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0063 TREE TOP CIRCLE
7&0*2 e - ) 0 SolarCity March 25, 2016 Town of Barnstable r ATTENTION: BUILDING DEPARTMENT 200 Main Street w Hyannis, MA 02601 -- CD RE: 63 Treetop Circle, Marstons Mills r Q Permit No.: B-16-188 � Our Job No.: JB-0262586 _�o rn NOTICE OF CANCELLATION This letter is to certify our proposal to install Solar(PV) at the above- referenced property has been moved into a cancellation status. SolarCity Corporation and Cory Eno will not be moving forward with the proposed installation at this time. We would greatly appreciate reimbursement for the permitting fees paid, but understand that the town will not refund any fees. If you have any questions or concerns, please don't hesitate to contact me. Thank you for your attention to this matter. Sincerely, Cheryl Gruenstern Cheryl Gruenstern Permit Coordinator cgruenstem@solarcity.com Direct Line: (508) 640-5397 j i 112 Great Western Road,South Dennis,MA 02660 T (888)SOL-CITY solarcity.com AL 05500.AR M-8937.AZ ROC 24377VROC 245450.CA CSLB 888104.CO EC8041.Cr HIC 0632778/ELC 0125305.DC 410514000080/ECC902585.DE 2 01112 0 3 8 6/T1-6032.FL EC13006226.HI CT-29770.IL 15-0052.MA HIC 168572/ EL-1136MR.MD HIC 1 2 8 94 0/118 0 5.NC 30801-U.NH 0347C/12523M.NJ NJHIC#13VH06160600/34E8 0173 2 7 0 0.NM EE98-379590.NV NV20121135172/C2-0078 6 4 8/82-00 79 719.OH EL.47701,OR C8180498/C562,PA HICPA077343.RI ACO04714/Reg 3832.TXTECL27006.Ur 8726950-5501.VA ELE2705153278.Vr EM-05829,WA SOLARC'919OV50LARC905P7.Albany 439.Greene A-486.Nassau H240971000Q Putnam PC6041.Rockland H-11864-40-00-0Q Suffolk 520577H.Westchester WC-26088-H13.N.Y.0 02001384-0CA SCENYC:N.Y.C.Licensed Electrician.#12610.0004485.155 Water St 6th Fl..Unit 10.Brooklyn.NY T1201#2013966-0CA All loans prWaled by SolarCity Finance Company.I.I.C. CA Finance Lenders License.6054796.SolarCity Finance Company.LLC Is licensed by the Delaware State Bank Commissioner to engage In business In Delaware under license number 019422.MD Consumer Loren License 2241.NV Installment Loan License IL11023/I1.11024.RI Licensed Lender 420153103LL.TX Registered Creditor 1400050963-202404.Vr Lender License#6766 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION t • Map I'Sb Parcel��� ApplicationA# Health Division Date Issued p Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board bVeAw Historic - OKH D Preservation/ Hyannis � � Project Street Address a•r'-cC aD CLAC.(7�, Village S�TnS �✓���(S Owner 00 r�l Ohl-_ P- SNO Address !! �� i I-,J T 0 iP C'n c-�Y Telephone Permit Request "o�- of -e 1 5'1--t h a., C�S_s c c w►Y- e�� cu 5 13 S wr,L� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed —Total new Zoning District Flood Plain Groundwater Overlay J C- Project Valuation �� 1,�0� Construction Type F-3 Lot Size Grandfathered: ❑Yes M-No If yes, attach supporting documentation. Dwelling Type: Single Family fd Two Family ❑ Multi-Family (# units) Age of Existing Structure k VS- Historic House: ❑Yes ��&No On Old King's Highway: ❑Yes XNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing news 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: Existing1417New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new sizeAL&Pool: ❑ existing ❑ new sizxtl Barn: ❑ existing ❑ new size Attached garage: ❑ existing ❑ new sizhed: ❑ existing ❑ new sizOther: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ CD Commercial ❑ �l Yes , o If yes, site plan review # G o _/ z , _, .S1 I a 7 7 Current Use Proposed Use r�t y 03 APPLICANT INFORMATION `' u4 (BUILDER OR HOMEOWNER) 7;p Name Telephone Number5� Address W�Sly E License # O Home Improvement Contractor# Email I U e1ASyr-_C' 6( 1_\Ci. , rw` Worker's Compensation # � Digc�01S�`6Z� ALL CO RUCTION DEBRIS RESULTING FR /M_THIS PROJECT WILL BE TAKEN TO Q r_QczP e5k-L SIGNATURE DATE ��6 v FOR OFFICIAL USE ONLY "APPLICATION # ` DATE,ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ` FRAME INSULATION r, - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 7 + DATE CLOSED OUT ASSOCIATION PLAN NO. i c WWI r!■!■ (` NSq1Ap OWNER AUTHORIZATION Job#: Z' 5 x Property.Addross, 43 T&wb � �: +° M d 2,� , �S°:�1wil",C� O�'1�14 SUb)G�`ti r4PcrtY 1lc' atitlto�i a S()11AlZO[TY C()ItP(JRAfiION to,abt ,�+�r�) libititlf m:all;m��turs relatiivE,t�'y�wutharzed by"tF► � buiding,peranat,:apficio�i Signaure pfOrvn�� -� [� tc, { S I i SOt.,A'A'" ITY,Oom t Y"SAC114WOf"S DebeartneM of pabac Btah"y "am of sulubnO RNQuttr4as*no Sltras"I3 .t9ih�Y (iS-10B816 JASON PATRY 821 SMWART DRIVE Abington MA 02351 t� ',...........,., 021001ID19 .,� OMcc atConamtr AQiin&[fain Rtgdiitioo HOME IMPROVEMENT CONTRACTOR t Regletration: loam Tgpo Expiration: 31812017 SuDptemem SOLAR CITY CORPORATION I JASON PATRY 24 ST MARTIN STREET BLD 2UNI WLBOR000H,MA 01752 Underteerotarr I ji I • Town of Barnstable _*Permit `�— Fxpires 6 Mont f m issue date ' Regulatory Services Fee Thomas F. Geiler,Director +PRESSDivision . P �1rro To Perry, CB , Building Commissioner p� i in Street,Hyannis,MA 02601 1r town.barnstable,ma.us Office: 508-862-4038 � 'f Fax: 508-790-6230 EXPRESS PERMTT APPLICATION RESIDENTIAL ONLY Not Valid without Red JX Press Imprint Cap/parcel Number roperty Address (,,,� T�' �o 42 ,i!