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HomeMy WebLinkAbout0236 CEDAR STREET �--- ���� �d ar ��" _,p . _ _ . ,. _ - �. _ .�. �. _ ., _ . ._ �. y_ . 4 - Ly . : �_ t 'lov.. L 1 c7 o z v 0 ' �n J a z �n a o " I =)z a S i a a Assessor's ma and lot number ..................... t p/o - /U_ 3 FV�' g ���,v �QycF?NE tp�o j. S w ge Permit number. ................................�........................ H ✓' f:� � VIIV3 0.1 w �g p -u lr 'VOWA Z SARISTADLB, i MAOIL House number. .................................:....................................... J�4 90o 03 �fit CFO ypY 6�0 TOWN- OF BARNSTABLE�'��� BUILDING ��INSPECTOR APPLICATION FOR PERMIT TO .... ...... �t?.f?¢?t � 1................................................................ TYPE OF CONSTRUCTION ...42.©P..d....zen-4erte............................................................................................... ?f ....... ..................19...b'.:j TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....;9`3.6..... ✓.7.erg .0.2.11A.1r..���. �. .�i.......P.. .Ica. ................................. ProposedUse ... . ........................................................................................................................................ Zoning District ......X-F.....................................................Fire District ... .................................... Name of Owner .................Address Name of Builder .gyp ! afc%F..h7fr cd.Ce-. ....................Address �P.... �/�.a 7`����'�� .��i..� f��71f.1��:. Nameof Architect ..................7`...........................................Address ............`.................................................................... Numberof Rooms ........//........................................................ /................................... Exterior /�f.... ......................Roofing ....... ..........tttx, d l ......:........................ 2 Floors ...........................................I.............................................Interior ..................................................:................................. Heating1P.cIfe. ..............................................................Plumbing .......et?�tt .............................................................. Fireplace ...! a&,eF................................................................Approximate Cost .............................................. Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ......................................... Diagram of Lot and Building with Dimensions Fee 0 ..� SUBJECT TO APPROVAL OF BOARD OF HEALTH 17Y� Zle ez`o s L �N tz5,3-7 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. i Name 14fell -!?rY.tea ........................... Construction Supervisor's License .17, .7G ............. COLLINS, DON '!�1-25760 ADD PORCH No .......... Permit for .................................... Single Family Dwelling ................................................................................ Location ....236.....................Cedar...................Street.................. 'Rest Barnstable ............................................................................... Don Collins. Owner .................................................................. Type of Construction ...................Frame- ....................... ................................................................................ Plot ............................ Lot ................................. Permit Granted ..?�9YgN29K...)_Q.........19 83 Date of Inspection ....................................19 Date Completed ......... 19 Assessor's map and lot number .........3�..... ...���..... Z,.- / E. .4-SdNge Permit number 1 BARNST&BLE, i House number ..............................................................:.......... 'oo "6 9 r a wav A, TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION a>re �'_ �. ...... .................19..R .3 !� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....z..3.`....1 PcdT.!�... ...!!>'�'. :j`:.. � t 3'�, t1'. .......�. �. ../ ................................. j• ProposedUse ...g.:X.,'ee .7; /........................................................................................................................................... Zoning District ...... F.....................................................Fire District .