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HomeMy WebLinkAbout0015 CROCKER STREET is (frocxe cc' r r i own of .rsarns'ume Building Department Services OFTIiE Tp� ' .y Brian Florence,CBO Building Commissioner 200 Main Street,Hyannis,MA 02601 ' 1634.. www.town.barnstable.ma.us Arf ��w Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: —� HOME OCCUPATION REGISTRATION bate: Name: °lk UU Phone Address: S1' village: Name of Business: Type of Business: �,C����G4��J\��1• Map/Lot: -,2� / INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,'subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the.dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • ' Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residentiat buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing-the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall bg employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersign ve read and agree with e above restrictions for my home occupation I am regist ring. Applicant: - Date: 1 Homeoc.doc Rev.06&0116 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the.Business Certificate that is required bylaw. DATE: N Fill in please: APPLICANT'S YOUR NAME/5: +/t BUSINESS YOUR HOME ADDRESS: 1 S O'voc/--er —4 Sa`6-aSo-3Fs')'1 TELEPHONE # Home Telephone Number DISC= g 1 NAMEOF CORPORATION ` NAME;OF NEW BUSINESS TYPE OF BUSINESS IS THIS A HOME OCCUPATION? -? I' ADDRESS OF BUSINES5 v1�5 MAP/PARCEL NUMBER (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER' OFFICE This individual has been i fbrm f any per. a irements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION 9ULES ANp REGULATIO S. FAILUR TO Author ed Signa ** !���: , COMMENTS• ��� UU SUL ' 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: -zr rG dF �n+ac Town of Barnstable *Permit# —S S- Gy�' Expires 6 months from issue date �7 Regulatory Services Fe BARN MAD A 039.tunas. Richard V.Scali,Director 1t1Ar :, Building Division ?Q%j Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Offic��:,�0�� -�4038 R Fax: 508-790-6230 �o� EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY � I �� Not Valid without Red X-Press Imprint Map/parcel Number �� Property Address 3(a CxaGKcr Sfre-ef- Caro/5 'Residential Value of Work$ �4,pO,p Q Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address L p V- CA e, ``k eqy 1.yy, �5 Z (,J �a r rn al k tv) ed CI) rM Contractor's Name TQ� d {G(�1.G0 G k Telephone Number Home Improvement Contractor License#(if applicable)1(ptS qD rl Email: red C�JYy1rG�1�, �2 Construction Supervisor's License#(if applicable) 4 orkman's Compensation Insurance Check one: aI am a sole proprietor ❑ the Homeowner I have Worker's Compensation Insurance .r Insurance Company Name /l(AW j Workman's Comp.Policy# 2 C C7 i U Q q Copy of Insurance Compliance Certificate must accompany each permit. Permit Req st(check box) _ L Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to S r� Zc G® ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A cop of the Home Improvement Contractors License&Construction Supervisors License is re SIGNATURE: C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOIDHR\EXPRESS.doe Revised 040215 The Connnonweak h ofMassachusefts Deparffner;t of Indrrsf>ial Accaden& Office of Investigations 600 Washington.Street Boston,MA 02111 wmv nrass gm3/diia Workers' Compensation Insurance Affidavit:;Bmidei-s/Cuntz-actors/Eleetiici tns/Plumbet-s Applicant Information Please Print Lezibl-y Nam aWneW0vniz&onqWMdnal): Teej H( fCh CCCIC Address: 5!5 5CL C- N e.S f- (30,V- CN, (.a City/Sta&Z p: Phone#- 50- ' -1 Z 5 -7 Z /o -t� Are you an employer?Check the appropriate boa:: T of project 4_ I am a general contractor and I 3`Fe p ] (required): 1.[ I am.a employer with ❑ g 6. ❑New constzuct on. employees(Rill an&orpart-time)-• have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheep 7. ❑Remodeling. ship and have no employees These sub-contractors have g_ ❑-Demolition .v for me in employee and have workers' 9. ❑Building addition. orlg 'capacity. [No workers'comp.konance: comp:insurance; 14.❑Electrical r or additionsrequired] 5. ❑ We are a corporation and its 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing,repairs or additions myself.[No workers'comp• right of exemption per MGL 12.❑Roofrepairs insurance requi.re&]l a 152,§1(44),and we have.no employees.