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0090 ARBOR WAY
90 %�. /� � - � Town of Barnstable Building Post INUMSTA This Card SoThat�t_is;Vlsible From,the Street Approved Plans„Must„be Retained on Job and this Card Must be Kept 6 �� Posted Until Final Inspection Has"Been Made _, r ;,, „ Permit �+m • ° Where a CertificateofOccupancy�s Required,such Building shallNot"be Occupied until a Final Inspettlon has been made, el lull Permit No. B-18-3819 Applicant Name: Craig Orn Approvals Date Issued: 01/02/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 07/02/2019 Foundation: Location: 90 ARBOR WAY, HYANNIS Map/Lot 289-165 Zoning District: RB Sheathing: Owner on Record: GODDARD,ROSE&HAZEL-HOWERTON, Contractor Name: ,CRAIG M ORN Framing: 1 Address: 90 ARBOR WAY Contractor Li.nse: CS,080034 2 HYANNIS, MA 02601 %Est. Project Cost: $ 11,725.00 Chimney: Y Description: Installation of an interconnected rooftop PV system. 19(330w) Permi,C'Tee: $ 109.80 panels 6.27 KW DC Insulation: s Fee Paid $ 109.80 x Final: Project Review Req: r W:? Date 1/2/2019 p A Plumbing/Gas ,. Rough Plumbing: Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application ah6the approved construction documents0 which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspectidn for the entire duration of the work until the completion of the same. .. Electrical ` g m' Service: The Certificate of Occupancy will not be issued until all applicable signaturesby the Building and Fire Officials are promdedaon this permit. Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing ` 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Pers con ting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site �� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Application number — .� 3 Fee ......:..................�......:.�................................ KAM � � n � Building Inspectors Initials.;Y .................... Ak V Date Issued....�y�.: .1. ..�.. ............. Map/Parcell....... i 9....�....�.�.................. TOWN OF-BARNSTA 3LE- EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO W S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: �f �)-�uy W aA3 6anwS M-f p Z t� NUMBER XSEAT VILLAGEOwner's Name: Phone Phone Number Email Address: Cell Phone Number Project2cost $ .9.,d 0/0 100 Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a b ' ding permit in accordance with 780 CMR Owner Signature: - Date: 1b p $ TYPE OF WORK © Siding 0 Windows (no header change)# 0 Insulation/Weatherization 0 Doors (no header change)# Commercial Doors require an inspector's review P Roof(not applying more than 1-layer of shingles) Construction Debris will be going to 0 U CONTRA OR'S INFORMATION - Contractor's name Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTYIS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s) will be erected Removed on number of tents total Does the tent have sides?Yes No ' (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be.attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or> Yes No , if yes,-a gas permit is required. -Natural Gas Yes • No , if yes, a gas permit is required. If food is being served at.your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3.30 pm-4.30pm. Commercial events may require Fire Department,approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date b 0 APPLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts Department of Industrial Accidents - Office of Investigations 600 Washington Street Boston,ALL 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Az J/ " Address: City/State/Zip: < Zh Phone#: Are you an employer?Check the appropriate box: Type of project(required): L❑ I am a employer with 4• ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling shipand have no employees These sub-contractors have g ❑Demolition i working for me in any capacity. employees and have workers 9. ❑Building addition [No workers comp. comp. insurance.: equired.