�r'��f...:z7 , ` .�.................................... d Name of Owner 9.................Address K�?„ . Name of Builder .s...............Address9..<J...�j * c'•�;�ox_,r'�r Name of Architect Address Numberof Rooms ........1.....................................:...................Foundation �r... Z. ................................... Exterior ..cs !.... ......................................:......:....:•Roofing ......�.::. ?`...�...f �5,n �,,.%3 7`............................... Floors- • 2. .....................................................Interior .................................................................................... Heating ..:.................................:. ..Plumbing .......A .............. Fireplace ..... ./?............................... Approximate ti o ....:................................ Cost ..��. �,o�....................................... 19 X ---. Area 'z Definitive Plan Approved by Planning Board -------------------_----------- ................. Diagram of Lot and Building with Dimensions Fee .......................... o ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH, l7, .� to --�0 ry y i 12F,37 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.Geva� � U;;,��r' u.. ......................... Construction Supervisor's License .—' 2-.-7e............... :,:' COLLINS, DON .: A=131-54 ADD. PORCH No 4. 7 .... Permit for .................................... Single le Family Dwelling . ............................................................................... --2-3:6-Cedar Street Location ............................................................... West Barnstable ............................................................................... Don Collins Owner .................................................................. Type of Construction ..........F.....ra.me..................... .. .... ................................................................................ .. Plot ............................ Lot ................................ November 10 83 Permit Granted ........................................19 -Date of Inspection ....................................19 Date Completed ......................................19 7, , 17 q' _. I �Izw Plop * r;A fl 0 - - LO T .20 - H s. MR MA& Z)OMA1A COLLW4 - `,,���, 6A2NSTAgLk h2oM SuA&O%V)4,0N PLAOV pro ?I23 9 M hR C" fAl C. C0R.A Ed V"0Qn4 MA 0 e Assessor's offioe (1st floor): - $5..PTIC SYSTEM MUST HEro Asseslor's map" and lot number Z � ..Q,a y...1.k.... 1. i"'.X 'ALLE® ON COMP d �o Aboard of Health -(3rd floor): � Sewage Permit number ........................................ �. tj WITH TITLE 5 ABLE, Engineering Department (3rd floor): � ENVIRONMENTAL . i63o . .. ........ .......... ........................ T�p � IO orHouse numbe .... 0 d APPLICATIONS PROCESSED +8:301-9:30 A.M. and 1:00.2:00 P.M. only TOWN OF - BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..CC^'S�!?'`!Ca' 'v!V,�.zO✓!^....r... JOCGK TYPE OF CONSTRUCTION .......W4> .: ... ?!9''!...!............................................................................................. ................................................ TO TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to .the following information: Location ......A3..(o...... r. .9 .!Q...,S. .T.1....4�%-... !9/L!V '? .4�........................................................................ ProposedUse .......S..0A./ ........................................................................................................................................... ZoningDistrict ..... .!............................................................Fire District ............Z............................................... ................ Name of Owner DMA�4. 1R"MAM11!i...C. .... ..... .....Address . .�a....Cif4Q!92...-5.!..�..�✓...l� Name of Builder .�^! i�'v... �`� �.�^!...�Q��� ....Address SOS G>k� ST. Inf, g A/L.+J'4�,g .................................................................................... 4.Name of Architect ......... !�2.........................................Address ....:s' '" ............................................................... Number of Rooms ...................A............................................Foundation ...!!gMC!L.'N.................................................... Exterior VW..............................Roofing ....0.3..P44!s . .ovC.A44.................................. Floors .Interior .....