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Home My WebLink About0035 TANBARK ROAD �� r�rbar� �o�o� a e o r v f art" 4� CAPE SAVE__ : ..a__� Weathenzati "O""i""'-'�"" ' 508-398-0398 December 14,2011 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 RE: Building Permits Dear Mr. Perry, zo too 7 This affidavit is to certify that all work completed for permit application #201003981, Status A, Parcel 335050 at 35 Tanbark Road, Marstons Mills,Permit type: RADD , and issued on 9/16/2010 has been inspected by a certified Building Performance Institute (BPI) Inspector. R-10 Cellulose insulation was added to the attic.All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey Cape Save 7 Huntington Avenue Suite C, South Yarmouth, MA 02664 - /pi TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map O`� q' Parcel: n.L S� Application # 2—of 7 Health:Division - Date Issued : Conservation Division ` -.Application Fee Planning Dept. Per �e I i fI i Date Definitive Plan Approved by Planning Board SEP 0 3 RECT ti Historic - OKH Preservation/ Hyannis b Project StreetAddress 3 Village l�(��S ho Vl , S Owner,",�, 1�( h,'t►Mer� : Address 35 �a\naA` M Telephone G 2 = n!Cp g� Permit Requestrat e eyl+S e<-,P-r— G�fi Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation :5 000 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family •;❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes dNo On Old King's Highway: ❑Yes diNo i Basement Type: ❑ Full ❑ 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 3 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 0i%a,M ("Age Rav p_ Telephone Number s-oS-398 —0Z?6 Address 7_� u � .}� Ave, License# 012+� Home Improvement Contractor# 6 4-- Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE 8' so - )d FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. r , ADDRESS VILLAGE "OWNER DATE OF INSPECTION: - FOUNDATION ` FRAME INSULATION - 'FIREPLACE � ~: ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL FINAL BUILDING - n DATE CLOSED OUT ASSOCIATION PLAN NO. E ` 'own of Barnstable ;regulatory Services Thomas F. Geiler,Director '50 k,0 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyamiis,NIA 02601 vi,Nf-,v),.town.barnstable..ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder f IM'O C e , as Ouvmer of the subject property hereby authorize �� P 1 `� e to act on my behalf, in all matters relative to work authori:,ed by this building permit application for: (Address of Job) Signature of wmer Date Print Name ' If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:F0 1<<S:0VYNN RPSR,AISSIO'I lilt 08/25/2010 09:23 9193212955 PAGE 01/01 r• i • CAPE SANt Weatherization 508-398-0398 August 22, 2010 To Whom It May Concern: William J. McCluskey is an employee.of Capg..Save. He is authorized to negotiate contracts and building.permits for our.company. Michael IMcCluskey Cape Save—Owner 919-593.5939 cell X Huntington.Aventte ,.South Yarmouth,MA 02664 " �la�sachu�ett:- DcltartmrnL irl'Pu1)lii ti.tl'et) ` Bi'rtrd of StailtlinL Re!�ul.ttions and Standen al.� Construction Supervisor Specialty License License: CS SL 102776 Restricted to: IC �T WIL•LIAM:MC CLUSKY 37 NAUSET ROAD WEST YARM.OUTH, MA.02673 Expiration: 6/28/2013 Tr#: 102776 ( unni.�ionc�' i 91te Y Office of Consumer Affai s and Business Regulation 10 Park Plaza Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 164432 i Type: Supplement Card Expiration: 10/6/2011 CAPE SAVE WILLIAM MUCCLUSLEY 1 8201 S. HOURD CT CHAPEL HILL, NC 27516 Update Address and return card.Mark reason for change. DPS-CA1 Co SONI-04104-GIO1216 I_� Address n Renewal (- Employment (-] Lost Card ,, ✓!ac '(OOYlbino�a[t+[!CtIU[- o�iGr/vvdi�r,�[ide�t3 ' Office of Consumer Affairs S Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation f y. Registration:-164432 Type: 10 Park Plaza-Suite 5170 Expiration: 10/6/2011 Supplement Card Boston,MA 02116 CAPE SAVE j WILLIAM MUCCLUSLEY I 7C HUNTING AVE. _ _- S.YARMOUTH,MA 02664 Undersecretary _ Not valid wi�signature i i The Commonwealth of Massachuseta 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 Lei biv Name(Business/organization/Individual): C C c Q Address:_7-_0- Jlvtnt,'nrs � , f�►1 r� City/State/Zip: -yet, rrN �� rTlw��}- Phone#: 60£ Are ou an employer?Check the appropriate box: 4. 1 am a general contractor and I Type of project(required): 1.9 . I am a employer with ❑ employees(full and/or part-time).' have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheCL 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' coin i y• ❑ Building addition (No workers-' comp.insurance p. nsuru�ce.� required.] 5. ❑ We are a corporation and its 10.0 Electrical rcpairs or additions 3.❑ 1 am a homeowner doingall work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12❑ f repairs insurance required.]' c. 152. §1(4).and we have no employees. [No workers' 13. Othcr St)1(z'1"j vvi comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. *Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. 0 / Insurance Company Name: P.i Policy#or Self--ins.Lic.#:—E' II 1) 13 !LONJ j:3- G rj Expiration Date: Job Site Address: 3 n Dad kRGQ. City/State/Zip: t'5&03 M, 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coveragc verification I do hereby certi under,the 'nsA�palties rof *ury that the information provided above is rue and correct Signature: Date: Phone#: -Te'S Ofcial use oniv. Do not write in this area,to be completed by city or town official. City, or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector [.Other Contact Person: Phone#: from'. 04/061201`G 15:45 #W9 P.001/004 VDAC Irro WORKERS COMPENSATION AND EMPLt>ryER&UABIUTv POLICY TYPE AR INPORMAT10N PAGE WC 00 oA Ot t Aj POLICY NvmBEtift tsssaua=t3BNkd7-a_08 INSURER: HARTFORD UNDE1twRITERS 1kStIRAAtCE CopANN. 1. NCCi CO CODE:80411 j INSURED: VROOtICER: MCCi.6 UMV, NIOWL 10BA RISK STRaTEGIES C0)4R CAPE SAYE '13'PACELLA PARK OR 7 C NW INMU AVE RANDOL,PN,.M9 .03868 SOLM4 VARMOld'd'Fi MA 02644 lrtettnd 18 AN ZNDIVIWAL Other WOtk PkCea and Wwt{RCaUN numbers are shown in the schedt*$)etteshad. .a. Thelpollay.pe w le tram i O.21-08 t0 10-2/d10 .1Z;Ot A,M.atth0 hiwr�f'e tn�ing itddreffi. S. A. WORKERS COMPENSATION BNSURV CE: Part One of the RdICY npplkn to the Wodofs COmWmdon Law Of the atee(ey ileted hare. VA 9. EMALOYERS LIABILITY INSURANCE: Pelt Two of the polby eppllas to vmrk in each aaete iMW in Rein S.A. The ltmlts of OW 1101 laity-under:Pad Two ere: SWSY 4ury by Amldwtt: $ 80000E Each Aeddent Body I"by Disease: s soom Poky Unit Badly Injwy by 01seew: S 600000 Each Emptoyee C. OTMR STATES INSURANCE: Pwt Three d the policy aplil to the gges..il any,IWW hare: COYBRAW IMPLACW'6y ENDORSEMENT I'C ZO 03 08A D. -Thie polby indudaa theca endot Mwb and achedttlae: SEE LISTttG Mr- ENDORSENENTS - 9XTENSZON # INFO. PAGE a The pr®mtum fur tNs polcy wN be determined by our Manuals of Ades,Ota ocgtiors, Antes stud Rating. 