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3,{�I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.❑Other employees. [No workers' " 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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. ' Insurance Company Name: Policy#or Self-ins.Lic.#: i Expiration Date: Job Site Address: City/State/Zip- Attach a copy of the workers'compensation policy declaration page(showing the policy number 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 ' lcder hepains andpenaIdes ofperjury that the information provided above is true and coQrrrect Si atur 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#: h 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-contractors)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 fuvesti.gations 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia INSULATION [j7 FIRM DLA'S 3SAML333 SPRAT FOAM 3YSP3NDSD IIA"S YYfTSRS INSY3Af10N ','LINDf 1-800-69676611 o Town of Barnstable (eD' Regulatory Services �_��/ �P/� , Building Division 200 Main St Hyannis, MA 02601 �O Date: j -° 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 (BP1) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address. Villaae y � Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) ( ) ( ) Floors Walls Sincerely He ry E Cas y Jr, President C e Cod I ulation, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Parcel -ion� � 16 Health Division Date Issued /2 —*1 —13 /� Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village Owner Address Telephone 11 0 D d Permit Request ( O — ail/ G= ` a 2 Square feet: 1 st floor: existing proposed 2nd floor: existing propose l :.T_,otal new ZoningDistrict Flood Plain Groundwater Overlay �~ Project Valuation 1� � 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 A horization ❑ Appeal # Recorded ❑ Commercial ❑Yes Nc If yes, site plan review# Current Use Proposed Use _ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Niamee, % ", /���y// �G� Telephone Number Address�� � /li �' �� License #�/D/>� � Home Improvement Contractor Worker's Compensation �� � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �U SIGNATURE DATE -s FOR OFFICIAL USE ONLY ' APPLICATION# t DATE ISSUED MAP/PARCEL NO. i 4 ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r - GAS: ROUGH FINAL FINAL BUILDING t ;.i DATE CLOSED OUT ASSOCIATION PLAN NO. r , Massachusetts -Department of Public Safety j Board of Building Regulations and.Standards Construction Supervisor License: CS-100988 HENRY E CASSID 8 SHED ROW . WEST YARMOU TH 1 . Expiration Commissioner 11/11/2015 a�f7 I Office ��i. C,onsufnct Afl4lirs and Bu5llleas 1.egUL1t ol1 '. 10 Park Plan - Suite 5170 Boston, Mdssachwetts 02116 1-l0111e lrrlProvemen.L Contractor Registratioll Registration: 153567 Iype: Private C;arl.�i�r�lfi[�il. Expiration: 12/15/2t)I f11✓ 2J;fuJ1 i,(DD INSULATION, INC 1 II:ARY CASSIDY _ _. :;O YARMOUTH, MA 02664 Uptlilk Atltlress and return card. Mark rcusuwfol change. Address L_I Realcwal 1_._1 1';nlltlityincuu I I Lusll;ard ` � ((r•;iriicn�trl'e-'rrl�/I t� t?!(1lJ,tittfitr:.li�((J - - - ,ru,uulcr rUlalt S Iiusrn�cs 12ubulaliou License ur registration valitl ]or inrlivitlul use. only 1 m ttarolr IMNKCiVEMEN t CC]'N1 RAC1'OR helbte.