�� Q.QJ?Z. Heating ......kUCT..............................................................Plumbing ........ ........................................................................ 14 Fireplace ..............�-.................................................................Approximate Cost ...�O.' ................................................ Definitive Plan Approved by Planning Board ------------------------_-------19________ . Area Rm...S.F.................... Diagram of Lot and Building with Dimensions Fe / ...... �..................... 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. Name .. .... .........................c .......................... Construction Supervisor's License ... COLLINS, DONALD & MARYANNE lop 30831 BUILD ADDITION/DECK Nod...... Permit for .................................... Single Family Dwelling .......................................................................... 236 Cedar Street Location ...................................................:............ West Barnstable . ............................................................................... Donald & Maryanne Collins- Owner ................................................................ Frame Type of Construction .......................................... > .................................................................. Plotr........................... Lot ................................ Permit!,Granted ........June...A....I........Z19 87 Date of Inspection ..........19 L Date Com eted ..... ....... 19 d A -P tv a ate, M 01 Assessor's offioe (1st floor): . Assessor's map and lot nu mber �.�'�..�.... ... e./�:;:,,,C Q��FTNEtO` ✓Board. of Health (3rd floor): - _ - ��/ Sewage Permit number !✓ ' '�" Z BAHd9?7►DLE, i Engineering Department Ord floor): Z 36 -W\ � � moo rb 9, o� Housenumber' ............................... ........................................ APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-.2:00 P.M. only. ' TOWN OF BARNSTABLE � BUILDING INSPECTOR - APPLICATION FOR PERMIT TO ..Co-1 U .....-r v^�.!?-��.!?^,.,, 1 Q r�o N . R C 1C .... ......................................................... TYPE OF CONSTRUCTION .......kMV.A.... +'►'�'�........................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......a.312....... ...-.. ��.�.�.T.�....w:...��.!I.�Zw�Ji�B.V........................................................................ ProposedUse .......,S..!�.A,-'L^!?a� ^.........................................................:................................................................................. ZoningDistrict .....�.!............................................................Fire District .............................................................................. Name of Owner DO!VAL"�" �I'1!�2`f!�I.�1lN�i...COLLWS Address ..23. .... .�:�!'42... S.t.:. W. '��!1 J i1F1A U) �. ......... ............... Name of Builder .TV"��T �N...CAR L1�?N �sQ f'J Address .aO s C kW-ST. W. Q A11,o-S tAA u ................................................................................... Nameof Architect ........ :A!M. .........................................Address .... •^' !t................................................................ Number of Rooms ..................�............................................Foundation ..Go•!uC!l rtT�( .. .......................................................... Exterior .I!V.HA17> ..GIQM...4.M0.?1q.�AJ...............................Roofing ..../,)..J.P.ldAt_;'i'...S.H..t.!V ..!JIS.................................. Floors 1 `...........................Interior .......d 40MA0 Heating I2 LQ"cT..............................................................Plumbing Fireplace ..........""'.................................................................Approximate Cost ...aS(T? ................................................. Definitive Plan Approved by Planning Board ----------------------------_---19________ - Area .......................................... 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. Name .. .....�ca...... .......................... Construction Supervisor's License. .•...