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HomeMy WebLinkAbout0323 COMPASS CIRCLE 3 a3 Corn pa ss C► r. Town of Barnstable RED KASS u 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-18-567 Date Recieved: 2/23/2018 Job Location: 323 COMPASS CIRCLE,HYANNIS Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: HOME DEPOT USA INC State Lic. No: 112785 Address: 2455 PACES FERRY RD C-11 HSC, Applicant Phone: (401) 714-6399 ATLANTA, GA 30339 (Home)Owner's Name: DIAS,JAKSTONI& STACY A Phone: (508)775-3965 (Home)Owner's Address: 323 COMPASS CIR, HYANNIS,MA 02601 Work Description: INSTALL( 1 )REPLACEMENT ENTRY DOOR NO STRUCTURAL ZE � � O ;v -n a ao r � � to a ao Total Value Of Work To Be Performed: $1,253.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other,worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). 1 understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: ANDREW SWEET 2/23/2018 (401)714-6399 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $1,253.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $35.00 2/23/2018 $35.00 _ XXXX-XXXX-XXXX-I�Credit Card 7716 Total Permit Fee Paid: $35.00 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, Map 3 vo Parcel':. � L( 'Applicatidn Health Division Date Issued Conservation Division .-Ap 'iPficatidh Feqf ., Planning'Dept: Pert it Fee Date Definitive,Plan Approved by Planning Board Historic OKH Preservation Hyannis 1 f�co Project Street Address 3 C>Y'Y)P S.& C i r'C-1-e- Village I i A CA f�r'Y\ Owner D,bLs Address 3 3 ear _Is:S , -,c e- Telephone so>l' - -y-) S Permit Request u'L 1/1.4 CLWYY) WtiC, 3/14 bcy,SOry),ani- Square feet: 1 st floor: 2nd floor: existing �d Total new proposed —propose Zoning District f3 Flood Plain Groundwater Overlay Y-\0:_ Project Valuation V Construction Type-Re Lot Size a 3 Grandfathered: L1 Yes ON o If yes, attach supporting documentation. Dwelling Type: Single Family Two Family Ll Multi-Family (# units) Age of Existing Structure �P_-,QrS Historic House: Ll Yes , A,No On Old King's Highway: Ll Yes �No Basement Type: OFull 0 Crawl LJ Walkout LJ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) 0 (OL( Number of Baths: Full: existin new Half: existing —new Number of Bedrooms: new Total Room Count (not including bathKexistin . S new First Floor Room Count 0EP_ Heat Type and Fuel: LJ Gas XOil L11 Electric LJ Other Vkr-A- Lz 6,�4- Central Air: LJ Yes )9 No Fireplaces: EOSDA—New ExistingswvRoacl/i qrqypove: LJ Yes Ll No Z; .,Detached garage: LJ existing Unew size—Poo r- LJ existing Ll new size TOV[igld_rri`_P,exJstin_g Ll new size -Attached garage: L3 existing L3,new size _Shed:'J existing Q new' size Other: Zoning Board of Appeals Authorization L3 Appeal # Recorded Q Commercial U Yes LJ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 9 Name M 0,0 Me �Q r) Mn=f.".A 1"e"Ibipb h�@n USS,umber CY) re T!sd?6 4(-n e,.fl m prpyem,.ent.,Contractor# Worker's Compensation # we.C_SO0 So I c.--)LI ALL CONSTRUCTION DEBRIS RESU G FROM THIS PROJECT WILL BE TAKEN TO c)oi-)A To aioo I 4 �, Z� �t7 SIGNATURE. DATE. FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED _MAP/PARCEL NO. ADDRESS VILLAGE OWNER ` Y DATE OF INSPECTION: 'FOUNDATION FRAME c-�[?OPG - t INSULATION -7 i FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL G'AS: ROUGH FINAL FINAL BUILDING MD r t DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERNUTTING AUTHORITY. Aualicant Information Please Print Legibly Name(Business/Organization/Individual):SPRINKLE HOME IMPROVEMENT, INC. Address: 199 Bamstable Rd: City/State/Zip: Hyannis, MA 02601 Phone#:508 775-1778 Are you an employer?Check the appropriate boa: Type of project(required): 1.❑✓ I am a employer with 10 employees(full and/or part-time).* 7. ❑New construction 2:❑I am a sole proprietor or partnership and have no employees working forme in 8, ®1 Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑Building addition 4.01 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.These sub-contractors have employees and have workers'comp.insurance.: 13.❑ROOf repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL_ c. 14.❑Other 152,§](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 a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A.I.M.Mutual Policy#or Self-ins.Lic.#:WCC50050167472017A .Expiration Date: 1/1/2018 Job Site Address: a CA ► p r1 P City/State/Zip:twGr51 i - V h ( l(c 6 Attach.a copy of the workers'compensation policy declaration page(showing the policy number and expiration da 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 certi unde t and penalties of perjury that the information provided abovve�is true and correct Signature: Date: D i� Phone#: 508 775-1778 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#: SPRIN-1 OP ID:DS .