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2350 MEETINGHOUSE WAY/RTE 149
fit UPC 12543 No. 53LOR s HASnurq UN a.�-..:- -��."�`�°-mow _ _ _ - - —_ _ - _ _ __ — _ "! '„"• _ Town of Barnstable _ Building Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept M" .Posted Until Final Inspection Has Been Made. Permit • Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made Permit No. B-19-1101 Applicant Name: Francis Sheehan Approvals Date Issued: 04/05/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 10/05/2019 Foundation: Location: 2350 MEETINGHOUSE WAY/RTE 149,WEST Map/Lot: 155-032-002 Zoning District: RF Sheathing: Owner on Record: RANDLEMAN,BRANDON S&EGGLESTON, Contractor Name: FRANCIS S SHEEHAN Framing: 1 Address: 2350 MEETINGHOUSE WAY/RTE 149 Contractor License: CSSL-105941 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $ 1,500.00 Chimney: Description: 200 Sq Ft R-38 FGB to attic,648 Sq ft R-14 Cellulose to attic,Air Permit Fee: $85.00 Insulation: sealing Fee Paid: $85.00 Project Review Req: Date: 4/5/2019 Final: Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuan icia Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Per ons co cting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: e-<-- Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: C 1� • T TOWN OF BARNSTABLE Permit No. ... 35.200.... ` BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash •Yl ,67 V. HYANNIS.MASS.02601 Bond .......x....... CERTIFICATE OF USE AND OCCUPANCY Issued to John J. & Lynne Kennef ick Address 2350 •Meetinghouse Way West Barnstable,l. 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. January 29, 19....93........ ......... ....*........... Building Inspector TOWN . OF BARNSTABLE BUILDING DEPARTMENT _ INAUSTA = TOWN OFFICE BUILDING out HYANNIS, MASS. 02601 Ii MEMO TO: Town Clerk FROM: Building Department DATE: —rj8'-93 An Occupancy Permit has been issued for the building authorized by Building Permit #......_�� a�C .__ .. _...._. .. ....................................... ...._._..__.. _.........__._ ... _....._ _ issued to �.v, .e.. .-� ��. ��e.... ian�YtP.�.{ .............. ............_.............. _ 0` U Please release the performance bond. T E M P O R A R Y =M�> TOWN OF BARNSTABLE 35200 Permit No. ...... ......... ` BUILDING DEPARTMENT I 11 "77 } TOWN OFFICE BUILDING Cash 7 ■Ml 6�9• �awY► HYANNIS.MASS.02601 Bond . ................ CERTIFICATE OF USE AND OCCUPANCY -� Issued to John J. & Lynne Kennef ick Address 2350 Meetinghouse Way West Barnstable, 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. .. ..October..8.�. . .. .... 19.....�.......... .......... ........ ..................... Buildi g Inspector i E 11 P 0 R A R Y TOWN OF BARNSTABLE 35200 Permit No. . ` BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash 7 .39 • tI HYANNIS.MASS.02601 Bond •............... CERTIFICATE OF USE AND OCCUPANCY Issued to John J. & Lynti-: Kcnneiick Address 2350 1-_3-,tinghouuc Hest Barr.sLc:b-:7, :darn'. 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. Oc;:ob.:r 8►.. 19...�2.......... �'.� .• ' ••• ... .•♦...' ..... ...... •. .•Buildi gInspector•.•.••....... Assessor's office(1st Floor): Assessor's map and lot n m �SJ�- Q��• �/Od ® *TM[ conservation `/ '. �'� Board of Health(3rd floor): �+ Sep Sewage Permit numberr �„ ')VST �3,YSEngineering Department(3rd floor): �` �N�o�� i°�� House number 35 //ram��,//` ` - �P�TB �'LO.4I�► e r Definitive Plan Approved by Planning Board 19 �d`fz6 1R L g APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2-00 P.M.only if�" �/ C0®z TOWN OF BARNSTABLE �n.,f��'® BUILDING iN'SPECTOR._. APPLICATION FOR PERMIT TO on5�rtcC ;h � a TYPE OF CONSTRUCTION _ Moo3 ,Q4r1lt�_ 3� 19 9 2— TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �350 ee'�� o�.s_e. w 14 (/�es �a v'�.S N�, Proposed Use 51 '� ►'�^ eS' e�1c Zoning District I Fire District l J Name of Owner J.• L- n'�e KvIv14_L Address Name of Builder�JJ l Chh c L ?,�5.4t.' s - c AddresA CX 3S-Z) W. 3g2N3 p2,(49 Name of Architect Si LQ_ L) CS �� ��I Address S oZ67S Number of Rooms Foundation ?OU R cl CON CZE Ti Exterior o d " Roofing s Ka S %y 5 4r Floors d 01 Y ' `r /�G% F/ (e/C Interior Heating �C�1� /70�lbw/c�� �i Plumbing C;2 Fireplace �t�GEC �' a✓ic_rcl d L lam— Approximate Cost 0� 000 Area Diagram of Lot and Building with Dimensions OCCUPANCY-PERMITS REQUIRED FOR NEW DWELLINGS 0 1 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 � r K.ENNEFICK, JOHN J. & LYNNE No 3 5 2 0 0 Permit For DWELLING & BARN Single Family Dwelling Location 2350 Meetinghouse Way West Barnstable Owner ,John J. . & Lyn Kennefick Type of'Construction Frame Plot Lot Permit Granted iii1v 14 19' 92 Date of Inspection I 19 J . r `n '•G_�.H_ .�' 3�=dr !K�1_fr '•c:3 , i A.I _ lil. -- 4,1 i ,- 14 III L r3 ��- N ro - Q �L v Z - DATE E A,TITLE -•�- GORDD9aAM&I.SD COPYRIGHT .JOB NO MAZ.-2) F O W 1 O 1� eo SCALE I��r�yv E L. V T i IT.A�I11.7�I./L. `a••�•e1.rnw^n......„a DESIGN. ro a.w.woew o..e�w a a4w SHEET A l PROJECT (/ .iva.bm.r.:ei.y m.wrw DRAM cl C�1� K�1���)Gam. el .ri�.r r...,ni...r m,.e, l.ilf7rlGay.Y.b M Y.r1..IM Dip. 13Riz►J�T�i�.�.�, Mom. ,: ®��.n e CHECKED REVISIONS ILI -J - o ,at iZ sy oz i I I r I•, � T r I I•�I �_ i 1 � I — -- • ', `i II: �' I III I• � II �� V� 6 I DATE TITLE GORDON MRK ALB.D. A,I COPYRIGHT JOB NO � SCALE Ah 0OTE D I--E V A 7 1 � �I IVORINS�DE wv�,..