Number 3 `)C 3 O L.o r oo _1 (1/PiVY Li NE (_ _ iv5` 416LE Property Address_ t � ( � ©Residential Value of Work )1 ' CV) , Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address • qe4 CR 1,1N ,fir Y i,R\\I LICE rITt.Kv r LL 01 ' Telephone Number SC S "? (4 le`�3 Contractor's Name �16Z A (A6C L LV p Home Improvement Contractor License#(if applicable) I Construction Supervisor's License#(if applicable) 0 4 ��vo ❑Workman's Compensation Insurance Check 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 accompany each permit. Permit Request(check box) �P �� � IN Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to U N� 1 f , 1 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows. ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. /� SIGNATURE: ' :1 t�lQc Pet�C-�CA1)( _ Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc • of rots i ji'1 �`w1f ti� r BARNSTABLE, + - , 9� ' ,��' Town of Barnstable prEp Mph A Regulatory Services • Thomas F.Geiler,Director Building Division • Thomas Perry,CBO _ Building Commissioner 200 Main Street, Hyannis,MA 02601 www.tow n.ba rnsta b le.m a.us . Office: 508-862-403 8 _ Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 1 6br, Wn l 7MP ,as Owner of the subject property ,J � p p tY hereby authorize u ' `� �e��� to act on my behalf, in all matters relative to work authorized by this building permit application for: L'/ Cr6tn berry ivt e&tierva M4 (Address of Job) 01/6;v1/4.....,' 'a/ Signature of Owner Date , . IV.. . Ai 5 tn-1 w h�i-l-ke f Print Name . If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. I ; t F / Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc D.,,,:nva n7n1 1n rr • • 1t.0I r Town of Barnstable • sf • Regulatory Services k„.1639., SfABLE ` Thomas F.Geiler,Director 'Fn Building Division Tom Perry;Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.ba rnsta ble.ma.us Office:. 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION • Please Print DATE: • • JOB LOCATION: number village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: • city/town s • zip code The current exemption for"homeowners"was extended to inc', de own=i-occu.ied dwellin_s of six units or less and to allow homeowners to engage an individual for hire who does not possess a li.x'nse,provided that the owner acts as supervisor. DEFINITION 'IF H ti MEOWNER Person(s)who owns a parcel of land on which he/she resides or in';n.c to reside,on which there is, or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Su-6"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be res.onsible J.,.�►all such work .erformed under the buildin: .ermit. (Section 109.1.1) The undersigned "homeowner"assumes responsibility for compliance wi h the State Building Code and other applicable codes, bylaws, rules and regulations. •- The undersigned "homeowner"certifies that he/she understands he Town Barnstable•Building Department minimum inspection procedures and requirements and that he/she will comply with -.id procedu s and requirements. • • Signature of Homeowner Approval of Building Official ` Note: Three-family dwellings containing 35,00i cubic feet or larger will be required to comply with the State Buildir g'Code Section 127.0 Construction Control. _ MEOWNER'S EXEMPTION The Code states that: "Any homeowner performing wort 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 t A 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 unawar 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 caret amend and adopt such a form/certification for use in your community. • • Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc