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TOWN OF BARNSTABLE
CERTIFICATE OF OCCUPANCY -
PARCEL ID 272 193 003 _LL - GEOBASE Ib- 3759F3 _
ADDRESS 50 DAYBREAK LANE PHONE
HYANNIS ZIP --
`LOT 45 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT HY
I
PERMIT 35727 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#33027)
PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY
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CONTRACTORS: Department of Health, Safety
ARCHITECTS: and Environmental Services
ITOTABONDL FEES: $.00 'THE "�1►
'CONSTRUCTION COSTS $.00
756 CERTIFICATE OF OCCUPANCY
+ BARMABLE +
16g4. `0� I
III
BUIL D IV ' -ON
B .- - ---- II
DATE ISSUED 01/06/1999 EXPIRATION DATE I
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: OWN UE BARNS'. .AbLE r�
r , BUILDING PERMIT
.'ARCEL ID 272 193. 003 GEOBASE ID 37,59B
ADDRESS 50 DAYBREAK LANE PHONE
HYANNIS ZIP
':OT 45 , > > BLOC;. LOT SIZE
A)BA. , DEVELOPMENT DISTRICT HY
s:jE 21` IT 3027 D"SC`PIPTIC�N SI TCI,E FAMILY DWELLING (SEW.PMT.-4#B/25/S3) I
PERMIT ITPE BUILD TITLE NEW RESIDENTIAL BLDG Ptfr
;ONTRAC TORS: B.AYSID' BUILDING, INC Department of Health, Safet.
t,RCHITECTS:
and Environmental Services
0
�OTAL FEES $36 .15 t
NE
.:ONSTRUCTION COSTS $114,565.00
1.01 SINGLE FAM BIOME Drj'ACnD --A PRIVATE P-:gq)Ee
- * )RARN3TABLE. • �
MASS-
16.19.
BUILD DIVISION I
BBYw
DATE JSSU'EI 0 9/01/1998 EXPIRATION DATE
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY-OR PERMANENTLY. EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR
2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- '
(READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY.
e oSig [twou ® ® s
e
fBUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
I"rj- h 0
2 2 4.
3 13 1" HEATING INSPECTI APPROVALS ENGINEERING DEPARTMENT
4-91 ftee 4 OAS- /2 2 3 9��
2 BOARD OF HEALTH
OTHER: ( SITE PUA REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON TI�ls
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION NOTED ABOVE. TION.
cd �a� 777
BUILDING
PERMIT
?rN Town of Barnstable *Permit
►r°'7•p Expires 6 months from issue dote
* ��: 015 Regulatory Services Fee
ST� ,
91A hijAss, ;0� NS1R��� Richard V.Scali,Director,
F gAR
Building Division
Tom Perry,CBO,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL. ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address 6 DA 6.—eo4fz /,•L✓
®Residential Value of Work$ Minimum_ fee of$35.00 for work under$6 00.00
/Owner's Name&Address
Contractor's Name &i_/`!1 Telephone Number
Home Improvement Contractor License#(if applicable) Email.
Construction Supervisor's License#(if applicable)
DW-6-rkman's Compensation Insurance
Check one:
Rfam a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance.
Insurance Company Name
Workman's Comp.Policy r-:—A
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Reque (check box)
Re-roof(hurricane nailed)(stripping old shingles),All construction debris will be taken tok4-e-mdU)1,<_
❑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 copy of the Home Improvement Contractors License&Construction Supervisors License is
required.
01
SIGNATUREA -*-�
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doC t'
Revised 040215 `
MID CAPE ROOFING
11 RUSSO ROAD
WEST YARMOUTH, MA 02673
508-775-3799/508-385-8801 `
Barry Merrill & Paul Merrill
Job Site Address Mailing Address
Name Name:
Street: So "����� � Street:
City:. �, ,,�,,S� µ. City:
Telephone: Telephone:
We hereby propose to furnish all the materials and all the labor necessary,for the completion
of: roof replacement of the dwelling at the above address, Mid Cape Roofing proposed to
remove and dispose of the existing roof. The roof will be replaced with Certainteed Landmark
life time shingles.
Aluminum drip edge will be installed along the gutter line. Ice & Water Shield installed on
bottom edges to protect ice back-up. 15 pound felt paper will also be applied. The shingles will
be installed using 1% inch roofing nails. New pipe vent collars will be installed. Ridge vent will
be installed along the ridgeline of the roof to provide proper venting,of the attic space.