-C ]Residential Value of Work 3,�, 6120 Minimum fee of$25.0.0 for work under$6000.00 lwner's Name&Address e�S 7 AArS'�n5 /fit �IS � ��� lJ7z,Y� / i / :ontractor's Name :/ ll ,(),;7ji l_� �/2K. Telephone Number SO 9 `76 , Q [ome Improvement Contractor License#(if applicable)_ '-s"-Licerrse--#-(�appiicable) ]Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ Latn the Homeowner FD"Ihave Worker's Compensation Insurance C16 isurance Company Name /',yl' �� !n5" Vorkman's Comp.Policy#__ :opy of Insurance Compliance Certificate must be on file. r' ram, -ermit Request(check box) F- r ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side r� M_<eplacement Windows/doors/sliders. U-Value ,3J maximum,44 x „- "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, copy of the Home Improv ent Contractors c nse is required. ;IGNATURE: / s I:Fomis:expmtrg .evise061306 Office Order Copy Pella Windows &Doors Westerly RI, Centerville MA, Wakefield RI 'Seekonk MA, Dartmouth MA, Plymouth MA Serving Massachusetts & Rhode Island Phone: Fax: Customer Project/Ship-To Order Phoenix, Linda Phoenix,Linda Order No. 73822ACH1 Order Date 03/18/2008 63 Treetop Circle 63 Treetop Circle Customer No. PHOLIN Need Date 04/21/2008 Tax Code MA Sales Rep. Code 22 MARSTONS MILLS,MA 02648 MARSTONS MILLS,MA 026 Taxable no Sales Rep.Name Conchinha, Kevin BARNSTABLE BARNST Tax Exempt No. Window Store 000001 Terms Code Deposit/C.O.D. Territory Lie.No.: P.O.No.: Customer Type H Ship To County BARNST MDR Code SM Prepared By Rachel Linda Owner: Mrs. Linda Phoenix Overall Discnt. 15.217% Architect Name Bus. Phone: ( ) - Bus.Phone: (508)420-2265 Comm.Split 22: 100.%o Dist.Order No. Bus.Fax: ( ) - Home Phone: Cellular: ( Home Phone: (508)420-2265 Delivery Instructions: Comments: White 0Ion doors Outside View Item Qty. Description Unit Price Extended Item# 10. Qty: 8 Vent/Fixed XO Sliding Window,Frame:32 X 21-3/4: Pella Impervia, 1,003.85 8,030.80 Location: basement Alternative Material,Model 1 , White, 11/16" InsulShld IG Glazing,Half (180.69) (1,445.52) R.O: 2'8-1/2" X F 10-1/4" . Screen, White Hardware, 1 11/16"(Fin to Roomside),Integral Nail Fin 823.16 6,585.28 ° WallCond: 1 11/16" (Fin to Roomside) Value Added Items: Install Full Tear Out 0"-36"-Qty 1 18.000% Disposal fee per wdo/door-Qty 1 Aluminum Wrapping-Sgl Window-Qty 1 Notes: interior trim primed Item#20 Qty: 2 7282 Vent/Fixed XO Sliding French Door,Frame:71-1/4 X 81-1/2: Location: doors Designer Series, Clad,Model 1 , White, 5/8" InsulShld Temp IG Glazing, R.O: 6'0" X 6' 10" Clear Temp Hinged Panel, Sliding Screen 2/4 panel, White, White Int Hdwr ° WallCond: 4-9/16" w/Champ Footbolt, 3/4"Designer Traditional Grille(Grille Lites Wide=03, Grille Lites High=05), White, BU Cellular Linen;4-9/16", Fins(single unit per design) Value Added Items: Install Entry/Sliding Doors/French-2 panel-Qty 1 Disposal fee per wdo/door-Qty 2 Office Order Copy-Page 1 of 4 Office Order Copy for Customer Phoenix, Linda Project: Phoenix, Linda Order No: 73822ACH1 Outside View Item Qty. Description Unit Price Extended Pre-finish Non-ILT door/sidelite panels-2-Qty 1 6,324.61 12,649.22 Prefinish Sliding Door Screen/Rolscreen-Qty 1 (948.69) (1,897.38) Install WC Shingles up to new windws ADD-ON/unit-Qty 2 5,375.92 10,751.84 15.000% Notes: interior trim painted white 01 Install Notes: need to pad in width and height also need to add oak threshold Item#25 Qty: 9 Vent Double-Hung,Frame:32-1/4 X 52: Pella Impervia,Alternative 1,298.92 11,690.28 Location: sunporch Material,Model 1 ,Half Vent/match Half Vent, White, 11/16" InsulShld IG (168.86) (1,519.74) H== 47VentR.O: 2'8-3/4" X 4'4-1/2" Glazing,Full Screen, White Hardware,3/4" Standard Colonial GBG(muntin 1,130.06 10,170.54.Hap Vent . 21Vent WallCond: 1 11/16" (Fin to Roomside) pattern: 3Wx2H/3Wx2H),White, 1 11/16"(Fin to Roomside),Block Frame 13.000% w/Std Fin Value Added Items: Install Full Tear Out 0"-36" -Qty I Disposal fee per wdo/door-Qty 1 Aluminum Wrapping-Sgl Window-Qty 1 Add Stops Per Opening for Precision Fit Windows-Qty I Notes: interior trim primed Install Notes: install from exterior side Item#26 Qty: 2 Vent Double-Hung,Frame:30 X 52: Pella Impervia,Alternative Material, 1,281.56 2,563.12 Location: sunporch Model I ,Half Vent/match Half Vent,White, 11/16" InsulShld IG Glazing, (166.60) (333.20) _= 07Vent R.O: 2'6-1/2" X 4'4-1/2" Full Screen, White Hardware,3/4" Standard Colonial GBG(muntin pattern: 1,114.96 2,229.92 Hap Vent -= 24-Vent WallCond: 1 11/16" (Fin to Roomside) 3Wx2H/3Wx2H),White, 1 11/16"(Fin to Roomside),Block Frame w/Std Fin 13.000% Value Added Items: Install Full Tear Out 0"-36"-Qty 1 Disposal fee per wdo/door-Qty 1 Aluminum Wrapping-Sgl Window-Qty 1 Add Stops Per Opening for Precision Fit Windows-Qty I Notes: interior trim primed Install Notes: install from exterior side Item#27 Qty: 2 Vent Double-Hung,Frame:29-1/2 X 52: Pella Impervia,Alternative 1,281.56 2,563.12 Location: sunporch Material, Model 1 ,Half Vent/match Half Vent, White, 11/16" InsulShld IG (166.60) (333.20) _= 4YVent R.O: 2'6" X 4'4-1/2" Glazing,Full Screen, White Hardware,3/4" Standard Colonial GBG(muntin 1,114.96 2,229.92 Hatt Vent _— 24-Vent WallCond: 1 11/16" (Fin to Roomside) pattern: 3Wx2H/3Wx2H), White, 1 11/16" (Fin to Roomside),Block Frame 13.000% r w/Std Fin Value Added Items: Install Full Tear Out 0"-36"-Qty 1 Disposal fee per wdo/door-Qty 1 Aluminum Wrapping-Sg1 Window-Qty i Add Stops Per Opening for Precision Fit Windows-Qty 1 Notes: interior trim primed Install Notes: install from exterior side Office Order Copy-Page 2 of 4 Office Order Copy for Customer Phoenix, Linda Project: Phoenix, Linda Order No: 73822ACH 1 Outside View Item Qty. Description Unit Price .Extended Item#_28 Qty: 1 ALum wrap smooth white 0.00 0.00 Location: 0.00 0.00 Picture 0.00 0.00 Not 0.000 Available Notes: I Item#29 Qty: 1 Trim provided by PELLA 0.00 0.00 Location: 0.00 0.00 Picture 0.00 0.00 Not 0.000%. Available Notes: Item#30 Qty: 1 Touch up paint 0.00 0.00 Location: 0.00 