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HomeMy WebLinkAbout0067 CARLA ROAD JI I� � .� Town of Barnstable _ ]Building �• Post This Card So That it is From the Street:Approved Plans Must be Retained on Job and this Card Must be Kept + vSTASIA ' A Posted Until Final Inspection Has Been Made. Permit Where a Certificate of Occupancy is Required,such,Build,ing shall Not be Occupied until a Final lns.pection has been made. ,,, , Permit No. B-20-1173 Applicant Name: Alex Braga Approvals Date Issued: 05/14/2020 Current Use: Structure Permit Type: Building-Sheet Metal-Residential Expiration Date: 11/14/2020 Foundation: Location: 67 CARLA ROAD, HYANNIS Map/Lot: 248-214 Zoning District: RB Sheathing: Owner on Record: BOND,GREGORY A&JENNIE L Contractor Name: ALEX B BRAGA Framing: 1 Address: 67 CARLA ROAD Contractor License: 6717 2 HYANNIS, MA 02601 " Est. Project Cost: $ 13,865.00 Chimney: Description: Install new HVAC system (Furnace,Coil,Condenser) Permit Fee: $85.00 ;. Insulation: Project Review Req: Fee Paid: $85.00. Date: 5/14/2020 Final: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: 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 and thekapproved construction documents for which this permit has been granted. Rough 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 inspection for the entire duration of the Final Gas: work until the completion of the same. I Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this,permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site 'giC All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Jan. 29` 2020 8:58AM ALTERNATIVE WEATHERIZATION, INC ; No. 5184 'Pr 1- ALTERNATIVE WEATHERIZATI'O:N ry _�o v Date; rr� � Town of Barnstable 200 Main St Hyannis,MA 02601 Re:permit# dam'34Z "�llagei r 1•r .Y •��7heinsulation/weathgtriz�iioi<worklat .. �`}as't�een com Leta'-= •'accordance witli:`7. ;F :Y�' .is•' • 'fr.1l` Timothy Cabral, President CSL-105454 58 DICKINSON STREET FALL-RIVER,MA 02721 (508)567-4240 •ALTERNATIVEWEATHERIZATIONOGMAIL.COM Town of Barnstable Building Post This Card.So That it is Visible Fr"om the Street-Approved Plans Must be Retained on Jobxand this.Card.Must be-Kept Hnsntsrn> :, - MASS� Poste t Until Final Inspection�Has Been Made � ;= ' i*bs9 , Permit Where a Certificate of Occupancy is Required,such Building shall;Not be Occupied until a Fin,al,Inspection has been made. --ter. , Permit No. B-20-32 Applicant Name: TIMOTHY CABRAL Approvals Date Issued: 01/06/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 07/06/2020 Foundation: Location: 67 CARLA ROAD, HYANNIS Map/Lot: 248-214 Zoning District: RB Sheathing: Owner on Record: BOND,GREGORY A&JENNIE L Contractor Name: TIMOTHY CABRAL Framing: 1 Address: 67 CARLA ROAD _-Contractor License'." CS=105454 2 HYANNIS, MA 02601 Est._!Project Cost: $4,419.00 Chimney: Description: Insulation Permit Fee: $85.00 I Insulation: Fee Paid:n Project Review Req: ' $85.00 Dat 1/6/2020 Final: e � Plumbing/Gas Rough Plumbing:. " ���Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six month11 :s afterrissuance. All work authorized by this permit shall conform to the approved application and the`,approved construction documents for,-,- or which this permit has been granted. Rough 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 inspection for the entire duration of the Final Gas: work until the completion of the same. ; i` Electrical signatures b .the Building