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HomeMy WebLinkAbout0029 OAK STREET 04-k i 1 Town of Barnstable Buildin g 7N, cPostThis Ca,rd:So Thai,it r gVisible From>the Street^;A °roved£Plans Must be'Reta nedon Job and this Card Must be•Ke t enxivseeuiit y PP P M Posted UntilFinallnspection Has:Been Made v - _ x ", ' i6s9- to s2 `".,. �?, ' ``` .'` `` y+m : Where"a Certificate of Occu anc ;`is Re aired,such:Buildm shall Nof be Occupiedzuntil aXFinal Inspection has.b.een,rnade� Per mit Permit NO. B-19-1187 Applicant Name: SOUTHERN NEW ENGLAND WINDOWS LLC Approvals Date Issued: 04/11/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/11/2019 Foundation: Location: 29 OAK STREET, HYANNIS Map/Lot 310-264 Zoning District: RB Sheathing: Owner on Record: CAPUTO, MARIA L&BLOOM,CHARLES RContractor`Name BRIAN D DENNISON Framing: 1 Address: 29 OAK ST D Cc ntractor,,License. CS=095707 2 HYANNIS, MA 02601 Project Cost: $ 14,624.00t Chimney: Description: replace 9 windows Perrriit Fee: $74.58 Insulation: Project Review Req: y fee Paid'; $74.58 Date-",,," 4/11/2019 Final r / Plumbing/Gas Rough Plumbing: g e ..-Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months a fter:.issuance. All work authorized by this permit shall conform to the approved application and theapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zohi'h by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road, nd 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 and Fire Officials are provided on this``permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footings . 2.Sheathing Inspection " 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: "Pers s con ing with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT IMMEp � Application number..y�.:`..1.,.'�, ,( DateIssued................................................................. sw&Nsrasi.e. ® _ a63g. ®� APR 1 O,J�?� Building Inspectors Initials..................... .................. Map/Parcel..... ....z . . ........................TOWN 0 " BNRVSTABLF TOWN OF BARNSTABLE E,KPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION -------------------- PROPERTY INFORMATION Address of Project: 29 Oa.lc 5+ 1.1 a•���`s NUMBER STREET VILLAGE Owner's Name: _Ck,,r I�c s [oon-, Phone Number 50E-77 Email Address:char(,'°e,G�loa,r,C'Coca ,�,g,� Cell Phone Number Project cost$ I�1 ,6 L y — Check one Residential V1 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: 5 e e A-44 c4-\a OT-4c"- Date: TYPE OF WORK Siding U windows (no header change)# 9- ] Insulation/Weatherization Ll Doors (no header change)# Commercial Doors require are inspector's review J Roof(not applying more than 1 layer of shingles) / Construction Debris will be going to CONTRACTOR'S RAC.TOR'S INFORMATION - Contractor's name Af�j �n jow s S Home Improvement Contractors Registration(if applicable)# 17 3 Z.g-[5 (attach copy)' Construction Supervisor's License# bj 5 7 07 (attach copy) Email of Contractor Cr Stjee� Gnu • C 6M Phone number L101- z Z R -9 g op ALL PROPERTIES T14AT 14Ai/E STRUCTURES VER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A H15TORIC DISTRICT, YOU MUST OBTAIN H15TORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. V 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-4:30paL 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 HOMEEO R'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 respired by 780 CMR and the'Town of Barnstable. Signature Date FLICAN JL 9 S SIGNATURE Signature Date /4 All permit applications are subject to a building official's approval prior to issuance. r Renewal Agreement Document and Payment Terms by Andersen. dba:Renewal By Andersen of Southern New England Charies Bloom MRELACEMENT Legal Name:Southern New England Windows,LLC 29 Oak St. RI#36079, MA#173245,CT#0634555,Lead Firm#1237 Hyannis,MA 02601 SI 10 Reservoir Rd I Smithfield,RI 02917 - - H:(508)775-5925- - - Phone:866-563-2235 I Fax:401-633-6602 I sales@renewalsne.com C:(508)642-8011 Buyer(s) Name: Charles BIOOm Contract Date: 03/29/19 . Buyer(s) Street Address: 29 Oak.St., Hyannis, MA 02601 Primary Telephone Number: (508)775-5925 Secondary Telephone Number. (508)642-8011 charlie.bloom@comcast.net 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 otherdocument 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: $141624 By signing this Agreement,you acknowledge that the Balance Due;and_the Amount Financed must be_made by personal:check,.bank check,credit:card,orcash. Deposit Received: P. $7;3.12 . Balance Due: $7,312 Estimated Start: Estimated Completion: 8 to 10 weeks 8 to 10 weeks Amount Financed: $14,624 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 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: Taxes paid in Barnstable, Ma. 