�w�.vy.Mm a•ro�.o^c� DESIGN I . eca c SHEET PROJECT Z///�/ Oz(��nf) � ��i'NE�•IL,/ ArWDeEmS.JI G�NO�Vim. M.,1Mv1..,;•;0.,",D;�;,Nn;n�. ' DRAWN/x+ CMECKI.I r.�X.YumoaAMMA oats Ismzsa�oED REVISIONS c ? N � s a I' ' ,'•' , 1 Ir; i r _T i �• 1:j� ' i , \ .,, Iirf f r f �•i 1 i I � � ET EDO t� I —FT z_ A � 3 ° DATE TITLE GORDON CIMKA.I.B.D. CO%RIGNT JOB MO BD SCALE A'_ L t V AT 10 KL ADE mon�cm.rnwma.•..r.nor DESIGN DEStGt I - k SHEET VROJE CT�OF'}� �C''���IG.1' °w..0 DRAWN CN � nda�rv�adr��r eeuq cD Oelp.Yr.m a rrD„n.,°. o..,w. - ,.r Mee Y.YamaA lotW m615 pr7l]64pID CHECKED REVISIONS ` - �-i Uv F� z a o"5na w,"r wcj+r— � 1 �_j \�F — A r — 3; Fy V F "Li �_ •I ' I 11 -slit Ir.`\ i l 0 C, r 11II r;•.11��I � �I� '•� 4r r - r-- --r" I 1 � I — 1 j I-• I I I I IL_�JI II 11 I I •� ul��b 'r 11'�r �I Ir)p I � c_ I I � P �� �� — 3T'-r.�`.,��.:ia. .�.y, .... , .•.1: .Fxf' I I II i', � ri i o FP I 11 r . li I• � � t• (j Qi� I I �! • . I� R // I Mn - - m �c,0 G �DUI DATE, TITLE I GORDON MAR AIHD. COVYRIGHT • Joe-NO �(Myl✓(A{�VK I z f \r/ i elp us• wua•n.•er uor.ar SCALE H Ao gor /J j„. V O rl�Ti"�SI� e...o�.•, DESIGN r{(/I�-„' po roeucw a.,y.a or car.a oEsicn ..,pr•i a...•o...na.o•w. SHEET PROJECT 1"' 01iniZ L, DRAVAN �1c�N KEWQErIC-� era. �r��� �.-,1�, l ♦ ��a uolore+lm a wwu.�a• o.,po, y rvw�A'lra+f IYrs4' ur rnao a.T'reo"°^"u"�s Rr+l>Iaaw CHECKED REVISIONS a•r•r.aro r.wc••n,u••urn•co . - - ::<�, _ .Nr.. lag V4� �O c 2� kk8� LOT 3 C6 S k oS. q vh �cF`SS n \ -• �?.j.r CONC. ctyFyrG>f�tli N O\� LOT 4 12.44 +/-AC) 'N LOT 2 LOT 5 . # 91-236 CERTIFIED PLOT PLAN L OCA TION : RTE 149 W. BARNSTABL E PREPARED FOR: SCALE 1 " = .200 ' DATE : 6122192 _J it 'REFERENCE L-4 PB 459 PG 13 I HEREBY CERTIFY THAT THE FOUNDATION JOHN KENNIFICK SHOWN ON THIS PLAN IS LOCATED ON THE .GROUND AS SHOWN HEREON. FOUNDATION CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN tN Of WHEN CONSTRUCTED. o� AHNE cys down cape engineering inc. ig OJA N CIVIL ENGINEERS q LAND SURVEYORS , P#2 iTE 6A - YARMOUTH, MASS.., DATE SURVEYOR • I I 20 n —A to - -1 ":"'x« g> x •� Ilk C: rj Z -- —u f f o I d ��--��� - •C s. (t o, S 1 _ 61 g I e• •i� r.►avaw,wP�c:�gµ� �,cc `• j u •aw jOL FWr.ZMti A. Q �C � b%Z 1 m 1 • hLuvH N T" s z.l*-•nos —� _� .'C IF • _ � s a 41 Q v 1 R.O.N.V,yT ���48 'J`•l�MTMI m1m p H•couvs I 4TG TFNl�� 1 y 5 0 S1.o I S.a° I DATE, Az. 2 TITLE GORDON CIAM AIJM. a10 COPYRIGHT M.� JOB NO SCALE N�1`G P L O O K PLAN fVORTFISi� monnm orn.•• Pi-.m nol .DESIGN .w ew.w c..ro.a..c..:.• SHEET PROJECT .+uo.n om•a..dro u• DRAWN j0o4 l ��/, �e oep te^m r Muin•ie• °.q.. V TifQV.iGJ - 14A. " Rms"�roemm , u�•,m s•.T.,®mlc,iwms�s pinsaio REVISIONS y r..m.o+r.mu..c.s.r.•.w �11 V. � a"tL W, AL �'.6• y�..wQH g q.L TP.u,-...,y II+O C 6 — 9�J 1 f�•a aL, �� SIB• •C'''' y� �� �G'r'c --G'—I'c'-----� ' � I i DATE t�/�l� TITLE �VIAx.2�1992 G°"°°NCL""R,•L'D. , COPTRIGHT .wr..,.. JOB ND B D •o-a�n• �r ,1�_,,_ t 11 11 .1. SCALE�Ic� I LOOK FLAN 7-= � .rn... ^...o..o� DESIGN SHEET .'^r^^^'PROJECTr IJOHIJ KENNEFIGIC DRAWN p► r'ra�n.ia o..qn. r7A9.k�TAt':!-E , M,,. rawms�r.®nnnw®rs pr11r61a�0 .. REVISIONS CHEacm i T . I I ,�2au�¢ICo.w y�as7s.61c�ao. I I a7- I Ns IR { a'•o, I 1 f t o t l ( I .`jai r I —r 4-t Z,QA , }— — — •�— , 1 . 1 1 0 •—7C--T`br!'� — '112�_ Q Co—nl 'I• I 13a Y i � . I � ';4TSH�•k- Tzc,�o ua.c / �L� 1 I C I I 41 1 Ip 40' _ I • � �6 � � rl _ • I tv 1 ZN�cx• rP_ � N �� t l oIF '"4w�r7c7Hrrr�.•5t.u► I �� �I I I� s k yy -t l i c I A 1 DATE 2�q2 TITLE Fd U N PAT { o G°=14aAm&I""' A s COWRIGHT •.1. JOB No -I °° • n..•. ...e..o.�. monism,iew Wn•u•nm DESIGN SCALE M, - f''LAtJ NORTK9DE roe..•o.w•c.•ce.ro.e•.cwu PROJECTc +a DE�GYdreed �. ro�v�•,ua•...�.�rm,N•..•�..r .. DRAVM SHEET CECE DA7 REVISIONS •r•rn.o y,.a.wcs.nr...m • e j f - _ �n a c o ju r- - - —�Ic aft ' 6•� ( Znl.u'I }t ,i .'Y _ S+•'Fi� 1� tiY _ Idl4." 11•I�fl I c - ID o � Q ev y '* c 1 �y, 1 +- N `tl —4► r o K�RCA� �- T, 1'r"Pi1r�.ua�lL 6.4%i FL.I�Hr_ 8%a-rL ��C I",+ 'I j; : i! •I I .�' ..� 1 I A7 1 11 - , N � t P= I N 415 o Aa tic r N ll DATE TITLESECTIONS GORDONCLARICA.I.RD. COPYRIG JOB NO Ma�2>�9� HT . .:.a� SCALE Ar,IJntyO ��M I N LAN coonronl.�rnu.mp.m un nal .¢' DESIGN `"'�I''--''�r ��;DE le n...oloa.cw.n.lo.a a.w+. SHEET � PROJEC�C�i u K�N►�/ DESIGN DRAM GN .. DRAM M/nt'. In wms�r..�nrm nu mms wa.naw CHECKED ' REVISIONS tl.lxGt l.n YYN..nC.nmarro +) Application to Old: Y e Kin 's Highway Regional Historic District Committee g g g .-D in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this.application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction- New Building ❑ Addition ❑ Alteration �4 R{� Indicate type of building: House-- ❑-Garage ❑ Commercial Other. 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑. Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). OR PRINT LEGIBLY DATEl30 hi- TYPE ADDRESS OF PROPOSED WORK a`3 5i7 Mee-1'hg WS--U)" V aa.n51ILSSESSORS MAP NO. 15S i OWNER /�nt1 J ehnc r'L�J �-'tnhc �`c�►1c}1 c ASSESSORS LOT NO. 032 HOIME ADDRESS 12-5 54NEUIj 11- COTc&I I f14• o163S TEL. No. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). �0�1►'1 L. �Grk'I'P4S .13?0 11cc'(- N6F}oVSC W►4 j' Wes+ a—s- �-L MA o-uw VrCS� r ��o veS Y'� Y, C/o J—Wle ✓ee- tjee. ,n �J&l . Vk �hSTG!�I2� i.J 1(.� Tom'/ AGENT OR CONTRACTOR fit! eo,T�pY� °� -r-�"C TEL.'NO. 4 Y`62 ADDRESS' 3sU ae.JT DETAILED DESCRIPTION OF,PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Cons-}rc,c� 51n'�e T-arti C��oh��) s �� �-pDMe SPec. 5j4t—E7 f 44.,, c,l C o N s4R U c f Swill l/ R ri s�o 2y � a Signed Own -contractor- ge t Space below line for Committe use. Received by H.D.C. a f�' .`� The Certificate is hereby -� Date Time -- ' B S WAk ( V Approved 1i3\ AM6910P If Certificate Is approved,approval is subject to the 10 day appeal period OKHRHPC� provided in the Act. i Disapproved ❑ Ouse OLD KING'S HIGHWAY HISTORIC DISTRICT SPEC SHEET coqcre FOUNDATION G(,t,✓e,l , i f I ^Y SIDING TYPE & II Ck Lied COLOR r�/''L � W►i'1 C.G a2 5 ,,3(As on EI1 i►/9Tua�L_ CHIMNEY TYPE ���L�C COLOR ROOF MATERIAL �r��� IccT S}yI� A5PL1� 5L►1�6LOR Wea4ti-el wool PITCH Z7 ) o WINDOWS O� � E 1— 12.�N CT � v WO SIZE Gk'6L S 5117E � 1u 3 k TRIM COLOR Whip DOORS e �rioo5 . /oo-)�>4 COLOR �I ( ` r� sid1 ` sa*�e l►"1CoLok SHUTTERS - No N e✓ GUTTERS \Noo DECK 1vONe GARAGE DOORS N0,4JC= COLOR NJ t�QR Ness: F.i 1 1• out 'comp 1 ete l y, including measurements and materials/colors to be used. S awAl Three copies of th i s . form are required for submittal OLD K� of an application, a 1 ong. with three copies each of plot plan, landscape plan and elevation plans, when applicable. APPROVED *Plot plan need not be "Certified", but should show QKHRHDG a 1 1 "-structures on the lot to scale. 755-, N F BARNSTABLE, MASSACHUSETTSU1 L D1NGPER M-03� A0i*� DATE July 14, 19 92 PERMIT NO._NQ �35204 APPLICANT J.J. Kennefick RestorationabRIAC. Box 350, W. Barne abl #002141 & BARN (NO.) (STREET) `j (CONTR'S.'LICENSE) PERMIT TO Bui]fd F9i*4nzin ( 2 ) STORY_ SiYlgl�= �,' �w 1 Y ngNUMBEDWELLRN OF G UN?TS ' (TYPE OF IMPROVEMENT) ^.yam NO. (PROPOSED USE) AT (LOCATION) 2350 Meetinghouse Wav, West Barnstable ZONING (NO ) ., (STREET) DISTRICT - BETWEEN AND (CROSS STREET) (CROSS STREET) ' SUBDIVISION. LOT LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE 8Y FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTIC TO TYPE � ' USE GROUP BASEMENT WALLS OR FOUNDATION Sewage if 1 rr #41-521 (TYPE). � 'S REMARKS: ' 7 `�► Bond. AREA OR VOLUME 2052 sq. ft. ESTIMATED COST 80/0.00.00 PERMIT. (CUBIC/SQUARE FEET), .FEE 4,$ ��4.00 Y OWNER Jahn J. & Lynne Kenrie f ick ADDRESS antult oa , COtU t BUILDING:DEPT. B Y 1' .:c__ _ - •ss.h�Pdif1 OF�`1rUBtC WORKS.THE ISSUANCELOF THISma PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIOt OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE i INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE.-REQUIRED -FOR ELECTRICAL PLUMBING '-I- FFOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL'I STALLATIONS.O 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION 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 ELE RICAL INSPECTION APPROVALS 20 13 3 HEATING INSPECTION APPRCIVALS ENGINE G DEPART ENT 1 d 417 Q OA HEALTH OTHER SITE PLAN REVIEW APPROVAL 6( � Se G G"M WORK SHALL NOT PR T PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN TOR HAS APPROVED US ST WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTI NOTIFICATION. f Commonwealth of Massachusetts Sheet Metal Permit Map Parcel Date: . 13 `'� ti{n `� �'' ll` � Permit Estimated Job Cost: $ C1 04D6 f � 0 _ Permit Fee: $ Plans Submitted: YES NO1 : " r��H N S I ABPfans Reviewed: YES NO Business License 6 Applicant License# 0�43 6 Business Information: Property Owner/Job Location Information: Name: ��- Z �1 DEG Name: Street: --)00, ��-(-.� '� 12 Street: ,�, 3 7 �M E +�N�i�a•�E 1�cJ City/Town.: C e, 1 �' City/Town: '�P W-5J A,S Qe— n 1� Telephone: 1-708 -3G0 -76 6-2 Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES NO ff Initial J-1/M-1-unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family Zen-�M ulti-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept.Approval Institutional_ Other Square Footage: under 1.0,000 sq. ft. �10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC _/Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents ' Air Balancing Provide detailed description of work to be done: rI SURANCE COVERAGE: ave a current liability insurance policy or its equivalentwhich meets the requirements of M.G.L.Ch.112 Yes❑ No [Iyou have checked)LqL indicate the type of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner -Agent ❑ Si aturee of- w er or Owner's Agent By checking this box[],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and'Chapter 112 of the General Laws. Duct inspection required prior to insulation installatio • 0 Pros ress Inspections Date Comments Final Inspection Date Co�is Type of License: FTUe ster ❑Master-Restricted Cityrrown ❑Joumeyperson natur of Licensee Permit ❑Joumeyperson-Restricted �'�8 Licen Number. Fee$ ❑ Check at y■:A^v.massAJ- Id_l Email: �A-CJ Inspector Signature of Permit Approval f Tke CeMW07Z7►CC*h-VfMas--;qCh=e 5 ,��I��t cr�'�r�dzrstriatl�ccid�s • a a ' ga#ia 60-0 Wa&bigto7z,S�Meet Boston,MA 02111 Wmimrs, [Fffi 1E LkIl Cg Affidavit B- il4lersICbIItrachn-McLbIInan e f timbers Q3matbu Ple2sePrint )VkIm 33/> Areyou layer?theckthe appropriate bo= ' Type of project(required): L am a employs with ❑I am a ffene-al ccnbmctcar and I 6. [l New eonsft=Eaa employees{fall andkr part-fie}.* have himd he suir-c artazs 2. I am a sole prnpdetas orparhaer- listed onlhe aftacbed sheet•. ? ❑R-- deling These s�nb cotractam home g,[]Demnldiflg ship and boos no emplsvgees �1��and have wa3cPrs' waddng farmmiaany Y a 9. El Builcrmgadditkn cam_�'S=M:e INC,wpd=e ��- �+ e 10-E]Eleo:e a repairs or aeons 5- � Weare a-cosgaraiinn-�aud�s 3.El I a air j l>ameflticrtt�dauag all w� ofncers have exe=ed theft 1L0 Plumbingrepairs ar ad�as [N° ,gyp- of man per love M 1,[]Bflafsegais /� c�as+�e recj-air.edj 7 andwe have�u i� �❑{)der �\�/�C� emplayees..[No Worms' camp-inmmmw requkecij 'Any LW C=tcherlsbasfltrm�taLsaffioatthesxtraabeTacv�3Bitsrwo3cecs'®e¢s�ficapaycyi t� I gameawa�svd.sulft dos rfdaru`i tirry� sIE�czac xadd�huE aae ee � sahmitarenr�d�-est indite sack ICartactnsm'aihr lr8risbas must z=&A sddili—ylshe= s6ann>�tbea�eof sa3► -w zffimarmtgm e�ti�sbzm ®�yees.Ifthesa5-rral��cs3�cee����3'��P�-idet�a u�3as'�p.pa�mzmbei. . I am an�r:pIofBr flirr#is praufdir��variers'cart perasr�i�rt i�.mrauca for m}�zpla}ees $etv�v is atlas pricy aruI jab sta 2II�OrTiIQ17Dl1. � /-) I . jjL3,{y6Ltle t.'aglpaIIp' 2LIIE: Qwram, \ 1✓ P�ficy4Lat Sew i Lie_ 1 �-{ ar3afz Ll l 3 l Job Site dress 3� 5 d k N� 1.. d u y�, 1ld cayrsz�tet � 'S Attach a copy of to work re campeus�aagaTc-rde4zratian page(shatvirtg the P°ficY number aad expsattion da#ea Failure to sec=coverage as requirednader Section 25A o€MQ.r-1�cm lmd to the imposition of cdmfilg penalt%es of a fine up to I,50D-0}andlar one-gearimpr MmEim ,a�s w�R as cs�l,peualfies m ffie farm of s STOP WORD C?BDFRafld s� of up to$250_DO a day against flLe 4iolati ar_ Be advised that a copy of this sbtemed nmy be fir Taarded.ta the Office of Imvestegations of the DIAL far fim=aMe mvemge ve�r�san y tfD lFEY'R�iy c aard ai'f#Bp mad psual�t�s a.fpar '�}'thandae iarnza#iar��rarrr�d abn��a is traa and correct Plagne a uss arrlj� i7a nut vita�fI�area,�i ba za�u}rFetcd by��tcn a,jjicirrI. • Date- City or'I'aww Perm�icease� Issmng-kuffiQrftF(drcTx one): L Board of ff�wltf t Z.BugEmg Dqmtnrn±3.CityHown Qerh 4 Electrical ymV ecta.r S.Phwbmg Vector ' 6.Othix CourtP"ersaaa: :Ph*=9: 6 ! i 11 I I • 1 1 1 i 1 ! u_ .1■w�■R .ter- ■:n■o- �•m 1 .rnu ••.R 1. ■1 .- • •••In.. ruuu.l _n u■ ur i■ ■ .ul. • '■■ ■elml n an 1, rnul .0 �.+. . • nl�■ -• .�R•■ 11 i{- • :n■■■ lu. _n r.un■:r ■ .0 - w�■1 :.... . wage, -■ .rr. a ••■n■�■ • i.u . • - n.�. : .0 u n u■: ■_. n.R■m _L•ti.Mr_u.n .•1 .• _e•.■ • .n:+ __. umt n at• ••■ a u u - . ■.- to "'•■•• .1.1•�. ■. •ut i111\. ■1.1.�- _..• ■.. 1■■■■.• t■_ . .1 �..■trl■•a. • _ ■. 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A.. ■i R w / • ...n .. a .uuu r ul ,n■. ■ • i■ • ■ - ■-.18u. - .• ■ • e. u_n. •• a _■•_L. .1 .0 .•.•.ru u■ _..• /•• ■ •■. ■. u ..:.■n■ r■- - ■:1 ■u as _•41 ...• r -11•■r■- .2219 1:. ■nru■.+ ■- ••tar•_r ••w n . �:wv: r •1.,f1, Midi Oil2- r r •�. fr= _ f • a off • � •ii A7 eif f a i ' �► ' ■ f Town of Barnstable Building Department Services wxsrASLT Brian Florence, CBO xeae. 163� 10� Building Commissioner 200 Main street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section - If Using A Builder I C h41 5 ��c11_ 2P�ij�L ,as Owner of the subject property hereby authorize '7� \ ' Z \7t� to act on my behalf; in all matters relative to work authorized by this budding permit application for. (Address offob) **Pool fences and alarms are the tesponsibility of the applicant Pools are not to be filled of utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner S' of pplicant n Print Name Print Name Date Q-F0RW:0wrmzPMMSI0NP00l.s Rev;08/16/17 Town of Barnstable ]wilding ]Department Services Brian Florence, CBO o Building Commissioner 200 Main Street, Hyannis,MA 02601 i R�FMRI'�HfR � ' rasa www.town.barnstable.ma.us Office: 508-862-4038 j Fax: 508-790-6230 HOMEOWNER LICENSE EX7N Please Print DATE: JOB LOCATION: number � shut. village • "HOMEOWNER": name home phone# work phone# cuRRENT MAU ING ADDRESS: c4hownYeoSuch state zip code The cent exemption for"homeowners"was exteowner-occupied dwellings of six twits ar less and to allowhomeowners to engage an individual for hire who ss a license,provided that the owner acts as supervisor. OFHOMEOWNER Persons)who owns a pazcel of land on which he/sntends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structazes'ach use and/orfarm structures. A person who constructs more than one home in a two-year period shall not be considered Such"homeowner"_shall submit to the$wilding Official on a form. ;ceptyble to the Bmld�Of116 ,of he/she shall re 'b1e for all such wo edormed under tine bu�lain ermit (Section 109.1.1) The undersigned`homeowner"assumes respons flity for comp ' e with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that a/she understands the To of Barnstable Building Department m;,,;T„�inspection procedures and requirements-and that he/sh wt'll comply with said proce s and requirements. Signatore of Homeowner Approval of Building Official Note: Three-family dwe ' gs containing 35,000 cubic feet or larger will be gained to comply with the State Bolding Code Section 127.0 Construction Co A HOMEOWNER'S F.MaIMON The Code states than `Any homeowner performing work for which a bull ' permit is required shall be exempt from the provisions of this section(Section 109.L1-Licensing of construction Supervis );provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as superviso " Many homeowners who use this exemption are unaware that they are assuming the esponsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often . results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against'the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that helshe understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q-\WPFnMTORMS\bmlding pemvt inmms\MRESS.doc 08/16/17 i Mass. Corporations, external master page Page 1 of 2 