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0259 GOSNOLD STREET
5 �-05 r 6 d �� Town of Barnstable 0 ��`/� Post This Card So That�t is'Uisible From the Streets Approved Plans Must be Retained on Job=andthis Card.Must be Kept 3 a Posted Until Finalylns Kection HasBeen Mader n ` Permft Where a Certificate of Occupancybis Requiretl,si cfi Buildin of be Occupied until a Final Inspectio has been made Permit No. B-19-2980 Applicant Name: Daniel Almas Approvals Date Issued: 09/19/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 03/19/2020 Foundation: Location: 259 GOSNOLD STREET, HYANNIS Map/Lot: 306-175 Zoning District: RB Sheathing: Owner on Record: FAGIN,ROBERT M& ROBIN E Contractor Name:`'.DANIEL P ALMAS Framing: 1 Address: 133 BELLA VISTA TERRACE UNIT D Contractor License;:„006419 2 NORTH VENICE,FL 34275 Est. Project Cost: $ 11,850.00 Chimney: Description: to remove exiting cedar clapboards and install Hardi.Plank 15 sq Permit Fee: $60.44 and replace ext.trim on exiting windows Insulation: Fee Paitl. $60.44 Project Review Req: Date , 9/19/2019 Final: Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced withm`six months after issuan icia Final Plumbing: All work authorized by this permit shall conform to the approved application and the`approved construction documents for�which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zo'..19 by laws,and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for pu6III inspection for the entire duration of the work until the completion of the same. Final Gas: Y F a d -T The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials arse provided oneth�s`permit. Electrical Minimum of Five Call Inspections Required for All Construction Work. _ F Service: 1.Foundation or Footing 2.Sheathing Inspection �,: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed, Rough: :� _ 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persop5sontracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: i �CCU 60 l4 .9 ue Application number.............. ............................... Fee ..... ......................ti.J...��'jj :A..8.............. Building Inspectors Initials....................................... + Date Issued.:............................................................... Map/Parcel...A TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 1��� �� ��y11�1C•S l2GA � NUMBER STREET VILLAGE Owner's Name: `;:-:�oh Phone Number YZ 3 76 -3,W 7� Email Address: r a_ « I g�4 -fit 0cz-t Cell Phone Number F3V _7 7C 3,R 76 Project cost$ /`s SS-6 Check one Residential Commercial OWNER'S AUTHORIZATION � I As owner of the above prpb ,ding rty I hereby authorize `� L&l� ` l S to make application for-'a pe in accordance with 780 CMR 'Owner Signature:._; ('a/) Date: TYPE OF WORK U Siding ❑ Windows (no header change)# ❑ 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 namCj)A,-4, p(j,4A t&S. Home Improvement Contractors Registration(if applicable)# 13 j -3 (attach copy) ,-.Construction Supervisor's License# DD( (attach copy) Email of Contractor J cA( Qa S /'to " Phone number 5O k 3a C. 67 SZ ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER................................................. ......... *For Tents Only* Date Tents will be erected Removed on number of tents tot al tal 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. Purpose of Event 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 Fuel source being used LP tank 20 lbs. or>Yes No___,if yes, a gas permit is required. Natural Gas Yes No , if yes, a gas permit is required. 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 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 CMR 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 APPLICANT'S SIGNATURE Signs e Date All permit applications are subject to a building official's approval prior to issuance. ' C i ` Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constru6fto(AISblpprvisor z i CS-006419 '41.1, Expires:07I12./2021 DANIEL P ALMAS 24 SEA MARSH RD ro j: CENTERVILLE MAC , Commissionerc � Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR T>� Individual Reaistration Expiration 1392= i 08/03/2021 -t -- DANIEL P ALMP rt DANIEL P.ALMAS. 24 SEA MARSH ROA ..i'' �alrvn rm'CG. cG( s. CENTERVILLE,MA 02632 Undersecretary ar Construction Supervisor Unrestricted -Buildings of any u se group which contain less than 36,000 cubic feet(991 cubic meters)of enclosed space. F Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.gov/dpl I s Registration valid for individual use only before the expiration.date. If found return to: Office of Consumer Affairs and Business Regulation a 1000 Washington Street -Suite 710 Boston,MA 02118 ti I1 Not valid out signature f The Commonwealth of Massachusdis Department oflndustddAccidents Office of Investigations f 600 Washington Street Boston,MA 02111 www muss gov/dia Workers' Compensation hmn—an.ce Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information ,� {� 1 Please Print Lezibly Name(Business/orpnintionandividual)•` Addzess• ;� L4 Se A MA VS City/State/Zip: (E' Qy i fhone#: �,5 " � v� 2 Are you an employer?Check the appropriate om � e of ro etd(required): 1. I am a o ea with 4. I an ageneralUcontractor and I �'P P ] ( e4mt' d}: . ❑ Y have hired the sob-contractors 6. ❑New conslmciion employees(full and/or part-time).* 2.❑ I am a sole proprietor or partner- listed on the attached sheet. ?. ❑Remodeling ship and have no employees These ors have 8. ❑Demolition working forme in any capacity. employees and have workers' 9. E]Building addition [No workers'comp.insurance comp.insurance.t 5. We are a corporation and its 10.