(lie expiration(I uu: lf_fuuutl return to: 11t:l �r:,truuun 15aa61 type: UiliccU1,consimici f,ursand liusiucss Reg;ulatiun j 1 /LS/20 IU P irk('faze-Suitc 5170 `L,� Y,i ,,puauun "14 Private Corporation liustun,p'fA 02116 I,Inlli,rJCClllllry otv(II )Y1tl10 I net IT 4a The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le lbly Name (Business/Organizadon/Individual): Address: Z - � zGGy, City/State/Zip: Phone#: .�� �'�' z / ire you an employ rY Check the appropriate box: 4. I am a general contractor and I Type of project(required): am a employer with.1,L_ , employees(full anc,tor part-time).* have hired the sub-contractors 6. D New construction 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. Q Building addition required:] 5. C3 We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp right of exemption per MGL 12.❑ Roof repairs insurance required] t c. 152, §1(4),and we have no 3a.❑ 1 am a homeowner acting as a employees. [No workers' 13,.ZTOther general contractor(refer to#4) comp,insurance required.] °Any applicant that checks box#I must also fill out the section below showing their workers'compeasatiorij)olicy 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and stato whether or not those entities have cnrployces. 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 einployee&' $elow is the policy and job site information. _ Insurance Company Name /7�/ if�J/G �✓�eZ ��� Policy#or Self-ins. Lic.#: Expiration Date: . l Ja " Job Site Addres bV City/State/Zip: � u!/� Attach a copy of he workers' compensad a policy declaration page(showing the policy In jir and expiration date). Failure to secure coverage as required under Section 25A of MGL e. 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. !do hereby certify nder the nd penalties of perjury that the information provided above is true and correct g 7 Da 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): L Board of Health 2. Building Department I City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: , CAPECOD-27 MYOUNG A 4C"R"" l DATE(MMIDDNYYY( CERTIFICATE OF LIABILITY INSURANCE I 718/2013 — L--- I-MIS CERTIFICATE IS ISSUED AS A 'MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the Wrms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certtttcato holder in lieu of such endorsements PuOnUCER License#PC-514062 CONTACT -- NAME: Margaret Young Rogers&Gray Insurance Agency,Inc. -PHONE FAX 434 Rte 134 - AlC o E t South Dennis,NIA 02660 n�oliEss:'myoung@rogersgray.com - - INSURERS AFFORDING COVERAGE -- - -_NAIC Il .... -... -----------:--_----------__-.,-- INSURERA:PEERLESS INSURANCE COMPANY_ nsuReD INSURER B;COMMERCE INSURANCE COMPANY - --_ Cape Cod Insulation,Inc. INSURER C:Evanston Insurance Company _ - ^- _.- 18 Reardon Circle iNSURERD;ATLANTIC CHARTER INSURANCE GROUP South Yarmouth,MA 02664 INSURERE: COVERAGES _ CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVVITIISTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CER'I'IFICA'I'E MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED,BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. A-DDC S-OER - POLIC EFF POLICY EXP - --__-'- LfR _ IYPE OF INSURANCE — VD POLICY NUMBER MMIDDIYYYY MMIODNYYY LIMITS ~ GENERAL LIABILITY EACH OCCURRENCE $ — 1,000,000 -bFCMAGETO RCNTED IA X t'OMMERCLALGENERALLIABILITY' CBP8263063 41112013 4111,2014 PREMISES Eaocolrrence $ 100,000 _4ICLAIMS-MADE I--_J OCCUR - MEDEXP(AnyonePerxm)- $' T 5,000 PERSONAL d,ADV INJURY $ 1,000,000 -- _. ----_ GENERAL AGGREGATE -- $ 2,000,000 Ut IN l AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 - ---J. - PRO' -.._.