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0051 SPUR LANE
_ _ _ . -.�. _�_ --. _ .. . .�.-.r-^-tea, t: y �r . L, �, k J � f t_ �" �. C i r �� : � �� � � ;, ��� F b, .. ,. tt{ i � - _ i ._ i i i 11 I �! ` f ;�� �y✓`- �� �5� � �_ _ � e _ _ � ��� r, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map' . Parcel Application # Health Division Date Issued (}� Conservation Division Application Fee ZX Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis D Project Street Address Village X,4,9;r /lS M Owner Address Telephone J D P 5L Z _ Permit Request y,u /-2 e.rif2lC Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Z,S D'TJ, D Construction TypeLii d� n � � ,Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family(9 Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes6TNo On Old King's Highway❑Ytk O No Basement Type: ❑ Full 0 Crawl ❑Walkout ❑ Other �' Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new 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) Name a , Cv /�,� v//f��i� Telephone Number ZZv12,Z'� Address r/ /����9 ��w License # �/ y 4' Home Improvement Contractor# Email Worker's Compensation #Ze2,, ,4,00S zi G! ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Cam/ ?�/ r 4 FOR OFFICIAL USE ONLY t. APPLICATION# ` DATE ISSUED MAP,/PARCEL N0, � r -ADDRESS, VILLAGE OWNER " . . _...... _ .. DATE OF INSPECTION: FOUNDATION FRAME < •t INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL !' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL L - FINAL BUILDINGS D AT-ELO.SED OUT i AS-PpCIATIQN PLAN NQ„ w �_• _ ' Assi ke Coqwrafion cqwcad HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IFYOU ARE THEAPPLICANT HOMEOWNER. hereby consent to and agree that weatherization work may be done by the Weat her i zati on Program of H ousing Assistance Corporation ( herein after referred as "Agency") on the property,located at: u s lali P, The weatherization work done will be based on programmatic priorities and availability of funding and it may include-all or some of the followingmeasures: Weather-stripping& caulking of windows and doors, insulation of attics, sidewalls& basements, attic and other ventilation measuresand possibly replacement of badly deteriorated windows. In consideration of theweatherization work to bedoneat my home I agree to the following 1. 1 givepermission to the"Agency" itsagentsand employeesto travel onto or acrosssaid Property-with such equipment and materials as may be necessary to perform weatherization work on said property. 2. TheHousing Assistance Corporation reserves the right to inspect thefuel or utility bill for the weatherized unit on an ongoing basisfor no morethan five(5) yearsafter theweatherization work is completed. I haveread theprovisionsof thisagreement aslisted and freely givemy consent. Home Owner: (Signature) Date: - f Agent: (signature) Date: T HAC approved Weatherization Company : v Vic �r� A live learn work grow 460 West Main St. Hyannis, MA 02601 hac@haconcapecocl.org 508-771-5400 fix: 508-775-7434 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a I Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information Please Print Legibly Name (Business/Organization/individual): C .Ci C-A �d Address: 6 �V�O�. (.d►�G f�i City/State/Zip: '�5b UA G.MOU " Phone#: 6A - -71 1�' (2 17 Are ou art employer? Check the appropriate box: Type of project(required): l. l ant a employer with - '2 4• ❑ 1 am a general contractor and 1 « have hired the sub-contractors 6. ❑ New construction errtployees (full'and/or part-time). 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1.1.[] Plurnbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs §14,152 ,and we have no w employees. [No workers' insurance required.] t c. ( ) MIAA 'I 13.�Other comp. insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t l lumcuwners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1 lCuntracturs that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have cmployccs. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 I ant an employer that is providing workers'compensation insurance for my employees. Below is the policy anti job site information. Insurance Company Name: �� hcNA4& l��Jl�l/�t/LtL�IiQ Policy ti or Self ins. Lic. #: WCA oolr2?r1 0 t Expiration Date: rJ w It Job Site Address:L % ��U ���yd g52/ �/� //Ll/ S City/State/Zip: o�,yy �j2, 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 tine 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 cer tfy r the pains and penalties of perjury that the information provided above is trite and correct. Si nature: Date: b Z Phone 9: �h��/ 2 S/Z I Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): I. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing inspector 6.Other IContact Person: Phone#: UMassachusetts -Departr4nt of Pl,Iblic Safety .'66ard of Building Regula#bons end Standards Construction Supervisor •/ ; License: CS-100988 r: 1- E RY E CASSEDYh SHED.ROW F WEST YARMOlPfl-i r 2 Expiration Commissioner 11/11/2015 r 1 _ / .--� �_� -1 Gf% t��%y?/yl'Zt2�'ul✓eGY.L�� cv C� ��tz�:�tzcLiGG;1•E.' :,%. Office of Consumer Affairs and Business Regulation :r- 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement CQri�raqtor Registration :; Registration: 153567 hype: Private Corporation Expiration: 12/15/2014 Tr# 233831 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE J- — SO. YARMOUTH, MA 02664 Update Address and return card. Mur9c rensuu for ch Inge. i...- Address Renewal ❑ Employment Lost Card t'�: ii �Or4iHd11 �� ' '!�[: �(�aiir.•rir.t.auaNctr!!� c�c�GllJJCGCI(C[JFt!!.1 uifice orConsumer Affairs d Business Regulntioo License or registration valid for individul use only IOW ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ooistration: 153567 Type: Office of Consumer Affairs and Business Regulation . E Piratlon: 12/175/2014 Private Corporation 10 Park Plaza-Suite 5170 Boston,NIA 02116 APE COD INSUtA-1-ION, Ill, ENRY CASSIDY 1!I 3 REARDON CIRCLE J YARMOUI'1-I, MA 02664 Undersecretary Aofvalr* witho t pat re I —� CAPECOD-27 CVANGELDER DATE(MMIDDIYYYYI CERTIFICATE OF LIABILITY INSURANCE F411121014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the torms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of Such endorsement(s). rHOuuctR CONTACT Cape Cod Commercial _ NAME: .� �.-----._.. Rogers&Gray Insurance Agency, Inc. PHONE d34 Rtu 134 JAC No.Extl: _ — -LAIC NO: (877)816-2156 South Dennis,MA 02660 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE _ NAICY _...._—_.__-- _ INSURER A:Peerless Insurance ComQany _ _ _ N't„`t" INSURER R:COMMERCE INSURANCE COMPANY_ Cape Cod Insulation Inc INSURER c:Evanston Insurance Com an — 16 Reardon Circle INSURER D:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth, MA 02664 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICAT-F.D NOTWITFISTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH,RESPECT TO WHICH THIS CERIIfICAI.E MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT I.0 ALL THE TERMS, L''XCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR! ..... . t iN! rYPE OF INSURANCE ADbl SUEiR p ItCY EFF POLICY Y --� " --- POLICY MMIDp1WW MMIDDNYYY LIMITS A X COMMEHCIAL GENERAL LIABILITY EACH OCCURRENCE f 1,000,00 CIAIMS MADE X I OCCUR CBP8263063 04101/2014 04/01/2015 ATx1AGETOREN7ED— 100,00 I I,.__....1 PREMISES Ea occurrencoL E _ ._..