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">~`<e'�Y,�w�l�,A "��' +��r•, 9:�,�i' :-`tSP `� t•`.a.,�•' ��., � .ter « � '� !"�" eyC y Sa Trr-'� �`'\.i7•Te '�',.,Y•�,�•r�' 'g"..�s4x.a-'nh t -ram' T�• .�� +'r°' i. -_ r� �" \•-.`.• �` w_ .q �7i'..,y,��y,�yC:�"g,.'�.,r"�ti�'�r.^c'. r)�-�"-y -�'"�° � t « '�. •� W- ,•ta'`" -e_Rrn. <�.,,•+�'., rk ...rt`' ��.. �' F=wmi?s. y ".�inG:•5 W ''t,,r,,-i• rz•V"' d ^e:`^a4. -."•i�Y h- r,v� �. 04 Ytc , rr; �1-3-J� a * .I�wl...w .•au.l.l,u„ ,wlI,Aw! swill `"�.I'"'��IwI. • I. I R�wll •. in►;��Mul.r",;.rllerw ,�`A � ' � s�-`ar '�s'�' �"",r�r, � +I�n.rirl�ll�u�r.�rr.+�,�,. •+�* i+tl� ► `1111IIgO♦ .�rhM11r.<4f.. i:�"" l Mlwrea, wrr. r..- ,.'�, ? �� w � c�l�r�1?�i�1R' 71�, �'�IUI,'�IIrIMIC'A1Mr1[�l�l�` . ' M►'�M�9F� .. Y 71 + IIR , t Ole . ^` fY<► �ib��R ^� , � je � ' III � • AA ryi{ p e 4. 7F+ , ♦ k� h. ��'� «.,, -i4,.',•.'"�`+-+• " III.' � l I �w � ... \� • r; v t N. ;1 r TOWN OF BARNSTABLE T 17 r'-n 22 AM, 10: 3L �(¢ Tfl r � r . C� 4 Town of Barnstable *Permit# rL 63c0 v Expires 6 months m� �7 ^ Regulatory Services Fee r a r ♦ BARNWABM Richard V.Scali,Interim Director i639. ♦� �fD MA'I A Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY j Not Valid without Red X-Press Imprint Map/parcel Number 6,;�v l e,J Property Address Wi; 4P-,'P a Gui.i, G, �,qA�S 9A 0 qc>� ER/Residential Value of Work 'Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name 0,1,vt�7_X Telephone Nuniber,450S :S®q Lj6gQ Home Improvement Contractor License#(if applicable) !�i5 �? Email:.QacEL4,,.-e,$2-4 CJ-:-UC4-9 7 w�a7_ Construction Supervisor's License#(if applicable) 01 (6 / OT . ra ❑Workman's Compensation Insurance ' �UN — 6 2014 Check one: � , ❑ I am a sole proprietor ❑ l WN am the Homeowner OF BARN§TA LJ l have Worker's Compensation Insurance r Y!/ �L� Insurance Company Name 4-1 a 4;X" �- Workman's Comp.Policy# WC-5 316 5a B b OY ` o 3 Copy of Insurance Compliance Certificate must accompany each permit. Permit Reque (check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to °v""' ry ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #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 with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is eguired. SIGNATURo TAKEVIN D\Building Changes\EXPRESS PERMIT\EXPRESS.doc S ' Revised 061313 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 AuM icant Information Please Print Legibly Name(Business/Organization/la "dual): Address: % -4t^.1 City/State/Zip:l';� Phone#: iS —9s 600f 4b(40 Are ou an employer?Check the appropriate box: Type of project(required): 1.[VI am a employer with 2_ 4• ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. Remodeling ship and have no employees • These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. g, ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 1011 Electrical repairs or additions required:] , , officers have exercised their 3.El am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.ff Roof repairs insurance required.]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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:�..t &e � - Policy#or Self-ins.Lie.#: O CS ?�t S 3'J`�QS� .. �� Expiration Dat �2-2$ i Job Site Address:*606 l oj e LIAe. 1 �� City/State/Zip: `1 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 cerli nder the pains and 'es of perjury that the information provided above is true and rrect. Dat : i a e. • t ` - Phone# "09s soc� q b Official use only. Do not write in this area,to be completed by city or town ofjrciaL 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 r Phone#: Contact Person: A65 @ CERTIFICATE OF LIABILITY INSURANCE P ATE(MWDDJYYYI 5/1/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.TH CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE 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 the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to tt certificate holder in lieu of such