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0103 MOCO ROAD
(03 M OGb i 0 I� I i Ad l/lf o UPC 93543 No3LOR wAgviioQ$ 4DN Assessor's map and lot nu r ... ...:.J."1.4�.... ....... 9F 7� ,.n A ,S SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE G Sewage:.,Permit number ........................... ............:.....:........ WITH ARTICLE ARTICLE II� STATE SANITARY C t �QyoFTHEro�o TOWN OF BARNSTAqDL AND TOWN i HA$BSTLDIrE, 9° "6q � BUILDING INSPECTOR N „ � J U O APPLICITION FOk PERMIT TO .. .... ............ ........................................... 0 p� r' TYPE OF CONSTRUCTION ...................... ........................................ ......................................................... ....................................... l 9 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location l.0-�3...... ��1 .. '.. ?............y112�.................... ....... ..... .. '.��..5.. .41.l.?e............................................ ProposedUse ..............Al-q..M.....��.—................................................................................................................................. Zoning District ..........................Fire District a ............................ ' // L,�SJ.... � !":.^ ........................... Name of Owner J. Q.r ....! 4.., ..h.......Address ......../..1..V..f..0.... f. ...�........................................ Name of Builder ...� .... k!1..Address ........., ......................................... Nameof Architect ........... ..1.�...r..............................Address ........................X.1...................................................... Number of Rooms ...................Z. ............................................Foundation ...... ......7. ................................... Exierior ............1! .l?.. .......• ......................Roofing ........../�. T............ l/ Floors .........C.a..Yr�l�:�..../.................................................Interior ........ ............................... Heating ......,/ >...ly ...1Z................................................Plumbing ............:..................................................................... ..... Fireplace .�o...........................................................Approximate Cost ............ '9. ` 0 4'.......�............................ Definitive Plan Approved by Planning Board -----------_______-----------19________. Area ... r?....L ,t�2................. Diagram of Lot and Building with.Dimensions Fee ��l./........................ .......... SUBJECT TO APPROVAL OF BOARD OF HEALTH vu I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . .r.¢........ ............. Hatton, Albert ......NoPermit for ......one...story............. ...... ........ single family dwelling ........................................................................ Location .........103 Moco Road ...................................................... West Barnstable ............................................................................... Owner ......... Albert Hatton .......................................................... Type of Construction ..........fra-...e.........I............. ........ ................................................................................ Plot ......................... Lot ................................ September 22 77 Permit Granted ........................................19 Date of Inspection Date Completed ..............................19 PERMIT REFUSED ................................................................ '19 ............................................................................... ......................................................... ..................... ............................................................................... ............................................................................... Approved ................................................. 19 ............................................................................... ........................................................................... 0 0!t ITSNj Q o O // , Q � • �j� e�z J ` I N o vi Alt _ QoQ�e Qj a JJ W ti Lo . m � Is tT "- - .,`-�'r�„- -ic._r• -r _ l a -4._ ..-r. - ^`� ^'r' '�--...- -s- ti , a` - �: - .►+ti:.