[No workers" 13.0 Other comp.insurance required_] Any applicant dat checks box#1;umst:also fill out the section below d iamag their wwkers'compensation policy infamution- I Homeownets wbo submit taus affidavit indicating they are doing all wort and then hire*wide contractors most submit a new affidavit indicating such. =Cbattactors dmi cbeck this box in st attached an additional sheet dwwing the mime of the sub-comrKmis and:state whethw or not tbuse entities bm emploxees. If the sub-cottttactats barve employees,they smut provide their workers'comp.policy number. lam an employer thatisproviding 1twkers'congwnsatian insurance for iffy enWItyees Belotw is f lepoiic,acid job site inforvna on. _ Insurance:Company aflame: Policy 4 or Self-ins.L c.l L ( 0 1 U LAQ Expiration Date: U l(p Job Site Address: �u CY yaL e r 6 f re t ?.-(,C) Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requited under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a. fine up to$1,500.Og and/or one-year,imprisomment,as well as civil pertatties in the form of a STOP WORK ORDER.and a fine of up to$250.f>ti a day against the violator. Be advised that a.copy of this statement maybe forwarded to the Office of Investigations of the DIA_for insurance coverage verification. I do hereby cerhfjr fur Tze pains anrt pelt es ofpertt►y Eliot the informidion protzded above is byte and correct Signature; Date: La Phone M b > J=-7 7 LD Official mw only. Do not.write in this area,to be completed by d47 or Mum official. City or Town:: FermitUcense 9 Issuing authority(curele:one) I.Board of Health 2.Bantling Department 3.Cityfromm Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone th t►r€ I s�stvsraeta3, %63% Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, l'U/RR Jt/jV-f /M51CRICK , as Owner of the subject property hereby authorize T—OJ f7,4-C),Gdc'k to act on my behalf, in all matters relative to work authorized by this building permit application for: 3Ca r v C' ►C- 5 P-. /� Y'r+-1.4N c s (Address of Job) 3 � Q. Signature of Owner Date o/t I�Y4'� vi �s � E►2►2 t c lL Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.OUtlook\2PIOlDHR\EXPRESS.doc Revised 040215 c'las@ it'Jsa S ' a e n 0 :^ r 3`tOt55 a:� 1 �cense: CSSL-099828 TED L FIIT.CH000K 55LISA LANE` West Barnstable NtA 02668 061.01/2016. Restricted To- 'P Failure to possess a current editi6h-of'the Massachusetts state BuildimCode is:cause for revocation of this license:: 6or,DPS Gcensing'informationVisit: www..mist.isov/bos A f == Office of Consumer Affairs&Basiaess Regulation, License or registr8fion vaLd foY.'individu!use only �. rHi OME IMPROVEMENT CONTRACTOR' before the expiration date Tf found refurn.to: registration: 165907 Type: Office of Consumer Affairs aod::Busmess;Regulstion Expiration: 4/6/2016 Pnvate Corporatio. 10 Park Plaza;-Suite 51j10. Boston,MA 02116 TL H/TGHCOCK'CONSTRUCTION,SERVlCE INC. THEODORE HITCHCOCK 55 LISA LANE {� WEST BARSTABLE,MA`02668 Undersecretary Not valid wi i e. Client# 29.1172 TLHITCHCOC1 ACORD. CERTIFICATE OF LIABILITY INSURANCE GA7 (7 l1)U)YYYY) 7/23/1015 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 CONSTITUTEA CONTRACT BETWEEN THE ISSUING iNSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER;AND THE CERTIFICATE HOLDER.. IMPORTANT:If the certificate holderis an ADDITIONAL INSURED,the policy(ies)must,be endorsed.If,SUBROGATIOMISWAIVED,subject to the terms and conditions of the policy,certain poUc es may re quire an endorsement.Astaltemont on this certificate does;not.confer rights to the: certificate'holder in lieu of such endorsement(s).. PRODUCER CONTACT NAME: Ante$an20- HUB international New England PHONE FAX : Wj 008-945-Z063 c,No: ` 265 Orleans Road. AIC,No .: a ao 508-945-9136 North Chatham,MA. 02650' ADDRESS: 508`g45-0446 INSURER(S)AFFORDING COVERAGE NAIC>a INSURER A.:Essex Insurance Company p y INSURED INSURER B Mount Vernon Fire Ins::Co: T L Hitchcock Construction Travelers` Theodore L Hitchcock INSURER c. ., ... : 933 Falmouth Road IWSURER0 Hyanms;MA 02601: INsuREREs: 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:'ABOVEr FOR THE.POLICY`PERfOD INDICATED. NOTVNTHSTANDING ANY REQUIREMENT, TERM OR..C.ONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH: RESPECT TO WHICH'TNIS CERTIFICATE MAY BE.ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED.HEREIN 181 SUBJECT TO ALL THE TERMS,: EXCLUSIONS AND.CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE.6EEN REDUCED BY PAID CLAIMS. INSR ADD'SUB POLICYfFF ..POLICYEXP:, L TYPE;OFINSURANCE INSR.WVD POLICY NUMBER MMIDDIYYYY MMIDD/YYYY LIMITS ... A GENERAL LIABILITY 3DU2424. 05105/2015 0510.5.12016 EACH OCCURRENCE `$1 000 O00 X COMMERCIAL GENERAL LIABILITY D PREMISEAMA E TO DE oaurrenceNTED S l a $1�0 000 CLAIMS-MADE �.00 UR;. I WED EXP;(Any one person) 15000 0ER50NAL&ADVINJURY $1,00006_44 ,. GENE. L AGGREGATE 4210001000 GEN'L AGGREGATE:LIMIT Af?PLIES PER; PRODUCTS-COMP)60 AGG..42,000,OUO POLICY : .JfR�. LOC' S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT' (Ea accident) ANY AUTO BODILYINJURY"(Per person) ALL OWNED: SCHEDULED BODILY INJURY. Peracc�dent $: AUTOS AUTOS... ..,: ( )T$ NON-0WNEO PROPERTY DAMAGE HIRED`AIITOS'' AUTOS Per accident S BI UMBRELLkLIAB. X .00CUR XSLOISA20A1 061151201.