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HomeMy WebLinkAbout0017 CHASE STREET �� c�.� s� i\ s. I I —s. _z Via Town of Barnstable Building saatvsrABM Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept 1L639. ` ' Posted Until Final Inspection Has Been Made. }Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit Permit No. B-20-2463 Applicant Name: Allie Kelley Approvals Date Issued: 09/08/2020 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 03/08/2021 Foundation: Location: 17 CHASE STREET, HYANNIS Map/Lot: 308-191 Zoning District: RB Sheathing: Owner on Record: PEREIRA,ANA CLAUDIA V Contractor Name."-,,PALMETTO SOLAR LLC. Framing: 1 Address: 17 CHASE STREET Contractor License: 188411 2 HYANNIS, MA 02601 Est. Project Cost: $15,000.00 Chimney: i Description: Install solar electric panels to roof of existing home to be Permit Fee: $126.50 interconnected with homes electrical system 115 panels @ 4.950kW 5 Insulation: Fee Paid:' $126.50 Project Review Req: - _ Date: �r"f 9/8/2020 Final: Plumbing/Gas 'sue Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afterssua in ifficial Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the + work until the completion of the same. Final Gas:� � , The Certificate of Occupancy will not be issued until all applicable signatures by the Building and-Fire-Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: / 1.Foundation or Footing �{� Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flu Mining is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: :.:'BUILDING •• `3i':i► :<«t<::>:: ,::$< > ``«<y`?"....',ti`ti>'R',+.titi..:..4' »; <'''<' «< « .................: ..:::::.:::.:.:.::::.:::::.:::.:.t,.:: ....... ..... . �:: '������•���.:,:.:>:.::;.;:.: . SALTS .......................:.. HYANNIS mom- <<.«< .. fix:.. r s<:N .:....ZONING ............... ....::... .:.:... LEGAL??????????? I .. SEARCH ................................ :n .......•••••••••v•••••vw:.�:xvvx�nxtvvw:::•ttw:..•••••w::::...• v::.••.v:::::..vw.w.vvxvvvv:•.tvvxvt TORN OF BARNOTA 3LZ REPO UPPLEMENTARY/CONT `LION REPORT NAME (LAST, FIRST, MIDDLE) DIVISION ME" 1� NOTE DETAILS i OBSERVATIONS ITEMIZE EVIDENCE, SERIAL OS ETC. �g �o IN-1 �� - - --- -- PAGE t (� Assesspr's office(1st Fl)or): - I Ass ssor's map and lot number 0 ci THE>o Conservation Board of Health(3rd floor): Sewage Permit number octo2 �(o (oD41 MUST CONNECT T TRP14 SEWER s�ar'r�at rua Engineering Department(3rd floor): / House number �tI MAY�. 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 BUILDING ' rINSPECTOR APPLICATION FOR PERMIT TO /� �'A LI.� s� LJ 0 r o -t U TYPE OF CONSTRUCTION _ t t)o o p 97 A-P PL 19 9Z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 12 e to 5 C.E St,, L/ Y A//,,v I c Proposed Use / V► /V C SPA rr� Zoning District [2= g Fire District Y q Nic/ 1 C Name of Owner ICI/Vt C S is C,f S Address t 7 "AS < S� H VA lvlv I S Name of Builder S A V-i Address Name of Architect /U r) i Address Number of Rooms 2. Foundation fl2v a<_Q Cowc__(i,&f Exterior W, C- 1 N G 4 S Roofing • .1S P1, 4 L+ Floors V YNAL Interior S t-t 4-4 t 12 a c.1< Heating A 22 10 C x i_S f i V G- Plumbing f Z 8 A Fireplace /U U Approximate Cost 5_0 O Area '� o0 Diagram of Lot and Building with Dimensions Fee J� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name r Construction Supervisor's License bweyuL 1 SALTS, JAMES E. r Y a tp No 35015 Permit For 9802 Y .�` Single :Family dwelling ' LocatioA - 17 Chase Street Hyannis _ l t Owner James. E.. Salts r _ 41 �+ Type of Construction Frame ;� + { _ 0 Plot i Lot Permit Grant d Apr 1 30 ,E 19-, 9 2 .i , ± Date of Inspection +7< 19 } Date Completed 3/P/ 9f 19 - t EX �•, F: J.• FI , jfi f } TOWN OF BARNSTABLE s BUILDING DEPARTMENT HOMEOWNER LICENSE ER------------------ EMPTION , ` Please print. DATE Z -7- 4- 9 Z JOB, LOCATION 1 -7 Sf ` Number a Street Address Section Of Town HOMEOWNER" SA C fS Name 7 Home Phone work Phone PRESENT MAILING ADDRESS Q. .Ra �c 1 3 Z l� Y��livcg - City/Town Z G State Zip Code The current exemption for "homeowners" was extended to include owner- occuAied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, Provided that the owner acts as su ervisor. P DEFINITION OF HOMEOWNER: Persons) who owns a parcel .of land on which he/she resides or i reside, on which there is, or is intended to be, a one to six f intends to dwelling, attached or detached structures accessory to such x family structures. A person who constructs more than one home in and/or farm period shall not be considered a homeowner, a two-year to the Building Official on a form acceptable to the Building that he she shal'1 be res onsible for alI s Such "homeowner" shall submit buil`din Official, ermit. (Section 109. 1. 1) uch work erformed under the The .'undersigned "homeowner" assumes responsibility for compliance State Building Code and other applicable codes F regulations. with the � ;^by-laws, rules and The undersigned "homeowner" certifies that he/she understands Barnstable -Building Department minimum inspection procedures the Town of requirements P dures and HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Not Three family dwellings 35,000 cubic feet,required to comply with State Building Code Section larger, Will, be Control. on 127.0 Construction F H2SC5 ' 4 {n F; r HOME OWNER'S EXEMPTION The ,code states that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for Licensing Construction Supervisors, Section 2. 15) . This lack of awareness often results in serious problems, particularly when the Home Owrer hires unlicensed per-eons. In this case our Board cannot proceed against the unlicensed person as it would with licensed supervisor. The Home Owner acting as supervisor is ultimately responsible. To ensure that the -Home Owner is fully. aware of his/her responsibilities, many communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in .your community. F F i( F 1 Brockway-Smith Company j Brosco Architectural Group U. �: Serving Greater Northeast Ar•chitectssince 1890 tTT GARRY PREVEDINI Offices and Exhibit Area: ARCHITECTURAL REPRESENTATIVE 146 DASCOMS ROAD (Route 93-Exit 42) 800-225-7912 ANDOVER,MA 01810 FAX (24 hours) 800-242-4533 COMMERCIAL • RESIDENTIAL DATE JOB F y � C. mow....-_......... .. IP � 1viz la6le to seroe you Willi -' 3uafyel J hrces; &)ino%w DelailM ano( cspec &)rfliny y I ENTRY DOOR SYSTEM Andersen "Rain Sensitized" I I I Wood and Steel Automatic Closing 1- he Town of Barnstable � Inspection Department i670 367 Main Street, Hyannis, MA 02601 -• �OYY Y' 508-790-6227 Joseph D. DaLuz i Building Commissioner TO: Leon Churchill, Assistant Town Manager FROM: Richard R. Bearse, Building Inspector RE: 17 Chase .Street, Hyannis A=308-191 James Salts DATE: September 2, 1992 The following building permits have been issued for the above referenced property: #26037 2/1/84 Remodel interior ofsingle family dwelling #30794 6/1/87 Add bathroom to garage #35015 4/30/92 Attach accessory building to dwelling The accessory building with the bath addition was used by Mr. Salts as a private art studio/hobby area. The dwelling on the site is small and the addition of a bath and the installation of a washer and dryer was considered acceptable. The building was used solely as an accessory to the dwelling and ZBA action was not necessary. A The current building permit is to attach the accessory building to the dwelling. The entire building will be used as a "single family dwelling" . z a#ol Assessor's offioe�Ust floor) p� q� _ / ® THE AssessGYist ran and lot Board of Health (3rd floor): ML9 amtlo TOM SEWER e�P Sewage Permit number ............ ?.1;?,3...... .. FLOO2 �2 �� Z BasasTLBLE, Engineering. Department (3rd floor) vo rasa House number : i6�q ♦� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......1 .4c ......."". ......�� � �� ..... ............................. .... TYPE OF CONSTRUCTION ..........'J11L111d...............^ ......�.�........................................................................ `••...................................I9 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according)to the following information: Location 'S 1...... .........c..........�......... .. ............................................................................................................................ Proposed Use ........ Zoning District �.—A......................................................Fire District ............ 43................ Name of Owner ....v.�'�..�.G.S...............G..`.. .-...................Address ....... ..................:..................................G`t�C 1 Name of Builder .. Q t.�. ........................... ... ..............Address .....7........�r l5: ....... .... .r........... .SI.rB.tiA.trf Nameof Architect ....../.1/&cl.e..........................................Address .................................................................................... Number of Rooms . Foundation ..G....................................:............ Exlerior ....1 `�� C Roofing 4�/T//// �� Floors ...........It,-Ra U1............................................................Interior ......�.(eG'f......X,0.4................................................ Heating ........ Plumbing '......C...... .................................................... FireplaceA/a Up0 l..!�......................................................Approximate Cost..-5;,-.................................................. .. . Definitive Plan Approved by Planning Board ---------------- 19-------- • Area ..J ...:.... Diagram of Lot and Building with Dimensions Fee �/ SUBJECT TO APPROVAL OF BOARD OF HEALTH I 1 � G Fwr - 90V,5e 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 77/ P2� Name .. ... I construction. I . .� ....................... ................... ......................... Construction Supervisor's License ©� ............ .......... SALTS, JA2,IES No .... Permit for ...;�?��..BA.TH.R.00.M. TO- GARAGE 11 Access' or-,7 tc) Dwe" 1i ........................I .....................*...... ........... L A' 'n .. i7 Chase S treet .............................n................................ Hyann4 s ti, .............!....................t........................................... Owner ....LY...a.m.e.s....S a.�..t s................................. Type of Construction Frame.............................. .... .... . ................................................................................ Plot ............................ Lot ................................ June 1 , ' 87 Pe'r'mit Granled ............................ ...........19 Date of Inspection ......�ction ........................... ...19 Date Completed ......................................19 M M TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � �c c Map Parcel Application # Health Division Date Issued 3i Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board PR:7 —31 — 3 Historic - OKH Preservation / Hyannis Project Street Address /1 ' , � Village T�,��y�&ZY Owner �a ex � f��i'�.� Address Telephone Permit Request 9 '� ,�.yy:,% i7 i G/�l✓�.t / ��f/z�/vs �� � �j° c 1 Square feet:.1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay w Project Valuation/ goe, 0 Construction Typed/.���Y Lot Size Grandfathered: ❑Yes ❑ No If yes, attach`sU porting-docum ntation. Dwelling Type: Single Family Gk ' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 2Mo On Old King's ighway$�❑Y allo 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 Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use - -- - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address %�' ,�i r��,ae License # /e-'d h Home Improvement Contractor# 2d Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE Q DATE {,� �/ FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED . MAP/PARCEL NO. i.y ADDRESS VILLAGE OWNER DATE OF INSPECTION.: ' FRAME 9NSULATIONjLA im cL A,uW - FIREPLACE ' ELECTRICAL: ROUGH FINAL r . r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING LL t eC Y DATE CLOSED OUT. ASSOCIATION PLAN NO: �., .... , . RESIDENTIAL PROPERTY '1 MAP Nt it LOT NO. FIRE DISTRICT SUMMARY STREET 17 hase St. Hyannis _ �o.8 191 _ H 23 LAND �� 0 siocS. //So O OWNER TOTAL /5 p o U LAND RECORD OF TRANSFER DATE eK PG I.R.S. REMARKS: �(�� � P BLDGS. TOTAL LAND BLDGS. ..B.ryan.t,-Robin_S,—b Sta-rkel , Deborah D. 8-21-79 2970 64 ( 35,50 TOTAL -�-� LAND x O I\ QC (V N- O fo�,3 S BLDGS. TOTAL LAND BLDGS. TOTAL I+42L c�- LAND G. . BLDGS. C TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: 01 BLDGS. /f TOTAL DATE. x f/ LAND ACREAGE COMF ATI NS ` BLDGS.IT LAND TYPE -1 # OF ACRES PRICE TOTAL DEPR. ALUE TOTAL HOUSE Z) U LAND CLEAR DNT Ol BLDGS. REAR TOTAL _WOODS 8 SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND 0) BLDGS. TOTAL n as LAND BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD, TOTAL LOW DIRT RD. LAND SWAMPY NO RD. at BLDGS. TOTAL :. Wk. Walls Bsmt:Rec. Room y St. Shower Bath Bsmt. — 5-0 PURCH. DATE Slab Bsmt.Garage St. Shower Ext. Walls PURCH. PRICE./O bOO. Walls Atti &Stairs Toilet Room Roof RENT Walls Fin.Attic Two Fixt. Bath Floors lo. INTERIOR FINISH Lavatory Extra ,r. F 1' 2 3 Sink 1 l,Z_c.c. 3020 . 2 � Plaster Water CI6. Extra Attic /0-0 2'J XTERIOR WALLS Knotty Pine Water Only do Siding Plywood No Plumbing Bsmt.Fin. ,e Siding Plasterboard Int. Fin. ?'J _Shingles TILING J'1 ' Blk G F P Bath Fl. Heat 4- 7 7�� . liik.On Int. Layout Bath Fl.&Wains. Auto Ht.Unit .- 3�2 Veneer Int.Cond. Bath Fl. &Walls Fireplace ' Brk.On HEATING Toilet Rm. Fl. Plumbing • Com. Brk. Hot Air Toilet Rm.Fl.&Warns. ' --- -- Tiling Steam Toilet Rm.Fl.