0.00 Picture 0.00 0.00 Not 0.000% Available Notes: Item#31 Qty: I Thank you (1,161.60) (1,161.60) Location: Value Added Items: Misc Adjustment-Qty-1 0.00 0.00 Picture (1,161.60) (1,161.60) Not 0.000% Available Notes: Thank You For Purchasing Pella Products Office Order Copy-Page 3 of 4 : Order I Project: phoenix Linda ,,act for Customer ]votes:interior trim Primed Pella products $15,396.08 purchasing �69.80 ,you For Taxable Subtotal 0 15,453:83 'mall, Y � Sales Tax at 5.0000 V. S 31,619•11 taxable Subtotal $ 0,00 - e lion- e ,esentative Signatur Total � `S- �..a 0 - Pella Sales R P, De osit Received C j6 j �2 ent eem Y C � of this order.This agr ent e Omer Signatur ° e signing promises of shipm Custom Date ess days of the MA All prom direct,indirect br O Trials)�— ible after 3 buses Fall giver, liable for anyBTe PO orate representative in on this ce on 3 ' ( � ITII CZISTO ,( sto No cancellations are oors core uaran do so.Ssland specifications foca iions shown or ass star Date ggVlBw w ou,the customerells windows and D is no g tee to e to have pF C S g' ecially for y authorize but therethe windowldoor size only ,pleas e arrang NT made eSP ranee by auth the time Promised' resents that rode tailgate delivery pCKNOwl'EDGf is order is and accept' within er represents we p Terns and conditions:Th review every case tc ship e custom delivery ail. are contract only upon re, used in on-installed orders ou with your completion. prod-act warn ant no ice a binding est efforts are ent.For n twill call y d 50%upon licable p o import becomes only,and our b delay in shipm uling DeP order,an Alingppecial note of e two Pella. estimates a e caused by The Sched ed at time°f t the time of sale. oration nO T consequential dam.be changed or cancelled 50%deposit required effect a details,take Neither Pella COS e liabl f°t d may no sinned orders, ited warranties in Complete Stem will not b correct an For In lift warran es for this,the wall sy oration tin' of delivery Pella s. oisture Pella Corp site at tin e covered by However, tten warranties.-e Pella products as contract.pleases lanagement of m s contract.with Pella veil 'WAVY NTY: art of this . d roper m set out in h° d become a Part products an P ess specifically which are inconsistent to the product•You incorporated into an other.warranty'i ations other accessory] aiding installation of any to or oblig or any LI sections reg will be bound by obligations in addition o f a Rolscreen L C� Windows&Doors create oblig e addition an' which ess requirements• or to installer branch warranties e into consideration the on receipt Pri eet local egress, the limited warrant egress)information does not t�pella products m must be finished uP ,order code doves and d°ors m e not Covered Clear opening building to ensure your exterior win characteristics are consult your local bushed mahogany e or na. ,NarrantY'' grain, color,texture a Pella website a er's linuted - Variations in wood gr roduets,visit th per the manufactur thereafter- for all Pella p annually, and warranty refinished ann tenanCe,service, •on regarding the f'mrshing,main For informat� page 3 of 3 . Contract- g registration valid for individul use only License or reg' ulations and Standards i nation date. If found return to: Board of Building Reg i before the exp' Re ulations and Standards ro- u,p CTOR Board of Building g. i HOME IMPROVEMENT CONT i One Ashburton place Rm 1301 Registration:, 149840 Nla.02108 Ezpiration13/2010 Boston, �` `tw=- '�fllement Card �1Y� IL ITYP?'_SuP.p it�� PELtA WINDOW ] STEVE CORREIRA , 1325 AIRPORT ROAD e` LA Not valid without signature FALL RIVER,MA 02720 `Administrator f 4 }L N 4a "�I f •�qqT. t_ `i� Department of Industrial Accidents Office of Investigations - a a 600 Washington Street- Boston,MA 02111 k � www.mass.gov/dia Workers' Compensation hasurance Affida-vit: )Builders/Contractors/Eleetricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/Orgmization&dividual): .ep— C / S C_ Address: City/State/Zip: sZ/l UPj: M4 cra 7�20 Phone:#: 6 ,;2-© Are you in•employer? Check the appropriate box: -Type of project(required):- I.rt]�I�am a employer with 4. I am a general contractor and I employees(full and/or part,time).* have hired the sub-contractors 6• ❑Ne traction . 2.0 I amm a'sole proprietor or partner- listed on the-a-ttached sheet. 7. E�4temo&ling ship and have no employees 'These sub-contractors have g• Demolition , working for me in any capacity, employees and have workers' [No workers' comp.insurance comp,msurance.t 9•"0 Building addition required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions officers have exercised their 3.❑ I am a homeowner doing-in work 11.0 Plumbing repairs or additions myself. o workers' co right of exemption per MGL� Y � �• - 12.❑Roof repairs §14 152. , , and we have no - insurance required.)t c � ) ' employees. [No workers' 13;0 Other comp.insurance required.] *piny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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 employses,they must provide their workers'comp.pohdynumber. r am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name:__ '('/�'�S �/�►'S .t ICJ /0 Policy#or Self-ins.Lic•#: G d©�. 'j Expiration Date: s lob Site Address: //%2.e t fi City/State/ZipAxrSmy i A RA Q.26_09 Attach a copy of the workers' com ensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required under 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 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 maybe forwarded to the Off ce of Investigations of the DIA-for insurance coverage verification. I do hereby Gerd ur der the ains nd penalties perjury that information provided above istrue and correct.' Si afore: e• 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.