-..._.._ .. MED EXP(Any one person) $ ,�5,000 PERSONAL&ADV INJURY _ 5 1,000,00 i GI.N't.AGGI4A AI E LIMIT APPLIES PER GENERAL AGGREGATE 5 2,000,00 PRO- ----------------.....__._—_ X I'uticy( I JECT LOC PRODUCTS-COMPIOP AGG_ i 2,000.00 I I unIER S AurOMOBILE LIABILITY _ COMBINED SINGLE LIMIT 5 Eu Bunn - —--- -- B ANY AUICI 14MMBCKVMK 04101/2014 04/01/2015 BODILY INJURY(Par person) S tLI(Wl NEU SCHEDULED X BODILY INJURY(Par accident) i 1,000,00 nUr05 _ _ AUTOS NON-OWNED Pf:OPERTY DAMAGE X �HIRWAUTOS X AUTOS (Per accident)i S —X rUMBHtLLA LIA8 X OCCUR EACH OCCURRENCE S 1,000,00 C i tXCE55 LIAU CLAIMS-MADE R/O XONJ453512 04/0112014 04101/2015 AGGREGATE lI IE I X I IRE I-ENTIONb^ 10,000 Aggregate s — 1,000,00 iWUHKtK5 COMPENSATION __ISTATUTE ERH__ 1ANU EMPLOYERS'LIABILITY YIN - D 1AN,PNOF'RIL•TURIF'ARTNERIEXECUTIVE WCA00525904 06130/2013 06/30/2014 E.L.EACH ACCIDENT b_ 1,000,00 JFHICERIMEMUEH EXCLUDED? a NIA .(Mdnddtury In NH) E.L.DISEASE•EA EMPLOYEE f___-- 1,000,00 IltYoc uu,cnuounudr 1,000,00 inFSCHIPI ION OF OPERATIONS below E.L.DISEASE.POLICY LIMIT $ I i DESCHIP[ION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,ntay be attached It more Space IS requlredi Wurkars Compensation includes Officers or Proprietors. Addlumldi Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the,Certificate Holder. ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EVIDENCE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE — ©1988-2014 ACORD CORPORATION. All rights reserved:' CORD 25(2014/01) The ACORD name.and logo are registered marks of ACORD f y a0 1 I( 63333 DTI E„� Town of Barnstable *Permit# Expires 6 onthsfrom issue date Regulatory Services Fee �. • • anxxszasi.e. "AS&� 63 Richard V.Scati,Interim Director'0lfpp'l A� QED Building.Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X--Press Ln:print Map/parcel Number 0 Property Address���_ �eze 'la/>", Z&n:CZ � ,X Residential Value of Work$ / T fQ0 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address of ,L�� tom`/'1��,.,,_z je,e_,, Contractor's Name P� Z d►Dl�i�� e— Telephone Number< Home Improvement Contractor License#(if applicable) D D Emai •.� o e .G'0&4 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance � 1 Check one P A-PRESS ❑ I am a sole proprietor ❑ I am the Homeowner APR 1 b 2014 I have Worker's Compensation Insurance Insurance Company Name 0 rI TOWN OF BARNSTABLE Workman's Comp.Policy#G/( (3"�t�� �GS �/�2D/�•� Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) / ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to yargbzld. 'DISpps eL I - ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side Replacement Windows/doors/sliders.U-Value _(maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of th ome Improvement Contractors License&Construction Supervisors License is r SIGNATURE: TA EVIN MBuilding Changes\EXPRESS PERMMEXPRES oc Revised 061313 the Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 rvmv.vtass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information // Please Print Letibb� Name(Busineworganization/lntlividual): Address:s / , DD�` 7 to e,h City/State/Zip: cew !/ Phone Are you an employer?Check the appropriate box: Type of project(required): 1.a I am a employer with_/ 4. ❑ I am a general contractor and I employees(full and/or panstime). have hired the sub-contractors 6- [—]New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet 2- ❑Rentodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have worbersT [No workers'comp.insurance comp-insurance.I 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10-❑Electrical repairs or additions 1❑ I am a homeowner doing all work officers have exercised their l I.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12-❑Roof repairs insurance required.]I c. 152,§1(4�and we have no employees.[No workers' 13.00ther $'iD comp.insurance required.] •Any applicant that checks boa#1 must also till out the section below showing their arodrers'compensation policy information. Z Homeowners who submit flu affidavit buLcatiag they am doing all srotk and then here outside contractors must submit a new affidavit indicating such 'Conttaclars that check this boa must attached an additional sheet showing the name of the mb-covtractors and state whether or not those entities have employees. If the sobtoatractors have employees,they must p made their workets'comp.policy number. I a n.an e,nptoyer that is providfug workers'conrpensatian insurance for m_y emptoyees. Belaw is the policy and job sate informalian Insurance.Company Name: 9�10&A2 &z �1,;Ve es �/ Pokey#or Self ins.Lic-#:lli[r�C TT Expiration Date: 4%�/ Job Site Address ,_ (3vo-la/2& City/StatetZip: 4a&:�0 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. I52 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as ciirii penalties in the form of a STOP WORK ORDER and a fine of up to$250M 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 here certi trrd pru s and pena of pet j my that the inforrnatian provided above is trite and correct. Si ture: Dots: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: 6 f Client#: J742 2BAKERAS ACORU, CERTIFICATE OF LIABILITY INSURANCE DATE(M05/09/20132013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. WPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to v terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the I certificate holder in lieu of such endorsement(s). I CONTACT :!PRODUCER NAME: 1 FAX i Dowling&O'Neil PHONE 508 775-1620 Alc.No): 5087781218 insurance Agency E-MAIL •' 'ADDRESS: 973 lyannough Rd., PO BOX 1990 _— — INSURER(S)AFFORDING_COVERAGE NA!C a j!Hyannis.MA 02601 :INSURER A:National Grange Mutual Insuranc I :tJSURtI INSURERS:Associated Employers Insurance Baker&Associates,inc. INSURER C: P 0 Box 923 I INSURER D: I Centerville, MA 02632-0071 _ - INSURER E: ' INSURER F ;OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: !i!CS CS !O CEk"r:f Y iliAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD i {;•;;}::,A'ILL'. Nq)WITHSIANDING ANY REOUIREMENT, TERM OR CONDITIONOF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS � 1 iCA i E MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE 1 ERMS ! _USIONS ANU CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �'htiRi .AODL1SUBRI POLICY EFF POLICY EXP I I -R! TYPE OF INSURANCE :INSR'VWD,-._ _POLICY NUMBER _ MMIDD/YYYV�(MM/DDlV`rYY�r _ LIMITS ' !GENERAL LIABILITY MPJ7223M 4/19/2013104119/2014 EACH OCCURRENCE S 1,000,000 I — I DAMAGE TO RENTED I I XI:.LiMrn;.:1f.!AI.r;!-r:LRAL LIABI!11Y i PREMISES IFa occurrence) s500,000 i .:LA00S.MA1.1i I X OCCUR MED EXP iAny ona pennn; 1 510,000 i I j PERSONAL&ACV INJURY i 51,000.000 i GENERAL AGGREGATE s2,000,000 s'J1 •,.,ii=iF' a:it L 0•,111 APPLIES PER i PRODU(;TS-COMPIOP A_G s2,000,000 jF I AUTOMOBILEE LIABILITY COMBINED SINGLE LIMN ' .mot._)!.. ;BODILY INJURY(Pr:r pem( i ' 4tl ULtiui:; + SCFiF:r)ULEf) -" — o i rtYl U`: i AUTOS BODILY INJURY(•er accWenll.S i I NON-01A1NE b i ;PROPERTY DAMAGE , AUTOS i (Peraecufen,) I �S UMBRELLA LIAB• I (1CCDI= I EACH OCCURRENCE .EXCESS LIAR c;LAIMS-"+CAUL. I �AGGREGATE j S • I'.'N"I IONS WORKERS COMPENSATION WCC50050024542013A 4/23/2013 04/23/2014 X ;WC STATU- OKH-� AND EMPLOYERS'LIABILITY YIN _--S4@Y11M1I4 _ ..._,_.. %aY HU:'RIi:T;Jit:PA!-2TNFR:=Xr CiJTtNF.! 