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 04/02/2019 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 By Andersen of Southern New England Buyer(s) Signature of Sales Person Signature Signature Gino Montesi Charles Bloom Print Name of Sales Person Print Name Print Name UPDATED: 03/29/19 Page 2 / 13 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 Expiration: 09/18/2020 10 RESERVOIR ROAD SMITHFIELD, RI 02917 Update Address and Returr?Card. SCA 20r,1-05,,7 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Suoolement Card before the expiration date. If found return to: Registration Expiration .Office of Consumer Affairs and Business Regulation 173245 09/18/2020 1000 Washington Street-Suite 710 SOUTHERN NEW ENG LAND WINDOWS.LLC Boston,MA 02118 BRIAN DENNISONG: �-- - 10 RESERVOIR ROAD SMITHFIELD. RI 02917 Undersecretary vdithOit$si�ratt�Pe Commonwealth of iU aussaclt'"t,us,etij Board of Building Regulations and ':'.0i ards 1-1SLrLlCtiOPJ Superl i s o r r �1� BRIAN ® DENNISON — y lJ � 8 BLACK ELL'®RIVE d " CHARLTON IAA:01507 Commissioner CIL I The C'otrtnionwealtft of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 a Boston,MA 07114-2017 www.mws s ov/dia 11-orkers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERNUTTLYG AUTHORITY. Apolieant Information j Please Print Legibly Name(Business/Or�eaniration/Individuaq: ,-jGA`I J n �L� Address: W ey VD/r E City/State/Zip:-3 M 1-814 t°lc ,1?1 OLq l L Phone#:_ 40/—22-,g, 7ylan employer"Check the appropriate box: Type of project(required): aemployer with 20-t—employees(full and/or part-time).* 7. New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in S: Remodeling any capacity.(No workers'comp.insurance required.] 3.[31 am a homeowner doing all work myself;[Io workers'comp.insurance required.]' 9. ❑Demolition 4.0 1 am a homeowner and will be hiring contractors to conduct all work on m 10 Q Building addition y property. [will ensure that all contractors either have workers'compensation insurance or are sole 11. Electrical repairs or additions proprietors with no employees. I2.0 Plumbing repairs or additions i.®I 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.* I3.Q Roof repairs 6Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[6he[ (, i^41—/ 152,4l(4),and we have no 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 prgViding workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: "rj CC-9 d�cS�il @/ _ (,O • Off , . (i . Policy#or Self-ins.Lic.#: \A f C a .3 15 1? 7 29 2 Expiration Date: �' —�2-0 Job Site Address: 54\ City/State/Zip: -I-1A Attach a copy of the workers'compensation policy declaration page(showing the policy numifer 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$250.00 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 certi under the poi d penalties of perjury that the information provided above is true and correct Signature: - Date: Phone#: () Official 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 5.Plumbing Inspector 6.Other Contact Person: Phone#: I ^ a ' 1 DATE(MMIOD/YYYY) .ACQR." CERTIFICATE OF LIABILITY INSURANCE 12/28/2018 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 PHCNo Ext: 303-988-0446 AIc No:303-988-0804 Denver CO 80202 ADDRESS: COMail@cobizinsurance.com INSURE S AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance Company 31325 INSURED ESLERCO-01 INSURER B:Flremens 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 OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER IMMIDOIYYYYI (MM[DDfYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY OPA3158728 1/1/2019 1/112020 EACH OCCURRENCE $1,000.000 DAMAGE D CLAIMS-MADE X OCCUR PREMISES Ea 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 �( PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY CPA3158728 1/1/2019 111/2020 COMBINED SINGLE LIMIT Ea accident $1 000000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident)AUTOS AUTOS ( ) $ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS - Per accidanl $ A X UMBRELLA LIAB X OCCUR CPA3158728 1/1/2019 1/1/2020 EACH OCCURRENCE $15,000,ODO EXCESS LIAB CLAIMS-MADE AGGREGATE $15,000,000 DED I X I RETENTION$ $ B WORKERS COMPENSATION WCA315872924 1/1/2019 1/1/2020 X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETCRIPARTNERtEXECUTIVE E.L.EACH ACCIDENT $1.000.000 OFFICER/MEMBER EXCLUDED? ❑N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Pollution Uability 793007334D000 1/1/2019 1/1/2020 Each Occurrence $2,OOD,000 Claims-Made Policy Aggregate $2,000,000 Retroactive Date 06/20/2013 Deductible $25,000 DESCRIPTION OF OPERATIONS/LOCATIONS I 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 AUU�((THORIZED REPRESENTATIVE N ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD