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0100 ARBOR WAY
-� �� � � �� . � i MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 (617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424 7/6/2016 Form of Notice of Casualty Loss to Building Under Mass. Gen.Laws,Ch.139,Sec.36 HYANNIS BUILDING DEPT 200 MAIN ST HYANNIS MA 02601 Re: Insured: DAVID F CORLISS TRUSTEE OF THE DAVID F C Property Address: 100 ARBOR WAY, HYANNIS, MA 02601 Policy Number: 1367788 Type Loss: Collapse:All Other Causes of Collapse Date of Loss: 07/01/2016 Claim Number: 407481 Claim has been made involving loss,damage or destruction of the above captioned property,which may either exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any notice under Massachusetts General Laws,Chapter 139,Section 3B is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured,location, policy number,date of loss and claim or file number. MPIUA Claims Division s� CMA00021 �-'� Assessor's office(1st Floor):. �y V Assessor's map and lot number 7S 9 L/z 0{TMIt Conservation(4th Floor): Board of Health(3rd floor): • Sewage Permit number 1; sasMA*& t y rua Engineering Department(3rd floor): , oo s670• House number ,tO N ► Definitive Plan Approved by Planning Board ' 19 f APPLICATIONS PROCESSED 8:30 t 9:30 A.M.and 1:00-2:00 P.M.only TOWN O,F BARNSTABLE °BUILDING • INSPECTOR j APPLICATION FOR PERMIT TO 2 dz oG / / O�:" .'.t✓�% TYPE OF CONSTRUCTION _ eX1S/i,v� Lc.9 OO 6714N�i 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accor�dinn to the following information: Location /try � U� Y��� . !?Y l�//V/.S• Proposed Use `�ior� Zoning District Fire District Name of Owner .xJAdiU dr ��yS Address Name of Builder 002� Cl/U0D /9'-/c de Address 70 j?0,, Lw Name of Architect Address Number of Rooms Foundation Exterior Roofing P,°rd Floors Interior Heating Plumbing 0 Fireplace Approximate Cost t� Area o W4r& C/6. Diagram of Lot and Building with Dimensions Fee 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 Construction Si ipervisor's License CORLISS, DAVID s •No 36593 Permit For Re-ROOF ��. .'Single Family Dwelling Location 100 Arbor Way Hyannis Owner David- Cbrliss Type of Construction Frame t _ t Plot Lot s _ A Permit Granted Apr i 1 - 6 , 19 94 Date of Inspection: Frame 19 Insulation 19— Fireplace 19 Date Completed 19 t t t ti J// c r Q H QF k1t1SSAC�1 �J \�,— J:_7'i,.7;.r:T�'T 07= I-*�'DUS� »�✓�CCIDFN�'S ' _ - - �a«cs_ Ga-1�x1 iiOSTON, 1•'fASS/,Ci-3OS3:-TTS o211 J 'WaRIMRS'COMPENSATION DgSURANC£AFFMAVIT IZIa,9e( <Nccnscclrctsn7tc%c4 p Kith z princip2I plUcc ofbusinczY/raidcnaac 0 AA do hereby ccr 6-.undo the insand <GtylSt�t<I7_ip) p2 p«nlriaofpajnr�;that~ j) 7 =m an cmplovcr prodding the following-work compcz=ric;r,covcrasc formycmployccs k�orkin o Job- n - s tars III 3nsurancr Company ... ... . _ .. Policy Number l am 2 Solt proariaorsnd h2,c nooncworking for~mc. f) i sm s sole proprietor,gcnc.J eontr aor or homeowner(eirdc onc)end h:vc hued the eon=CrOa iiszed bc] K. `��o h�Yc chc foIlowi�b w s orkc cnmp=zion insurance pouci,=- = o N--rac ofCoazr--aor Insur�ncc CompanyPtolicy Nur..bcr; , _ . zmc ofCon.raaor insurance Co:-ap:nyP1 olicy}�rmbcr 14r.•zc ofCor::rr�or - - - - T•^•^�=nec Cem�njfPolicj�Jtri�ct D I cn_ hors aall �<wor'.crn}:dL NOT- I'1<�<b<:•.-- L- - 1•-tl:.e��c��otrer<L�.La«c;cri=�%-' t -- �'P'r �`ryz;cicsa,c,�eeeruva.eeetre?sit••-cc�oe�_ - «r�r:Lc�cL:o 'c L.<becsco�'<c 21so cer:Ler of oe t3<�reveLt:�uneczzt t3aeto set oot�cpee-?1j' be«Fley<fr`.Lcr txZ7el•<ri Cerpe:::L,oc ItR�GL C] 2,<ce� e t c r r-i a r--_ _ ff I , f 11 5 1(S)l.=ppl:c :cc Lys bec_>cc__ <t fee= 1;«os< ' r<H�<C<t CO rJp<C r]t,cc/,<L fof.tz�<r < hcfl.!G_ _ c•<tc_«cr<tc�:Z<�1«<;iclvr.Lcr$cc�cr. � <�' <cr.:r_Cf:- -r= r f < - 5 ]�1c r.Sc_l<cuir..Fcf:f,cnc!S �ni.:3P«_Juc < m<c. t j<c_15G,-CC..Lc;:_.�•<r-ctcrc� LGCf.Cy4"�.Z��! f,actcrS7GG_C)G: L_yY_:...:r-� p<=• iaL�cfcr-;c!;$ccF�ccl:Orlccc•.L= 6y of ��� , 39 G ccnscclPcrm ircc LccnsorlPcrr.