[]Electrical repairs or additions required.] officers have exercised their IL❑Plumb' 3.El I am a homeowner doing all work �repairs or additions myself,[No workers' comp. right of exemption per MGL 12❑Roof repairs insurance required.]t c. 152,§1(4),and we have no 10 ees:- workers'o 13.❑Other �p Y LI`1 - comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infnrmabon. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. .tContmotws that check this box must attached an additional sheet showing the name of the sob-contractors and state vIbether or notthose eutities have employee& Ifthe sub-contractors have employees,they must provide their workers'comp,policy number. . I am an employer that is proAfing workers'compensadan insurance for my employees Below is the policy and job site information. hzsvrance CompanyName• �� 4 0 t�.tI � 61 Policy#or Self-ins.Lie.#:T � Expiration Date: Job Site Address: A S er 6-oC a_o Ld s i City/St dMop: ucL t Q 6 d Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of rsimmal penalties of i fine up to$1,500.00 and/or one-year imprisomm=4 as well as civil penalties in the fog of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Inv zWons of the DIA for insurance coverage verification. I o hereby c a penalties of perjwy that the information provided above is true and correct, Siffiat�e: Date: — C L— Phone#: o °2 Official use only. Do not write in this areay to be completed by city or town official City or Town: PerauitlLicense# issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#' INE Application number I " BUILDING DEFT. ...... RAMNSTA13M m� � � � Date Issued..........�.110119 NAss. � � ................................................ i839. ho`$ J� Building Inspectors Initials.... RFD MA'S AJZ- a �}�A � ............................. TOWN n i��v it-rS�i..L TOWN O� BARN I Map/Parcel.......30(0....�.75 TOWN OF BARNSTABLE i EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATBERIZATION PROPERTY INFORMATION Address of Project: NUMBER STREET VILLAGE Owner's Name:�2�1�,n �� f Phone Number rr� 7 ro _ Z Email Address: e to q.�q „� S 'I c Cell Phone Number Project cost$ ! 3 _B S_6""� 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: Se n-{{Q la 014(4 Date: TYPE OF WORK Siding Q-Windows (no header change)# S Insulation/Weatherization Doors (no header change)# Z Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to if a s4e-/r'JG/!�9 P�'1P/1 - ���c o/�► /� L r CONTRACTOR'S INFORMATION Contractor's name fir u,, `7��.,,so r, - �,, .��n AP,J Home Improvement Contractors Registration(if applicable)# 17 3 L.q 5 (attach copy) Construction Supervisor's License# y� S`7 07 (attach copy) Email of Contractor C7SWea q 556 6ngq; I. C 6M Phone number 1101- z Z R - J.JQO ALL PROPERTIES THAT HAVE STRUCTURES VER 75 YEARS OLD OR IF THE SUBJECT PROPERTY 1S IIV A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *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 pare Department approval *WOOD/COAL/PELLET STOVES 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 CMIt the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMIZ and the Town of Barnstable. Signature Date PLICANT'S SIGNATURE Signature DateAll permit applications are subject to a building official's approval prior to issuance. Renewal Agreement Document and Payment Terms Andersen. dba:Renewal By Andersen of Southern New England Robin &Robert Fagin Legal Name:Southern New England Windows,LLC 259 Gosnold'Street RI #36079, MA#03.245,CT#0634555, Lead Firm#1237 Hyannis,M .02601 W INDOW NE �ncEMENr 1.0 Reservoir Rd I Smithfield,RI 02917 : - - H:(941)376-3276 - Phone:866-563-2235 1 Fax:401-633-6602 1 sales®renewalsne.com Buyer(s) Name: Robin & Robert Fagin Contract Date: 05/04119 Buyer(s) Street Address: 259 Gosriold Street, Hyannis, MA.02601 Primary Telephone Number:, Secondary Telephone Number. (941)376=3276. Primary Email: ebafagin@gmail.com : Secondary Email: robinfagine.gmail:com 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 byy_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: $38,987 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: $0 Balance Due: . . $38,987 Estimated Start: Estimated Com letion: P 6-9 weeks 6-9 weeks Amount Financed: $381987 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 than . we are providing at this time is only an estimate.We will communicate an official date and.time at a later date:.Rain and eztreme..weather are the most common causes for Notes: delay. 50%DEP 50% ON COMP TXS PD IN HYANNIS MA Buyer(s)agrees and understands that this Agreement.constitutes:the entire understandings between the.parties and thatthere 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 Buyers) l) 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 05/08/2019 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 B Anderse 'of Southern New England Buyers) CW Signature of Sales Person : -Signature Signature Eric Woods Robin Fa in C g' Robert Fagin Print Name of Sales Person Print Name Print Name UPDATED: 05/04/19 Page 2 / 12 xenewai ® ,mm HIC.0562725 MA 1•11#119535 b Andersen, - •��•--- Lead Hazard Control Firm WINNOW eEClACE'MIEA7 ,,:��.r,.,.,,;, � � _ - � - - �� License#LHCF-0059 - Renewal by Andersen of Sou(hern New England Federal Tax to#46-0566630 10 Reservoir Road, Smithfield,Rl 02917 Contract Amendment This Amendment("Amendment")is to the CUSTOM WINDOW AND DOOR REMODELING AGREEMENT("Agreement")by and between Southern New England Windows,LLC:dba Renewal by Andersen of Southern brew England and Robin and Robert Fagin (buyers).Contractor and Buyer(s)hereby agree to amend and modify the Agreement as indicated below.Other than as.specifically indicated below,all the terms and conditions of the Agreement will remain in full force and effect.This Amendment is subject to the terms and conditions ofthc AgreetnefiL' The following is an addendum. o the.Agreement dated: 5-3-19. Renewal By Andersen will be making the following changes to your order: .