endorsement(s). CON PRODUCER DOWLING &ONEIL INS AGENCY INC NAME CT 973 IYANNOUGH ROAD PHONE HYANNIS, MA 02601 EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC 4 INSURER A: L.M Insurance Corporation 33600 INSURED INSURER B: OLIVER KELLY DBA KELLY ROOFING INsuRERc: 8 RHINE ROAD INSURERD: YARMOUTH PORT MA 02675 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 20051017 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIC INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TH CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MP CY EFF AOOIJ EXP LIMITS LTRyou COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ GE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any oneperson) S PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- ❑LOC PRODUCTS-COMPJOP AGG $ JECT S OTHER: AUTOMOBILE LIABILITY Ea adeenntSINGI E LIMIT t$ ANY AUTO BODILY INJURY(Per person) IS ALLOWNED SCHEDULED BODILY INJURY(Per accident)i S AUTOS AUTOS NON-OWNED PROPERTYDAMAGE S HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION WCS.-31S-338804-033 12/28/2013 12128/2014 J sTATUTE ER AND EMPLOYERS'LJABILITY YIN 10 ANY PROPRIETORIPARTNERIEXECUTIVE NIA E.L.EACH ACCIDENT_ $ OFFICERIMEMBER EXCLUDED? a E.L.DISEASE-EA EMPLOYE $ 10 (Mandatory In NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $ 50 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. , THE WORKERS'COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR OLIVER KELLY. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOI JERRY WALSH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 110 KELLEY RD ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS MA 02601-1990 AUTHORIZED REPRESENTATIVE LM Insurance Corporation 01998.2014 ACORD CORPORATION. All rights reser ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD CERT NO.: 20051017 CLIENT CODE: 1329955 Didi Dangas 5/1/2014 9:36:27 AM (POT) Page 1.of 1, - Office of Consumer Affairs and Business Regulation - 10 Park Plaza- Site 5170 Bost6n,Massachusetts 02116 Home Improvement Con-tractor Aegi"tion Regtsftadan: 32$857 'NP& Individual Oli�/er Keii - EWratlon: 6/M/201fi Tto Oliver Kel . 8 Rhine R - Yarmouthport, MA 02675 vpdateAddress and ratnrn rnr8.Mark ressor sca, 0NOMI p Address.p Renawa} p �eat �l�c`�rau�Nr.�uttrrlH c ��ar.ac/i%:el/:� •='"._. ..._ ..— - .._. ... ...._._... 013ce ofConsomerAffd s&RudueeftRegula&n • License or regh�on valid for individui use only ME IMPROt/EMENT CONTRACTOR before the expiration data Iffbnad return to: iafraftir. 128957 Type: Office of Consumer Affairs and Bass RWktion pUatian: V14/2015 individual 10ParkPfaza=Suite 5170 Oliver Kelly 13ost6a,MA 62116 Oliver Kelly 8 Rhine Rd. �b�� Yanaouthpalt,MA 026T5 Undertec"r' ?not vaUd wittiontsignature Massachusetts -Department of Public Safei i - Board of Building Regulations and Standards , • ryf'.`I icense:JCSSL-099167 OLMR M KELL$ _ S RHM ROAD Yarmouth Port W* 02675 i xoirafio�il Commissioner 09/2&2015 ' .� KELLY ROOFING 8 RHINE ROAD YARMOUTHPORT PH 508 775 4498 MA. REG.# 128957 MA 02675 LIC.# 99167 Oke11y52@comcast.net' �� -INSURED- . ruary , 2014 Proposal submitted to the owners of 88 Captain Ellis Lane Hyannis MA We propose to supply all materials and labor necessary to remove and replace the existing roof at the address above All debris to be moved to town transfer. 8" White Aluminum drip edge to be installed on all eaves. Ice and water damage protection membrane to be installed on first three feet of eaves and around all protrusions. Remainder of deck to be covered with#15 felt paper. Limited Lifetime warranty Architect style shingle to be installed. (Color to be specified) All Shingles To.Be Storm Nailed (6) Install Shingle Vent II Ridge Vent on complete length of ridge. With hand nailed caps Replace existing Bathroom Vent Pipe Boots With New. Make any necessary repair to all flashings. Protect all walls, windows,decks, plants-and shrubs etc. during roof strip Obtaining of town permit. Complete clean up of site during and after completion of project, including all nails. At a Total cost of $3400 Payment Schedule; 50% at project start, balance upon completion. Respectfully submitted, Oliver Kelly Proposal accepted by, rr Date yl at /2014 AssPr s map .and lot �nurj3ber .....4k,. A '� �� i3... ..... �TI! C Y S TEMMUST gE . `�n` Sewage4Rermit number ..... . INSTALLED IN COMPLIANCEARTICLE II STATE TI �QypftHET0�0 �. �Y TOWN ' 0F BARN:S,1 :�o �B_ , °''"" 039.a,0�� BU1,1DIHG.' ' INSPECTOR APPLICATION,FOR PERMIT TO ........................ ..�... TYPEOF CONSTRUCTION ................................. .....Q.O. .. .............................:................................................. ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigne hereby applie r a permit accordin the following 4inforation:Location .................. .............. ........... ....... .......... ... ..............��............... _ u Proposed Use .......... ..... l Zoning District Fire District C Nameof Owner ......... Address ............................................................... ................... Nameof Builder .............. . ........ ..... .................................:Address .............:..............`........................................................ Nameof Architect .........:........................................................Address .................................................................................... Number of Rooms 1�...........................................Foundation .......� ' //�� ............n..../............................................... %zd. . ..LA Roofing 4 Exterior ............... ................ .......... .............. ................................................ Floors .................a... .... ..�.........................................InterioIL r .......... Heating ............1...w..4.....-..... ...................................Plumbing Fireplace ............... .................................................Approximate Cost .Q ............. ........ Definitive Plan Approved by Planning Board ________________________________19______•_ . Area ...... �a .... ............... Diagram of Lot and Building with Dimensions Fee �/................•............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH - k0 S I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. - Name ... ........................................................... ` J. P. Breen Co. , Inc. 18502 _ . . one story, ...................Permit for .................................... ' p,04w1nglm ' ly'dwell1ng ----.. --.------------. ' Drive _'__ .......................................... ..................... ^ �� ---_—_' ------..,------. ' ___J~. P~ Bramn CV~ ° Inc° Owner —. ----------------^.. Type ofConstruction ......fraoe........................... PERMIT REFUSED . . . ` . ` ' _ ^ ' . . ' ' . . ' ' ' ' . � � '—r~—~-----^-------`—^^--~--' � ' � ' ^ � -,'--.----.----.—....~—.`-----.... Approved ............................................... YA --------------...---------~. ' . . . --------------------..----... ' | sse�tir' map and lot number ?.3,0 r� ' Se {a a Permit'number b�QyOFfMET�� Y TOWN , OF BARNSTABLE 1 ii � • i EARISTADLE, i NAM , BUILDING INSPECTOR u / r - P PLICATION;FOR PE' � � ...�" --� .. ..... 'PERMIT TO ..................... TYPE OF CONSTRUCTION ................................. 1., ..... ................................................................................... ................................................19........ �TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies,-f r-a permit according-to the following information: Location .......................................... ...............f.I.......•..............I...... ............................. ................................................................ Proposed Use �....�-c c 'c.