&Walls of Ins. Hot Water St.Shower his. Air Cond. Tub Area Total Floor Furn. ROOFING COMPUTATIONS ' Shingle Pipeless Furn. 770 S.F. /, 3 L Q ` I Shingle No Heat S.F. Shingle Oil Burner S.F. Coal Stoker S.F. filC��• Gas S F OUTBUILDINGS ROOF TYPE Electric Flat S.F 1 2 3 4 5 8 7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED Mansard FIREPLACES S.F. Pier Found. Floor e _,brel Fireplace Stack Wall Found. 0.H.Door LISTED FLO R Fireplace gle. Sdg. Roll Roofing :. LIGHTING Dble.Sdg. Shingle Roof ti No Elect. DATE Shingle Wells Plumbing Iwood ROOMS Cement Blk. Electric ,; Tile Bsmt. 1st TOTAL /53 as Brick Int.Finish P ICED Ie 2nd 3rd FACTOR REPLACEMENT 3 5- OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep• PHYS. VALUE Funct.Dep. ACTUAL VAL. LG s- f/ 6 .z0 -2O 1, 61- TOTAL �•� CAPECOD-27 MYOUNG DATE(MM/DDIYYYY) ,aco�zc�tl CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS 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 License#PC-514062 NAMES°T Margaret Young Rogers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 A/C No Ext: A/C No): South Dennis,MA 02660 ADDRESS:myoung@rogersgray.com INSURER(S)AFFORDING COVERAGE NAIC# INSUR=_RA:PEERLESS INSURANCE COMPANY INSURED INSURER B:COMMERCE INSURANCE COMPANY Cape Cod Insulation,Inc. INSURERC:Evanston Insurance Company 18 Reardon Circle INSURER D:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth,MA 02664 INSURER E: I INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED 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. INSR TYPE OF INSURANCE AD BR POLICY EFF POLICY EXP LIMITS LTR SR D POLICY NUMBER MMIDD/YYYY MM/DD GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CBP8263063 4/1/2013 4/1/2014 PRE MISES T9 occurreFNI tonce $ 100,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY _ EDac ident)ND LE LIMIT $ 1,000,000 B ANY AUTO 13MMBCKVMK 4/1/2013 4/1/2014 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS X AUTOS X HIRED AUTOS X NOWOWNED PROPERTY DAMAGE $ AUTOS '(PER ACCIDENT) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 + C EXCESS LIAB CLAIMS-MADE XONJ453612 4/1/2013 4/1/2014 AGGREGATE $ 1,000,000 DED I X I RETENTION$ 10,000 __TER $ WORKERS COMPENSATION WC STATU- OTH- TO TS AND EMPLOYERS'LIABILITY 0 000 D ANY PROPRIETOR/PARTNER/EXECUTIVE Y/�N NIA WCA00525904 6/30/2013 6/30/2014 E.L.EACH ACCIDENT $ 1,00 , OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Workers Compensation includes Officers or Proprietors. Additional 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Cod Insulation,Inc ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 6 @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD The Commonwealth of'Massachusetts Print Form_ Department ofIndustrial Accidents v"•I,C`f r t. le Office of Investigations I Congress Street, Suite 100 Boston, N1A 02114-2017 www.mass.govVdia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricialls/Plumbers Applicant Information Please Print Legibly Nanic (fIUSirleSs;Organization/individuaal): I Q --(;ity/Stag/Gip 1NIA' _ Phone : �10�— Are you an employer? Check t e appropriate box: Type of project (required): I. I am a employer with 2-0 4. ❑ 1 am a general contractor and l _ employees (full and[or part-time).* have hired the sub-contractors 6. [] New construction U l am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, [] Demolition working for me in any capacity. employees and have workers' 9. � Building addition (No workers' cotrtp: insurance comp. insurance.t required.] 5(9 We are a corporation and its 10.0 Electrical repairs or additions i-(] I ant a hcxneowner doing all work officers have exercised their 11.0 Plumbing repairs or additions mysell'. [No workers' comp. right of exemption per MGL 12.❑ Roof re "�P'faihhrs r(�insurance required.] .t c. 152, §1(4), and we have no 13. Other W��`�l � i p vu employees. [No workers' COMP. insurance required] "Any applicant that checks box#1 must also till out the section below showing their workers'compensation policy information. I l000wuers who submit this affidavit indicating they are doing all work turd then hire outside contractors must submit a new affidavit indicating such. ' mContractors that check this box,nest attached an additional sheet showing the name of the sub-contractors and stale whether or not arose entities have cmploy"S. II'Ihe 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 injOrnuttion. In'nrance.Company Narne:._ Ct AIL C� � I Vl�yGtl�Gt�l G�i Policy #or Sell=ins. Lie. #: WGA otq,�5 2� q 0 1 Expiration Date: -- Job Site Address:_l� ��/��e a r� /g City/State/Zip: /y��� D J 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 ofa tine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to$.250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of lnvestigations of the DIA for insurance coverage verification. 