1 ; E.L.EACH ACCIDENT SSOO,000 T!!CrH;Mf.tvC'r;ER FX(:A UDED? N! NIA (Manoalory in NH) ;F L DISEASE-EA EMPLOYEE''S500,000 ,: I n:rJ Of 11PI:NA I IONS be,.e: 'I_ DISEASF•POI ICY LIMI T 's500,000 I I I 1 GESCRIP'TION OF OPERAT IONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Barnstable Town Hall ACCORDANCE WITH THE POLICY PROVISIONS. 367 Main Street, Hyannis , MA. 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S111094/M111093 LS1 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-009714 RICHARD P.GAR TEAU JR PO BOX 476 West Barnstable SIA 0266 Expiration Commissioner 04/04/2016 f . 012 Q=lxe f-on-Imonweaml' ? --Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Dome Improvement Contractor Registration Registration: 162600 Type: Supplement Card Expiration: 3/26/2015 BAKER & ASSOCIATES INC. RICHARD GARNEAU --------- -^--- 521 SHOOTFLYING HILL RD -- - --- CENTERVILLE, MA 02632 -..------ Update Address and return card.Mark reason for change. A 1 0 20M-05/iI ❑ Address ❑ Renewal Employment ❑ Lost Card Tlie*-onintonevecAll ol^lla.uackeJe/b ffsce of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation ram ; Registration: 162600 Type: 10 Park Plaza-Suite 5170 Expiration: 3/26/2015 Supplement Gard Boston,MA 02116 BAKER&.ASSOCIATES INC. RICHARD GARNEAU P.O. BOX 923 _ A CENTERVILLE, MA 02632 Undersecretary Not ialid without4ignature v 1� �"lassaci•usetts 'ePar?m?n! .�' ,-�,. ,;� � ,r,:.�,. RICHARD P. EAU JR 251 Woods' d; % West stable MA Of668" 04/04/2014 Authorization Form: I L 1, �p R L L , as owner of the subject property, hereby authorize Baker & Associates to act on my behalf, in all matters relative to work authorized by this building permit application for Address of property: 51 Spur Lane Marston Mills Signature of owner: �— Print Name: io/1>A h G Date: C , / v?U i�4 a �C) Dg'Or Town of Barnstable *Pcrmrt Expires h i r 1�1�s from Issue Chyle yT �' Regulatory Services Fee + BARNSTABLE. MASS. Thomas F.Ceiler, Director 039. �0 - APED MP't a Building .Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.bamstable.nia.us Office: 508-862-4038 Fax: 508-790-62 30 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Nol Valid without Red V-Press Imprint Map/parcel Property Address 60, Residential Value of Work Minimum fee of$35.00 for work under$60110.00 Owner's Name& AddressMr Contractor's Name 6' --/ 1._G �i � _ _'Telephone Number Horne Improvement Contractor License#(if applicable) _T_ Construction Supervisor's License,t(ifapplicable) _ C 15 ��Q/9l EKOrkman's Compensation Insurance MAY 0 3 2013 Check one: ❑ I am a sole proprietor 0 ❑ 1 am the Homeowner TOWN OF BARNSTABLE (have Worker's Compensation Insurance Insurance Con)pany Name Workman's Comp. Policy 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 It ofdoors PReplacement Windows/doors/sliders. U-Value (maximum .35)9 ofwindows' *Where required: Issuance ot'this permit does not exempt compliance with other sown 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:4 -- -- G C:\U3crslduullikl,�ppl)aui\I ucd\A4icrosoli\Vdinc ws\'I'cmpnrin Internet I'ilex\ContenL(htllaok\I)I)VR7nARil \I'Rlititi.doc Revised 072110 h V. 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: cr City/State/Zip 01 -aaA -4- Phone-#: j Are yo employer?Check the appropriate box: Type of project(required): 1. I am a employer with / 4. [] I am a general contractor and I 6 New construction employees(full and/or part-tune).* have hired the sub-contractors 2.El 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. employees and have workers' 9 Building addition [No workers' comp.insurance comp.insurance.$ required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l l.❑Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.[]Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.A OtherWj a�o C. comp.insurance required.] *Any applicant.dmat checks box#t must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. (Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. ]'am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: �� — 1 Policy#or Self-ins.Lic.#: /e/ &n2 SS VQ1,IO/' //n Expiration Date: Job Site Address:S51, a(p�t�,W e oo;%AO/`,��!!.�, City/State/Zip: 1Q 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 foie up to$1,500.00 and/or one-year imprisor rent,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 h certify under the pains and penalties of perjury that the inforinatiotn provided above is true and correct. Si natur Date: l3 Phone#: Official use only. Do not write lit 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 G.Other Contact Person: Phone#: Client#-9742 26AKERAS ACORD, CERTIFICATE OF LIABILITY INSURANCE UA IE(-WUDIYYYY) 0412512013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:if the certificate holder it an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(4 PHODUCEH CONIACI NAME: Dowling&O'Neil P"CD Na Ea,:508 775-1620 Juc Na: 50B778121 B Insurance Agency E-MAIL ADDRESS: 973 lyannough Rd., PO Box 1990 INSURER(S)AFFORDING COVERAGE NAICA Hyannis,MA 02601 INSUREHA:National Grange Mutual Insuranc INSUHEU Baker&Associates,lnc. INSURER B:Associated Employers Insurance P O Box 923 I)SUHEH C: Centerville, MA 02632-0071 VISU RER O: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF MLJRANC= LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE r1OLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTCR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR PAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR IYPEOFINSUNANCE UB POLICYEFF POLICY EXP LTR INSH riVU POLICY NUM13LR MWM!YY WWDIY LIMAS A GENERALUABILtTY MPJ7223M 134111912013 04119/2014 EACHOccurtPENCE $1 000000 X r;oMMFKf:IAI (iFNFKAI I AHI I I)AMAI'F 10 KF'IFI) (REMISE S iEe UUuluwll» $500000 CLAIMS-MADE 7 OCCUR NED EXP(Ally mu pnlnull.' $10 000 FFKS'0NAI RAI)VIN.IIIKY $1,000,000 GENERAL AGGREGATE s2,000,00 CiFMI A66KFCiAI F I IPAII APPI IFfi F+-K: FKC)UI1C I;i.CC)MP/OP AGG $2,000,000 POLICY I PK> LGc $ AU I OMOHILL UAHILII Y COMHINFI)SINGI F I IMII (Ea uc NUJ ,Q $ ANY AUTO BODILY INJURY(Pnl pomunl $ ALL OWNED SCHEDULED F.01311 Y w.nlKY(Pr.rarnnrnt) $ AU IC:i AIIIOS NOMOWNF1) W0)`I-KIYI)AMAGl- $ H IHf 1)MI101; AUTOS Pw suwwd UMBRELLA LUU3 OC;C1M FA::H i)i;r;11KN�Nt;f $ EXCESS L)AM CLAIMS-MADE AGGREGATE $ I11-1) 1 1 KF IFNI ION$ $ B WOKKLHS COMPP:NSA IION WCCSOGSO024542013A 23/2013 04123/201 X W�:RI aIII. F H. AND EMPLOYERS'LIABILrTY ANY PROrRIETOrUPARTNErUEXECUTr7E YIN F.I.FAC;H ACCII1FNl s5013,000 OFHCFH.TWFNMFK FXC:I IIUFIli I NI NIA (Min Oatory In NH) E.L.DISEASE-EA EMPLOYEE $500 000 If ym,d5wldle Uwbl DESCR PTION OF OPERATIONS blew F.I.UI:,FA:;F-FOI ICY I IMI I $50D,000 VESCRIP I ION OF OPERA I IONS P LOCAI IONS I VEHICLES(AMIch ACOHU 101,Adatwnal Hamarks Schaduls,If mme space Is mqulrad) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRBBED POLICIES BE CANCELLED BEFORE Town of Barnstable Tim Exrinxnon DATL T1 cmor. HOTIO[ VALL Or DELIvrneo IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE 0 1 988-201 0 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1104031M110402 LS1 APR-24-2013 09:11AM Fax: Id:BAKER & ASSOCIATES Paee:002 R=95% r Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Super isur License: CS-009714 ,% 1 i" RICHARD P.GARNEAU JR 251 Woodside Rd t 4 West Barn M stable A 026 r Expiration c C ornrms stoner 04/04/2014 1 J Office of Consumer Affairs and Business