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0031 ARBOR WAY
3 � A-Y loa r � --. Cke . Town of Barnstable Permit# Expires 6 moWhs froirr issue date Regulatory Services Fee BARNsMIM r$ RAM ,0� Richard V.Scali,Director �- A d Building Division0 . Tom Perry,CBO,Building CommissiA690) J 200 Main Street,Hyannis,MA 02601 `P/� �;. www.town.bamstable.ma.us Office: 508-862-4038 ®' ' �ax�508-790-6230 EXPRESS PERMT APPLICATION - RESIDENTIAL ONLV;/, pq Not Valid without Red X Press Lupriut Map/parcel Number 0 I — Q y Property Address 3 f- [Y R sidential Value of Work$ j I }o)77 — Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Ctdt%re- -t"IMe S Contractor's Name jlJv,,j ( //tsp/ Telephone Number(1{0!, R�O CL— Horne Improvement Contractor License#(if applicable) 4 73 2 L/S Email. Constriction Supervisor's License#(if applicable) 06 7 O 7 031workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ Lorm the Homeowner I have Worker's Compensation Insurance Insurance Company Name (20.0 f`� l Al�1e,-A 1/I S �fZ Workman's Comp.Policy# W6 3/-562Q9 ) Copy of Insurance Compliance Certificate must accompany each permit_ 4 Permit Request(check box) ` ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) [gl❑ Ride . eplacement Windows/doors/sliders.U-Value . 3 Q (maximum.32)#of windows 3 #of doors: ❑ Smoke/Carbon.Monoxide detectors 4 floor plans marked with red S and'inspections required. Separate Electrical&Fire Permits required. ;Where required: Issuance of this permit does not exempt compliance%xith other town department regulations,i.e.Historic,Conservation,etc_ ***Note: Tropqrty Oner must sign Property Owner Letter of Permission. A copy cAthe Home Improvement Contractors License&Construction Supervisors License is require o SIGNATURE: C:\Users\DecollikVlppData\Local\Microsoft\Windotvs\1'emporary Internet Files\Content.Outlook\2PIOIDHR\EXPRESS.doe Revised 040215 t , ,,. Renewal Agreement Document and Payment`Terms byAndersen. dba:Renewal By Andersen of Southern New England Claire Ames Legal Name:Southern New England Windows,LLC 31 Arbor Way �PLACEME.1 RI #36079, MA#173245,CT#0634555, Lead(Firm#1237 Hyannis,MA 02601 wixoow RE26 Albion Rd I Lincoln,RI 02865 H:(508)775-2050 Phone:866-563-2235 1 Fax:401-633-6602 1 sales®renewalsne.com Buyer(s)Name: Claire Ames Contract Date: 05/01/17 Buyer(s)Street Address: 31 Arbor Way, Hyannis, MA 02601 Primary Telephone Number: (508)775-2050 Secondary Telephone Number: Primary Email: Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: $11,977 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $4,201 Balance Due: $7,776 Estimated Start: Estimated Completion: Amount Financed: $7,77C 8-10 Weeks 8-10 Weeks Method of Payment: Cash/Check We schedule installations based on the date of the signed contract and secondarily on Financing the date in which we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later date. Rain and extreme weather are the most common causes for delay. Notes: 1/3 Dep paid by Ck. 2/3 Paid at install by Grnsky. Taxes pd. in Barnstable. Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s) and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 05/04/2017 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Southern New England Windows,LLC dba:Renewal B Andersen ofSoudhern New England Buyer(s) Signature of Sales Person Signature Signature Nino Giamei, Project Manager Claire'Ames Print Name of Sales Person Print Name Print Name UPDATED: 05/01/17 Page 2 / 11 f Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-095707 5s' BRIAN D DENNISON 7 LAMBS POND CIRCLE CHARLTON MA 01507 7 =. Expiration: Commissioner o910812018 ( < r';>yr r L- 1 i ,f _y7. Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite D17L� X . Boston,Massachusetts 0,2116 Home Improvers*'(;ontractor Re.z-=;stradon Registration: 173245 -_ - --- - - Type: Supplement Cab - =- E piration: 9/19/2018 SOUTHERN NEW ENGL4ND WINDC S'EL•= BRIAN DENNISON ---- 26 ALBION RD LINCOLN,RI 92865 _= •Undone.iddrem aad return card.ZVI:arIc reason for change. address i_Renewal Employment _Lost Card Ifim of fnosomer Ubirs 5 8osiaess Reg+tadon •Regisuatiou valid for individual use only before the . �ecpiratioo date.:If found return to' _ EUIOME IMPROVEMENT CONTRACTORt .O�rn of ronsomer.Affain and 8asintss Regalatioe Regusuatlon::ji:73R45;; Type: 10 ParI:PL7z±t-suite 5I70 E_-piratlon gry9/P 4 Suppt.,on a Card Buutoo.NLA 92116 SOUTHERN NE'N ENIS D, INDOWS LLC. RENEVVAL BY ANDERSON' BRIAN DENNISON 26 ALBIONRD .. � f� .;a�-• --- UNCOLN.RI 02865 ilndersecrencv Not valid without signature _ 3 The Commonwealth of Massachusetts Department oflndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia «'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers- TO BE FLLED WITH THE PERMITTING AUTHORITY. Applicant Information o ( Please Print Letribly Name (Business/Organization/Individual): Address: C�& 7�1bw►n City/State/Zip: L;/7c //) I 02 Phone#: 40) Z 9 g C>p Are you an employer?Check the appropriate box: Type of project(required): l.Iaam a employer with )-0 employees(full and/or part-time).* 7. New construction 2. I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 3.F�I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Q Building addition - ensure that all contractors either have workers'compensation insurance or are sole I I.❑Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑RoOf repairs These sub-contractors have employees and have workers'comp.insurance.= (� 1 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other&J In �,.� L�jo o r 152,§1(4),and we have no employees.[No workers'comp.insurance required.] ('& f ",e. .� S *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. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. / Insurance Company Name: We to ar In 5• Co Policy#or Self-ins.Lic.#: W C /i _313 60 Expiration Date:ff '�— / /7 Job Site Address: t�r JA V City/State/Zip: N i S Attach a copy of the workers' compensation 6olicy declaration page(showing the policy nuE6ber and expi ation date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under thep r s andpenalties ofperjury that the information provided above is true and correct. r Si ature: Date: Phone#: 0401 L 2 $ — `1 R 0 O 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#: SOUTNEW-01 MOLLINGER CERTIFICATE OF LIABILITY INSURANCE DAT 6t29122912I]IYYY1� 016 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 WANED,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 CONTACT NAME: Cosiz Insurance,Inc.-CO �N E,t (303)988-0446 a No:(�)988; 821 17th St Denver,CO 80202 �•CoBiziMumnce@_cobizinsurance.com INSURER( AFFORDING COVERAGE NAIL S INSURER A:Continental Western Insurance Company j10804 INSURED INSURER B: Southern New England Windows LLC INSURER C: DIBIA Renewal by Andersen 26 Albion Road >NsuRERD Lincoln,R102866 INSURER_E: ' i 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 ABOVEFOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, T'ERfiA 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 SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES: iMITS SHOWN MAY HAVE BEEN REDUCED-BY PAID CLAIMS. LTR TYPE OF INSURANCE INSD MLISWVD POLICY NUMBER ! LICY EFF POLICY—On EXP t IIlAiS A X COMMERCIAL GENERAL LIABILITY I I f EACH OCCURRENCE S 1,000,00 j CLAIMS MADEFRI OCCUR CPA3136080 i 07/0112016 107/01/2017 j UAmAGE TOPREMISES Ea oe�mer�e I S 100, MED EXP(Any M*person) S 10,00 i PERSONAL&ADV INJURY S 1,000,00 li�J'LAGGREGATEUMITAPPUESPER: 00 GENERAL AGGREGATE i 5 2,000,0 PRO- LOC ! I ( PRODUCTS-COMP/OP AGG S 2,000,0 00 i X I POLICY JECT EMPLOYEE BENEFI !S 7,WO,000 +�--�'OTHER I COMBINED SINGLE LIMIT i 3 1,000,00 AUTOMOEW E-UABRIW i i ' - I E q ANY AUTO ( i !CPA3136080 ` 07/0112016 07/01/2017_ eogl�Y i (�ruuRr °n)...;.5... ALL OWNED SCHEDUU� i !BODILY INJURY(Per acada�) S _AUTOS �---JAUTOS NON-OWNED I j f PROPERTY DAMAGE ;5 HIRED AUTOS AUTOS Per acddeld I I i 5 X UMBRELLA LJAB '.X OCCUR 5,000;O0O EACH OCCURRENCE I S A EXCESS UAB CLAIMS MADE1 CPA3136080 07/01/2016 i 07/01/2017 AGGREGATE ($ i Aggregate I s 5;000; DED X RETENTION 5 0 H- WORIIE DCOMPENSATION ! ! STATUTE ER AND EMPLOYERS'LIABILITY YIN I ( I 1 000 A ANY PROPRIETOR/PARTNERIE)CECUTNE ❑ �CA3136081 i 07►0112016 07/01/2017 EL EACH ACCIDENT S ' ' OFFICERIMBARER EXCLUDED? N/A I 1,000,000 { I EL DISEASE-EA EMPLOYE $ (Mandef ly in NH) I 1,000,00 d EL DISEASE-POLICY LIMIT 5IDfSCRPcN OF OPERATIONS below I ; I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddRIOnal Remarks Schedule,may be atfeclled fr mam sWca le regulBd) i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS- AUTH MW REPRESENTATIVE _- ©1..S88-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD CAPE COD TO 0 INSULATION 2013J UN 13 P iQ Q ' FIBERGLASS SLAMUESS SPRAT FOAM SUSPENDED - RATTf GDITRRE INSULATION CEILINGS _ 1-800-696-6611 QItj } Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: 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 e/j i r2 e, -fm es Insulation Installed:, Fiberglass Cellul6se R-Value Restricted Unrestricted Ceilings ( ) ( ) ( ) ( ) ( ) Slopes ( ) ( t ( ) ( ) ( ) Floors Walls ( ) ( ) ( ) ( ) ( ) (VOr k' l��'r IC'o r, 1ed y Sincerely H ry E ssration, sidentpe C Insc. L CAPE COD Ton.oF BAR NSTAE [E INSULATION FIRER GLASS SEAMLESS SPRATFOAM SUSPENDED RATTS GUTTERS INSULATION CEILINGS 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: 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 Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) � ) (3e� ) ( ) (,K) 1 Slopes ( ) ( ) ( ) ( ) ( ) F44pr-&, secs (k) (�Q) ( ) ( ) (X) E ftAn&n,,r Walls (DC ) ( ) ( ! 3 ) ( ) (X) 0 0 1�`pt wry Sincerely hCod Jr, President on, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ' Parcel V Application 6 Health Division Date Issued l Conservation Division Application #1__!::1 Planning Dept. Permit Fee 39 Date Definitive Plan Approved by Planning Board 0-?0—/3 Historic - OKH _ Preservation / Hyannis Project Street Ad;dress Oil w AA im�,g� Aw �ier� Address Telephone 7 � Permit Request `sMAVL U*4`tl Cup--wGe w ; < P!' Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type �`�Ll(G✓TU "`� 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,�•_Q Y s4 ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other o00 Basement Finished Area (sq.ft.) Basement Unfinished Area (scr,:5) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new :t Total Room Count (not including bath:,): existing new First Floor Rool Count W rn Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: 0 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 ❑q o If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION - - - _ - - - (BUILDER OR HOMEOWNER) - - -- Name `��G{�1� "' Telephone Number -1754Tf"► Address f 0kepioL- 6pd& License # -to � ��`� Home Improvement Contractor# 1,5i 5b-7 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL 4E TAKEN TO 1.7 SIGNATURE DATE /6 r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED P MAP/PARCEL NO. r ADDRESS VILLAGE OWNER � r Ri DATE OF INSPECTION: FOUNDATION FRAME t INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL { PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 1 OWNER AUTHORIZATION FORM xy el,4 (Owner's Name) owner of the property located at (Property Address) (Property Address) C cod nEcjhereby authorize GZ � T (041-0 ki (Subcontr tor) an authorized subcontractor for:RISE Engineering, to act on my behalf to obtain a.building permit and to perform work on my property. Owner's Signature �/M Date. -- — C � IV/ Erg, Massachusetts - Department of Public SafetN Boarif of Buil'din�,, Regulations and Standards. Gonstrttiction Supervisor License s �• - Licen y, CS 100988 HENRY CASSIDY 8 SHED ROW WESLT 'JARMOUTH, MA 02673 r Expiration: 11/11/2013 (luuuiissiuuer Tn4: 7620 `�_ U`7 e (pQ�Y�nz•a�2�c�ecrrl/��t/ � ���C��J la%C�?�Ll����� - Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 s Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15l2b14 Tr# 233831 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE - ----- - ----SO. YARMOUTH,YARMOUTH, MA 02664 -------- - --- . . ........ Update Address and return card. Mark reason for change. SCA t 20M-bs,1 l Address Renewal [] Employment (_I Lost Card �� �, ���Cs (('0.7/L'I/L(+4G((CC7(CIC P`�i l�7JJpClCCLJC'-� • : \_Office of Consumer Affairs& Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 153567 Type: Office of Consumer Affairs and Business Regulation xpiration: 1211`512014 Private Corporation 10 Park Plaza-,Suite 5170 Boston,MA 02116 CAPE COD INSULATION INC r HENRY CASSIDY 18 REARDON CIRCLE. SO.YARMOUTH,MA 02664 Undersecretary ort val' witho t X,at re The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 �i Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/Individual): Qi1&74 Ixdml Address: ILI &Vdoou `iir(it City/State/Zip: 1005A I NV l/Iti MA' Phone #: y✓O0- jj ' - IZ Are you an employer? Check t e appropriate box: Type of project(required): l. 1 am a employer with M 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp.insurance. 9. ❑ Building addition required.] 5. ❑ We are a corporation and its .10.❑ .Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their. 1.1.❑ Plumbing repairs or additions self. o workers comp. m ' right of exemption MGL y P per 12.0 Roof re s insurance required.] t c. 152, §1(4), and we have no 1119 t� employees. [No workers' 13. Other 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 state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ktohC, Policy#or Self-ins. Lic. #:, WGA ooz52� 01 Expiration Date: Job Site Address: MW (YAW City/State/Zip: "41444,(tl Attach a copy of the workers' compen ation policy declaration page(showing the policy number Ind expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of -. Investigations of the DIA for insurance coverage verification. I do hereby ce `,der the ains nd eenalties o_f Eed!r that the.in ormation provided above is true and correct. Signature: Date Phone#: ' 7,1 1 L" Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. (Other Contact Person: Phone#: GlIent#: 4597 o ACORD,,. NSUL CERTIFICATE OF LABILITY INSURA WNCE UAI1:(KINIfflt)1yIjIl THIS U If i(I-IFICAII-(:IS ISSUED AS A MATTER OF INFORNIKIIC-)-N--L*�--N-L"Y—AND-----'--- 0710,212012 CONFERS NO RIGHTS UPON CERTIFICATE�HOLDCjz 114is CERTIFICATE DOES 1\101'AFFIRMATIVELY QR NEGATIVELY Alft.1,10,EXTEND OR ALTER THE COVC-RAG4 AFFORDED UY THE POLICIES LJL'L()VVI 1-115 CERI-IFICATO OF INSURANCE DOES NOTCONS I I I LI fF.A GONT"CTMIWEEN THE 1,9y1.11NG INSLJRI-_`R($),AW 111W14W REP RE,5E.-NTA*I'I VE 011 PI-i0r)LICIER, ANO THE CERTIFICATE 11()LLQ . Ih'.PORTANT If tic ICI III'd tnlLl(;Q6IdI(IQ1I3 0(thc pollcy,Calialli poildsti �l aa�__ IQ rorl f1catu �ifl;�b�IT15NAL INSU 7 t(j endorsed.fFudR J ------ Way (;I 111m. -so. FNLAIME7 MalkLiLifet YUUIILI PHONE 4J4 I J�j ur No E,I:508-760-46u? Ax - F 6,ML 13 -1-3 16-2 W MA U21JU0 .1601 CUVENAGe, -------------- Pee1`105,5 InSUrance '16333 (".ape Cod (riSUl'AtIL)IJ 1110 INSUREPO:EVZ1114011 111SUranco Coll 'Yomlouih ku"I,j MA 0260-1 .......... (:Liml`JCATL NUM-BER; kr-VISION NUivaic.it fiil!; IS It) (A-10,11.), 111A V 1HE 1400(>..�) OF 11,5*Wf) 0cf,AV I IAVE BEEN i(SSOEQ TO I HE INSURED NANJED ABOVE FOR R IL POLICY-1.1-t-11,60 NUP011 I H81'AND ING ANY N�QUIRENIENT, TERM OR C. . 611 IVION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPI7CI TO wjN(,.II INS JOIHGAIL. MAY 13L 182UED OR MAY F)C-RTAIN, THE INSURANCif /t" t!:)ROEO BY TH POLICIES DESCRIBED HEREIN IS SU0.1ECr TO ALL 111F. 11i W . -'XGURSIONS ANO CONOI FIONS OF SUCH POLICIES. LIMITS SHOWN jgky fj,w fla' N RCOUGED BY PAID CLAWS. 1yf'K(IF IN9WHANCE &001 WQR _1Cv�Zs_l 146DEYEFF WOL ��LNLKAL.UAW— C61P8263063 4101/20,12 04411201;1 eActi 000 000 (:QNIW-RCAL CA-W.FIAL LIABILITY _119L OCCUR _kl_fL)If)�V(Ally 11.1.1 P.Noj) AUV INJURY b'I 000 000 0ENERAL ALi(114Q(LIA,I 2 )Q A IllJll I'L OC At1T,:jMt)ktjj.[4 IJA81L4 JY 1V 4 1^Q I kj '12MMfiCKVm_K 04011/29 1,'- Al I OWWO x AU Rj, X NON-OWNED AU J-05 20- 2 4)U'1/9)012 114-11111A LlAb OCCUR ------ XONJ453512 44!01i20,1� 04)01/201 1 000 OQU gt E.h�...LIA Li CLAIMS-MAQL C 1.:()NNIJ�Ntjj�j JUN )3U/2012 06 Alif) I.IABILI ry VVGADU525Ju�, '130J,30,1 YIN 3613U/2012 013130J20111 x ANY I , IV�Vklevl*lv .— I 1oH:1CLJ1/N141 JZLNO� I) [N NNI NIA C,L.EA00 AC0101mri 0 LI if C.L.WSF_AszG 1:4k Ctoill-nYCL ()(lQ TtON OF QP C1,DWCAS12-Pim1c_L1-_1'6!vr U[JIA11110N 01,OVER 1I ION'S1 L CC A PIONS I VLIAICLI=S(Attach ACORL)101,AdJ111.,1 tjph@awjy;,11 Qfticeh 01' Prciprilatoi-5 C010ticair I-Ioldul is till add.itional insultId U WIIII 6.unaial LiaDjlity whon ro(11.11rod by written or agreement, CANCELLATION cq)u cud hwulatioll'Ific SHOULD ANYOF THE ASOV6 0E-$CRIfibQ f1OL.JCJIii WE THE EXPIRATION DATE THEREOF, NOTICE WILL BE 0F.11VEkEll IN ACCORDANCE WITH THE POLICY PROVIaIDN'j. —----------- 1941, _,201OACORD CORPORA110N.All rtylib iv9viyvt( (.vlu/uS) I 'I The ACORU twolo and logo arts ragkaorod marks MACORD if5UU40IM838,jtj Wy TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel -l�l� Application # 7 7Q0 Health Division Date Issued t Z l Conservation Division w Application Fee Planning Dept. Permit Fee3S= Date Definitive Plan Approved by Planning Board lop /2-It-tZ Historic - OKH _ Preservation / Hyannis Project Street Address O Village Owner f& Address G ' _ Telephone Permit Request lov 5ex. "l 7 have c a Square feet: 1 st floor: existing proposed 2nd floor: existing prop sed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ 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 6omnt Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other entral Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/codstove: des Flo `Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new si Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ NJ r� Commercial ❑Yes U�Ko If yes, site plan review# Current Use Proposed.Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Nam GJ ��!%G��Sv� �od� Telephone Number Address�� ;�4," License #�/l� � L 1 Home Improvement Contractor#/&-3 152 7 Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ,S MAP/PARCEL NO. F ADDRESS VILLAGE _ , f i OWNER S DATE OF INSPECTION: ' i FOUNDATION FRAME INSULATION FIREPLACE f ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts PnntF.orm -; Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia , Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/Individual): e. Vtc7U la h dptl Address:10 &vdat 04rde) City/State/Zip: V 1M A' Phone #: yJO�- Are you an employer? Check t e appropriate box: Type of project(required): 1. I am a employer with 2O 4. ❑ I am a general contractor and I 6. New construction ❑ employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. o workers' com right of exemption per MGL Y h`l P• 12.❑ Roof repIa�s ,�nl,. ��i insurance required.] t c. 152, §1(4), and we have no 13. Other W e���IN employees. [No workers' hov 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. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. CAVV-kvInsurance Company Name: 6d �L lw%Vao ("�& ���� qq � r Policy#or Self-ins. Lic.#: WGA�o 2�j of Expiration Date: Job Site Address: I v17/ lA�Y4 City/State/Zip: Attach a copy of the workers' compensa on policy declaration page(showing the policy numb r and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cer '�n er the ains d enalties o eedM that the information provided above is true and correct. Si nature: Date / Phone#: ' Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Massachusetts- Department of Public Safet% Board'-of Builiiing Regulations and Standards; ,. Qonstruption Supervisor License License: CS 100988 s 4N HENRY CASSIDY _ 8 SHED ROW p'- WEST,1ARMOUTH, MA 02673 Expiration: 1 1 11 1/201 3 Conunissiuner Trt#: 7620 — Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170. Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 = i Type: Private Corporation Expiration: 12/15/2"b14 Tr/# 233831 CAPE COD INSULATION, INC HENRY CASSIDY -- 18 R EAR DO N CIRCLE — ------- --- ---- SO. YARMOUTH, MA 02664 ; ' — ------ -- -------- Update Address and return card.Mark reason for change. SCA 1 Co 20M-05l11 Address Renewal Employment Lost Card 6��Ln�anznzo�zrcealCL o��/1i'.aaanr�uacld`� Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 153567 Type: Office of Consumer Affairs and Business Regulation xpiration:, .12 T8/2014 Private Corporation 10 Park Plaza-..Suite 5170 Boston,MA 02116 CAPE COD INSULATION,,YINC,,:--_. ;. HENRY CASSIDY 18 REARDON CIRCLE SO.YARMOUTH,MA 02664 Undersecretary of val witho t nat re No. I b U') f' I Cllent#:4507 CCINSUI lCORC?I., CERTIFICATE OF