'Dana RR requkW-kftrrnatiOn is aubjeat to eerirkStion and ahanpa by WXM tn.be.tnetda ANWALLY. DATE OF t', : 11-1$-Q9 M. Osa C1P� M' ORLAt� CA N'PFD ST ASSIfiN: PIA PRODUCER: RISK STRATEZES COW 7677P Town of Barnstable *Permit# aPOIOCMZ X®PRE,SI PERMIT Expires 6montlis front issue date �' Regulatory ServiVO Fee FEB o 7 2007 Thomas F.Geiler,Director Building Division TO--WIN OF BARNSTABLE Tom Perry,CBO, Building Commis er (� P � 200 Main Street,Hyannis,MA.02601 G� Y i"J r .town.barnstable.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 jProperty Address 3 XResidential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address t�`� l�i�L p 5�_ t�?v -Yd t' Contractor's Name �� a� .�,L. Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company NameQf� Workman's Comp.Policy# Aln ril Copy of Insurance Compliance Cer ificate must be on file. Permit Request(check box) ❑ ke-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not.stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders..U-Value .37 (maximum.44) "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property.Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg . Revise061306 The Commonwealth ofAfassachusetts Department'oflisdustrial Accidents Office of Invesfigations 600 Washington;Street . ,. Boston,MA 021.11. wyvw.mass.gov/dia ' Workers} Compensation Insurance Affidavit: Builders/Contractors/Eleetriciaus/Plu�ers' A licant Information Please PrktLpzffijv Name(Business/Orgamiadon/Individual<):_. I _ Address: "7.� , City/State/Zip: w - 64 •Phone.#: 0� va Are you an employer?-Check the appropriate box: 1, I am a employer with 4, E] I am a general contractoi and T . :Type of project(required); ! employees(full and/or part time),*. have hiredthe sub-contractors 0, Q New construction . 2,Q I am a'sole.proprietor or partner- listed Qn?~he'attached sheet; 7. ❑Remodeling ship,and have no employees These sub-contractors have g, ❑Demolition. -vorlang for me in any capacity. emPloYe 4 and have workers' [No workers' comp,insurance comp, in3llIanae,#' 9, []Building addition . required.] 5: ❑ We are a corporation and its 10,❑'�Electricalrepairs o, additions - '3�I-ami-a-homeowner•doing-a'll:work - officers-have exercised their 11:❑Phmnbing repairs or additions myself,[No workers'comb, right 6f exemption per MGL insurance.required,]t c. 152, §1(4);and we have no . 12,❑Roofrepairs-. employees, [No workers' 13.11 Other ' comp,insurance required] *Any applicant that checlo box#1 must also.fill out the section below sbowing their workers'compensation policy inforrnatien. t Homeotvnen,}yho submit this affidavit indicating they=doing all woik wad then hire outside contractors mutt submit anew affidavit indicating such, #Contractors that check this box must attached an additiamal•9heet showing the name of the Pub-contractors and state whetber arnotthose employees. If the sub-contractors have employees,theymustprovida th*workers'comp,poE*number, entities have 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,P. 6/✓ CCU ExpirationDate: �ob Site Address: City/State/Zip; Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date); Failure,to secure coverage as required tinder Section 25A•ofMGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment;as weil as civil penalties in the form of a STOP WOp ORDER and a fine of up to$250.00 a day against the violator, Be advised that a-copy of this statement maybe forwarded to the-Office of Investi ations of the l) k for insurance coverage verification, ' I do hereby certify under th ins and pen ti f perJzcry that the information provided above,is true and correct signature: Date0. -7 d Phone#: o; r�o?D -IX /,Z Off;ial rise only. Do not write to this area,tb be completed by,city or town official City or Town:' Yermit/License# . Issuing Authority(circle one):- .'1,Board of Health 2,Building Department a, City/Town Clerk 4,Electrical Inspector 5, Plumbing Inspector 6,Other Contact P erson: Phone#• I i snows a�.i so O b .Iagmmuxgpua•auogdn%Issazppa s,;uau4ladoaau 1po a smoAtS o;o;1qisag49u ap.osaajd `suoi}sanb�uu-anBq nod ppto�s pub uoT}Bzod000 mod zo;aouanpa ut nod 3jueq}o}qq pjnon�soot;83T;saAui j:o ao p aqy •}TABpg�a srq;a;ajdmoo o pazrnbaz Zpj.T•sztrgsladpTBs(o}a•sae$aTTunq o;;Trmad io asaaog fop E 'a T) azn}uaA JUM:romrmoo ao ssmgmq due%pa;ajaz;ou;Fmod Io omooTj B�mucQ}go ac uazgio zo zaunao auzoq B azaT{�•zaaA goea;no paTjB oq Imm"rp tau�r •sasaaog Io s}rcuzad amp zo3 ejg uo st 11"PUP pgeA aq;;e ;ooid uao sa� ijddE G.q�W popTAozd oq Arm uao;zo 4o ag;dq p.o**=zo podmB;s djjBTOUJO uaaq seq.;tq}pAspga aq;uo dcigo Y„,(U&o; ' io.14?o) IIc suot;BooT•jj8„%Tim PTnogs;uBojjdd8 etp„esazpP�r as?S qoS„Iapur►pa8(�Ciessaoaa T)3toT}Btuzo3uT rSogod ;uazzno 2u48oipur 3?ABpUp ouo;Tmque djao paau`zeal uom2 An ur suoT;vogdd-e osu6oTj�traaad aIdT;Tcrm;Tmgns gsTrra;Brj; }notjddj=`aoT}�pp8 uI 'zagmnu capnia3az a n posn oq TI&gotgtn zagmnu asuaoTjATmzad aij}m TIg o;ams aq asaajd }uBo � ur}no Tg o}Trod Ion;TABpTB ag;�opa o } 3} p dj mo}1oq 014I's ooads a papTnozd sag;Tram;ndaQ aqy ' gt%aj pa;uud pua,a}ajdmoo sc;TnBpT_g8 aTi};BTp azns oq asEaja SIBIoUJO Ttaaoy ao AND .ptrq. }Budozd&ag}.uo Ioq=u asuovq aouBlnsaz;jas Iraq}Ia}ua pjnogs saTuadruoo pamsai 3IoS &ojoq pa}sq ngtxnu aq}}B;uaui}redaQ aq}jjBo aseaYd`�togoduoT}Bsuadmoo ' ;Slg*o,&,e unggo o;pg=.baz on noA jo-&q ag}2urple�az saoT}sanb dui anag nod pTnorTs 's}uapTooy jBTI}srrpuz 3o;uaur.�ndaQ oq;;ou`pa;samboz Ztnaq n osuooTl Io';Tmiad arj}Io3 uogBoT�ddB aq�;Bg}unao;zo Rio aq}o;pa¢aya=oq pmogs;rAgp B aqy 'IlAipUp aq;a;Bp pui u2is o}o ns aq osf •a�BzaAoo o= msm jo uoT}Bmigaoo zo3 s}uoprooy Tev;supuI jo}umgn..daQ aq;o;pa};Tmgns oq ArnjjABpUp srq.juq}pasjA bg pazmbai st dogod B`saadojdma aeBq saop rl-,Io OT,us•, •ao xnsm uo4v3uadmoo,sza3Vo.&Amo o;pazmboi;ou aze `9=4nd zo•siagmom arj}ueq;Iaipo saadojdma.ou g}Tm(,rj-l)adTgszauazea 14174?'I P4=. ,j Io(OZ,j)•jop-e dmoO.ATl?0.81'I.po4Tccq l -oouBmsar ;o (s)gsopno Izaq;gym 2uoTs(s).iagarnu auogd puB(sa)ssazpp8`(s)amm(s)To40134uoo-qns dTddns`dlBssaoau yn uoi.4sr4js mod o;djdde prg saxoq aq;Eunjoago dq`dja;ajduzoo;Tn$pgp uol;BsuadMoo,sza3po&aq; ;no TTg asaajd s}TMoijddy j;l�}uoq}n8�m;oBl}uoo aq}o;po;uasoad uaaq oABq za;dvgo sTqi;o s}uamanrrbaz aouam a druoo a•asuapw 19K4d=os T.4=3jzom oijgnd;p ao o zad aq;ion;osc}Troo ATM o;ur za;IIa . jjBgS SROISTtiTpgn9 TeoT}Tjod B}T jo dua IDa g;TeaA'IIO�rao�9q}IaLl}tarj„sa�B�s(L)OSZ§`ZSI�a}d�io'ItJT�i`dll�o?1?PPy „VaInba-i a�azadoa enz. M ag;tj;?a�aaBztIdmoz 3o aauapga ajga}daoa8'paanpoad;ou sEq oga�;uuorldd-C due zo;T1;tea&uouzuzoa aq}m s2uipIT }an.4mo3 o;ao ssgmsuq B a;'Blado,oj I#uzad ao asuaazj B jo'Tu��ua i zo aauamss,Vu pjogq;uA Tjegs daua28 2msuaoTj jEaoj zo a}B;s dlada„}eq}sa;8}s os�e(gYjSZ§ `ZST I d�[o'IrJ7q „•nadojdtaa us aq o;pmrAaap.aq;IIaardojdraa goes So asnBoaq}ou T[ o;azaq};azaa�tndde�uipTurq zo spnnol�a uo zo asnoq gatTja by�jons uo 3jno&xTadaz zo uoTpOTL4suoo`gvapz;a=op o;moszad edojdmo ogre Iag;oIIa o asnog