Regulation ' 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Dome Improvement Contractor Registration Registration: 162600 Type: Supplement Card Expiration: 3/26/2015 BAKER & ASSOCIATES INC. RICHARD GARNEAU 521 SHOOTFLYING HILL RD CENTERVILLE, MA 02632 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card SCA 1 Co 20M-05/11 c�//te�am»canureull�o�G'-Zfa.uac�a�ell� trice of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 162600 Type- 10 Park Plaza-Suite 5170 Expiration: 3/2612015 Supplement(.;srd Boston,MA 02116 BAKER&ASSOCIATES INC. RICHARD GARNEAU P.O.BOX 923 CENTERVILLE, MA 02632 Undersecretary Not lid withou ignature Authorization Form: I Linda Lee, as owner of the subject property, hereby authorize Baker&Associates to act on my behalf, in all matters relative to work authorized by this building permit application for : Address of property: 51 Spur Lane arstons a s a Signature of o er: Print Name: n c� Date: AVIS I of r Town Of Barnstable. *Permit# o " Expire on t o t iasHe date �W -- ; ;;HERMIT Regulatory Services Fee MASS. Thomas F.Geiler,Director rEQMA't�„ � •�����_" Building Division ` TOWN OF BARNSTABLE• Tom Perry,CBO,.Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us` Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION. - RESIDENTIAL ONLY Not Valid without Red X--Press Imprint Map/parcel Number Property-Address [ Residential Value of Work- , 7&S O zy Minimum fee of$25.0,0 for work under$6000.00 Owner's Name&Address Contractor's Name_ ",Mu�-�0✓!�_ 1lk f , Telephone,Number 7 7 t-1 4,7$-69D6tj Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable)_�-7 S p 0workman's Compensation Insurance. Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Worktnan's Comp.Policy#0L' rj aD t a a S Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to � �d ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement-Windows/doors/sliders. U-Value ,a #of doors (maximum.44)#of windows *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: - �'/ce �amr�noouoea�i o�,/�,aaoac%uae�ta Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: / Office of Consumer Affairs and Business Regulation RegistratiOW-448688 10 Park Plaza-Suite 5170 Expira''AA ${pp11 Boston,MA 02116 vfp# ment Card " LOWE'S HOMESiM=---- JAYMI RODRIGC}E`Z 136 TURNPIKE RD`;.Sl '100% !' SOUTH BOROUGH,MAiJ1'772 Undersecretary Net-valid without signature i s _� S i I . "�.' a�:TjtitL(J�:li3Ltt1 Sj�,li-Jr $iLi}_ lil�. -11lL�att�s'4•, PL Is'r►;t1+J r!F P'>il,lt°..,� IZt r�l•alYl�Jtr; ::,� 1 StultiJ +,9 7 i Jr..ense: CS 77520 Ytestnc ted to::00 �� MANUEL A-CRUZ r 131 GREENST « w FAIRHAVEN,MA 02719 Expiration: 8/13/2010' 1 Tri: 1505 :{ �rixrn�rruieae/w, a``�•_/�irJute�auiettd _:..� Board of Building Regulatiods and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards g g Registration: 128654 One Ashburton Place Rm 1301 Expiration: 5/3/2011 Tr# 284089 Boston,Ma.02108 Type: DBA ADDITIONS PLUS MANUEL CRUZ 167 SOUTH MAIN STREET 2N —•----- —= -- ACUSHNET,MA 02743 Administrator Not valid with t ' nature Ids`' too -he Official Website of the Executive Office of Public Safety and Security(EOPS) Aass.Gov Home Public Safety lepartment of Public Safety Licensee Complaints License Type Construction Supervisor License# 77520 Restriction 00 Name Manuel A Cruz City,State,Zip Fairhaven,MA,02719 Expiration Date 8/13/2012 Status Current No complaints found for this Licensee. Back To Search ttp://db.state.ma.us/dps/licdetails.asp?txtSearchLN=CSL77520 9/29/2010 �i 09 Ai mown B ,srony lyr�q,b ' Workers' w!► ►►:r ,s,. :� A Res , u,L � • lg�'d`..:. .. . .. :.... Nam A. C Are you aa.:emplpy ,7j.• -WthViblyer cmpioyees-(fau,Mworpart 2.[] I an�:esolC p A , sfctim Ax sad IlaVe worl®g for nee[Noiii in airyAli -a4ntra ; gadftu addiddim 3:❑ I aim� �;� f _ _� w : caraddhim { .::. .. my � . :z taus .may , �b I3 ,.� . �Opxp WbD��'�`��'.•is ,� •u.�C',�'��0 r• ;':i:r ;� lam.� woe Comply Name: sine, 01ic3'#Or wigs.Li#: Site Attach a a �PF of the: '� •i >,jf.- Q ` fin date 1Uli�SOp.00. 11Ej/. ,•` ruff•:,. rf011 �,. ofnp m$250.Ot)a #�t as°` � = t' o: : '�::;..� 9 :PPftties of a D�.Rot mspra � P3'Q sAA �'aad 5 a . ydO 'cy j+�tder 11 of ce iris :o = - Pe* T tie . .s t74 • ,i'.'' Offldd Am .:. �': Do twit -.:. ; City or Town: ' Author : e : . I tyreon oi$ $aidtrgC. y 'Contact Psi sons .1 I' �• . .... Inspector i The Commomveitlth of Massachusetts Department.of 1(nclusNal Accidents Office.ofInvestigations 600 Washington Street Boston,MA 02111 wivw:m4ss.gov/die Workers' Compensation Ynsui ance Affidavit: Builders/Contractors/Electricians/Plumbers Auplicant Znformaiion . Please Print Leaffil, Narne (Business/Organization/Individual): 1¢r,�j,�j� g Address: I . City/State/Zip: Are you an employer?Check the appropriate box: Phone#:. 1• I tun a employer With 4. C] I am a gener4al contractor and I Type of project(required): 2�employees(full and/or part-time).* - . have hired the sub-contractors 6 New.construction Am a sole proprietor of partner- listed on:the attached sheet.. 7. 0 Remodeling ship and have no employees These sub-contractors have working for me in any capacity, employees aed have workers' 8' ❑Demolition [No workers' comp. insurance comp,insura�uee.t 9. [].Building addition re±q'i'red,] 5, We are a cor�ioration and,its . .10.❑Electrical repairs or additia .... . 3.[� I arru a homeowner doing all work "officers liave)exercised theii myself. [No workers' comp, right of exemption per MOL 11.El Plumbing repairs or additiot insurance required.) t C. 152,.§I(4);and we have no 12•El Roof repairs employees.[No workers' 13.0 Other 'A comp,insutant:e required.] ny applicant th at checks box#1 must also fill out the section below showing their workers,compensation policy information. t Homeowners who submit this affidavit indicating they sic doing'all work and then hire outside contractors must submit a rtery affidavit indicating such. Contractors that check this box must attached acs..th tional sheet showing the narnq of the sub-contractors and state whether or not those entities have employees. If the sub-co n tractors have employees,they must provide their woikcrs►comp:policy.number: = I am an employer that is providing workers compensation insurance for my employees. Below is the polic and'ob site information., y Insurance Company'Name: L Policy_#or Self-ins.Lic.#: Expiration Date:_. 7 13 Job Site Address:_ City/SYa]e/Zip: inha s /jj,'//e Attach a copy of the workers compensation oL declaration ppge(showing the policy number and ex ]ration date). Failure to secure coverage as required under Sec ion 25A of MOL c.:1.52 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 STOP WORK.ORDE,R and a fat Of up to$2$0.00 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 thepains andpenalties ofpedurj that:the information provided above is true and correct. Si ature: Date: / — Phone# F eonly. Do not►vrite in this area, to be completed by city or town offrciat wn: Permit/License# hority.