- Removing all double hung and awning windows from order The following units will remain with the following changes I Unit 103(Room 2)Right Hinge opening(away from chimney) Unit 105(Triple Gliding Window)remove wood interior(leave.oak interior casing/trim)in favor or white.with white locks. Unit 106(A series patio door upstairs)Remove prermished interior in favor of oak interior with oak trim,and white Albany-hardware: Unit 107(A series patio door downstairs)remove prefinished interior in favor of oak interior with oak trim and Yuma distressed nickel hiirdare Unit 108{upstairs bathroom casement window)remove wood interior/nickel hardware in favor of white with oak trim. All exterior trim on patio doors and windows will be finished its A ck. Original Contract Price: 38987.00 New Contract Price:. �23056.00 Financing Approval Amount \A Method of Payment(if other than finance): - Check It is agreed and understood by and.lietween the parties that this Amendment and the original Agreement.constitute the entire understanding between the parties;tend there are no verbal:understandings changing or modifying any of the terms of this Amendment.Buyer(s)hereby acknowledges that they have read and agree to this Amendment on the date written below Disclaimer for customers with obtained Greensky t➢naocing:. Buyer acknowledges that if original contract amount,has increased due this Amendment,that-%%ithin 24 hours:of this Amendment,Southern New England Windows LLC,dba Renewal by Andersen of Southerti New England will contact Greensky to increase loan amount.The buyer(s)are responsible for contacting Greensky to confirm any change to funding. Greensky Financing Customer Service Phone Nuttiber(866)936-0602 You are hereby agreeing to All changes'listed above and further certify that Greensky has been made aware of any financing changes as a result of this amendment. Title Name Date Renewal by Andersen Project Consultant i Eric Woods Buyer(s) } Robin Fagin 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 SCA t Co 20M-05/17 Update Address and Return Card. �T� �cvrvr�rirteea,�l"�c���2:':oclalclG.' Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Reaisfiafion _ Expiration Office of Consumer Affairs and Business Regulation 1:73245-= _ _ 09/18/2020 1000 Washington Street-Suite 710 SOUTHERN NEW-ENGLANQ WINDOWS,LLC Boston,MA 0211 BRIAN DENNISON 10 RESERVOIR ROAD ` U SMITHFIELD,RI 02917 Undersecretary vv� Without Signature Y Commonwealth of Massachusetts Division of Professional Licensure Board, of wilding regulations and Standards Construct-fin 'supervisor CS-095707 x Epp i res : 09/081202.0 BRIAN D DENNISON 813LACKWEL'L DRIVE .: 1, CHARLTON N!A-01507 i Commissioner C4 I The Commonwealth"of Massachusetts Department of lndustrid Accidents 1 Congress Streets Suite 100 Boston,MA 02114.2017 www massgov/diia Niurkers'Compensation insurance Affidavit-Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PEP-'VUTTING AUTHORITY. Applicant Information Please Print Lceibly Name(Business/Organi=ion/Individual):_ Ljt�'t✓h Address: U UDt r p S �-� 1�1 9 Phone k S/D/-ZZ 9- � e Ci /State/Zi : �t e �! OZ /7 z) Are you an employer'Check the appropriate box: Type of project(repaired): 1 am a employer with ��employees(full and/or part-time).* -7. �New construction 29 am a sole proprietor or partnership and have no employees working for me in 8: Remodeling any capacity.(No workers'comp.insurance required.) ❑ a 3. I am a homeowner do' all work m selE t 9• ❑Demolition ❑ mg y [No workers'comp.insurance required.] 4.[3 1 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 D Building addition ensure that all contractors either have workers'compensation insurance or are sole 1 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.[31 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.t 13.❑Roof repaifS / 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[Other 157,§1(4),and we have no employees.[No workers'comp_insurance required.] r elo lQ 'Arty applicant that checks box#1 must also fill nut 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 tltose entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is proWding workers'compensation insurance for my employees: Below is the policy and job site informadfon. Insurance Company Name: r I�P.J1� (��(,( a/( 1�_ �p' - OF ��� �. C, . Policy#or Self-ins.Lic.#: t XA,31, V /,,2l p?7 Expiration Date: Job Site Address: -�c1 �o S eV(a �� 'Fe-T1 City/State/Zip: A ,z ,r, M i 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$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 MOM 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 c under the p ' d penalties of perjury that the infomodion provided above is true and correct t Date: 6 P_ltone#: 4 f7,I-7�v��[) Official use only. Do not write in dds area,to be completed by city or town ofetal 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#• f ACC CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 16..� 1 1 Z128/2018 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 CoBiz Insurance, Inc.