-.. -_.3�r = -w CAPECOD TOWN or- BARNSTARE INSULATION tjoV -i NBEi OlAS] ]P0.A110AM ]YSP[NDED EATT] 1-800-0696-6611JIV3Q7&V7 'Gown of Barnstable Regulatory Services Building Division g � 200 Main St Hyannis, MA 02601 d Date: /� �'�go,1 `2. . e 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 specifications 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 R1Lcf-- MAAokJ 10 , VV1ocv 6-cQ • C.PJ-A► KA)-�l � Insulation Installed: Fiberglass Cellulosic R-Value Restricted Unrestricted Ceilings ( ) (X) (30) ( ) (X) Ce.l,�kJs C.x) (12) c x) Slopes ( ) ( ( ) ( ) Floors/66.5emeAA- (-3C) ) ( ) (x ) Walls ( ) ( ( ( ) Pre � pis} ��o�er Do(y- Ae�� Sincerely He y E C(sulation, r, President Ca e Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION (00 Map Parcel pplic ion # Health Division Date Issued Cl L"7-- Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address Zp t IZY Village le Owner Address Telephone Permit Request ,3� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation U Construction Type L�i97/z Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family UK' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes Z"No On Old King's Highway: ❑Yes -EMo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ OtherZE Basement Finished Area (sq.ft.) Basement Unfinished Area (sq ft) Number of Baths: Full: existing new Half: existing '., nevi Number of Bedrooms: existing _new , cn Total Room Count (not including baths): existing new First Floor Roo Count-- Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other o• -" Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �' Oj� �a O /!/�v �j�,� Telephone Number Address /E �2�/���o� License #�/6z�l Home Improvement Contractor#_2 Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE JA3 r r ad P FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED _ MAP/PARCEL NO. ' 'ADDRESS VILLAGE ' OWNER i t ' 7 DATE OF INSPECTION: ? FOUNDATION FRAME ' f INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING:. ROUGH FINAL "GAS: ROUGH FINAL FINAL BUILDING 1 DATE CLOSED OUT _ ASSOCIATION PLAN NO.,- l f - HOUSING 460 West Main Street Hyannis, 1,1A 02601-3698 ASSISTANCE ENERGY, & HOME REPAIR T (508.) 790-7106 F (508) 790- 'Y« CORPORAT ION 2425 HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE: 1L_r- F!L-L N—T--I-+S-FORA"f:-`-G e R THEAPPLICANT HOMEOWNER. I " ��� a:' hereby consent to and agree that weatherization work may be done by theWeatherization Program of Housing Assistance Corporation ( herein after referred as Agency") on the property to at: T he weat heri zati on work done will be based on programmatic priorities and-avaiIabiIity of funding and it may include all or some of thefollowing 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 theweatherization work to be done at my home I agreeto thefollowing: 1. 1 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 HousingAssistanceCorporation reservesthe right to inspect thefuel or utility bill for the weatherized unit on an ongoing basisfor no morethan 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: (ggnature) Date: Agent: (signature) DatE~ HAC approved Weatherization Company : �oro All Cape Energy, Caliber Building&Remodeling, (Cape Cod Insulation, pe Save, Creswell Construction, Frontier Energy Solutions, Lohr&Sons, Peter Smith, Resolution Energy, Rock Solid Construction ce 10 Park Plaza - Suite 5170 _ Boston Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC HENRY CASSIDY :: .: __ ._............ _ .. . 455 YARMOUTH RD. HYANNIS, MA 02601 --..__..._....__......-.--.-..... ......... . . Update Address and return card. Murk reason for change. L_..I Address I Renewal I..I Employment � I lust Card rrs�:,�� v :,oroi•o•i,UnGiuiziu tlr'f'icci- ui umcr r\n'airs jltus ne Kegul i[iun Liicuse or registration valid for individe! use cn! HOMEP6��` If �J"1� IIM171a�1u`aelGi licfure the expiration date. If found return to: a' { Registration: 153567 Type: Office of Consumer Affairs and Business Regulation Expiration: Ill ['ark Plaza-Suite 5170 p lion: 12/15/2012 Private Corporation Boston,MA 02116 c�A POD INSULATION, INC HENRY CASSIDY 455 YARMOUTH RD, HYANNIS,MA 0260:1 Atalid _..._.._.ith t si lure �la.».ii[ill5l'tIS-Depar'trtrcnl of Puhlir tiufch Board of Btiddin- Rcgulatiuns and lfantlartls 4onstruction Supervisor License License: CS 100988 ' fa _ HENRY CASSIDY 8 SHED ROW ;+ WEST YARMOUTH, MA 02673 Expiration: 11/11/2013 ( ,nwui. i.,,,•� Tr#: 7620 • `' .. . The COMW iolttl , :!ih of Nlassachuseiti == - Depctrtrr'lerl.t i,/ r,lcllestr'1 Accidents H. w oVice' ,; ltivestibatiorls I _ o, 600 1-1 ;,.; irr.:t;)ton Street 11A 02111 • I 1.1 It li .'::.!1.).�YOV�t�ttt . 1Vur1:�► '� cuutt,en�ation insurance Al7iti.: .i: liuil(lers/colltt•acto rs/Electricians/.Y;luu.tlicr, 11tI11i�atul LuCurrnatitrt► Please Y'rittt l...egibl)- •\.loft: (l;u�il.u:ss/Oibacli,�.ttlii)n/.CniliviClurtll: �" r — ' r 111011e$l: hr an culployerY Check tile: uppropriate box: -- - Type of project (retluirrd): I,un.h rill)IU cr with El New cOnsUtuaiun l Y _ __-_ 4. ❑ 1 am a,•,i1: ...I cunnactor trod 1 hove b. ruy,luyr.ca (full anti/i>r ptu:L-titne).a` hired Ih;• "J. ,tm[ractors listen on 7. El l�cruoile.l iu0 r- the au:h;il.