(circle one): Health 2.Building Department 3. Cityrl'own Clerk 4. Electrical Inspector S. Plumbing]nspector 7HET Town-of 19arnstable • ■eaxsTe�tE • Regulatory Services 16 9. $ . Thomas F..Ge1er,Director ��"a� Building.Division .Tom Perry,:BuildiOg Commissioner 206 Main Street,H*3nis,MA 02601 wwrv-town.bannstable.ma.u s Office: 508-862-4038 Fax: 508-790-623, Properly Offer Must Complete and Sign This Section . If Using A Builder as Owner'of the subjec t pmperty hereby authorize my behalf, 0 in A matters relative to work authorized by this building pew application for v (Address Of OP). Si azure of Owner . Date . . Print Name If PropertOwYier is.applying for pe?nmit please com fete the Homeowners.Lipens�e Exe mP tron Form on the reverse side. Choose the shingle that's a true expression of your personal style.Oakrid a PRO® Series shingles include three distinct shingles—each withF:pK. 7; :-: a look of its own.All Oakridge PRO Series shingles are engineered to resist roof discoloration from algae growth and have a Class A UL,Fire Rating—the industry's highest rating. +%lob. I 9°0VC140 WINDRESISTANCE 22 3-� 9°OUO�ee� WIND RESISTANCE 22 ^ 9°OUCt �Pe�F VWND`RESISTANCE i �At LIMITED WAIAA1TT1JOMMI LIMITED WAIIANT1130N/El two LIMITED WAt1A1TT1101 H Product Attributes � Appearance ••• •• Thickest Thicker Thick Color Blends" ••• ••• •• Vibrant Vibrant Soft,Muted Shadow Lines ••• •• • Double,Dark Single,Dark Single,Muted Wind Resistance' ••• ••• •• 130-MPH 130-MPH 110-MPH Warranty Length in Years' ••• •• • f Nominal Aight per Square ••• •• • Heaviest Heavier Heavy CONT RAC T# 00391 i 90 ,ass�� ��s �$' �fi- oL' f� iNsr. 1��`L ; s r = � : _ �•. , INSTALLED SALES SPECULLIST NUMBER '-; CUSTOMER 7122 STORE NO. v J STREET ADDRESS -_ _-� _.y _�. STREET ADDRESS - 3 _ sv Utz - f�^ ...C .�,_ STATE ZIII CITY _. .._.» ..Y STATE 7,P✓ 1iV/4 -e, 1 G.ZS .7 inS7t wsgl S O io TELEPHONE - y� 77 TELEPHONE_ 5o� yao_/off 3 �...... LOWE S HOME CENTERS,INC:S MA HIC NO.:148888 f rnsH' LW REp '� n FEIN SM748358 ` i N CHARGE t^-tyc.�'��rsr�li'r$����i�kac3���-"Z "�`�� ; a - � ^.'Y• � �' � ' _3 } 5- Isrogl�a quote of"r�e-m dfseand se�s tee >. r/t �'�jAnen .,,oaf� ,� � - t�. , > ' INSTALLATION STREET ADDRESS - CITY' STATE 7JP . g7 e S lti l .Lr CK o cc10 4U e T e ,b-rZ T"a2 iPET rjA.,C- w!/v6( r sG Tom. '6.2 . - - ` Contract Total 00 Are permits required for this installation?:[A Yes [..]No. applicable tax Included NOTICE TO CUSTOMER:Federal law requires Lowe's to provide you with the pamplet Renovate Right.Important Lead Hazard Information for Famlti 10A,Child Care Providers and Schools..By signing this Contract,Customer acknowledges having received a copy of this pamphlet before work began informing Customer of the potential risk of the lead hazard exposure from renovation activity to be performed in Customer's dwelling unit Work is to commence to reasonable availability.of Contractor and/or.availability of any spPecial order or custom made Goods which is anticipated to be /l—/ /D [fill In date].Estimated completion date is //— .5=moo [fill in date]. Said estimated substantial comp letion'date is not of the essence. Contingencies that may materially change said estimated completion date follow: 77 Jr t (If applicable,insert a statement of such contingencies). ' IF THE CONTRACT TOTAL IS$1,600.00 OR LESS Customer must pay in full, [gAPLETE THIS SECTION ONLY WHEN THE CONTRACT TOTAL EXCEEDS$1,000.00: ustomer fo:Pay in Full; OR [ ]Customer to use the following payment schedule: (1)Deposit $ to be paid upon siging contract.Deposit should be 1/3 the total contract price;and (2)Payment of$' to be paid anytime after this Contract is signed and:before commencement of installation,I/We authorize Lowe's to do one of the following(check appropriate box below): [ ]Charge my/our credit card for the amount of the payment Indicated above anytime afterthe date this Contract Is signed; or [ ]Deposit my/our check for the amount of the payment indieated.above anytime after the,date this Contract is Signed;.and (3)Final payment of$190.00 to be paid upon completion of the installation and both parties safisfaction. NOTICE REGARDING ARBITRATION AGREEMENT FOR CLAIMS COVERED BY M G L 04 A: LOWE'S AND OWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT LOWE's HASA DISPUTE CONCERNING THIS CONTRACT,THAT LOWE'S MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS.BEEN APPROVED BY THE SECRETARY.OF THE EXECUT- IVE OFFICE OF CONSUMER AFFAIRS AND BUISNESS REGULATIONS AND THE OWNER SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION AS PRO VI D I L. 4 7 B f Date: Q / _/0 Lowe's o e Ante Inc. B r Date: Owner Signature THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE RESOLUTION INITIATED BY LOWE'S PURSUANT TO M.G.L.c.142A.THE OWNER MAY BE PERMITTED TO'INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THE SECTION ABOVE IS NOT SEPERATELY SIGNED BY THE PARTIES. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AND UNTIL YOU HAVE READ THE TERMS AND CONDITIONS,CONTAINED ON THE REVERSE SIDE OF THIS PAGE AND THE FOLLOWING PAGES OF THIS CONTRACT BY SIGNING BELOW,YOU ARE ACKNOWLEDGING THAT YOU HAVE READ,UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE OF TH[S PAGE AND THE FOLLOWING PAGES OF THIS CONTRACT.YOU ARE ENTITLED TO A COPY OF THIS CONTRACT AT THE TIME OF SIGNATURE. r I WITNESS OUR HAND(S)AND SEAL(S)BELOW THIS 7 h DAY OF ©C T Lowe's Home Centers,Inc. Speci I torAbove w er Spouse Customer acknowledges receipt of a true copy of this contract which was completely filled.in prior to Customer's execution hereof.You,the buyer,ma; , cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.See the attached notice of cancellation r" . form for an explanation of this right. ®W,by Lowe's.®Lme's and dfe gable design EXTERIOR SOLUTION GENERIC (Rev.12/09) areregueredtrademadcamLFCovumton. s � �� y 7Y T,? tvt,Kc..CONTRA .- .. .ii.: 0316406 ' # ITEM1Z., t TALLED �fS INSTALLED SALES SPEGALIST NUMBER' ,� �N CUSTOMER S o I . : /a �ooZ � STORE NO. STREET ADDRESS - '0Yq 1 STRIE�ET ADDRESS �37� ay Claelciew U/C 4 _ - na Cm. STATE nv t�{jh CITY STATE s y� .� r TELEPHONE ' . `� 9t TELEPHONE :-.... Soy yao /6G3 CIF DATE LOWE'S CONTRACTOR LICENSE NUMBER t CASH arwx t<t° Loc �. : REG �3 [y MA MD'�State LkenSe Number All OtMbr StatSs t.owe s.EmployeaNumber x 4" '' �� �, x -y - AL, - This is a contract between Lowe s(as defined in the Tenns and CondNons "@owes dnad;the atlo�e'�namad 2 ustdmer)or the msmifation of goods at the Customer s Fesidentlai.pidmrses(the Premises)at the Ydllom 9 nstallahon.add STREET'AODRESS CITY .'.STATE^•- ZIP: ' S C 4bo:v.�' Op Shingle-_Classic _Supreme ,Oak Pro 30 _Oak Pro 40 _Oak Pro 50 _Other Color Years .. Installation on a=I—Story House with a:_Pitch Roof has�_layers of shingles(If Tit re layers are foL htl during lnst IlatIon,'there will be an additional charge of$ per layer per square.) �Cu'stbn►er must Initial ` Tear off and haul away existing shingles and ut on.�b felt and specified shingles. E New Drip Edge Will also be installed, �O. '(qty)New Ventflashings willbe'. installed. Remove/Replace y0 (qty)Ridge Vent. Removelkeplace {qty)Low Profile and/or�(qty)Turbine Vents.; Remove/Repla a 6 (qty)Power Roof Vents. Addtional (qty)Low Profile N µ Item#of (qty)Turbine Vents'. Item# A id- 7 (q'ty)Power Roof Vents Item'# (Customer must supply electrical servl Additional Soffit Vents. X(qty)�oIor x .Item# Seamless Guttering _ Color Chimney Flashing. � ! Sidewall'Flashing D Yes �No Skylight Flashing ❑Yes. �No Remove/Replace N q (gty).4x8 Decking or. N (If)1.X Decking Remove/Replace (If)Fascia. NOTE:if rotted wood Is discovered during installation additional charges will apply.You will be given a quote and a change ordermu completed and signed by the customer for any additional+charges. Customer must lnitlaf 9o-/oea.:she--r.n%Blce;41 v: J-4 4- •Show top view of roof where shingles An work or matedal not specified is not included in this contract:Any changes or additwns will ' v are to bednstalled ,i beat an additional char a for the material and labor. Additional Specifications:, The Environrhental Protectioti Agency (EPA) has requested that .