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HomeMy WebLinkAbout0059 SEABOARD LANE TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Parcel � Application � 4�gv Health Division Date Issued /Z- '1`t f5b .. v-7 N Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address �� S C'zit�IV �'�� °� Village U6LInn e Owner e- Mc Address Telephone - �-7 - -�/- d Z-66( ® 1 4G v�.���T Permit Request � ��2ln 1`d/1 --�/lSV(I(IQ RIOT = �� CL�'y�f��� �?9 �jl�ii �� Z S iP (-o kJV_r. VeA 4-- f A Py2r d V c, - k( 4 _- Pa d e- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structurelig_0 Historic House: ❑Yes 2 No On Old King'•s�Highway:•_0 Yes, �I'No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other 4E Basement Finished Area (sq.ft.) Basement Unfinished Area Number ofi Baths: Full: existing new Half: existing new , Number qfi Bedrooms: existing _new Cn ,; Cn Total Room Count (not including baths): existing new First Floor Ro m Count Heat Type..and Fuel: ❑'Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes WNo If yes, site plan review# Current Use R:!�SjAA GQ- Proposed Use Re APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name r aLV�'0✓�S Telephone Number 777q- 2S-7 -0 Address - 14f rIMG1 License # I hA 6 ,4 31 Home Improvement Contractor# 6 Email . Y6`� Q`�/orker's Compensation #V -1tad-661�3i�'26� ALL CONSTRUCTION DEBRIS RES LTING FROM THIS P/ROJE iCT WILL BE TAKEN TO M Us-�^ Ayva- Un SIGNATURE DATE l2- �1, G FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ~- I MAP/PARCELNO. ADDRESS VILLAGE OWNER L DATE OF INSPECTION: C FOUNDATION z FRAME ' INSULATION .t ' FIREPLACE Ii X. ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED-OUT ASSOCIATION PLAN NO. i' " ti Housing Assistance ' Corporation Cape Cod HOME OWNER WEATHERIZATION WORK PERMIT&FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. ` ereby consent to and agree that weatherization work may be doh y the Weatherization Program. of Housing Assistance Corporation ( herein after referred,as "Agency" ) on the property located,at: .S d i The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping & caulking of windows and doors, insulation of attics, sidewalls & basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows. In consideration of the weatherization work to be done at my home I agree to the following: I. I give permission to the "Agency" its agents and employees to travel onto or across said property with such- equipment and materials as may be necessary to perform weatherization work on said property. 2. The 'Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization , work is completed. I ave read the provisions of his agreement as listed and freely give con"sent. �� me Owner": (Signature) tDate: LJ { j Agent:. signature) Date: The Commonwealth ofMassach.usefts D44rft' l:ent of Industrial Acddent s Office of Invesfigadons - b�� S3�asfai�gtvar,�dr�ef - Boston,,IW 02111 www ma's&gov1dia # Worker'Compensaflin In urante , davIteBuilders/ContractontElectricians/Phunben ApjLhSaat IafarWft .. ,.w :� 3P gk EE at LWbly Name(ws siorgeni aboz>fi &victual}.Lr`2/ Add :S o l 4r,.,r .s- Are you an employer?Cbeck the appropriate box. Type of project(relW '.. 1.5fI am a employer with � 41.ri t am a general contractor and I �. blew coirstrnctiars employees(.full andtor part-time).* have.hued the sub-cogs. : .. 1(3 1 am a sole.per or parer- listed on the ate sheet .. 7.• }Remodelliing These sub-cam acuus hwre ship and have no craployees 8_ 0 Demolition working for me in an i employees and have workers' (idea�vorkera'comp,tnstlrart� � comp..insutauce; 9. 0 Building addifon. 1 5. ale area cotpairation and ti 10--- Electrical.tTairs car additioa#s 3..0 1 aril a hota�eowsaaer l oing al l work offiaeis have exercised t1ae�::. .. 11. Fliaaabing repairs Of additiotis myselz[NO workers'cornp- rigfzt of exemp on per 11t1U .1Z oo€ 1 c 152 and we have.to � �14) .. . # . insurance r.c. ,§ (. . . 13, i3ffiec j 17; r ;t t 3a,O I am a bctnevwaaer Wig.as a employees,[No Wurireas' saaaal vontracior(refer to#4) co �ce t: mp. reg4urer3. .:: ;Any ayplic�at do check.box#1'must also.fill out.the section helovir.showing*=wse tae eo. �oi�y aafrnmatsan . liameowuaa who submit af�id9nt:indiearing9 are doing all worn sect Cheat lie outsia#e ecinuac.tins itsyst se€bmit a ae'v affida^vsc indicating Such i .; isac as Chas chcctc ttua bey ni>tst attached au.adiibigaaai shm showing d*nsma of the shore satities h��€e... t eaaapioyess.if tha=b-c=ua s leave rmAnyem.they mast prwAde.their:workers'.camp..policy I arm an empioyer tlW is providing workersr. compemaation.insrerrance fvr my employe= 8adow as*e pvo&y artdiob sate Insurance Company ldar . Policy#or Self-ins.Lic.�: �i�� "' ta� ��� ��. � �� AF�aizatioi€Daft- to �t JobSite Address. '1 c)S'., s.