LABILITY INSURANCE [OA0T7tIMMIBI„Y;Y�' - TH18 CER rlhlCgl E IS ISSLIEI]AS A MATTER QF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLD.11, IUS2 CERTIFICATE C1OES NOT AFFIRMATIVELY OR NEGATIVELY ANIkND,EXTEND OR ALTER THE COVERACE AFFORDED I3Y TIIE POLICIES 13LLOW,THIS CERTIFICATE OF INSURANCE DOES NOT CONS I f1 U'rE A CONTRACT BEI WEEN THE R3!5UiNG INSURE'R(S),AU-I'FIQRILLD REPr<E$L:NTATIVE OR FIRODUCER, AND THE CERTIFICATE IIOLptR, IMPORTANT:If tho certlflcate hDldar ie an AIDOITIONAL INSURL"O,Ihr puhcy(ies}must pe endorsed.IF SULTRGGATION IS Ir11A1VEll1 sup(ularo tnc IcI nIs and condlllons of the policy,cnr2aln pullcles nlay ru;l lil an endornamanl.A etatamerll tin this callifiGtrlp nut c(Inl'Cr n0lrly k the curull �1a nl)Id�r in Iicu CIf such nndur9emanl(s}. i'i(IIUUt:Lit —. L u0er &Gray Ins. -So. Utlruits NAME:_-Margaret Youn41 434 KULIte 1A INCPHON _.-- (NC No Exll 509-7tlO••rt602 E-MAIL -- A1C Nrq:.......��.U.I.GiI�O _.. :Tooth tlunnla, MA 02GGU-11i0'I ...._�.�,_ bob 3`J11-79t10 INt1UN�f{IC)AFFGRI)INUCUVLNA4l NAI N ___ IWDRERA I Peel'1055 Insurances .- 'It1333 IrWuicc.o Cape Cod (nsulatlon (no INSURERo:EVanslon Insuranca Company 455 Yarmoull, Rua(1 NsuRkRc:Atlantic Chimer Insurance I1yruIlliti, MA 0260 l INiUReRpw Commerce Insurance COmpany 3475'1 INSURER F.: ................ ___. CirUt:lcat;l _ CERTIFICATL NUMBER: --. ._. R-VISION NUMGiEri: Tlil;! I i'c) Ct:R1lF1' T'rIA'r' '(FIE. 1POL.ICIkS OI' INtiURANCE LI$'r�f_I UU..i1'Y IfAVEBEENISSUED TO*1HE INSURED NAMED ABOVE FOR THk POLICYPERIOD IND'ICAIL-.U. I101WnrIS1"ANUING ANY RtQuIREMENT, 1TI�NI OR COrII nlOPIOF ANY CONTRACT OTHER OgCUh1ENT Wl-fl-I ItESPECI' TO Wt.IICI-I thus 1,R'IIFK;ATL. MAY BL.. ISSUED OR MAY PERTAIN, THE INSURANCIf BY THE POLICIES DESCRIBED HEREIN IS SULI,IEC'r r0 AL.I.- THE TEKN15, i-XCLUSION5 AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN hv"y I'lWr QEEN REDUCED BY PAID CLAIMS. ---- IY—rr'OF IN9UNANGE ADDL SUER ppLICY EFF POLICY EI(P --'-----^----•----- _ F•oLlcv nu vG_�ry (MM/DpM'YYI (MM1001Y1'YYj LIMIT& A 4tiv�Ra�LIAa1L17'Y CBR821i30P T ------ - AIU112U12 04/0'11201', eAcrloccURRENCE — $1,000000 _X Oi1MhlFtyt lAL GLNrRAI LIABILITY i ReNTcn � GP�klls � „eat oL r,1ou CLAIMti-MADE t_�I occult NIEv exr (Ally onW puroon) S,000-001)-- — —-- ..------------..__.—.—.— PER$QNAI.&AUV INJURY _ b't 000 000 GENERALA(1lidtl3A74 $2,000,000 (,�Nl AGGNE(ta.Tk LIMIT'APPLIGLI PERI'L)k ICY - I- PRODUCTS•GOMPICIP AGG s 2 O, uo,00t).--_ u Aun,mOr,1Lk LIAk11LIhY 12MM6CKVmK 4I0112012 041011201 cariDuv[D sTNG�LTihur- --- vt arUl lrnl] _ ILUOOsOOO--— r) EaBODILY INJUFn'(P., AL.LUWNFO SCHF.DULCD AUTO) X AUTOS BODILY INJURY(flue—iuwa) 8 X ,HEO AUTO5 X NON-OWNED UTD9 PROPEPROPERTYOANIA CIE' A H }( UMBRELLA LIAR gccur —_-_---___—._____ tKCk .._._.—__.._.—._._..-_ -- __ XONJ453512 4101001.2 041011201' GACFI OCCURRENCIS — 0 000 Q00 CLAIMS-M lti LIAtl I�_—L_--_..--_ _.__.—_..._.._..._._ ADE AGOREGATE yl CIQU UGU.-- X RrIrNIIoN 10000 '''—"L - C WORhtRAI:(ININENHAIION -- ANDEMHLOYEWIS'LIADILIrY - )NGA00525901 Ii13U12U12 UG130/2U1 WGSlr11'L1 I 1O1H� - - AN v I�POPP 1',�R�NA�� r,� /9"4-"QU'r1v9 Y/N IVICSIvrvi�m Ert LYc; L),- h L� N 1 A G,L,CA011 ACCIOr:NI' 1 U00 UUQ (hlonU-W,y iu Ne1J �-"-L':--'L------- it Y.n.Unnenuu w)'10' E.L.DISGA,L..TEA Uk SCNIPTION CIYIPLOYC6 1000 (1) OP[v°TIONS lcluw $ U C.L.CQC-ASE-POLICY LIMIT 11 000 UUO i I I 001:11II'I ION OF OPERA'IIONS I LOCA PIONS I VC-HICLES(AUaah ACORn 101,Adduim„I nonmits tiPh@aul@,11 IAPN @pgP010 ftl(lUh@U) - Workers Corny Inforrnadorl ^ InI,ItlLip(1 Qrticer6 QI"hroprlet01.5 Cartlrlcate Iluldar id tnuluded rIs do additional insurod unLlur i;unural Li&lity wholl ro(lulred by written Contract or agreement. _----___-____.__.____ 'F.R1lFICATE HOL LIER. -- --_ CANCELLATION Capp Cod Imiulatioll,lnc SHOULD ANY OF THE ABOVE DESCRIBED POLIC:IIE$WE(;ANGkI.LI;D O1 FQRL THE EXPIRATION DATE THEREOF, NOTICE WILL bE UELIVEkeo m ACCORDANCE WITH THE POLICY PROVIWON3. AU INDRIZED REPRHSEN I ATIVE (�19B -2010 ACORD CORPORATION,All 091)1 J 1 P:Ivi ml. MCuI<i,za po lulVS) 1 of'I rile ACORD name and logo art roUlstgrud minks of ACORD N U3IJ40/M8384U MEY OWNER AUTHORIZATION FORM 1,4 i E - (Owner's Name) owner of the property located at I AI-4 y (Property Address) ZVA-- �;g (Property Address) Gti oi'lS'U (04 hereb authorize � � 1 � Y (Subcontr tor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owners Signature Date REG .�s Gig Assessor's"offioe (1st floor): �-, O`1NETo Assessor's map and lot number .... ...? .. ........ �{zry Board of Health (3rd floor): Sewage• Permit number ....... .U._... .... ..t'{ '•••••• Z 11A2d9TADLL, S Engineering Department (3rd floor): 'oo 26 9, \ei' House number ..... ....... .:........................ d......................... "� a C YPY APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00-,P.M. only TOWN ',OF BARNSTABLE - BUILDING INSPECTOR . APPLICATION FOR PERMIT TO 0. .... ?..+..,X... .� `.... C�® M........ TYPE OF CONSTRUCTION ....C...,..O.c—cL-... ' . ........................................................................... .......... TO THE INSPECTOR OF BUILDINGS:. The undersigned hereby applies for a permit according to the following information: Location ..31......A.