•:I"Ilr<a.$ proprietor ur harcncrshii) These sin,..••uu:icrors have s• Demolition u1J have rio culployc:cS working fi)r en)ployr:•.;i;,J have workers' comp. 9. El Building udiliuuu uu:lit.uiy rapacity. [No workers' insuranr, 10. Elcctrical i-CImirs ur aJJuiuus rt,ntp iusurant:c rr.ttuirCil.J S. We arc.1,.. ;;,nation anti its El oftil:er:, .•;xcrcised their right of 1 1. . 1 17lurrl 6 repairs p ors ur additions I u.l•, ❑_._.�. l,lilt , hurlteowrrcr cluing all work exemp oi;I.,r fvIGL c. 152 §(4),and 12. hoof repairs ni;!,cli INu wurkrt:ti' comp. we have it..: „illoyees.fNo workers' t 13. triter PCII Y,�Ci zcrFrel nnur:ut c rctluuctl.I 'I' ionlp. ul.ta.;n,c required.)i ,;;•+.;t)i 51 u',u,t that illcc},1) x li'l'rtlllst also till oil the Section below slh,w:,r•;l„•n workel'S'C011lpelliatlon l)olicy lntol•rllahorl. ----- iL,;:;.,,,,hu;li v:flu subtflil this irrfiduvir ir,tlicutinb they arc doing all trv;6.n:.,.L:a hire Ou15i(le COtI[raC Wry must Jut)n'lll u now uffitluvil illlliC dUug JUCh. nu.l,t„u thin check this box must attach an adililional sheet showing it,: ,;:::.. of the sub-contractors and state whether or nut those entitles(lave..enq,lo)•res It u,:>oi:,vnua.tt n have euiplvycca, they nlus(provide their workers'conq• ;;, number. l as art employer that is providing workers'eumpensation ills,wmire for my employees.,Below is tite policy and job site utluruuttiurt. ` n in h il,ltl dll;'t'l..'uulp:uty Nilrrle: JD% " i �.. �S L) Polw, it,u ..sell-ms. l..il:. It: Q)r ( 0 7-D �__.. Expiration Date: I:,i,Sue:�tllltcss: City/State/Zip: llach it rupy ul llte Workers' comf)ensation policy declurotiun pa6,•i,i; wing the policy number and extiivatiuu hate). to secure covcrlige its reduircil under Section 25A of MGL c. 1>.',",,;L:ad to the imposition of elirnirlal pcnitlties of a fine up tv$1,5UU.Ul1 autLbl h• `T'll Illym>uutut nt, as wall as civil penalties in the form of a STOP 1t h,Ki'ORDER and a fine of up to$250.00 a Jay against the viulatur. Be.advlstJ of llua alatenhcnt ina e furwardc(l to the Office of lnvestr.;.m'.,..,d(lie DIA for insurance coveruge verification. 1 du I,ere siy c if urtcler file iris and penalties of t,,:rtnr l)that the information pruvi ed above is trtie and correct. Date: J � I'II+111Cii: --- lJilirlut use only. I)u rrut write in this anti, to be completed 111,.al•or tolpn official — — -- (.'try or Tuwtl: -- I'lrutit/License# (suing :Authority (eircll uuc): (. Huard ut'Health 2. ltuiltlinb Delmrtment 3. Clerk 4,Electrical Inspector S. 1'Ituubing laspector o.Other l'untarl l'rrsutl: , Phone#: • . .. .. �. �,. I � �. I I I IYI NO. 16 U 5 P. I Client#:4597 CCINSUL ACORD,,, CERTIFICATE OF LABILITY INSURANCE DATE(MMIDOIYYYY) - THt3 CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDERTHIS 07/02J2012 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENI],EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED IMPORTANT:If the certificate holder Is an ADDITIDNAL INSURED-the policy(ies)must be endorsed.If SUBRATION 13 D, the terms and conditions of the policy,certain IJOIICIBs Illay Ibydild an endorsement.A statement on this csrtOG WAIVE xublect to l fiCate does riot CU rlfel r1OhtS to(Ile Certificate holder in lieu Of such endorsemenl(s). PRODUCER Rogers&Gray Ins. -So.Dennis NAME: Mar aret Young — PHOHE 434 Route 134 AIc No Exl:508-760-4602 aC 7 Na: 87-816.2156 South Dennis, MA 02660-1601 E-MAIL 508 398-7980 INOURER(S)AFFORDING COVERAGE NAIC N INSURED~ -..__.. wsURIERA;Peerless Insurance 18333 Crape Cod Insulation(no NSURERB:Evanston Insurance Company 455 Yannouth Road I NSURERtlantic Charter Insurance --` Hyhnnis, MA 02601 INSURERommerce Insurance Company _34754 COVERAGES CERTIFICATE NUMBER: THIS REVISION NUMBER: RED NAME IS TO CERTIFY THAT THE POLICIES OF INtiURANCE LISTED BELOW PIAVE BEEN ISSUED TO THE INSUD 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. 11 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS sHOwN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPR OF INSURANCE ADD SUER POLICY EFF POLICY EX GENERAL LIABILITY POLICY NUn+yen MMIU002 MMjonNYYY UM1Ts A CEIP8263063 410112012 04/01/201 EACH OCCURRENCE X COMMERCIAL GENERAL LIABILITY $1 UUU OUO PCLAIMS-MADE R OCCUR R SST ,aT�nrcn $10E o MED EXP(Any One pereon) $S 0 PER80NA1.4 ADV INJURY 51 OOO GEIrL AGGREGATE LIMIT APPLIQ8 P8R: GEriERALAG0RE0ATE $2,000,000 POLICY PRO• - LOC PRODUCTS•COMPlOP AGG s2000.000 p AUTOMOe1LE uweluYY — $ 12MMBCKVMK 4/01/2012 04101/201 EOAa1B�fiDSINGLELIMIT 1 0UU UUU AIJY AUTO ALL OWNED SCHEDULED BODILY INJURY(P.,'peron) 9 _ AUTOS X AUTOS BODILY INJURY(Par au5danl) E X MIRED AUTOS X NUN-OWNED PROPERTY Op e AUTOS — s H X UMBRELLA LIAR OCCUR XONJ453512 4101/2012 04/01/201 EACH OCCURRENCE ._ EXCEgy LIA6 CLAIMS-MADE $1 000,000 AGGREGATE ol:u X