�L�G�� it I�l city/Stawzipl Attach a Copy of the workersa compensation policy deelarafie page.(showing the policy num r and aaxp;i dos date).. . Failure to secure coverage as requited under Section 25A©.f MGL C. 152.can,lead to the imposition of criminal penalties of a Rae alp to$1,500.00 and/or one-year imprisonment,as well as civil pcnralties in the.form of a STOP WORK ORDER and a fine of up to 3250.00 a day against.the.violation Be:advised that a copy of this staterrteut may be fvrwaaded to tbe Office of investigations of the.DM for uasursucc coverage verification. I do herd ct tapta arbis stnd p raal#i t ofpe75Wry LW the inferwa*a provided ab~is ow oaeorreck i 2 _'1 .0070 use onI5% I)&not write.in tisas aremt,W be eowp ktedhy cite pr town officia 4 f City or'T s PermitfL,icense Issuing Authority(circle ones 1: I.lard of Health L Building Department 3.City/Town Clerk. 4.Metrical Inspector S.Ph mnbta$g Inspector b.Other Contact Person: Phone fi:- J 311.8f2014 1 : 10 : 10 PM 8740 03/06 CERTIFICATE OF LIABILITY INSURANCE ICE t>ATEItNmwt't'Yif}osrlsr2n74 THIS CERTIFICATE[S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGNM UPON THE CERtTIMATE HOLDER.'THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND,OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS.CERTMATE OF INSURANCE HOES NOT CONSTITUTE-A CONTRACT BETWEEN THE ISSUING ROKIRUqS),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the red a holder is an ADDITIONAL INSURED,the pafecy(ies)must be endorsed- If SUBROGAMN IS WAIVED,subs to We terms and Conditions otthe policy.certain policiesimay require an endorsement A merit on this cerliTicate does not confer fttda to the certificate holder in lieu of such endorsamwigsj PRODUCER 005Q9-00i CT Ja"Ford Rogers&GrayInsuralceAgency ate. : (804)SM24841 , �. (SO$)348dt23T3 434 Route 134 South Dennis,MA 02M — ---....__._._...,........__.._.....'....._.... s a.;:.._A t:71 6lf idtIral Insurance Cony 33759 TNsirR� • Fr"fwT Energy Sok t ns Ina tOMRERC; 502 Marwich Road Brewster,VA 02631 CtStrE QES CERTIFNATE NUMBER: REVISION NUMBER, THIS IS Tp CERTIFY THAT THE PO CUES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED N PMM ABOVE FOR THE POLICY'PERIOD INDICATED. VOTWRHSTAfDING ANY REQUIRtMENT,TERM OR CONOITTON OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO 1!MICH TICS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,-THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBZCT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,W SHOVM MAY RAVE MMW R€DUC.ED BY PAID CLAM. TYPE OF{TRANCE POLICY NUIMAR LJx"Y gF Ltarm GENERALi..iAIWTY I EACK CGCLI?RaiCE S Cl,T.VMERr-lAL CENSt PL UABOMY J DAMAGE TO TM.[�,5. $ C.kdRi"We F-1 00CUR. # A9H}�SP2A ry aae asoa) $ i __ _ .._. -....... ......_._. RFR,SONa&ADY WORY S - ------- GeIERN..AG-GIHEGRTE $ ;EMLAGGREGATE LOU APPUGS PER PRODi7CTS-CZHtR?+D?A^vG $ _ICY O- - £� t T AUTOMOBILE LIABILITY ANY AUTO T�DILYiN,RNRY(Per � $ AU-OWIHI SO•fI RULED - BOULY rVAM(Pei asc•rlstd} $ --- AUTOS AUTOS _ HtRH35ALRD3 AUTp 0) PROPERTY( aotlden CAM_- $ j( T UriABit13LA"WAS OCCUR EACH OCCLRRRfCE $. EXCE33LtAS Cl111A(�MAD'c AGGRIr.ATE $ DID RETENTION S $ o` s e fir I ? _� '�f,i� Iaf�ia���cLt�ib�� �.,Y� NIA HYdC:4II0�ii4531s309dA S17s1Pt824 . Si#+U2Bt5 E1.�,rtAeCl I A. oFr -- --- IAtand>Lt�•TnPtS1+I >.L.:OI&EAR-CALC�PtDY� $ 1+dI8Q,i10${t�tt i 'V P#-RAi{oNs below, •. E.L...DtSEAW-PONY U%T $ 4,tt8#I IH$l! f { DE%=FnMOFO➢ERAUMSILWA7MUSIM3dMESVltat$ACORDI(K,AMftn tl?=Wftsowdrde,ffmwespmeLsrowjied) CERTIFICATE HOLDER CANCELLATION Tow"Ofsandimch 130 Main Street SHfltiLD RrdYf3f Tt�ABr�+iE Dl 5CRI8E8 POLICIES SE CAfiiCEItEfC$EFt)RE Sandwich,MA 02563 THE EXPIRATION DATE THEREOF, NOTTCE VM.L BE DELIVERM IN EVLRtH THE POLICY PROVISIONS. , e AUMFiZED REPREfflhRATDM U 1M4010 ACORD CORPORATION.All rlgW reserved. ACORD 25(2t 0105) The ACORD name and logo are mglsterelt rnarks of ACORD 3201 ,, fle` ntbte�tte�erfl ie Basinkss k y�p6jjc ou fire/ ti=v$iid'for il9d idid ire IIi Office of fivasuo�er A#Tairs�i �egu#s� �e�'��t��.If�Rci �i�i t� - �flEMPRC)VENMW.comn cm befa the eapiis i 180854 Type: Girmn of Comma—A#airs and Basinkss n pirmom -00=6. LLC,__. I8 park is�a SaneSI76 y Reston,MA 02146 FROWIER ENERGY SE36U:Ii� 1=RA4VGf5 SHEEt1EW ... - _ — BREINSTER,N1A Q2fi31 �_�� signa#iase' i Resbicted To.CSSWC-[nsubtion Corrttador Wtosaaehus&Ms- psr<•;wet i6f PubRc Sam rd of Btfddinq iul sbns arfd Standards. f.-- L.i se.-CSSL-105941 , s FRS - ..' .. - Brffi63 `12 C-a"Iure to possess a cwTat*edition of Massachusetts :.' State Buiidmg Coft is cause for mvocatton otti}u incense. '554. Aal- .FOrI�$ 1Ag#FYFfli#F3atfFiR .. • iaCTR2'3'-'35%5342i3£:' =..7C�7iT.