�iztor _ COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF ONE ASHBORTON PLACE ,I MASSACHUSETTS BOSTON,MA 02108 L I CENSE EXPIRATION DATE 0 /04/1997 C0N53 i Ft, uLiFt R+,!I SGR CAUTION RESTRICTIONS EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST 00 1 1/��/1�393 061506 {{ THEFT, PUT RIGHT THUMB o1 PRINT IN-APPROPRIATE 01 BOX ON LICENSE. STEVEN G COX of 21 BARNHOUSE RU C' BLASTING OPERATORS MUST INCLUDE PHOTO. PHOTO(BLASTING OPR ONLI') FEE:,, DENNISPORT MA OZ,639 I � . T VALID U�,NDL SIGNED BY LICENSEE AND DFFICuuLV I fallatr tgpot+#ss a aa/ At > HEI < AMPED=gH-SIGNATUREOFTHECOMMISSIONER i Ma++aoAr+tft+state 9A#ding Si 4. Coda/t oars#for rwoaot/o. THIS DOCUMENT.MUST BE CARRIEDONTHE PERSON OF SIGNA OF UCENSEE SIGN NAME IN FULL ABOVE SIGNATURE LINETHE HOLDER WHEN EN- OrOTHERS-gIGHi THUMB PRINT GAGEDINTHISOCCUPATION. �rf/T��� �q I APPROV. (=IJTH. -on al ter Z'll V_ 'Pin -MASS RNSTAE A TOWN OF , BA 5. THIS IS TO CERTIFY THAT A PERMIT IS HEREBY. GRANTED TO A2� e i , Lqlce,�lzo. W eb b ............. ....... (PROPERTY OWNER) El ry 'Frame. ek-, TO ............ (BUILD) (ALTER) (REPAIR),jl.,- I t Inq single llamily. Nvo (TYPE`_'OF BUILDING) ATE 9(APPROXIMATE 1:ZK ? LOCATION S,!!. . w4Y 01' h d (STREET AND NUMBER). )VJLLAGEJ, Omni ar A NAME OF BUILDER:OR-CONTRACTOR --;-APPROXIMATE COST HE RULES 'AND"REGULATIONS OF THE TOWN- T ttg, -HEREBY,-AGREE,TO-�CONFOR I M TO ALL -REGARDING `C�ONSTRUCTION— OF BARN.5TABLEj THE ABOVE di (CONTRACTOR) u 0. -s 13UIL DIN Subject Approval of-Board of'-Health, - - 6 Cl . 7 f- 1 ' Assessor's map and lot number . :"...1.............. . WWW IKW RE INSTALLED IN COMPLIANCE Sewage.Permit number 'v2. c7..... WITH ARTICLE 11 STATE .. ............ ............................... .. SANITARY CODE. AND .AM ypfTNETO TOWN OF BAR �Q o Z BARWSTABLE, 9� D 9. BUILD�IHG INSPECTOR t: APPLICATION`FOR. PERMIT TO ......VI LD.....�✓-/✓,,E, ,;� ..... ,, ........................................................ TYPE OF CONSTRUCTION ......W...Q.A.....PA?!`P. .......................... •• ........................ .............19.7 y TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..C...IT..C/Y R.!5....tl.AY...�.!/.RIB.�R..!�".�.y............................................................ ........................ ...... ProposedUse . . -.S. .Q..��/tsCE............................................................................................................................................. Zoning District R. Fire District y �e.. S ...................... A.................................... .... . .. . . ................................................. L�.4.� .w. v... �...-4-. Ba............Address Name of Owner .... .. . . .. . ................ Nameof Builder ....................................................................Address ....,.�................................../............................................ Name of Architect ..� /L, l� ! .............................Address ...:1.'!.....-..J.Q...-.4.........t?....^............ ................. . ............ .......... ... R E� o s � 5 7:3 Fly- Number of Rooms Foundation ...... O w J' ............7.............................................. ........................................... Exterior ... .© A D Sf- �5/Q /�H-LT ................................ ...................................Roofing ...p--...-..--...-.................................................................. Floors J.ffj./� w®o,of/G Interior .S..�FgzE �� Ch . .................................................. .. ...................................................... Heating . Plumbing 8�-7`f/S ................................... Fireplace .....®/ -r..................................................................Approximate Cost ...` v ao a.. ..v............................................... a y 9� S'e�Fr Definitive Plan Approved by Planning Board ____________________._________19________. Area ................................ fl Diagram of Lot and Building with Dimensions Fee ............................................. .. SUBJECT TO AP �VALOF BOARD OF' HEALTH t Cd / I hereby agree to conform to all the Rules and Regulations:of the own of Barnstable regard' the above construction. _f `V %.. . ..Nam ... .........