Mid Cape Roofing guarantees ,the workmanship for a period of 10 years. All walls and
landscaping will 'be protected from damage; the property will be raked and cleaned of all
debris.
All material is guaranteed to be as specified and the above work is to be .performed in
accordance with specifications submitted for above work and completed in a substantial
workmanlike manner for the sum of: /O 3 x4°;-All discounts have been applied.
Payment made as follows:
Deposit of: the day the job is started and remainder to be paid on completion.
Any alteration or deviation from the above specifications,involving extra costs will become an
additional charge over and above the estimate and will be discussed with the homeowner.
Respectively Submitted by Mid Cape Roofing
NOTE: This proposal may be withdrawn by Mid Cape Roofing if not accepted within 30 days.
Acceptance of Proposal
The above prices, specifications and conditions are satisfactory and are hereby accepted. Mid
Cape Roofing is hereby authorized to perform work as specified with payments made as
outlined above.
Accepted: ,zD/�
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"J'z
fliice ofConso `--`lcPROV . ansin�.�e �istration: EN►ENT NTFZgCT galation "License or�r�iistration valid for individul u11458Cpiration OR
1Of20/2 before the expiration date. If found return..
016 `TYpe:
MID CAPE ROOF
O t ;-. partners h Office of Consumer Affairs and Business Rego \
OF hip laza-Suite 5170
10 Park F
BARRY i
N1ERRlLL )Boston,NtA 02116
11 RUSSO n, F
RD.
WEST y
ARN►OUTH,
Undersecretar }
�ith-utgu dre.
d
PAassachusetts -Department of Public Safety"
' ard of.Building Regulations.and 5tanda des
tion Supen`isor-
a Construc �
License: CS-054428 {i
BARRY B I'M.
SKUNNKETTRD _
CENTERVII.LE�►
02
Expiration
... �..� �> 05121/2016;:.
Commissioner
_ k s
-� 1he Commomwealth of-Massachusetts
Depairoatutt o,f•Industrial Acciderats
- Ofj7ce of 1mws`tigatians
600 Washington Street
::::y .- {, Boston,4 02111
t witnitmassgoVIdia
Workers' Campensatian Insurance Affidavit:BuilderslCnntractnrs/Electricians/Plumbers
Applicant Information Please Print l.edbly
Name tl3usmeesslDrganb�titionllndividnal}: �,'� ��o� /�e� �-c•c�
Address:
city/s�3tm IJGV Z Mone i"k
Are you an employer?CIfeckthe appropriate box: Type of project{required}_
1-❑ I am a employer urith 4 ❑I am a general contractor and I
Ioyees(full atFdlor part time" have hired.the sub-contractors 6. ❑New construction
2.E�, I am a sole proprietrar or partner- listed on the attached sheet. 7. ❑Remodeling
ship and haze no employees. These sub-contractors have g_ 0 Demolition
wod-ing for me in any capacity employees and have workers' 9. ❑Building addition
[No n,-orIcers'temp.iasur=e comp.Msuranim-1
required_] 5_ ❑ We are a corporation and its ME]Electrical repairs or additions
3.El am a homeoumer do- .work officers have exercised their 11_ g Plumbin r airs or additions
myself-[No workers_( t� rat of exemption per MGL 12.❑Roof r
epairs
insurance required-1 t c.132, §1{4),andwe have no
employees-[No workers' 13.❑Other
comp.insurance required-]
*Aziy whoccant&at checks box#1 must also fill o=the section below showing their wodeie compensathmpolicy informstiao-
I Homeowners who submit this affida«t imdicstmg they axe doing all wa l sad,then hire outside contractors matt submit a new affidavit indicat ug such.
x�(anuactors that ehec3t.this boat 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 empIogee%they mastpmride their workers'comp.policy nimrber-
I am art enepZ4-er that is prmiding workers'conrpertsafion insurance for my enrpIoy ees Below is tfie pali y and jot srte
informalfon �
Insurance Company Name--
'Policy#or Self ins.Lic_ &N 3 l Expiration Date_ .2
Job Site Address: �D 2,4c x City/State/Z7 p: /^
Attach a copy of the workers'compensation policy declaration page(showing the policy nuEAer and expiration date).
