HomeMy WebLinkAbout0220 BOULDER ROAD I fir
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Fsv. -
, Application number
Date Issued..................1.1
.........................................
SARINSTABM o
l\I CAB
a� uilding Inspectors initials... ........................
Map/Parcel........3!;: ...... 3 ...........................
TOWN OF BA STABLE 5
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY MORMATION
Address of Project: 2 2.0 r3o ol�(.��
NUMBER STREET VILLAGE
Owner's Name: _ l�4 l•-uG r a ri c` Phone Number 7 7,,/-Sg- yf 4l
Email Address: /vc•a Cell Phone Number
Project cost$ 3 y I q — Check one Residential Commercial
OWNER'S AUTHORIZATION
1t ION
As owner of the above property I hereby authorize
to make application for a building permit in accordance with 780 C1VI
Owner Signature: Sep �-{�Q�� � -�- Date:
TYPE OF WORK
Siding ❑ Windows (no header change)# Insulation/Weatherization
�-1 Doors (no header change)#__J_ Commercial Doors require an inspector's review
J Roof(not applying more than I layer of shingles)
Construction Debris will be going to GrI s�e-/�'1G�a g P.�/Pi1 - �i�r,'t�-1•r�f� I Z
CONTRACTOR'S INFORMATION
Contractor's name (�{�u,, `r7�n�,'So✓� - -0-t e cr\ &/p, l rl� [C,14 1111-n chow S
Home Improvement Contractors Registration(if applicable)# 17 3 Lq_5 (attach copy)
Construction Supervisor's License# (attach copy)
Email of Contractor C M Phone number q01 Z Z R -9 goo
ALL PROPERTIES THAT HAVE ST RUCd'URE5 VER TS YEARS OLD OR IF THE SUBJECT PROPERTY IS Itv
A H15TORIC DISTRICT, YOU MIDST OBTAIN HISTORIC APPRO VAL BEFORE PERMIT CAN BE ISSUED.
_ f
APPLICATIONNUMBER............................................................
*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 Fire Department approval
YW®®DIC®1'3ll..J/PELL T STOVES x
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's Name:
Telephone Number Cell or Work number
I understand easy 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
�[L1L�L1'�1�1 A 9 S SIGNATURE
�1J RE
Date
Signature
All permit applications are subject to a building official's approval prior to issuance.
Renewal Agreement Document and Payment Terms
byAndersen. dba:Renewal B Andersen of Southern New England Y $ David Luciani
LLegal Name:Southern New England Windows,LLC 220 Boulder Rd
RI#36079, MA#173245,CT#0634555.Lead Firm#1237 Barnstable,MA 02630
NE IACEMENT 10 Reservoir Rd I Smithfield,RI 02917 - - C:(774)836-8484
Phone:866-563-22351 Fax:401-633-6602 1 sales@renewalsne.com
Buyer(s) Name; David Lucian) Contract Date: 05/01/19
Buyer(s) Street Address: 220 Boulder.Rd, Barnstable, MA 02630
•
Primary Telephone Number: Secondary Telephone Number: (774)836-8484
Primary Email: lueianid@comeast.net Secondary Email:
Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a
Renewal By Andersen of Southern New England("Contractor"),in accordance with:the terms and conditions described"in this Agreement
Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement
Document, the terms of which are all agreed to by the parties and incorporated herein by reference(collectively, this"Agreement").
Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement.
Total Job Amount: $3,419 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: $1,769
Balance Due: $1,710 Estimated Start-. Estimated Completion:.
Amount Financed: 6-8 weeks 6-8weeks
$3,419
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: 50%deposit by bank, balance on completion by bank Contingent on acceptable
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 05/04/2019 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:Rene By n ers of Southern New England Buyer(s)
Signature of Sales Person Signature Signature
Paul Sandrey David Luciani
Print Name of Sales Person Print Name Print Name
UPDATED: 05/01/19 Page 2 19
TOWN OF BARNSTABLE BUILDING PERMIT.APPLWATION
Map Parcel Application #
Health Division Date Issued
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address ( LX_r L
Village
Owner c—i c,-.Y% Address
Telephone
Permit Request _a% L_r (v10-Jlc
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 %k*�>'S(X Q =,4 P-4 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family \jd Two Family ❑ Multi-Family(# units)
Age of Existing Structure CD Historic House: ❑Yes �iNo On Old King's Highway: ❑Yes ❑ No
Basement Type: YFull ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) t 9
Number of Baths: Full: existing new Half: existing new, —�
�,_
Number of Bedrooms: existing —new r - =
Total Room Count (not including baths): existing new First Floor Room Count—
Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other
Central Air: 1'es ❑ No Fireplaces: Existing New Existing wood/coal store ❑he's ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing itj'new size_
Attached garage!: !existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review #
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name U SAe,-r "rip Telephone Number —�OLi o
Address 16D s- SJ�4 ], -a License #
kkn G L.m AA o;)64� Home Improvement Contractor#C_ZN'
I Email G-r a\� 1�.4sn Workers, Compensation # 3 � J
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
kvc,
SIGNATURE DATE
FOR OFFICIAL USE ONLY
APPLICATION #
QATE ISSUED _
MAP/ PARCEL NO.