� �+ ... :.... .. ... WEBBv LORENZO L. �v 17194 one s to No Permit for single family dwelling ......................... .................................................... . .:' £' 0 0 P4* hems--11 - Arbor Way4 Location ............................................................... Hyannis IT o Owner ............Lorenzo.....................L....Webb.............................. 61 ' frame m. Type of Construction 41 .......... ................................................................. I Plot ............................ Lot ............................... ' � r� Permit Granted July 9 'f. 1 q 74 Date of Inspection L- ` 9 .� y Date Completed ......... ... y.....:'19 ' PERMIT REFUSED1d ;" �} ::................................................................ 19 tr '� Ine' ti ............ , ..................................................... ........ ...................................................... �•/1',,.'V 1 f ,,, �. ,.^xi' i Ir � 4) ;, ` + , ' � F Approved �.�............................................ 19 ............................................................................... r Assessor's map and lotm s nube,G ,? ; .i �V Y " W` Sewage Permit number ;,;x♦t,;.r x , ,«': ya..•- ;. STWE D A,Rio,N S" L 31 AUST6DL ' , 9� 6 4�\� 'C. f n•i. iXAGL 0 0 YPY APPLIC",ON.'FOVP IT:%TO .,... ...u............ ... . , TYPE OP' CONS'TROCT1OW ',. :r ... ........ ........ .... ........... .,. J•Yi. ...... ..... TO THE INSPECTOR OF BUILDINGS:,`' The undersigned hereby `ajspli ,s: for 'p, t; the �91, . g r,mfoormatfpn: � h '4� Location k•Ystr.4 1r��1 ? yr.a . I +r` is r Ma r+Y Sr:t yr r rCL.l � �� } T Clx+ i r•� . ?;, tfrl 4 Proposed' Usevari 7 1 as; �w r `r rr 7snn 5 bl?5il i x P, .F 91 'Ao . Y. t � �^�� t� 7'rl�lr. ^. Q. t fi-y j� rMlSl ,� � l1-,� r ?' . . )x + Ir-,'j y .SY'�L ny Yr Zoning District w -� C yt#` �G9k. 1 4j• t s kt �t+r� Der C�e l ( ti.s b. S ,.el•M rir a++ 4 6(t# r 14]�i• r :T .;'*t !' r - ;p, ..t� � � "'; �.!'R ,4 r. �' •t'gF' � �.F'r � i -ti � f4 « a, 1 t r R,.i r r �: �•� f K} ft r 1 �V..;r,� � � .• �, , N 7 t t, '7'� Name of Owner A w 4• may( {{�� I*� 1 ���� 4^:,�� -���..t'la ' • Y � t � R,■1r.tik ti y'.�♦•r x� _�l .,L� A��Y f: :l� A 1�+k r r Name of Builder ?C�. [f +kr r� t adc(re$5 T r �. fat r+i.F f rfM .�4�Pt�i+« g• * -� �' s , rt r}nr er1�`�ew �7�"F r^' ^fl � 7f14rt/.rrP i �y,� Yc°4 �d t i }d ,.kk�tis�,]•. � 7 '! y r Name of Architect r ; i+ a4l Sk t-ih.� •k Number of Rooms 1�� �,[s�F��y �S�rx:ti �pG y : 1 ri;rn :y r+Yrvt�l•O�nc}��i,Dr� �i yG � � .w� �;pC,+1 •trt i � .ray s a ncf� .n E �. `a fY� 1,! s .ice n 7 ��� v �x.;x.e.e� M1j � � t ` .��• 7� ., � � _ ............. E.xierior �.•_ '.} fy - P� -�'c r,{4�v .'•r Y M Floors ar..l,.`,. r ky. i i R�,ar, ht. v t u � .1 sllf3trlCti�'ntit�l .dri�SS�I .;d�} x Q v 1 g rtr...,' Heating m. •, . + .,. �Plwnabng t.l. , ......d. ' Fireplace ,..� r: ;,. M1 r .,. y,.: ..,r AhaXiFh ate ive Plan .Approved'°;by Plar'6-ji"' 5©ard Definitive •• Diagram of Lo,'# bnd Building �vth Dfrnnsiax�s A. w V SUBJECT TO APPROVAL 4F- € ARbw .bE, HEiT}9 1" x 1 rr" e I hereby agree to conform to all the Rules rind Regulations of the Town of Barnstable regarding the above construction. f Name.r;f .f T r«,....:;............... gyp......... Webb, Lorenzo L. U 9 � No ?t7194 Permit for ......one story, ..... ....................... single family dwelling �............................ �;�S. ........................................ cam/ & Arbor Wa Location ......--.::.............: ....................y........ ........Hyannis Owner ..........Lorenzo L. Webb....................... Type of Construction ...................frame ....................... Plot ............................ Lot ................................ Permit Granted .........July..9.............. 19 74 Date of Inspection ....................................19 .9 Da a Completed ......................................19 PERMIT REFUSED f ................................................................ 19 ............................................................................... 1 ................... ........................•............................... Approved ................................................ 19 ...............................................................................