William Francis Galvin LLNV ,, Secretary � 4 sr a of ♦ • of a rev g o Corporations Division Business Entity Summary ID Number: 464243024 [Request certificate I New search Summary for: AIR RITE HVAC INC The exact name of the Domestic Profit Corporation: AIR RITE HVAC INC Entity type: Domestic Profit Corporation Identification Number: 464243024 Date of Organization in Massachusetts: 12-06-2013 Last date certain: Current Fiscal Month/Day: 12/31 Previous Fiscal Month/Day: 12/31 The location of the Principal Office: Address: 330 ELLIOTT RD City or town, State, Zip code, CENTERVILLE, MA 02632 USA Country: The name and address of the Registered Agent: Name: FABIO ZOCANTE Address: 330 ELLIOTT RD City or town, State, Zip code, CENTERVILLE, MA 02632 USA Country: The Officers and Directors of the Corporation: Title Individual Name Address PRESIDENT FABIO ZOCANTE 330 ELLI017 RD CENTERVILLE, MA 02632 USA TREASURER FABIO ZOCANTE 330 ELLIOTT RD CENTERVILLE, MA 02632 USA SECRETARY FABIO ZOCANTE 330 ELLIOTT RD CENTERVILLE, MA 02632 USA DIRECTOR FABIO ZOCANTE 330 ELLIOTT RD CENTERVILLE, MA 02632 USA Business entity stock is publicly traded: ❑ http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=464243024&... 2/27/2019 Client#:21832 2AIRR1 DATE(MMIDD/YYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 10/09/2018 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(les)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 R21W T Dowling&O'Neil Insurance Agy (12",;E�ft508 775-1620 A,, : 5087781218 9731yannough Road E-MAIL ADDRESS: P.O.Box 1990 INSURERS AFFORDING COVERAGE NAIC# Hyannis,MA 02601 INSURER A rouanoe NGMlCompany 14788 INSURED INSURER B: Air Rite HVAC Inc. INSURER C 330 Elliot Rd. Centerville,MA 02632 INSURER D INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS IN POLICY NUMBER MWDD/YYY MWDD/YYY A GENERALLIABILITY MPT8454A D4M=018 04M=019 EEAACMMISES HpGOECCCURRENCE $1 000000 X COMMERCIAL GENERAL LIABILITY PRE &E9Earence s500 000 CLAIMS-MADE FX1 OCCUR MED EXP(Any oneperson) $10 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POUCY X JECT PRO X LOC $ A AUTOMOBILE LIABILITY M1T8454A 5/18/2018 04/1.3/201 McBBIIide NNEM)SINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED Ix SCHEDULED BODILY INJURY(Per accident) S XHREDAU`rOS AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident a A X UMBRELLA LIAB X OCCUR CUT8454A 00=0104/1=0119 EACH OCCURRENCE s2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE s2 OOO OOO DED I X RETENTION 10000 $ A WORKERS COMPENSATION WCT8454A 4/13/2018 04/13/201 )( WC sTATu• OTH- CRYER AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXEC Ui1VE Y/N EL.EACH ACCIDENT $500 000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE s500 OOO If yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable,Building SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Department ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S220430/M220429 RPSW1 I t O OId1AlEl�►LMIN BOARD OFF SHEEtT.METAORKERS � �fi ISSUES�THE FOLLOWING i.ICENSE"� �s � �#� , t1AASTEEF UNREST RICTED '-� / (mo t its 2 a Sn✓f�4+ kuIF g „FABIO GZOCAyNTE 15 ! t> 330-ELLIOTT,RDu „t -CENTERVILi.E;MAg2632-3661 h ya ' 8/2020�"RMN,r �51958,�5�, A .• . �. i F_ Town of Barnstable Final Inspection Affidavit Date: Thomas Perry, CBO Building Division 200 Main Street Hyannis, MA 02601 RE: Insulation Permits Dear Mr. Perry, This affidavit is to certify that all work completed at- Street: 3 e to Village: has-been inspected by a certified wilding Performance Institute (BPI) Inspector. All work performed meets or exceeds federal and state requirements. Permit application number: Issue date: Sincerely, C1� Francis Sheehan President Frontier Energy Solutions, Inc. -77 502 Harwich Road Brewster, MA 02631 ''' rn Office: 774-237-0410 Email: fssfrontierenergy@gmail.com TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma Parcel: 3`L A licatiS�O � P � PP / Health Division Date Issued V11111.5 Conservation Division Application Fee Planning Dept. Permit Fee V Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis ; Project Street Address 2l �_G e�,�A e,�Vo"Sst- )n Village Owner (,Vlrc.5 �rr d( Address 23� ��vSt� �•1�`'I / Telephone b LI " Lfv- Permit Request L1yA,25v kktA. f2_" [ `�e(q��SC Z 'Z OX e- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �3 g Construction Type Lot Size / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Q Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No 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 —n Total Room Count (not including baths): existing new First Floor Room Count` Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other -` r 3. Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove:: ❑` 'es ❑ 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 U/No If yes, site plan review# Current Use I�-� S i�G .�C� Proposed Use g e s ��O�/t c 1- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name r rQ- Lziec 5666�� "CTelephone Number T4 2 ? -G q 10 Address �b 2 ��ri✓� G� &Aet License # d J l sr-LWSKr , VA d 2-4 Home Improvement Contractor# Worker's Compensation #Vy.Wc-1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I 'T CC/1 ALA tA 9- � UA r- 4fArw -( LIAAAQ ZG �t SIGNATURE DATE -7 (` 1 l' ti FOR OFFICIAL'USE ONLY ;r APPLICATION# DATEISSUED S MAP/'PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FRAME INSULATION,:. i FIREPLACE �. ELECTRICAL: ROUGH FINAL _ .._...