ADDRESS VILLAGE
OWNER.. ..
DATE OF INSPECTION:
r
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: . ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
T�rti Town of Barnstable'
Regulatory Services
� WASM $ Richard V.Sca14 Director
13WIding7Division - -
Tom Perry,Building CDin Intoner
- - - - ---
200 Mam Street,Hyanms�lV1A 02601-.._.-_..-- - ------ ------ =_ --_ _-==
www.town.b arnstablema.us
Office: 508-962-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Us ing A Builder
I, �G-V I `l�C i �.n ; ,as Owner of the subject
J property-
hereby
authorize -A M',r �,� M , Q n�+�1� to act on my,behalf,
in all matters relative to work authorized by,this binding pemnit application for.
(Address of Job)
`Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled or utrd'zed before fence is installed and all final
inspections are perfoumd and accept d.
.Signature f Owner Signature o Applicant
At 1,9A Rla-mr\
Pent Name Print Name
Dare
Q:FORMS:OWNBRFE MSIOIIFOOLS
Town of Barnstable
Regulatory Services `
oFTHE r, Richard V.Sca%Director
�-� Buildang Division
r A6RNCT4ATY
z ; Tom Perry,Building Commission'r
p rd�+ss m 200 Main Street; Hyannis,MA 0 01
639- �
QED hRAt a �--:- _ •
C wwW towa.barnstable.
Office: 508-862-4038 \ Fax: 508-790-6230
HOMEOWNER LIC 4M ON
'PIrasePrint •
DATE:
JOB LOCA OK--
numbcrt vMag
"HOMEOWNER: '
name home phone` work phone#
CURRENT MAILING ADDRES S: ——
---- city/tnwa^ statc zip cock
" c de er-occ ied dwellings of sic units or less and to allow
as� tended to In own
em tion for `homeowners w xte � as
e current exemption r
homeowners to engage an mdividual for hire.who does n possess a license,provided that the owner acts as supervisor_
\ DEF�ITLON OR HOMEOWNER
Persons who owns a.parcel of land on which he/she r ides or intends to reside,on which there is,or is intended to be,a one or two-
family dwelling, attached or detached structures acce��s��ory to such use and/or farm structures. A person who constructs more than one
home in a two-year perio d shall not be considered a llbmeowner. Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shaIl A responsible for all such work erfonned under the buil ezmit (Section
109.1.1)
The undersigned`,`homeowner"assumes responsiEViii y fo compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations.- -
The undersigned"homeowner"certifies thath sshe understands the Town ofBamsiable Building Department minimum inspection
procedures and requirements andthat he/she r comply with\said procedures and requziremerds.
Signature of fiomcowner
Approval of Bm7 ding Official
Note: Three-family dwellings/containing 35,000 cubic feet r larger will be required to comply with the State Building Code
Section 127.0 Cozis ru-clion Control.,
., ; EI M WNF.R'S' TION �.
The Code states that 'An, homeowner performing work or which a building permit is req�ed shall he exempt
from the provisions of this section(Section 109.1.1-Licensing of co ction Supervisors);provided that if the homeowner
engages a persons)for hire to do uch work,that such Homeowner s-all act as supervisor."
Many homeowners wh use this exemption are unaware that ey are assuming the responsibilities of a supervisor
(see Appendix Q,RuIes&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often
results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot
proceed against the unlicensed person as it would with a licensed Supervisor_ The homeowner acting as Supervisor is
ultimately responsible. \
To ensure that the homeowner is fdHy aware of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
You may care t amend and adopt such a formfcertification for use in
of this issue is a form currently used by several towns. Y y p
your community.