�t'�I' _ 02MMAIG., I Town of Barnstable *Permit# D � � Ez i gym ntks from issue date Regulatory Services Thomas F.Geiler,Direct Building Division DEC ' Tom Perry,CBO, Building Commissioner �1SJ R`B` 200 Main Street,Hyannis,MA 02�0�� ® SAS www.town.bamstable.ma.u,1 lJ Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number (J Property Address ��j ��A ' ��� LAj 'Residential Value of Work 1'ja g na Minimum-fee of$25.00 for work under$6000.00 Owner's Name&Address �9,-C C / /►Y Contractor's Name?1 Telephone Number 7 J Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) Oworkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner (�I have Worker's Compensation Insurance Insurance Company Name AmrizlCflt'i No1nE Workman's Comp.Policy# W C q3O 59 /3 Copy of Insurance Compliance Certificate must be on file. Permit 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 Replacement Windows. U-Value 31 (maximum.44) "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. Home Improvement Contractors.License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 gt�Ti GoL , �trahidin t v„`Sci- t.3 SOLD,FURNISHED&INSTALLED BY, I e OME Bil-Ray Aluminum Siding Corp.of Queens,Inc. ! I 11 U13113 Cedar Street•Unit S2-Milford,MA 01757 JOB# RHODE ISLAND LIC.N0.13707 MAINE LIC.NO.DD1893.•NH LIC.NO. MASSACHUSETTS LIC.NO,120456•,VERMONT LIC:N.Or, NEW YORK CITY DEPARTMENT OF CONSUMER AFFAIRS LIC.N0.0730686•NASSAU'LIC:NO.H2764150000•SUFFOLK LIC.NO.21194HI•YONKERS 1.397•PUTNAM PC934 WESTCHESTER WC0613=H87•LONG BEACH GC2001 •NEW JERSEY LIC NO.9949269 CONNECTICUT DEPARTMENT OF CONSUMER AFFAIRS LIC N0 00532774 Boston Area Hartford Area Local Area ServlceYRepalrs( 888 245 729b 888 245-7292 508-422'9b93 888 245 7295 FI D No 11 2320449_i. DATE C. SOLDTO . ✓� ( I: ZIP y y C2/L CITY C1 (Z STATE ADDRESS .,__� PHONE HOME( c?�c 1 � 1 �G'�2 _) WORK( ) EMAIL ly I JOB 51TE ADDRESS(IF DIFFERENT) APPLJD VINYL&ALUMINUM SIDING General Description of Work at-Above Address:' ► ° 4Type of House rarpe O Masonry (REQUIflES FIRRING) Date which work is scheduled to begin:,—�_ Date work is scheduled to be substahtially completed: • 'a • APPROVED MATERIALS WILL BE FURNISHED AND INSTALLED TO THESE SPECIFICATIONS: ecificati ns PLEASE READ CAREFULLY:ONLY ITEMS CHECKED"YES"ARE INCLUDED IN YOUR ORDER. �(E}NO �,; b7`61UTAR�ILEADERS NO 1.>X1 O SOLID VINYL SIDING cover only flatwall areas designated for siding; 16 remove ezistin an replace with new custom / except th areas de i ed below. 17. O SHUTTERS rovide&Install ai pro ed. n /? seamless utters and leaders hite O Brow Size oloY Pattern Package p y polyst ene Custom�Iner posts color )' shutters; . -Color ,'- 1 AVO I ING will be applied to the follow) g areas only: 18'O MASTER MOU provide&Install for exterior light flxtur s only. ront Elevation Rear Elevation O Other 18AJ Lights# — 18B.) Elect Outlet# ft Elevation �ight Elevation O Other 18C)Dryer Vent# `• Color Partial Details 19 O;GABLEV TSiproyl n all F verit.'s: O Entire Details: Color o circular:`or triangle vents.' 2.jQ O INSU. TI N cgv�r only flatwall areas designated for siding with 20 O`CLEAN P property at completion of work ' inch insulation. 21 O INSURANCE All Workman's Compensation and Liability to be maintained. 3: O Use appr led GALVANIZED STEEL STARTER STRIP where contractor 22 0 WARRANTY Mail to customeriafter completion&full payment is received. 23. O PAYMENTS on NON-FINANCED orders installer is authorized to collect deems necessary. (Not available with Nailite) progressive payments. 4. O Siding to be applied over.EXISTING FOUNDATION. 24 XO'ADDIfiIQNAL WORK (notspecifiedabove) 5. O Use approved PERMA TABS AND FINISH STRIP where contractor deems necessary in same color as siding.(Not available with Nailite) 6. 0 WINDOW OPENINGS I J O Custom wrap withapproved vinyl clad aluminum # Color � B.0 O Work Not to Be Done O Jump over asings with siding andl"channel #. Color O Channel existing window only(eg.Andersen type or previously wrapped)# Color i Other details 26.0 0 Rep atr:or Replace,the following woods 7. 00 CAULK all sills with rubberized color coordinated caulking. 8. O DOORS custo wrap with approved VINYL ALU INU of Doors — Color �A �' `f 9. O GARAGE DOOR FRAMES custom wrap with approved WYL CLAD ALUMINUM. Color TOtdl5aleRrlce .. O Single O Double with Mull O Double NO Mull INDICATEF.ORMOFQAYMENT Xo FASCIA custom wrap with approved ` Csr .Deposit With Order i 33°/o $ `' VINYL CLAD ALUMINUM. Colo 11. O SOFFIT(eaves/overhangs)cover with approved SOLI YL S IT Payment on - M o l " SYSTEM.Except area noted below.1/3 Vented.Color A Measure or Start 33/° $ 12 0 ROTTEN WOOD Will only be repaired or replaced where specified on. Balance Due on line.item#26 listed below.Any additional areas needing a repair Substantial Completion 34 0 $ will be estimated upon their discovery and priced accordingly. Total Amount of Does not include wood studs,or exterior sheathing.) F 13.0 REMOVE EXISTING MATERIAL exterior of house. O Other Balance to be Financed. Vinyl O Aluminum O Wood Shingle O Wood Siding, . If financed