-CO NAME' 1401 Lawrence St., Ste. 1200 PHO t: 303-9813-0446 A/c NE No:303-988-0804 Denver CO 80202 ADDRESS: COMaiI cobizinsurance.com INSURE S AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance Company 31325 INSURED ESLERCO-01 INSURER B:Firemens Insurance Company of WA,D.C. 21784 Southern New England Windows, LLC. dba Renewal by Andersen of Southern New England INSURER C:Homeland Insurance Company of New York 34452 10 Reservior Rd INSURERD: 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 INSURANCE ADDL SU R . POLICY EFF POLICY EXP LTR POLICY NUMBER IMMIDOIYYYYI (MMIDDNYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY CPA3158728 1/112019 1/1/2020 EACH OCCURRENCE $1,000,000 DAMAGE TO RENWIT___— CLAIMS-MADE �OCCUR PREMISES a occurrence $300,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 POLICY❑ OTHER: $ A AUTOMOBILE LIABILITY CPA3158728 1/1I2019 1I112020 COMBINED SINGLE LIMIT $ a accident 1 000 0 0 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY r accident AUTOS AUTOS ) $ X X NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) $ $ A X UMBRELLA LIAB X OCCUR CPA3158728 1/1/2019 1/1/2020 EACH OCCURRENCE $15,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $15,000,000 DED I X IRETENTION$ $ B WORKERS COMPENSATION WCA315872924 11112019 1/1/2020 X ST TUTE ER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000.000 OFFICER/MEMBER EXCLUDED? ❑N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEd$1,000.000 If yes,describe urger DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,0W,000 C PoBution Liab&ity 7930073340000 1l1l2019 1/1/2020 Each Occurrence $2,000,000 Clalms-Made Policy Aggregate $2,000.000 Retroactive Date 06120/2013 Deductible $25,000 DESCRIPTION OF OPERATIONS/LOCATIONS/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 ,.A Town of Barnstable /� �, m " " Building L..J "e f„tea-�, \'.✓�. Post This Card�So That it,is�Uisible Frorn the Street Approved�Plans Must be;Retained on�ob�,and this Card Must?be Kept � . x ` d Until`Finalis ectionHas:Beeh Made r , „ yy<W' Post p r, s Permit dRWherea Certificate ofOccupancy is Required,sueh Bu�ldmgshall Not be Occupie�dun#�I a�Fnal Inspectionhasbeer�made " Permit No. B-18-1876 Applicant Name: RetroFit Insulation Approvals Date Issued: 07/06/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 01/06/2019 Foundation: Location: 259 GOSNOLD STREET, HYANNIS Map/Lot: 306-175 Zoning District: RB Sheathing: Owner on Record: FAGIN,ROBERT M& ROBIN E Contractor Name "<> RETROFIT INSULATION, INC. Framing: 1 Address: 133 BELLA VISTA TERRACE UNIT D F Contractor License: 160461 2 NORTH VENICE, FL 34275 Est: Project Cost: $3,044.00 Chimney: Description: Air Sealing, Door kits&sweeps, 10 ml poly crawlspace,crawlspace Permit Fee: $85.00 wall R10 rigid board, basement sills: R-19 Fibderglass1Batts,: Insulation: Fee Paid, $85.00 Project Review Re Date J q 7/6/2018 Final: ) � Plumbing/Gas z Rough Plumbing: i- g' Building Official c Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced with six months afterJssuance. All work authorized by this permit shall conform to the approved application arid the-approved construction documents for which thus permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and str'uctures sle113be in compliance with the local zoningby 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 Final Gas: work until the completion of the same. + '. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the-,Building andfire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:ti, .. Service: 1.Foundation or Footing 2.Sheathing Inspection 4 Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health 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). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: 4,• Town of Barnstable *Permit?n Regulatory Services Fapire46Zr� e e . g ry rvices Fee BAMRrABM MASS.3 Thomas F.Geiler,Director A� Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Map/parcel Number I Not Valid without Red X-Press Imprint Property Address Z$ -Pl d S , yyt.A ® Residential Value of Work$ I O,C�V, Minimum fee of$35.00 for work under$6000.00 Owner's Name&Addresses �d Contractor's Name_ z� N�tG w � �, Telephone Number 500-Z000 S Home Improvement Contractor License#(if applicable) 1�D l Email: 2 mea.H,Zr,;.� Construction Supervisor's License#(if applicable) S Z i ❑Workman's Compensation Insurance Check one: I am a sole proprietor JUL 03 2013 ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name_MAN.. S//C`;,s��,,, ��„ �SS�.tu,�,u TOWN.OF ��R�SI�ABL� Workman's Comp. Policy# (-K(,)3 ye M)0-?Z9 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ® Replacement Windows/doors/sliders.U-Value Z), / . (maximum .35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. *"Note: Property Owner must sign Property Owner Letter of Permission. i A copy of the Home Improvement Contractors License&Construction Supervisors License is required. / SIGNATURE: �6/ QAWPFILESTORMS\building permit forms\EXPRESS.doc Revised 061313 The Commanweakh ofMassadruse& Depwftnent ofln&avial Accid ©Kwe of lmmtigadons 600 Washwgton Street BostoN MA 02111 wwmmamLgolvldia Workers' Compensation Insurance Affidavit:Builders/Con s/Plumbers Applicant Infermatian Please Print Legibly Name jzG� ��rtd ttcc. CityfStafieLZip_ �S -A aZ4o/ Phone# Sod Z�oo�`lg r Are you an em ?Check the appropriate box: Type of project(required):1.❑ I am a employer with 4. ❑ I am.$.gtmeral contractor and.i 6. ❑New construction (full and/or part-time).' have hired the sub-conhactars 2.*® I am.a sole proprietor or partner listed on the attached sheet. 7. ❑Remodeling s and have no l These sub-contractors have �P employees 8. ❑Demolition moddrig for me in any capacity. employees and have worms' [No worloers'Comp.insurance comp-"' nDe I 9. ❑Building addition required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.Q Plumbing repairs or additions myself [No workers'camp- Tight of exemption per MGL 12.