QXWPFILES\FORNiMuildmgpmmitfa=M2RESS.doc
1Zevised 061313
• www.hhi-green.com/solar/en
nj#unda 'o'
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i'
So
ar Modu e
Hyundai Heavy Industries was founded in 1972 and is a Fortune 500 company.The company employs more than 48,000 people,and has a global
leading 7 business divisions with sales of 60.2 Billion USD in 2012.As one of our core businesses of the company,Hyundai Heavy Industries is
committed to develop and invest heavily in the field of renewable energy.
Hyundai Solar is the largest and the longest standing PV cell and module manufacturer in South Korea.We have 600 MW of module production
capacity and provide high-quality solar PV products to more than 3,000 customers worldwide.We strive to achieve one of the most efficient PV
modules by establishing an R&D laboratory and investing more than 20 Million USD on innovative technologies.
PERLMono-crystalline Type
HiS-5275RG HiS-S280RG I HiS-5285RG
RCS-Series
Mechanical Characteristics
• 998 mm(39.29")(W)x 1,640 mm(64.57")(L)x 35 mm(1.38")(H)
• Approx.17.2 kg(37.9 Ibs)
• . 60 cells in series(6 x10 matrix)with PERL technology(Hyundai cell,Made in Korea)
4 mm'(12AWG)cables with polarized weatherproof connectors,
IEC certified(UL listed),Length 1.0 m(39.4")
ftimirMair,m. IP68,weatherproof,IEC certified(UL listed)
•• • •• 1 3 bypass diodes to prevent power decrease by partial shade
Front:Anti-reflective coating low-iron tempered glass,2.8 mm(0.11")
Encapsulant:EVA Back Sheet:Weatherproof film
Clear anodized aluminum alloy type 6063(Black color)' i
High Quality
•IEC 61215(Ed.2)and IEC 61730 byVDE _
•UL listed(UL 1763),Class C Fire Rating
•Output power tolerance+3/-0
•150 9001:2000 and ISO 14001:2004 Certified
•Advanced Mechanical Test(8,000 Pa)Passed(IEC)
/Mechanical Load Test(40 Ibs/ft')Passed(UL)
•Ammonia Corrosion Resistance Test Passed-
IEC 61701(Salt Mist Corrosion Test)Passed
Limited Warranty
10 years for product defect
•10 years for 90%of warranted min.power
•25 ears for 80%of warranted min.power
Y
x Important Notice on Warranty
The warranties apply only to the PV modules with Hyundai Heavy Industries Co.,Ltd's
logo(shown below)and product serial number on it
PV�� HYU N DAI
�►+S' HEAVY INDUSTRIES CO..LTD.
PERL: Passivated Emitter,Rear Locally-Diffused Cell,.
I Higher Cell Efficiency
Conventional Selective-Emitter.Cell:Max.19.3%
Ag front electrode Enhancing quantum efficiency. -�PERL.Cell:Max.20.4% -
ARC at short wavelength
Minimizing front contact I Higher Module Output
resistance 275 W,280 W,285 W
n"n•emitter_ jj - I Minimizing back side electron- - -
t ,- hole pair recombination I Lower Temperature Coefficient I
{.P-type Siwafer ..� -
p'Al-LBSr- Enhancing quantum efficiency Lower output loss at higher temperature -
�;- R"11�u' at long wavelength
-- --- - —�Al 6ackelectrode Minimizing back contact I Affordable Price I
^ - -
resistance -
Premium mono-crystalline technology with affordable price
Electrical Characteristics
I Mono-crystalline Type
:r
Nominal output(Pmpp) w 275 280 285
Voltage at Pmax(Vmpp) V 31.3 315 31.8
Current at Pmax(Impp) A 8.8 8.9 9.0
Open circuit voltage(Voc) V 38.7 38.9 39.2
Short circuit current(ISO A 9.3 9.4 9.4. .
Output tolerance % +3/-0
No.of cells&connections PCs 60.in series
Cell type 6"Mono-crystalline silicon with PERIL technology(Hyundai cell,Made in Korea)
Module efficiency % 16.8 17.1 17A
Temperature coefficient of Pmp � %/K 0.41 -0.41 -0.41
Temperature coefficient of Voc. °h/K -032 -0.32 -0.32
Temperature coefficient of Isc a%7K 0.032 0.032 0.032
X All data at STC(Standard Test Conditions).Above data may be changed without prior notice - -
Module Diagram I iunit:Trim,inch) I I-V Curves
m 1 la I
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9
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6 —4SC
HOLES
1 I
\ O 1 .75(0.3'I - 5 -65'C I
B HOLES
' IV D9377'Im D9371 &075LOTTHRU.