•...... COLLINS, DONALD & MARYANNE A=131-054 3 S' No Permit for Build...Ad.d.it.ion/Deck .. .... ..... .. .... ...... Single Family..Dwelling..._........ ............ ...... ............................. ..... Location ...2..3.6...C.ed.a.r...S.....t r...e.e t.................... .. .... West Barnstable ............................................................................... Owner .....Do.n.a.l.d....&...Ma.kva.nn.e...Collins: .... .. . . .. . ..... ...... .... .. .. .. . Type 'of Construction ..........Frame.................... ............................................................................... Plot ..... Lot................................. Permit Granted ....... .J.une...8...............19 87 Date of Inspection ....................................19 Date Completed .................19 CAPE COD INSULATIONFqk-Ir- � T G ``• NQ[Q OlA55 SPRAT FOAM SOSPENOEO OATTS ��flin S+ INSUlATFON 0"""" 1-800-696-6611 v N 'Town of Barnstable Regulatory Services Building Division O _O 200 Main St P-0 � Hyannis, MA 02601 -�' N Date: -7—3 l— 13 zoo _­4 Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the sptc1fications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village ��v Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ( ) ( (q) ( ) ) Slopes {�-er-en�y.( ) ( ) ( -7) ( ) (X) Floors ( ) ( ( ) ( ) ( ) Walls ( ) ( > ( ) ( ) ( ) Sincerely He y E Ca sidy r, President Ca e Cod sulation, Inc. C. w TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ApplicationO�U� 7v� Health Division Date Issued 4�/C:1?y Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address e� a�/I)s Village 4), Vl� Owner /a/ Address Telephone C0 6V Permit Request /�iJ�o 1'1—'— '14,y¢Y�.Q�� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family rd ' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes UTNo On Old King's Highway: ❑Yes JdN_o Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other gg _-D -i Basement Finished Area(sq.ft.) Basement Unfinished Area(sq­,ft)9 w Number of,$aths: Full: existing new Half: existing new o Number of Bedrooms: existing _new `° A Total Room Count (not including bath;): existing new First Floor Room, Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other w v, M 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 I APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Namea!Lf e�zG/dy- z Telephone Number �J ;;77aa4?7�12/1/- Address`4e. 4Z �i/I License # ADD U Home Improvement Contractor# Worker's Compensation # Z�� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE / /� ` FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED 4 F4 rz _ �7 "'- MAP/PARCEL NO. r' ADDRESS VILLAGE OWNER X r + f DATE OF INSPECTION: FOUNDATION a FRAME k INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL . PLUMBING: ROUGH FINAL F S GAS: ROUGH FINAL FINAL BUILDING DATE.CLOSED OUT ASSOCIATION PLAN NO. s� s i Housing oe p £ r �S31Star9Ce Corporation Cape Cod HOME OWNER WEATHERIZATION WORK PERMIT & FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. __— s 0,�!- L hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation (herein after referred as "Agency') on the property located at: The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping &caulking of windows and doors, insulation of attics, sidewalls & basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows. In consideration of the weatherization work to be done at my home I agree to the following: 1. I give permission to the "Agency" its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read the provisions of this agreement as listed and freely give my consent. Home Owner. (Signature) -- Date: �-11i1�2 Agent: (signature) bate: 31 HAC approved Weatherization Company : All Cape Energy Cape Cod Insulat' n Cape Save Efficient Buildings,LLC Fro,nti:ec En.erg,y S;ol,ution_..:;;:;. ;_< Lo: hi.;&.,.S.ons:...:;;:;;::,...ge.solutipp Energy w �'lu.�s:u'Ilusct'l� - Dell;u'tillcol of Public I)ACIN � f l3u;lrtl ut livililin� I:e'ulatiolo anti ""t:uida'ds Constwption Supervisor License a �. Llcen -CS, 100988 ry HENRY CASSIDY Y 8 SHED-ROW WEST IJARMOUTH, MA 02673 Expiration: 11/11/2013 l „nuui..�iuu.•r — Tr'a: 7620 / a,1J cue1u14j cuf f ' Office: of Consumer Affairs and Business Regulation 10 Park Plaza Suite 5170 Boston, Massachusetts 02116 home Improvement Contractor'Registration Registration: '153567 Type: Private Corporation Expiration: 12/15/2`b14 TO 233831 CAPE COD INSULATION, INC HENRY CASSIDY --� - — - --- 18 REARDON CIRCLE _.._. - .....