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Home My WebLink About0228 MEGAN ROAD Q � . oFtr Town ®f Barnstable *Permit# Expires 6 mmnihsfront issue date Re lat®ry Services Fee f sARMABIX, s 9 16 . Richard V.Scali,Interim Director Building Division "IF-rRESS PE Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 RMIT wmtw.town.barnstable.ma.us OCT 3 Office: 508-862=1038 F-ati: 90-6230 E LESS PER_MT APPLICATION - R�SI�� NSTASLE > Nor Valid without Red X-Press Imprint Map/parcel Number Property Address 111 Z Residential Value of Work S `I,j?4�j '� Minimum fee of$35.00 for work under$6000.00 Owner's Naive&Address Luc/ (�� Pj/"�/'� f Chm 45LY1,e rrLb d� kid Contractor's Name, )V U n IV e u Y-,- i,)an Telephone I-Tumbe `i 1 Gt ��uGn Home Improvement Contractor License#(if applicable) _7 33` 5 E-mail: Construction Supervisor's License#(if applicable) ®Worknan's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name fl i cn i 11 s1 jfn n(,Q l io . P y ��C,9, 71 5? -'� Worlanan's Comp.Policy# �' � � �?� ��-��qG4 Copy of insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing tasters of roof) Re-side Replacement Windows/doors/sliders.U-Value O (maximum 35)#of windows _ of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. "where required: Issuance of this permit does not exempt compliance with otter town department regulations,i.e_Historic,Conservation,etc. ***Mote: Property 0,%-ner must sign Property Owner Letter of Permission. - A copy of the home Improvement Contractors License&Construction Supervisors License is requ' SIGNATURE: T:KEVIN_D\Buildin,ChanggeslE)TRESS PERMI'iI MESS.doc Revised 061313 Imsmsts��dBtg fl RE mw-L$X ANDERsEN � .. r 'V YR<DiAC�T 'r8�_(ppOp� 26ARp^�p6�n��RCgg53f��.B..��qq�SS aa--��/M��y _ •lad.P�LK`ST FAcce OVIJ Ma2M-1;I s.401JMSW-1 TES Safi Re�aw�lbJAade�maf5ou uslio.►%t a CUSMMWBWW' DOORREKODELL'iGAG Tr symi�nc- � r-1 110-✓Q r616 rf ��sdR �t eCys �cccrdra6cCl�.. a,pfmpCo.021g: —Sac 4� - . .L. � `' �Yandt�ce;aTly_ �'P ,!�F �� out$cnuhan�nr �,��d/blaRrf.rea . b�F Aridefaca of.5wtl�cFo 31der �` nu�poe",efl�aooe: tie OYDe 9n�ao�dti�s de�6md m t3r 6�me�#a�od the neua�e of dry and on the aeadad. 1--Awe(WBDMTK&R v4mmma Otruftdc.13.CmiS6.13 iE6%T T6mJNbAfaaegw f3S ed5mttg[!� Mr�wd-ofP.gsneir: �dc E QF,6wwed ,. _. _ C�t.Cadaas�dBpideaY�=+md�itm 1l3aftf� 63hrfrr±at sc cm of Job wig: • � a �- �r�ae��aala�.r�ofa4i9.e�aesa�rtnf�bar�a�. Baenae on saa nft i��:D w aA S Canprlx;oae�jcti c,moe�a mQdr �; C�!?�. I �da+aa6smrde mdc or . 9BtIa1?R o ds>l Ms tie eefhre> indiiA 6. en�e P tit' d`.ao,�r,ooi c sag $fees of .R�e�j�� d0t ga�mr{$} (�1 _—Pu-d', 9 da2ma cQPy aiu;vsuac&edP)Waseravy �a+.a� :s��t•�etDOl�ar tz�s�WOl'�R�CTyFTB�REARg1�i1[eusr�g : fq a tl .itv em6o�mationafcle&Lb�1c.`2}boaarea. rt1 aaeapg4>hk entatihe�me f ��7C��ltoaKgap a��tTollagrs�bata�d::odie it.�14aet„ttad��o dotnggon h� ta.Y receive a partial rehaa- die ice t ieBaonBnce .(4)17.e se1>Ii�loaf m,. felty.gter or cam>aivamcjr Zb of&mpasca to Soods P a (r}]duay f[lt�s aoc �ucd dttlra akfim offweora 6raaeh allies ad tier�, �7� 9,��r aft}d's osherma�a alftee.orrhrt>�a�e�atsraiait6s 1er�dcait�eamQslr,:Ln :ballbcposisdnQf�t �gd of ae mad day-a- .$-day as a b y- ¢8 $ 3 Y?md—y tip onw&;&• •a!gatarmafldeli>�es�anrstsctdir.SeoBee aoeoftrpaoa�avtiee c�e�soeiE�eaatifacmEaraaQphm�aa6;�,�y� , �:toen edacatcas:meetoimhptare&d if.RbG&mmdc n6mc qm ppfBoffid. > ... Ria¢Nema you - TxAM Tj=AmcN ED�fexriclgt ox>oR�S PMANExrz.AmnoN,gfT=R a&= NditCROECANCEI.UMON - - - - - nON- - - Daft of �may;mood t You� l � of Tra+naebao . gfar s+fR'EJ s!>a Pal► t wk*& tl&trarisac ia�g _ O�PI► d8ft�s8+d+4!.ice b:if W dais fMM tha abar+e.daalte.fps. " awl f �rr�e b+ s�otn dtf:•aboY�. tic if '�ncsR MY PAP 7 try fir,fill, ir�e.b*l�au'unw tht t (tided irg sq f Fair.rae..