1 4..°CABLE& 4..ICABLE&
CONNECTOR CONNECTOR 1 1 a
,g � 0 5 10 r5 20 E 30 35 10 45
.Y$ currentW Voltage M.
F ..
GRDUNDMARK DETAILS r i I0 ..
9-..w:.. 18(0.711 19 _
C GROUNDHOLE 60(1AnEMOA3 .) •.".2 F
} 954(3756� 5 —400 W/n0
4 —20OW/m'
C 2 _ r
998(39.291C .25319.96') �� 1
SECrIONC-C
- .0 5 10 15 20 25 30 35. 43 '45 50
Voltage Nl —
Installation Safety Guide
•.-. � �- I 46`ct2
•Only qualified personnel should install or perform maintenance. •.- . .• . -40-85`C
•Be aware of dangerous high DC voltage. M _ DC 1,0oo v(IEC)
•Do not damage or scratch the rear surface of the module. DC 600 y(uL)
•Do not handle or install modules when they are wet. 15 A
[Printed Date:June 20141
SaIEK&Marketing HYU N DAI
e,,Mnntednn FSCcenified 2^"FI.,H undai Bldg.,75,Yu1 ok-ro,Jon no- u Seoul 110-793,Korea
PSC eco-6lendlypzper. � Y 9•. 9 9 9 . .� -
Tel:+82-2-746-7563,8406 Fax:+82-2-746-7675 HEAVY INDUSTRIES CO.,LTD.
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160 Old Derby Street,Suite 112
Hingham,MA 02043
(508)802-4580
May 9, 2016
Town of Barnstable
Inspectional Services
200 Main St
Barnstable, Ma 02601
RE: Building/Electrical Permit balance—220 Boulder Rd.;Solar Panels
Dear Sir or Madam:
Enclosed please find a Building permit application and a check in the amount of$208.10 for the permit
application for the installation of roof mounted solar panels at 220 Boulder Rd. Barnstable, MA. This
address has been approved by the Historical Committee.
I am enclosing a self-addressed stamped envelope. Kindly forward a copy of the permits for our records.
Please contact me should you need additional information.
j T
Than you,
Kerry Dunn =�
Project Coordinator e3
M
kdunn@AMERGYSOLAR.COM
Town of Barnstable *Permit#
O Expires 6 months from issue date
Regulatory Services Fee,
s�rtslesi�a-
MASS. Thomas F.Geiler,Director / -
16s� �0�
6
Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601 O
www.town.barmtable.ma.us
Office: 508-862-4038 . Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
e Map/pare 1 Number
Property.Address �1,0
[Residential Value of Work Minimum fee of$35.00 for work under$6000.00
n
Owner's Name&Address -D.4 i p 1,4AI
Contractor's Name`71 V1/�AdS /�l°-lA.nl V°P' '� elephone Number
Home Improvement Contractor License#(if applicable) [ ( 3 a Z(,'�
Construction Supervisor's License#(if applicable) GeV
[W(Vorkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner wN
VI have Worker's Compensation Insurance TABLE
Insurance Company Name a oIi az,
0
Workman's Comp.Policy# /4-1& `d-7 6 3 52,
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 layers of roof)
❑ Re-side
#of doors
Replacement Windows/doors/sliders.U-Value -3 0 (maximum.35)#of windows
❑ 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.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
required.
SIGNATURE: \.1
QAWPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 053012.
• I irtl. �
RI Ummw#36079
Renewal I RENEW BY Al DERSEN A,ALimm#173245
bY/gf1&:Tw�l: Cr Licence#0634555
WINDOW'NEPUCENIENT 26 Albion.I Dad • Lincolq,.RI 02865 Lead Firm#I237
Phone 866.5 i3.2235•Fax 4101.633.6602 Federal Tax io#46.0566650
Southern New England Windollvs,LLC d/b/a
Itenewal by.Ande rsen of SoutheIrn New England
CUSTOM WINDOW AND DOOR RE .i DELING AGREE NT
Buyers)Name I• DatedAgreement
V 0.0 !mil C►i N1 S z3 -O0a3
&MY(s)Street Address.City.State.and Zip Code P.O.Box.