❑Roof repairs insurance retied.]t c, 152, §1(4),and we have no employees-[No workers' 13.R Other_,<A4f#411 comp.insurance required.] T t `'Any apphcm rt dM chedts boa#1 nmst also fill art the section below showing their woken'compensation pommy inf nmsdoa T Homeowners wbo sal uit this dEdaidt m dmxtmg they are doing all sank and then hue outside conuactors mmst submit a new affidavit mdicating such lContcactars'that chest this bra roust stmched s a additiaoal sheet stowing the nsane of the stp-cQamscmrs and scene whether ornot those entities have employees. ff the mb-cnntowtars haves employees;they must provide their worxen'ramp.palmy munber. I air an empl o y,wr that is providing workers'compensation insurance for my empl ojwe& Below is the policy and jab site . information. Insurance Company Name: Policy#or Self ins..Lic. Exp ration Date: ? Job Site Address: - 0 ir"_ City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy nu ber 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$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$250.00 a day against the violater. 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 herobl,cartrfj,under the ' s and s a,f'pedury that a information pro ded above is hue and correct Si Phone#: � . Official use enty. Do not write in this area,to be completed by city ortown offic4aL City or Town: PerffitUcense# Issuing Authority(circle one): I.Board of Health.2.Budding Department 3.City/Fawn Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: 6 E.R.Mantini Construction General Construction Roofing-Siding-Framing-Finish work- Decks 375 compass circle- Hyannis Ma 02601 (508) 280-0785 ermantiniconstruction@yahoo.com June, 17 2013 Estimate for: Mrs. Fagin Gosnold rd. Hyannis- Ma 02601 Rubber roof 5 sq Remove and install new rubber roofing and replace all the trims boards around the roof Remove sidewall above the flat roof to flashing properly Install 1/2" X48"x96" recover board Install new drip edge Windows (5) 'Q — Majesty DH, Unit Size 33x56, Ro 33.5x56.5 Half screen,fiberglass Mesh Double Glazed, Double Low E,Argon Filled Energy star Remove the old windows and install new windows New construction windows Install new azek trims exterior and wood trims interior Disposal all the debris Permit required Labor and Material total costs: $ 12,150.00 Extra work will be charge by the hour or by the job and the owner will be notice. Thank You for your business! �1 T Office of Consumer Affairs&'Business Regulation OME IMPROY, MENT CONTRACTOR a � l Reg istration�47`3 TYpe, f, a Exprra`oC �!1i1Z2T�01.,3 Supplement' �, I ER Mi4NTINl C� d%1Mff MARCEL DURA U F P.O. BOX 1'48 g — HYANNIS; MA 62601 + ` Undersecretary r . aw Massachusetts- Department of Public Safet, Board of Buildin- RC ulations and Standards 4 Construction Supervisor License License: CS 57692 p MARCEL DURANLEAU i. 45 SILVER LANE. HYANNIS, MA 02601 I • Expiration: 9/24/2013 •; ('ununisvioncr Tr#: 5819 n Cam- License or registration valid for mdividul use only beforeahe expiration date. If found return to:. j office.of Consumer Affairs and Business.Regulation ffi 10 Park Plaza,-Suite 5170 ward Boston,MA 02116 j �. v without signature G _ ivlassaehusetts- Department of Public.Safetc = . Board of Building Regulations and Standards ' Construction Supervisor License License: CS 57692 fir: MARCEL DORANLEAIJ , 45 SILVER LANE. j HYANNIS, MA 02601 # ^' i Expiration: 9/24/2013 ('ummisviuncr Tr#: 5819 tl �p YHE Tp� Town of Barnstable ' .*Permit#C20101 01 � p� Expires 6 om ' e ' Regulatory Services Fee _ . URNSTA= , Thomas F. Geiler,Director Building Division �( __.. Tom Perry, CBO, Building Commissioner... . _ .. __.._ _.......... _...._- 200 Main Street,Hyannis,MA 02601 www.town:bamstable.ma us Office: 508-8 62-403 8 Fax: 508-790-623 0 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY <(� Not Valid without Red X-Press Imprint Map/parcel Number ��� Property Address Z /�, . f'� t A ,, r 4, Residential Value of Work 00 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address contractor's Name it ' 'JML (Jc�iZ� Telephone Number .�DR Some Improvement Contractor License#(if applicable) Cs-r co.� ,1�ecncJ�i��j3 ;onstruetion Supervisor's License#(if applicable) ]Workman's Compensation Insurance ' Check one: Afil ❑ I am a sole proprietor ❑ I am the Homeowner MAR 2 S Z012 �C] I have Worker's Compensation Insurance ism-mice Company Name TOWN OF SAM -STABLE orkman's Comp. Policy# opy of Insurance Compliance Certificate must accompany each permit " :emit 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 ❑ Replacement Windows/doors/sEders. 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 Contractors License& Construction Supervisors License is required. SIC-NATURE: Af PF1I=\F0RMSlbui1ding permit f nas\02RESS.doe omM-on�vea�tyi - Department of Industrial Accidents Office of Investigations . d 600 Washington Street Boston,AM 02111 .''" _ www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly ---- --Name(Business/Organization/Individual): --Q-✓Yi'1 �`d ___ .._.._--._- -------__-_..------_ _--_--_ - •Address: 1.t S Y:2;gg2.scc City/State/Zip: 02 4,,0 Phone.#: 5��. Z0c9d9 9S— Are you an employer?Check the appropriate box: Type of project(required):: 1.❑ I am a employer with .4. ❑ I am a general contractor and I • employees(full and/or part-time).* El hired the sub-contractors 6. New construction 2.&I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' insurance.# 9. ❑Building addition co [No workers' comp.insurance mP• required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l l.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4), and we have no 13.