�.r.ada b7 you under.de Contraet for SalS>ad aaair;; ftwir moot er kuted s. err Sale,afrd.iugr.tie�0ti�bk er truma�!aaeefrted hy,ym wAl bo r'aLrpr Nihmas,d� ldnowty 1` 6X yosi iwdE be rye witfar ten t neae pt b(r Hrs of-raw cancAh fma aatrce;an arty► eipt, trio Seder ai ftcu 1t1/ rntene* HR9ff8:am:of .M& uyiuictia.r-vkiv.by sem:4- _.:yam.m+�1.1? as�notae�affd .an►c"Ef yvxi Cfoei.YW"MA Mao nmimk to the sM ! cmoeeredt EF " a�tilc,of tore vaassee� .aN.or � defio�in�tadia0lr aa.liuod—"Waft Waft as whm 1 a �'a u.ce)� u 1ddl*ulaa�re�a�e totbe 3eQor deihreted m uefder;this Ca6rr8d nr f 1A� ,hr�Qs food carfdrti ors tiff trdfrn . SaO� . - -cnirvd�aiT goads deRvered to yrvft lender t&Co ar $alb or 1 �t�g rEyau w cam r rddt the +redons_Of i Salmi or you mw if Shp cnrrfp�►•rilh eie lie of the Sdkr the ee ai si>lpniefit oifitie goods at the. the rlm�r ng tlfe return slldpr►+onc.c+f at,the SeIItr'senptnsm i�1r.Ff lbtf do fY ldt ttra Se m arrd rbSL lfyaur do make the KTZHArn tfre.5e11ot and"u,e Settee dens not pick yp qua f o the Selhr and tlfa Balser does nor pPe#ern up ivittrin tvreritY vf.lfsa data of n; iri�.keedn.or l tM^tsttl.; a.a5 dre doe of wwdladomic.m�:rstdrr.cr a off ►gvads.w�Hr6ul am l obS ,�IE"U vddou-E J*fllrtyier obl"fgp&wL tf yau �t RW iram tho gGo�avadabia ID OM l oa d SeRekr �°'f°�ee f fa3 to maketheAda aradabre err t!� or� to wct„n,H+a g`vod�to tffe Seder-n A U to do�A syr r4u: to ea�fra ells ` t+a•!ha'.Sur trod falft& tbek you eartsur�able for pafaritoeeoe:of all ettic�.ca,d`r tlk� ;� remain 15a6saea of A oblAri� ukeler. fa .'�sand thlc 4 nmil at'd f.Cokrtra To'eaiieel th'-trs t- t;o:y. a d z fi red 'r'd .QpPJ' iris oe o_tkcai;de:tie aifjr adrer`l attd`el4otfd try of tfri6 notke or other hirittoilr w*%orserrda fm Reee*-AbiAr&wmnat i w*+tfsn arsmd&tite.WamtoR*nevrAbyAntfermnvI Stotrtlftorn llatir a��b/torian l31 Q 6Ek•1 54utherR ldefc VrAhm a tt Ram% R10 „ KM LAtTER TMM M DNIGW-OF f NCW LAMER MIQId;GW QF_ HERMY CANGRl'MSTRAMMCTKM t F H E FMT QVWALTH tS T PAN M"Cft u"sue.. fMeelte•iWoas. i►�ittiei� Orto - RbJ1 Cow 1k1�(te Rryrr t7epi-YdoiR} tk�Cepr 1SnE ,a< f Southern New England Windows d.b.a Renewal by Andersen of SNE Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License:CS4096707 e BRIAN D DENNLSON 71 ANM POND C'R s t Charlton MA 01V I X 1 5r.4---& ,n,t Expiration Commissioner091f0MIG � Office of Consumer Affairs find Business Regulation 10 Park Plaza=Suite 5170 Boston,Massachusetts 02116 Home Improvement.Contractor Registration F Registration: 173245 Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL Expiration: ansnote DENNISON BRIAN .............. _._.__..___.___... 26ALBIONRD _-- LINCOLN,RI 02865 _.. r Update Address and return cord.Mark reason for change. SCA1 4 20sws11 (j Address Ej Renewal Cl Employment ❑Lost Card C75F/1 V>i.M*Wucr ld c�6�aa+r.�iaaello fllre of Consumer Affairs&Business Beselation License or registration valid for Individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation c aglatratlon: 173245 Type. 10 Park Plaza-Suitc 5170 TExplratIon: 9/1912016 Supplement:,ard Boston,MA 02116 SOUTHERN NEW ENGLAND WINDOWS L.L.C. RENEWAL BY ANDERSON DENNISON BRIAN 26 ALBION RD ��-�- �- LINCOLN,RI 02865 Undersecretary Not valid without signature The Commonwealth of Massachuseus Department of Industrial Accidents Office of Investigations. I Congress Street Suite 100 Y • , fi^ MA 02114 2017 www.maSSgov/dla Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant information Please Print 1Leglbly Name (Burin oor8anizationadj id w): SOUTHERN NEW ENGLAND WINDOWS LLC Address: 26 ALBION ROAD City/State/Zl : LINCOLN, RI 02865 Phone#. 401-228-9800 Are you an employer?Check the appropriate box: F2. WE I am a employer with 20 4. ❑ I am a general contractor and I Type of project(required): employees(full and/or part-time)._* have hired the sub-contractors 6- ❑New construction ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling slip and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp.insurance.t 9. ElBuilding addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions a.❑ I am a homeowner doing all work officers have exercised their 1 I. Plumbingre myself. [No workers' comp. right of exemption per MGL ❑ p or additions insurance required.]t c. 152, §1(4),and we have no 12.❑Roof repairs employees. I FN Other VIANDOW REPLACEMENT (No workers' comp.insurance required.] Any applicantthat checks box 11 must also fill out the section below showing their workers'compensation policy information. Homeowners who submitthis affidavit indicating they are doing all work and then hire outside contractors Contractors that check this box must attached an additional sheet show c ors must submits new affidavit indicating such. w the na me of the employees. If the sub-contractors have employees,they must provide their workers' sub icontractors and state whether or not those entities have comp,policynumber. «an employer that is providing workers'compensation insuran information. ce for my employees Below TS the policy and job site Insurance Company Name. ARGONAUT INSURANCE COMPANY Policy 9 or Self-ins.Lie. #: WC927938352394 08/21/2015 Expiration Date: Job Site Address: City/State/Zip: 11, i1 S Attach a copy of the workers' co ensation 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 V 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 iriolator. 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 hereby rt[fy under the pains and penaltiss'of perjury that the inforinaiion provided ab ne is true and correct. Signature- it e Phone#. 401-228-9800 O,fficial use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: ACCPR& CERTIFICATE OF LIABILITY INSURANCE 09/12/2014 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 13Y THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS). AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the eertlNCate holder Is an ADDITIONAL INSURED,the Pol)cy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain PofiNdes may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in fieu of such endorssmant(s). PRODUCERNillis of am Je rsey, Inc C/o 26 Century Blvd PHONE FAN( P.O. .Sm 305191 Ea1AIL 1- 77- - 1-B88- 67- 78 Nashville, = 372305291 V8A :Csrtificatesevillis.eos INSUNERIS)AFWRtlBNGCOVERAGE NA B INSURERA:eelectivs inenrance of 8B 39926 818URED8outhara Now Zealand Windows LLC BISURERB:The Beacon Mutual Iasuraaae 24017 26 Al l on a by Aaderaaa INSURER C- onaut Iaaurance 26 Albion Road 19801 LiaCOln, SI 02065 I NSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER•W529160 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 DOCUM ENT 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. "L R TYPE OF INWRANCE POLICY EFF PO[CY E� POLICY NUMBER LIMITS X COIMNECIALGENERALLUIBIL" PGMENMERMAL � $ 2,000,000 mea vWD CLAIMS-MADE OCCUR A S 200,000 onepwsan $ 20,000 8 2029459 08/10/2024 08/10/2015ADVINJURYj2.000.000 GEKLAGGREGATELIMRAPPLJESPER GREGATE S 3,000,000 PRO. FUIPOLICY I JECT I LOC PRODUCTS-COMPIOPAGG $ 3,000,000 OTHEIt S AUTOIIOBIIL E LIABILITY ANGLE[MR $ 2,000,000 •' nt X A ANYAUTO BODILYKIURY(Pfarwun) $ AAULLTOOSWNED SCHEDULED 8 202945E OB/10/2014 OB/10/2015 BODILY INJURY(Peracddw) j X WEDAUTOS M N YN® PROPERTYDAANAGE S AUTIDS A X UMBRELLA LIAR XOCCUR E EACH OCCURRENCE j 5,000,000 EXCFSSLIAB CLANG- 1DE 8 2029439 00/20/2014 08/20/2015 AGGREGATE OED RETENTION j 5,000,000 Tm H EMPLOYERSLIABt[TY Y!N X PER ATtITE OTH- ANY PROPRIETORIPARTN�CUTIVE E.L.EACH ACCIDENT j 2,000,000 EXCLUDED? a NNA 0000068028 08/21/2014 08/11/2015 yes E.L DISEASE-EAEMPLO S 1,000,000 DESCRt sr OF OPERATIONS blow E.L DISEASE-POLICY[MIT j 1,000,000 CrkC=W/BL t Li Covito - W927938352394 08/21/1024 08/21/2015 .L Ya- Accident - $1,000,000 tntory Limits - NC .L. Disease Policy Lot - $1,000,000 -L Disease as. Employes - $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,AddiBond Ranwrb Sdndduts,may be atadod If mom ap—Is ngWNd) 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. southern H8 LLC AUTHORIZED REPRESENTATIVE Albion Road fA cola, RI 02065-0000 �'►�t.:4 �J 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Be M6629625 RATCB:Batch t: 79627 Assessor's map and lot number .......................................... Sewage Permit number ' " Qy�F7NET0�� TOWN OF BARNS °.'