balance is payable in monthly installments of approximately$ per month 1payable:liy Owner.to Contractor, 14.0 PORCH CEILINGS cover with approved SOLID VINYL CEILING MATERIAL but if financed by Owner then Owner wlll`pay said amount o the:lending n the following areas: plus such interest and credit service charge.of said lending irstt payable dlrectlytotllele.rdlRglnstrtutionloani(1�sychrnonles IUlscoyntsHeve fo"Ovner and'wlll execute a jZe'tail Installment i BeenAPPued 15.0 BEAMS/COLUMNS wrap with approved VINYL CLAD ALUMINUM. obligation and any documents required by such DeterreaPaymknt o circular or round columns) Color ending institution in connection with said loan. hSere:t will acwe NOTICE:Iffinanced,anyholderofthisConsumerCreditContractissubjecttoa))claims SALESMAN HAS NO'AUTHORITY,TO CHANGE ANY ITEMS OR MAKE AN` and defenses which the debtor could assert against the seller of goods or services REPRESENTATIONS OTHER THAN CONTAINED IN THIS AGREEMENT AN[ obtained pursuant hereto or with the proceeds hereof. Recovery by the debtor shall "OWNER"REPRESENTSTHAT NONE HAVE BEEN MADETOOR RELIED UPOI not exceed amounts paid by debtor hereunder. BY"OW NER':YOU ARE ENTITLED TO A COMPLETELY FILLED IN DUPLICATI "OWNER REPRESENTSTO HAVE READ AND RECEIVED ADUPLICATE ORIGI- ORIGINAL OF THIS AGREEMENT. NAL OF THIS AGREEMENT AND TO BE THE AUTHORIZED AGENT OF ALL "OWNERS"OFTHIS PROPERTY UPONWHICHTHEWORKORTHEMATERIALS "YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANYTIME PRIORTO MIDNIGH ARE TO BE SUPPLIED. NOTICE TO THE HOME OWNER(S),GUARANTOR(S), OFTHETHIRD BUSINESS DAY AFTERTHE DATE OF THIS TRANSACTION.SEE ATTACHEI LESSEE(S),CO-SIGNER(S):' NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OFTHIS RIGHT ON ALL ORDER Contractor,at the expense of owner,shall procure all permits required by law. CANCELED AFTERTHE RECESSION PERIOD,.CUSTOMERS WILL BERESPONSIBLE FOR 1. Do not sign this Agreement before you read it or if it contains any blank spaces 45%ADMINISTRATIVE AND RESTOCKING FEE.. or if it does not contain everything agreed upon. SEE REVERSE,SIDE FOR.ADDITIONALTERMS AND CONDITIONS BY.SIGNATUR 2, Any person who shall have co signed,guaranteed or signed any credit application BELOW,CUSTOMER AGREES TOT TERMS'OUTLINED ON THE REVERSE OF TW or.note relating to this Agreement hereby accepts to be bound by this Agreement. CONTRACT, 3. Owner(s)represents that the contents on the back of this Agreement is a true part hereof and has been read'and accepted by Owner. 4. ALL INSTALLATION/LABOR GU RANTEED (ONE)YEAR. /// l -. ',r� F 1 I .� t % i. .,'; , i , fI ' IVVf��✓ Contractor Acce'te - I DATE Print - ' / Q�' 0`nC� nature Si �. Salesman's Name 1� 9 _ (customer i Salesman's i 9 SI nature License No. (Customer5igriNeie)" 02006 Rli Ray Group All Rights Reserved 07M I1 ,r Window C6htV* 't- SOLD,FURNISHED'&INSTALLED BY OMEC uBBil-Ray Aluminum Siding Corp.of Queens,Inc. i 113 Cedar Street•Unit 52•Milford,MA 01757 JOB# ��0�� C1 L� " MAINE LIC.NO.DD1893•NH LIC.NO. MASSACHUSETTS LIC NO;120456,VERMONT LIC.No. RHODE ISLAND LIC:N0.13707 NEW YORK CITY DEPARTMENT OF CONSUMER AFFAIRS LIC.NO.0730686'-NASSAU iit.NO.H27041s0000•SUFFOLK LIC.N0:21194HI•YONKERS 1397•PUTNAM PC934 WESTCHESTER WC0613-H87•LONG BEACH GC2001 •NEW JERSEY LIC,NO.9949269•CONNECTICUT DEPARTMENT OF CONSUMER AFFAIRS LIC.NO 00532774 Boston Area Hartford Area Lo:.im Area SeivlcelRepalrs 888-245 7296 " 888-245 729a 508-422 9b93 88� 245 7295 Fl D No 11 2 zo449. SOLDTO L (✓ Q i :.: ` DATE ADDRESS" 01) ;CITY ea yl {� '� STATE ZIP�0=1 PHONE HOM �� /- wORK( . ) EMAIL I' JOB SITE ADDRESS(IF DIFFERENT) APP IED VINYL W NDQW 5YST Ms.-" � Type of House rame O"Masonr General Description of Work at Above Address:: i' n'. yp y Date which work is scheduled to begin: "'C' �� Date which work is scheduled to be.substantially completed: • a APPROVED MATERIALS WILL BE FURNISHED AND INSTALLED TO THESE SPECIFICATIONS. Speci icatio s PLEASE READ CAREFULLY:ONLY ITEMS CHECKED"YES"ARE INCLUDED IN YOUR ORDER. p0 Y,S NO it 11 O REMOVE WINDOWS from open' where they now exist on: 22. 0 SPECIAL ORDER Windows(in Addition to Above) 2. O FIRST LEVEL #Openings 7z #New Window Units 3. 0 SECOND LEVEL #Openings #New Window Units 1 L fl0 C- r 4. 00 THIRD LEVEL #Openings #New Window Units 5: O O BASEMENT #Openings #.New Window Units 23 VI0 CLEAN UP job related debris will be removed from property on 6. O 0 OTHER #Openings #New Window Units completion of work,'REMOVE AND DISPOSE of existing windows 7. 00 REMOVAL OF METAL or other units requiring modified installation and/or storm windows #Openings #of Units 24. O INSURANCE All workman's compensation and liability is maintained 25. O,WARRANTY:Mailed to customer upon completion&full payment is received 8. 