�D �KT,oLe�C (10 13 LC 4 d26SD
E-Mall Addren - - I HomeLwjmneNumber Work Telephone Number
Z Y
Buyer(s)hereby jointly and severally agrees to 11,urchase the procli icts and/or services of Southern New E igland Windows,LLC d/b/a Renewal
by Andersen of Southern New England("Cogtractor"),in accoi dance with the,terms and conditions dc scribed on the front and the reverse of
this agreement and on the attadied specificati n sheet(s)(collect! ely;this"Agre(ment"). ❑Historic ❑Condo ❑HOAT
ToalJob Amountv� Estimated S rting Date: Method of.Payment ❑Check O Cash / I Financed
Deposit Received(33%): oft
tNG
r.w', Credit Cards are accep for deposit only maximum 1/3 of the
Balance at Start of Job(331, �ij Ar project cost(wease.see Card rtrymern Form.)By signing this
Estimated Co Ipletion Date: Agreement,you acknowl a that the Balance at Start of Job and the
Balance on Substantial I /�lWr
A— Balance on Substantial Cc npledon of Job cannot be made by credit
Completion,of job(33%): AN,G / — card and must be toad by personal check,bank check.or ash.
Buyer(s)agrees and understands that#ais Agreement s stitutes t oe entire understand between the parties,and that
there are no verbal understandings ch#nging any of he terms of;this Agreement. Buy r(s) acknowledges that Buyer(s)
(1)has read this Agreement,understands the terms this Agreement,and.has recei a completed,signed,and dated
copy of this Agreement,including the tv4o attached No' es of Cane tion,on the date .w tritten above and(2)was orally
informed of Bnyer's right to cancel this"ement.D 'NOT SIGN HIS CONTRACT IF I HERE ARE ANY BLANK SPACES.
(Rhode Island Sales Only)Notice to Buygr:(1)Do not s' pm this Agreement if any of the spa s intended for the agreed.terms
to the extent of then available information are left (2)Yon are yntided to a copy of ' Agreement at the time you sign
it.(3)You may at any time pay off the a unpaid b due:under this Agreement,and so doing you may be entitled to
receive a partial rebate of the.finance d insurance c s.(4)Tll�e seller has no right unlawfully enter your premises
or commit any breach of the peace to ssess goods urchased t�der this Agreement..( )You may cancel this Agreement
if it has not been signed at the main o ce or a branch office of the eller,provided you otify the seller at his or her main
office or branch office shown in the Ag ement by regis red or certi ed mail,which shall a posted not later than midnight
of the third calendar day after the day which the bu r signs the l�greement,excluding Sunday and any holiday on which
regular mail deliveries are not made. i the acbomp notice o> cancellation form fo an expo--lion of buyer's rights.
Buyers)received.the consumer education matCrials provided by he Rhode lslai d Contractors Registration Board. (Buyers Initials)
Renewal by Andersen of Southern New England u Buyer(s)
By: V� air
Si f Product Manager fg�natum Signature
i i tclC I/Iri 1
t Name of Product Manager Prinit Name Print Name
YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT*NY TIME PRIOR MIDNIGHT OF THE THIRD
BUSINESS DAY AFTER THE DATE OF HIS TRANSAC ON.SEE TIM ATTACHED NOTICE OF CANCELLATION FORMS
FOR AN EXPIANATION OF THIS RIG T.
- - — — — — — — — —. — — — — '� — - - - - - - - - - - — — — — — — — — — — — —�
X i N
Date of Transaction You may el 1 Data of Tlransaedon You may cancel
dais tramaCtien,witho risky dr obligationthin this trasaction,without penalty or obligation,within
three business days fromthe e .U Y, tsn threp business:days from aabove date.H you gneel,anyproperly traded in,awry payments mad by you un ,.I propertytraded in,rtrymeets.made by you under the
Contract or Sale,and any negotiable i strament erI Co or Sale,and negotiable instrument executed
by you wiD be rettnaed withie ten b Hess tiays f I by u wiq be returned
D ten budnass`days,following
rocdpt by the Seller of your cancel n entice,an airy I reeeipe by else SeOer of tar cancellation notice,and any
security interest arising out of the trons.d.n V4 be sectnYity tEaterebt.arising out of the transaction will be
cane!ed.Hyoueancelrou must make s�railaWetodae I nangeled.Hyou.caeee%yo must makeinvaibabletodaeSeffer
at your residence,in stdrAandally as goad condition as on I at your residence,In sub aNy as good.con ditioRas when
received,any goods delivered bo you un er this Co or` 1 Fee eel;arty twods do Bv to you under this Contract or
Sale;or you may,H you wish,comply the inserueHo s of l or you niary.if you wi h,comply with doe iestnrcdons :.