$ 66115120:1 6 EACH OCCURRENCE: $1 000'OOO. X FJCCES$LIAB CLAIMS MADE AGGREGATE 0.000.000. DED. RETENTION$ g C 'WORKERS?COMPENSATION WCSTATU OTH .AND EMPLOYERS'LIABILITY - 0„R`(,LIM :ITS ANY PROP.RIETORIPARTNER/EXECUTIVE Y./N OFFICER/MEMBER EXCLUDED? ® NIA, E L EACH ACCIDENT $1 oOOOOQ (Mandatorq,In,NH): 2E.101'AAA- 0312612915 0312612016 E.L.DISEASE-EA EMPLOYEE:$1 000'0OO. y li yes,describe under #}bESCRIPTION OF OPERATIONS below' . E.L.::OISEASE-'POLICY LIMIT $1,0009000: 3 DESCRIPTION`OF OPERATIONS I LOCATIONS!VEHICLE$(Attach'ACORD:IQ1,Additional Remarks Schedule,if iiiorespace'is'i1;6ifw) CERTIFICATE HOLDER CANCELLATION FOf EVIf>lenCe Oflly SHOULDiANY OF THE:ABOVE'DESCRIBED POLICIES BE CANCELLED BEFORE. THE EXPIRATION; DATE THEREOF; NOTICE WILL BE. DELIVERED. IN ACCORDANCE WITH THE; POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD.name:and logo are registered marks ofACORD l Town of Barnstable J� <<# Regulatory Services ��6mm�ths romissu�date s k L1RNSrABLE 1'S. �mg Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main,Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 3 11 Property Address l.a N' A AJAI/,S � 4 (02 401 [Residential Value of Work 3 000 a V d Minimum fee of$35.00 for,work under$6000.00 Owner's Name&Address Se o!'l M C V I.1)4P— Pe as ayyj- „ pyto";d J eht 54-, urn Jle-I' /© Contractor's Name Telephone Number Home Improvement Contracior License#(if applicable) Construction Supervisor's License#(if applicable) C t y j'./ UV Workman's Compensation Insurance Check one: l'y El1 I am a sole proprietor h1 ❑ I am the Homeowner ❑ have Worker's Compensation Insurance TOWN OF BARN STABLE Insurance Company Name 'T C ?r-e prf�Y ci, C 4-J e#Ll� Workman's Comp.Policy# N vi c,C. Li 'rf Y 32—0 r Copy of Insurance Compliance Certificate must accompany each permit. Permit Reque check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to Wt.l i e d U14 v`f-e u ®cvl..l 4 ` f/11$ 0 2 r! ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) El Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#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 Home.Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\decollik ppD t.\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\DDV87AAZ\EXPRESS.doc Revised 07211 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Mfi 0211I www.massgov/dia Workers'Compensation Insurance Affidavit: Badders/Contractors/Electricians/Plumbers APPUcant Information Please Print Legibly Name(Business/Organization/lndividual): ^4 n f yZP `r® onle yrnp4,yuej're j' 7,v Address: j S`� /U t°UJ+,_,.0 c1 1Z Iv City/State/Zip: C U 4V t 't f4-4 62&31' . Phone#: 56�f y12 P 4 S'I 1? Are you -1-ou an employer?Check the appropriate box: 1. am a employer with 40 4• ❑ 1 am a general contractor and I Type of project(required): [YI have hired the sub-contractors 6.employees(full and/or part-time). ❑New construction 2.Q I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling shipand have no employees. These sub-contractors have 8: ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp,insurance comp.imsura*+ce.t 4. []Building addition required,] 5. E] We are a corporation and its 10.0 Electrical repairs or additions officers have exercised their 3.El.I am,a homeowner doing all work l l.❑Plumbing repairs or additions myself, [No workers'comp: right of exemption per MGL 12.[3 Roof repairs . insurance required.]t c. 152,§I(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box 41 must also fill out the sectioa 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. !am an employer that is providing workers'compensation insurance for my employees Below is the policy qnd joh site information, Insurance Company Name: i✓f3'P-f'IZT Y (4pl y C.A S uA L4 y Policy#or Self-ins.Li c.#: Cc " 5 . L!? ? 2 S 2 Expiration Date: ' a 21 1 l C 1�'®�l�fit''. 'S `. 4ivt i vl'� U:Z.fr Vl Job Site Address: City/State(Zip: y Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).. Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine,up to S.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 S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage,verification. 