�CORv" CERTIFICATE OF LIABILITY INSURANCE DATE(M1120 07/1 /20 7 17 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(les)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 endorsemen s. PRODUCER CONTACT Bryden 8:Sullivan Ins Agency PHONE Kelley A.Suillvan Fax 88 Falmouth Road A/c No Ext:508-775-6060 A/c Noll:508-790-1414. Hyannis,MA 02601 ADDRESS: s: Kelley A.Sullivan INSURE S AFFORDING COVERAGE NAIC q INSURER A:NGM Insurance Company 14788 INSURED Sprinkle Home Improvement Inc. INSURER B:Associated Employers Insurance. 199 Barnstable Rd Hyannis,MA 02601 INSURERC: INSURER D: 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. I�TR TYPE OF INSURANCE POLICY NUMBER MOMIUDD EFF MM/O EXP LIMITS A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X❑OCCUR MPT264OX 07/01/2017 07/01/2018 PREMISES(Ea occurrence) $ 500,000 X Business Owners MED EXP(Any one person) $. 10,00 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY a JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMB INED SIN LIMI Eaecadent $ 1,000,000 A ANY AUTO M1 T2640X 07/27/2017 07/27/2018 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X,X NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Peraccident $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 A 7 EXCESS LIAB CLAIMS-MADE CUT264OX 07/01/2017 07/01/2018 AGGREGATE $ 1,000,000 DED I X I RETENTION$ 10000 $ WORKERS COMPENSATION OTH AND EMPLOYERS'LIABILITY STATUTE ER B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WCC50050167472017A 01/01/2017 01/01/2018 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? �N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 600,000 If yyes,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 H more space Is required) Certificate issued for insurance verification CERTIFICATE HOLDER CANCELLATION SPRNKHO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sprinkle Home Improvement,Inc ACCORDANCE WITH THE POLICY PROVISIONS. 199 Barnstable Rd. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE Kelley A.Sullivan ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD C ?i -r ' � ` t i � V � � r � 1 i i _ � ( --------l t i � ( � I , 1 t� ��... � � � � ` ��F --_- - - --, �, r I r _ � • r � t l i i 1 � ;r '! � ' i ���� SEP 2 5 2011 7 HOMEOWNER: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Uwe accept this contract in its entirety and 1/we authorize Sprinkle Home Improvement to act on my behalf in all.matters relative to the work to be performed on this job (i.e. permits, applications:etc.):if necessary. _-V� r'�.`d7 Homeowner Signature Date ContrKetor Si a r . Date Stacy Dias Brad Sprinkle.- R tration# 103757 323 Compass Circle,Hyannis,MA 02601 We accept-.Visa/MC up to $2,500.00 per project.. *If using.your credit card, please see below: I authorize Sprinkle Home Improvement to charge:my credit card ending in for the amount of$ - (not to exceed $2,500.00)..If I am unable to provide the card in person, I will provide the complete number via telephone to Sprinkle Home Improvement. Signature Date PRINT.NAME • Y• Office of Consumer.Affairs and Business Regulation 10 Park Plaza-.Suite 5.170 Boston,Massachusetts 02116 Home-.Improvement Cotor Registration Registration: 103757 Type: Private Corporation Expiration: 719/2018 Try 419291 SPRINKLE HOME IMPROVEMENT,if., .. Brad Sprinkle S, - -- 199:Bamstable Rd: Hyannis,.MA.02601 1 `y ate Address and return card.Mark reason for change. { Address .�_Renewal Fl.Employment �.Lost Card scA, a 20M-05r11 �nienrgiarnn�H.o`�'�lu;UnaeuJer/J � Office of Consumer Alfain&Business Reguladon., License or registration valid for individual use only OiIAE IMPROVEMENT CONTRACTOR• before the expiration date. If found return to: Otlice of Consumer Affairs and Business R ulation UVelilstrallon: 603757 �: egxpiration !kd18: Private Corporation 10 Park Plaza-Suite 5170- c-- j Boston.MA 02116• SPRINKLE HOME IMPRt2 MENY;.INC. 4t , Brad Sprinkle 199 Barnstable Rd: Hyannis.MA 02601 Undersecretary Not valid without s store ' Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-006643 Construction Supervisor BRAD K SPRINKLES 199 BARNSTABL E 31 HYANNIS MA 0001 Expiration; Commissioner 10108/2017 Construction Supervisor Restncted.to: Unrestricted.-Buildings of'any use group which contain lessthan 36,900 cubic feet(9911-cubic meters)ofenclosed space. Failure to possess a current edition of the Massachusetts State Suilding.Code is cause for.revocation of this license. OPS Licensing Information visit:WINKMAS&GOWDPS Details Page 1 of 1 Licensee Details .......... ___.. _ __._ ......... .................. Demo r�jphic Information Full Name: BRAD K SPRINKLE . Owner Name: License Address Information City: Hyannis State: MA ipcode: 02601 Country: United States License Information License No: CS-006643 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal: 10/11/2017 Issue Date: Expiration Date: 10/8/2019 License Status: Active Today's Date: 10/17/2017 Secondary License Type: Doing Business As: Status Chan a Reason:* License Renewal Prerequisite Information No Prerequisite Information iS http!7/elicense.chs.state.ma.usNerification/Detai Is.aspx?agency_id=1&license_id=20516... 