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Home My WebLink About0025 ALDEN WAY YV o A5 �f . I b p� r@ I Message _ `/ Page 1 of 1 Anderson, Robin From: Scali, Richard Sent: Tuesday, January 05, 2016 9:39 AM To: Perry, Tom; Anderson, Robin; McKean, Thomas , Cc: Lynch, Tom Subject: 25 Aldens Way Would you update me on this case. Did we already look at the barn? I remember this being on our list. Please visit this site and call the complainant to get more details and report to me yourdings. Richard V. Scali, Esq. ' � Director of Regulatory Services n - s " 200 Main St, Hyannis, MA 02601 508-862-4778 508-778 24f2 fax -----Original Message----- From: Town Main Mailbox � �� I Sent: Monday, January 04 2016 2:41 PM rY V To: Scali Richard; McKean Thomas; Perry,Tom; Buntich JoAnne ✓ � � ' ti Subject: FW: Website Contact Message In to the web. CVJ1'. U Dante From: email@town.barnstable.ma.us [mailto email@town.barnstable.ma.us] Sent: Monday, January 4, 2016 9:25 AM t, To: Town Main Mailbox Subject: Website Contact Messages Message: I am located at 25 Aldens Way inByannis. I have been at this location for five years. My property abuts a home ion Sea St. and they have an old barn that is going to fall into my yard. The barn is full of trash and more is added all the time.I have contacted you numerous times and the barn still is not taken care of. The departments. that should look into this matter are the fire dept. building dept, health dept. land lord property dept. I would like to hear back from you about this matter. Name: suzanne harro 3 P . Email: suzanne harro h a oo.com"Cli k r 1 !c to e P�y �y Phone: 508-285-5309 ,* Remote IP:50.169.210.150 1/5/2016 -.: .,,. ...t� ..� .M 4., �-_` ,__ ....:.«.r.o�� - w+.wo.ls�..-AYi�:ry'+� .�3�•ir�.��'�a��y'3'�s'.`.i�} v :.L +.'!+/.,:'v'awC�r'�`,L�r.�.-+,-t��L?`,.a.�a:.......d.it..'e-.'�',.�,L�.:��: Assessor's office (1st floor); _ � Assessor's map and lot number . U�., a eFTHETO Board of Health (3rd floor): fO�Q Sewage Permit number ........,............. Engineering Department (3rd floor): „ ao 1b}9- \0� House number .....................—...................... �...... ... . .......... �0 YaY d' Definitive Plan Approved by Planning Board ------------------------_-------19________ . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE nOUILDING INSPECTOR t.. APPLICATION FOR PERMIT TO .........Construct open porch With pressure created deck. ..... ....................................................................................... TYPE OF CONSTRUCTION ................Q.0.d.. a in..... e ............................. .. July 27 19 91 ................................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....2.5...:Aden...lane.y...Hya�??:'�_.'.a...i��a°........................Old Sund le Village................... ..... Proposed Use .....Sitting Area ................................................................................................................................................................... ........................... Zoning District .........................................................................Fire District ................ ................................... Name of Owner Grace b:irdSai:1 ........................Address ...1.5..Ma�e Ave. H.yanni 3, Ma. j Ir1c. 7 C our�c� .. Seat St. HST, !%a. Name of Builder Brailey Building- C.o. � Address ......r....:' Name of Architect Br.a 1ey huil ding CO. ..Ine-.Address ......................Same............................:..... . ............................................... Number of Rooms ................Yom.........................................Foundation ..............i�a:!.1...].i�....Y).OSt....121..O.C.�.c..«ti'.1.T3.'j,Vr?ail Exterior idone Jets 2,39 Cl A ..................................................Roofing ................................... . .. .......ass.......................... Floors Pre.y..S.u.rf....tr.e.a.t.ed.........................Interior ............... o.ne .. .. . . .. .... .... .. . .. .... HeatingIrOT]G NT011C, ......................Plumbing .................................................................................. Fireplace ............... one , . ) ................................................... App ... 6 . ............................................ iArea .................�... �- �.. +, . . ...,......... Diagram of Lot and Building with Dimensions Fee } ,� .� \ L� I Ilk I ! � Ilk \ `" try.` `� � •��-�. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town o/Barnstable regarding the above construction. ` i .7 X 011231 Construction Supervisor's License .................................... -B-IRDSA 30 ,2, a��3 A=307-253 No .3449.2 Permit for J311 ..l d..koxc.h.l.Deck .....S. ng.j.Q..Family...Dwelling.......... Location ....2.5...Alde.n...Marie.......................... ......................Hy.a rils....................................... Owner .rsGrace. Birdsall, ; ;, Type of Construction ...Esame.......................... ............................................................................... Plot ............................ Lot ................................ Permit Granted .......July 30 ..............19 91 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT COMPLETE Message Page 1 of 1 .Anderson, Robin From: Scali, Richard Sent: Tuesday, January 05, 2016 9:39 AM To: Perry, Tom; Anderson, Robin; McKean, Thomas Cc: Lynch, Tom Subject: 25 Aldens Way Would you update me on this case. Did`we already look at the barn? I remember this being on our list. Please visit this site and call the complainant to get more details and report to me your findings. R- Richard V. Scali, Esq. Director of Regulatory Services 200 Main St, Hyannis, MA 02601 508-862=4778 -" 508-778 24f2 fax -----Original Message----- From: Town Main Mailbox Sent: Monday, January 04, 2016 2:41 PM To: Scali, Richard; McKean,Thomas; Perry,Tom; Buntich, JoAnne Subject: FW: Website Contact Message In to the web. Dan From: email@town.barnstable.ma.us [ma i Ito:email@town.barnstable.ma.us] Sent: Monday, January 4, 2016 9:25 AM To: Town Main Mailbox ` Subject: Website Contact Message Message: I am located at 25 Alden's Way in Hyannis. I have been at this location for five years. My property abuts a home on Sea St. and they have an old barn that is going to fall into my yard. The barn is full of trash and more is added all the time.I have contacted you numerous times and the barn still is not taken care of. The departments. that should look into this matter are the fire dept. building dept, health dept. land lord property dept. I would like to hear back from you about this matter. Name: suzanne harrop Email: suzanne harrop(a,yahoo.com Click to reply Phone: 508-285-5309 Remote IP: 50.169.210.150 1/5/2016 - ,Assessor's office Ost`floor): r • • CF TM E TO Assessor's map:and lot number .....13. .. ....... �♦ Q Board of Health.,(3rd floor): fO� Sewage Permit 'number ........ Z IMUSTODLE. I� -Engineering Department (3rd floor) o.2S moo NAM . 1 . House number ..... .. ...... .... ........................... .... o�ara' Definitive Plan Approved by Planning Board ._ ______ ________ ____'19 ______ . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00'`2:00 P.M. only � U.1d00 W, S P T APPLICATION FOR PERMIT TO .... .:Construct..ope�l• porch With lDres.sure treated desk. TYPE OF CONSTRUCTION Woad..frame. .Ql.ass..'.A as.phault..x�s�.dfij� A.................. -. ,. .. 9 July 27.. . t 9.:..91 TO .THE INSPECTOR OF BUILDINGS: ` The undersigned hereby applies fora permit according to the following information: Location ....2 Alden: sane, Hyannis Ma. 5 Old...Sundl,le••Village..........:...................... Proposed Use .....Sitting..-Ar.ea..............: . . .. ...................................... . Zoning District. ..... .......!.......5;e............ ........ .........Fire District :... .:... .Grace Birdsall '. 15 Ma e `Ave. H mAis, Ma. Name' of Owner ............... ......... ... ................. ......... .........Address ...... ..,.....X?............. ......... ............ Name of Builder .Braley..BdngvCqLne.,.Ares4uty Seat St... , .. Name of Architect Dxalley... .....111.Q...Address ................::....5.aIC1 ..:..........................:.'....,............... Number of Rooms ..................Npn.e..........:.............................Foundation ..............S6.1-id-•pwt.-b1o•cks...W./:plynth Exterior ............:....................Non.('.....:.. .:.. :.. ..... ...Roofing .......... .. :....Je.t.s..:#. 3.9. Plass..A................... Floors ...................PZ'.4'.S5gre treated............ .........>. .Interior ..............:....NQ.11.e.............:......................................... Heating .................N.PT]:e...........................................................Plumbing .NQXI.e........................................................ p ..............Approximate Cost .:.2.,.1..1:fz:�2Q..,......... Fireplace ........::......I1Tane............ Area. .....1.0.8...S.q.....®t.........,.. Diagram'of Lot and. Building.with Dimensions Fee ............ hi` i 1 --=-_ 3 d r Cl OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of,the Town o rnstable rego ing the above construction. : NG ....../............... 011231 Construction Supervisor's License . ,jRDSAI�L, GRACE f. i�.a No 34492 Permit for ....Build Porch/Deck } Single...Family....Dwell.ing....... Location .25. Alden Lane i H annis .. .............. , Owner GracelBirdsal�lrt:za ,.. ' c, • ��_.. Type of Construction ... Frame....................... ` .. .................................-.............................. ....... �—.,� !. - 4. Plot .. ........... Lot ...... ................... 7 = Permit Gran;'d .....JulY..30.�.....:.:......1:9 91 IV ' Date of Inspection ... } : .19 is i h J� i 9 Date Completed F....... .. 1. CIA ... - `t !ham �f • - _� ..' '', - e • . � � J.frij . ••�. . �- • .may • � - { C, Efficient Buildings, LLC k October 31, 2011 Town of Barnstable Attn: Thomas Perry, CB& ' 200 Main Street - Hyannis, MA 02601 t re: 25 Alden Way, Hyannis, MA 02601 Dear Mr. Perry: This affidavit is to certify that all work completed at 25 Alden Way,.Hyannis, MA 02601, has been inspected by a certified Building Performance Institute (BPI) inspector. Work included air sealing, attic hatch insulation, installation of 572 sq. ft. of 11" cellulose to attic, and 555 sq. ft. of 4" cellulose in wood siding. All work performed meets or exceeds Federal and State requirements. Sincerely, teve C. White Owner/Managing.Member' -' - Efficient Buildings, LLC , ro t. a 8 Jan Sebastian Drive, Unit 10, Sandwich, MA 02563 Tel: 508-888-1110 Fax: 508-888-1109 , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �� Parcel Application # Health'Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address �V(D Village vtvL Owner LA-e Address E= Telephone � 2- Permit Request t2 `��+ WIPwVIR u�. C` 'a`e> Square feet: 11st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay a Project Valuation aZ Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ 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 ❑ CD vJ Commercial ❑Yes ❑ No If yes, site plan review# = 4 j Current Use Proposed Use APPLICANT INFORMATION 011 (BUILDER OR HOMEOWNER) Name ��T� � L-� Telephone Number �� " 2 Address i Z—L!eA�C=A (Kjp- License # mac., � Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO v-S�S S�40L-7 SIGNATURE DATE s S FOR OFFICIAL USE ONLY �" •:. APPLICATION# DATE ISSUED i MAP/PARCEL NO. ADDRESS VILLAGE OWNER io ` a DATE OF INSPECTION: 3 J,--FOUNDATION-.' FRAME INSULATION — FIREPLACE s ELECTRICAL: ROUGH FINAL ,.' PLUMBING: ROUGH FINAL , s GAS ROUGH �Z, E_ FINAL i _-_:FINAL B_UILDINGk£ - ,WrA,;'. DATE CLOSED OUT t ASSOCIATION PLAN NO. t s The Commonwealth of Massachusetts I I Department of Industrial Accidents Office of Investigations �- 600 Washington Street e ' Boston,MA 0211.1 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): A, `-' Address: U — City/State/Zip: oak- (T"l. 0X, Phone#: Are u an employer?Check th appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I 6. 1.❑New construction employees(full and/or p, -time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. Y ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp, insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work, right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers'comp. c. 152, §1(4), and we have no 12.❑ Ro repairs . insurance required.]t , • - . employees. [No workers' 13. Other r ' -comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: v !I Expiration Date: e Policy#or Self-ins. Lic.,#: Uy � � �T� . Job Site Address: City/State/Zip: Attach a copy of the workers' compensation p014 declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL-c..l52 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the D fo ' surance coverage verification. I do hereby certif der the pains and penalt' perjury that the information provided above i tru and correct. Si nature: Date: �" •® Phone#: G Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2..Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. .City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit'one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in , (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or,citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax# 617-727-7749 www.mass.gov/dia ,-4ia.. Massachusetts- Department of Puhlic Safety Board of Building, Regulations and Standards Construction Supervisor License License: CS 95038 Restricted to: 00 STEVEN WHITE 147 RIDGEWOOD AVENUE HYANNIS, MA 02601 Expiration: 2/28I2012 (' mmi��i mcr Tr': 19311 Dowd Loeb ad S4sdards� ' HOME WPROVEMENT CONTRACTOR .� 154359 8f2011 . Trd 280784 '-Ltd 1jobilitg Corporation CALMER MUR DW-' . UNG,LLC. STEVEN 147 RIDGE%fvOw A "',,;• „�.,,Q.�..� HYANNIS,MA 02601 `: Administrator IEdcso or :V4dMVb. 1 ase only bd we the n date. If found return to: Homd'of `Aftillablas and Standards One AsMurbit lI tweltm 091 Boston,Ma.02-14 Not'i ld'WetNeelt Signature . DATE MMJDDIYYYY ACORD CERTIFICATE OF LIABILITY INSURANCE ' 09/15/2010 PRODUCER 508.945.0393 FAX S08.94S.4048 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Eldredge & Lumpki n Ins. Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 697 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Chatham, MA 02633 INSURERS AFFORDING COVERAGE NAIC# iNsuRED Caliber Building and Remodeling LLC INSURER A. National Grange Mutual Ins Co 14788 i INSURER B: Commerce Group CIG001 147 Ridgewood Ave INSURERC: Granite State Ins. Co.-ARWC 13102 Hyannis, MA 02601 INSURER o: INSURER E: - ---- I COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING i 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 i POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN R DD'LL,� --�--- --------- P---ACTIVE POLICY EX TI - LTR NSRO TYPE OF INSURANCE POLICY NUMBER 'DATE M DATE.(YMIDI) LIMITS GENERAL LIABILITY MP027360 09/15/2010 09/15,2011 I EACH OCCURRENCE _ S 11000,00 COMMERCIAL GENERAL LIABILITY r_PREMISES.(Ea oaaarenw) S S00 00 - � CLAIMS MADE FX I OCCUR MED EXP(My one Person) $ 10,0001 A I ~ PERSONAL&ADV INJURY Z 1,000,000 GENERACAGGREGATE i $ 2 00 0r 000 r ? GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMPJOP AGO $ 2,000,000 I POLICY JECOT- !7 LOC - - AUTOMOBILE LIABILITY BBNVCS 02/16/2010 02/16/2011 1COMBINED SINGLE LIMIT ANY AUTO - (Ee•ecadw) - $ 1,OOO,00 f ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS ' (Per person) $ I HIRED AUTOS - - s i'BODILY INJURY $ NON-OWNED AUTOS ;(Per aaadent) i -- —� PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT $ " ANY AUTO OTHER THAN`' EA ACC $ AUTO ONLY: AGG $ ^" FJ(CESS I UMBRELLA LIABILITY - EACH OCCURRENCE $ L_J OCCUR CLAIMS MADE _ .. '- - - AGGREGATE j 1 DEDUCTIBLE $ �J RETENTION $ $— WORKERS COMPENSATION YIN WC742540S 03/02/2010 03/02/2011 TORYIAI1-T ER •' AND EMPLOYERS'UA80.fTY ANY PROPRIETORJPARTNERIFXECUTNE❑ E.L.EACH ACCIDENT S S00,000 LIM C OFFICER/MEMBER EXCLUDED? - ------ _ (Mandatory in NH) E.L.DISEASE-.EA EMPLOYEE S S00,OO If es,describe order - y _... SPECIAL PROVISIONS below t E.L.DISEASE-POLICY LIMIT S SOQ 100 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS - - Carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED B/EFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL n /0 DAYS WRITTEN NOTICE TO THE CERTIFICATE!OLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL Town Of Barnstable IMPOSE NO OBLIGATION OR L.IABIUITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Attention: Building Department REPRESENTATIVES. 200 Main Street FAlan.-.R,,. HORIZED REPRESENTATIVE Hy nnis, MA 02601 Lon Presiden ACORD 25(2009101) ®1988-2009 ACORD CORPO ION. All rights reserved. The ACORD name and logo are registered marks of ACORD. FROM :NORTON WATER/SEWER DEPARTMENT FAX NO. :508-285-0298 Dec. 01 2010 08:52AM P1 I, Sar60rrd ,as owner(s)of the subject property at: A- "01) L4 hereby authorize Steve White of Caliber Building And.Remodeling,LLC (contractor)to act on my behalf in all matters relative to the building permit application, r d signature of owner date SVIM of owner date