- ABLEs �� i eho SAWSTODLk i -n4�1 o . M6 q.ae�5b BUILDING INSPECT Dl APPLICATIONFOR PERMIT TO ....� � ............................................................................... ....................... TYPEOF CONSTRUCTION . .. ............. ............................................... ......... .......................... ........ ....�................19..... TO THE- INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... ...... ......`. ............................................................... ProposedUse ............ ...... ... . .... ....... .... ............... ................................................................... : 1 ............Fire District ....:.. ................... ........ Zoning District ... .,.../................................................... ` ... / Name of Owner l ..// ...... ....��-C ........Address��..f��/. Name of Builder .......<..!......................./�.......... ........Address .. I................ �` ti ........... ................... ............................................... it ............�' .. ' , Nameof Architect ..................................... ................Address ................................................ Numberof Rooms f �!.............. ......................................Foundation ................ ....................... ................................... Exterior .�. . ......... ........ �r� ....................Roofing ........ Floors L� ...............Interior ...... 6 Heating ........../.........�g, ...........................................Plumbing ............ ............................................................... Fireplace ......../....................................................................Approximate Cost ........ r....V..��............................. Definitive Plan Approved by Planning Board __ ________ — � 19 ---. Area Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to`all the Rules and Regulations of the Town of Barnstable regarding the above y° construction. _ Name . . .. ...... ................... ...... ..................... Dacey, William Jr. j 117036 one s Ory No ................. Permit for ................ . .............. single family dwelling .......................................................................... Megan Road Locatix ......................................................... Hyannis ............................................................................... i `.� .+ , " �' r Owner William Dacey, Jr. ......................... frame Type of Construction .......................................... .................I.............................................................. Plot ............................ 1149 4' Lot ................................ (,Permit Granted ....... # ril 22, 19 74.p.. . ...................... V..Date of Inspection Date Completed ...7110. .. .. 91 PERMIT REFUSED f 19................................................................ ............................................................................... ................................................................................ ....................................................I..................... ......................................................;................. lei Approved .............................................. 19 ............................................................................... .................... .......................................................... A A 0"