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Inform ation and Ins' trouctions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employEes:`, = Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hiie, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a-deceased employer, or the eceimerr trLa nteT-of an individual,partnership, association or other legal entity, employing-employees. However the owner of a dwellfng•house having not more than three apartments and who resides therein;or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicanbwho has not produced.acceptable evidence of compliance with the insurance coverage required!' Additionally,MGL chapter 152,•§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for;the performance of public work until•acceptable evidence•of compliance with the ins�ance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,'by checking the boxes that apply to your situation and, if necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or United Liability Partnerships(LLP)with no employees other,than the ' members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a.policy is required. B.e advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or.license is being requested,not the Department of Industrial Accidents,'Should you have any questions regarding the law-of-if you are required to obtain a workers.'- compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate-line. City or Town Officials Please.be sure that the affidavit is complete and printed legibly. .The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact'you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy-information(if necessary)and under"Job Site Address"the applicant should write"all•locations'in (city-or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses, A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to brim leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questio.�l please do not hesitate to give us a call. The Department's address,telephone-and fax number; o Commonwealth of M=aeIUS.Q.tts Depa_ I meat of Industrial Aoci.dmts Office of Investigations 600 Washington Street B-.oston;MA 0.2111 Tel, #617-727-490.4 ext406 or 1-M-MASSAFE Revised 11-22-06 Fax 4 617-727-774 w .rnass.gav/dia ' tr .. U:J, uJ, Luu f ID.Jo Uuoo r ooaGJ rGLLH W1IYLUW.7 rHVC- u4f uL From:Jeanne Pansey At The Pre5Wn Agency FaXID: TO:Tracy SimagPena Dam:513QD07 01:27 PM Page;2 Dr z 'ACORD CERTIFICATE 4F LIABILITY INSURANCE OP►D PELL1 OS 01/07 PRODUC6i THIS CERTIFICATE.IS ISSUED AS A MATTER Of INFORMATION The Preston Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 13SO Division End Suite 303 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Sox 81D ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, East Greenwich RT 02819-0810 Phone:401-886-8000 Fax:401-885-1700 'INSURERS AFFORDING COVERAGE NAIC# INSURE) PFR Ac ftAJRERA: Peerless Insurance Company 24198 �uisitiLon, LLC dba: Pella Windows & Doors INSURERB. 13325 Airport Road AcquAsiti.on LLC INSURER C: 1325 $irport Rd INSURER0: Fall River MA 02720 INSURER E: COVERAGES THE POLICIES OF IW.PANCE LISTEO BELOW HAVE BEEN RUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD WICATEb,NOTWrrHSTMJDMG ANY REQUIREMENT.TERM OR CONDIhON OF ANY CONTRAA'r OR OTHER DOCUMEW,WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORWO AY THE POLICIES OCSCRIDCD HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIM"SHOWN MAY HAVE BCCN RCDUCED BY PAID CLAIMS. LTR PQL1CTt:A#'1KAT1U- NSPETYPE OF INSURANCE POLICYNUMBER DATE(MNIDDIYYI DATE(MWODNY LPIIITS ' A X COMMERCwLGENERALUADILfTY CBF8022572 05/01/07 OS/01/08 PREMi Es owaano- $3000000 00 t, CIAIMS MAUE X]OCCUR I MED EXP("nn-parxbn1 $10,000 X EEL _ PFR60NA4 A AOV INJURY $1,000,000 GF1dF.RAL AGGREGATE $2,000,000 GEM ASGRFDATF LIMIT APPLIES DER: PROrXICTS.COMPIOP AG $2,000,000 POLICYE T LOC Sapp Ban. 1,000,000 AJrOMOBfLE LIABILITY A ANY AUTO BU022972 05/01/07 05/01/09 fE MEIINED SINGLE LIMIT s1,000,000 1 ALL OWNED ALTOS BODILY INJURY $ X SCHEDULED AUTOS (Perpervon) X HIRED AUTOS AObILY INJURY S X NMOWNED AUTOS (P&"AAdw) PROPERTY DAMAGE $ (Par wjonl) WAGE UABILTIY AUTO ONLY•EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGO S EXCESSAMBRELLALIABILITY EACHOCCURRENCC S10,000,000 A X I OCCUR CLAIMSMADE CUS140340 05/01/07 OS/01/08 AOGRFAATF S10,0001000 S DEOUCTTBLE S -- X RETENTION $10,000 $ WORKERS COMPENSATION AND X TDRY LIMBS11, ER A EMPLOYERS LIABO.ITY WC8023972 OS/01/07 05/01/08 El EACHACCIDENT $1 000 000 ANY PROPRIETORfPARTNERfEXECUnVF , , OFFICERA,IEMSEP.EXCLUDED? E.L DISEASE-CA EMPLOYEE $1,0 0 0,000 Ify-�S.dv dbo under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMB S 1,000,000 OTHER DEHCR(PTTON OF OPMATIONS I LOCATIONS I VEHICLES I EXCLUSION$ADDED BY ENDOR$EMbNT 19PECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DEMSM POLICIES BE CANCELLED BEFORE TKE EXPIRATION DATE THEREOF,rrT ISSUING INSURER WILL ENDEAVOR TO MAIL _DAYS WRnTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SNAIL PROOF OF INSURANCE ONLY IMP09E NO OBLIGATION OR LVZLr Y OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AVTMQ&7ED REPRESFNTA ACORD 25(2001M) 0 ACORD CORPORATION 1986 oFTHE� Town d Barnstable *Permit# 9/10 9S Lp�' ti yv C� Expires 6 months from issue date w B MASS. x Regulatory Services Fee d S• C7 i639n. Thomas F.Geiler,Director 3 j29 Al�DN1°�� Building Division X-PRESS PERM( Tom Perry, Building Commissioner '� 200 Main Street, Hyannis,MA 02601 