1 do hereby certify,`rifler the pains itC�d penalties of erjury that the ittforrnation provided above is true and correct. i��nature: .1K Date: s -1 Phone fl: © Official use only. Do not write in this area, to be completed by city or town official. or Town: Permit/License# Issuing Authority(circle one):L1. ard of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector h ract Person: Phone#: Nhtssuctursetts - Department of Public SafrlN Board of Buildirt" Reoularion.s and "t:mdards construption Supervisor License Licen .'-CS 100988 „ HENRY CASSIDY 8 SHED ROW WEStT 1¢ARMOUTH, MA 02673 Expiration: 11/11/2013 ( ..uuuissiuucr Tro: 7620 Qj— E>, c�y�z�y�r a�c•c��ecclL �1�C,'cz.lczec�c��`fl Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: '153567 Type: Private Corporation Expiration: 12/15/21014 Tr-# 233831 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE SO. YARMOUTH, MA 02664 Update Address and return card. Marls reason for change, L� Address Renewal [—] L mploynrcnt Lost Gard ,,,, '��r ,t`('rirr-rrrr rtlCh`:rr�Clf 0 •C, !'(.crJJr7C:/'[ulrslC ... a�\ ()rtiet of Consumer Affairs& Business Regulation License or registration valid for individul use only j OME IMPROVEMENT CONTRACTOR before the expiration date. If found retrn to: egistration: 153567 Type: Office of Consumer Affairs and Business Regulation Expiration: 12/15/2014 Private Corporation lU Park Plaza-Suite 5170 Boston,NIA 02116 CAPE:COD 1N6ULATION,;INC.. HENRY CASSOY 13 REAROON CIRCLE SO YARMOUTH, MA 02664 - A(h _ _ _..-----_Undersecretary wito t rtat -e OWNER AUTHORIZATION FORM 1, 3AAA 5 , SA (Owner's Name) owner of the property located at 17 C 45e f (Property Address) , (Pr perty Address herebyauthozze �. `, S �Q ed%A, � , (Subcontr or) an authorized subcontractor for ISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. _ Owner's gnature -7 / �f z/3 Date :�. [ ] [R308 191'... ] LOC] 0017 CHASE STREET CTY] 07 TDS] 400 HY KEY] 221708 ---MAILING ADDRESS------- PCA] 1091 PCS] 00 YR] 00 PARENT] 0 SALTS, JAMES E MAP] AREA] 61AC JV] MTG] 0000 P 0 BOX 132 SP1] SP21 SP31 UT11 UT21 . 22 SQ FT] 1485 HYANNIS MA 02601 AYB11980 EYB11980 OBS] 100 CONST] 42200- 0000 LAND 21300 IMP 62700 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 84000 REA CLASSIFIED #LAND 1 21, 300 ASD LND 21300 ASD IMP 62700 ASD OTH #BLDG(S) -CARD-1 1 62, 700 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 17 CHASE ST HY TAX EXEMPT #DL LOT B RESIDENT'L 84000 84000 84000 #S1 08/79 24 $00035500 I OPEN SPACE #RR 0287 0066 COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 12/83 PRICE] 39500 ORB] 3965/232 AFD] I LAST ACTIVITY] 09/03/92 PCR] Y R308 191 . P R A I S A L D A T A* KEY 221708 SALTS, JAMES E LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 21, 300 62, 700 1 A-COST 84 , 000 B-MKT 57, 900 BY 00/ BY ML 4/90 C-INCOME PCA=1091 PCS=00 SIZE= 1485 JUST-VAL 84, 000 LEV=400 CONST-D 42200 ----COMPARISON TO CONTROL AREA 61AC ----------------------------- NEIGHBORHOOD 61AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 213001 LAND-MEAN +Oo 840001 74880 IMPROVED-MEAN -160-. 250-. ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1000] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] R308 191 . P E R M I T [PMT] ACTIOR] CARD [000] KEY 221708 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT [B30794] [06] [87] [AD] A 50001 [JM] [12] [88] [000] [NEW ] [HY BATHRM. ] [B35015] [04] [92] [AD.] A 25001 [LK] [01] [94] [100] [NEW ] [HY ADD'N ] _�,_ •, � /�7 � x �� pr/!�j � S �e� se i I�/�c� S � l U 1``�� ----�---1-mot _ `- � r a I k 1I 1 t I i INSULATION PIDER SEASS SEAM EE55 SPRAYEOAM SUSPENDED ` EARS DURERS INSU'.N ""'NOS 1-800-696-6611 Town of Barnstable Regulatory Services Building Division, 200 Main St Hyannis, MA 02601 Date m 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 (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village 1-7 Ck"LL -11�+ Al&it it I "S Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( n) (3( ) ( ) Slopes ( ) ( ) ( ) ( ) ( ) Floors Walls Sincerely He y E Cas y Jr, President ; C e Cod I ulation, Inc. . t ♦ +r Assessors map and lot riumbee ...i .. i �pF TNF Tp�y f ;Sewage Permit.'number .................. .......................... , .. .r ...... 2ABB9TODLE,oi .-House number. .........................: ,�.. :..... !•�?�...:....