0 f�"Install new PAINTABLE MOULDINGS 26. O PAYMENTS (On non-firiancedordeis)i5payable to installer on day Inside Stops #of Openings of installation Clamsheli or Casing #of Openings l"" 27. Additional information 9. 00 Install new MASTER FRAME #of Openings 10. 0 New window units to have FUSION WELDED SASH# Ic �; ' J� LJ 11: O New window units to have FUSION WELDED FRAME # JA 12.. O New window units include Insulated Glass 7/8"total thickness .G with the following INSULATED GLASS OPTIONS: h v O 0 12a.) Triple Glaze Double Low E Krypton filled R-10 rating 28.0 O Work Not to Be Done (includes injected foam insulated sashes&frames) #Of Units 0 0 12b.) Triple Glaze Single Low E Argon/Krypton filled R-6 rating (includes injected foam insulated sashes&frames) #of Units ; 0 12c.) Double Glaze Single Low E Argon/Krypton filled t (includes injected foam insulated sashes&frames) #of Units-� O 0 12d.) Double Glaze Single Low E Argon filled #of Units 00 12e:) Sun Clean Glass(on exterior) #of Units 13. 'O New window units to have CAM LOCK(s)or LATCH LOCK(s) .. TaW Sal@ P1'ICe $i' 14. O New window units to have NIGHT/VENT LATCHES(double hungunitsonly) INDICATE FORM OFPAYMENT 15.0 New window units to have OBSCURED GLASS O Full 01/2 # Deposit With Order BOX $ 0 16A0 New window units to have HALF 0/2)SCREEN Payment on (fullscreenoncasementtypewindow) Measure or Start 33% $ 17.0 Windows to have GRIDS "Colonial - Diamond '' Balance Due on O Fuli 01/2 Additional info Substantial Completion 34% $. II&VO Install PVC ATEDIALUMINUMjtowind frames Color 9 A,'VO T e,I ")Ono #of Openings Total Amount of Balance to be Financed $ 19.�0 CAULK AND SEAL windows with 3 point system If financed, balance is payable in monthly installments of 20.X0 COLOR OF WINDOWS to be bi&ite OTimbertone O Sandtone approximately$ per month,payable by"Owner"to Contractor, 21.0 0 Total#Double Hungs Total#Two Lite Sliders but if financed by Owner then Owner will pay said amount to the lending Total#Casements Total#Three Lite Sliders plus such interest and credit service charge of said lending Instrtut on payable Total#Hoppers Total#Dead Lite/Pictures directly to the lending institution loaning such monies. pisca`unts Nave to"Owner"and will execute a Retail Installment' 9eenAppgea Total#Awnings Total#Basement Sliders obligation and any documents,required by such` Defer edpayment Standard�or Equal lending institution in connection with said loan. Interelst will Accrue .a.,, ,+� CONTRACTOR IS N'OT'RESPONSIBLE FOR ANY EXISTING SECURITY SYS� i1fS;IPL�ASE REAAOUE p�LSHADES, . ;VERTICALS,BLINDS,:CURTAINS,DRAPES IR WINDOW MOUNTED AIR CON..D..ITIONERS,PRIOR TO THE INSTALLATION'OFYOUR NE1V WINDOWS. INSTALLERS ARE NOT RESPONSIBLE FOR THE REMOVAL OR,INS7gLLAT10N OF THESE TYPES OF ITEMS NOTICE:If financed,any holder of this Consumer Credit Contract is subjectto all claims CONDENSATION INSIDE THE HOUSE DOES NOT INDICATE A WARRANTY and defenses which the debtor could assert against the seller of goods or services PROBLEM. obtained pursuant hereto or with the proceeds hereof.Recovery by the debtor shall _ not exceed amounts paid by debtor hereunder. SALESMAN HAS NO AUTHORITY TO CHANGE ANY ITEMS OR MAKE ANY "OWNER REPRESENTS TO HAVE READ AND RECEIVED A DUPLICATE ORIGI- REPRESENTATIONS OTHER THAN CONTAINED IN THIS AGREEMENT AND NAL OF THIS AGREEMENT AND TO BE THE AUTHORIZED AGENT OF ALL "OWNER"REPRESENTSTHAT NONE HAVE BEEN MADETOOR RELIEDUPON "OWNERS"OFTHIS PROPERTY UPON WHICH THE WORK ORTHE MATERIALS BY"OWNER':YOU ARE ENTITLEDTO ACOMPLETELY FILLED IN DUPLICATE ARE TO BE SUPPLIED. NOTICE TO THE HOME OWNER(S),GUARANTOR(S), ORIGINAL OF THIS AGREEMENT. LESSEE(S),CO-SIGNER(5):' "YOU,THE BU ER,MAY CANCELTHI$TRANSACTION,ATANYTIME PRIORTOMIDNIGHT; Contractor,at the expense of owner,shall procure all permits required by I,aw. Y 1. Do not sign this Agreement before you read it or if it contains any blank spaces OFTHETHIRD BUSINESS DAY,AFTERTHE DATE 0.T STRANSACTION.SEE ATTACHED. . or if it does not contain everything agreed upon. NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OFTHIS RIGHT.ON ALL ORDERS., 2; Any person who shall have co signed,guaranteed or signed any credit application CANCELED AFTER THE RECESSION PERIOD,CUSTOMERS WILL BE RESPONSIBLE FOR A or note relating to this Agreement hereby accepts to be bound by this Agreement, 45/a ADMINISTRATIVE AND RESTOCKING FEE:' 3. Owner(s)represents that the contents on the back of this Agreement is a true part SEE REVERSE SIDE FOR ADDITIONAL TERMS AND CONDITIONS..BY SIGNATURE hereof and has been read and accepted by Owner. BELOW,CUSTOMER AGREES TO THE TERMS OUTLINED ON THE REVERSE OF THIS' 4. ALL INSTALLATION/LAB R GUARAN ED 1(ONE)YEAR CONTRACT �. ' rs-, DATE Contracto A t - .. 1 (Signat-a -^'.- 1,/ Print Salesman',s Name r Signat - - ,(CustomersignHe License No. Signature +(CusidmerSigni Here), . e. . 02006 Bit Ray Group All Rights Reserved 0706 �fxe Z�a»tmwozu�ea�.o�✓�,aeaac/u.