__.. $ NULICY LOC AUTOMOBILE LIABILITY - W. COMBINED SINGLE LIMIT - 1,000,000 --- B ANY AUTO 13MMBCKVMK- 4/1/2013 4/1/2014 BODILY INJURY(Per Person) $ ALL O X SCHEDULED aAUTOSS AUTOS BODILY INJURY(Per acdden0 $. _ PROPER 1 6AMAGE X HIRED AUTOS X NUT ON-OWNED 1,. ? PER AC-T $_'__—_- X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 • C ExcEss uAB CLAIMS-MADE XONJ453512. 4/112013 4/1/2014 AGGREGATE $ 1,000,000 _I-0ED_LX I RETENTION$ 100001. $ _ WORKERS COMPENSATION - VVC STATU- OTH- - AND EMPLOYERS'LIABILITY I - D ANY PROPRIETORIPARTNER/EXECUTIVE v II N WCA00525904 6130/2013 6130/2014 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? u N 1 A — -- ---- (Manddlory In NH) E.L.DISEASE-EACMPLOYEE $ 1,000,006 i Ir Yas,deecAba under — -- Q.SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 I DESCRIP PION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORO 101,Additional Remarks Schedule,If more space Is required) — Workers Compensation includes Officers or Proprietors. Addtional Insured status is provided under the General Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER ' CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE „ I ©1988-2010 ACORD CORPORATION. All rights reserved, ACORD 25.(2010105) The ACORD name and logo are registered marks of ACORD OWNER AUTHORIZATION FORM IYa� i �me- I, , Owner's Name) owner of the property located at (Property Address) (Property Address) hereby authorize (Subcontractor) 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 Date j o�tN[>0 TOWN OF BARNSTABLE 32519 .Permit No. . BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash . 7 Yl 679• / D 'D�ta�r 1HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to June M. Kidney Address Lot #2 4, 90 Arbor Way Hyannis, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. March 1, 19 90 ................... .... Building Inspector r`fy �•'. TOWN OF BARNSTABLE BUILDING DEPARTMENT 2 2saaaraea :'Ala TOWN OFFICE BUILDING t639' �� HYANNIS, MASS. 02601 �OIIAY�' MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit lhas been issued ,for the building authorized by9, BuildingPermit #.............��.... .���� .............................................. ........................................................._................................_..... issued to ....-- ..... �� .. y........... .z ......#/ lli dl�/' , JJ. ..... �-/ Please release the performance bond. )f •w'fV.^;.. �(FI' �f R.j" f�W....r,.a• Y .•70WN OF BARNSTABLE, MASSACHUSETTS Am289--165. 88 _ 81 APPLICANT DATE i�ea.l I�1 Cill:i� 19 PERM LT O. i°- � 32,5l..�' nnDRF;s --�UZ r. .T1cF_ Way, �;: en'[u.S, S IIIEE I) ICONIN'S LICENSE) PERMIT TO Build riweit;_: } N sin( e i�.^,luily CIwel illy NUMBER OF l (-7-4 STORY ) (TYPEOF IMPROVEMEN 1 N0. (PRO D D USE) WELLING UNITS POSE AT (LOCATION( _�(1?. 7r-'!+ �Q \.2:'f7O'f.' �V�1'" r)'r^•. ZONING R B (STREET) DISTRICT_ - BETWEEN (CROSS STREET) _ _ AND (CROSS STREET) SUBDIVISION • - - LOT_ BLOCK LOT . . _ SIZE BUILDING IS, TO BE FT. WIDE BY FT, LONG BY FT. IN HEIGHT AND SHALL.CONFORM IN CONSTRUCT(( :TO TYPE USE GROUP - . -------_.__BASEMENT WALLS OR FOUNDAT ION REMARKS: :�;�C'T:_v;., (f i ii (TYPE) " AREA OR� BOND.' v 3 LUM I c E l �' -t � n �( .. (CUBICi SQUARE FEET( ESTIMATED ED COST ,Cj 'oo" PERMIT 7 05 QD S.. .7une f[. It .:�Clf�`i FEE OWNER �� q ADDRESS 926 ikiS,;F1Ci_('!;.i ln?, ��F BUILDING DE PT• BY 4 FROM THEDEPARTM ,��b--..-�. ! OF S. ANY APPLICABLEENT OF SUBDIV IISIONI RESTRWOR IICTIONS,THE ISSUANCE OF THIS PERMIT�DOE NOT RELEASE THE tF`r C R S-m d'S•—B'�'O-B'I-AYN� APPLICANT FROM THE CONDITIOI MINIMUM OF THREE CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND TTREE E APPLICABLE SEPARATE ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECT-ION HAS BE QUIRFD--FOR 1. FOUNDATIONS OR FOOTINGS.' MADE. WHERE A CERTIFICATE OF OCCUPANCY IS MECHANI CAL, PLUMLAG ANPRIOR TO:COVERING STRVCTURALTRICAL, PLUMBING AND Y TO LATH). 