�7.�..�.C�....1����.�................. .. .. ��.E�Yti.1.�..................................................................................... ProposedUse ............ .... I........ P. .. ......(...............,............Ctf.V.!/.�..a...��.....�.�Q......................................I......................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Ownerma .... .� `?.......t''L.m:Q.C-+'..............Address ......1&).(I.`.A.....O.tAa.ON�4 ...met, Name of Builder-�T -vf: t`l . �:!�.L'CO.�.�.1.................Address ��.. ......... ..�.V.\...,,,'ST.....�,�..:�.-...�i��............. oName of Architect ......................N.t..AE...........................Address .................................................................................... Number of Rooms A.......:Coo.!^..'\.....�`���.Y1 S.�.G1�.........Foundation y�.V.�8..�`......Cnn..c.ce..-6........................... Exterior v.l!^ �..........� !. .�. .�...................................Roofing ....Q�. k.V,.....d �!l.�V�/ ......................... Floors ...... ...........................................................Interior .......CQ .�CaCC..-.......................................... Heating ...................Plumbing .................N.. ..:...................................................... Fireplace .......................... / ..r..l.:•f.e.......................................Approximate Cost ........I.. .d.�� o...QU Definitive Plan Approved by Planning Boar ________________________________19________ . Area ............ ................................... Diagram of Lot and Building with Dimensions Fee '............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I herby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .� f,���. ........T 1_ (04.X-D .! ........................ Construction' Supervisor's License ......... L AMES , MR. & MRS . I 1 A=289-048 ADD TO 33703 DWELLING` No ................. Permit for .....................�............. Single Family Dweloling ................................................ ......................... Location 31 Arb r W ............................... Hyannis Owner ....Mr. & Mrs . Ames ............................................................. Type of Construction Wood Frame ............................................................................... Plot ............................ Lot ................................ Permit Granted .Ag r,i....2 7..................19 90 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT COMPLETED 1/1/ 9 r ' - i i i t ti :• �. S- 1 AILS • I. I yt S � .. i ' SCALE': da A eY DRAIMr dr c �.� i ,^,• - _'+ Q�tE:• �rOti�} JIEsYiKo ? t woo095TR .__._.w..a-._.._...4."_.t_�tL�t�JG .. ., .. J ....• �. �.- _.w_._ .. .,_ ...._.....�-. _.._ .�.....El..,,.�•...a..:�...J^ k_ ,rt j 1 I °� ;•J t :1 17 1 . ,'• � �..' -1 - _/ r, ice•-��-„��,�� � ' ,} a JI �i- 1 1h -i , r t tl• 'IaYY _ _ •1 ( 1} sti '' � 1 �� 'r •t: • •'�.. � �1 J J '� � � � 1 � r,1 f 1 -� � 1 1 r �;.��, .j -R`:•rz v, :`. .L• ' 'iQ �F J���1•F ,I {{�' r r�rmm "tMf^"r n-a`mc^C��; � .. -y"°h>r•^�-•�,a ..,•^•,�(�+x�atirr_aa*.:; ..s-�'.-�;;,.,.1..,�-,.-...,.y*_ -.�x�� ':-""r�cr-..'..lr:,...;�-�-r'�'"� f so - s l I - ••!F 1�t-tlfl{ j - • t .. -1 e t a { nl t �. �.-�• y `'` _ '•F > t^ Stu r ta, �,J�.•ol Jf h, r IL f .''!r .� �i.c �} r {' <f:.,y.rt`r,;lid ,a' i ' �1 t` ` ,' ' t ] ; - �• i 4 1 a Tl = L�T L d 0 NOTE H a o IJUU��UUIQ rh"1 r i� �t� u {.` FATE, 'O° A Oi�EO®y: QWAPigfl' w /� � � I "fir i4l e f N�►� A REA 805 "' � o� �4 I�' � � ifs I � v � • a, �� �, �` '� `� 1 1� c� � , � � _ �� 3a .�,-��, _ �. .. -- -_�. � -� � ., Zr GS �/ t I + µ t f 'Assesstr's offioe Ost floor): 9 O l THE �(F. ( (f7 6r (`. �Ta ( @s"^ �:,n^ ^•:r,Re CF TOE♦ s map and lot number ... . ... /yut� Assessor Board of Health (3rd floor): _ -•— r 1bE f0� { Sewage Permit number .......�5. ... Jf.0.��........ '. `'1 r; r.. + �WX 1i U d i E i> Z BAHd9TlIX • Engineering Department (3rd floor): E NvP 0 N E N TA L C 0®�AND AGL t6�a9r• House number ..................................: i6ii e� REGULATIONS APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only C TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONv ` 8... 1 FOR PERMIT TO ���... x....t�......:!.�....`�X�.S�1.!!�.�..`�..�.1`::�..�C�o�........ TYPE OF CONSTRUCTION ......--AprL. .....a:t5......t9.1!To TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accordin to the following information: Location .. ....../. .Cr....W.a.�................. .... �/ .................................................................................... Proposed Use ........�-�SL.cIL�.6!!."�x .�.............'.......... . 1.....�.OQ.`.^ ......................................................... Zoning District .....................................Fire District Name of Owner.`..c....�....1.1.\(!�.......f �.1 ��c�`...:.........Address al.....f-1r",,). .. CA-kw .....lUv.1. A,. Name of Builder 3 Vl .....:AUAJ-. �.5-4.................Address q` J.....r.. .. v.�...t C�. t ' ° p /� ..... ........................ Nameof Architect ......................N.!...e.r...........................Address .................................................................................... Number of Rooms A........ TAiirx ►N.........Foundation �......�v1��4.�+�.......................... Exlerior ......... ..................................Roofing .... E\!\. A,0\IP............................ Floors ...... ...........................................................Interior ....... ........................................... 4 ....a. _ Heating. ............ ..1.1.�.......�.�.1-.�.. ..��.�:.�...............:...Plumbing .................�..� r!-.P.....................................:.......... � Fireplace ......................... ...................................Approximate Cost ........ .. .VO. ...® ........................... ✓Definitive Plan Approved by Planning Board --------------------------------19-------- . Area / .� ..1� ............ 0 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS • t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 1- CI.S�/S.X..I.�..�.Name .�. V.4:.......I ........................ Construction Supervisor's license ................... AMES , MR. & MRS . ADD TO 33703 DWELLING ,--No .................. Permit for .................................... Single Family Dwelling .................................................................. Location .3.1 Arbor Way . ............................................................. Hyannis... ....... ................................ ......... Owner M &...Mrs.......Ames.......................... Type Construction ..Wq.o.d.....Frame....................... ............................... ................................................ Plot ..... ...................... Lot ................................ Permit' ranted ..Apx.i.1...2.7..................19 90 Date of Inspection ................................. 19 kf .Date Completed ..... 4.1........ .........19 00 Assessor's map and lot number ................... Sewage Permit number A, - 11,01j, 1 r yofTNETo�y TOWN OF BARNSTABLE E9SH9TAIiLE, i MUL 9 tr. BUILDING INSPECTOR O•Fp YpY a APPLICATION FOR PERMIT TO ..... .P.�........... ✓"3 fc'� � .................................................................... TYPE OF CONSTRUCTION .... F(r' /�. ............................................................................................................... .............. ....... .�....................19.. .: TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........ t.!+.... .............................................................................................................................................................................. r i ProposedUse .... .>........=...............................................................................................................................I......................... Zoning District .............. ..`.�........................n4................Fire District ...ypt"a�^'< s 1 .............................................................. Name of Owner .................L <- A4J-4r....� .r'.5 .............Address .. ...... ! Ar.....t ?'` 1.............`f;............................... Name of Builderf/�sn„r..., ,,,� n � .✓�,. a i l�:: Address .z. ....7�.�R...........................................r. . � R .. f!!,`, rx . ......'!!?fr J r .... � . Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ......!r. /t/ ..............................................Foundation r�4r l�t3 � G ,+c, �CiG ?r)r v= ................................................................ .. .......................................Roofing ............. ' Exterior ..............,....................... .... �..................................................................... Floors `.. �- .Interior - 7�2 ............ ....... ......................................................... ........C..... . .`. ......................................................... "•....- t Heating ... �A 7' � .... ................................... Plumbing ...�..-..-.t..r................. .`.�...I...t........,......�...�....... Fireplace 71 r�>' ...............................Approximate Cost Go'D` Definitive Plan Approved by Planning Board --------------------------------19________. Area ......... ... ................... r Diagram of Lot and Building with Dimensions Fee '�.............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I i d ,z" k\ v v1 A I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... ..........:: r`..�l..Et ................................. Ames, Mr. & Mrs. Ralph A=289-48 No ........M.Y,-Vermit for ...add—to...d ng welli Ig ....................................................................... ....../ Location ...........UACbQK%..Way................... .....Z.. .....Hyannis.......................................................... Owner ............ ....... Type of Construction ....f r=e........................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .....No.vemb .r...28...........19 78 .. ........ . . .... Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ...........�-'-Avo�� ..... 