�aeka Board.of.Building Aewlat► and Standards. License or registration valid for individul use only before the expiration date. If found return to: 6 E IMPRt T CO RACTOR Q emulations and Standards of Bodin Re Board b b eigis#ra 20456 One,Ashburton Place Rm 1301 02008 Boston,Ma.02108 element Car ! B&4:RAC PAIIL NEARY 40 ELMDN� 3D ✓� � �y � ELNIONT,t Y 1003 :p d lstrator Not valid without signatq j it e, c die EomrnonavesaPth Mas,sachusetts Depat-tment..of Industrial Accidents ca '_� Office. of�nveszzgati�ns v'00 W S.hinaton 5'tr�eet I Boston,MA 02111 a s' www..Mass.b ov a a rbers'�;o pen a on nsuranee A davit: ceders/ContractorslEle dans/Plumbers fDl cant oa�aat o �Ie se � t eq°ibiY 1 � =Name fB�sdessiOr,�nizaiionllnmvidual): � t-n ate: i. s - 4 � I City/State%Z : I Are you an employer?Che k the apPropriaie bow: FC�8, ijeci,(rs�uuetl):. 1_ I am a employer with 4 I`am'a geneial contractor and I:. = w onstrnction erraloyees(ialL and/or par-time).* have hired the sub-contractors +?_❑ Tam a.sole propri for oc partner- listed onthe aftach.d-sheetThese sub=contractors:7save molition sip and have no employees working forme.ig•any capacity. workers' comp.;n�,T�nce. ciing addition wow=' comp_insurance 5. ❑ We are a corporation and its ctrical repairs.or ad=ca:Ls ofnc�shave exercised their .3 Q T am a homeo caner doing all'work ght of exemption per MGLaning repairs or adoitions c. 152,.,g.l(4), am we have nq. 12_❑Roof i epairs zzyself No workers camp.. - ;n once requ>iad l.t employees. [No,workers, 13_F� Other, comp.-insurance required.] =cry=jic�t�;,checlz:box-1 must also�i ourthe section below showing their workers'compenssn°n policy in?°rm on Homeowners who submit this afidavii indicating they are doing all work and then hire outside contractor must submit a new Ada llmsuch. �oncior that check this box mus attached an additional she showing the name of the sub-contractors and their workers' comp.p y 1 am an employer that is providing workers'compensation insurance for my employees. Below is the pou�y and job site. . �armatzon. I ice Company N=e_/ }7�Pf`I nn . �. C �V 7 j / t�j tion Date Policy=or Sel-im,L i� �:i J `7� EE'pua job.site Address .`�....5 /91�'2 iy Ci /state/zip a,+ ©C 6 Attach a copy of, the workers'compensation pohcy:declaration page showing;hegolicy mmnberl�d••e ration date). e as required under Section 25A of MGL C. 152 can lead to the imposition oficrimir�al penalties or a Paihue to secure coverts �e Dne up to S.1,500.00 and/or one-year imptisonment, as well as civil penalties in the'fam� be forwardea to th O n o d a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may lnvesd-,mJons o h ttee DlA.for Mi s ce coverage verification. I do hereby ce " under the pains anti penalties of perjury that the in formaaion provided above is true and come Date: — > Phone;_ — Z..- Official use.only. Do not write in this area,to be completed by city or town offzciaL - erm3tlLIcense` City , ar` OWB. Issniiig antY(circle ones: actor,5.Plumbu�Insp r .Board o Heap 2.B �gDepartih.ent 3. City/Town Clerk 4. lecirical ncn 6.Other i done t. =. .• Cantai~Person: PAGE 02 09/29/2006 10:'02 5166295657 I. DATE(MwDD--1 11 OP ID L 09/29 06 CERTIFICATE OF LIABILITY INSURANCE BTLRA-1 THIS CERTIFICATE iS ISSUED A5 A MATTER OF iNFORMATtON PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE,CERTIFICATE SCS Agenev, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR p.0. Box 220993 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 11 Grace Avanu® - Suite 300 TNAtC# Great N®ck NY 11022-0493 ►NSURERS AFFORDING COVERAGE 18376 phone: 516-466-BOOT Fax:516-829-5857 INSURER A: Hermitage Znsuranoe CaMPLaY 22357 INSURED INSURER B: The Har=t ord 16535 Bil Ray Aluminum Siding Cow• INSURER C: aurieb-American Inenreno• C°• Of QuAeno Inc. - INSURER 0: Elaton 40 t Road $l>Y►OAG NY 110 0 3 INSURER E: is CDVERAGES THE THE POLICIES OF INSURANCE LISTED BELOW HAVENY C SEENONTRACT OR OTHEP,ISSUED TO THE(DOCUMENT WITH RESPECNSURED NAMED ABOVE T TO W E��S CERTI CLUIS ONS AND TFC.00 0�O�O O�DIHG ANY REQUIREMENT.TERM OR CONDITION Or A MAY PERTAIN,THE INSUFANCE AFFORDED BYTME POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE LIMITS POLICIES,AGGREGATE LIMI TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, POLICY NUMBER DATE MNIID DATE MMlDD/YY DIY 1 EACH OCCURRENCE S 1 r 0 0 0,0 0 0 LTR INSRO TYPE OF tN9URANCE S 10 0,0 0 0 GENERAL LIABILITY 0 8/2 5/0 6 0 8/2 5 1 0 7 PREMISES Ee occuranw $ COMMERCIAL GENERAL LIABILITY 11GL4 S 9a 7 9-0 5 MED EXP(A!iy one Person) S 5,000 A CLAIMS MADE X❑OCCUR PERSONAL Q ADV INJURY GENERAL AGGREGATE S 3,000,000 PRODUCTS''-COMPIOP AGG S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER! POLICY I I JECT LOC COMBINED.'SINGLELIMIT $ AUTOMOBILE LIABILITY (Ea zc ddenq ANY AUTO BODILY INJURY S ALL OWNED AUTOS (Per perori,) SCHEDULED AUTOS BODILY INJURY S HIRED AUTOS (Peraedaenq NON-OWNED AUTOS PROPERTY DAMAGE S (Por accldenl) AUTO ONLY-EA ACCIDENT S •,_ GARAGE LIABILITY - EA ACC I S OTHER THAN ANY AUTO AUTO ONJ. LY: AGG S EACH OCCURRENCE S EKoEsWUMBRELLA LIABILITY AGGREGATE I$ OCCUR ❑ CLAIMS MADE 'I 1, DEDUCTIBLE - �' S RETENTION $ TORY LIMITS ER* WORKERS COMPENSATION AND 0 9/ /O 6 0 9/2 4/07 E. CH ACCIDENT $10 0000 B EMPLOYERS'LIABILI UTiVE TY 12t4RRR4 4 87 EL.D EASE•EA EMPLOYE . 