ggTpmp a-cp jo;uEdnaoo aq;Io`aTazagR sapTsal OTE&pub s}aauAnBd-e aazq;ueg}anoma ou ftTaq asnoi 2mUo&p B jo Ia&o ag}Ianatmog ` u � M4zozAaoz` a aT ag;zo `zodojdcaQ pasBaoap.a 3o saAT;B}IIasandaz jB221 ag}�uipuloui pus `osadia;IIa;loC a IIc pa�B�ua�uto�azo�aq;30 azour Io om}dIIe Io`d; IIa ja�aj iaq;o zo uoRBzodioo`uogBTpossB`dTgsnau ad puiipII�uE„sa paIIgap ST-atop d' a u�r „•ua}}T&zo I no `pagdmi zo ssaidxa 14=0 dua zapun nag;ous Jo 9OT&Ds aq;m uoszad diaAa'••„s.e paugap sr aaXo1dwa me 'qn}B;s sT.q}o;}u-uwma saafoj np zo;uot;Bsaadmoo ,sza3jzox.opuoido;snadojd easa maTzmbazZSj-i?;dBgos�BZ.TeiauaOs}}asngoBssByg T�TTo TTnT'Iv.m-10117a 12/15/2006 FRI 10:29 FAX 508 564 5531 ROUCHIE INSURANCE 10001/001 PA—C-08 . `,CERTIFICATE OF LIABILITY INSURANCE 1 DATE(AENIODIYYYY) 12/15/2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Robert E.Bouchie Jr.Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1352 Rt 28A HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 400 Cataumet, MA 02534-0400 INSURERS AFFORDING COVERAGE NAIC 19 INSURED Carpentry Unlimited,Inc. INSURER A. PATRONS MUTUAL INS CO OF CY 50 Plum Street INSURERS: ST PAUL INSURANCE CO West Barnstable,MA 02668 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.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDIL POLICY NUMBBR POLICY EPPECTIYE P UCY EXPIRATION LIMITS A GENERAL LIABILITY CTR0001417 12/14/06 12/14/07 :EACHOCcuRRENCE _ $ I.Coo.000 WUVvWTO COMMERCIAL GENERAL LIABILITY PREM,SE o ewEenee '$ 50,000 CLAIMS MADE 1Z OCCUR MED EXP(Anyone Dotson) $ 5,000 PERSONAL3AOV INJURY :S 1,000,000 GENERALAGGREGATE Is 1000,000 GEDA AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPMJP AGG $ 2_QOO 000 POLICY F1 PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Es o=ldont) ALLOWNED ALTOS BODILY INJURY SCHEDULEDAUTOS 1(Perpe—) $ HIRED AUTOS I II—BODILY RAW NON-OWNEOAUTOS (PeracdEen $ PROPERTY DAMAGE l$ (Pel accidont) GARAGELL40LITY MO ONLY--EA ACCIDENT $ ANYAVTO OTHERTHAN EA ACC $ AUTO ONLY. AGG S EXCESS/UMBRELLALIABILITY EACHOCCLIRRENCE $ OCCUR CLAIMS MADE AGGREGATE $ s DEDLICTIBLE $ RETENTION $ I $ B WORKERSCOMPENSATION AND 7PJUS4000B40006 02/21/06 02/21/07 WCSTATU- oTH- EMPLOYERS'LIABILITY ANY PROPREMRIPARTNERMXECUTNE E.L.EACH ACCIDENT s _ 100,000 OFFICERI MINSER EXCLUDED? E.L DISEASE-EA EMPLOYEE $ 100.000 if yes,amedbe under SPECIAL PROVISIONS b9low E.L.DISEASE-POLICY LIMT I$ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Reference:45 First Way, Barnstable, MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Barnstable Town Hall DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL. 10 DAYS WRRTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO'SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis,MA 02601 Hyannis, S REPRESENTAT ATTN: Y AUTHORIZED P FAX:508-790-6230 ACORD 25(2001/08) O ACORD CORPORATION 1988 BoaIV rd of Bljilding Regul�ns HOME IMPRp� �0d Standards EMENT CONTRACTOR' ` License Registrar; or re �110363 before the eX g�stration valid for individu E> ER 620�200 pi ration date. 1 use only Board If found �=_ 8 of Building Re return to: i:. F pQlndlvidua► One Ashburton p gulations and Standards S C _ lace R OH Boston M.1301 EAf ,Ma.02108 > COHEN�' 1LAND AVi� % MA 02635 OeP:"ty Administrator Not valid without signature HE Town of Barnstable Regulatory Services 9RAXLN L$ Thomas F:Geiler,Director Eo;1. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 ffice: 508-862-4038 Fax: 508-79076230 Property Owner Must Complete and Sign This Section If Using A Builder AM 11AIX r S,q14 , as Owner of the subject property hereby authorize 5_1 611e�v — 0epgi7'ev 6/ J -04MZ to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) 021-7-A72 Signature of Owner Date Af iw� Print Name Q:F0RMs:OVaiERPERMISSI0N TOWN OF BARN•STABLE Permit No. ..32551...... BUILDING DEPARTMENT r i TOWN OFFICE BUILDING Cash 7 .Yl .670• HYANNIS.MASS.02601 Bond .....NIA..... CERTIFICATE OF USE AND OCCUPANCY Issued to Greenbrier Corp. Address Lot #10 S, 35 Tanbark Road Marstons Mills, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL,,NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. A i l 2 4 �..r ......,.. 19...89......... ........ .... Buildin Inspector x pr ryT.r.-.i:)7ru"��;�:., ••,•.''^F`.f+iC["?:C' �..... ,. .,.,.....,,,,..r......_.,,....�..:m,T..-,�..;.w:•...u;�," s ::w•:: t... ,.c,.5. ..p0�vr. a> 'TOWN OF BARNSTABLE, MASSACHUSETTS B WWI'! f C A .J99-055 DATE January U t9 ti9 PERMIT NO. N9 32551 APPLICANT Owner ADDRESS IND.) (STREET) (CONTR'S LICENSE) PERMIT TO Build dwelling (—Li) STORY Single .family dwelliTg NUMBER OF UNITS ,• (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) lot #108 35 Tanbark .')toad, Marstons Mills ZONING (NO.) (STREET) DISTRICT— BETWEEN AND (CROSS STREET) { (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE iBUILDI�4G IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTIC TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) ` REMARKS: Sewage #88-755 . Appeal #1988-68 Marstons dills Woodlands N/A AREA OR 768 sq. ft. 45,000 PERMIT 61.50' VOLUME ESTIMATED COST $ ICE, 'C/SO UARE FEET) . FEE OWNER Greenhrie.Y Corp. A r P.O. Box 1. Centerville, BUILDING DEPT. pp ADDRESS BY F7. -•A P P L I"`T�"*"r°�r'I'ITo'I°•1''VB-CFC-•�OUT71C'S' T `!S'Q T�A-�Ct`A S E T Fi�E•��•A P P L 1 C A N T F ROM THE C O N D I T I O 1 OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FORELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECT N PE TI TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM. STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 7, �,T7 _V—e.CAI C111- 1. Q h G w LL� HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT OTHER BOARD OF HEALTH a � C>lrrr� cr WURA SHAII NO[ PHUCLI LI UNIII IHI IN5PIC PERMIT W!LL.BECOME•NULL-AND VOID IF CONSTRUCTION IOR HAS APPIIOVLD IHL VARIODUS SIAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE I ARRANGESPI D INIiICAILI)ON THIS CARD CAN CONSTRUCTION. PERMIT iS ISSUED AS NOTED ABOVE. NOTIFICATION. FOR BY TELEPHONE OR WRIT) NOTIFICATION. LOT W7 62 53' \ _;0 i OD ' � N \ 20 . E,e� \ LOT 108 22.014 SF LOT 109 \ 1 INMAL ISSUE PAL NO. OAIE DESCRIPTION` =` BY AS—BUILT FOUNDATION '.PLAN—LOT .108 MARSTONS .MILLS WOODLANDS BARNSTABLE, MASSACHUSETTS FM ODLANDS ASSOCIATES RMTY TRUST , I CERTIFY MiAlTHE FOUNDATION ° PAUL.A. t�\� SCAM 1' � 50' JO8 No. 1338/+sws :F _ SHOWN 0 N 1 L CATED LEVY l a' 0 50 ON -THE'•G NDsAS IC TED:= s : No_1Go17 MY IILDMQ tl;TIGIr'HR-LS50QAM DC D,A REGISTERED LAND SU14 YOR sFprc sybMUST JW6 Assessor's.office (1st floor): y QQ JJ �' � �^°oaallP't� Assessor's map and lot number *.- .:1:9..�.. ` 41..... F y WQ•• o Board of Health (3rd floor): ag d Sewage Permit number ..... ............T�,�WN REG��TI� ��.,� Z DAMSTAXLE. Engineering Department (3rd floor): -� V S , r. Ns o ""°a House number O +639• .............................................................. .......... �oMaY ale Definitive Plan Approved by Planning Board :_____1p �____._______19._a b_ . APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR G APPLICATION FOR PERMIT TO t✓.A15I le.Ur 1A.ELCfAl ...... ..:TYPE OF CONSTRUCTION ...............................................N(CCn...........