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0140 CAP'N CARLETON'S RD
/Yi7 �rV C�ui/efan ll� s n. 4 30. November 11, 2019 A. a Town of Barnstable Inspectional Services 200 Main St Hyannis MA 02601 To Building Commissioner, Brian Florence, The purpose of this email is to request the cancellation and refund of fees, if applicable, of the following permit numbers for the photovolatic solar project located at the corresponding address: L L 140 Captain Carltons Rd Semstable MA 02635: Building Permit: B-19-2854; Electrical Permit E-19-1816. The homeowners have decided not to move forward with the projects. If there is anything else we need to do in order to cancel or request refund of fees for these permits, please let me know. Checks can be made out to SUNRUN Inc and mailed to 734 Forest ST STE 400 Marlborough MA 01752. Thank you for your consideration. Regards, Craig Orn (CS-080034) --Z '*+ 0 Nathan Ashe (M ELECT- 21136A Attachment: Permit Cards f Town of Barnstable - . Building Department 200 Main Street Tel.(508)8624038 N ELECTRICAL PERMIT Date: 9/3/2019 Fee: $30.00 Construction Cost: $11,084.00 Permit No: E-19-1816 Building Location: 140 CAP'N CARLETO(N'S RD, COTUIT Applicant Name: Nate Ashe Purpose of Building: Residential 1 �� Type of Work: Electrical -Solar CISHEK, DOROTHY 140 CAP'N CARLETON'S RD COTUIT MA 02635 (508)420-0372 Owner Name Address City State Zip Phone Existing Service: 0.00 0 0 New Service: 0.00 0 0 Amps Volts Overhead Undergr Liodd.of-meters ` Amps Volts Overhead Underground No.of Meters Description of Work to be Done: Installation of an inters}connected rooftop PV system. Contractor Info:--, Name Address City State Zip Phone No License Type License No License Expiration DBA NATHAN A ASHE L Chelmsford_ MA.— 018243747 Master Electrician 21136 7/31/2022 SUNRUN INSTALLATION Class A SERVICES INC The recipient of this permit accepts this permit on the condition that,as owner or as agent of the owner,he/she agrees to comply with all Building&Zoning Ordinances of the Town of Barnstable&the State Statutes of the State of Massachusetts regarding the use,occupancy&type of building to be constructed,added to,or altered.Additional conditions listed below: /All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 48 hours in advance. 9/3/2019 Electrical Inspector Date Utility Authorization No. � ►� Town of Barnstable Building i BhnnarsBm i Post This Card So That it is Visible From the Street Approved Plans Must be Retained on Job and this Card Must be Kept Posted `b$ Until Final Inspection Has Been Made.owu+" Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit • Permit No. B-19-2854 Applicant Name: Craig Orn Approvals Date Issued: 09/17/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 03/17/2020 Foundation: Location: 140 CAP'N CARLETON'S RD,COTUIT Map/Lot: 038-039 Zoning District: RF Sheathing: Owner on Record: CISHEK,DOROTHY Contractor Name,CRAIG M ORN Framing: 1 Address: 140 CAP'N CARLETON'S RD " Contractor License: CS-080034 2 COTUIT,MA 02635 _�� �� Est. Project Cost: $15,834.00 Chimney-' Description: Installation of an interconnected rooftop PV system.28(290w) Permit Fee: $130.75 panels 8.12 KW DC Insulation: Fee Paid:, $130.75 Project Review Req: Date: 9/17/2019 Final: Plumbing/Gas Rough Plumbing: This permit shall be deemed.abandoned and invalid unless the work'authorized by this permit is commenced within six months#WHYNAMFialFinal Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. i Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing / Service: 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed _ _ - _ 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Town of Barnstable Building ? Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept DAMSUBM Posted Until Final Inspection Has Been Made. Permit 1 `1 111 Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-19-2854 Applicant Name: Craig Orn Approvals Date Issued: 09/17/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 03/17/2020 Foundation: Location: 140 CAP'N CARLETON'S RD,COTUIT Map/Lot: 038-039 Zoning District: RF Sheathing: Owner on Record: CISHEK, DOROTHY Contractor Name: C AIG M ORN Framing: 1 Address: 140 CAP'N CARLETON'S RD Contractor License: CS=080034 2 COTUIT, MA 02635 Est. Project Cost: $ 15,834.00 Chimney: Description: Installation of an interconnected rooftop PV system. 28(290w) Permit Fe I : $ 130.75 Insulation: panels 8.12 KW DC Fee Paid.. $130.75 Project Review Req: Date: 9/17/2019 Final: Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by thispemit is commenced"with afte six months Ph'Mp&.Official Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building-and-Fire-Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before fir est flue lining is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: ?� S4'% TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application Health-Division Date Issued /, I6 l Conservation Division Application Fee 2 Planning Dept. , Permit Fee, 5> Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address t l yy_� _ (� Z . Village Owner -A S Address (y � �)I S , Telephone �� Permit Request S S 1 a - s Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new oning ' trict Flood Plain Groundwater Overlay Project Val tio$�J© i a`co Construction Type o Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family. ❑ . Uo-Family ❑ Multi-Family (# units) ti.y S Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kings Highway-. ❑Y� ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other ``= y CIO < Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new M Total Room Count (not including baths): existing new First Floor Room Count is 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) Name Ev � Telephone Number 4 Address E License # Home Improvement Contractor# Email �:� ? QT" Worker's Compensation # kt ��1/1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO PA-1 (� 10Yn hi � SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED y MAP/PARCEL NO. ADDRESS VILLAGE , OWNER ; DATE OF INSPECTION:: i FOUNDATION FRAME. - INSULATION " 1Y , FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t' GAS: ROUGH FINAL = ; FINAL BUILDING DATE CLOSED.