❑ Other ct_ employees. [No workers' comp,insurance required.] *Any applicant that checks box#1 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 providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy 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$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$250.00 a day against the violator. Be advised that a copy of this statement may forwarded to the Office of Investigations of the DIA for-insurance coverage verification. I do hereby certify under the pains-5114penalties of perjury that the information provided above is true and correct: signafore Date: �L .� 2- Phone#: _5_C4�- 2_16QO'12 40 Official use only. Do not write in this area, to be completed by city or town offxciaL 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#: ej I Information and{ Instrnctions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person.in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the-' receiver or trustee-of an individual,partnership,-association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." N. . MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced,acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter.152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work until acceptable evidence of compliance with-the insurance requirements of this chapter have been presented to the contracting authority." Applicants. Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contiactor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies*(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or license is being requested,not the Department of Industrial.Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials, Please be sure that the affidavit is complete'and printed-legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e.a dog license or permit to burn leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any.questions, please do not hesitate to give us a call. The Department's address,tele.plione-and fax number:. '''`' = � IN The Commonwealth of Massachusetts Department of Industrial Aeci&nts Offiee of Iuvestigatims 600 Washington Street Boston,MA 02111 Tel. ##617-727-4900 ext 406 ar 1-877-h1ASSAFE Revised 11-22-06 Fax# 617-727-7749 www.mass.gov/dia Office of Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR I : Registration.;a*70473 Type Expiry loTO 0727/-013 Supplement ER MANTINI CO ,IoN try MARCEL DURA /f7 P.O:.BOX 148 HYANNIS,MA 02601` + Undersecretary i Nlussuchusetts- Department of Public Safeh Board Of Buildin.g Regulations and Standards Construction Supervisor License I License: CS 57692 I MARCEL DURANLEAU 45 SILVER LANEAw HYANNIS, MA 02601 Expiration: 9/24/2013 Commissioner. . Tr#. 5819 License or registration valid for'individul use only before expiration date. If found return toulation Office of Consumer Affairs and Business Reg {, 10 Park Plaza-Suite 5170 ward Boston,MA 02116 1 i ur Notwithout signature v Massachusetts- Department of Public Safety ' Board or Building Regulations and St:rnd,u•ds Construction Supervisor License License: CS 57692 74,. MARCEL DURANLEAU 45 SILVER LANE. 4'`'' HYANNIS, MA 02601 i Expiration: 9/2412013 ('unnnissiuncr. . . Tr#: 5819 E.R.Mantini Construction Framing & Finish work-Siding & Roofing 375, compass circle-Hyannis-Ma 02601 (508)280-0785 ermantiniconstruction@yahoo.com Estimate for: Mr. Fegan -Gosnold rd - Hyannis-Ma -Remove existing clapboard (gable) in one side of the house -Install new wood clapboard Remove all the debris ( dumpster) Labor and Material: Price: $7.500,00 Down payment: $4.500,00 Permit required Thank you for your. business! Eliseu Ramos c V l 9?Z/ y� OAII ,- � �i f � S z i- ��'�-.:. � � v4.£w. y. 7•Y l vy.: ..•r� •-};� r�. ..:-�'�� ..F� _ k:k��w !�-..h .. E � sessor's map,and lot number l� 1E/As THE Sewage Permit.number +. ( .... ....... .. . ,,, House number ......: �...:..:.V'.l".. ........:. ...................... '? 90 A"STAXE rasa O 1639• 6 Ord TOWN OF. ' BARNSTABLE = BUILDINGINSPECTOR °' APPLICATION FOR PERMIT TO' tf. ..! ' :�� '� iV TYPE OF-CONSTRUCTION' S. '. ........ ... .............................................. 19 tlJC .. ...............1 931. 1 _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby oppp`lies for a permit taccording .•�too-the following information: + Location ...... ......t.. 5 ...... ..c? ............... i '. !ln`.5............... ................................... ProposedUse ..�-� ..:.. .........................................................' •................. ... r_N Zoning District ....:........ ... Fire District lTy � .4.5 ........................... Name of •Owner 4 .:.... `.. :. .•......:'......Address �j7.... d5�!lJ .......... ... ��...........� . ..C��! �5.. 14 Name of Builder �- .. .... .... .. Address .. .. . ......... .. . . ... .... ..... ... ... . ... . i Name of Architect2 .......Address Number of Rooms r . ...... c .. . .. :.....Foundation ..:.���}'G� ............... ......................... Exterior ..!ctE/� .d......................... ...........:.Roofing. ...... /. .................................................. Floors ......J( ...../..� �. !. ......................... .......1lnterior .. jtf� .. ..................................... p Heating lj'(�... a. :....................t..................' .. Plumbing ��-s!............... ...... Fireplace .... ..................................................................Approximate'Cost ....r...' ... ................... Definitive Plan Approved by Planning Board __--------- -_______ 'Area 1'.. .. .... ...... ...................... Diagram of Lot and Building with Dimensions Fee . 'S SUBJECT TO APPROVAL OF BOARD,OF HEALTH J �' � � fit•. � 1 '- I F u Tl! re- 4 iz ``5r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS � �^ ~' e®asT -gcjo e- I hereby agree to conform to all the Rules and Regulations of the To/wryoffBB Fast re-ggrdin ..abov ' d construction. L%� y Name ... r . ... .......... Cohstr ction Supervisor's License ....... .. ............... - � �ho�re Via•G �-,lf 2� 3, FAGI r, DONALD 25972- BASEMENT ADDI'-�N Flo .............. . Permit for .................................... ............... _ try'•► Location ....259 Gosnold•,Street. .