✓�-�1C �I. ..................�a.......r.................I9T T. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: _ Location ........�.....T.......��.�............. ��+L...... ..f.., r.. 1.L.L..S.................................. ............................ Proposed Use ...........S In�(rt ... .......................... ............. .......................................................................................................... ZoningDistrict ....//........................................n..........................Fire District ......... .................................................................. Name of Owner .U.2FEl� �1frZ C�.OKP U. vX 5! ... e.`�fPr.y,.�LP............. ..................... ... .............Address . .......... ................ ... .. Nameof Builder S� �� ...........................................................Address ............ ....................................................................... Nameof Architect ..................................................................Address ........................................./............................................ Number of Rooms ..................................................................Foundation ... ... d UIZE C'D✓V C/ZF f ....................................................................... Exterior C L S<JIGC�3..—..CfJ�/J�..Roofin,g ........... 5...u�L! . . ........................................................... Floors ............... ... ............./..................................................Interior ............ //FAT/ZdCI� . . ............................................... Heating /0 (S.!.........................................Plumbing .............. Fireplace Nd r ..Approximate Cost �y5 ..................................................... ....................... ...... ... /.(O.�•..5.....� ....... Area ..... �. Diagram of Lot and Building with Dimensions Fee / "/%/ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of th Town of Barnstable regarding the above construction. Name'. .......................................... • Construction Supervisor's License � i;REENBRIER CORP. d. No .... •Permit for ..... I?...Sto.Ky.......... Sing Family .ly..Dwelling .......... ............. . ... Location ...... ...T4nbark Road ..................... ..................M.a.r.s.tqn.s..Mills. . . . ........................... Owner ......Greenbrier...Cora,....................... .. .... .. .... .. .. .. .... Type of Construction ..FRame........................... ............ ............................................................................... Plot ................ ............ Lot ................................ Ss Permit Granted ....qP�Iq:qary...1.Q.%.......19 89 VT Date of Inspection .....................................19 Date Comple te /e ........19 C, W 1 -.s �,,� ,. �.-' .,'.�� .r$'=l .�;of :.-_. w �£.� -%r did-�L¢.V �� •. Assessor's office:(1st floor); r Assessor's map and lot number ...... ... .7..'