the Seller regarding the return shipme of the goods the th regaarding the shipment otdae goods at the
Sellines expense and risk.H you do malt the goods mrai X S s eigsense and risk. you do nuke doe goods avaibble
to ffie Seller and the Seller does not tilt them alg in I to a Sdk3r and the Set does not pick daces q►within
twenty days of the date of eaneelkatlo you mwy n or I days of the date cancellation,you may retain or
dispose of the goods without atry fu obBgtation. you I di se of doe goods wit ut any further obggadon.If you
fail to make the goods avaibble to the eller,or!Ifyou ree j fail Ot nuke the goods av Wale to the Seller,or If you agree
to return the goods to'the Seger an fail to'do so, on i to rktagn the goods to a Seller and fail to do se,then
you remain isble for performance of p ohiigttions der you remain lath:for pe rmaece of.ap obligations under
the Contact.To camel this tran n, nag or d or I the !Contract.To cancel s transaction, mail or delver
a signed and dated copy of this cant a notice o awry I a signed and dated copy this cancellation notice or any
other written nodes,or send a tax:Rea by I otheir written notice,or send a telegram to Renewal by
And Southern New England at 1137 Paark Eas Dr., I And rsm ofSouthern N Englund at 1137 Park East Dr.,
W /ftM 4R2a/$,NOT LATER MIDNIGH OF I Woonsocket,RI 02895,N LATERTHAN MIDNIGHT Of
1-H BY �CELTHIISSTRANSACTION. i l H0REBY CANCELTHI Dal TRANSACTION.
x
Burnes Signature Print N ,a D euyer'4 SlDnatun Print Name. Date
o�ra r wl.:.- a:�...;..f'.—vel1-w Rover.r—Pink
• f
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 1 Parcel Application #
Health Division Date Issued "� Z
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board P ll
Historic - OKH _ Preservation / Hyannis
Project Street Address �'_.,e Z
Village'1&X A,/J
:Rez /
Owner ,Z_1�11d1y1 Address ,S
Telephone ;2 2 J--c 2 / }'f}'
Permit Request
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type Z_
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family a--" Two Family ❑ Multi-Family(# units) "�' = • �
Age of Existing Structure Historic House: ❑Yes JaMo On Old King's.Fi ghway: 0?Yes ,-Plo
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) r �
Number of Baths: Full: existing new Half: existing newc�
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review #
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Ngme za' z!� 4 Telephone Number
Address Z � /��./d �'/9 License # 9 ZY
Home Improvement Contractor#
Worker's Compensation
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
�v
SIGNATURE DATE qz/,�17�
FOR OFFICIAL USE ONLY
APPLICATION#
J
DATEISSUED
MAP/PARCELNO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
r
FOUNDATION
FRAME
INSULATION
}
t
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL ,
FINAL BUILDING
4`
DATE CLOSED OUT
ASSOCIATION PLAN NO.
OWNER AUTHORIZATION FORM
(Owner's Name)
i�
I
owner of the pro I
erty located at
0-90
(Property Address)
,n,?-b 3D
(Property Address)
C
hereby authorize e.r-
(Subcontr' tor)
an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building
permit and to perfol rm work on my property.
Owner's t4hature
E
Date
EC ._.
D
CA COD r � pi ' ��
a �� R, S T3�=Ly
INSULATION Ipp CrP I I, —
'Mft OLASS SEAMLESS SP"I'MAIS SUS"NYEO
Mni GU TIERS 114SULAi1GH QAQ/US .r„"-+.—.---
1-800-696-6611 a` 1UN
Town of Barnstable
Regulatory Services
Building Division
200 Main St
Hyannis, MA 02601
Date:
Dear Building Inspector
Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed &
completed the insulation and weatherization work at the property listed below. Cape Cod
Insulation did this in accordance to the specifications listed on the building permit
application. All work has been inspected by a certified Building Performance Institute
(BPI) inspector. All work preformed meets or exceeds Federal& State Requirements.
Property Owner Property Address Village
Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted
Ceilings
Slopes ( ) ( ) ( ) ( ) ( )
Floors ( ) ( ) ( ) ( ) ( )
Walls ( ) ( ) ( ) ( ) ( )
Sincerely
He E Crsulation,
,President
Ca e Cod Inc.