10/17/2017 Lauzon, Jeffrey From: Selin Nacar- Sprinkle Home Improvement <.sprink@comcast.net> Sent: Friday,October 13, 2017 110 AM To: Lauzon,Jeffrey Subject. ViewPermit, Permit No:T6-1773278 Jeff, Per our conversation this morning, please find the upgraded specs. Clearance— Base of Stairs—82" Slab to Joists-83" Using suspended ceiling and painting floor " Slab to Girt—76 Thermal Envelope— uz 42,Hopper Windows, Energy Rated - U 0.27 SHG 0.28 VT 0.50 1 Plywood Door w/ 2" High R Insulating Sheathing- R 12.8 Walls.(below grade)—5 %" Batt-R 19, b,x"0 Please add;_to application. wiltmake sure.applications are complete prior to submitting in the future. Thank you, Brad Sprinkle , a i> > V�r_ S t Towri of Barnstable *Permit# Fxpires 6 months from issue date Regulatory Services Fee BARMABIE, KAM �' Thomas F.Geiler,Director i639. A, p Building Division dp � Tom Perry,CBO, Building Commissioner 4 SteeH Hyannis,MA02601200 Main 5 2015A www.town.barnstable.ma.us Office: 508-8624038 TOWN OF C F0,8,790�6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 21\7 Property Address_2,32S etyTNOe'S.S Ci, -CUL VAc-ttrYn tS , 1`4A 01_Ccp ❑Residential Value of Work S n t-1 SS .y Minimum fee of$25.00 for work under$6000.00 Owner's Naive&Address- Contractor's Name._ [r ">Ak T �/t�' Telephone Number S�>t--"7_) Y— Home Improvement Contractor License#(if applicable) L's dry G�6 t 3 ' Construction Supervisor's.License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner Ihv Y have Worker's e s Compensation Insurance Insurance Company Name Al M M W+'I,tc,f_.:::QqS. Cb Workman's Comp.Policy# AA.,J C S 0010 y at4 3 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors El Replacement Windows/doors/sliders.U-Value (maximum.44)#of windows *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` Improvement Contractors License&Construction Supervisors License is SIGNATURE: Q:\WPFILES\FORMS\building permit fonns\EXPRESS.doc Revised 090809 Department of Indus&ial Accidents Office of Inveftadons, 600 Washington Street Bosten,'MA 02111 www.mass gev/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Appffig nt Information Please Print Legibly Name(st,sinessiorganizadomudividual): Sprinkle Home Improvement Address; 199 Barmstable Road Ci /stawizi : Hyannis,, MA 02601 Phone#: 508 775-1778 Ext.10 Are you an employer?Check the appropriate box: Type of project(required): 1.[X I am a employer with 10-12 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. .❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling 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'comp.insurance comp.insurance.: ❑ 8 , required.] 5. 0 We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work offiCers have exercised their 11.❑ Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL insurance required.]t c. 152,§1(4),and we have no 12.E] Roof repairs 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. Homeowners who submit this affidavit indicating they art:doing all work and then hire outside contractors must submit a new affidavit indicating such. ..ontractora dug check this box am attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have mployees. If the sub-uongactots have empioyeea,they mast provide their workers'comp.policy number. am an a+c kyer der is ppfflarg workm'connpaaaaon brsu mee for my emiiployees. Below is the policy and job site nformadom asurance Company Name: A.I.M Mutual Insurance Co. 'olicy#or Self-ins.Lic.#: A W C H Q 6 Expiration Date: 1/01/2014 ob Site Address:_ 32 3 Cam.A c 'S t;'-d c.� City/State/Zip: 4S::1cir;S c AMA at&6 1 Mach a copy of the workers'cAmpusation policy declaration page(showing the policy number antiexpiration date). ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a he up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine f up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of ivestigations of the DIA for itceusacx coverage verification. do ha*easy u PmaWa ofpedjury Ad tAre lnfonmadon provided above is due and correct imam: Date: k S hone#: 508 775- 778 Ext. 10 -v� Of@9eial•use only. .Do not write In this area,to be conp/ded by city or town offleial City or Town:- Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#• SPRIN-1 OP ID:D: CERTIFICATE OF LIABILITY INSURANCE °�12123°4 12/Z3M4 TMS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOLE NOT AFFIRNIATIVElLY OR NEGATIVELY AMID, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW TM CERTIFICATE OF lIIBURAwa OOE8 NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORLZED REPRESENTATIVE OR PRODUCER.AND THE CERTricATE HOLDER. IMPORTANT. If the ce*tHklabs holder Is an ADDITIONAL INSURED,the pock ylles)must be endorsed. If SUBROGATION M WAIVED,subject to the teens and eaedlblens of the policy,certeln policies may require an endorsement- A statement on this waficae does not canter rights to the certificate holder in 8su of such endweeme e. pRODUM CONTACT Phone:508-775.6060 NAw.