1 do hereby under the pairs and penald f perjury that the information provided above is true and correct of Signature: Date: 1/ Z ® ) Phone#: Official use only. Do not write in this area,to be completed by city or town ohcial; City or Town: Permit/License# Issuing Authority(circle oae): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Client#:47298 CAPIHOM ACORP. CERTIFICATE OF LIABILITY INSURANCE °0;,04;2o1";Y"' 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 CONTACT AME: Karen Walther N Rogers&Gray Ins.-So.Dennis PHONE F 434 Route 134 C,No,E,d:508 398-7980 AC,No: P.O.Box 1601 ADDRESS:waltherka@rogersgray.com CUSTOMER ID#: PRODUCER South Dennis,MA 02660-1 601 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A:National Grange Insurance Co. Capizzi Home Improvement,Inc. Capizzi Enterprises,Inc. INSURERS:ACE Property&Casualty Ins.Co INSURER C: - 1645 Newtown Road Cotuit,MA 02635 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. INSR kDDLSUBRI POLICY EFF POLICY EXP - - LTR TYPE OF INSURANCE NSR WVD' POLICY NUMBER MM/DD MM/DD - LIMITS - A GENERAL LIABILITY MPB1075H 06/08/2010 06/08/2011 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $500 000 CLAIMS-MADE �X .00CUR - - MED EXP(Any one person)- $10,000 PERSONAL&AD INJURY �$1,000,000 . .. - GENERAL AGGREGATE ..- $2,000,000 . GEN'L AGGREGATE LIMIT APPLIES PER. - PRODUCTS-COMP/OP AGG. $2,000,000 - POLICY PRO- LOC - $ A AUTOMOBILE LIABILITY BPO10786 06/08/2010 06/08/2011 COMBINED SINGLE LIMIT $ li (Ea accident) 500 000 A ANY auto M 1 M28044 06/08/2010 06/08/2011 BODILY INJURY(Per person)- $ ALL OWNED AUTOS BODILY INJURY.(Per accident) $ - X SCHEDULED AUTOS - PROPERTY DAMAGE X HIRED AUTOS _ - _ (Per accident) :.. $ - X NON-OWNED AUTOS - - - U1 $250/500,000.... X Drive Other Car U2 $250/500,000 A UMBRELLA LIAB X OCCUR - CUB1076H 06/08/2010 06/08/2011 EACH OCCURRENCE $5 OOO OOO EXCESS LIAR CLAIMS-MADE - - - AGGREGATE $5 00O 000 DEDUCTIBLE + $" X RETENTION t 10000 .. $ .. B WORKERS COMPENSATION NWCC45843208 12/25/2010 12/25/2011 X WC STATU- OTH- AND EMPLOYERS'LIABILITY ' - ANYPROPRIETOR/PARTNER/EXECUTIVEYI N E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? '- N/A - (Mandatory In NH)If es,describe under E.L.DISEASE-EA EMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) ' Workers Comp Information Included Officers or Proprietors CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Pa ment - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 - - - AUTHORIZED REPRESENTATIVE ILA 0198 -2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S61971/M61970 MEE vr.c vviwiicrr�awcwccro ti`.✓c•ua:wcurcu�cuw - Office of Consumer Affairs&Business Regulation License or registration valid for individul use only WIN i WINr7iOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: s— Office of Consumer Affairs an&Busin-ess,Regulation Registration:u:100740 Type: 10 Park Plaza-Suite 5170 ` Expiration 6/23/2012 Su lenient Card PP Boston,MA 02116 CAPIZZI HOME IMPROVEMENT,'INC. JACK STRUNSKL 1645 Newton Rd Cotuit,MA 02635 Undersecretary Cr Not valid without signature iMassaebusetts- Department of Public Safety. Board of Building Regulations ;ind Standards Construction Supervisor.License ; "License: CS 64817 JOHN T $TRUMSKI, , • PO BOX 86l ::BUZZARDS BAY, MA 02532 c. ---�r'sJ� Expiration:`6H 8/2012 (onlmL�siurier% Tr#• 10573 �j Page 7 of 7 CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS ` LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT OWN THE PROPERTY LOCATED AT l IN Aianno ;MASSACHUSETTS. :. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS a STATE BUILDING CODE. SIGNATURE OF OWNER: f sG�-- y, I��� , OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: . APPLICANT'S`ADDRESS: ' 1645 Newtown Rd.,Cotuit,MA 02635 APPLICANT'S°TELEPHONE 508-428-9518 pe. RESPONSIBLE'OFFICER: ; `RESPONSIBLE,OFFICER ADDRESS: " RESPONSIBLE OFFICER TELEPHONE: ° Assessor's ma and lot number p , ....`.............. ............ .. THE tp�y Sewage Permit .,n�/umber a . ,...? {... ..�....�?,�. .:!.............. `�C d� Z 339B33TAIILE, i E House number A 9 MABa �p 039. `00� Q MAY A, TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..........f�......jla......... .....:.........:'`. `:................ ........................................... TYPE OF CONSTRUCTION ..........i�....1?.?-r� '�'� 4/ X G 9� .............. ..........................19...... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 107 Location .................................................... .....................................v............................................................................................ ProposedUse .............................................. `' '—,l ? �r�1.............................. ............................................................ r� r/y w!✓1 .s ZoningDistrict ........................................................................Fire District .c....................................................................'