MAR 2 8 2006 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY //.. Not[valid wit/:out Red X-Press Imprint Map/parcel Number I -J Ol�4 r Property Address T'P,e T l� ((b, Residential Value of Work4 5� .S� Minimum fee of$25.00 for work under$6000.00 � Jwner's.Name&Address k), hdc, 19h W I t (A3 R-le'e. Tap (J f dt . - 1'�1�s t vr� r}�;�r S - IYI=A contractor's Name. h (IP Telephone Number-4 3- 951 X' come Improvement Contractor License#(if applicable) 100-740. —1 ,onstruction Supervisor's License#(if applicable)_ S PA,IZ':-IA _ -lWorkman's Compensation Insurance Check one: . ❑ I.am a sole proprietor ❑ am theHome owner have Worker's Compensation Insurance 3surance Company Name Ulm U 1 j)S(A r( At, Vorkman's Comp.Policy# 'opy of Insurance Compliance Certificate must be on file. ermit-Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) 1)� 51 x pculd jA4r door ❑ Re-side 2> S+or m dC0t[ l ❑ Replacement Windows. U-Value (maximum.44). •Where required:-issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. *.**Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. gnature ?orms:expmtrg vise063004 CAPIZZI HOME IMPROVEMENT INC . SPECIFICATIONS AND ESTIMATES PAGE 7 OF 7 STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT OWN THE PROPERTY LOCATED AT (93 Tr.,p� Top p G /c k- IN �� MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: OWNER'S ADDRESS: OWNER'S TELEPHONE:. LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 NEWTOWN RD. , COTUIT. MA 02635 APPLICANT'S TELEPHONE: 5081428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: 1 ACCEPTED BY ✓ DATE - , 0 fa THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL # a: 12/22/2005 Time: 10:30 AM To: Maggie @ 9,1,5084281547 RrrG Ins Agay. Page: 002 ►�. CAPIHOM ACORD,, ' INSURANCE BINDER DATE 12/22/05 THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. PRODUCER PHONE 5 0 8-3 98-7 9 8 0 COMPANY A/C No Ext; BINDER a# F`C GUARD Insurance Group APP231655 A/C No; Rogers Gray Ins . Agency, Inc EFFECTIVE EXPIRATION 434 Route 134 DATE I TIME DATE TIME M P . 0. Box 1601 12/25/05 12 : 01 A A 12/25/06 12:D1AM South Dennis MA 02660-1601 X M I NOON THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY AGENCY CODE: 47298 SUB CODE: PER EXPIRING POLICY# CUSTOMER ID: DESCRIPTION OF OPERATIONSNEHICLESJPROPERTY(Including Location) INSURED Capizzi Home Improvement, Inc. Building Remodeling Contractor Capizzi Enterprises, Inc . 1645 Newtown Road COtuit, MA 02635 COVERAGES LIMITS TYPEOFINSURANCE COVERAGE/FORMS DEDUCTIBLE COINS% AMOUNT PROPERTY CAUSES OF LOSS BASIC BROAD D SPEC GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE 70 RENTED To $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ RETRO DATE FOR CLAIMS MADE PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ' BODILY INJURY(Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY(Per accident) $ PROPERTY.DAMAGE $ HIRED AUTOS MEDICAL PAYMENTS $ NON-OWNED AUTOS PERSONAL INJURY PROT $ UNINSURED MOTORIST $ AUTO PHYSICAL DAMAGE DEDUCTIBLE ALL VEHICLES SCHEDULED VEHICLES • ACTUAL CASH VALUE COLLISION: STATEDAMOUNT. $ OTHER THAN COL: " OTHER :ARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ XCESS LIABILITY AGGREGATE $ EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE SELF-INSURED RETENTION $ WC STATUTORY LIMITS WORKER'S COMPENSATION AND E.L.EACH ACCIDENT $5 0 0, 000 EMPLOYER'S LIABILITY E.L.DISEASE-EA EMPLOYEE $5 0 0, 000 E.L.DISEASE-POLICY LIMIT $5 0 0, O 0 0 'ECIAL )NDITIONSI FEES $ THER )VERAGES TAXES $ AME&ADDRESS ESTIMATED TOTAL PREMIUM '$ MORTGAGEE ADDITIONAL INSURED LOSS PAYEE rAUTHORIZED N# REPRE E SATI ^� 2 2. ♦'.{i. �. � i�i. . i. ... � .-i lil .i�j•il(i J . 1•.'ii J .�� � I j.�t:)I7lC; ln7��rc)���mc17� '.(IAIr���'.�( ►3 j�.C:rJ�1t;t�j()17 i•epis)Ia)ion: 1007.4D �•• ; . ,'' l�J:�c,: f•'rivaic Corlaoralio�r E>:piraiiorl: 6/2312DDG CAPIZZI HOME IMPROVEMENT, INC. Thomas Capizzi, jr. --- - - --- - 1645 Nevvion Rd. — COiuii, IAA 02635 Updnle Address and return card. M204 reason for cl:ran El .Address D Rtnewa) D Employment � 3 oat ar�ivael7L l3aardofnui)dinE}tcdulati nsandSiandards Ucenscorregisiratian valid for individu) useon)y . HOME JMPROVEMENT CONTRACTOR before Ileeapiraiion daty- if found return to: Regisirat'On: 10D740 Tioard ofDriDdinb Regulations and Siandards E 'pirzi'on 6123120D6 OneAshburion PInce Rm 1301 Type: Privaie Corporation Boston,M2 023()S CAPJZZI;JDi+IE wPR0VEMFJ4T,l 'I'liomas Capi3i,jr. 1643 Nevdon Rd. _ o COJuit,MA 02636 Administrator Aloi valid vs*irihov bttir i ' ✓fie i>o7imrtiiz ..—.--,—I BOARD OF BUILDING REWLAi70NS - _ License:"CONSTRUCTION S i Number;;CS. 057032 r' I Bitthd6im i�9/281-1963 xp7res=D-9/2612 b7 j ReStricted THO MAS X CAP1Z • :?_. �- T=: _ .. f.d�.' 1645 NE 0 COTUIT, 'VIA 02635� 90rnissione — I COI)WOMARM Capizzi Home Improvement 19. c. Adi-c-ss: COWIt, MA 02635 TnI AWAM I T.yon an eMP)oYer?Check tbc'.2ppropriatc box: Type of project(required): 2M a C )IOYCT iA" , ,.5 ' . 4. EJ I am a general contracloT and I 6.' E1Ne-wronstmc;6om '--MPl0Ytes(01 an&oi-payi-jime).* have bired The sub-conincloTs lam,asok proprietor, 7. 0 . or-Paltner- listed f�c AL2 rb td sheet 3. sbip'aDdhaVcho'emplo),ees Tbdse sub-wntracton b2ve, 8. Demolibon workfwg for me m any capacity. comp.msurance. [No Wo k 9. El B��din&additioxi o eis-comp--insumuce 5. Elweare 2 corporation and it officers have exercised ibeir 10.E] F_I&trical repays 07-ad .:Ps I a a homeowner doing all Worl- rigblof exemption pert4(3L I1-EIPIUMbi3ag repairs or additions IA0'W0r1_,e-i_S' C0333P. ra. 152,§1(4),and vve have no -s 12-E] Roof repairs Msurance Tegu_ued.] ez�loyees. VVIorlIPITS, e,, [No r comp.insm-ance riequircLj ap_viicsni Yhai chccl:s box�1 mt1s1.also i�]artt�e section below sl3onisg flies c,orkers'r�„ca9;o7Q policy in3ormaiian.