and Fire Officials are provided on this'permit. will not be issued until all applicable The Certificate of Occupancy -, y- g P P Service: Minimum of Five Call Inspections Required for All Construction Work: " 1� 1.Foundation or Footing R Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: ' 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: _ "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site 1 Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT .M canon number � L—A'- r= Bu NG D date Issued ... . N Bul,ding frispectors initials' 7 ...... R C .. ........:. ... ....... °- ._ . � . ,O .. . � _, Map/Parcel . � �..Q1 ...�.� .................. SOWN FBA NSTABLE rt TOWN. OF BA�RNSTABLE re� �S `-EXPEDITED PERMIT APPLICATION:, ^x fi r, ROOF/SMING/WINDOWS/DOORS/TENTS/STOVESLWEATHERIZATION : PROPERTY NNFORMATION Address':of Project:>>.' NUMB SIZtEET :: r k::_VIL,YAGE Owner's Name::16/1•%L &_10( ' � Phone Number;.l d Email Address:67%A" 4M. c4 ry - Cell Phone Number Project cost Check one:. Residential �/ Commercial : .r As owner of the above property I hereby authorize . -,-,-,to make application for a building permit in accordance with 78 MR _ Owner Signature: tS� �.f a.c - Date: :. TYPE OF:WORK Sidmng Windows°-(no header change)# ., I Insulation/Weatherizat©n^_ g ) 4 0 .Doors(no.header char e # Commercial Doors re wirer an mspector's�revtew Roof(not applying more than l;layer of shingles) Construction Debris will be going to CONTRACTOR'S-INFORMATION47 Contractor's nameye'z'2 1 , Home-Improvement Contractors Registration(if_apphcable)# f ��i (attach copy) Y ' ...r:� h - 7,7� Construction Supervisor's License# IM5 1) (attach copy) Email ofcontractor 7(,V, �c j7j7L: Phone number AVE, R O E SA RfHALLPROPTIESTHATHR RY UBJECT PROPERTY/SIN: 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 r 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. 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 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 7 CMR the Massachusetts State Building Code. I understand Supervisor in accordance with 80 g the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPAICM19S SIGNATURE Signature I/ Date All permit applications are subject to a building official's approval prior to issuance. DocuSign Envelope ID:DA832431-2B50-4EAF-BBC5-035ACOAA6FCD Permit Authorization i1 ove Form srwvngs rnrnwighenemye'ltkncy' Site ID: 3864195 Customer: Jennie Bond Jennie Bond owner of the property located at:, (owner's Name,printed) i 67 Carla Rd Hyannis, MA 02601 (Property Street Address) (CrtyJ hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed . below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. y DocuSigned by: Owner's Signature: Date: 12/11/2019 10:15 AM EST, �+aaaaooa�+aaaa� a�s�aoue�aa,o+�aaoa+acaaoaa�aaa� aa�sa�soaaaoaaa�aaoaa+�o+o�aaoa FOR OFFICE USE ONLY We have assigned the following Mass'Save Home Energy Services Participating Contractor to the above:referenced project: Participating Contractor Date Name: RISE Engineering Phone: 401-784-3700 Email: Page 1 of 1 For Office Use•Or}i.y, Rev.102015 The Commonwealth of Massachusetts Z u Department ofdndustrialAccidents a 1 Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERNHTTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual):ALTERNATIVE WEATHERIZATION, INC.' Address:2 LARK STREET City/State/Zip:FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: Type of project(required): 1.R I am a employer with 16 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.] 9. ❑Demolition 3.F�I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13 Q Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 14.❑r Other INSULATION 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. - 152,§1(4),and we have no 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 anew 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:LIBERTY MUTUAL INSURANCE Policy#or Self-ins.Lic.#:XW058867158 Expiration Date:06/07/2020 Job Site Address: �7 ��Ll/yC� 1,12 City/State/Zip: 's Attach a copy of the workers'compensation policy declaration page(showing the policy nun7er and expiration 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 e ' ` s and alti s of e ury that the information provided a/bo is true and correct.Signature: Date: / 3 Phone#:508-567-4240 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#: DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE Fo5/24/1s 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,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 NAME: Anthony F.Cordeiro Insurance Agency AICC,N Ell:: 508-677-0407 ONE FAX No): 508-677-0409 171 Pleasant Street E-MAIL Fall River,MA 02721 ADDRESS: HSouza@Cordeirolnsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Liberty Mutual INSURED INSURER B: Ohio Security Alternative Weatherization INSURERC: Ohio Casualty 2 Lark St INSURER D: Fall River,MA 02721 INSURER E ' 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 ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDY EFF MML DI EXP LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR PREMISES Ea occurrence $ 300,000 MED EXP(Any oneperson) $ 15,000 A Y Y BKS58867158 06/07/19 06/07/20 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY 0 PRO- JECT LOC PRODUCTS-COMPIOP AGG $ 2,000,000 OTHER: I $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B OUTWNOS EDONLY rx AUTOS SCHEDULEDY BAS58867158 06/07/19 06/07/20 BODILY INJURY(Per accident) $AHIRED NON-OWNED ."` PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ x UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE Y Y US058867158 06/07/19 06/07/20 AGGREGATE $ 1,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN - STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 C OFFICER/MEMBER EXCLUDED? N/A XWO58867158 06/07/19 06/07/20 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) - Action Inc and NGRID,USA,its direct and indirect parents,subsidiaries and affiliatesshall be named as Additional Insured on commercial General Liability and Automobile Liability polcies. s ti CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN NGRID USA ACCORDANCE WITH THE POLICY PROVISIONS. 40 Sylvan Road Waltham,MA 02451 AUTHORIZED REPRESENT @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD i . Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Cons�t 'rvisor CS=105454 �pires:05/08/2021 TIMOTHY CA#R!i 68 DICKINSON STREET FALL RIVER A 02721. �© A Commissioner Office of Consumer Affairs.and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improve m`e_ nt�C�ontractor Registration Type: Corporation ,t^ F Registration: 175683 ALTERNATIVE WEATHERIZATION,INC. ' W Expiration: 05/28/2021 2 LARK ST FALL RIVER, MA 02721 (. Update Address and Return Card. SCA 1 G 200MM-05/17 - Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE,Corporation before the expiration date. If found return to: ReaistjQon Expiration Office of Consumer Affairs and Business Regulation 175.683 05/28/2021 1000 Washington Stre -Suite 710 ALTERNATIVE WERIZATION,INC. ton,MA 02118 17 j' Vk TIMOTHY CABRAL' _ 2 LARK ST FALL RIVER,MA 21 of v ' withou signature y Undersecretary . Town of Barnstable Building Post This Card So That it is.Visible From the Street.