- Bry0w d,Sullivan Ins Agency Fit 8H oath Road Fax:SM790441 I(Arc.Not ----- KS �1 KIlls SY A Suiltl ADDRESS: INSUREM APPOReINO COVSRAGS J NaC I INBURER A:Associated Industries of MA ! ro Sprinide Home improvement Inc. 1Ii8 Bamat"Rd INSURER s: -- Hyannis,MA 02601 INSISTER c — INSURER O: INSURER E: ---- ---INSURER p: �"------ COVERAGES CERTIFICATE NLIMS R: 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. NOTIMITKSTANDM ANY REQUIRIDAENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAK 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, TYPE OF INSURAME IIIIIIIII --- _— --- — jw POW"NUMBER v LINM OiM1aRA1 LIAaLRY EACH OCCURRENCE $ COWERcm GENERAL UABLLRY PREMISES(En rro�_-- S DoccuR I PERSONAL A ADV IIMRY rGENERALAGWEGATE SENL AGGREGATE UMIT APPLIES PER: liI D-'TS" PRODUCTS COMPtOP AGO E POLICY ED LOC AUTOMONU UPAUTY COMBINED S193M'CM ANY AUTO ; BODILY HAM(Per p~) S ALLOWNED SCHEDULED AUTOS AV Qs EDGILY INJURY(Pm 40"W) S MIREDAUTOS AAUTDOSOWNSD ; 1 — i � E tIMeRELLA LIAR OOOM D(Ge6a LIAe 1 EACH OCCURRENCE -- CLAt 1/E ACIGREGATE f DIM RETENTION IL woRrotRs coaTroN we E srATu- otw IN A OFF cxlTnrE YQ N/A WC400700M 01/01115 01101/16 E.L.EACH ACCIDENT s .---500,0; -PkrAw"in no uridar El DISEASE-FA EMKOY S 500.0' T E.L.OLSEASE-POLICY LIMIT I S 500.0• { l � OESCRvmm OF OPERATNINS I LOCATIONS I VEM CM (Anub ACM ter.Addidond R Soboduls,II nwq*pap Is f0gwr d) HOLDER CANCELLATION SPRNKHO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTE L WILL BE DELIVERED IN Sprinkle Home Improvement,Inc ACCORDANCE WITH THE POLICY PROVISIONS. Fax 95MT75r1350 Mmgo Muck AUTHORa'.ED REPRESENTATIVE 199 Samstable Rd. Kelley A.Suliivan NwmImI. 01988.2010 ACORD CORPORATION. All rights reserved. ACOIW 26(Z0 e%) The ACORD name and logo are registered marks of ACORD Massachusetts -Department of Public Safety. Board of Btrildin Regulations. and 9 . Standards Co arUCtIon Superv!%oc License.:GS•OQ$6g3 BRAD K •, ,� In IMIM F3 w ROMADU �iG.•'d.6t�jc.:, Expiration Commissioner. 10i'08f,Z01$. - - � lI(`'�frIli-I/IIifIWYI�lR.{J���Z?:!J(II•nAI;W�I� OtlleeoiCoArome�.Affairsd R=ftes itwation =MOVE NT:COWTR CMR Expteattonts i'ridate.Corporatlo n s_ � SPRiNKI.£"011A6 IA�RR�tEfi�1�N�;INC. Brad'Sprintde !8S Bamstebb Rd. s,...�t.� MMff.MA:02661 i e a Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991m;)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS downing information visit: wwwmass.Gov/DPS L1{!w K vat far boot"m a* ! btfbn filt=*Wmm ftL ff &md W. It: Me+t 1C Mm r A&M @W no"=RgVWhWjW a N Ifta ftm-%Mt IM70 b tom.MA Ull16 y Wet vaiia�t tre t° j y,.t L.P15.2015 08:27 5087751350 Sprinkle #5056 P.001 /001 E PROVERM MEIa 199 Barnstable Road Hyannis,MA 02601 (508)775-1779 Fax(509)775-1350 Email—scprink@comeast.net Website address:www.sprinkichome.com Stacy Dias . 323 Compass Circle Hyannis, MA 02601 Piz,508-775-3965 COY stacdias(�aol.com September 2, 2015 Re: Roofing CONTRACT Roofing warranties for product supplied by the Contractor under this Agreement shall be those given by the Ufactumrs of such product,which shall be and hereby passed directly to the;Owner. Such manufacturer's lanties,the Owner may be required to register or mail in a warranty card or other evidence of ownership and )f such product in order to activate such warranties. The Owner's failure to send in or register such ,lamentation, which failure voids that manul'aeturer.'s warranty, shall not create any resperosibilityfnr the ntractor to warranty such product. Note: Any changes in the contract during the duration of the project which results in additional monies due will be paid in full to the contractor at the time of the change. i authorize Sprinkle Home improvement to act on my behalf in all matters relative to the work to be performed on this job(i.e. permits, applications etc.)if omeowner Signdfiure ~ Date q Contractor Signat re Date Registration number. 103757 -< r' meo e`r ignature Dates y � o - 43 t- - Assessor's map and lot number ................................ ........ �1THETo OP D Y3 3 Sewage Permit number .................. .�:.. .............:.... Z 339HB9TADLE, i House number ..... C.-:r~...... 'ooe,NA1639. d CEO NAY A, TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... ......................................... II, TYPE OF CONSTRUCTION ..............1.'.h..4. 0.;�....................................................................................................... .................V!.7.................... 19.4g S TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .............. - ., ...... ��?!L. 61.5 s...0 ,,{. ?. 4. . ...........�1../.siS! ��5.................................. ........................ ProposedUse ........... ..................................................................................................... Zoning District ...............14... ........................ Fire District / ,Y�'v W, S 5 ............... ....................• •................................................... Name of OwnerT. ''rY .N..... .�?N.....................Address &- ...1.�.�erTf't9..S.,C,.. �� '.�"�.E�.. 1�e9!Ynri S Nameof Builder .........Address........................................................... .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms / .............Foundation ...CO. ►G..—Ae..F..T...&:....., t?.�5....................... ............. ...................................... Exterior ....................../r/.O�;...............................................Roofing ....... L..?......SK.!.!ti!.r_.L.t...s............... Floors .......................WO..! ................................................Interior ................W.,0.0.4)...................................................... Heating ......................4/.-V..A!.F.............................................Plumbing /.60.M./. ............................... Fireplace .N... .............................................Approximate Cost .............. .OD.. Definitive Plan Approved by Planning Board ________________________________19________. Area lie ,Diagram of Lot and Building with Dimensions Fee 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 Town of Barnstable regarding the above construction. Name ,. � � c. 4 c"??cam...................... Construction Supervisor's License ....0 ./ Z..9............ WILSON, STEPHEN A=310-434 284Y..... Permit for Enclose Porch „ Sin.�le Family Dwelling . ........... . ............... �rn paw......... Location ......323...w ... as Circle. . . ....................... ......... . ...... . . .....................Hyannis.......................................... Ste hen Wilson Owner ...............�................................................. �•= Type of Construction Frame ................................................................................ Plot ........................... Lot ................................ Permit Granted .....S.e-Ptembe,r...1.7.........19 85 Date of Inspection .............................:......19 Date Completed ......................................19 O- 0, O r6 Co V +i 9 � 4 I V��N Qj •N,`� b 0 e m� "l) / SYSTEM MUSTAssessor's map-and lot n'umber:...............�j� SEPTIC SYSTEM THE T o ® '�L INSTALLED IN COMPLI 3 Sewage Permit. number ..........:....:...���:...�.a,.............'::... rq WITH TITLE 5 House number :. a2.- .. CTl1!l el$s ....�f. '.�°.L. ....... ENVIIR'�0�NM.ENTAL COD �et a LE. 1 ' TOWN N IWE E ULA 5 IONW, ��0 YpY�d\0� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPEOF CONSTRUCTION ...............1.Y..Q.<?. ......:................................................................................................ ..................74.7.....................19.8 S TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: win Location ............ .....r 0../✓l7'.�ZSs...C!� 4,4.........17�!�.^!!v!.s....................... ProposedUse ...........AE-iV.C.4.> 5.4.A.......P6?.?s� tl..........................................................................I......................... Zoning District ................ ...�...........................................Fire District Y�•uQ:< S ........................ ..................................................... Name of Owner .►!III.A Q�!....................Address ....e4?A-f?.a3.S.�T...�f.��'� ��,.179!�#/1��1i S Nameof Builder ....................................Address ..�.................................................................................. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..............I..................................................Foundation ...b..o..Al.. .r ...T.. .....�� t7.5....................... Exterior YY.4..U..9.)..............................................Roofing ....... s. .!L.�.�- +.....St7�jN L E S ...................... . . ....... .......... .......................... Floors .......................W z).v...............................................Interior ................WAo.D..................................................... Heating ......................A.4a.i11-C............................................Plumbing .....................&Vl .4............................................ Fireplace .....................I.Y.A. a.iw...................I..........................Approximate Cost ............... Od... Definitive Plan Approved by Planning Board --------------------__.---------19________. Area ..ILAA..e.O�e Diagram of Lot and Building with Dimensions Fee c SUBJECT TO APPROVAL OF BOARD OF HEALTH C� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ll '..... ..... r�� �� �..................... .� Construction Supervisor's License ....O..W../+( .P............ f";,ILS0N, STEPHEN ,4 • No ...28.4.37.... Permit for .... pG1Qe„Porch. . s :...........Sin_gle..Family...Dwelling................. cons pass 323 s Circle Location ................................................................ Hyannis -- ............. ........ ........................................... Stephen Wilson . t. r ' ' Type of Construction FRame -F ................................................................................. Plot .-........ ............. Lot .. _ 1,•- f, ^+ �I Permit Granted ........September 1-7, lq 85 ' ............ T Date of Inspection ....................................19 - DatehCompleted :La.. '.. '` C Y M O . rn co F r. i iN 1 I_ e } yy Assessor's map and lot number ..,31�f� - y �" 07- fl FT NET ........ .. ................... . C, Sewage Permit number ,= 1 BAHHSTADLE, i House number .�✓�. ..3 -.U. ?.r!?.5:5...Cam,! '. . _..... 900 MAM m� �.. 'E0 MPY Or TOWN 0,11,F BARNSTABLE BUILDING - INSPECTOR �3APPLICATION FOR PERMIT TO ......"".��....n....ip.........�.R.....�..A.;;..................�?..1:,......1.................................................. TYPE OF CONSTRUCTION ........... !Y..r?.A. ?.......................................................................................................... ................... .................i qAf 0 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a�piermit according to the following information: Location .... ., 3.....�...<.���!l.�r?.SS... „/,T�. :1-.E.......... /,..X.'2iv.l.s............. . ............................................... C� ProposedUse .....` a..M. ....... ................................. i.....:......................., - & ..Fire District ............... ."r:: �% Zoning District .......... .. ............................................... .... ............... Name of Owner .T. P ..!Y....�.I!.! itl .Address ,. �.r!!C:T'.�.b .S... i i�. .4. .................. Nameof Builder ....................................................................Address ..................................................... ................................ Nameof Architect ..................................................................Address ....................................................................:............... Number of Rooms .Foundation ..................................................... a?.i:!. ....................................... Exterior .........S .............................................Roofng .%.....a w..rn/rA.xcc:s....................... Floors ......................................................................................Interior .................................................................................... Heating ........ e1.W............................................................Plumbing .................................................................................. ....... Fireplace ............ .s ....................................................Approximate Cost .............. Q.,..r3ao...`..................................... Definitive Plan Approved by Planning Board -------------------_------------19________. Area 4.. ...... � .,��' .................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH .t tea ' 17� # -- I 4A 7, OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r � i Name . ..: E' .... p ...` !'..!! c ��/-7. .................... Construction Supervisor's License WILSON, STEPHEN A=310-434-48 2 7 9 G%_ ADDITION No ................. Permit r .................................... tSingle Family Dwelling .................................................................... 323 C Circle Location ................om..... ...ass...................................... ...........Hyannis....................... Owner ....;. P.P. en..Wilson. ..... .............................. Type of Construction ....Fram.e F.r.am...e......................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ...May...2.0.!...................19 85 Date of Inspection ....................................19 Date Completed ......................................19 �..�" C�3 T QT `to 4 F THE T Assessor's- map, and lot number .................................. o� �.3 L ' SEPTIC SYSTEM MUST BE Sewa eerrW number ......: .�.- .. .. ",d`` ~�g ...............m...... INSTALLED !N f�l' MPLI ANC , — WITH TITLE 5 t BaaasTADLE. House number ..3....CP..ILl.%.F1.SS... �. .GL.4...... s rase EIII�/la'�C�IV+�dlENT�AL CODE: r�.E'�'1_.°O,,�a 39 'T I� SFr 1LATIONS TOWN OF BARNSAB�E BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... .. .. /.s.�.�.!`�.rx...T7Q.�{ ....... TYPE OF•CONSTRUCTION ...........:Y.Y I;A.,P......................... .................: yla7.Q.................19 B TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....,. . C0117.?AAs... E..........l7..Y..19r1�N..l.. .............1. f}. ............................................... ProposedUse ..... .!Q..T..!'{ O® .M. ............................................................................ ....................................................... Zoning District ..........6 ............................................Fire District ............. . ./ . ............... .. Name of Owned' .1�f{r4=.!V...W10.A.✓..............Address v � ....�aC!/Yl7'r9. ... . ................... Nameof Builder ................................................................:...Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms Foundation — _ Exierior .........5 /A./. .......................... Roofing ....................... Floors ......................................................................................Interior .................................................................................... Heating ....... ...........................................................Plumbing .................................................................................. Fireplace ..........0.,z.,1 7.e....................................................Approximate Cost ............... Definitive Plan Approved by Planning Board ----------------------_---------19________ kX, Area Cl�... .......... .,.................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH V 8 ` �r S Tfe u c OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above , construction. Name 14a_1r_ 2r................... Construction Supervisor's License Glf WILSON, STEPHEN No Permit for ..A4!qi.t.i.o.n............. dingl5' cfinie Family Dwel in e............................................ .q..... .......... Location 323 QpTpAg.s Ciro e............... .............HyAwlis............................................. Owner ......StPPhqD...Kils.on........................ Type, of Con'struction .....Zc.ame....................... .................... ............. Plot ....................... Lot'................................ Permit Granted .....AAY...ZQ......... .......19 85 Date of Inspection...........................I.........19 qq Date Completed .......... 19 171� t ,.."" TOWN OF BARNSTABLE- 21183 Permit No e.•` a . - --- Building Inspector rua Cash _-- � t0jq°"pY~ OCCUPANCY PERMITS \ Bond X 7 "No building nor structure shall-be erected, and'no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector," Issued to Theo ConStMCtiOn GO*, InCfAddress- South Yarmouth lot #48A 323 Compass Circle, Hyannis Wiring Inspector f Inspection date Plumbing-Inspelc or Inspection date 1'71YI7 � ; r Gas Inspectof � n Inspection date Engineering Department a l/��1 � ����� � Inspection date THIS PERMIT WILL NOT°BE VALID, AND-THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ............_....�.�. ......... ......_, t ..... � " Building Inspector v a yAs`3ressor's map and lot number ......................... ..... UST BE /^ y- % SEPTIC SYSTEA� PJ THE 7 ro SEewage IlZmit number ................................................. ...... INSTALLED IN COMPLIANCE . WITH ARTICLE 11 STATE. = BasasTeI1LE, House number SANITARY CODE AND TOW ........................................ ........................ 9 Mb 6 00 REGULATIONS. 'O,o, 39• �0 'Fa YPY a' TOWN OF BXRNSTABIE BUILDING '11-S?PECT0R APPLICATION FOR PERMIT TO ................ ... ............................................. TYPE OF CONSTRUCTION U� .... ... .. . ..... .... ...... ...................19. ., TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to,the following information: Location .v''r'°r•2� .�.�. ..... �C K.......................................:.... _ ProposedUse .............................. ........................................... ...................................................... Zoning District ..�if...s?� '...........................................X"11"I' Addres Fire District .. Name of Owner ........ .. s „ ... .. .. ... ...... ;.?... f Nameof Builder, .....:......, .. ... .... ..............................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ....r��......................................................Foundation ./ -1, (.:................................................. Exierior ...................: �7 ^�G �..: " ... _ ....... .. ,r� ......................................Roofing .. V�1,0 f ....... � l ................ ... Floors ... a.. Interior !. r�� .... . ......................... Ze Heating .` .......................................................Plumbing ...... ..........:................................................................. Fireplace Approximate Cost ............................................................4� �y*. _................................. ........ Definitive Plan Approved by Planning Board ________________________________19________. Area .......�:.......tt..0........ .�� Diagram of Lot and Building with Dimensions Fee = SUBJECT TO APPROVAL OF BOARD OF HEALTH Bo N,0 . r36 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . .�..- .. ../ ............................ I_ , Theo Construction Co. , Inc. 21183 one story -'Y NO ............ Permit for .................................... single family dwelling ............................................................................... 323 Compass Circle Location ............................................................... Hyannis ............................................................................... Owner ............Theo...Con.str.0.c.tion...Co Inc I . ...... ........ . ........ Type of Construction ...........................................frame v ................................................................................ Plot ............................ Lot ................................ I Permit Granted ..........April 10..............................19 79 Date of Inspection ....................................19 1 Date Completed ... 19 -70-71704�f PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ .............................................................................. ............................................................................... Approved ....... ........................................ 19 ............................................................................... ............................................................................... Assessor's map and lot number .. r y Se'A6e Permit number ........................................................ ' �}} Z BA"STADLE, • House number r ti�caC ......................... 90 MABa ........................... p t639. 9� 0 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION. FOR PERMIT TO ................................................................................................:.......:.. TYPE OF CONSTRUCTION ..// '......:.............................................................:�..:............................................ rr ...................19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according,to the following information: Location -<' •�............................................f ..? .... '......................................:........:... ProposedPUse !pia../fC.= /. ................................................................................................... Zoning District .. ...................................................Fire District Name of Owner -1 , � A ? I ..�..v ! '.Address %! D� 1fx � 4,110�17-11,�-am v, Nameof Builders..............................................`. . ...................Address .......... .............................. ..................... ................ Nameof Architect ..................................................................:..Address ............................. ........................................................ Number of Rooms ....: - ......................................................Foundation(_ , - Exterior ..... .... Roofing ................................ Floors :"' ef��. /# C .Interior .4.` .r'� ....................................... y '� � ....Plumbin Heating tf ......................... g .....,..........:............ ...:.-.,•:.......:......................:......._.._ Fireplace .......................Approximate Cost P................................................ ...................................................... Definitive Plan Approved by Planning Board _______________________"________19________. Area °` ? E`� . ....... .............. Diagram of Lot and Building with Dimensions Fee .......... ..... ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH _ .....k 3( t r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. .A Name .....�...r '/ '.�: ... ... ...� ......s'."fl!�:'.`::�........................... s.. ,, Theo Construction Co. , Inc. " A=310-434 i No 21183 permit for one stor single family..dwelling.................... ....................................... ....... t Location 323 Compass„Circle ............. ..... ................ . j Hyannis ............................................... Owner Theo Construction..Co .,...lac....... Type of Construction ...r e................ ......................................... ..................................... Plot .........:.................. Lot ............ Permit Granted ...,,_April 10 19 79 Date of Inspection ......................... ....19 Date Completed ................... .................19 PERM T REFUSED ............................. 19 .. ... .............. .1.. ..> .�................... ...........gir, ....�j' .......................................... .; ............................ ............................................................................... Approved ................................................ 19 'y ............................................................................... ..................... ......................................................... i C�•�• zoT �feA 3i t 3G—a � O 71 i4 ------------- � yeco x � o �o ic .0 7VUSr .�s ; ;. /►© /`BAN G�QaSS!`'� 11/ �'•L• S. NQi{AAAN +' I GRBss 14N ' 127 / e