100000 ANY OFFICERIMEM EP,EXCLUDED?EC E ISFASE•POLICY LIMIT S 500000 IIyee deecr(be under SPECIAL PROVISIONS below I OTHER 10/0:1/06 10/0110-7 ".Statutory C Disability 1794038 DESCRIPTION OF OPERATIONS!L<Y ATIONS I VEHICLES I EXCLUSIONS ADOSD BY ENDORSEMENT!SPECIAL PROVISIONS ii j 1, CANCELLATION CERTIFICATE HOLDER pp.00FOF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED OEFORETHE EXPIRATtC DATE THMPOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO$0 SHAL IMPOSE ND OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR PROOF OF COVERAGE REPRESENTATNE9. AUTHORIZED REPRESENTATIVE i G, ®ACORD CORPORATION 19 ACORD 25(2001108) M"7"ns.s31 3! - ��-`ate-� i -.-•:.� ,= •:'!� _ -- �:i ---�_:-�._._. _ _ r i .. --_ --. ....._�_. it . • - .�•� .sa�a:�np¢ai�uia�dspr��mu{pnon - . - '' �;a�taunttffm�sipaxuu.Elu.p" - nnasia�^�m.�� , t _�^ aaaid � a dn2.ai:�diva2stiu�ozov��� e a umsmJL ❑ie?mpg atu[cr�fIssh'�r_ tL-r�ft8= [lam uoaE!uiatu�a�oui_a_ 7 4 �t.enu[t[e ,{lxiair ' . aiF3sacipu�aann[�`' ?l. �? ad�:*zttrl�u�p�adav,}R. . ,�Gtai t 'JIB, duedluu¢®ugwU 4MIV W y: ' 5NI���yd�QQ�,v[daNiM���ttu+ti"dnd"d_d�4�tN � • JI �t �sess 's ma/® �aoZ U d l tuber . .`70 , p Q�l A; r FTNE . yO TOE Sewage Permit number Z BARNSTABLE. i Housenumber .......................................................................... 'oc r6 9.3 �0 'E0 M A'- TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...:....:.:.'fit..... . .. , " r ................: . . ......................................................................... TYPE OF CONSTRUCTION ..............�L16f,�.�......ij%�i :f� j................ /............... '..' ............... .. .. ti TO THE INSPECTOR OF BUILDINGS:` The undersigned hereby applies for a permit according to theD following information: Location ......... '!........ ...f .....!. � .r .r.�..........................z.../9; . f`y. : ..: 5.......................... ProposedUse ......... ...:''�!/...... .i?;T.... ................................................................................................................. ..... l Zoning District A .................................................Fire District 'f Name of Owner .. . . ...............Address ...... .£....................... . Y' c Name of Builder ....CR%. ..... .... .r ..f...... :.:..............Address .....J.. /��l / .................................................. .II....... Nameof Architect ..................................................................Address .................................................................................... f� Number of Rooms Foundation �kk,,4 �::!�......�%,/V' ................................................... ................................. ........ r Exteriorc /' ..kYi......................................................Roofing ../.....i.1..../....J.............�.........................:........ Floors �.4 A �''`r Interior f>/ ....... ............... j .......................... .......................................................... ..... _ J , Heating .�� f Plumbing Jf��%it f fi i � r i............................... . .. ,� .. ........... Fireplace -'`":.........................................................Approximate Cosh /.; �....................................................... Definitive Plan Approved by Planning Board ------ �_r__-'-------------- 19I__. Area '" �....'...........j..... Diagram of Lot and Building with Dimensions Fee .............................. .............. SUBJECT TO APPROVAL OF BOARD OF HEALTH W f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' f Name ..........:f"........................................... ......... GRE�B�- E � PMEI1TT CORP. No .... Permit for One Story........... Single FamilX�ling,,,,,,,,,,,,,,, Location Lot 59 Seab4s >;d..L�ne Hyannis" ............................................................................... Owner ...Greenbrier Dev�J„ppx(Ler ...Corp, ...A ............ Type of Construction ........................,, ................................................................................ Plot ......................... . zot ................................ Permit Granted .. ...ber 19 19 80 Date of Inspection .................... ...............19 Date Completed ................. ....................19 PERMIT REFUSED ........... .0)..i.................................. .. 