-Approved Plans Must be Retained on Job and this Card Must,be Kept aar S ensMAL s 163a `� ,Posted Until Final Inspection Has Been Made. I �l llil Moce" Where a Certificate of Occupancy is Required,such Building•shall Not be Occupied until a Final Inspection has-been made, , c m Permit No. B-19-1483 Applicant Name: Stephen Hunter Approvals Date Issued: 05/02/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/02/2019 Foundation: Location: 67 CARLA ROAD, HYANNIS Map/Lot 248-214- Zoning District: RB Sheathing: Owner on Record: BOND,GREGORY A&JENNIE L .m - Contractor'Name:`°=•ALUMINUM PRODUCTS OF CAPE Framing: 1 COD INC. Address: 67 CARLA ROAD „ 2 HYANNIS, MA 02601 -- •Contractor License. 158424 s Chimney: Description: INSTALLATION OF FIVE VINYL DOUBLE HUNG WINDOWS.,THE Est. Project Cost: $ 2,500.00 WINDOW HEADER SIZE WILL REMAIN THE SAME. WINDOW MEET Permit Fee: $ 35.00 Insulation: ALL EGRESS REQUIREMENTS. i Y Fee Paid: $ 35.00 Final: Project Review Req: Date:' 5/2/2019 — Plumbing/Gas Rough Plumbing: Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months aftePgffiF 'e0 icial All work authorized by this permit shall conform to the approved application and theFapproved construction documents for which this permit has been granted. Rough 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 inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing f Rough: 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 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ©N� Final: X-PRESS PERMIT JUN - 9 2014 Town of Barnstable *Permit#Z G 1 H 03-7 aL j Of ZF1E laY,l, Expires 6 months from issue date latory Services Fee 35•— BAM4s N OF BARNST eu y� 1639. ,eg Thomas F.Geiler,Director ' plFD MA't� .. • Building Division Tom Perry,CBO, Building Commissioner' 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma us • Office: 508-862-4038 - Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ] ( Not Valid without Red X-Press Imprint Map/parcel Number �`{ "� £ ` ' Property.Address L7 CIWL^ Residential Value of Work o o - Minimum fee of$35.00 fo work under$6000.00 Owner's Name&Address Ll fi f 1F1 1� 1G� f44ASA! �i. Cww.t>.n�ob ry�A. o'ti-13�9 ' - Contractor's Name. .. :TelephoneNumber Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) C. 11 [✓f orkman's Compensation Insurance Check one: ' ❑ lam a sole propiietor= ❑ I am the Homeowner have Worker's Compensation Insurance Insurance Company Name 1'1ti�G1 A� 1-k"•R' Workman's Comp.Policy Copy of Insurance Compliance Certificate must accompany each permit. 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) y ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows Smo /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 si Property Owner Letter eruiission. 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EDIZ�LUSIONSAKDCONaMMS OF SUCH P019CIES-LUX S SHOWN ISAY HAVE BEEN REDUCED HYPAID CLAIMS; L� A i aE zs . PDis.-r E:-.=:INSR ..rois-t 1x�.I .taurs _ LLTTR TYP=OFASURANOc yVD nI�cIH 10/01f1 SZ,000,D00 A- cyst tt aBat Y O.D 09 59901 0Q3 1t1/0 01. FAG t DC�xP�JCE r A-. .