Failure to secum coverage as required under Section 25A of MGL c 152 can lead to the imposition of criminal penalties of a
fine up to$1,50a-00 anNor one year imprisonment,as well as civil peualties.in the form of a STOP WORK ORDER and a fine
of up to$250-00 a day against the-violator. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
.I do hereby cetli ,under tltepabis and penatYes ofpet jury that the information pro iiW abmw fs avid correct
Situtature: Bate: Z
Phase ib
Official use drily. ,Do notwite in this area,to be.completed by city ar totrn official,
City or Town: PermitUcense#
Issuing A,nthority(circle one):
1.Board of Health 2.Building Department 3.(ityffown Clerk 4.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone#:
Information and lastructions
Ma zachmetts General Laws chapter 152 regmrm all employers to provide workers'compensation for their employees.
Pursrrantto this statute,an.eznployee is defined as."_.every person in tho service of another under airy contact of bire,
express or implied,oral or vim"
An e7pp&yer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise,and including the legal represenfafives of a.deceased employer,or the
receiver or trustee of an mdividmal,partnership,association or other legal.entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therem,or the occupant of the -
dwelling house of another who employs persons to do ma;,,te na„ce,construction or repair worm on such dweIlmg house
ed to bean to er."
therein shaIl not because of Bach la ent be deem emp y
or on the grounds or building appurEenant �p yin.
MGL chapter 152,§25C(6)also states that"every state or local licensing age'cy shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compiance with the insurance_coverage required."
Additionally,MGL chapter 152,§25C(7)states"Neither the commgawealth nor any of its political subdivisions shall .
enter into any contract for the performance ofpublic work until acceptable evidence of compliance with tine insurance..
requirements of this chapter have Been presented to the contracting aufhodty-" :
AppIicau-es .
Please fill out the,workers'compensation affidavit completely,by checking ie boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s), addresses)and phone numbers)along with their certificates) of
insrran ce. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than tb.e
members or partners,are not required to carry workers'compensation insurance- If an LLC or LLP does have
employees,a policy is required. Be advised that this affidayit maybe submitted to the Department of Industrial
Accidents for confirmation of iosru-ance coverage. Also be sure to sign and date the affidavit The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Lod stir at Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number lLtt d below. Self-insured companies should enter their
s elf-iT,sman ce license number on the appropriate line.
City or Town Officials .
Please be sure that the affidavit is comp let-.and pried legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office ofluvestigations has to contact you regarding the applicant
Please be sire to fill in the pent Iicense number which will be used as a reference n=bcr. In addition,an applicant
that must submit mutiple permitEcense applications in any given year,need only submit one affidavit indicatrng cu=t
policy imf-6rmation(if necessary)and under"lob Site Address"tie applicant should write"all locations in (City or
mwn)_"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided t?o the
applicant as proofthat a valid affidavit is on file for future permits or licenses- A new affidavit must be tilled out each
year.Where a home owner or citizen is obtaining a license or permit not relair_d to any business or commercial veutum
(i e_ a dog license or permit to bum leaves etc.)said person is NOT reqaired to complete this affidavit
The Office of Investigations would at to thank you is advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Departments address,telephone and fax number_
-Thu-CG.mm m tb:of Massachusetts
Dtpadmenf cif Rod ial AocidenLq
G:ffic�e of f vestiotio=
��4,T�ashingtQn Size
Bastin.,MA G� I I I
Tt,-1.4 617 727-4900 Qxt 4-06 or 1-V -MASSAFF,
Fax 9 617-727 7M
Revised 4-24-D7
Engineering Dept. (3rd floor) Map , a a Parcel 1173 , OL13. Permit# ®02
House#; ,ro pit Date Issued
Board of Health(3rd floor)(8:15 =9:30/1:00-4:30 Fee 35-5
Conservation Office(4th floor)(8:30-9:30/1:00=2:00) a?
Planning Dept.(1st floor/School Admin.Bldg.)
Defiokft Plan Approved by Planning Board 19
�./ C it THE
T V OIL TO
TOWN OF BARNSTABLE > � Eo►��>
Building Permit Application
roject S eet Address -SO pAy6,1e4ef- LHW4_;_� (n)9V L07- Ys
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Owner_. lq h y3 log /it/C, Address c-exIT�.✓//wig
Telephone 7 7l— !0 VG
Permit Request .O C0A/,57-ROC T /i S/Nf 4E PIN 4Y #619 t'
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First Floor / 375' square feet Second Floor 70 square feet
Construction Type (.lfO-61//D 12Ame
Estimated Project Cost $ /y, S6 5
Zoning District Ae C -/ Flood Plain C Water Protection io
Lot Size �, �'�J� Grandfathered ®'`'Yes ❑No .