__ ... ._._ >; PLUMBING: ROUGH FINAL GAS: ROUGH FINAL h FINAL BUILDING = DATE CLOSED OUT { ASSOCIATION°PLAN NO. 1Regulatory Services (1' � Richurd V.Scali,D.irLCLtf)r;� r 'D Buildivig Vvisiwi. Tutu Perry,Buildin g Commissiouer L. 200 MaLu Sulel, I iy;muws,-MALA 0260 1 Flm �NS-790-6220 'rop ci.ty Gwmc v Mu> t Complete and Slon''I'his Se-CLtiotl If l.J:�'ing ABuilder ZY h-r(J)v audlonm. 1'. w act oil r 'inL jx I IT,"JI,Ml at I_IrN ;I.,I:fc;vu to viozk aurlm iorud b,,,M' Is b uJi dt a P* I I cat to,-j for: .2350 WOLL4 VjtS� tC4M' IYAIi_,U dress (11r pool -.P_CL'S and chums are tile respolisib Lb.t applcarji. Pools 1D ire. n o T.Y.o 1)c fi 1!c d of-Li 11L c*J 1)ef()I,e. I C I I c C LS LCUS i Alt d,a E i d,a U _J Jfisf)CCUOITS pen-ol7med-mld acct2PLL:d. Chia Roraomw(May t'20161 WORP41S; The Contrtro&wea.ri ofHassfc ats- . Deparlr�terat o,j`'.�'rgi�us�rial.�ccic�er�� , ' 600 Warfcr:s n S'freet Boston,AIA fI M www.mass,g©v/dra 'Porkers'Compensation bsi sauce Affidavit Builders/Con€ractors/L?Iec ricia-os/Ptu-tnber.s MmUcant Information- Piease.Print Legb III ne .ss esslG>rga n/Irdiviatral}: rb R. r e c�1v 'cs.tt . t- Address: A. � ; s city/State/zip: ! 3 Phone#: -21-7^ 1-i( o Axe you an employer?Check the appropriate bow a of project .�} TS'A A. .J {recluia-ed}: I. I am a employerwdtt f - 4 Ej 1 apt a gencsat coatmctor and I 1`�e eDlayees(�audlorpad taw)w� have bimA tht sub con acfozs [� won 2.0'lama sole propricttu or paxt:t-er- HsW ou die attached skeet T.Q Remodding 111MC sub-oon#� t=have . . ship and have no ezapiay�s 8..�Demo�ou wo*ing fox me m any capacit3r employees and nave wadc=' Building addition (No workers'comp_.inss=cc cam.ingxanceJ 5. [j We ai--a corporadoo and its 1tl-El liectiic4mrsirs or adaidons 3..r]Taut a homtz%=r doing aH work Nava e�sd�S 11.0 PtaratbingaEltaiis.of actions myself jNo wor3='comp. d-gh*ofe=tptbix -M(3T- TZ.Q Rdof=pa=- M$IWance Je4LjjM&)t c.152,§1(4);and vie have no ,i - eauployees-[No wodwW 13..�Other 'sArtg zpplitaat.lvzirhecks t+aa�I m�a3so;iII ot�t6eset7ien.oe�aw shawut�titeit 5*otl;rras'mon?pl�eSFati'�fm23or. - THnm�wnrlxxfiasubmi[.�isaffidavitiudicatagffi�yamdOM&ailwmk=d then hL--oatss&caYadts=mstsu'hmft ova€ avit.in.�i gaoGh- 'Z'ontiazt 6atcbWk this box=ustztbt�za48dWoua7 short slvwing.ftg w=of£sesub-aomU2ct==dSIZIOV Zeosun4 isw esiti'tirc eataloyem.U'b- Las<eeatploy=s�tlxymttstp vM*thoa wo&=*comp.pOrymtmBar. lam am empT nw dUzf isProvidueg Laoskern'eompen a or..ur.qaru=for-ow epdoyem Befow.&ff epol&y and job$&C utforYrrroran. . 1nsu =Comp=yName:_ 1 m R,A, i9 t ./l$*J rrt V-11� 4r,1 A 11 [ Policy#arSeif- s.Lic.*-yViE-100-LL3 57 31 5.-201�,�A ExlisatioutI}a� � - [�-'20(� / Tob Site Address. � �A Lt a �O U 5-9- �#S��P�lLLAJ, Aftarh a copy of Me'workasI.(mmpeasalioa IYOUCY dedaraf3on p2ge(St oYVMg the policy number 2ai expkation date} Fm-bm to senm-wwrW as.TcquiLrd undcr Section 25A of MGL-c, 152 can.Iead to.&e i ition ofiammzl:penaifies ofa } fine nB to$'1,500,OG andlor one-year sow as well as Civil, in foe fosse oft STOP WORK ORDE R aad a Bne ofMP to S254.00 a day 2gains tbr,viola#x At advise$-ia#a,copy offff4 sit may be f to ft OjO5=of r kves1igVkw of tme DTA ftsr oe coverage vezificatiolL Ida hereby cn ptkaAwrs,=dp=a&rw ofperjwy that the mfornatam provided above as�a nd'earrect P Wr 7H 14 O mouse owfA Do root•(Mein bwsssarea,to be COMP&ted by'city ortawn officZa1. City or Tow= ^T Permituceuse# Authority(circle one): L bard of Heaitlz Z.Bmtiltimg Depm ent 3.C R l�y/Town Clerk 4. ectric Inspecbor 5.Plmmbing Tuspec#or 6.Comer Contact Person: Phone#. i eta Office of Consum e r Affa.�r,s..&Bud o y$e�g�nz:a r=rdts valid for iRMAdni ue G* _ WROVEMENT CONMAMOR beforethe eapnscion data If found return to: 1fQ854 Type: Office ofConmmer Affairs and Business Regulation iration :9lBi0]6; l.)_C:.._. 10ParkPlaza-Suite5i70 Boston.MA 02f16 f�?ONitER E-t�1ER6Y SOLI�tOtVS':. - . FRANC iS SHE'EMM ". - _ 502 HAMICHAD 13REWS M MACMI a • iladusecretasy t W its SignSt�re - i Massachusetts-Dep2rtnerr of P bfc Sas Restricted To.LSSL tC-fr�taEian Gonbartor Board o€.SWIding i3egulations and-Standards- ��u�.c�risi€it+n��eFrisni Sitete•.:i�l_. �r;;x:`"_,r .-. .. . , tWL.502 -t41 FailureLoposs+essaaumente&ftnoftheMassarlwse is Sb to Bugdit Code.is caimfor ievocatIon of this liten5e. ��"'• a4�>� x Frafior? , forDPSiioen nBi anvait sGo4DP5 3/'166//2�015 12 : 35 : 39 PM 8626 ® 02/02 7 ® DATE(MMIDDIYYYY) .� CERTIFICATE OF LIABILITY INSURANCE 03/1612015 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 00509-001 CT Jeffrey Ford Rogers&Gray Insurance Agency Arc°. .Ext: (800)553-1801 FAX. No: (508)398-0246 434 Route 134 EMAIL South Dennis,MA 02660 ADDRESS: fNSURER S)AFFORDING COVERAGE NAIC rE INSURERA: A.I.M.Mutual Insurance Company 33758 INSURED INSURER B: Frontier Energy Solutions Inc INSURER C 502 Harwich Road INSURERD: Brewster, MP, 02631 INSURER E 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, RR AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSR W1/D POLICY NUMBER POLICY EFmF PMILDICY Y1 LIMTS GENERAL LIABILITY �D EACH OCCURRENCE $ COMMERCIAL GENEP,A.L LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence CLAIMS-MADEOCCUR MEDD:P(A.ny one person) $ PERSONAL&ADV INJURY S GENERAL AGGREGATE S SENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S OLICY R; OC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 'Ea aardent ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accidard) $ AUTOS AUTOS HIRED AUTOS NON-01"ED PROPERTY DAMAGE AUTOS Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAWSMADE AGGREGATE $ yy� DEED Cpy� ERETEENNTIONN $ ytC 7��J S A 1t I�MPLOYIFS'LIABI'_QTY X TOFTSLIMI�TS ER AN P2 PR E RIP TN 1 CURVE YIN EL EACH ACCIDENT S 1,000,000.00 A ASP Icy iM�11C�—REWU ❑Y NIA VWC-100-6015315-2015A 3/14/2015 3M4/2016 (Mandatory iipn�eNH) E.L.DISEASE-EA EMPLOYEE S 1,000,000.00 � SSCf� Tr!01•l0 OPERAT IONS W.. EL.DISEASE-POLICY LIMIT S 1,000,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Town of Sandwich 16.Jan Sebastian Drive SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Sandwich,MA 02563 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ®1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 2630 afi c •o � f .. 