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XI BUILDING Application number... ..... .....
DEPT. ...b
Date Issued.......................... .............
RA
MAS& DEC 19 2019
s6:yg. Building Inspectors Initials.........
............ TWIN 01 1AINIT11LE -* I
Map/Parcel.........3.Q. 91.14..............................
TOWN OF BARN STAB LE
EXPEDITED PERMIT APPLICATION:
ROOF/SIDWG/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY MORMATION
Address of Project:
NUMBER STREET VILLAGE
Owner's Name: W Y A Phone Number
Email Address: Cell,Phone Number
Project cost $ 3,4W 3 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: 5e,- Date:
TYPE OF WORK
Siding C Windows (no header change)# 0 Insulation/Weatherization
Doors (no header change) # Commercial Doors require an Inspector's review
Roof(not applying more than I layer of shingles)
Construction Debris will be going to
CONTRACTOR'S INFORMATION
Contractor's name 36,all C(: R rn &1e.J Fr, Jow
Home Improvement Contractors Registration(if applicable)# 17 3 2—L[,5 (attach copy)
Construction Supervisor's License# bj S-7 0:7 (attach copy)
Email of Contractor C7 Gtjef- 9 q5(6 6,YW; I. C 6M Phone number 110 2 2- 9--I goo
ALL PROPERTIES THAT HAVE STRUCTURES vER75 R OLDORIFTHE UJCTPROPER ISI
'6 5 5 Of T Y 1AVI
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
APPLICATIONNUMBER ............................................................
I
*For 'dents 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 boars
of 8:00am-9:30 am or 3:30 pm-4:30prra. Commercial events may require Fire Department approval.
*WOOD/COA,L/PELLET STOVES x
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
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 CMM 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
P9.iICA JL 9 S SIGNATURE
Signature ?L� Date / 2- /—/
:\
All permit applications are subject to a building official's approval prior to issuance.
Renewal Agreement Document and Payment Terms
byAndersen. dba:Renewal B Andersen of Southern New England_ Y gl Kilda goehring
�2-1 Legal Name:Southern New England Windows,LLC 286 Milway
RI #36079,MA#173245,CT#0634555, Lead Firm #1237 Barnstable,MA 02630
w�xoow xE UCEMENT 10 Reservoir Rd I Smithfield,RI 02917 H:5083623540
Phone:401-349-1384 1 Fax:401-633-6602 1 sales®renewalsne.com
Buyer(s)Name: Kilda goehring Contract Date: 11/26/19
Buyer(s)Street Address: 286 Milway, Barnstable, MA 02630
Primary Telephone Number: 5083623540 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 by the parties and incorporated herein by reference(collectively,this"Agreement").
Buyer(s) hereby agrees to sign a completion certificate after Contractor has completed all work under this.Agreement.
Total Job Amount: $13,643 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: $4,547
Balance Due: $9,096 Estimated Stan: Estimated Completion:
Amount Financed: $0
8-10 WEEKS 8-10 WEEKS
Method of Payment: Cash/Check 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 only 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: 1/3 DEPOSIT 1/3 ON START 1/3 ON COMPLETION
Buyer(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 not sign this contract.if blank.You 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 11/30/2019 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:Re ewal B y Ande of Southern New England Buyer(s)
Signature of Sales Person Signature Signature
Eric Woods hilda goehring
Print Name of Sales Person Print Name Print Name
UPDATED: 11/26/19 Page 2 / 12
�Y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION/,
Map 1 ParceL, Permit# 75-
7 o 9
•f
Health D ° � Date Issued
Division �
Conservation Division 3 d �, , E�': u j , Application Fee e5K
Tax Collector Permit Fee
A _.
Treasurer
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH t Preservation/Hyannis
Project Street Address - �R4
Village __ &)6ACI M8 LA
Owner G0,9)YR-1 X 1.1 Address dJl Qf►iZV S)i9d14Y✓44,
Telephone
Permit Request
",4&a e&Yg1)y6 oem Lsi!�td Slu /I+
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
m
Project Valuation Z d ob — Construction Type l jGD t
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout 0 Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other
Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:O existing ❑new size
Attached garage:0 existing ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded 0
Commercial ❑Yes ❑No If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name 6,91°� /W6UAA,�5. .2�d2L Telephone Number
Address A�6� QD.X ��y License#
,&9Z) 9;r46Uf /YA, 0 d Home Improvement Contractor# /00VAQ
Worker's Compensation
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
` �AOIJ,�L.S �Q2l,�o�AS
L
SIGNATURE DATE �d'D7
r* FOR OFFICIAL USE ONLY
PERMIT NO. '.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
:h DATE OF INSPECppT��ION:
FOUNDATION
FRAME' � ,��J � � �� ✓��?`�
INSULATION
r
ki FIREPLACE
Y S
ELECTRICAL: ROUGH FINAL ...
Til PLUMBING: ROUGH FINAL' .
GAS: ROUGH FINAL =
t FINAL BUILDING
DATE CLOSED OUT '����®�� 44�/"L
' ASSOCIATION PLAN NO.
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�1HE r Town of Barnstable
Regulatory Services
BARNSTABIX,
MAW. g Thomas F.Geiler,Director
.&6 9-
"�0 Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-8624038 Fax: 508-790-6230
Property Owner Must
Complete and Sign TWs Section
If Using A Builder
as Owner of the subject property
hereby authorize C�9/�, 14SS66AMIK 9506 to act on my behalf,
in all matters relative to work,authorized by this building permit application for:
/41
(Address of Job)
Signature of Owner Date
Print Name
Q:FORM&OWNERPERMISSION
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