• .. • Iiyannis .................. .......................................... Owner Donald Fain......... ........ 7 'Or fir: e Type' ofConstruction ...Frame..... ................ ', F•r / ..+. .i i` �Yp. s - `I. ' ``•J" - 1y ' r ........................ .•• ,r �� 1rJ1�1 �•}• �,t t +` ` Plot*:.................... Lot' ^.:'.............................. ''.. ti ✓ n } F� Permit Granted ...... .. JanuarX: 13� q 84, ±' f,. { Date of`lnspection, ................ .. .... .19 " Date Completed ................................. .l9 - t Yee? - � _}. l � _ ;. -J �'_6✓�t � �r1,'C {t 1, `,f� ma's '/n' /'`•' t' �} ' j+'t +�.s � � t �, � ' +J ,.i r? S ilk r � �...w._...-.�---ate• _ Assetsor's map and lot number ..l.:.�. Permit number ...Sewage ..4l, wh`f..............`........................ ...... . '� 7 �/1E /,, /zoap rc� yc 'f %T"E.T°�♦� TOWN OF BARNSTABLE Z BABBSTABLE. i "6 BUILDING INSPECTOR �Fo MPY APPLICATION FOR PERMIT TO ;vZ7 i��� -1a �;�✓�L �f�v !"''G�ffG+ -- ................................................................................................... 3.. {,.. TYPE OF CONSTRUCTION .......... � t-.....................r...l......:............✓........................ ............. ......,....................... TO THE INSPECTOR OF BUILDINGS: - - � The undersigned hereby applies for a permit according to the following information: Location 10 Proposed Use ... ems �c._,f �`� � s ...... .. ..lf }�i�= r7� ln 1Tfit/�-4.................. ................ ... V Zoning District ! Fire District ............. 't' Name of Owner r I .. ........ _ T d,. .l?.rr. ..!..:,. . : .a.l .,... Address ....::a.�:..�:...... �...�...G.........?...!�.. .., r� �.� Nameof Builder ^...^..s..'...... ... :.`?.!.... ....................Address ... .. ?^... c............................................................. Name of Architect eP h� K...T.?..L t. ........: ...Address ...n. ./..^..t..::!........ .............................. Number of Rooms Foundation .�-�!� ^ Exierior , ...................Roofing •��D..�. � �U�u.-,,�� �.. Floors ........................................................Interior fir* " ,, .o �a� -. ............ .................. Fiea�lng " '....:'.......Plumbing Fireplace` ' 't.: .................... .............................:...... .........Approximate Cost ©........................................... ...... R.. Definitive Plan Approved by Planning Board ________________________________19________ . Area .........`..'.: ?.....:r ... ............ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 4l..Jtiw: L v9.r�.Ef ti.•, ` 1a r IA, C tJ Ss� oa I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. f Name .... /( i'l:u. ., t.- r:.....` ........................... Fagin, Donald & Lila 7.' No 17484 Permit for . ,,add to single ,. ........................ s rt family dwelling ....................................... Location .......... 59..Gosnold. . . . ..Street. . . ................. .. . ...... . .. .. . . ...... ........................Hyannis....................................... Owner ...........Donal.d.. ... ... & Lila Fagin. ............. .. .. ........ ...... .... Type of Construction ........frame ................................................................................ Plot ............................ Lot ................................ Permit Granted December 10 74 .......................................19 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ........ .................................................... 19 ............................................................................... ......................................................I ........................ ..............................:................................................ Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's map and lot number ..' /..�-.. .. r0MDto i'"' ? � ���� G<-doLU�GO " �// Sewage Permit number ..... ... .............. ..•....... 7`iEf2� dS �D�✓ /"oofc 'add �Q�OFTHEt��y� TOWN OF BARNSTABLE S BABBSTLBLE. • ° �09- ,e BUILDING INSPECTOR UAK APPLICATION FOR PERMIT TO ............. TYPE OF CONSTRUCTION .......... ...................... ....... ...................... ............ .................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..!�'�' �....... �' ""�' .. ...........::.. .... ............ :...j... ........... Cj.f..... ............. .... . Proposed Use ... ...... ............... . .. .. .../. ✓.." Zoning District ............... . ....Fire District Name of Owner .... .j�.z. . ! .. .1.� _... a.�.i../�......Address .... .S...GI "-.4..5..'?...f:/,....................... Name of Builder t .........Address 5 .e Name of Architect ............................Address , .............................. ' A Number of Rooms / i ��.........................:...................................Foundation ..........................^'...... z -................................. ' Exterior ...�..... -.tr-v-s✓'-�................................................Roofingj... .................... =?....'�t�......../�............................ Floors �r .......................p............f.................... Interior ................ 0 Heating ......Plumbing .................................................................................. �-� ....A roximate Cost .. Fireplace00 PPa,��.L!...................................:......... .. ........ .................................................. Definitive Plan Approved by Planning Board ________________________________19________. Area ..... � v S•..... ................ .............. Diagram of Lot and Building with Dimensions Fee ................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OAT � z M 4,V%Z1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �� ,f Name ... ./ .111L--4 ...�C a, .. ............................ r Fagin, Donald & Lila 4 CS A _ u { 17484 add to single tNo ................. Permit for .................................... family dwelling ............................................................................... Location 259... ... Gosnold Street. . . ............... f ...... ............... . ...... . .. 1 Hyannis �f ............................................................................... Owner f 4 Donald................&..L.i.l.a..F.a.gin............. ................... frame Type of Construction .......................................... �. ;r Plot ............................. Lot ................................ _ f Permit Granted December 10 74 . ........... .... ....... Date of Inspection `" `'.....t ' Date Completed ../... ........ ..............19 PERMIT REFUSED a� ............................................................................... ............................................................................... { ............................................................................... f i Approved ................................................ 19 I ............................................................................... _ f ............................................................................... VZL15% NW�IZAIT, 40. " .14 Vv. TOWN TA MASS� OUR OF BARks� BLEti THIS IS TO CERTIFY THAT 0, yy A PERMIT AS-HEREBY GRANTED_ - Dosid1d Lila Fugin HFDM 7z, Ip OPERTY OWNER) DRESSY �Wll I C w.13i AMAs firms (boellins 114 8 Au TO (BUILD) ALTER] -ITYPE OFjUI �T) (AP�-ROX Hyam is;259 Csoqwl strNkl LOCATION: STRKET,.AND NUMBE R)DER), IVILLAGID N AME' 'BUILDER OR'CONTRACI,OF 01. 4"s 00 APPROXIMATE COST 74' �OF�LTHE��-TOWN 1, HE R -.CONFORM T ALL-THE-RULES. AND REGULATIONST 2 EE TO 0 T140 -.-REGARDING RUCTION.-.OF A STAB�K,' 'CONSTRUCTION ABOVE' R I'SvV (OWNER) ICONTRACTOR j� 4L 1.91 %�A 1117 TOIIIRM OF BARNSTABLE BULK RATE COUNCIL ON AGING U.S. POSTAGE PAID 198 SOUTH STREET NON-PRC IT ORG, HYANNIS , PIA 02601 PERT--lIT NO. 2 ll/CJ � ---- ! l �_ �� Assessor's map.:and lot number .I �'�:�ll%�..P ............ ?HE Sewage Permit. number ........... .......4.........!A ,• ' Z BJSB9TADLE. House number ......... ..... ........�.R....................:.:......:.,... t y PAS& 039. 'EO MpY a' TOWN OF: BARNSTABLE BUILDING - INSPECTOR APPLICATION FOR PERMIT TO " ...../ x�. TYPE OF CONSTRUCTION' ....-24h. .......... ?? ............................................. ✓1r�1. .9.............19: TO THE INSPECTOR OF BUILDINGS: The undersigned hehereby applies for a permit according �t'othe following Location ...... mil..f�.,.......(...�.5 / ..... ......................./.f.4!d.4,66...................................................... ProposedUse ?;ter. ..�f �!.... a>.r.(�<. ......,�,1!r�P � ! ..7.rz... ........................................................................... ZoningDistrict ............/ .....................................................Fire District .... /"5..................................................... Name of Owner .... :... ........d......... .. 1......................Address .... ............ Name of Builder �. Address t......... ...........,..4............. . .. . ....................... Name of Architect ......... .......:....Address ................................................................................... Number of Rooms '+.4.........�J :......Foundation ....n!".. !!d.�.................................................... Exterior ..O1J Ld................................................................Roofing ....../ /��.ltil /...................................................... Floors 1.( `Tr �1.?. l�l.. ................................Interior .... ..................................... Heating ....... .... ................ A 1 ... Plumbing ...j PJ.I � a Fireplace ...r�............................................................................Approximate. Cost ......................................... t / Definitive Plan Approved by Planning Board --------------------------------19-------- . Area l...p.�. ............. Diagram of Lot and Building with Dimensions Fee ............... .� 4.. . ..S .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH - { nb �� 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. �. Name ........y .! ..... ....................... Construction Supervisor's License ::......... , ............ FAGIN, DONALD A=306-175. 59 272 No ................. Permit for ..BUILD ADDITION/Basement .................. Single Family... ...........;............................... . ...... ......... 259 Gosnold Street Location ...................I...... % ...... .................................. .............. .. ........;.;.r................................ Owner ....Donald F��g in..................... ......................... .......... Type of Construction. ......Frame............ ............ .. ....... ................................................. .............................. Plot ............................ Lot :................................ `JanuarY 13.......19 84 Permit Granted ...................... .......... Date of-Inspection-...:................................19 Date Completed ......................................19 t�57 I qt IIIFW IIIf�P_Pts,�X'j Nf i4. I-If IIlk IIINn 4,N IIIIIIIIIIIII ,00 jot."IIA,IIII%i Ijk� 44 III .1,'IT cv II4�)TIIIIZ4 Ir.%IIIIIie 0,'7: II