5 A 1 $.,zp~• Rom; _ -- 1y ry AA Date: - Thomas Perry, CBO Building Division 200 Main Street Hyannis, MA 02601 ' RE: Insulation Permits Dear Mr. Perry, This affidavit is to certify that all work completed at: Street: 2 3 S'b uSp- Village: e f L has been inspected by a certified Building Performance Institute (BPI) Inspector. All work performed meets or exceeds federal and state requirements. Permit application number: ZG I H(j 2 768, Issue date: Sincerely, Francis Sheehan President Frontier Energy Solutions, Inc. 502 Harwich Road Brewster, MA 02631 Office: 774-237-0410 Email: fssfrontierenergy@gmail.com NOISIAIQ E Z :i l In E- P;iii woo 319V MV9 JO NY0i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ,�� r p /, Map � S� Parcel d 3 2 •- ���L, (0,k r �,��• Application #uf :21 �'.Ua� ��" N OF BAR .!(°Tt�r� Health Division Date IN-0ed �J Conservation Division ZQI� MAY -'I F'A,1ppJicatPn Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board _�_�1`��.,�, f Ul Historic - OKH Preservation / Hyannis Project Street Address -L WO K k_LJ e)!elitu�St- UJC,�J g�� [�Aft Village ltg_st &A rnSk;! `L Owner L,111,rt J ts ko Address `�- 50 K e_60' AlQ 51Z- VJA Telephone 7 S 2�eG r Permit Request J�nSv l�kl� Dn �,��S Ge.Ilu lG ��- Gn °� �106r I ,Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new .Zoning District Flood Plain Groundwater Overlay Project Valuation 70 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family T/ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No 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 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 �(? a Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name a ^CC r S g U o S• Telephone Number -Z� ["G "t l Address 5© 2- ila r N i CL IVA License # d�� [ Home Improvement Contractor# Email �Ss 102&Jd9_1reA cl�-i ( � CWoorker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO IZ5 (1-re!ea AA,,qe-- 94 Qa4 L L PAA 0 2-6 q S__ SIGNATURE DATE ' k 5 FOR OFFICIAL USE ONLY t r -APPLICATION# 1 ,fy DATE ISSUED S MAP PARCEL NO. 1 r ADDRESS VILLAGE OWNER '. i DATE OF INSPECTION: z,'} FOUNDATION FRAME ? INSULATION FIREPLACE S ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT C ASSOCIATION PLAN NO. C z The Commonwealth of Massachuseft Department of Industrial Accidents .. Office of Investigations... ' 600 WashiAgtore Boston,MA 02111 www.mass govlAa Workers'Compensation fnsurance.Affidavit:`Builders/Contractors/Electricians/Plumbers Apalicant Infoftmat 4ii Please Printblv Name(Busiaeworganization�indiv d►iat)` -c} . t: ( r� f i j It n e .,ter :.. F t f fit. Address: 2 : , CityiStatelzi � #� Phan# .. . _ �: ... Are you as employer?Checic.the appropriate,boi:. ? of ro ed. 1.[J 1 am a employer with... .• I am s general.contractor.and f .: ( .::--.Type p i. {required) . . employees(fall and/or time)- have.hired the ' NeW coastnietion i I Q I am a sole proprietor or partner- listed on the.attached:sheet.. ..Q Remodoling, ship and have no employees These sub-sub have wodtin for me in an aci employees and.have workers g y capacity. t 9. Q.Building addition . o workers'co insurance comp.insurance. c .1 -.. .. 5. Wiare a corporatlbn and-its: :10:0 Electrical repairs of additions ! 3.Q I am a homeo�vnei doing all wock. officets hai+e eaet�ised ttieit::. .: 11:Q.Plumbing.regairs of.addit ons .. 'ri t No tvakes om o f MG .ex on per..p : -I2.Q: oof.repaus: (4 insurance regt�ied}i cs§T �acid we ti2ive iio.: , c1i Q . : to ookeis' .. :::.. 13. t3tlter j Ac 'd: 3 a 1 a�a a homeawacr acting as a emp yees:[ :.. .•. general`cvatraawr(icfeir t944): comp-:}nsuraace.regmred).:,.:...:: ;.Any apphcaat dm chx3o boa,#l.mwt also.M ou3 the.section bcldw,.$)iswing.ttiea wodcas'aamp�satioa ticy mf matiom .. t Iiomeowacs who submit this sff davit indicating they are doing ad work and rhea him outside roasr3ctuYs.amsvc submit a new atf3dav t iasticatinS such:. , tGonaactore ttsat chaar this baz auist attae�edau addirioaal.sheet showing the name ofthe sal7-caoiia�:and statb w�csher or aorthose eatitiea,have_-.: ..., i emptoyem.ff d-.snb--uact-hava enwtoyeea,dicy must,pcvvide.*iir-;worms.eomg lain an employer that is providing workers connpensadon insurance.for mY employee& Below is dre j ol*and job site information: Insurance Compaay.Name: .I �Ay ec,.k:. L t\SUf AnC C_• 6 - ` Policy#or Self--ins.Lic..#: W:C:.. 10-0^b�.