-OUT. ASSOCIATION PLAN NO. ' 1 P The Co>Wrtweaft olMatssaal„aseppr DeParoeet oflft&"*WAccial IM 1 Congr M Stm;Su be 100 Boston,MA 02114-2017 women' WWWComPeasatiaa�wa>Qce �S"/� TO BE FILEDG AUTQpRrjy. Nam( 0qFmiration&Wividuai):Insulate 2 Save, Inc Address:410 QrWM Strjeet C1LY ate/Zip:Fap RMer,MA 02720 Any"arewployer,Cosa ftrte a Phone#:508-567�706 PpMWSte boa: am a employer widt 20 (full and/or part emPloyeec -time).• Z•❑I am a sole ProPrieWr or partoershi ����airy capacity (No aom P and Move no emp loy ees working for in 7. New ekaiOn t 3.01 am a P nstnance requred.] 8. R�ej�_g doing all work ' myself.[N Workers-I ama UMUratre required.]r .91 1-1 DemWitor that will colors to conduct al I work on my PrOpMetors with no employees. 'MP�n irtswwWe or are W"atY 1 will 10 0-SwIding addition 5rj lama 11.0 Then>leaezal0MUMOOFand I have hired the repaim or ib017,4 �' aaorsh>tve empdoy�and hav workers-on listed on the attached sheet. 12. P1=bi48 repairs or 6•❑weaaea .000P.insurance,: 13.� s UZ§1(4,j iMo, Mo excised their rtgbt ofexanptien Pa+MGL c. ROOf workers'comp innrtaoce l4 On ���a��drat e1ne1�hoot Y( r04"ir�•] oulthe elreeir this t>♦oc tam "'d' fi they oo;rrg all worktherr v°or�,co Don 1ttAa h.+ an ad°'o°"a'sheet�,�the na re of,Fx'�SusM`contractm�we, 4ll as p ttlft�a ' aror 'he>r warloats'eooaP m>rabfa and smfe Whed w or ha;jam d worAreisr cow ion u�sr a for.r�, C°mPMy Name:lair Mutual InsuranceBe�sfw u �'mM�N tuT4 Policy#or Sa f_' .Lic.4:XVVS.56418741 fob Site Ate: EVU11 09 Date:12/10/15 AttaN a SPY of tie worlrets c Tailor to secure co"crall�as Demotion Policy declaration citPfte(shov=g�W and/or One-year inrpr �9uued udder MGL c. 152 �Y sa>o�a�Abe V, J �� ay aping the Violator. as well as civil §25A is a crilnin�violation y ator-A copy ofthis Penalties in the form ofa S7i0p�ly� .. _ �o cation. moment may be-forwarded tip by a uF to$1,SOO.Op l eery der fbr and o f� . rwarded to the pf$ce of Invag of pfift� a 'dlraet diInsunalft ce hyaa ' 8.587-6706 ifarorare:dirtelect We of*ofrtp 10 aar City or Town:_ he by�or town at Avow* 2 �dt!Ne Pe 6,Omer Cr jrjTo o Clerk 4,gke Comm hiayel pin, 1�Pecter 5.p Rene jv. (P9 7,4 Wo m/,w,o w,a/e a/,, Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston., ivlassach,gsetts 02116 Home .fmpro�sErr e:ni Cb`r c or CZe�istration Reqistration: 180747 Type: Corporation Expiration: 12/29/2016 Tr» 261507 INSULATE 2 SAVE , INC. r^ t 1 ROLAND LANGEVIN -- 410 GROVE ST -- -- — FALLRIVER, MA 02720 r `'x,^��e 'tlptlate A(Itiress n,n.d J•elurn card,Mni,,iii rerco:n i'o.r change. { t�tltlress 2ettew.al f;nt Flo meni host Gard r-7`/�, '�nrr,r.tr�•{,.r•�,l//,t f rr�l rJu�r,�.,srtf t�.rfcc of Cunsrmct'ti�rl'mirs�C lrucracis lic�iit;rtio;i I,acnse or re:ist.ratimi v:ilitl for intr viclul use onh' OME IMPROVEMENT CONTRACTOR be-Fore the expiration chite. 'irfound return to: ftegtstration � 47 Type; f)Ltice or ConsumerAflairs and k6osiness.lteguttttion Expiration- 19M�0i6 Corporation 10,!'ark Plaza-Suite�!i0 Boston,MA 02.116 INSULATE 2 SAVE ti � - ROLAND LANGEVIN'; T f 410 GROVE STD FALLRIVER,MA 02720 1lnticrseercrory Not volict%vithoutsignature I ®, massachusetts Department of Public Safet S)Oard of Building Regulations and Standards License. CS-103861 + ConStruction Supervisor 1 s ROLAND LANGEVIN ~r 5S HIGHCREsr ROgt): FALL RIVER MA U? 120 COrt"IMISslone! Expiration 08/24no17 Ac CERTIFICATE DATE( I� ,.YY _sue OF LIABILITY INSURANCE ) { CWiIFICATE IS ISSUED AS A MATTER O F INF � -- _ _ 12/9/14 1 C1FICAIE DOES NOT AF RItATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFOORDEO By THE POLICIES Ht1 BELLOW- TM CERnFICATE OF IMRAIM DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRIe5ENTA11VE OR PRODUCER,A140 THE CERTIFICATE HOLDER. IM A T: If the ca9ficoe older is an ADDtTI0NAL! URED,the policy(ies) must be and co endorsed. If SU A QN IS WAIVED,—subject£o the 13enILs clditions of policy,certain policies rMy require an endorsement. A Statement On this certificate does not confer eertlfictpe holder in fieu of such enderawtwel s). rights:to the ! PRODUCER CONTACT i Anthoniit r. Cordeiro Insurance NAME-- —_.• _ PHONE (508 677-0407 FAX (soe) 677-3409 171 Pleasant Street Fall River, MA 02721 aooESS: nsouza@cordeiroinsurance.com INSURENS AFFORDING COVERAGE _- - NAIL C i INS URED INSURERA:_iberty Mutual Insurance _ Insulate 2 Save, Inc, INSURERS_ _ r �- 410 Grove St. �I"s'R�� --• I RER D: Fall Rioer '• +MA 02720 LNSURERE: INSURER f: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT.TERM OR CONDITION OF ANY COKci RACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTFI('ATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY TH_ POLICIES.DESCRIBED HEREIN IS SUBJECT 10 ALL THE TERMS, EXCLUSIbNS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CXAIMS TOT --. ---'-'.TYF*EOFUISURANCE �• pL�y �- POU CY NUIBER i D% )Yym I r i UMIS A 1 aet8tALLIAeBJTY Y ! Y IBKS 56418741 12/10/14: 12/10/151 I EACH OCCURRENCE .S 1,000,000 I FIX I CdAWERCIALGENERALLIA8YJTY OAYgGETO RAN p EEzh cea-rr.