Dwelling Type: Single Family Mr'-' Two Family ❑ Multi-Family(#units)
Age of Existing Structure A 9 W Historic House ❑Yes fL'No On Old King's Highway ❑Yes frNo
Basement Type: [Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) /3 7,r
Number of Baths: Full: Existing New o2 Half: Existing New_1
No.of Bedrooms: Existing New 3
Total Room Count(not including baths): Existing New 7 First Floor Room Count S
Heat Type and Fuel: ffbi'as ❑Oil ❑Electric ❑Other
Central Air Yes ❑No Fireplaces: Existing New / Existing wood/coal stove ❑Yes W40,
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ^ !,
❑Attached(size) of CA2 d`/X a,;� ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
tM Commercial ❑Yes I&No If yes, site plan review# -
Current Use V ACIIti 7 LO T Proposed Use
Builder Information
Name V5 /bat 81_b6 IAIC Telephone Number ?7l- to V40
Address 60K Q, License# 00 5-6�S
C47iVTw-V IL LIE 02 G 3 2- Home Improvement Contractor#
Worker's Compensation# -TC 9 to f9/ 16yr
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO &f/4VYC_ LWbF1C<
SIGNATURE /11�1
DATE
BUILDING PER IT DENIE FOR THE FOLL WING REASON(S)
r 65771 i2CAO
( c�
FOR OFFICIAL USE ONLY _
.PERMIT NO. T
DATE ISSUED
` MAP/PARCEL NO. • ; s r
ADDRESS } VILLAGE
OWNER ~
DATE OF INSPECTION:
FOUNDATION
FRAME
i
'INSULATION TD`—,;�6
FIREPLACE
ELECTRICAL: ROUGH — FINAL
PLUMBING: ROUGH FINAL' - -
GAS: ROUGH FINAL-
FINAL BUILDING `"
DATE CLOSED OUT. , ✓
ASSOCIATION PLAN=NO"Y
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�975
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CERTIFIED PLOT PLAN I CERTIFY THAT THE FOUNDATION
SHOWN ON THIS PLAN IS LOCATED ON
FOR THE GROUND AS SHOWN HEREON AND
LOT 45 DAYBREAK LANE, HYANNIS, MA. THAT IT CONFORMS TO THE MINIMUM
BUILDING SETBACK REQUIREMENTS OF
THE TOWN OF BARNSTABLE.
PREPARED FOR
BAYSIDE BUILDING INC.
,IH OF pq
SCALE: V =30' SEPTEMBER 9, 1998 s N
• HUtdB,
Weller & Associates ��;
-Ad.YiF 'i —
1645 Falmouth Rd. —Suite 4C Centerville, Ma. 02632
(508) 775-0735
4
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8975
46-
PROPOSED PLOT PLAN ^r
14 OF MqS
FOR �o•
LOT 45 DAYBREAK LANE HYANNIS, MA.
U �
RUM y
PREPARED FOR 35 1
BAYSIDE BUILDING INC. `
SCALE: 1" = 30' AUGUST 17, 1998
Weller & Associates
1645 Falmouth Rd.—Suite 4C Centerville, Ma. 02632
(508) 775-0735
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DEPARTMENT OF PUBLIC SAFETY.
CONSTRUCTION SUPERVISOR LICENSE
Number Expires!
Restricted To: 11
BRIAN T Off"62 FERNBROOK IN
CENiERVIIIE, MA 02631
17:1.050
Restricted To: 11
11 = 35,001 cf enclosed space
r' (N6l C112 5.611)
1A - Masonry only
16 - 1 6 2 Family Homes
Failure to possess a current edition of the
Massachusetts.State Building Code
is cause"for revocation of this license.
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r- COMMONWEALTH OF MASSACHUSETTS --
i7EFAIt rMEENT OF INDUSTRIAL ACCIDENTS
600 WASHINGTON STREET
-ames Car-noel; BOSTON, MASSACHUSFITS 02111
Cornm:ss,cne• WORKERS' COMPE'VSATION INSURANCE AFFIDAVIT
(licensee/permincc)
with a principal place of business/residence ar.
VJU
(Csry/s rwefzip)
do hereby ccri4 under the pains and penalries of perjury, that:
[q/1-am an employe:providing the following workers' compcmrrion coverage for my emplovecs working on this
job.