�.S 4�6 N AEapiiaiiatF i}ate: (` A Job Site Address 2 5� 6& V v City/Sratezip:V•'� fj c��o�, 6�6� —� Attach a copy of tlEe vi+arken'compensation T w liey declaration. (showing the.pnliey number and expiration date). . Failure to secure coverage:as required under Section 2SA of MGL c. lk can lead to.the imposition of criminal penalties,of a fine up to$000.00 and/or one-year impiisanirient,as well as civil penalties in the foam of a STOP WORD ORDER and a fine vfup to$ZSt}.04;a day against the violator.:Be advised.that a.copy of this statement ma}�:be forwarded to the t? ce of Investigations of the DIA for insurance coverage verification. I do hereby cer*under, nine slid penalties©fPe1Jwy that.the information ji vWded`eliove,is.&ue and c irr t / D2 Ph 6 . O.ftieid use only. Do not write in this area,to be complete4 by city or,town.afftciaL City orTown: Permit(Uceuse'# Issuing Authority(circle ones 1.Board of Health Z.Building Department 3.City/Town Clerk. 4-Electrical Inspector 5.Plumbing inspector 6.Other Contact Person: Phone#: _.._....._..._ r '. e o2rarrmrrraerrll/a a �tfrirarvGv Mmm-Rchu`^'etts-DqmfteM of Publ3c.Safety . .$oaird,6fEPWIdingReSutatim.s and Standards. `^ 1 �' 8If5hRC�-Orr Sttjt tdLfSflT rJjS'S�R�3T ' a `_'_ OIL 1 Q by ... _ -g.3c.:-W�1L'1 �W! LC >{ BARW DS SHMs" ":qv:_ :,: MA Gc�ritstiss?; ?, o2hums. .' I,iriwas�eor �vaTefP€briaiSdif3fll-�eoa3y Reshicted.To.CSSL4C-'Umdatim-Cgnbzftr. erE to °n:dat, if bond ashr,,r:t�bef _ - -Bust�n.�624�I6 _ faHemztogns3rssaeatrentedi$nnafttsei� - nesm3dic + .iscfar. Ono€t�i}ma Agntdre 1 • t ` 3/18/2014 1 : 10 : 10 PM 8740 ! 03/06 DATE QD9OtbYYYY) CERTIFICATE OF LIABILITY tNWRANCE 0311e,2a14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRNIATIVELY 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 INSUREMIS);AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. IMPORTANT:H the Cerfificate holder is an ADDITIONAL.INSURED,the poiRy[aes)must.be endorsed. if SUBROGATION IS WANED;subject to the terms and cond-ions of the policy,cerWn po&cies may require an endorsement.A Statement on this cxrtimite doesnot confer rigW'to the certificate holder Infieu.of such endorsemerrt f* Pa� 00309-001 p m Jeffray Front Rogers&Gmytnsurance Agency A M : (800)663.1801' r��_ (ti08)398-0248 434 Route 134 South Dennis,NIA 02880 _JLII&-Nnual Insurance Con Imy 337SO VISURM . Frontier Energy 3olutbas[no c- $02 Harwich Road INSURER V, 9r6*3ter,MA 02081 t ( e- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO.CERTIFY'THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO IHE INSURED NAMED ABOVE FOR THE'POLICY"PERIOD INDICATED. NOTWITHSTANDING ANY REQUI]REMENT,TERM OR CONDITION OF ANY CONTRACT OR'OTHER DOCUMENT WTH RESPECT TO WHICH THIS CERTIFICATE MAY'BE ISSUE OR MAY PERTAIN.THE.INSURANCE AFFORDED BY THE POLICIES DESCRIBED kWJU9 I IS SUBJECT TO ALL THE TERMS, EXCLUStOHS AND CONDITIONS OFSUCH POLICIES.UMFr3 SHOVIM MAY HAVE BEEN Rt37LJCIED BY PAID CLAIMS; IL 7R SR. TYPE OF DVAIRANCE. POLICYNIJ LS:Y UNITS GENERAL WRIUTY - EACH CO(.TIRRENCE b COWS CIAL GENERAL UABILnY 0FMIG01 $ CLAIMSAUX OCCUR MSDZ(P'(Agy-one gwwn) b ^` PERSONAL&AOYINJURY 8 . ---..— -- .GENERAL AGGREGATE b . 9PL AGGREGATE LAUAPPUSS PER- PROOU9fS-GOA5'OPAGG b JCY Floc AUTOMOBILE LIABILfXYacu i S . ANYAUTO .BOOILYKUTY ft pown) b .ALLOvOlm NOMOAKED AUTOS AUTOS Hi REDAUT0.4HSCliMULED AUTOS .. b T UUMELIALIA6 OOCUR FAM-OCCURRENCE b EXCESS LIAR CIA%SMAOE AGGREGATE b DEO RET't�lnON.b b �Y NIA VWC 1aD4015915-2016A 311412014 3114)2015 EL eAc1XAeCmBaT S 1,000,00000 ' A (rAatldacolylaN10 C-.:LDISLn�-[AUitPtox- E 1.000�00.00 ��RrOPSRATIOMb b. EL OISEP.M-POLICYUMIT s 1A00:OII0:00' DESCRIPIION OF OPERATIONS R LDfd17lONS"AYBaCJ.E3(Attts�9SGOrRD10i,:AQ�ionar8a�r�.3cF�te..Mmote spare isr.�tua� . CERTIFICATEHOLDER CANCELLATION Town of Sandwich 130 Main Street SHOULD A:wor.TIME ABOVE DESCR03ED POUCII-S BE CAPICELI eD BEFORE Sandwich,MA 02663 TIC EXPIRATIM DATE THEREOF, NOTICE WILL BE DURFERED IN ACCORDANCE WITH THE POLICY PROVISIONS.. AUTHOR®"REPRESENTATME Q 1888-2010 ACORD CORPORATION,"AU rights resem ed.. ACORD 26(201WOS) The ACORD name and logo are registered maths a1 ACORD 3201 OWNER AUTHORIZATION FORM (owner's Name) owner of the property located at 0 A. (Property Address) NA/-e 5-1- k caSifo►61r IVI A (Property Address) hereby authorize `f , (Subcontractor) an authorized subcontractor for RISE Engineering,to act on my behalfto itain a building permit and to perform work on my property. KOwner's Signature � /1-D 1� Date I . I Town-of Barnstable Geographic Information System Janua !6,2011 N155048A00 178027 ry' 155007003 #48� 155028 1780?8 #20 155037 166020 #2464 #45 178006 178004003 #24 #2429 156044 oL 155027 #44 #1095 155004' 155003. <� #24" #2472 e #1071 007002 #105 #75 2j 155018A01 155 #4 egi4i #2415# 178004001 0 / 155029 #0 155003001 F 155019 ® #2454 #85 166040 #2401 e #2377 ®® �Ag 166045 .4 y� #2400 ,1►o J 155002CN D #2321 ° �C ® 155046003 155031 155030 / ° #2380 #2412 #2416 r ' ( a 'S 177001 155046001 #0 155001 #2346 #2231 S - 155 30 0002 156046002 #2370 Q#2350 � I 0 156032001 #2320 164002 #0 164009 #2160 0 163 Feet DISCLAIMERS:This map Is for planning purposes only. It Is not adequate'for legal Map:155 Parcel:046002 boundary determination or regulatory interpretation. Enlargements beyond a scale or Selected Parcel 1"=100'may not meet established map accuracy standards. The parcel lines on this map Owner:PERKINS,DONALD A&ROBIN L Total Assessed Value:$498200 are only graphic representations of Assessor's tax parcels. They are not We property Co-Owner: Acreade:5.10 acres boundaries and do not represent accurate relationships to physical features on the map Abutters w E "• such as building locations. Location:2370 MEETINGHOUSE WAY/RTE 149 Buffer i