`... V M a b ♦� t^ 39- TOWN OF . BARNSTABLE r BUILDING ' INSPECTOR APPLICATION FOR'PERMIT TO'..... �2I'�. DC ...............:.: TYPE OF CONSTRUCTION .... !?Za a .......... .e.:4.........................191/04 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for�a.permit according to the following information: Location ............f.7... CH,4.�.<r.......� ...........!`� v14111%11f ...."'W/9 ....07-6U/.... r...............:.................. ' . ProposedUse .. ........f1 K /.. '............... .............................:......:........................ :................ Zoning District .......... 3....... .. .......................................................... .Fire District �.1...!� Name,of Owner ....: :��^.. S 7 Gf/A� SY 0--L G o i t ........................-:................................Address .....:�....................................................�..................� Name of Builder S.A��. .............. ..............................................Address .............................................................................`...... Name of Architect ..Address -..........5.! . "..E...... M ....... ................................ Number of Rooms ........ ....kp2.P.rn-s..............................Foundation ....:.....�.X� Sf ...... ....................... Exterior ....... .......w .!.i� ...Cab/ /.. r/�!inrcL cs•....Roofing• ......./�.f�!� .................................. Floors ......IN°.n..,>..... s f1 C /�o /� .............................. .........................................:..................Interior :..............�................................... Heating •........... ��/ /� ... �..................................Plumbing ,�X,�j// �X ,' °-° Fireplace °. ........................Approximate. Cost ....../..d0................................................... Definitive Plan ,Approved by Planning Board ---------------_---------------19--------. Area ..!v.©.-X" .0 G4"W4 4K Diagram of Lot and Building with Dimensions Fee . o� SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS r agree t conform t all th la i I hereby ee oo e Rule and Re tons f the Town s u o e o n f Barnstable,o re grdin the above Y 999 9 construction. IName ... �. Q............................................ Construction, Supervisor's License ..................................... i SALTS, JAPES E. 26037 REMODEI, .. �•� No .. Permit for .................................... L• ;• x. . Sing1e.F.aunily...Dcap-7,lix3g. ....................... r , Location' ..!7...0 ase..S.tre&,t. ... '� .... �.......... ` y� fi , r . , YI3 anra,tom......................... w Oner�., � ..... ....Salt.s.......... .......... Type of, Construction rame.�.... ......:.... Al Plot ..... .. ........ ' `Lot~. ' ....." , , Permit Granted .. Date of Inspection .. ..... ...:19 tom' Date Completed v. -!...... s _ q r A^,_� t � _ A r � o D J } i f _ f Assessor's map and lot number .. .. G ............. 7HET0 ,Sewage Permit number .:...................................................... ` Z 33AWSTADLE, i House number ..................................�..�.: ............. 90 a MAB p 1639 00 11 MAI a` TOWN . OF, BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 1 , TYPE, OF CONSTRUCTION ......... ...... .. '1.. ........................................................................................ .., ............................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............ C N A,S. ........st....... y A- O z-, ................ ... ....... ....... .....................�....O.../....... ................................... ProposedUse ....... ......... W Cal! e.................... ............................................. Zoning District .......... ...1-............................ Fire District ........A�.1.. A.l Name of Owner ...... ^-.........S..'.A....G.f...,.S.........Address ...... ]....C / ' SY ....#. ..................... .... G a.... Nameof Builder .............. !4.!`.^....t......................................Address .................................................................................... -Name of Architect ........... S.!�..1` ':.. ....................................Address .................................................................................... Number of Rooms ........3....n:c..)... ...............................Foundation ..........£..Xi l ..✓C-..................................... Exierior �7� WG ��� C4 D/!A l6//^1'lt1......Roofing ........JA40`;4�:...........................:.......:'.................. ................................................................ Floors ..... .................................................................Interior ........ f!r�-,G /Z° c/<................................ Heating ........�L-x !!re...... t. ........................Plumbing ........ ...P�.4 ,��.......:�x�................................ Fireplace ......1�6......................................................................Approximate. Cost ......6200................................................. Definitive Plan Approved by Planning Board ________________________________19________. Area Diagram of Lot and Building with Dimensions Fee �Z2 SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Townof Barnstable regarding the above construction. Name ... (�,.. .. :............................... Construction Supervisor's License SALTS, JAMS E. A=308-191 •. 26037� RENIDDEL � - - � !' - • No ................. Permit for .................................... Single Familyin� Dwell ....................:.............. ................... ................. - 17 Chase Street Location .......... Y < 7 Hyannis... . , Owner ...... James E. Salts ............................................................ . Type of Construction 1pri ............. . ' ,Plot ............................ Lot ..................... ........ Permit Granted J..'Februa '. 1!...........19 84 Date of Inspection:.:.:................................19 Date Completed :lA - A A' A A TY ADDRESS I I ZONING I DISTRICT CODE 'SP-DISTS.I DATE PRINTED I Cuss'PCS I NBHD KEY NO. LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS V UNIT ADXD.UNIT SALTS, JAMES E MAP— La BYIDate s�:a D�menson LOC./YR.SPEC.CLASS ADJ. C P PRICE PRICE ACRESIUNITS VALUE #HER n D 1 21.310 CARD$IN ACCDUNT — 90 18LDG.SIT 1 x :2 =10 277 34999.9 96.9.49.9 .22 21300G(S)-CARD-1 1 41.400 01 of 02 FEATURE 1 800 COST 1235 BATHS 2.0 U X C= 100 T000.0 7000.00 1.00 7000 a OBLOG(S)-CARD-2 1' 60P000 MARKET , 57900 - NO BSMY S X C= 100 7m,2C } 7.20 790 5700-8 OPL'17 CHASE ST NY INCOME SHED S 12 X 7 1980 C= 90 II.DC 9.90 84 800 F NDL LOT'8 USE /S1 08/79 24 $00035500 I APPRAISED VALUE /RR 0287 0066 A 123.500 PARCEL SUMMARY AND 21300 LDGS 101400 0-IMPS 800 TOTAL 123500 N CNST DEED REFERENC Type DATE R«graea PRIOR YEAR VALU Ba-- peps Ian. Mo. Y, s"-'P"` LAND 21300 39651232, I,12183 39500 SLOGS 102200 Ib8/79 35500 TOTAL 123500 BUILDINGPERMIT REMODELED 1984 Nu Dtle Type Anpunl LAND LAND-ADJ " INC ME SE SP-OLDS FEATURES OLD-AOJS UNITS 21300 80 1300 35015 4192 1 AD 2500 Class Consl. Total Bess Raie A01 Ret- Veer u Age Norm. OOsv. CND. Lac. %A.G. R"I.Cost N-w Adj.Rapl.VNae Storiaa Height Ragne Rma S Ih, OF' Prl 11 FFc. Units Units A i119 Deg. Clme. OtC 000 100 100 61.00 61.00 50 80 14 87 90 77 53713 41400 1.2 5 2 2.0 7.0 Di—th n Rat- Square Fen ReW.Cosh MKT.INDEX: 1.00 IMP.BY/DATE: ML 4/9O SCALE: 1 I00.62 ELEMENTS CODE CONSTRUCTION DETAIL SAS 100 61.00 790 48190 R E SINGLE ILY DUELLING CNST GP:OO FWD 85 8.50 100 850 *--10-*--9--* TYCE 04CAPE COD 0. 812 7 4.27 790 3373 - 10FYD 10 10 ESIGN ADJMfi 00 __ ___ _ Q. ! ! ! XTER.YALLS /1 OOD SNIN6LE5 -0: ---- - --- ------------------- - EA T/A C TYPE 09 IL-HOT PATER ! ! NTER.FINISN 04 RYYAII 0: ! ! III TER.LAf60T f2 k VER.INORMAL 0. TE! ! NR.OUALTT 02 AIIE AS EXTE9.__ Q l`R . ! ! 1304 SUCT 01 O __ ___ 06 JO$ST 0: Y ! VE BASE I E LOOR COR 04 AR PET 6.O Totn Areaa Aa.. 890 e.a.. 790 35 35 T ffE_ 01 GA_B LE_wASPH $H----6. BUILDING DIMENSIONS I ! LYCt'RICA_ L___ _01 vERA6E_ _____0._ SAS W20 N35 FWD N10 E10 SID Y10 I I 0UK6AT10N 02CONz ______RETE BLOCK_Vf. .. OAS E10 MID E09 SID E01 S35 ! ! - -------------------------- 812 N35 Y01 N10 W09 SID Y10 I ! 4E2UMB6RH066 6fAC NYANNfS 'S35 E20 812 .. I I LAND TOTAL MARKET ! 812 ! PARCEL 21300 123500 *-----20----X AREA 2848 VARIANCE •0 •4235 STANDARD 25 TY ADDRESS I I ZONING I DISTRICT CODE 'SP•DISTS.I DATE PRINTED I CLAAT SS I PCS I NBNO KEY NO. 0017 CHASE STREET 07 RB 400 07MY 1/ 4 6 A 3 8(� 9 7 LANDIOTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Y UNIT ADJ'D.UNIT SALTS/ JAMES E MAP— u—s ByID•le S.ae amena.n OC,/YR.SPEC.CLASS ADJ. C P PRICE PRICE -ACRESIUNITS VALUE co. FF. vAara, CARDS IN ACCOUNT - BATHS 1.0 U 1 x C= 100 3500.0 3500.00. 