—i I_ I s 300 000 I I r: CLAN 61ADE I X!OCCUR ! `NEO E*rAnrone pesm) 5 5 000 , -'- -- I PERSONIL8ADVINJURY S 1.00. 000 GENERAL AGGREGATE ;,A 2.Q.00.O00 0wLAGGREGATE L$AT APPUES•PER �--� t PR4 PRODUCTS.GOMPgP AGG is 2,000.D 0 i POLICY 17, I LOIC j s A I auTaNONILE LlAs�rn j IBAA 56418741 12/10/141 12/10/15 o i(Eeaoddart) s 1.00'0 00 ASYAUTO BODILY IN AI:LOWNED SCHEDULED ' JURY(Per.ptlsar) S__ Aj TOS X AUTOS i 'BODILY INJURY(Per aCdOent)j s I X HIREDAUTOS X AUTOS t I RIY O/MM 5 i (Per aosdrr) , t I RS A ;X U*MlLA LIAB ILX OCCUR Y j Y 11US0 56418741 12/10/14°. 12/10/15I H OCCURRENCE S 2,000,QQQ EXCESS UAS { GAIMS-MLDE j i AGGREGATE _ ,s 101000 DW R FT DNS ; - :S A I ANo�LOya 8 UAWTY YIN XWS 56418741 12/1o/14i 12/10/15`X i Tfl yTIALIRc. OFa ' — AW POOPRGTOPJPARn4EFUE7ECUTNE OFFID1tRIMElA1Jt ExauD2o? N/A E ILE CH ACOOEM _.S SOO.000 Diiw"IM In NH) H q+QiDeurrOpr _E.L DISEASE-EA EMPLOYEE:S 560,PE 000 N OF ORATIONS below ! I t E.I.DISEASE•POLICY LIMI>•'S�500 000 t I i DESCMpr4W OF OPERATIONS I LOCATIONS I V ENCLIS (AM=b ACORD 101.Adl5dorw RerreAa sohed e,n more space is mgli nd) Proof of Insurance. ' I I I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLCES BE CANCELLED BEFORE I t j THE EXPIRATION DATE THEREOF, NOTICE"WILL BE DELIVERED IN AC 60RDANCE WITH THE POLICY PROVISIONS. i i I I gUTMORQED RE PRE S[NT4'fNE'',/a'`\���� I + O 1998.20 10 ACORD CORPORATION. All rights reserved. ACORDg5(2010/05) The ACORD name and logo are registered marks of ACORD PhnnP• Fax; E-Maii: OWNER AUTHORIZATION FORM 1 (O ee Name) owner of the property located at f r• D' C - �Gir /1aNs /�p (P perty Address) Co/ aif �Zb>� (Property Address) 1 hereby authorize (Subcontractor) v .� an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. r Owner' Signature nature • Date RISE Engineering Federal 10#06-MS629 RI Contractor Registration No 8186 A division of'fhiclsrh Enrineerin t MA Contractor Registration No 12097.9 CT Contractor Registration No 620120 5 Dupont:wcnuc,Snnth 1'arnuurth.:•1A 02664 A pp++g 508-568-1926 X-6613 FAX 508-568-1933 ` ONTRA A R S E Page 1 NRI.)(iRrini THIS CONTRACT IS ENTERED INTO BETWEEN RISE E,NC-1NE:*ERINCG Cl-C-RCS F1JGINEERING AND THE CUSTOMER FOR WORK AS DESCRIBED BELOW CUSTOMER PHONE DATE Robert A (`ishe.k CLIEYT>: WORK ORDER (i0h)4=0-03 72 1 L`{9,`2014 186632 00002 SERVICE STREET 81LLIt1G STREET 140 Cap'N Carltons Road 140 Cap'N C:arlrons SERVICE CITY•STATE.ZIP Cotuit, MA 02635 BILLING CITY.STATE.ZIP Cotuit, MA 02635 JOB DESCRIPTION AIR SFALING:provide labor and materials to seal areas of •our home against%vasiefid.excess air Icaka2C. 'rhis work will be performed in concert w ith the use orspecial tools and diag air L'XL'ilalti;l'aIl(I Iltil%) nostic tests to assure that sour hoot( .till he left with;I hcalthlul level of of air quality.Materials to be used to seal\'our home Cart include caulks products. ,foams.%ycathcntripptns and other Primary•areas for sealing include air leakage to attic;,basements,attached garages and other unheated are;L<(Windows are oat generally addressed.) (5)working hours. •� At the complelion Ot'Ihe wea(herization work•and al no additional cost to Etc hom"viler,it final blower dour and/or combustion safety analysis will be conducted by the silk-contractor to ensure tie safely of the indoor air quality. AIR SI'ALING:Provide labor and materials to install Q-Ion weatherstripping and a dool:,weeI)to(2)door(s)to restrict air leakage. S385.00 STORAGE:BARRIER:Homeowner is responsible for the removal of the stored items hlockine;the installation of wealherization S 154.00 work in the attic. Removal must occur prior to the-scheduled work Stan. ATI'I(';PLAT:Provide labor and materials to install a 7"layer of R-24 Class I C C11111nsc added ir1(I900)square Icct of open attic SU.UO space. VENTILATION:Provide labor and materials to install(3)insulated exhaust hose with roof mourned flapper vent to exhaust 52.35GAU existing hilliroorn lbn(s). VI:N'!'l1..:1'I'll?N:Provide labor and materials to install ventilation chutes in(95)raller hays to maintain air flow, S348.TU COMMON W.,\1.C:Provide labor and materials to install 2"I"Sf.'' S+31'55 faced semi-rigid tiherglas;board insulation to l I J,Gi<quare feet of Common wall;uca, _ RISE:L nginecring will apply all applicable,eligible incentives to this contract. YOU w" nt. S 117.OG for cligihle measures,life Cape Light Compact offers 75`%incentive,not to exceed S4.000 perlcsienitlariv n utndtanuinecntiv�otl}' 100%lbr the Air Scaling measures. For the safety;md health ol',vour home's indoor air quality,we will be conducting a blo-cr door diagnostic of ills availahlc air flow in your home both before the work is liceun,and after the weatherizaiion work is complete.%1'e%silt also conduct a fill:Isscssmun of the cornhustion safety ul your heating system and water heater.'phis has a value of S90 and is at nu cost lit you. DLE ly 1 Lob � I �!I_ I RISC; Engineering Federal ID#05-0405629 RI Contractor Registration No 8186 A division of'i'hielseh En"incering MA Contractor Registration No 120979 CT Contractor Registration No 620120 5 DUPon1 Avenue.SUUth Yarmouth.NIA 02664 �` 508-568-1926 X-6613 FAX 508-568-1933 C®N TRAW T R I S E Page 2 THIS CONTRACT IS ENTERED INTO BETWEEN RISE E N G I N E E R I N C C 1,C-Rcs ENGINEERING AND TTIE CUSTOMER FOR WORK AS DESCRIBED BELoW CUSTOMER Robin A Cisl•Ie1; F'I/OrrE OAT-c CLIENT- WORK ORDER (508.)hO_[; I i ii),2014 196632 U0001) SERVICE STREET 140 Cap'N Carltons Road BILUNG STREET 140 C'ap'N C'aritons SERVICE CITY,STATE,ZIP BILUFIG CITY,STATE,ZIP ' COtUil, MA 02635 COtUit, MA 026335 JOB DESCRIPTI(IN Total: $4,081.91 Program Incentive: $3,218.68 Customer Total: $863.23 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF `**Eight Hundred Sixty-Three& 23/100 Dollars $863.23 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREE9 70 REMIT AMOUNT DUE IN FULL INTEREST OF 1X WILL BE CHARGED MONTHLY ON ANY SEE REVERSE FOR IMPORT UNPAID BALANCE AFTER 10 DAYS. ANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES /; I i AUTHORIZED SIG NATUR �F.