{ Marls '.a y6 S II Lowe's notify Installation customers that a lead based paint hazard may exist in dwellings built L fax prior to1978. See pamphlet EPA 747-K-9g-001 for details. ,,e Labor 3 3 0'� 1I lnx Tax Y Lo !� !Whare;applicable tahor is taxable; I % '_: .7T�.. ,-.check local tax restdctlons. till In date. I WorkIs to commence upon reasonable availability of Contractor which is anticipated to be 1. J. Estimated completion date is (fill In date]. i NOTICE TO CUSTOMER All items listed In this contract and''specification-sheet(s)are to be installed uhder conditions agreed upon at time of puroha§e and at the price appearing on this contract form.This assumes sound existing substructures;superstruchire and'points'of attachments:'Extri labor o`i Material inddent to installation necessttatetl by defective substructures,superstnicrure,points of attactintent;orthe moving of fxtures or appliances to be billed at eiitra host to customer. _{ DO NOT SION THIS CONT13ACTUNTIL:COMPLETE AND'YOU HAVEREAD THE TERMS.ANDCONDITIQNSCONTAINEDONTHE. REVERSE SIDE OFTHIS CONTRACT.,BY SIGNING BELOW,YOU ARE ACKNOWLEDGINOTHATYOU HAVE READ;UNDERSTAND AND,AGREE TO THE TERMS AND.CONDITIONS.SET FORTH ON THE REVERSE SIDE OF•TH§CONTRACT.'YOU ARE ENTITLED TO A COPY OF THIS CONTRACT.AT THE.TIME OF SIGNATURE WITNESS OUR HAND(S)AND SEALS)BELOW THIS DAY,,OF e WITNESS Owner (Seal).',. (Seal) Spouse Speaalis r Above i `Customer:acknowledges receipt of a iru0 copjt of�ihis co�tia1c�Irish way��le �t�flll~`�i' Sior�o Customer's execution hereof M credR f's ''extended to you;-you the buyer Inaycancel thl's transactlor5 a�a�ti�netprlor to tight ot��tte f�fiir�d.�u§Iness day attar�e date of this trarrsactib :'Seetheattachedngticeateancella�tontormforansxptenaUQonof��iis�;;rigltL�:�;��s���. _��,_��.�;._.�._ ..._ .t � �'y^:.<< `i 6 1-4/CAPE COD TIMES CAPEC Houses Yearly 725 douses Yearly 725 Houses Yearly 725 Winter Rentals HARWICH:4BR, 3BA. Private MARSTONS MILLS: Newly HYANNIS:1 BR,$800,W.Yar- BOURNE:Mashnee home.................$2200/mo+ renovated 3BR,1 BA on pond mouth$1200,Eastham 2br fun no CapeCodRentals.com $1395+508-420-6123 waterfr.com 508-778-1818 $799/mo.781-3 508-240-6535 MASHPEE: Young 4Br, 28a, 'ry BREWSTER: 3BR Cappe.New carrppet/hdwd firs, Condos Yearly 73Q yard, deck, W HARWICH: studio cottage w/ $1600/mo 617 947 5316 non-smoking 78 loft good for 1 237 1st ORLEANS: Cottage furnished BARNSTABLE VILLAGE: 2Br, BREWSTER: 3br Last, Sec. (508))237 669� modem, $1000/mo+ elec- 2.5 Ba condo,private master beach,Oct-May, HYANNIS:1br deck clean pri- tricity.508-255-4545 Ba,living rm,diningg rm,Kit, last,sec,non s vale lot near B.H.S. $700+ . car garage $1300/mo+ (508)737-3852 508 lot near after. $7 ORLEANS, EAST:1BR,114BA Bayview RE(508)362-8543 2-story in the Heart of the g BRgEWSTEiti R:Lo HYANNIS: 3BR ranch, W D smallepat consider.Ava/. CtorwnhouseE Great location, 09$650mo+en hookups,Oil heat,secluded 10/1;1st,last S.D.required. deck, 1st, last, sec cat ok pets 508-2 nice$ - Non smoking $900/mo. Call The Rental $1300+Linda508-255-4913 ony.781826-0822 Oc Company......508-240-2222 BREWSTER: DENNIS W:1 br$750/mo incl 2ba furnish r H 1- Hyannis 1 OSTERVILLE:Close to village. utils, istAast, no ppets can $695+/mo.1- y furnish 1st fl 413-655 1;707 4BR/2.5BA Cape with gar *Charming 2BR, bright& CENTERVILLE: clean ranch on dead end age.$1,600/mo.No pets. • fum, .5 mi f Paul Gallagher Hyannis Luxury Condo street.Nicely furnished,full Beach, Oct-Ma bsmt,W/D.$1200 Realty Executives 2 hl 2ba garage deck,Gran- utils,(508 W Hyannis Port � 50 -280-9777 ite,No Pets FADS...$1750/MO *2 bedroom ranch with Weichert Dunhill Group CHATHAM:3br (508)648-1587 W/D $975/m ,garage with deeded beach SAGAMORE BEACH: 3 Small now-6/30/09 in Seaside Park. Wood cottages for rent $500/mo HYANNIS: floors dust refinished.Base- each.508-88b-2038 BRAND NEW CONDOS CO7u a Villa ment.New stove.Final ren cottage. 1 ovations nearing comple- SANDWICH: 3 bedroom, 1 FOR LEASE $850, 5 ton.No dogs.$1300 bath....................$1100 plus With 0 tion To Buy! 7578 or 50 SAND DOLLAR REALTY P 1 & 2 BR s, Central air, gas Centerville � 508-888-1106 CRAIGVILLE I*Beautiful Contemporary heat, stainless steel kitchens, duplex, $7 SANDWICH:3 Br,2 Ba Cape, granite counter tops, elevator secu cape by Lake home.. 1 car garage, $1795/mo, service........$1200-$1475/mo 33R,2.5 bath neewerwer home avail now,508-888-8444 Call Kathy,508-775-9316 DENNIS, W: *lSpacous,ose to ogversized 3BR, excWfuept Thru 2 bath ranch wAarge sun- SANDWICH: Desirable neigh- MASHPEE:Deer Crossing.Re- except el room &2 car garage. Fur- garage, 2br, office, go modeled 2BR, el1. ovaBA. Gran- pets$100 garage, laundry,fp,on golf de,stainless steel avail now nisheq move-in$1750 key, quick ncourse. w paint Non samol�ding,no $1350+508 S�L4-2619 DENNIS,anch g *Pine Ridge Ranch. 3/2 pets. $1450/mo: credit, ref. MASHPEE:, Pheasant Run incl. inte w/garage wood floors FP Avail 12/15.508 548-7155 2BR, ned508�2&01/mo Cal! pCAPE C possible pool use.$1500 Sandwich SANDWICH, E: 3BR, 1BA SANDWICH:2Br 1146A 2nd fl, 050 acre, w/d, dishwasher pets 1 3BR Townhouse in historic OK.$1450+/mo or$1100+/ fp,w/d,garage,indoor pool, DENNISPO "Boardwalk"area.$1200 mo winter.516-581-9618 $1300+617-480-6765 br$ Osterville $400 se * 22R, 2 bath ranch, SANDWICH E.: Cottage on YARMOUTH: Bassett Pond,2 508-364 wood floors FP, garage estate, 26R, 1BA, hrdwd BR, $1100; Seine Pond 2 near CC Academy$1400 firs,FP IN rm,pprivate qquiet. BR $950; Foxwood 2 AR DENNIS Margo 508-775 4440 $1,300/mo+508-888-0534 1�00 • DENNIS PINES: w/loft Seaport Village RE 1000; Saltworks 2 BR, heat$7 OSTERVILLE SANDWICH E: Old County 1150 incl 0 OTHERS smokin Rd, 2br �ba $1100/m0 + B R Properties 508-394-4446 C www.MargoRents.com utils.(508)4W1500 L J YARMOUTH, W.: Large 2Br, EASTHA WELL FLEET, S.: 1 BR, FP, a t., e MARSTONS MILLS: 48R, 3 114Ba townhome.Fireplaced porch non smoking.$700+ o pe bath w/home office, $1600 utils.�08-255-9319 I�nq rm. Fully applianced until •HYANNIS:((2))3 bedroom, gas heat.$1150/mo+.list& $1250•YARMOUTH:3 BR YARMOUTH, S: 28r 1.5BA security. Non smokinnMo )$1300&up•DENNIS: townhouse $900/mo + util pets...............508-775%69 9EAST ) 3 BR, $1300 & up • istAast/sec(508)394-1564 Non- RWICH: (2) $15 & Winter Rentals 733 by.5 $1400 includes•OTHERS YARMOUTH, S: Quiet Brook- B R Properties 508-394-4446 haven area newly painted HARyy 2br, 1 ba, hdwd firs, base AT NEW SEABURY: Nice 3br fum MASHPEE: 2 ,bedroom, 1 ment w/d hook up,garage, 2ba Ranch.fully furn private $11� bath.$700/mo+utils.Ap- non smokin ets,1st,last, $1200 Joe 508-930-2490 pl�yy at Diamond Real Estate, security $1 50+/mo HYAN 160 Great Neck Rd North, 508-398-1413 BREWSTER:2br 1.5 ba town- quie Mashpee.(508)539-7777 house avail. 1011-5/1/09. Incl. YARMOUTH, W.2br 1ba du $1000m0. 