..... Port/ f 7iws4 �1 ...�w, ` - rL�y J Name of Owner f ..........Address Name of -Builder' ...A(9.!?..w.. � / /Y�t.� c:�..............Address ....�....5�; . r L:�.....�,:..�.t....l ....... Name of Architect r...........!..:�:?-:�..`.`.:'.��...................................Address ........�.:`rJ..........'......................................................... n Number of Rooms ..........................Foundation .......... ' 0 Exterior �'` � ...' t t-.,•�� . `� Roofing .-.--��� r� ................ ........... ............................:....................................................... /r Floors ......... .........`�............................................................Interior ........... ...... ........................................................... Heating - .............................................Plumbing ................................................................... 7 Fireplace f`rU v`................................................Approximate Cost ..........................................................L...... li Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ........... .... ........... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH a 1 d C L r , _ ---------—__._._....._........._____.. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS /'� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable r�egarding the above construction. I Name .............. ............................................... .... SEMPRINI, RON & TINA A=327-267 0%7 23984 Add to Dwelling No ................. Permit for .................................... & Remodel/ Single Family Dwelling .......................p t................................................ T^d T Crocker Street Location ................................................................ udHyannis ............................................................................... Owner ......Ro.n...&...T.i.n.a...S.em .ri.ni .......... � ' 1 Type of'Construction ...... r.a e........................ i ............................................................................... Plot ............................ Lot ................................ Permit Granted ..,,,,.April 26, .19 82 Date of Inspection ....................................19 Date Completed 19 f . 2 i l- 1-1124ir�L `may '° s essor's map and lot number .. ...... ................................. 4) .+ 7 Q�) CF'IN E --Q Sewage Permit number ..Ae.;,A�,.,� ��c ,., !.......:...... SEPTIC SYSTEM MU. y� f INSTALLED IN COMP �B►�y HST ABLE, i House number ....h��.......................... WITI-I TITLE 5 'oo M639. .................................... a ENVIRONMENTAL COD : 0MAIa`� TOWN OF RAR.NSTAIMM ' BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPE OF CONSTRUCTION .........�,x.J�,Y.a. ..... .1 ..............y. ... ..�..................19. Z- ' TO THE INSPECTOR OF BUILDINGS: i The undersigned hereby applies for a permit according to he following information: ' C FD6,�+�z 2 L X07 Location .................................................. ........�e-713.!&[ ................. ........................................................................................... Proposed Use ..... .0.:..:.........................'�S, .................................. ZoningDistrict ..............(—P.. .....................................Fire District .............�................../......................................... Name of Owner ..IW� '��Ll/!� ? nn12�hlj. .Address �f2Ua�([?�lZ ` `.. .�. ,h' ...................................................... L(�G�1� l 1 �j3-v`i Address �........................... " �'. I S Name of Builder' ....... .. .. ............ Name of Architect ......... '12..`............................................Address .........!`.a . Number of Rooms ....Foundation 1 a /�.G ' Exterior �"P QY 6 4 1," , �Q ...Roofing �� � yq-" `................................... ..................................................... .. .. .... .... /. . !� � �'`...C�f Floors ......... .. .�...........................................................Interior ........./........................... Heating .........................................Plumbin .................................................................................. Fireplace Approximate Cost I7 �, �` ?." �. ........................ .... ............... ..................................... ...... Definitive Plan Approved by Planning Board ___-----------------------------19________ . Area ..... ........'S. .............. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH l e � � S I n Z ' 1 A / s A OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town arXblrerding above construction. Na ...... ...... .... .. .. ............. ... ..... 7 ('3SEMP-PINI, RON & TINA 23984 Add to Dwelli.nq No ................. Permit for .................................... and Remodel / Sinqle Family Dwelling ...................................... ................................... Location .,Lot...A.....Crocker...Street...... .. .... .. .. ................ ......................................... Owner Ron & -Tina_ Semprini .,................................... ............................... Type of Construction .......Frame........................... ....... Plot ............................ Lot ................................ , Permit Granted ...... Aril..........26 ................19 82 Date of lnspection,.551�'1:11.-�".......................19 Date Completed ............ .4 ..C' 9 41 -i7OWROF BARNSTABLE_ Permit No. 98 t e�n,� Boil. Inspector , Cash dp°►`�: OCCUPANCY PERMIT Bona` _ - e "-No building nor structure L shall be erected,'and noland-, building or`structure shall be ` use3 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." !i / ,.Issued.to R. & T !'.lt1TZI31 Address i n4- d d 10 r rn n r fit--e=pt- Pvmr n i e' Wiring Inspector - Inspection date- Plumbing Inspectors f y + Inspection date;, Gas Inspector , Inspection date Engineering Departrnent,' Inspection`date THIS PERMIT WILL NOT BE VALH),, AND THE BUILDING SHALL NOT BE• OCCUPIED UNTIL SIGNED BY THE "BUILDING INSPECTOR, UPON SATISFACTORY COMPLIANCE ,WITH TOWN. REQUIREMENTS. .. ....................... . 19 ......... . _ .._ . Building/Inspectors r rq ��+�►� Boor �8� ���� as NF.O IAfl 15 19 23It:All I uAPNS1:.::.:.::L:N IY SiEPI!i.N rll.!'%ES - NE�ISL[ft N i CROCKER STREET ✓r �Rwa/a/ TOWN W Y HEY scwcs:i.N.-taco aT. - NB6's - _ 1 /93.ss 2oN/Nc:P+oF f 1 '^ //B.ss _ �'..•, Res �p ,/,-•1 AJ9GJSORJ/NAPe'V 327 0 Y Ny W t 1� POND u? V � < l JrY.WOoO C W Q O N g 1V; z v u A 1 /7,571 S.F. C A N WCL �A V e � F o l Sa7'00�/O' a.Nee W . EDWARD ✓,PAO/O ,J CL/FTO'V n rV ET VX. MA.R TEL FRANC/NA A.SCHREUTEL KAMP h < Et✓X. I, ETA f, =V h ° a ° P Y� n - ° 2 1 APPROVAL UNOER'Jueo/Vis/oN FLAN Ow LAND CONTRO&'LAW NOT'RRVU1R50 _ /N SARNSTABLE PLANNING BOARD iARA(S7ABLE MAJJ. ROBER'T A. FL/NN ET UXyy.�� OI 1 mnn m.�r�m rui OR A.A.M.r 6_A4E:/WN 20 J.A:c GATE:✓AN. 9/976 IA _ ATE: - CNARLF9 n/, SAVERY/NC. 9�O ma RE.9/JTEREo ' JURVEYORJ Ng73149 Map Page 1 of 2 Town of Barnstable Geographic Information System New Search H. Parcel Viewer Custom Map Map Size Zoom Outjjjj J1 MINIn JPG Map: 327 Parcel: 267 F 328 98 Location: 15 CROCKER STREET I 328186 328226 328187 32818$002 328188001° Owner: MCBRIDE, SEAN 328185 y #6 a6''65 " [Location Information CRC 8 Map &Parcel 327267 Location 15 CROCKER STREET Acreage 0.19 acres 32726 53 7 327187 7 Ourrent Owner 327165 t #15 Mailing Address MCBRIDE, SEAN � PO BOX 2448 327188 = HYANNIS, MA 02601 #27 Appraised Value (FY 2006) 327185 Extra Features $0 327167 y Out Buildings 0 7165002; Land $161,000 327184 . Buildings $ 24,200 1 t e, Va : Total Appraised $285,20 0 327116 Assessed Value (FY 20 6) k 327169 327183 Extra Features $0 2 65001 — 327181 � . g u Buildings $0 *27 t 2 Land $161,000 f y, Buildings $124,200 = 86 �?' I Aerial Photos Total Assessed $285,200 Set Scale 1" Copyright 2006 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS BarnstableMA vn.2.7 [:Production] http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=327188&mapparback=address 10/26/2006 n ,i it t is 1Y W i ° §px i i yy7� EE - A J, t �� i W s '�'" d •1.s >'* r �t ai - {} 'fir ' t di 4s:> ay !�df r�y3 # -- _ i -+ ,tl d•. '^ M1} y - 4 .O w .' irhi f� m'I A// Q/ /1 # �7 / ..�=w `. i 'atfJr ,aY# 1 a: .1 -�t �f 1 p1 ry#,,, dM4 iH�,ste, �ryr ! „ys a r /V (J C� t a'T'. y G ., h X Y ik ar p ''s - Gti � ii icy k * fa+ t r}`„ ke -� t^it } d +/°.r r` 3 "rt 1' R Y rae` �yb k ,F' Gr f fit+, e : 'd t' }Ar ,z a t �+�� s �t`tfi � d 1 t"� +.;a ! � + .:r r •.i. t s 4i ,i r ` i:r t !�• aSay2ni '4e,'.d ^ r K J,. 777 kar r r r 1! i:.� �"� �r:t -�; � r � ? � /f +,mi '• T -'� :. tY 4f, r$x ` r.. ri }i3a.')!.7 e. I Q ',r iu, a r..! .. Y,.. 1 :r u t } <�� t sZ� rdE�' ,' \i� ��F Vf r �i k�;�0 f S � �� h t *• `d 1 � rpk 4E 2 �w.. �'�tid�-•� e '#.1� � j � +�+,i, d � ^.,. .... .7`�•n J���. ;'s �` F ! >:j � Y * i� ��{r� `+�,A1u5 ytY �{S�*� 'J n,���.F � t � y m �� • �t � V d•t;. - .,., � i i }'r d ry 4 41 OF d t �{ r L� ch�H.G f'/ F ; .: ROBERT �G ti hro aUMKIB e �,'� �� �*,i t t. 1 "` 't � � �_ _ �/l. �, ^t J �` •, Na 0430 YpF `p k it ISTE F t b�.pc t.k+ rid i •� 1.. r / � .. ! .r,'d r a_ ,[ f -. LEGEND ;EXIST:ING.' SPOT,'.:.ELEVATION ,_ ,OxO CERTIFIED, . PLOT PL'Ald ,. EXIGTINO . CONTOUR--.