�7D R0'-- S1,D00,ULU ra X rnnmAEFd:3nLGENERALL]ASu_rrc rd EXFP ) `ID,DOO n1A&C°vN I X I C 52,00D,000 H rNAL ILAnV ADUSZY. r Sa.ODO,ODD m r Fj MUCT--CDLFXF S�-`.,ODD,00D -- o - 0 X POLSY . LDC SD/m/Z0-31D1D7/21d C'OMBU�S'V�l.ngr A Aim,ss B9ZLuaany SAP SQ95900 D BODILY n JURY(PcpI-) I Z• ANYADTO - BOnn-y v-KY(P�'®es�.. .. ' m AJcOWhn3D Qi-TUic�. FPt�cclY DAt.3ALY D AU-1 OSAUTOS - "'- - FRED ASDS HOh-OWMED ADIOS �^-va_iJlLLi3 OCL7Tri - �1l'F - CLAzl%41ln=- B WDR-1�s=WBZIAZDRADa v105Q9539701 d s Dr� a�rrr Yl wcsQ95assD1. 1D/01/2D73 imp-01- ��=MENr z.DOD.00O U nrnr H OD MIA ODE),ODD p�=Ymrzi9 a ELD-�,:>�TM"1»T 52=DOO,DDO D�til l OF OF•=t47DHS i��• DE�i i7DH aE OF"ii-AI7D1s/LDCA17ntsIY-Y�+'lQa -/�Sm ivt.Ao�a1Ps�Us sc`+�+1•z , . _ .. ,�. , EVIDENCE OF MSUKANr-E •�+1-3 Ll t�tl�eil L 1 LL�G..L� - _`A CELLAa,UN. - g TE xwalA . - SADnLO AFZY cr T � M ���1Rrrii Tom- _ - PAYsom- -- = - - ADT LLCAttn: TOR I EE - 'fC d16 Lp RYER47 Y AVENUE "A (ism_f ct/6i WESfl= MA 02090 i.DSA feA'G ®f9B&2010 ACDO CDFI'URA I10K An Iigfis T ��Di�I125{�0 i i } 1 PD awe�i Iogv a-e r mmics rr'ACORD x COMMONWELYH-_OF.MASSACHUST�fS.: : i ELEGTICIANS 155UE5 THE FOt.LOWI NG L GCENSE AS } A REG L -TME-0 SYSTEM CONTRACTOR' F '� }. ADT LLC .0BA ADT 5F URITY ' 1 THOMAS J. LEE < I . 410 UN I UER.S I TY AVE: W `• WESTW000 MA. 0209Q .23 r 7z c 07/31,/ 6 - 1 1 Commonwealth of Massachusetts Department of Public Safety Stcuritc Ss strms-S-Licensc License: SS-001779 -- Thomas J Lee 410 UniversityAve" Westwood kV 0209 l Expiration: Commissioner 05/16/2016 o * snxivsrnsr.E ; Town of:Barnstable a t6;9' RegulatoryRServices, 'f a`Tho'mas F.Geiler,'Director, -o :! Building Division '.Thomas Perry,CBO_ r Building Commissioner"'. - 200 Main Street 'Hyannis;°MA 02601 '` 'www.town.barnstable.ma.us Office: 508-862-4038 .y �: y" Faz; 508-740-6230 Property O`vne�r Must Complete and Sign This Sectiony F I _ T d•y d.SA 0 as Owner of the sublect.prope sty s ,., hereby authorize A of to act.on my behalf, ' n in all matters relative to work authorized by this building perrnit a"pphcation fot: a (Address `of Job) uz_ Signature o f Owner D to t* 4 a; a . Pant Name } If Property;Owner�is applying for•permit,please complete}the'Homeowners'License Exemption Form on the , reverse side: Q:\WHILES\FORMS\building permit fonns\EXPRESS:doc ' ential Fire Alarm System Plan . 5505UE00 Customer Information Branch Information Install Completion Date: � , 1 l 4- Name: Name: � N o_t1 L-e4o\( R�4.� ���'i1 l rty i Phone#: Address: U 9 Certificate of Registration#: ACR-1460 City/ZIP: �y G�1Y115 l Legend:.-Use the following symbols to create the customer's fire alarm system plan. CP NP O O sl ag Control Heat Smoke Existing Battery Panel Keypad Sounder' Strobe '' Smoke Smoke Detector Detector Detector Detector }`�X � 2CT0� i __ t1 e 41 i { jyam//,/ f ! � . K ETCOS REVIEWED 1 BA NS BL BW DIN DE T. DATE i FI E D�PAR MEI I. I � 77 ADT Representative Name: I t_rke APS/RAS Licensee Name: License#: APS/RAS Licensee Signature: , ©2012 ADT LLC dba ADT Security Services.All rights reserved.(06/12) Original (ADT) ide.ntial Fire Alarm System Plan. 5505UE00 Customer Information Branch Information Install Completion Date: I 1 q- Name: Name:1� N "`0.1'\, k`�4,' f Ra 4e �. Vt/KJ-4U i Phone`#: Address: U (7 CC,4') 9-C' Certificate of-Registration#:' ACR-1 460 city/ZIP: Icy GAy-,)5 Legend: Use the following symbols to create the customer's fire alarm system plan. CP P � Control Heat` LSmoke Existing' Battery Q.C"1�6`N Panel Keypad Sounder. Strobe Smoke Smoke Detector Detector wW_J.