���izyc�q�r� CAI su J�Ty Tc r oaf /qf 16 �1
lnsurancc Company Policy Number
( ) 1 am a sole proprieror and have no one working for me.
[ ) I am a sole proprietor, general eonrracror or homeowner (circc one) and havc'hired the eontrraors listed b-ew
who have the following workers' compensarion insurance polices
B /IYS 1)le- iA16 I JC. T C' r( 00 `l
Name of Conrraaor Insurance Company/Policy Number
Name of Conrraaor Inst:nncc Company/Policy Number
Namc of Contactor Insurance Company/Policy Number
D I am a homcowne:performing all the work myself.
NOTE: Pleuc be aware that while homeowners who employpersoes to do maintenance,construction or repair work on :
dwciling of not more tban three units in which the homeowner also resides or on the grounds appurtenant thereto art not gener:tJy
considered to be employers under the Workers' Compensation Act(GL C 152,scct.,1(5)), application by a homeowner for a lice:se
or permit may evidence the legal status of an employer under the Workers'Compensation Act
l understand that a copy of this statement will be forwarded to the Depzr- cr:of Industrial Aeddena'Ofnce of Insurance for eovc.as:
vcri.ic;,1on and th:, failure to secure coverage as required undo Sccdon 25A ol-.MGL 152 un lead to the imposition of Criminal pear rs
consisting of a fine of up to S1500.00 and/or imprisonment of up to one y=L--td civil penalties in the form of a Stop Work Order
fine of S100.00 a day a€sins: mc.
SiCncd this dry of . 19
Liccnscc'Pumirtcc Licc:isor/Pcrmitror
SUBCONTRACTOR'S INSURANCE
ENGINEEER:
BAXTER & NYE ENG: (L) FIREMENS FUND S30MXX80564866
(W) LIBERTY MUTUAL - WC1312595563023
WELLER & ASSOC: (L) NAT'L GRANGE MUT.- MSP45246
EXCAVATION & SEPTIC: `
ROBERT J. OUR (L) U S F & G - 1MP30109550901
(W) U S F & G - 771521-695
DECO CONSTRUCTION (L) TRAVELERS 660364K8342
(W) LIBERTY MUTUAL - 312446298044
FOUNDATION:
BAYSIDE FOUNDATTONS: . (L) COMMERCIAL UNION ABR406267
(W) LIBERTY MUTUAL - WC1312201785044
WELLS:
DENNIS SCANNELL (L) TRAVELERS - 660873E5627COF92
(W) WAUSAU - 151300062926
CELLAR/GARAGE FLOORS:
MICHAEL BROWN: (L) AETNA - MP0023672849
FRAMERS
ROBERT DORRER: (L) TRAVELERS - W680526K991TIA9
(W) AETNA - 006CO023972416C
MICHAEL DUFFLEY: (L) COMMERCIAL UNION - NBF821356
(W) LIBERTY MUTUAL - WC1312492127024
MASON:
SHERMANA WAYNE: (L) COMMERCE INS CO - ,N60689
(W) WAUSAU INS - TO BE ASSIGNED
ELECTRICIAN:
CHAVES ELECTRIC: (L) HANOVER INS. - LHN2964649
(W) .MISCELLANEOUS INS CO. - 0708878 91 1
PLUMB & HEAT:
WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9
(W) EASTERN CASUALTY - POLICY IN MAIL
ALARM SYSTEM:
BALTTC SECURITY: (L) FIRST FINANCIAL - FF0131 G400831
(W) � COMMERCIAL UNION -, CB0743379
CENTRAL VAC:
VACUUM HOUSE: MERRIMACK MUTUAL SBP1608045
INSULATION:
MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3
(W) U S F & G - 7711099932
SHEETROCK:
MEL REED: (L) WORCESTER INS - CB817530
(W) COMMERCIAL UNION - CBH557387
INTERIOR TRIM:
DAVID'S REMODELING: �(L) COMMERCIAL UNION - NB F821442
M & R CARPENTRY (L) MARYLAND INS. GRP- SCP30235965
(W) CIGNA PROP & CAS .- C80049997
OAK INSTALLER:
ROBERT BUDDEN: (L) NORTHERN ASSUR. - NBF528652
PAINTING:
CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF
(W) AMERICAN POLICY - WCC 186604
GARAGE DOORS:
ALL CAPE GARAGE DOOR: (L) U S F & G - BSC14667590301_
(W) COMMERCIAL UNION - CBH573757
STORMS & GUTTERS:
ALUMINUM PRODUCTS: (L) AETNA - MP0021014146
(W) AETNA - JC89258880
OAK FINISHER:
AMERICAN FLOORS: (L) TRAVELERS - 680 342W754-0
CARPET, VINYL & TILE:
CARPET BARN: (L) VERMONT MUTUAL - SBP6507393
(W) PHOENIX INS. - 6NUB476J652794
TILE INSTALLER:
TONY AVERINOS : (L) ASSURRANCE CO. - CFP26528977
(W) HARTFORD FIRE - 77WZCY2409
WIRE SHELVING:
CAPE COD CLOSETS: (L) U S F & G - BSC146983441
APPLIANCES:
KITCHEN APPL MART: (L) FIREMENS FUND - AZC80453098
(W) HARTFORD INS CO - 77WZNB1603
MIRRORS & SHOWER DOORS:
L & M GLASS : (L) COMMERCIAL UNION - CBR409003
(W) U S F & G - 0071439933
LANDSCAPE & SPRINKLER:
COY'S BROOK: (L) COMMERCIAL UNION - ABR345850.