— p — �•�T A C�oc.KEtt :S7. FON�SHED `'SPOT ELEVATION FIND HED"CONTOUR 0 h•. IN r AAPPR EDt BOARD OF HEALTH y` �1, ®E AGENT d. SCALE= I/� D DATE= jo '7 t OREDOE ENG!kE I CLIENT' L n I CERTIFY THAT THE PROPOSED EG TERE REGIST.E�ED Jp® pJp, 7/0 6 Z- BUILDING SHOWN ON THIS ° PLAN . . CIVfL LANO - CONFORMS TO THE ZONING LAWS w E t6�EER 8, RVEY®R DR.BY A- p:F ' ®ARNST BLE , MASS. 3 0. 14►tAtW 712 MAIt\l ST.' CH.mBY=, i�.ri�.�a �` %O ? 7a '.. STb ! 6 X� 9 ! Sv.�YAtiOvb:H,.e. 5:. ` t�hwAPLNib, iV1AS; . SrHlET, OF. 2 DATE . REG. LAND 3UR9PEYOR k Y: , c. - ,b: -.t __,pa '.?.. wt :_w 3 «c_�a" _ -1::• �" � _a, �.-' - - -s .<.^^r.�. -t � .:dATi. .. '. .=v,,,,.. ._:.. .� ,.•: -1 �� :,:5 - :-wk'r� ''.^.,r -i�ma..l<: _^,'W _ coJ,inf. -- co VZ14 L = /QU/D EL _ LEY 4"CAST - /ROM P/PE o 0 3 _ r oe QF I�8 -3�8 _� « rAlt► 4 e • • • s •• • k o ' WA SHFD S7't�/YE . e T/C TANK, o y,;,.. s •0 1 •°o a q D.I ST o • z ."WAS ONE r :n O�I�TN • ° °• - P 'S: -2 " ,. Lcr •r s+4•C>, 1„e-e . '�' -'•- • f e • p.D-p -�,4 -:c- ,` - v � • D o o' . o, _s : •r• • o`o n °PRECAST SEjIpAGE; -- /NIiERT`gL"Ei�i4T/. 11s hs v ►o . r I e o :• •.. i u o °0 0/7='DR EQU/V: a '/NV.ERT AT ffulz D/A/GFT. D/AM: • SEE 7-4AI/L.4T/ON A !,VLE? : E/�T/C:.,:TA Mk 96-.5.•-FT s�m_ h�1a_.s '<la.A * a C _ OUTLET SEPT/C\TANK` �6,3 FT ,r, _ `� s �Y y r. r R} GROuNo ylr,[ E /iV,[ET DISTRl13//T/ON 8'OX; 9� �'T ITEft_ TABL > SEcr-/aNF O OCITLET,D/STRf!/® T/ON BOX =95,.9 u - I NLET SEEPAGE "�/T Q s4T10 - ` gss -'T L EACHIIVG .� lJL N SCALE %4" _ L:"fV T PA/ Af 3 !FT s Q r DES/GN CR TER/R p ®/MrEJVS/AN _ FT. ` r NUMBER OF ®ED.TOOMS GA.gdAGE 0/5POSAl- UV r - - d fi .�� A/L TEST ,4 TOTAL E.STI/►9A7"E.D FL.O,W ! oG / > NUMB.-jR QF SFER46E P/T,S_., f uG !O 19771 ,0A'ra= bA- SO/L TEST . S/DE LEACH', VCP R /?EXULTS i 1//TN ESSED: 8Y R T�. B y N r Ac i S ®OTTO/N L:91CH/NG,PER P/T�$ Sq• FT. TE5T PIT +��;:• _TEST PIT#2 TQT�IL LEACH✓NG AREA: z 6 EL�vAT/GN �ERGOLAT/O/✓ IWAT,� / MINy/INCM SQ. F7- r R eSBRVZ ACHING AREA_ $Q FT. _ .. ; N OF cS ca/ M n P ROBERT �� ` x'� g Sstrr✓� Y x r _ P. O BUNIKIS -' } 41 No.22162. ' �'7 /N� !iXG i ,- -rAWD-A�. /la✓l;T 3. "' 39 NO.MR/1!✓ T _ z �. .gam '"g. n `e° '�>. a -�' .._ �/N'" �1A "'�'�50- E1:eit/►�pkJT.�yI �: 1 »fig.,,- G �'.�..i ' �_.4 �!•'7� 1 � .mac - 1. r�?• � .�. �3 `]�"_.v.( - '! L.F.--k; ,•& : .. _ 9. ffi 'ti- ?}-` _ _ '::<:: S..3. _.,t :, .. ,R J.:,•... ,r..:.^f '.x. r�. � . 4'. M� ,,yi-P-�V '�F�t..'�. .� ^.F'� �'�/� �/7 �T'���/G M- - } AIs• T d.r._ 4 �1 �$•'. � _°�,'. � '� � '� -ram � a ^,� .o � .�' � c� : 2 -7. 1 Assessor's map and lot.ynumb'er .. . ... 7 SEPTIC SYSTEM MUST BE 0rV y9� p r -INSTALLED IN COMPLIANCE Sewage Permit number ....................... ........:................:.:...... WITH ARTICLE II STATE ,t �. �.., ODE SANITARY C AND TOWN �, � _, • w.. � - � FTHETp�o TOWN OF BARANSTAR _ i679. BUILDING ' INSPECTOR 'E 0 ypY a" , C APPLICATION FC4 PERMIT:TO. ......bW1d.a..8jngle..duel11» ............••• ........................................... g TYPE OF CONSTRUCTION ..yp►ro , frame.. ....................................................... ......................................... f kugttstA.?X .M...........19........ TO THE INSPECTOR OF BUILDINGS: The undersigned-hereby'applies for a permit according to the following information: Location ........Crocker Street...:....... :....4.cT....A.......................... j7:h.' ........................................................... ProposedUse ...Rlnele..fan ily..ftelling. ........................... ........................................................ ............................ Zoning District .�.....:....................................................I..........Fire District .....H!axl Hyamis......................................................... Name of Owner ...R.Qberti..A...Flirm.................................Address ..51--camp.:street., My-ann-19............................... Name of Builder ........she .......Address Name of Architect ........none..... ....Address Number of Rooms Ul!W.............. ...................................Foundation ..AMCrete.. 115M.-full.•Cellar Exterior 6.................. .................................... ........Asphalt........................................................... .... Floors04?d..........................................................................Interior ......Bhobtreekc........................................................... Heating -...bjl...f:Lr.ed.. .......................................................Plumbing . b4throm............... .... ..... ......................................... Fireplace rip .......................Approximate Cost .15 000 Definitive Plan Approved by Planning Board --------------------------------19-------- Area ... Diagram of Lot and Building with Dimensions Fee �,��,.