- ... SO. YARMOUTH, MA 02664 __._.._.___.._...._......._.____.......... . ..._ Update Address and return card. 11'larit reason for change. L] Address CI Renewal L__I Umployment I. host Card ��r ��r•c"r�iiu,rrrYc:rr�C� n�C.>.11r�anc•�rric:((� .. . 011-14c urCMISumer Affairs& Business Regulation Liccnse or registration valid for individul use.only ' OME IMPROVEMENT CONTRACTOR before the expiration dale, If fount) return to: eyistration: 153567 Type: Office of Consumer Affairs and Business Regulation Expiration: 12/'I'5/2014 Private Corporation 10 Park Plaza-Suite 5170 C"I"I CCO IN`OLATION,it QN Boston,NIA 02116 18 RC 1RDt)N CIRCLE St) YARMOUTI-I•MA 02664 —� — ----- --- • - -- -- ---------._......___ Underse..crewry OI V;it'' {VItho t Ilal I'e \ I'lie C'orttmonwealth of'Massac•husetts hrutt Norm Department of Industrial Accidents Office of'lnvestigations - t- �:1,t�__ 1 Con-ess Street, Suite 100 Bosion MA 02114-2017 ►vww.rnass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/.Plumbers Al)(0icartt Inhorn1ation 1'Icase Print Le�,ibl Nall(c (14r1SI11eSs/01' atrization/In(jividual):— U ( a 'il)ctilattei�.ih: ..... � `----- VVit ' IZI � Phonefk: �D�— 7 - Are you all e:►t►ployer? Check tl a appropriate box: rrYPe of 1►roject (requirc<1): 1 :Ina a employer with _G_� `1. ❑ I am a general contractor and t Iltll and/fir part-lime * have hired the sub-contractors 6• ❑ New construction '.� 1 ,un o sole propric�r or pw-trlet-_ listed on the attached sheet. 7. [] Ren-todeling ,l(ill :uld have no employees These subcontractors have g• ❑ Dernolition ��orkin� {i)r me in any capacity. employees and have workers' g. ❑ Building addition INo workers' corrlp. insurance comp. insurance.$ uircd.1 5. We are a corporation and its 10.❑ l tectric<•ll repau's or additions U I :uu a homc;owner doing all work officers have exercised their I I E] Plumbing repairs or additions ni sell'. No workers con-t right of exemption per MGL unurLulcie required.) ' p l2.❑ .Roof rc alrs r c. I S'', §I(4), and we have no employees. [No workers' 13.� Other comp. insurance required.] ant appltccutt thal checks box Ill must UISO till out the section below showing their workers'compensation policy inlornwlion. llumc,n,nrr,who subruit this affidavit indicating they tine doing all work tmd then hire outside conu-aetors must submit a new affidavit indicating such. �(uinra:lrni that check This box must ttlfat:hcd an additional sheet shoving Ilse name of the sub-contractot-S wtc)slate whcdwr or not those cn(i(ics have rngfh,�,,:.N Il the sup-couuuctors hnvC employees,they must provide their workers'comp.policy number. 1 rutl all etrrplo-yer theft is providing workers•'cottipensutiott insurance for my ettiployees. Below is the policy and joh site itt/ortrrrttiuit. Ili.mancc Compimy Ntatne: ����� V c_ a tq I'ttGw� It r,r tical ins. l,ic. il: Wt�A 0o -Z 0� Expiration Date: )oh\ac Address: ���_�C_•� J�, /y� /5� Attach a copy of the worlcer-s' compensation policy declaration page(showing the policy number and expiration date). ,ttltlru to sccurc coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties ofa line up t,t 1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDLIt and a tine ttl'up It,$250.00 a clay against the violator. Be advised that a copy of this statement may be forwarded to the Office of lllwstigations of the: DIA for insurance coverage verilicatir,n. 1 clo hereby certify ijuiaer the rrtitts.atyl enttlties o/ erjuq chat the itilbrtnation provided above&true utul correct. Silla(ur�__ Date: Official use unQ. Do not write in tttis erect, to be completed by city or town official t its „r•Town: Permit/License# kSuing:authority (circle true): I. livad of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing InspectorOther ('outucl Verson:_^ Phone#: �t1 CAPECOD-27 SPURDY CERTIFICATE OF LIABILITY INSURANCE DA4124120113) 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 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(s). __ PRODUCER '.NAMEAC_T Cap_a Cod Commercial ROgers&Gray Ins.