- _ , MYGMCTS who submit bus aFGdsvii -tnI9 t1ey—doing vM wo&end fbeu Lzire oirLsideccnuado n s n-xv 3 c p i gthe- Cof ' rs aust ubmits C -9 9FAVjIj]6 StIn=suci- U DMM -&e sdb-conimLion snd-&cir-o�c='co=.policy informaiion. are CM;PLOY6 azat is py-,o vidUrg-"*,or'k PensnAon insarivi-cefoi-1,T?anployees. Rdow,is ej e pow,andjoh site ' trsntxorz auc,e-CQMP2333c Name: Q Y CAU G, y 4#'Or Lic. & Expmtnn Dale: itz Addre. Cily/StatdZ�p:Mar rn� 0A -lx:a C_9P_y of the workers, .: IOIIXPUISa40)a policyL -Won page(Slowinghe policy number a the Vmld re,to secare d�cLar. erp on date)_ — . 'coverage-as required Dndel Section 25A of MGL c_ 152 can lead iD Ihe IMP osidon of criminal penalties of a 'P to $1:500-00 and/or 0*ne-year ns to $250-00 a day against the _ '10P . oament as"ArCII as Cilril penalties in.&e form of a STOPTV0RK ORDER and a fme. -&e Dll�for insurance cOVeIa=-,P-"Trffication, L�gafions of V)Olato"- Be advised that a COPY Of this sUffament mny be,forwarded to the Office of Ae .ofpeduyi, provide r Date,-- 312710(:�? d'[Se '04' -00,twt Mite in Misarea, to be Completed by ciiy 01.41sw offildaL tare. ,W! I Lt"._6_0 " ty or Tovtn: -ning A.Uthorkty(circle D)fte): Board of E[eal'h 7,]Building Department 3-CitylToViln Clerk 4.Bectriesl Inspector 5-lUmbing Laspedor Other ntact'rersow 'Lone 4: Assessor's offioe Ost floor):, f� p Assessor's map and lot number ...../...... ................... Board of Health (3rd floor): Sewage Permit number .......�-../(�.-..$. ` Z BasaSTAM. .......................... if AG& Engineering Department (3rd floor): ��p r6 9• Housenumber ..................................................... ..........:..... APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00�12:00 'P.M. ,only TOWN OF fBARNSTABLE BUILDING-f:"lNSPECTOR APPLICATION FOR PERMIT TO ...............................GI.. TYPE OF CONSTRUCTION ...1 ?. ............ . ............................................................:........:............ .. d T ! .............................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....(f�.. ?...... �.... .............../••:l. .. ................................................................. Proposed Use pr..�.....6`................................................................................................................................................. ..........1.... Zoning District ................1. ..�...........................................—Fire District .. ..�... 4................................................ � Name of Owner /!'./..w..l............. ... . ..............................Address ........1..".t.:.!...1...�"`� Name of Builder ..� � ... ........ .. . ................................Address .V./...G ' .� Nameof Architect .............................I.....................................Address .................................................................................... Numberof Rooms ....................................................................Foundation .... C ........................................................ Exterior �f X ..................Roofing .....�....... -y". �G6�% .............. Floors ......................................................................................Interior .......:. . ✓(•« ............. .................................................. Heating ............NU.................................................Plumbing ......&0,..... ............................................................ Fireplace ..................................................................................Approximate Cost ......A/A/6- .r ...................�f................... Definitive Plan Approved by Planning Board ________________________________19-------- . Area ..../ PS........................... Diagram of Lot and Building with Dimensions Fee ...... ..0�......................... r' SUBJECT TO APPROVAL OF BOARD OF HEALTH 11-1-Irjl� r 411D 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 . ......... Construction Supervisor's license ... ...Q.....O.d....... BOYNTON, MILT A=150-064 ' No .,31610 permit for .,Add Porch Single Family Dwelling. .. ................ Location ..,,63 Treetop Circle ............... Marstons Mills ............................................................................... Owner . Milt Bo nton ........................ ....................................... Type of Construction Frame ............................................................................... i ..... ............. j Plot ......,.......�.. Lot ................... � Permit Granted .......February 16, 19 8 8 Date of Inspection ....................................19 Date Completed ......................................19 I Assessor's offioe,Nst floor):- SYMIN MUST BE �THEt map £TALLED IN COMPLIAI� E Q`'° Assessor's ma and lot number ..... ........ � � Board of Health (3rd floor): � WITH TITLE 5 . '• Sewage Permit number ......--).-.7./ 1--T.39................... t BABd9TSDLL, 7 Engineering Department (3rd floor): ENVIRONMENTAL CODE . D �b o• House number ..TOWN REGULATIONS APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING . ^ ASPECTOR APPLICATION FOR PERMIT TO .. ............................................................................ TYPE OF CONSTRUCTION ... .......... .................................................................................. 11� .............................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....4(!..- ... -/..