1.00 3500.8 02 of 02 - NO BSMT S K C= 100 7.8 7.85 441 3500-8 - UNFINISH. S 16 X 20 C= 100 22.55 22.55 320 7200-e MARKET 57900 i INCOME USE PPRAISED VALUE A 123,500 ARCEL SUMMARY AND 2130C LOGS 10140C —IMPS SOC OTAL 12350C CHST DEED REFERENC Tyq DATE RM,yap RIOR YEAR-WALL aoox Ppa Mo. Yr.IDI AND 2130C LOGS 10220C IOTAL 12350C BUILDING PERMIT HumWr l Dal. Typo Mount LAND LAND-ADJ INC ME SE SP-BLDS FEATURE BLD-ADDS UNITS 7200 clue UnI. Una. Base Rale AEI.Reta Age , conE. CND. I Loa. M R.O.I Rep.Cmt Ne. 1 AEj.Rapt,Valor SlpieF Neip•t Roma Rma Ba1Xa aFla. Patty.aY Ft. 01C 000 100 100 56.95 56.95 80 80 14 87 100 90 77 77950 60000 1.0 1 1.0 3.0 Oescnplam pate S.wre FM W.Cps MKT.INDEX: 1-00 IMP,BYIDATE: ML 4/90 SCALE: 1100.43 ELEMENTS CODE CONSTRUCTION DETAIL SAS 100 56.95 700 39865 SINGLE LT. Y LLING CNST GP:00 FWD 85 8.50 265 2253 N*----28----* TYLE 09COTTAGE 0. FSF 90 51.26 785 40239 *-----22---* ! ESIGN iffi4 y_ 6. Y 00 ____0._ 812 7 3.99 700 2793 1 *FWD5--* 20 XTER A _ LLS f1 006 SHINGLES ! ! FSF ! EAT/AC T _ _ _____ YPE 03 IECTRIC 6. 25 19 *------34-----* NTER.FINI3N f3 ARTLY UNFIN 0. ! 10i.NTER.LAfOUT 42 VER:TNORMAL 0. ! ! MYER.OUALTY 02SAME AS EXTER. 0. ----- - LOOR $TRUCT Oi ONCRETE SLAB 0. W ! 812 ! E LOUR COVER 06CARPET l viaYL 6: Tolal/veaa 965 1485 ! ! .Of ABLE--ASPH- S H---- - _ BUILDING DIMENSIONS ! 1 00 _ 0._ SAS W20 N35 E03 FWD N25 E22 S06 35 BASE 35 OUN6ATION 03C6IiIRETE SLAB 90. W15 S19 Y07 .. SAS E07 FSF N19 ! ! - - ---------------------- E15 N11 E28 S20 W34 S10 W09 FSF ! ! - -- - - - --- ---- ---- BAS E10 S35 .. 812 N35 W20 ! ! LAND TOTAL MARKET S35 E20 .. ! ! PARCEL *---20--x AREA VARIANCE +0 +0 STANDARD Assessor's offioe Ust floor)- ; o�TNETo Assessor's map and lot number ......f /..... - Q� �f Board of Health (3rd floor): Sewage Permit number C,2.1 ?..... .. ' �(� Loo(a Basa9TsnLE. S Engineering Department (3rd floor): / (� _d 'oo NAA e�A House number ......................... ........�...... .....y..: FaMOR APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only" r� TOWN OF BARNSTABLE BUILDING 11SPECTOR APPLICATION FOR PERMIT TO ...... �( O ................. ....... .......................... TYPE OF CONSTRUCTION'A ........."( 011. ............................ .......................................................................... i...(..................•------..........19 _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ( � G4aS e ..�............................................................................................................................. ........ !10 Proposed Use ........ ............................................................................................................................................... Zoning District ................)......................................................Fire District ............T .�...G.`b/!l1... ............. Name of Owner J�.. G S �!l. . --.----.,Address ........�..................�5.e......... S 7 .............�YCf�t?a� S n ! Name of Builder S L/�,7.............Address ......7........51.!,.L,S`,1.......`:'':.h.:.........:...j�.�.�.�:l..L.X, Nameof Architect ......A/.. ..........................................Address .....................................................................:.............. . Number of Rooms // C riot ct tT G ....................................Foundation ................ X k Exteior ............................................................Roofing .. ......... ...................................................... Floors ........Q.tr ...........................................................Interior ........... ....................................................................... Heating ........ I, eG I ................................................Plumbing ........./....�`;'T..........'1.................................................... Fireplace ........... e ...................... mCost ..>��- BOO ...................................... ............................ pp e . .. . Definitive Plan Approved by Planning Board _____________________19________ . Area ....... .... Diagram of Lot and Building with Dimensions Fee ..... ................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH J ILI, I BAfh - - -- SUS t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the ablove construction. Name ... '.... Construction Supervisor's License SALT, JAMES A=308-101 = No 30794 permit for .,,, Add Bathroom to Garage Single Family Dwelling 17 Chase Street Location _ Hyannis ' Owner James Salts r- Type of Construction .. Frame .............................. ' 1 ............................................................................... ' ! 1 Plot ............................ Lot ................................ Permit Granted ......June... .......... 19 8 7 Date of Inspection ....................................19 Date Completed 19 - - - - - *mom, vnl 0/19 �d !r 4z4 CFti cll � 1