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Application #c;? c�OrZo T
Health Division . Date Issued �J
Conservation Division Application Fee
Planning Dept. Permit FeeQ
Date Definitive Plan Approved by Planning Board
P
Historic - OKH _ Preservation/Hyannis
Project Street Address ?ZD B4U(CW !?!X t
Village o 5Trr b U__
Owner Da Address Zz p Sat[,dp
Telephone �1 'f` b ?J�O' Q `1�`i J �Lt U&I36-
Permit Requests 5�
r
04
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
DO✓,U Construction Type
Project Valuationm IWDa�Vh
Lot Size 0 a — Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes 4No On Old King�Highwa)C, Yds—w ❑ No
Basement Type: XFuII ❑ Crawl ❑Walkout ❑ Other
Basement Finished Areas ft. Basement Unfinished Areas f I
Number of Baths: Full: existing Z new 4 Half: existing raw
Number of Bedrooms: 3 existing 0 new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: XGas ❑ Oil ❑ Electric ❑Other
Central Air: ❑Yes *o 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 No
If yes, site plan review#
Current Use <- c Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name c� 1 Telephone Number
Address �� �yN l License # W 01
CCJk4V( I I ►yr' QZ&S�� Home Improvement Contractor d J�CJ 5-3
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL E TAKEN TO
SIGNATURE DATE 5 �r2
i
j
a
FOR OFFICIAL USE ONLY
APPLICATION#
10 TE_ISSUED EO
_,MAP-'/.PARCEL NO
ADDRESS VILLAGE
,Y
OWNER '
' r
DATE OF INSPECTION:
FOUNDATIONa
FRAME
. `INSULATION: —e�€.�_ • �'t,� � ,.3 -
r
FIREPLACE
ELECTRICAL: ROUGH FINAL
' PLUMBING: ROUGH FINAL
' GA&H�iA ROUGH ;q *-; _ i FINAL
z
-s�FINAU6UILDING' <
T; DATE CLOSED..OUT_x
ASSOCIATION PLAN NO.
MAY-18-2012 10:07 FROM:COACFI_IGHT'CARPETS 15087766199 TO:5084287625 P:1/1
Maz 12 10:31a SCOTT PERC 508 428 7625
p. 2
TOWD of Barnstable
RePlstory Services
Thomm F.Gef ar,Director
Building Division
Tbamas Perry,CBO
Rui,00 CGmndesioner
200 Moin Sb ml, HYonam MA 02M02
•rww.tov "arnstxblammua
0r icc: 509-962-4038
Fam 509-790.6230
rt0PettY Owner Must
Complete and Sign This Section
If Using A Builder
as owner of the subjM Property
hembyauthMM t
l hC..io act on my beh-►lf,
in all=tteis relative to work authorized 6ytb6 buikUng papa application for.
�f(Address��>Fjob) �-
S" ue of Owner Dame
1'rinc N'unc
Rcvt7a,,2010$�,�rporeM�v„�nd;ns PermitFnrniaNWRavadx
aviar�
------
..
315-032 / `2r0,•_ ..
11=.24 297-042
T.r
# 156 '
-------------------------
_ 4
_.
7
297-043
r -
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o TOWN OF BARNSTABLE Permit No. M9A........
BUILDING DEPARTMENT
TOWN OFFICE BUILDING Cash
°hourR HYANNIS,MASS.02601 Bond ..... ... 1fIx
CERTIFICATE OF USE AND OCCUPANCY
Issued to tarry D. Nickulas
Address Lot #13, 220 Boulder Road
R,nrngt,.b1P, Ya.SA1r.hUSPtt;S
USE GROUP FIRE GRADING OCCUPANCY LOAD
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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
19....E?.. ... ....... .........
Building Inspector
,.`. 'IF t ,� + :+.t`PF• ,' •A 'v''v ;•� * 4 ., + J�Dl
U
iE.
TOWN OF BARNSTABLE, MASSACHUSETTSPER
In,
s316-080 JOB` WEATH CARD
August 21 ` 86 �! aQ(�
DATE t9, PERMIT O. 2�/V0
..
APPLICANT Mar ADDRESS
(N0.)'' (STREET) - (CONTR S LICENSE)
Build dwelling l Si family dwellin ,NUMBER OF
PERMIT,.:TO (_), STORY y' DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO, (PROPOSED.USE).
lot 913 ZZU boulder Roada Barnstable ZONING RFYl
AT (LOCATION) DISTRICT
- (N0.) (STREET)
'.
BETWEEN AND
(CROSS STREET) - - (CROSS STREET)
LOT
+ SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN"CONSTRUCTION
4
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
- (TYPE),
REMARKS:
Sewage #86-577 "
BOND
AREA OR 2080,s ., ft. 104.0"0
VOLUME Q ESTIMATED COST $ 85,000 FEEMIT
(CUBIC/SQUARE FEET)
OWNER Larry D. Nickulas
ADDRESS, X 396, Westyams pport► NA BUILDING DEPT.