��....C� ...............1.."l.. i �'J.. /v(.`'�w............................................... ProposedUse .........../.....n `................................................................................................................................................ Zoning District ................/. .. ..............................................Fire Distract .............'.!,/.` IV Name of Owner /..:�f !1............. ... . ..............................Address .......... .'..1���./...�:�.�,� .....� /]� ........ ....<..... Nameof Builder ............ ..... ........ .. . ................................Address .V.17...........;0�.............................................................. Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ....PCB.................................................... Exterior ...���!'.y.yl� ....................................................Roofing ....... ............ `.................................. FloorsInterior ........ ........................ .................................................. Heoting ........................... U.................................................Plumbing ....../1�().�............................................................ Fireplace ..................................................................................Approximate Cost ......����' ............../�...n........ Definitive Plan Approved by Planning Board ________________________________19-------- . Area ..../.,�.�5............................ Diagram of Lot and Building with Dimensions Fee �C SUBJECT TO APPROVAL OF BOARD OF HEALTH 1I eto r 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 ................ ............................................... Construction Supervisor's license ... �0�0 BOYNTON, MILT No ...31610.............. Permit for ...Add Porch ...................... ...........Single....Family D.w.e.l.l.i.n.9...... . .. ....... .... .... .. .... 63 Treetop Circle Location ............................................................... Marstons Mills ............................................................................... Boynton Milt Boynto .................................................................. Type ofiConstruction .Frame............................ .... ....... ................................................................................ Plot ............................ Lot ................................ Permit Granted ....................................February 16, '....19 88 of 49spection ............ 19 evotba CcLM'nP ed .............t ......................................19 V1 Z� WIN m S. ED Permit: Town of Barnstable t� Regulatory Services ate:16I30/03 royti Thomas F.Geiler,Director ee: , S ,S,ABLE Building Division 9 MASS' m� Tom Perry, Building Commissioner 039. 'DrEnt° 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT OwnerL Phone: Ins tall at: b AR�� village: Map/Parcel: Date: Oct Stove A. New/Us r�tp B. Type: ZRadi Circulgting C. Manufactur - Lab.No. Z a0 D. Model No.: L.t Chirnne (� A. New/Existing (If existing,please note date of last cleaning)_5�a B. Flue Size C. Are other appliances attached to Flue? iV D C ab Type and Manufacturer nry: Line nlined A. Materials: B. Sub Floor Construction: Installer Name: W G Address: Phone: Location of Installation: APPROVED BY: Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev 122801 �i r- 11 /04/03 ree toCir. , ` { ! L. Axe,® y. ' f yI f I - ............... . 3 Assessor's map and lot' numbej'� //�.., ....... ��• pCI �� Q �7 SEPTIC SYSTEM 'MUST BE INSTALLED IN COMPLIANCE Sewage`:'Permit number ................ .1�........... """' WITH ARTICLE II STATE d SAN ITA Y E D TOWIu TOWN OF BARNS � - tTNET M .. ....-- Z BASHSTADLE, i '�' ' "AB& 639 BUILDING INSPECTOR 90p i . t � Q- :�{ j y P I• :, i t; r r APPLICATION FOR PERMIT TO ....... 2,:Q.... J •.••.•....•.•.....•.•..•.......•.•. ~� TYPE OF CONSTRUCTION ......................... .,F.. .�J......19.••i••! . r TO THE INSPECTOR OF BUILDINGS: The undersigned herebyr applies for a permit according to the following information: Location .... ..�......Y.J.�.QQ.. 4 1K �..........1.�C ... ........................................................................... Proposed Use ...... .... ... ..f. ... .. ......................... Zoning District ....... ,.��.................................................. ..Fire District ..lM Name of Owner . . . . .. ... Address ... �. t•� .lYGa .... Name of Builder G�.�Z,[,` ... ...�.�......Address �..f......sa.�.>u>ar!L�-.l��... . . d:�... ... . R.rxzQ-ty;- 40 Nameof Architec .. . .............................Address ................................................, ........ ((. .........................Foundation .. .Yl.(`fZ. Number of Rooms • •• �.......•.•.......... ....... ......................... . Exterior11 ° y . .... .. .....................................Roofing ......0 •......................................... Floors . . .. . ... . ................................................................Interior . . ..... ............ ............................... ............. Heating ..v .L.........zt. .... .X.. ..................................Plumbing ....J.... ......................................... Fireplace ...................................................Approximate Cost ....... ................................................. Definitive Plan Approved by Planning Board -------------------_-----------19________. Area f .�T....(�.,� k....... Diagram of Lot and Building with Dimensions Fee 3D ' / .. ..........'.. ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH O gq6 t � (VP Ail:;c Ni n/ Aso IlI3 6-0 • � I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Q) Name .., ..... .. �f ..................... I \� Boynton, Milton No ..,19193 Permit.for ... one stor} ....................... ,..single familY dwelling ........................ ............................................... -Location ......5.6...Tre.e...Top...Cit.c.l.e.................... . ...... . ...... ...... . . .. Marstons Mills ............................................................................... Milton Boynton Owner ........ Type of Construction ...........frame.................... .... . ..... ............................................................................. Plot ................. .......... Lot ................................ Permit Granted .......... May 9 77.....19 Date of InspectionA9A 71 .......19 Date Completed ........... ...... 9' PERMIT REFUSED ................................................................ 19 ................................................................................ ............................................................................... ................................................................................. ............................................................................... Approved................................................. .19 . ....................... ....................................................... ............................................................................... . •-•.^. e r, -` .!.• '•n _ _ .� `.i_ - .,.`.';'r^Frr7�^'•^'_�,-...ws.:.1^ y ..t?-••Y•'..�'� s � r..•J .s-- .- � .�+•^.mow+... �l Assessor's .map and lot number .:.....�.....,...... t Sewage. Permit number .................................1......................... TOWN OF BARNSTABLE Z B9HB9TeDLE, i `' � Mb 9 e� BUILDING ' INSPECTOR �E0111►Y I -t C �` • APPLICATION FOR PERMIT TO .......(.....................c i��;, . , / ,in .................................................... ' TYPE OF CONSTRUCTION ..:.......1!.�..t*.' .�-� / .........................................................V............................... ... L" ..................................../ 19...�..! TO THE INSPECTOR OF BUILDINGS: - I The undersigned hereby applies for a permit according to the following information: Location ... ?` ... ......r, -. T,..`: .... ....................!.:r:.a.:.. ?^:........j :.!.. t...j- ...................................................... Proposed Use ..... ......:.............._.., ...... Zoning District .....Fire District .!:: ...t , �;)n,+ ' !.... t ....... r... .. N.... L= ..... ..........l. .. Name of Owner f i f/�+ /, it t�i� A :.....:...................................:.:.........................Address ..�/j....:: .. ................. .. ... :Ot' Name of Builder ��jl nt ,- ,, . ._ /ir"A)�,, *.�..r......... '�{ ,..,. . !.... .. {..:.... Address ................. �, V Name of Architect/2...?/:/6....�....:s. .:.�;.:�.�:........................Address .................................................................................... Number of Rooms .......� ..................................................Foundation .:� �..r.f.:..�.f w:.? .f...:. ..........,.......... Exterior .�. ..! t l:l.....?..."V I-�'-,J2 Roofing � � a��?#� t�....�......................................... ....................................... ................ Floors ................................................................. Interior .. ). 1 ....,..../. .......................................................... Heating ............................:.......-y...................................Plumbing ....,................... .. .... ............................................. �l C' u ` Fireplace ,. ' .......................Approximate Cost ........^:...........................:. ........................................................ Definitive Plan Approved by Planning Board ---------------____-----------19--------. Area Diagram of Lot and Building with Dimensions Fee t7 ' J...................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH t ^ } J11- Lh i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name � .... ^i!`;�v� •. i ........................................ ' I Boynton, Mil _ A:=BO-6 19193 one story No ................. Permit for .................................... single family dwelling ............................................................................... Location ........5.6...Tree..To.p...Circle ................. Marstons Mills .......................................................;....................... Owner .........M i l.t.o.n..Bo.ynton.................................. . . .. .... .......... frame Type of Construction .......................................... 1-0-0 ................................................................................ Plot ............................ ................................. May 9 77 Permit Granted .................. .............. .......19 ......................... .. Date of Inspection .......................... ..........19 Date Completed ..................... ...............19 PERMIT REFUSED ................................................................ 19 ............................................................................... Ii� ......................................................................r........ - i 7 e j ................................................................... ...........47 ............... Approve ................... ................... ......... 19 ................/............................. ...... . ....