-Dennis Branch PHONE FAX 434 Rte 134 INc,No,E,tt(508)398-7980 -- I(AIC,No):(877)816-2156 EMAIL South Dennis,MA 02660 ADDRESS: - .._- INSURER(S)AFFORDING COVERAGE _ NAIC# _(INSURER A:PEERLESS INSURANCE COMPANY _ INSURED ` INSURER B:COMMERCE INSURANCE COMPANY- Cape Cod Insulation Inc -INSURERC:Evanston Insurance Company 18 Reardon Circle 4INSURER D:Atlantic Charter Insurance Company South Yarmouth,MA 02664 INSURER E: ' INSURER F: r 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 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR`. -tADDLTSUBR POLICY EFF POLICY EXP - LTR TYPE OF INSURANCE I INSR�NIVD-I _. _POLICY NUMBER f(MMIDDIYYYY),_(MMIDDIYYYYd- LIMITS _ GENERAL LIABILITY I EACH OCCURRENCE !$ 1,000,000 A X ;COMMERCIAL GENERAL LIABILITY ICBP8263063 4/1/2013 411 DAMAGE TO-RENTED12014 f PREMISES(Ea occurrence) $ 100,000' CLAIMS-MADE ; X J OCCUR i MED EXP(Any one person) $ 5,000' --— I PERSONAL&ADV INJURY $ 1,000,000' GENERAL AGGREGATE '$ 2,000,000; GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG I$ 2,000,000' _POLICY SECT LamPRO- _LOC I I$ I- } _ _ _.. _ __. COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY - Ea accident :g 1,000,0001 B ANY AUTO i 112MMBCKVMK 4/112013 I 411/2014 BODILY INJURY(Per person) $ ALL OWNED 'SCHEDULED I I BODILY INJURY(Per accident) $ AUTOS X AUTOS ' PROPERTY DAMAGE i$ X HIRED AUTOS X I AONO WNED -(pER ACCIDENT) i ttt $ UT X UMBRELLA LIAB X OCCUR ' I I EACH OCCURRENCE I$ 1,0100,000 C ,EXCESS LIAB CLAIMS-MADE 1 IXONJ453512 4/1/2013 I 4/1/2014 11AGGREGATE [$ 1,000,000. DED X RETENTION$ 10,000 I ' I is WORKERS COMPENSATION X I WC STATU- I OTH-: AND EMPLOYERS'LIABILITY YIN + TORIMITS.._ - ER_! - D ANY PROPRIETORIPARTNERIEXECUTIVE(— i N/A I IWCA00525903 i 6130/201; 6/30/2013 Y.LE.L.EACH ACCIDENT $ 1,000,000' OFFICER/MEMBER EXCLUDED? I (Mandatory In NH) i E.L.DISEASE-EA EMPLOYEE$ 1,000,000 If yes,describe under i E.L.DISEASE-POLICY LIMIT $ 1,000,000• DESCRIPTION OF OPERATIONS below _ F _ _ ____� .I I ' jI ; DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Certificate Holder is an additional insured under General Liability when required by written Contracts or agreements. CERTIFICATE 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. i AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD . _ l li 1 1'w 1 1 ' i • __ .� � � - - __ �_ � 'i. �7 I �.� LL I e � W� t ,f = .� +� „j. � .. ... 1 •i _ ;''' 4 �. �i i � g i, ,�� �. 4 �M Zl': _ . . � ,. ��: ;� �' . . .a ,t ., � ;-�i _ -�y- � . \ '"Oar� .:�a '� t •±h�. - - a 01/10/1995 20:49 9150STIO 30 PAGE 01 Town of Barnstable Wit: °�a Regulatory Services sk; 0ao /a S Tbonum F.Geller,Director i E Building Division �y Tom Perry, Building CetnM18110ner 200 Main Street, Hyaaais,MA o2601 www.town,baraf t0lemmus Office: 508.862-403 8 Fax: 508-790-6230 TOWN OF BARNSTAHLE SOLID FUFL STOVE PERMIT Ow-nor: kyle 6ar me iu— _ Phone: 0 36 _Z Install at: a7 ar" 1p��' _Village; Map/Parcel: o 7 i_ Date: 10-7—021 Stov A.�Ue B. Type: - Radi 1 Circulating �j,,,,C C. Manufacturer: � `° Lab.No.D. Model No,: Iq S,p, 'C'bititi `ey x tin please note date of Iasr cieani g) 1 bl 7 A B:;Flue:3lze C: Aie`other appliances attached to Flue? D. ?m&- 'TYpe'and eCtwerE. Masonry: Lin nlined Dearth A. Materials:_ �r((,< B. Sub Floor Construction:_ r,, -- lustailler �an�wtcGt Name: lr C�tmi?e ���dt � �f' � �P'Ada�ss: Phone: 0 Location of Lutalletion: t fC Gt 11>rr n�_Cl jy` APPROV$m BYa ,. Please,make ch��, ;payabde to the Towh gfBarnstable a; H'!7Yrit.constitutes an q,�kial love pernrlr Aver inspection,phvrogra hs ector and a r ' .. a; P PP oved by the i• ,,,,. :.< .,. Buildin Ins Q:tbinsaovo -- JUY 122901 01/10;1995 20:48 915087906230 '&:7 't !G� moo 'taa/ /y Town of Barnstable etmit: 7 Regulatory Services ate; Thonus F.Geiler,Director l 76 M l Building Division ee: �'"b0 �O a Tom Perry, Bulldin8 Commissioner 200 Main street, Hyannis,MA 02601 www.totan.barnstable.ma.us Office: 508-8624038 TO" OF BARNSTABLE Fax: 508-790-6230 SOLID FULL STOVE PERMIT Owner: JGne L Phone: 509',0662 2 25-7 Install at: o?a 2 Village: PS4 r/ fib Map/Parcel: Date: 40—7-0 Stove A. New Us 13. Type: ian /Circulating C. Manufacturer. Lab.No. D. Model No.: Chimney A. New/ xistin (If existing,please note date of last cleaning B. Flue Si2e _ C. Are other appliances attached to Flue? D. Prefab Type and facturer Line mine E. Masonry: d — Hearth A. Materials: CWrP+P B. Sub Floor Construction: Installer s t Gh Ch�mh e Name: j Phone: Address: PD 60 X qo � _ Location of Installation: (A( 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:fart move ROv 12901