19 r ...t7-4) .......... ...................................... ......... .... .................. D :.. .....�...i.. ��v................ Approved ................................................ 19 ............................................................................... ............................................................................... aor�s` map and lot number �?.................:.:..... � j0 FTHET EPTIC SYSTEM MUST Sewage Permit number `........... IN o� STALLED,IN COMPEL House number ......... ...:........................:...................... ,.A WITH TITLE5,,.' 9 BAHH�98T�LE N p �1�� J� a 639 + r 0 m Fr• p. TOWN OF `BARNS ws j f. .,. . BUILDING , INSPECTORAPPLIC ION FOR PERMIT TO ..... ...................... ..... TYPE OF CONSTRUCTION .....:..... ...G✓CIC!c......... so/ � ................................... J ...... .... ..................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby.applies for a permit according to the following information: 7— 0-4rLocation ............. .? .. ... /� pIQ ..... ¢t � -••••••.` j................................... ProposedUse .........�T z. ....1..N.. �./ ......................................................................................:.................................. Zoning District ......r....Ac................................................Fire District ...../Y Name of Owner c�e,./6et/� � GnP .....:...Address :&"k ✓zo ��-'!///C:, :t✓/ll.. .............::... C Name of Builder ........!.�.:..... ... ����\t .... ..........Address .....J..��.. ................ ........ ........ . Nameof Architect ..................................................................Address ............................:........................................................ Number of Rooms .............. .............................................Foundation �.�f/ {.�(. J ................................... Exierior ........ av...... ..............................................Roofing ............. �`�j]/!Qe.r.........��J .................... /...... Interior 1 .7-1 Floors �i�( 1. G� .............................................. Heating ........ F!��!� .U..�` ......:.................,..........Plumbing ...../Y v. ...,1. G ............................... Fireplace . �� ....'.......Approximate Cost ...�/.. ao Definitive Plan Approved by Planning Board _____ ----------19(9_Q__. Area V..v... / Diagram of Lot and Building with Dimensions Fee J ' SUBJECT TO APPROVAL OF BOARD OF HEALTHQ� I hereby agree to conform to all 'the Rules and Regulations of the Tow of Barnstable r -arding the above ^' construction. 01 Name ......... .........`... ..................... ...................... .,GREENBRIER DEVELOPMENT CORP. 226.9.0..... Permit for ...One—Stor-Y......... X ....... v Dwelling............ ..... ............................ Location Lot #11 59 Seaboard Lane ................................................................ ................ S............................................ Owner Greenbrier Development Corp. .................................................................. Type of Construction TK.E-AMP............................. ................................................................................. Plot ............................ Lot ................................ November 1 Permit"Granted .......:............. ......19 80 Date.of Inspection .....................................19 . Date Completed 1/9�..I 9SY PERMIT REFUSED in-F4......C> ............... 19 ..................... .................................................... , MM ................................................. -.8-F................................................................ < ........................................ rA ............. Approved .......................................... 19 ............................................................................... ............. ......................................... A� 4- s _ � M 3S rig.:, ,. ..: ... .,., ....... . . ...... _......,_..._._._,._A_ h ., _,� . 14 At chd t1r �n t ��_.rt�� y t,. �� r .. �,.� �^�•... ., r-- yam,:: f/ ,� a ('` a iq IS{, 40 a �t x� OF FOUN®ATO®N IS BEET ISO VIZ LOW POINT ®F ADJACENT 4 r SCALE_ � �-.4-fLi .®A4'�e G: r. + I CERTIFY THAT Tog «« . . CLIENT 'IF—'rl -6 �r ® $NO= ®cs?.THISLAND ` E7a�® fvt�9. out ii ..t4a o.VAMEYORgr Tom DR. W -0V DAB ,3, v 1 _•v? A S q� TOWN OF BARNSTABLE 22690 Permit No. _ � Building Inspector ---- swrun Cash _-- t0)0 OCCUPANCY PERMIT Bond No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Greenbrier Corp. Address Box 510, Centerville Int- Wiring Inspector �/ /`� ` Inspection date Plumbing Inspect r Inspection date Gas Inspector °� � & � Inspection date r:j. ) '-f e'Engineering Department d Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. 19 Building Inspector