-RISE ENGINEERING ` CUSTOMER ACCEPTANCE NOTE:THIS CONTRACT MAY BE WRHORAWN BY US IF NOT EXECUTED WITHIN `, - 1 C - �`... / ' UATE OF ACCEPTANCE' -- I 2o'1 S ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATION G AND CONDITIONS ARE UAYS. SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED.PAYLrENr WILL BE MADE AS OU'[LINED ABOVE i f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �, Permit# Qffiw E Health Division Date Issued 1 AffConservation Division "' Fee Tax Collector 00 Treasurer Planning Dept. 1� Date Definitive Plan Approved by.Planning Board - Historic-OKH Preservation/Hyannis - r Project Street Address 1140 Village Owner EV 2° y Clj4j Address '/�d r!p i.;) i✓ 65 erryla Telephone j--D.0.- V,70 - Q 3 72- - .Permit Request �*eP1-qce eX1J'417f Qalyldf hc� 'K �wT7*' Ae a hcZ 3 a� d -4,/ter a /� 'x�s�' S pa° �o�� �� 1.*7'.WW14_ �ar75.P 46C.-Ic. y J k.0 Square feet: 1st floor:`�'cistingv proposed 76 2nd floor: existing proposed Total new Valuation :� Zoning District Flood Plain A�u Groundwater Overlay Construction:T:ype v . � �� - Lot Size _ � .� Grandfattiered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Smgle Fami Two Family ❑ Multi-Family(#units) Age of Existing Structure 3�Y� Historic House: ❑Yes ?No On Old King's Highway: ❑Yes l No Basement Type: P Full ❑Crawl �IlWalkout ❑Other Basement Finished Area(sq.ft.) ?.,go Basement Unfinished Area(sq.ft) BUG Number of Baths: Full: existing 3 new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing 7 new First Floor Room Count 17 Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: P Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool: I existing ❑new size Barn:❑existing ❑new size Attached garage:0 existing ❑new size 1-YY7,�r Shed:1$existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes,site plan review# Current Use I&ri u,h*4 Proposed Use "Y'l L BUILDER INFORMATION .78 065-0 &,e-r Name Telephone Number _5-7/1— z127 —717-S— Address �& awonl Zlb License# OSC 71v.- Home Improvement Contractor# //6-7 70 07— Worker's Compensation# ,�./ ,, II� � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN�0.-V NOS 4,j tk4�y �yM e(N SIGNATURE DATE FOR OFFICIAL USE ONLY - ti PERMIT NO. DATE ISSUED - MAP/PARCEL NO. r ADDRESS, VILLAGE OWNER , DATE OF INSPECTION: _ FOUNDATION FRAME v �., Z+1C7 r� �= INSULATION M • , FIREPLACE - ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL FINAL BUILDING ��'/ (Oe� 7/�y/D 2 ICDdLJ�,— r DATE CLOSED OUT ASSOCIATION PLAN NO. A r ^ 1 "1, :.i+. :�L. :. .3,;6i::' <y,`.'.::N ice:;.. v x ,s <!° : i>.. F` •9x's DATE(MINDIUM ' S' i.• •:Li: � d. 4:":yi:i'•'� n.. iC-:.. r ;�._.-.:.s'•.,.. . s. s .rnAl %5»h.:>,u::-o,�r', 07/17f0$ �.„t"• � :.r-+t•:Eic3i'o:�sGrd:::.::z«d :w.✓w.%fia,; :v;:ixvs::3x%r.ra:,- :..x:w;'d;:z3,.,i.';.xa:$c� •::�0.::.5N 5S";'6>r'i.!'ofitjs:•rs,.:r'>x,.•::a^' _ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PAYCHEX AGENCY INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 1175 JOHN STREET' ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, WEST HENRiETTA,NY 14586 COMPANIES AFFORDING COVERAGE CO AAafY i GUARDINSURANCE INSURED commY., JAMES HEALY JR B 15 ANNAWON ROAD MASHPEE,MA 02649- COMA W MWA W D ..'f:. ..Jc!.Li"':7ic''r! `:b;i3ri,"-:•7.f::.Ak w»:x:?i:ti�:ai.Az4:6zc[' :`o%u :.�.c::„"' - -.::1,.;;i:.: ::2 �-.:r". L. -:3�' tir».•vr.,,1 ``'<:''-Q>,E:.W,r.' �' n o.•� :$p../ 4vi4 Yo'e': .: ;:1�;.: ;y!..ti'i'�`<%i,4 s.a$ •'�'6.. 9. ., d'^':l.:;i:?`�•: :an ).,< - % gap < 4Y' •.'N.x!'xa�N^9:VxKN.•n" ,L.,'d.4.%%, a `9,... 4J>gi.} �$ Q, ecfi<.::�'C x> ' ,.,-,-. •<` i 9 R S>iasa csv ro.»zva' 6: ' �r .w, >- :n'rawo.>. ;iia•,.-..•tea � •lXk..31C�:k�.�..:......:...�,:..............Y.dP'�a.�!AL39.7R'Lttl.•x$¢ut?:...G '�.Y.�% a.!',..:.».•.a..,.. a_ol�:x.»F�-';:idmcv x x �a ;= ,m.t.,2),��.-v�.,r-daSs' THIS IS TO CERTIFY THAT THE POUCIES 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 TEAMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS L DATE WINO ") GATE(MMIDDIYY) GENERAL LIABILITY GENERAL AGGREGATE $ {,OMMERG)AL-GEN - C=�LAIMS MADE[=]OL1JR �. PERSONAL&ADV KJURY S OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE S FIRE DAMAGE(Any one fire) s MED EXP(Any one pot m) S AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT : ALL OWNED AUTOS S BODILY INJURY y SCHEDULED AUTOS (Parpluson) HIRED AUTOS DODILY INJURY $ NON-OWNED AUTOS (Peraxldent) PROPERTY DAMAGE $ GARAGEU ABILITY AUTO ONLY-EA ACCIDENT' S ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM AGGREGATE 5 OTHER THAIJ UMBRELLA FORM s TmLlmnm WORKER'S COMPENSATION AND X wcs w fit q EMPLOY9I:W UABILITY ^ EL EACH ACCIDENT s 1 oD.ouo-oo PARTNERSIEXECUTIVE INCL JAWC702608 06/30/06 06l30At07 EL DISEASE•POLICY LIMIT $ SM.000.00 CFFlCEFSAM- - 106,000.00 OTHER DESCRIPTION OF OPERATION&LOCATIONSIVEHICLESWEGAL ITEMS � y .��-..1t�: `�`-��,'ydyy...Y+ �:y .I` i•%' ,,yS >PLn /{yj'' ��♦y 5!:%> .LC }��{��''•',�'�,`���_,,,..a��u., WW .ji:;X <:Yvr�Z2.