1st, last & sec. HYAN (508) 77 01 CAPE COD TIMES/1-3 s 7� Apartments 720 Apartments 720 Apartments 120 NIS: HARWICHPORT: Studio ideal SANDWICH:2br 1ba,walk to YARMOUTH, W: overlooking ld[LLFY ro $ 50$1100 for 1, $875 includes. 508- beach, utils + heat Incl. Lewis Bay, 2br 2ba, luxury C0 775 931 394-0885/781-599 4092. $1300/mo 508245 1581 apartment.Hyannis,all new tl Year45-2300 nd 1 & SANDWICH: Cute 1 BR, remodeled, 3br, 1.5ba, HYANNIS: 1-2Bes avail., uplex,full basement.West o8t$825+ W/D avail., Incl. cable. Washer,dryer,$975+ Yarmouth, near Sea Gull 08 Walk to all.Rent to ownt Wendy Adams 508-280- Beach, 11tir studio. Hyannis, WI H: 1 & 2 RE 508-326-9326 9211 Realty Executives 2br Gape Crossroads. priced-tarting a OWIC o HARVARD REALTY Lightho a Rea HYANNIS:1 Br full Ba apt y0dy I• hea a 508-775-1803 945-5 0 living rm, eat in Kit, $85 ns 737 3836 no pets ref 508-362-3732 YARMOUTH, WEST: Large W:1 br$7 utils AN ICH VILLAGE: Year 2BR, 114BA. Laundry, yard, e 508-94 000 HYANNIS* Large new studio ry deck,basement,fireplace.' sinessAITA apt. Kit, full bath, $950/mo Rental,1 bedroom apt.,fulty $1150/mo.(508)776 9685 ills Incl.508-790-1151 applianced eat-in kitchen R,1 pt. washer, dryer, heat & A/C, YARMOUTHPORT: Huge effi- lud YANNIS:Lg Studio w/slee no ppets 1st,last&security, c!ency yr round. $775 incl e on ing loft, all util, complete $1 350/month. elerJheaVsat 508-951-9940 ne 0 . turn, 15 min walk to ferry, Gail 508-888-6540,ext.23 g nta close to mail$175/wk_Iy YARMOUTH,S: Bright clean 0-6 8-888-6299 508-737 55447 Studio ideal for 1 all incl yr YANNIS:Spacious 2BR 2 Z, round$875 508-198-8548 2BR 26A, no incl heat,hot water,TV.Sen- YARMOUTH,S:Lgg 2BR 1st fl Usec $995 + for community, $1200 ( � : t new cond, $1225+gas 1st/ 8 566-1847* FREE mo w/ 2yr I Iasttsec 774-212-0684 Strawberrryy Hill RE www.capecodmove.com (508)775-8000 x2 YARMOUTH,W: Oceanviews! House, YARMOUTH, S: 2br condo, New Ig furn studio,full Kit in ANNIS: Spacious 1 walk to ocean, $1000/mo+ 3-family incl all. Ideal for 1 room 50Inits, ag20255+. utils.no pets 508-776-6634 $250wk 508-648-4818 12-2pm YANNIS: Spacious 28 rYaRMOUTH,SOUTH: , }louses Yearly 725 115BA gas heat fp small pe s I 1 y IT ok$1150+508-648-2699 1 Visit I BARNSTABLE: 2br 1 ba, lake- .Com YANNIS: Studio $750 davenportreal .Coin 1 front private beach, $895/ AP eludes utils no pets/non-s- mo+utils.508-280-1093 ENTALS moking(508)394-7170 I for virtual tours, I pictures&amenities 1 BASS RIVER: Great 2BR on ES- 1 ANNIS:Studio, all uti ppond, walk to ocean/beach TOURS incl. $725/mo. C I er 1 1 g1295+(508)398-2142 AMENITIES i 5pm.617-320-568 I Open House I BREWSTER: 3BR,1.5BA,Ph- HYANNIS:Studio&1 1 1 vate home........$1350/mo+. bedroom apartments. 1 Sunday 12-2pm 1 CapeCodRentals.com Call 508-776-4137 508-240-6535 1 HYANNIS:Studio w/kit$600 I 1 incl. utils. 1sVlasUsec refs 1 Heat& Hot Water 1 BREWSTER: 3rms 114 BA No Pets 440-357-1558 * INCLUDED * laundry, bike trail no ppets, 1 1 1 $900mo 508-9�2-9101 ANNIS:Walk to Hosipital In the Rent! and Main Street. I I BUZZARDS BAY: 1br, large 1 04br 2ba, 1500/mo+. 12 BR townhouse style du-1 deck overlooks water, •3br 2ba 1400/mo+. plex — 1st fir has appli $850+/mo.781-447-0515 •1 br 1 ba, 1000/mo+. j;closets, nced eat m kite CENTERVILLE 2br 2ba bsmt, need eat •3br 1 ba 1400/mo+ oom a 2nd r I W/D gara pm, deck Cary(5i)8)450-0550 1 BA plenty of g ge, pnvate secud-I hrdwd firs, patio,1 acre,$1400+508-398-9615 ith w/d MARSTONS MILLS: 1 I large yard, bsmnt storage 1 t, large moth r in law a it for & w/d hookup, off street Centerville Home sing fem rofessional 1 1 4 bedroom,2 bath Great io- parking.Convenient to ma 1 w/ par entrance, car I Ior roads&shopping. 1 cation, Partially Furnished, ance po dgeµwave.All Pets...................$2000/monih nt 1 utils, cable, kit & laundry 1 24 HR MAINTENANCE I Weichert Dunhill Group 1 privi!le�es. $zoo/mo. Call 1 SENIOR CITIZEN 1 (508)648-1587 Mrs.0 Neill(508)428-4703 DISCOUNT south 1 I 1 DENNIS:2BR ranch w/garage. at 3rd 1 MASHPEE:ibr apt.$550/mo 1 1ST AND SECURITY 1 1st, last &gg sec. no p Upper 1 Real Estatee,,100aGreat N ck I*Dir.Rt.6 to exit 8 south 1 non s 508n385-2 91$1,300+ It on I Rd North, Mashpee. (508) to 1st left on Whites at tot t 1 539-7777 Ito the end,left on N.Den-1 DENNIS, S.:Ouiet 3BR, sun- to MASHPEE COMMONS: I nis Rd.to left on W.Great I porch,deck,in-law apt,non- to Rd.to open house smoking, no pets $1,800+ eft. 1 BR apartments starting at i sign on left. i utils(508)394-7170 1 $1425/month+utilities. 2 7- .Z-1 TOWN OF BARNSTABLE EARNSTMILL NABL 1639. ON BUILDING .- INSPECTOR APPLICATION FOR PERMIT TO ........t .......................... TYPE OF CONSTRUCTION .................. .................... .............................. / .19..7.3 ............................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: J-,:--f L4 Location ............... Z-4'-7—A�.....1Z....... --e...................................................... ProposedUse ..............7:2—- ✓ ........................................................................................................................... ZoningDistrict ............... ..... v..-.....................................Fire District ............. ........................................ Name of Owner Address .. .......... ..... Name of Builder :-: ..........Address ............. e....................... Name of Architect ............... ................................Address .................. e............................................. Numberof Rooms ...................57. .......... ...........................Foundation ........ .z. ................................................. Exterior _Woofing ....... Floors ...................... . .. ..........Interior z - -- j to rfl Heating .............. W- -:�...............................................Plumbing .......;.� ..... Fireplace .....:........ ............................................................Approximate Cost ......... .......................... Definitive Plan Approved by Planning Board ,1101-5-1117 ........ ------19�_-7- Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH SEPTIC SYSTEM MUST 13E INSTALLED IN COMPLIANCE WITH ARTICLE 11 STATE SANITARY CODE AND TOWN REGULATIONS. 'I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... . ....................... 4e"shore Properties of � - ` V, No _ .. Permit for ......sin ' - �le farmi ~- ---��,*p��..���+�w..������+�e�------.. ' 4�or Lane | ^"`"'""~°'`'�-'�- .............................................. , ________. .. �ara�p�oY�]]'��_______. Owner ---_�_Sa�mbore.� .�#f_ ' ' ` Type of Construction ���?�� .-----' ----. � ' � ------'�--------.. ' -� �-------. � Pk ���Plot ----�---_' Lot .......... v Permit. Granted. , [ Date orI ` ""p�`'"" � ' ' uore Completed ..........ly ` PERMUT.REFWSE0 ...................... .................................. ...... lA ' ------- ................... ------------. ( - ............................................................. | ` .---------------------.----. � . .---------.---------------.- ' ^ " . ' ^ Approved ................................................ lA y , --------------------------. ' ------------------------.~- ' nN n k nK .° P /,yl S 0 L o 2 o 4: LIA Ili N M �# O O O O 00 s� Q Q O O O 0 00 .. 0000000 I� I 03 •ii 4, ,x q U � ! - O UN J '- Preliminary CALCULATM 8>NM'T Item 1 Location CBA No. W.O. No. 2 Subject Date By t 3 Checked 'By 4 Based on Revised By 5 6 7 8 9 10 11 12 13 14 16 17 �\ 18 19 20 , 21 N 22 23 24 . 