`...r7;7•. THE M Board of Health (3rd floor): Sewage Permit. number ..... ,,0.................. i B rasaAMSTABLE, Engineering Department (3rd 2 o 0 floor ,6}9. I : Hc%us�,ulnber ......................................................................... aMAI I Definitive Plan Approved by Planning Board --------------------------------19--------- . ,&PPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M.: only TOWN OF BARNSTABLE BUILDING INSPECTOR ` Ai 5%/Z a C i L't C C.I N G r )APIPiICACTZfON FOR PERMIT TO .... a ....................................................................................................... TYPE OF CONSTRUCTION S1/✓v C_ �ti!%c. f (,vG�l� , f ....... . .... .................... ...... ............................... ..................0...... ....---.....14. .-- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: oLocation r /Q � �� /Z,� F,, . . . .............................................................. (/V 6-c6 101-4 J C L Proposed Use ........................................... !......................... ..................................................................................................... Zoning District ............. ..........................................................Fire a I .... District ...................................... ....................................... FFN 5/U ze Nameof Owner . ..........................................: .............Address �...� ...........y..................................................Name of Builder S ` `P rj v� ...........................................Address .................................................................................... •Name of Architect ........... ....................................................Address ......................................�............................................ �DU�Z �r� ( D✓vCiZ� i Numberof Rooms ........:.........................................................Foundation ........ ..................................................................... s/>N/'c Exterior ......C.�. .!...:��..: iJ.. w.G C�S...`........JiJ�IC...Roofing. ............�..... ........................................................... .../vs. r S�FF Floors ...�a. :.�....... ............................................Interior ....................................................... r g _�/ /SHeatin ......... .......:.....:..............................Plunbin ...,� � .........g . �r ._.. ........ / Fireplace ............N.................................................................Approximate Cost ...............I.GGv.•......................................... Area ......::.................................. Diagram of Lot and Building with Dimensions Fee ....:........................................ 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. Name !.<<_4� ...................................... Construction Supervisor's License ..06.!35. ................. GREENBRIER CORP. A=099-055 32551 No .................cPermit for ..13...Story.......................... Singly Fainily Dwellinq�.......... ............. ....................................... Location .Lot...#.1.0.8.........3.5...Tanbark...Road Marstons Mills ............................................................ Owner .,,Greenbrier .Corp....................... .. .... .. .... .. .... .. Type of Construction ..Frame. . ........................... ..........................................;..................................... Plot .................... ....... Lot ................................ Permit Granted ..... ......1.0... .,.*......19 8S, Date of Inspection ....................................19 Date Completed ......................................19