19 ......................................4...... ...........;.................... ........... . ...... ......... ......... ..... .............................................................woe�T I..........- ............................................................................... Approved ................................................ 19 .................................. ...........I................................. ............................................................................... essor's map and lot number ..�:�l...00 Ale a-11— w" 3 6EPTIC SYSTEM -MUST 6E ' IFI TALI7, wED IN COMPLIANCE Sewage Permit number ............. 0 s ' WITH ARTICLE II STATE QyQF THE T _} TOWN: :'O F B AR TOWN _ i 'BARNSTABLE, "6 9 BUILDING ' INSPECTOR �A E YPY a' 11 APPLICATION .FOR PERMIT TO ......D ........�����2 :.................... * ..... ........................... Gv:crz� TYPEOF CONSTRUCTION ...:.......................... ........................................................................................:. I ' .............j.. .................... .19.. TO THE INSPECTOR OF BUILDINGS: ^ The undersigned hereby applies for a�permit u e � µ // according to the following information: +.•- Location ..... .(.........kl�3347 .....N,&A.. ............. y �„ .................................. ............................ ProposedUse ....473 7//...................................................................................................... ......................................... ZoningDistrict ............... ®...............................................Fire District ....................................................... Name'of Owner . . .... . p / n /lt., ?........(..Y.:ft ...../.?!. . ........................... /9�.�✓.S...F..-.9/��4...TT.�!11.�.�::...........Address ... .L.. P o� �{, . i Name of Builder J/y� L/ ! �%..'. �� 73t ✓ .5 ..1f1...S..S.Address :Z.�i.. . .�A4`A.�l. :d :.. 6.� ........ 7C1A46.. .4j Nameof Architect ..................................................................Address ...................:................................................................ Number of Rooms ......(�J. ............................................Foundation fJ �2 PRI.Itl L � Exterior4)v V.. L....., b.� �...................................Roofing ....... .................................................... Floors ....Y.� / ...............................................................Interior ......s .�K :/.� �'!�' Heating ...G.K7:D .......................................Plumbing .. ....F`���....lT. �.`(....................... 4. r Fireplace ...............f .®..............4.........................................Approximate Cosdb ........................:............ Definitive Plan Approved by Planning Board ____________ - .......... (?. ------------------19-------- . Area .-- ..0.................... Diagram of Lot and Building with Dimensions Fee k.17 .� rai. SUBJECT TO APPROVAL OF BOARD OF HEALTH T !� j0 Tj ,y A A � . I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. `� Name ....'F: .. :.. . ... l/4........................................ ,Ames, Ralph ti 0872 add to dwelling. ............... Permit for .................................... .................................. ............................................ X Location ............31...Arbor...Way........ ...... ....................... . .. ...... Hyannis . ............................................................................... Owner ...............Mr & Mrs. Ralph Ames .................................................... Type of Construction .............frame.................. . ................................................................................ -Plot ............................ Lot ................................ November 28 78 -'Permit Granted ..............................v........19 Date ofln pection ..........s ....z....7..............19)v Date Completed ............. 6/......... PERMIT REFUSED N . ................................................................. 19 ............................................................................... ............................................................................... .................................................................... ................................................................................. Approved ................................................. 19 ............................................................................... ............................................................................... f 1 ' jV911AP <y_�`JI�Pti Wit,.. ;q A! 'G_.k: U F4,.,� .�,pow��. �w'T A 1: d �' die ��tZ �C. � tl 57A � 5'TRr11J,3i=Fn' h i R er \ IN574tL } 1 loth � - `' .�•y� I /• ,cam (� ( f♦ _ 11 N_1 t ;'!i, C-t4 iz iJ f 1'� ` ill�.c e-S`st,i�.t T,J lJ T j . 4 5la� k -��Pfi Ec, K- , t F y '� r'� �, •, m � ,r i±� �.�i� Ear .a�+'+,., ����� Aj r k �'' eAas �►At�'1 111 Cv.vc eE-rE K ti .4-7Y O � t 5""ilk lroy:,n.� �oos�f� -► r ., yC i `_( (Nf� KI?'C I-f h ti WaY�.}'.ttr 5rn�. •3Y3 �P\ � '� S Ca- Ik r - t, �, -ii r ir2 •�a x '* ti ry fifii r�r SCALE sw: M~ arc "Mom DATE