3. FNAL NSMEMBERS(PECTDION BEFORE PINIALDINSPECTIONSUCH DHIAS BEEN MADE NG SHALL NOT BE OCCUPIED UN .00CUPANCY. ) POST THIS CARD SO IT IS VISIBLEFROM ' BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS S TREE T -- ELECTRICAL INSPECTION APPROVALS 2 --- C-- - _ �HEATING INSPECTION APPROVALS --- -- ENGINEERING DEPARTMENT OTHER BOARD OF HEALTH WORK SHALL NOT PROCEED UNTIL THE INSPEC" PERMIT ',v!L L BECOME'NULL AND VOID D TOR HAS APPROVED THE VaRIODUS STAGES OF I WORK I S NOT 01 D I F CONSTRUCTION 7DATETHE CONSTRUCTION. START A R T E D W I THIN S I X M O N T H S O FIN'PEC1IONS INDICATED ON THIS CARD CAry PERMIT ;S ISSUED AS NOTED ABOV ARRANGED FOR RY TELEPHONE OR VIRITTENOTIFICATION. '�'J `vYrrLf�l1I./ gz :eot lry i)C,a. °J ?n"7 uo umory -VD tiZ &n„= : actin, � p t, un,oG . 31S1�� ss,� 06'»+'s'oN O lE� 3.4'liv.j �4i'_' 1 I ^1 nm Mg:aw uo,pa °1. vr_ urrcl w o t z # , vary uo umozw uav puno$ avc, tv i yl�06 ^� w _.. , t. X I . . pzvo�y Rio br. _ �unZ�►aur°vu� ad�J ?7d -It } i i I f r_ �_Lt t.. ' - - I '_ , 1 ,--`._t__s-t-(. .. ,- t-- t r 1 I Y 1 t I t 4Y r r -Ir .r NO � L5_ r LOT 12 r � VL re i q'+J g kj 14 -AA LET 11:1�4o 1' _ S OU Tt ETINTv i °E�` a i'•�r .., .'� -�P�., ���� t,` ���.�� 1.._..__. ✓!.rrt.E r cl I,Y 3 il� IT Ak All .5/ NK, .....\ STI ►- 6.5 o� l Assessors office (1st floor): Q ,1 C bV ®E As , Q�pi TN E - s�gssor's map .and lot number .......... Board of Health (3rd floor): ED IN COMPLIANCE Sewage Permit number ....... .� ' °�T� T1Tl.E 5 i e�sT�LE,�. A a __ 'r all 'WENTAL CODE AN ,o NAsa. Engineering Department (3rd floor): House numbers YCN`REGU�TION D 'Foyar a�e� ............................... ..... .. Definitive Plan Approved by Planning Boar----------------------------------1.9----- APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only.' TOWN OF BARNS•TABLE BUILDING INSPECTOR.. ,to*or.z(0) APPLICATION FOR PERMIT TO ... .�\.4-9 .. r.... 9�1 �1�1.ft`i ;.��?. �����;. �,� }OI ...... TYPE OF CONSTRUCTION l.t.'.tic . .. ` i�`�t,~► ' SM �' .. �T.:� i. �. :► ??: Fir .4 �7. .......... rs.' �f�...........19.%8 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... .a ..2 `" ..; 'n� Q.► �,�; °Qt .w1,d: ... ......... ..................... t Proposed Use ....... �0.r=l 1.1 . ..A ..... Zoning District ........;A............................................... ........Fire District d.. ......... ..... .................................. !T!1 1 Name of Owner ...4 1� .�t ..` A ...................Address t�'.-6. i, X .... :' . \Name of ;Builder .... .rt�.0.•l.. 1. v1 .. Address ._.`.®.Z... �ws. A 9, - .. .. 4r v,4-4........... '!� rtlJ�`3=f� . ��'k�141�2tV►�z„ ' �-��a:�"�11�1� ��• .......Address N,jmber'of Rooms ?! ... rQ1...............Foundation Qr,f`.P t�6 ... ... .............. 01 Ext4 r for ��rC1&I�ZISc .<:.Lt �•�<, ` ` .. baV\t�"'.. .'�Iri.�?��l�ej...Roofing ..�� ���..�g'�n.c.�p..woe R.4�d•44.�tb..:. Floors Q�fC�vke,. �. 1 101 Interior HeatingQ!�e�� ;`3V:..c�l1a .... �q ... Plumbing .............................................. Fireplac Q ... .. �? ? j }�zv�`12 Approximate Cost .... . .... y Area ..: . Diagram of, Lot and tuilding with Dimensions Fee- ../...C/ .!. .lJ • \oil � - - If OCCUPANCY PERMITS, REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the. Town of Barnstable regarding the above' construction. Name ....Z. ..Q .... ... ... ..^!% Construction Supervisor's. License . ` L rrpEY, JUNE M. r` loa..3.?.5�.9..•Permit for .....1:i...S.t;07:.y........... ........ Rg-Io...F.aiIlily....Dwe'.1lix1g....... Location .JlQ. ...#.2.4,......' Axb.Qx..�ay..... ................... ................................ ......... ` June• M.t. K .���.�................ ...... .... � l� '•a..- •' `'w,� cy.y.is -a. ""� `� , t j,•.. � ,• Owner ... Type of Construction ...k'.z;aMe............... ........ .......................j ..... ........... ................. ......... •!;. ' .....:T .,h t` '.mot -_ PIS ............... ....... lot ........... Permit Granted . 19 88 [sate of'Inspection .................................................`....... 1'9 �, a omple ed .... !....J n Pit r - IA r ..r/ �a.d ..x r "/,_ old �rJ •'� - M 0 .. •� ...,,r,.� . r is ,y �� *`j 5. ' - t## tv 0 `•�� _ ri CA Wo w .r b.i .3• ..�:::.�'iM:3T �v.....isr�iLe;i .:�s.-7c'."-?I.:;�j,:l{ .,r,F "� ? c '�'+i.'LS. 'Atr'�':ti�:3..�i sti�'•6,►�;':^-i•�.v..t3n'.+ f$.Sr�+sTbu-,4fFh�1'h5C�:7tir'Ear.5z',41"`xl:+Y::�Yn+,t�:•x .^tair' '�tri-'i�v..n.�.�• - ''} '-Assessor's office (1st floor): `' Z�N`/ �r oFTNEto A�sgssor's map and lot number �, ...% ........... ... �` P f �8oard of Health Ord floor): _ 4��010� �` Sewage Permit number .......... !..... Z BAUSTSBLE. i Engineering Department (3rd. floor): , oo Mb& s House number `e .... ................ Definitive Plan Approved by Planning Board __________________________---19-------- . ,^ APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE .�O,BUILDIHG INSPECTOR APPLICATION FOR PERMIT TO � .... � ?`�?A � .r� ' . � .r riz. o � -..... iy TYPE OF CONSTRUCTION .... TO THE INSPECTOR OF BUILDINGS: The undersigned,}hereby applies �for a permit according to the following iin(ffoormation: Location ..... `Ks?!.. -r..... !:4 �� � �41.M!,•��.....M!.l. .................................................... Proposed Use ���n,J�•�a �+�:. �'► V1,�:/...........................................:............�.......................................... Zoning District I .....................................Fire District <. .... .f , Name of Owner .. ... .. ?! !.... + ``.'.�....................Address •%.�.� '.. y�< !1�? 4 .. , _ Name of Builder n �. .[?-.1...... '! ` .....................Address ...4.C>. r...�?4.,.,,�.:�? tiJ4rr� • ........... Name of Archifiec•t ...- ,.��...- .� ,�.� c,. ..............Address �prl-�d�0 ... t ,Number of Rooms . ..1 ,. .......Foundation .0 ........................................... Exterior .' � !C,�� Gil.... �. .. . .`. .. 1 �. � ,r...Roofing .... . p.... !$wtn. ... U Floors .... . � ..lz�.. � Interior sue• .�K.YIr}+!✓C�1'_ 1 4. .. . . .... 1b° .... L Heating. :kh :. ... Yr ...............Plumbing ..... -.. .Iklw... ................................................... r 3 -Fireplace .. ... . ► c `. Ca9 ► �> ` �`t �'1 +!. . ,.......... . ......................Approximate Cost i�*l ........ ... �Area Diagram of Lot and 'Building with Dimensions s. � G�p Fee .. ` �.!.J� . ........................ N.` (' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ti I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' Name ...... -,-� � ......'_ Construction Supervisor's License r ...... ;. KIDNEY, JUNE M. A=289-165 r • No _'3251.... Permit for ...1.2.... tory............ Single Family...Dwelling.......... Location .Lot #2 4.......9 0 Arbor.,Way.... ..............:....Hyannis ............................................... Owner ......June...M....Kidney....................... Type of Construction ...Frame.......................... ............................................................................... Plot ............................ Lot ................................ Permit Granted .,, December 2.0.,....19 88 ..................... .. . Date of Inspection ....................................19 Date Completed ......................................19 r r