25 .26 '. 27 28 `O 29 30 31 32 v 3334 \ ` K a 35 36 r 37 38 39 40 ' 41 42 43 44 N 45 ap 46 i Q 47OD OD 48 0 49 50 Preliminary CALCULATMp Gli S" Ite 1 Location CBA No. W.O. No. 2 Subject Date By 3 Checked By 4 Based on Revised By 5 6 7 8 9 10 11 12 13 14 15 �' . 18 17 18 19 20 21 22 23 24 25 28 27 28 29 30 J 31 32 i 33 34 35 i 36 37 38 39 40 41 42 GEE]43 , 44 a 45 46 i oC 47 CO o 49 1 50 ' �a r Preliminary CALCULATM Yam= Item 1 Location CBA No. W.O. No. 2 Subject Date By 3 Checked By 4 Based on Revised By 5 . 6 7 8 9 10 11 12 13 14 15 18 .�.. 17 l\ 19 `c 20 I 21 22 I 23 1 24 25 ,•:: 26 : 27 y 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 04 45CP • 48 i Q 47 48 t O 49 O 501 - -- -- -- - - - -- 1 . ` I Assessor's offioe Ost floor): ll `THE r Assessor's map and lot number ....... .. Boar of Health (3rd floor): �f Cf� ODMS �� sE Sew ge Permit number .. ................................................... prC sysm • 7'ADLL. i Engineering Department (3rd floor): � � ' INSTALLED IN CO 3 Houp number ......................................... WITH TITLE 5 p �. APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-.2:00 P.M. only E�11Li ®yIVIENTqL CODE AND TOWN OF BARNSTAWT'W,_:,EGuLATONs BULDIHG - INSPECTOR � S� APPLICATION FOR PERMIT TO .....�e4ei..�G�.'......... 0 TYPE OF CONSTRUCTION G l0jV.0.................-.-.—..... ................................................................. ' .......... 1af� ...... 19 ' TO THE INSPECTOR OF BUILDINGS: The undersigned h reby applies for a permit according to the following information: Location .... 07 / J / i�� :.Proposed Use ....... ... ......................................t\................................................................................................... Zoning District r 1 ..........................................Fire District ........... .:................... . C/-... .. ................................. Nome of Owner .. Q 0...............Address .4/...... Name of Builder ....Slr 4..............................................Address / Nameof Architect ..................................................................Address ....................................,.n...........�..................................... Number of Rooms Foundation ............C41P.C11 15111.... .1................................................................ Exlerior G'44P .Roofing i/g <............./-'C...T�..................................... Floors ��c � ...............................Interior .................................................................................... ...................................... ............. .. r Heating ................... . ...............................................'..................Plumbing ........... ..................................................... Fireplace ............................... �j p ...................................................Approximate Cos ............ - ... Definitive Plan Approved by Planning Board --------------------------------19-------- . Area ✓.a..,?4....../.�r .�........... Diagram of Lot and Building with Dimensions Fee ...©/.......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Na ri e4;:�ms. ............................. Construction Supervisor's License .. .............. PROTO, DONALD G. No Permit for Build Garage/Pool .............................. Aqqessory..:t!:�..P��i��,l.ing......... .............................. Location .....Lot #37,...... ...Spur Lane .................. .................... Marstons Mills ............................................................................... Owner ...,Donald G. Proto .. . .................................................... Construction ' Frame Type 6 .......................................... . ............................................................................... Plot ............................ Lot ................................ Permit Granted .....March 10,............19 88 Date of Inspection /0.. ......Fl..........19 2 Date.Completed ............4711, .....19 J awe Wn rn J F b *r F Assessor's offioe Ost floor):- . ) Q �/ �FTMEt�` -Assessor's map:'andhlot number .......... ....... �.. ... � �� � Q•. -Board of Health (3rd floor):`D Pej Sewage Permit number. .......... ............ 2 BA8E9fGDtL. : Engineering Department (3rd floor): o raes 1639 Hoye number APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M•. 'only i TOWN OF BARNSTABLE. BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....� �!/..! '...... ../! Q.� ..�v./l/I'.�...'-!l�llfG., .�. f? ....... TYPE OF CONSTRUCTION 1,4.'0PZ?................77:77'—:....t/////" .................................................................. RX- .........0_ ..................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... ....... 11�.....fr.. .............. s�shS..... !(./—f........................................................ ProposedUse ...CL!/ ....................................................................................................................................................... ZoningDistrict .................J. . .................................................Fire District ...........�..C/-N.Wi................................... Name of Owner .,......1:/"l.7. ...............Address 2X S ^ Nameof Builder .. `..:................. ................Address .................................................................................... Nameof Architect -- ....:................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............. /. ,,................................. Exleior ....................................................................................Roofing .............1../.-�f /............................................... Floors ....................... .....................�r.................................Interior .... Heating ........Plumbing ...........1.o"vKL ..................................................... Fireplace ..................................................................................Approximate Cost.......... .......... m ........ Definitive Plan Approved by Planning Board ________________________________19-------- . Area /.DT44....../1!f P.......... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS R2EGUIRED FOR NEW DWELLINGS. I hereby agree.to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..�. . /aJ..-d�......................... 1/1 Construction Supervisor's License .. `...(................. PROTO, DONALD G. A=027-021 :No 3ku.74 -'Permit for Build Garage/Pool .................................... Accessory to Dwelling......... ........ ..................... .............................. Location A Spur...Lane............................... Marstons Mills ............................................................................... Owner ....Donald.....G..............Pro.to . ....................... .. .. .... .... .... Type of Construction ..........F.r.am.e...................... .. .... .. ............................................................................... Plot ............................ Lot ....Lot....#.3.7.......... Permit Granted ...... ...........19 88 Date of Inspection ....................................19 Date Completed ............................. ........19