�. ........ ....... .. . . .......... SUBJECT TO APPROVAL OF BOARD OF HEALTH �a so` 2#, J� , "7/ hereby,agree to ieonform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ./rya.. ^ � '........................ Flinn, Robert A. 3.2-7— 197 '119496 one story N001 ................ Permit for .................................... isingle family dwelling ............................... .......................................... Crocker Street Location ................................................................ Hyannis C, ............................................................................... Robert A. Flinn Owner .................................................................. frame Type"of Construction .......................................... ............................................................................. #A C Plot ............................ Lot .................. ............. August 12 - e 77 Permit Granted .......... ­�.....L' �19 Date of Inspection Date Completed 19 C; PERMIT REFUSED C) .......................................................... 19 ............................................................................... C.(S' ..................................................... C' ................ k SC (7 .............................................................................. ............................................................................. Approved ................................................ 19 ............ .................................................................. ............................................................................. i i o . M - BI<12471 PGO—dtG GS912 QUITCLAIM DEED I, Christine Lord Badger n/k/a Christine Lord,of 15 Crocker Street, Hyannis,Massachusetts 02601, for consideration paid and in full consideration of Ninety Nine Thousand and No/100 ($99,000.00) Dollars, grant to Sean McBride,Individually,of 602 Skunknet Road,Centerville,Massachusetts 02632, with Quitclaim Covenants,that parcel of land with the buildings thereon,situated in Hyannis, Barnstable County,Commonwealth of Massachusetts more particularly described as follows: PARCEL. A as shown on a plan of land entitled"Plan of Land Hyannis,Barnstable,Mass.For Robert A. Flinn et ux"dated January 9, 1974 prepared by Charles N. Savery,Inc. and recorded in the Barnstable County Registry of Deeds in P1an Book 281,Page 23 Said Parcel A contains-7 8,082 square feet,-more or less,according to said plan. Said premises are conveyed subject to and with the benefit of all rights,rights of way,easements, restrictions and reservations of record insofar as the same are now in full force and effect. For Grantor's title see deed recorded with the Barnstable County Registry of Deeds in Book 8426,Page 263. Locus: 15 Crocker Street,Hyannis,Barnstable County,Massachusetts 02601 W 12471 PG0 47 WITNESS my hand and seal this L day of Jy , 1999. ne Lord Badger a/k/a Christine Lord COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. jqM/-- 1 1999 Then personally appeared the above named Christine Lord Badger n/k/a Christine Lord and acknowledged the foregoing instrument to be her free act and deed,before me, -- Frederick C.G osser,Not ublic BARNSTABLE COUNTY 01 REGISTRY Of DEEDS My Commission Expires: 11/23/2001 CISE TAX DATE 00.12.'99 THU [WEDS TAX $225.72 B TOTAL 1225.72 � E CASH $225.72 oo0pOD 00MM� 2�o�tt 01 CLERK 1 NO.001512 TIME 13:53 1111 FOE s e.56 CiISFI $33E3..59 BARNSTABLE REGISTRY OF DEEDS �j 0 O ! ��� C Do- I Town of BarnstablePermit: � °FT►+e r Regulatory Services �,,'•.._� Q` � ate:/ Thomas F. Geiler,Director . 11 BABNSTABLE. ` Building Division ee. MAss. 039�s`e� Peter F.DiMatteo Building Commissioner For . 200 Main.Street, Hyannis,MA 02601 s Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: C � 2�6 - � � Phone: �% Tib g S/ 2- Install at: 15 QQ0C/''&2_ s ( Village: Map/Parcel: � �-� 26 Date: (s­ '1 ~stove A..>TevC/Used B. Type: Radiant/cirGt g C. Manufacturer: /0119/2—D Lab:No. D. Model No.: . Chimney A. w/Existing (If existing,please do' le date of last cleaning) B. Flue Size C. Are other appliances attached to Flue? /VC7 D. Pre-fab Type and Manufacturer E. Masonry: Lined/LJ ied Hearth ... A. Materials: B2-i-c )K B. Sub F1oor,Cbonstruction: a/,/C,2 C7-(: i-SLoG(<- Installer Name: I: . Address: Phone: Location of Installation: 0 P APPROVED.BY: �--- -� Please make checks pe qa le to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev122801 i