RErervn $10UUOUOoN 10000 ._ JANY ORKERS COMPENSATION - $ D EMPLOYEERSW'PL,IVAgBILITY WCA00525902 6/30/2012 06/30/201 X WCSTATU• OTIi� ICERIM"M OER Ej(C�dOT&& KuTIVC YINanaatory in NH) 7 a N/A E•L•EACH ACCIOtNT 1000000 ea•deaerf0e tinder E.L DISEASE-EA E41PLOYEG s1 Ann Anil SCRIPTION OF OPERATIONS bola. ^--- E.L.DISEASE.POLICY LIM[T $1000000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(AUaoh ACORO 101,Addblonal Rd M¢rh9 schpawa,It Mona apace le re9ulrso) "Workers Comp Information"' Included Officers or Proprietors Certificate Holder is Included as an additional insured unLlor General Liability When required by written C011tract or agreement. CERTIFICATE HOLDER CANCELLATION Cape Cod lnsulation,lne SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOVICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRPSENTATIV6 198 ( ) 1 of 1 The ACORD[lame and logo err;roglslared marks of ACORD 2010 ACORD CORPORATION,All rights reserved. ACORD zy zolu/u5 #S83849/M83848 MEY Assessor's map and lot number ..: ... f... �....... r' Sevvage_?ermit number ......:................................................... ' "F�°�� - � TOWN OFBARNSTABLE r i B9BB4TADLE, i "AG` 11639. Zi H.ILDING INSPECTOR N �0 fit.^ 41. APPLICATION FOR PERMIT TO ... ..................... ....?/1!,•... ..........`d!% / ................................................. ' TYPE OF CONSTRUCTION ................. ........14' . ......................................... .................................................. ...............................................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:: Location ��..��.......•/t4`� i'' c�............�/1� �...................../�11„! 7�.. �.. :.)?..?..T . �..�: ..... • Proposed Use .............. / ca y'11 ?,_ ................................................................................................................................ ........................ Zoning District .......?............. .........................Fire District � .......• Name of Owner 4.........................................� / /s 1.1.......Address ........A Z..C.A... .................................................... �:?..Address lin..c'�� /� ��Name of Builder ...�......,...... .........,..,;..... ......................................... Nameof Architect ........... 5-�.. '�?...................................Address ......................... ...................................................... Numberof Rooms .................. .........................................Foundation ..... :................................... Exterior ............l....5.:?.X�....... •�:�. ,...... ....:.................Roofing ...........Cl n . . .............................................. Floors 1..!r./.'. C....1......................................:.........Interior >? �f e �. ,t) F� r �,� f .......................... .................................................... Heating ................:..................................................................Plumbing .................................................................................. Fireplace .. o� .......................... .. Approximate Cost p .. .. ........................................................ Definitive Plan Approved by Planning Board ---------------___-----------19--------. Area ..... . ?....fo. ................ Diagram of Lot and Building with Dimensions Fee C *......................... ' SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name f 4.. ,r ................... c�.��`"'................. Matton, Albert A=195-21 No J W..... Permit for ....... ......... single family dwellin& ........................... Location .........1.0.3..Mo.c o.-.Road ............................ . .. .... .... .. . .... West Barnstable ............................................................................... Owner ..........Alber.t..Ma.t.ton....................................... .. .... . ...... Type of Construction ..........frame am ..................... ............ ................................................................................ • Plot ............................ Lot ........................... Permit Granted` September 22...19 77 Date of Inspection .....................................19 Date Completed .......................................19 PERMIT R USED ............................................... ................ 19 ............ ..... .. ... . .. ... ...... .. ...... ...... . ........... ............................. ..... . .... . ...... ..... ............. ............................... ............................................... ............................................................................... 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