-� X6qq ��((xxV�acc <��!',,,�'!.b'. :�y�����Ad�v. ^�Y3:i:4%:/.Lix:S:V:: kA3,�'�fi: :3t:�1�6' 43[i� W'nL�,Nta�Y .S•. .. . ... �1iR' :,.ow 2•:,r::C.:n .`Or•>:. L'R< 60:t214SU'.A�f9.:-J.: 36.x lv. 3GQI:?�4 <.,+.w..Y. L SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE THE TOWN OF MASHPEE EXPIRAnoN DATE THEREOF,THE tSSIANG COMPANY WILL ENDEAVOR TO MAIL 1616 GREAT NECK RD NORTH MASHPEE,MA 02649 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REDRESENTATNES. ` A ;ME E I EMATI :H 'b.:CY[l.! /•.>?J6 .. ..: r-0j< Cx r y:S .1. 'T M:�' d.T::�w.«w,... �. '3��r:R•:�' 4;2 �iE7a.'•:a•• n � :idsiu'c-'A.,,4.�:.. '3E. i�i�s'�'ia%�y>;:26>>•cafi,:Ya:.�'xi '":�":{� :16' >�„�� "nSa �. � �;%. •.r+'h:x .xC`:< , .•kx?>-;?>,�{i.:, >Y •4"��lY hL')�xxxo»:t-.k uo :.��'$' $77:.' A..{o;w+,!". >�»?>..� .x2C�44:. .,ek'O` 1 , Q. CrERTIFICATE OF LIABILITY INSURANCE 09/20/`�20 6 PRODUCER (S08)398-6033 FAX (508)760-1667 THIS CERTIFICATE IS ISSUED A$A MATTER OF INFORMATION Eastern Insurance Croup LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE One Atlantic Ave HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Yarmouth, MA 02664 Cynthia Jenks INSURERS AFFORDING COVERAGE NAIC 0 INSURED James P Healy Jr L,=P':RA: Acadia Insurance Company 15 Annaon Road INSURER& Mashpee, MA 02649 INSURERC: INSURER D: INSURER E'- COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDIN 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 13 SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE.LIMITS,SHOWN MAY HAVE BEERREDUCED.BYPAID CLAIMS. rA DD TNSRfYPE OF INSURANCE POUCYNUMBER POIJCYEFFECTIVE POLICY EXPIRATI LIMITS GENERAL LIABILITY ROA00821591S 12/31/200S 12/31/2006 EACHoc�cuRRENCE s 300.0001 X COMMERCIAL GENERAL LIABILITY DAMAGETORENTM E 100,0001 CL/UMS MADE a OCCUR MED EXP on{Anye person) $ S1000 PERSONAL&ADV INJURY S 300,000 CENERAL AGGREGATE S 600,000 GE WL AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMPIOP AGO s 600,00 TX POLICY M"' M LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMB ANY AUTO (Ee aeddenq $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (P-pe—) $ HIRED AUTOS BODILY INJURY :NO"WNEOAUTOS (P�re�aert) PROPERTY DAMAGE S (Per ealdeM) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG I EYCFSSIIlMBRELlA LIABILITY EACH OCCURRENCE S ...-OCCUR- .0.. 4dt8E -.. ...._.._....---- --- _ _... -- --' _— - -- - ._ .. S DEDUCTIBLE S RETENTION s s WORKERS COMPENSATION AND O STATLF OTH EMPLOYERS'LIABILITY E.L.EACH ACCD>�fT S ANY PROPRIETORUPARTNERIMWTIVE OFFICERAgEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE S If va descbbe der SPEC un IAL PROVISIONS below E.L.DISEASE-POLICY LIMIT i OTHER DESCRIPTION OF.OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Evidence of Insurance CERTIFICATE O SKOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Eileen ASsad BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY SS Ranch Road DF LQND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. Falmouth, MA 02S36 wnigsVED REPRESENTATIVE ACORD 25(2001108) QACORD CORPORATION 1988 - cA i a= 1 r I � I � I I i i i i , j L'pm�os /T� 1�PC,G/a� Aspi�• r .. - loxbf�t►:f�r .SONa71sf _.. Xv t _ 9Y CA.26 E-Tza•,�'s /.boo' Al T r � r } J Alp � moo• . J0.1 /YE•$G�6 Y ��yf>- r'yI r ris�C' .Gd/t1�..,j r- r- lro.✓.�. Oiv J"�i3 ,pcir.v /.? LRCgq--E.� ON 9if'i� � • �.Ti✓g L� c.r 6.Sc•c% O r ,%7s'E 7b•..v Oi Bi)�I/ T1�J.Q G!� Qe4 .�E� G�'•JO SrdeY'o �04-4,l/A//%V /9 SRO C.Iic'TC- _, .. G,jfze -� aruvea�L S and SaTds Board of Building Regulatio — HOME IMPROVEMENT CON7RgCTOR — Registration;. 115770 Xp�rat�on=411012008 JAMES ..,._? ,J=- i• JAMES - ' HEALY JR � y; 15�'ANNAw MA ON RD � I Admin►strator MA 02649 --- -.:.: 1 SHPEE, Y ` i BARD OF BU(LQ;ING RrE.GULATfQvNS',. License CONSTRUCTION SUPERVISOR .I , .1: Nurnbe b �S 0,56765 �007 Tr.no: 9893.0 JAMES P HEAL - MASHPEE, MA 02.4 o Commissase`r r °F The Town of Barnstable • eAxivszani.e. - c4i 9� 1659 Regulatory Services '°�Ec►�►a{' 'Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICA'GON MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. S'C," Type of Work: �eP/aye �' � ���� ���� �Yxiy P Estimated Cost GOB Address of Work: Owner's Name: �� '` �020 CIJk.P�L Date of Application: /�319& I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law OJob Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent f the owner: Date ontractor Name Registration No. OR Date Owner's Name gl6mis:Affidav i °f�► �°,,ti Town of Barnstable Regulatory Services 9WNSrABM � Thomas F.Geiler,Director s639..�6 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder property as Owner of the subject ro � l p hereby authorize ' -^me3 �u� �� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date 2o-%6PY A. ' &5w-5K Print Name Q:FORM&OWNERPERMISSION ;. ,.: CON TEO O SUjROOMS" - - - achos z5tate niIdin C en The Massachusetts State Building Code(780 CAM) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental .CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, constructing/installing a house addition with very large percentage of glass to opaque wall, seeks to utilize a special energy conservation exemption option for "sunroom" additions to,an existing house (780.CMR; Appendix J, Section J1.1.23.1). This FORM is not intended to prevent a homeowner from selecting a "sunmom"of any size, configuration, orientation,form'of construction or percent glazing, but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing a"sunroom"addition. The connection of "sunroom" structures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and construction/installation of"sunrooms", included below is a non-required, open-ended list of product and design donsiderations that _a homeowner may 'wish to consider before actually conswcting/installing a"sunroom".It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize potential-.energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO"SUNROOMS" • Solar Orientation and Natural Shading - • Type of Glazing • Insulating value • Solar heat gain • Frame materials • Glazing to frame sealing and gasketing materials✓.seal durability and/or weather tightness of the sunroom • Adequate ventilation Operable windows and fans • Applied Shading Systems • Insulation level in floors,walls,and ceilings • Possible Sunroom isolation from the main house via a wall and/or door or slider • Heating and Cooling Methods: Efficiency,Zoning and Controls Homeowner Acknowledgment The Massachusetts State Building Code, Section J1.1=.1,,requires that the actual property owner(not the owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes'"sunroom" additions to an-existing residential building. In accordance with this requirement,the undersigned hereby acknowledges that she/he has read the information in doc ent conc ming sunroom comfort and energy conservation. t 30 —G�o Signature of A * Building Owner Date Print Name Address of Permitted Project 27 Owner Address(if different than project location) Owner's telephone number The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): - Address: City/State/Zip: IZI s4J W,00� 44 CZG SAS Phone M S bF- Y77_7 i?r Are you an employer?Check the appropriate box: Type of project(required): 1.� I am a employer with 3 4. El am a general contractor and I 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. # 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' �_� / ,„�,,-t comp. insurance required.] 13.[8 Other P f 5ei e��t e� c *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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: -v1gNC 7o aG G,? Expiration Date: 3a c Job Site Address: l�o C'�� ,a `����"� KD' City/State/Zip: 6-7t" M4 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify tinder the pains an penalties of perjury that the information provided above is true and correct. — Signature: Date: Phone#: .5Z8 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): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Gl m ESTIMA TED PROJECT COST WORKSHEET Value LIVING SPACE (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X-.$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Value ao- 7� Assessor s'map and lot numb g�. �,9 ��.... ... . .,........ 7 SEPTIC SYSTEM MUST BE �OFTHETO� age Permit number ............... ...fl............................... INSTALLED IN COMPLIANG;�,'�Q `� WITH ARTICLE II STATE j BesasTADLE, 7 House number ........ `.a.................................................: SANITARY CODE AND T 0111' 9 ■Aea ` REGULATIONS, 00�0 YAI a`e� TOWN OF BASRNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........................ c ..... 7 TYPEOF CONSTRUCTION ..................................................................................................................................... . TO THE INSPECTOR OF BUILDINGS: x . „N The undersigned hereby applies for a permit according to the following information: Location .....Gz%f /G G!¢,��s�J G.�?jZG�—�-�1 S O C�' v ...............................................r.�. .. .............. 1. ........ Proposed Use ...... ....... ' tip/c.. ......�� ................................................ Zoning District ............ ...... '................................Fire District .....c. 'i V/� ................... Name of Owner . ......... ............. ................. �..AddressC�.—. t/7 v/ � Name of Builder .V ...... � !� Address ...........ce... .. .... .............. eve ....................... ...... � Z�Z z- S, �f -3o v—,-G�7- Name of Architect '�'r?�'.:f.....�� �/J�7odo...Address ............��T... l.P./.`�!. . ......1.� ........ y Number of Rooms .....................Foundation ..... ............................................. .................................................................... Exterior ..1 �'T�'?.�='....�:..�� ,�'r l�lL.........!C/G............Roofing ... ` ............." .................. .. ............................ Floors �..Z.�....... �..?-..y..%�L !??6za............................Interior z....`S �' TTL®.�r�..................................... Heating ........................................................Plumbing .......,1 ................................................................... Fireplace v..••••••...............................................................Approximate Cost....... ..... Definitive Plan Approved by Planning Board -----------_______-----------19 . Area Zf �,1 ..s.! ........ Diagram of Lot and Building with Dimensions Fee !..0 SUBJECT TO APPROVAL OF BOARD OF HEALTH / /0O �13 7 �96 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... . ......... . ......... Balcbsaro, John Jr. No . 20792, one story ................. Permit'for .................................... single family dwelling ............................................................................... 140 Cap'n. Carleton Road Location ................................................................ Cotuit ............................................................................... John Baldasaro, Jr. Owner .................................................................. Type of Construction frame .......................................... ................................................................................ Plot ............................ Lot ...............#19................. November 8 78 Permit Granted ........................................19 Date of Inspection ...... ........... .................19 Date Completed 19 PERMIT REFUSED ......... ..... . ........................ ..... 19 ........ ..... . ..... .. ............ .. . ... . .............. .... ....... . .. ........... . ........... ...... ............ .... .............. ................. .. ............... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's map and lot number.............................................. THE of To Sewage Permit number ................... .................................... EARNSTULE, House number ........ MASEL ............................................................... t639- 0 TOWN OF BARNSTABLE BUILDING INSPECTOR APEICATION FOR PERMIT TO ............................. ................................................................................................ TYPEOF CONSTRUCTION ..................................................................................................................................... ................................................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .............. . ......... ............................................................... ......... .......................................... .................... ProposedUse ............... ................................ ........................................................................ ..................................................... ZoningDistrict ............ ...........................................................Fire District ..... ......... ........ .................................................. Nameof Owner .......................................................................Address ............................................................................ V Nameof Builder ..........Iit i ..Address ...................................................... ....... ............................................................................ W Name of Architect,,.,. ................................................... ....Address ............ ..................................... Numberof Rooms ..............................................I...................Foundation ................................................................................ Ex i e r i o r ..............................................................................Roofing ... .......................................................................... Floors .......................................................................................Interior ......................................................................... Heating ..................................................................................Plumbing ................................................................................... Fireplace ......... .........................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board --------------------------------19--------- Area ...................I ............... ........ Diagram of Lot and Building with Dimensions Fee ............. .................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH aF I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............ ...... .................................................. ! xBaldasaroo -john -~~-3z�� � � i No �����^p�'mn .-..oa*s,' --'' ' � � ' -'---�inglIP'' 'dweg..lj.n�-----' ! Location __l4O..Cap,��.. .Boud_^ ' ' Cotuit ` ` Owner John Bal:dao / ' / of Construction � ' � , . , ncx . � V) ....... 78 ' Permit Granted � ' / Date of Inspection . \ uone Completed � ! PERMIT � � lA � ` ' ` / ----- ` ` ............. ..----. � -.�=�� -----.. . ' y - . � --------."~~�,"��.-.�-----------. ' � ' � Approved _--------------. lA ' � ` ----~---------~-------.---.. . ` \ \ -------'----------------''^^^ ! ' / ! > ^ ir ,.TV9 20792 TOWN OF.BARNSTABLE Permit No. — Building Inspector 3AW".n Cash _ OCCUPANCY PERMIT Bond _ X --6 6b9 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 John Baldasaro, Jr. Address Centerville lot #19 a140 Cap'n. Carleton Road, Cotuit Wiring Inspector �—� �~Inspection date Plumbing Inspector € ����s *� � Inspection date Cras Inspecto;r r 7 Inspection date ,�i� �� / ✓Engineering Department i�" l�� �L Inspection date^ 75f 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. t �� ( �tB ilding�Inspector A 1 • I p'9� , C,g2G�Ton/�S �; ' /J 00 1 ♦1. ( � J t 1 LrL I -C v-- _ . Z-7 A$, Rsv�,� :" � / flE�EBY CE,e,Tif'Y TNf � T//E GrJ/LOi^/%: "P I GOE� f}s .rJ•yow.v .4�E/�?o.� �nrG rs�i�T �,— �t/o.�!i/971f CD -�- L'�w= 0.► �'E Tor.....+ 0= QfI�NSTJ�I.CCE J.gTc �E� GF-'..�0 ��:ilE�v, I, Assessor's map and lot number - 9 • .. ..�.... CJ THE �P�oF toy o Sewage Permit number Sao..,l�¢ v�_ �.,�a�P...O../.�.11�ly S/iy�o SEFMC SY INSTA I E, . House number, .....�.yQ...... LLED IN CO... . i, E WITH TI.T%,', a. TOWN OF BARNST�i` ju '- .L �. BUILDING INSPECTOR APPLICATION FOR PERMIT TO ................ti&I!tea- &,i.J�QD-40MI t..,40&--e........................................ TYPEOF CONSTRUCTION .........................................................................................:............................................ :.:........... .r.9. ........>I9 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..................../1/0...... �..�.../GW................ . ........:........:.......................................... ProposedUse ...................................................................................................................:......................................................... ZoningDistrict ........ ... ..........................................................Fire District .............................................................................. Name of Owner ..... ........Address Lf L �;I:CtiG'xd ................... Nameof Builder .....a.. . . ..... .... ......................Address .................................................................................... .Name of Architect ...................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ..........:................................................................... Exterior ....................................................................................Roofing .................................................................................... ................................................Interior .........Floors ...................................... ........................................................................... PlumbinHeating ...................................,;.................................... g. ............. Fireplace .....................Approximate Cost ................� �(f�`00 Definitive Plan Approved by Planning Board -----------_______-----------19_______ . Area ...... d.X...T...v........ ... �4 Diagram of Lot and Building with Dimensions Fee � SUBJECT TO APPROVAL OF BOARD OF HEALTH �2 a 14,Qa-m I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name L¢. ..................... 2219'8 Swim A V' g Cotuit IIVPa�tWe ./ gm PERMIT REFUSED ' -------------------_—. lA *� ` tE- ---. ----------------� � �^ . ........... —. /'----------------.. ^ ' . | ---.. ....................................................... ............ - .-----'-------.. lA CU- - ----. .......................................................... ` � ................... / . � � . ^ Assessor's map and lot number ..a� ,.1.,9� ... .......... THE Qy�f TOE♦ Sewage Permit number . ?Lt+...e�.!t : ......:.�.,,,<�,�®.. <'.n.�A� 5�i/ o Z 33JSB9TADLE, i u House number ........ O 16}9• `0 0 MOa' TOWN OF BARNSTABLE s BUILDING INSPECTOR j APPLICATION FOR PERMIT TO ............................................. ......................................................................... TYPE OF CONSTRUCTION ' ................. .................................. .................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .................................... .................................................................................................................................................... ProposedUse ............................................................................................................................................................................. Zoning District Fire District .............................................................................. Nameof Owner ��elr�/� 7 .' ��>lt "• ....::.... :.....................p...'. ...............................Address ....................................................................... ........ Name of Builder � �....�::��:,°••�!c?>',����.-�...,......./.;:•:'•......................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ...................................................................I........... Exterior ....................................................................................Roofing .........................................................................,........... T Floors ............................................................Interior ........: Heating ....................................................'.....................'.......::Plumbing .................:........... Fireplace p ........................................................................'..........Approximate Cost .............. ........................... s� Definitive Plan Approved by Planning Board -----------_______-----------19 . Area . ....L�..•'......... .. -41 Diagram of Lot and Building with Dimensions g 9 Fee .......... ................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH t' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................................................................. y ,. y __,z.,� r,.c,:a_.�. _'i'r,�•.:ih:;. ,..�r_>.:z� .:._..ate..r f.::±r:_. •:.�._ 1.. _,_. ..i ..,., .... ,,,••f .�,.6 ....--. _. :,•,'a ...v,-..........4 ,. � � " DAS �� "`^"�' A. A=38+/39 ^^ � No -— Pe,mitfo, —Poml ......Aq.Qe..5.aQ]ry...tg—Dvvell ' _____.. Location Aptaio...C.arltqn...I6oad ' .................C.Qtnit---------------. Owner , ` ` ',p= of C" """`' . ' ` P| ' � Ma 80 Permit uou, of / � . ""'= `"w PERMIT REFUSED ' � . . ....................... lV --. — ------. � --''�~W —'v�'�� ------' ' , ^ ' ---- ----------.----- ,~ ` -----��------------------..— � , | , Approved .......................................... ..... lA ` --------------------------' ' ' ---------------------..--~—. \ - , i } AAA y� g t r NMI. A A t addampf w 657 '� -Now _ d I wor— r I a }_ . � t Nv i , a e I � i , N®L A -r 1 �r; rs. a 3Rro 1 , " X 65 7 02632 } \ 7 } P 4 • « t Imo. _... .r _ tlt -- ,..... ..'.,,.a. 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