\oX�e Detector Detector' is I F]_7711 T- T l 14 VVUU W 'I• tl "F los I a B RN AB E B, FRRE EPATM�NT AT T .SIG T ES 4RE E0 IRE F0 PE IT NG n i i-I ADT Representative Name: APS/RAS Licensee Name: License#: APS/RAS Licensee Signature: ©2012 ADT LLC dba ADT Security Services.All rights reserved.(06/12) Original (ADT) + . 7500000556 P :2 -<THV)RPR 16 2009 1$:1T/�•r•16:16/N - �� . r �Q�Vm FPS(rev.3Mo) �� � , � � ,g4W W "5 APPLICATION FOR PERMIT - — DIG SAFE NUMBER - city or Town, Date G►1`nl e- F . _._— Es;tart application is hereby made in accordance with the provisions of M.G.L.Chapter 146,as provided In Section by ADT LLC dba AQT Security_ F- (wrr�or pe+son.Firm orCvPorag�+1 [' Address 410 University Ave, Westwood, Ma,02090- (Streer or P.O.SO4(CilycrT-; ,Sec e F, . 6 For permission to(state clearly purpose for which permit is requested) _ . F C�GT�'�Ta l�'t D r1'('�a C•°cam` ,S`�► d�� �._ — l�rS' .S U Cr�l P f = Cert. C 172 i Name of competent operator(if Appiicable) Date issued-rejected By Thoma J_ Lee _ S " $Paid Due Date of expiration Fee c o =Ps rev.3mo �� 9c oa_fa-5, (9 c , �o� ��- PERMIT •�J wrrl(f DIG SAFE NUM5r=R City Date ��I 1 Start Date: Permit Number Cd applicable} this per�iit is granted In accordance with the provisions of M.G.I.-Chapter 10 as provided in - - r. . (Fu¢name o€peman�nn V GOTP ronl,,::, — - -!�,Al L �' A -AD LC ^ty venue ... . for :_. _.__ Wiestvvood --M-A 02090 . Restrictions: I/ LcAY i at V7 !.i41►��.P► 'or d8scnb�e in sricA mar" to P�� adesNate iderrlfreaf7on o/locatior+j rGive uxatfvn b}weer and no • This Permit will expire on Fee Paid This Signature of Ofifi=I Granting Permit eit musfi b�.conspicuously posted upon the premises_' s This p $o q�Ao�``� _:idential Fire Alarm System Plan r 5505UE00 Customer Information Branch Information' Install Completion Date: � ) � ' l �- Name: Name: ' "to�r� L S4014 Y�C,Ref4j' Ktrr Y— VT' Phone#: ` Address: Certificate of Registration#: ACR-1460 City/ZIP: kN GAV-,15 Legend: Use the following symbols to create the customer's fire alarm system plan. Control Heat Smoke Existing Battery �.C�i�6i� Panel Keypad Sounder Strobe Smoke. Smoke Detector Detector Vt'tCt\Olt Detector Detector Ica J- I�10 - ; V j ly 1 j - r . f ADT Representative Name: j c'✓j C-� .r Cl APS/RAS Licensee Name: License#: APS/RAS Licensee Signature: ` ©2012 ADT LLC dba ADT Security Services.'AII rights reserved.(06/12) Original (ADT) -0 7fL7 600 F o f, � - lip aimf3` �raa �— IIJJT- lzd tirl C�/ Zip: tt�ESfwoon � rht�. a�a�b.. anI-355-�b1R _ , AS-E YQIE 3IIEL—�T CrhFVk lEC BO= - �F SD� Iama p C = L �lay�with .gs E [�1� S C ag 1�`ra rr I E E]NmTvm5b:uiaie - CfD]l ffid/m P�J�_T .- _ .. 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ADT i 1 r - 'k` 10 L EV LEE A _)fI LgaYERSITY AY)71ITE cct//66ss WESTWDDD HA 02090 LI:SA _ ®[38�2RI o A RC CDP,poRA-110+I.All C[gb rzs� AMRD 25 P01 DIDS) Tba ACon n=m�d kygo are r =arks E:pf ACORDI • - r, - COMMONWEALTH-OF,MASSACHUSETTS • HOf1HD+3F- _j ELEGTRICVANS I ISSUES THE FOLLOWING LI 'ENSE .AS A REG�STEkip.- STEM CONTRACTOR �� . D.T. LLC DBA ADT SECURITY THDMAS J LEE ; ' 4`10 UN I V.ERS UY AVE W tJE:STWGO MBA 02090 2311 17z c 0j'/.3t/j6 33986 1 • Commonwealth of Massachusetts Department of Public Safety Security S�steme-S-Licen;sr License:.SS-001779 Thomas J Lee 410 UniversityAve - Westwood M4 0209' Y "Expiration: Commissioner. 05/1'6/2016