BY
THIS PERMIT"CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART TH R FEITHER TEMPO ARILY:OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER TH BUING CODE, MUST.BE AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM:THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND.THIS WHERE APPLICABLE SEPARATE:
ALL.CINSPECTIONSCONSTRUCTION
REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
.
ALL.CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
_ 2.. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL _MEMBERS(READY TO LATH).
3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. y
'`• OCCUPANCY.
t•
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
w
1 lam'
,o �
2 2 f
3 HEATING INSPECTING APPROVALS R IGER ON INSPECTION APPROVALS
1 1
OTHER 2
WCRK SHALL NCT PROCEED.UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICA-FED ON THIS CARD
.ENSPECTCR HAS APPROVED THE VARIOUS. WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPHONE"!
STAGES OF CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION.
T '
LOT
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9 Z Z y of 30 FR®u f s�rl c .,
�/ SrJ° ®o,1� N ®® 1S' SI D t� �r K .
/Z6142
L
qµ or M,rd� �►�
PAUTA: . y��, - CERTIFIED PLOT PLAN s
LEVY .,
No.'10617
; �% IN
�� � T1 111 Jill imp
i44
,._. SCALE+ /ldKp' '.. DATE
LEVYE4ORE®GE ASSO s G.�.I hT u.t�s [ CERTIFY THAT THE �k)a LLLV -- k'
CI�TES� UdC, SHOW ON THIS PLAN IS LOCAT p." � h
ENGINEERS•LANDSCAPE ARCHIYBCI$;:. Q• ..•�,•' ,•,,� ON "THE GROUND AS INDICATED
N CONFORMS TO THE
E ZONING L.fd
Pta1N1�IER$ LAND 8UR1�Y®F$8 ®Ytof
: �� F
MA 3
r y� 71T2 MAII N^�STREET �♦ CjLpy® . ry ry i.
NYANRIS, MASS.
DA E
R 4. LAND SURVEY �-
.°
Assessor's office (1st floor): SEPTIC SYSTEM MU E to
Assessor's map and lot number / #. ��...� �y
Board of Health (3rd floor): t INSTALLED IN COMP o„
Sewage Permit number ...................................��,. WITH TITLE 5 B yTADLE i
Engineering Department (3rd floor): Z Z 0 p Lr ENVIRONMENTAL COt. ,o AM1 9• e�0
House number .......................................................................: TOWNRIFS1",1II_ . �DYPYa\
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
TOWN OF B'ARNSTABLE
BUILDING "INSPECTOR
APPLICATION FOR PERMIT TO ....... �ZK�'''- : .... .........
TYPE OF CONSTRUCTION ............... .ou .......................................... ............... ........................
....................... .........19.. �
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location d T �� �/ `-�...�.... ...... .................. .............................
ProposedUse ...... ... ........... .... ......... . ....................... ................:.........................
ZoningDistrict ......... /..........................Fire District ...............X................. .. ........................................... ............ .
Name of Owner .........4
..Address .. ...:....
..............................Address ....................:Name of Builder ...................................... ............:..................................................
Nameof Architect ............................................................:.....Address ....................................................................................
Number of Rooms ......................../......................... ......... .....Foundation ........../Q.............
{/...... .................
Exterior .+ .... 'g^ ........!`.Roofing .................... ...... .......................................................
Floors ......:................ .
Interior ................. ........ . ...
Heating .....•.......:............ .......................................................Plumbing ....................... .. .(yY
Fireplace .........................................................Approximate Cost ....................Q... ..................................
Definitive Plan Approved by Planning Board
` --------- 1�_____19 � Area %... r%)..........
Diagram of Lot and Building with ions Fee OY ..
SUBJECT TO APPROVAL OF BOARD OF HEALTH
No
co' .
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barn ble regarding the above
construction.
Name ....... .... ........... . .......... •...
Construction Supervisor's License .....0...0a��=-
NICKULAS, LARRY D.
No 29804 "-permit for ONe StoryAll t
..... Single FamilX..Dwelling......................
. ......... ....
r _
Lot ��13, 220 Boulder Road
Location _
`....Barnstable r
Owner L'arry D. Nickulas
. .............................................. ;.
Type-of Construction ..,,,Frame f r
............................................ . ,
Plot .......^ ......... _ . Lot ........ . ..... ......... y
r -
' Permit Granted$ August 21, t• 191 86
`. Date of Inspection ... ..... .......... . .:. ..19
10
Date Completed ... ....... 19
a/
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