�, :...................................... A......................................... P , ✓ v Zoning District ... ..ti;•' (••.t................... Fire District.............. .............................................................................. Name of Owner . � .. A4 7 .. ?. 0 y1,y� ;.........,.... Address ...................................................................'.! //,;....... Name of Builder �?.a.� .Address ................... ....................... .................................................................................... Name of Architect ................Address..............:. ................................. .......... Number of Rooms ................... ..............................................Foundation .........0- �- ` a ..... ..Pr............................................ Exlerior <<'r^..... 'M� a �...................Roofing ...................{: ............................. ............. .................... (r Floors .................: .....!..�.........................................Interior ......... � F � f �/t 1 f......... ....... ..:f............................................ 1 ' r , , Heating r ' 1 ...•.•......Plumbing .............................................................. - ° .... PP . .................... �-''4 1.. - J Fireplace ................ ................................................................Approximate Cost ....... ••r �I f Definitive Plan Approved by Planning Board -----------------------_________19________. Area ........... . Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. , Name ..........."1u ........" .`":-~................. J. P. Breen Co. , Inc. A=250-113 No ne tory., ......... ... ............ Permit for .....o f, .....s ....... . jingle family dwelling ................................................... Location �j�j..Ca.p. ...t. Ellis. . ... . Drive.................. ....... .... . ... .. . ...... ........ . Hyannis ............................................................................... Owner J. P. reen Co. , Inc. ...................... ....................................... Type of Construction frame ,,,,, ................................................................................ Plot ............................ Lot ..........#18............... a _ July l I 76 Permit 'Granted ......................... ..............19 Date of Inspection .: ............... . Date Completed ................... .................19 1 PERMIT REFUSED ........................................./ .................... 19 ...................................... ....................................... .................................... ........ ................................ ......► ;.ill.. ...... ............................... ............................................................................... a. Approved ........................................t,...... 19 s}r.. .�... ................................... 3 /7 o tt-, -rl a, -r7 rt » i—t�' r s�r�� rAl A541- 7— / 7 �� cJ�a �..f 4-/ . A 01 0� Fuft��-r �X�a��asr•�ay 411) L CERTIFY THAT THIS PLAN SHOWS r THEE AEA UAL LOCATIOi`,1 Olr' THE 5 ` 00`i r ! °TRUCT RE ON THE LAND AND ��- i THAT I ( CC�tVFORMS WITH THE � } y6¢.zo ' gY_1AWS OF THE TOWN 611111747 f � -_ - --: PLAPA OF LAND 1N OF Al f � - a��P J! FRANK CCNERY S `��` of M�ss� o a� HYANNIS. M4& FRANK y ReGIDTUR o $BARK rn� v CONERY y / 7r/ ;I WkRY ti ,Q No. 6232 SCALE 4 �T�1 =zp�"�" �/ Yee �+�/ �c► A A No. 573�O � y Qp�FSG�51 �C}�a`c �Hd 5UR��' � 41 ' .�- dam•� ,�- :� � -� � L�' P 7 i ar I 41, o '� g9'` Nle I �V CERTIFY RT 1�'Y THAT AT THIS Pl.:d1►N SHOWS HE AC,, UAL LOCATION OF THE ,TRUCTURE ON THE LAND AND WHAT it 90NFORMS WITH THE BY-k-A Z OF THE TOWN � e /,3 3 -5.3 PLAN of LAND IN �1 vo. owr4m By �� PytN OF Mrs FRANK CONERY'..S �flr' ST t N MAs�7 HvAMs, MM& CM q' yG g FRANK a. ReGI$TSiRco FRANK ^', CONERY CONERY y No. 6232 SCALE iN 'ZD¢'i l �ll ,17e 1+s7� Q No. 6573 0Q. �G�STEK� suR4 `�o F ONAL��