(W) CIGNA COMPANIES - C41138178
DRIVEWAYS:
NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945
(W) THE PHOENIX - UB387K530
A
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G Western Surety
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LICENSE AND PERMIT BOND
F For County,City,Town or Village Only-Not Valid for Bonds Required by the State.Not Valid for Contract, ;
Performance,Maintenance,Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond.
KNOW ALL MEN BY THESE PRESENTS: BOND No. L&P-4.8 8 48 4 6
4
Thatwe, Ra)E.-,Jde Riiilding, Tnr- ,
of the vi 1In ge of Cpntemd 1 1 P , State of Massachusetts , as Principal,
and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State
Of Mara Thus e t t s , as Surety, are held and firmly bound unto the
Town of Barnstable , State of massachl- set-tom , Obligee, in the amount
(Valid only when a County,City,Town or Village is named as Obligee)
of Fniir Hundred Forty 2nd o(_)IJ I DOLLARS ($440,0o*7c*****7c ),
(910T VALID FOR MORE THAN$25,000)
lawful money of the United States, to be paid to the said Obligee, for which payment well and truly
to be made, we bind ourselves and our legal representatives, jointly and severally.
THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been
licensed to construct. a single family dwelling at 50 Daybreak Lane,4yannis, MA 026W
110 feet frontage by the Obligee.
N ib �` ft FORE, if the Principal shall faithfully perform the duties and comply with the laws and
or n' .Tci"5lt all amendments), pertaining to the license or permit, then this obligation to be void,
os e° '',1n full force and effect for a period commencing on the 14th day of
zt A �,� ,q 1998 , and ending on the 14th day
`tee igust =�'x , 1999 , unless renewed by continuation certificate.
�J1lab kmiiayGIrminated at anytime by the Surety upon sending notice in writing to the Obligee and to
tcipa :ea ff 0 the Obligee or at such other address as the Surety deems reasonable, and at the expira-
tioi�, ht days from the mailing of notice or as soon thereafter as permitted by applicable law,
which�e ,this bond shall terminate and the Surety shall be relieved from any liability for any subsequent
acts or omissions of the Principal.
Dated this 14th day of August t 9yg
Principal
Principal
Co ers ed WESTERN SU ETY CO NY
4
F By I
Resident Agent By President
4 4
ACKNOWLEDGMENT OF SURETY
STATE OF SOUTH DAKOTA 1 (Corporate Officer)
County of Minnehaha f ss
4 4
On this day of ,before me,the undersigned officer,personally
appeared Stephen T.Pate ,who acknowledged himself to be the aforesaid officer of WESTERN
SURETY COMPANY,a corporation,and that he as such officer,being authorized so to do,executed the foregoing
F instrument for the purpose therein contained,by signing the name of the torpor n by himself as such officer. ;
IN WITNESS WHEREOF, I have hereunto set my hand and official se
4 ,
J. RHONE
NOTARY PUBLIC S '
6 BEAL SOUTH DAKOTA SEAL .S ?
4 .�. otary Public, South Dakota n
r My Commission Expires 6-12-2004 Western Surety Company
4 Form 849-A—12-96 1-605-336-0850 '
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ACKNOWLEDGMENT OF PRINCIPAL
G
(Individual or Partners) ;
STATE OF
n
F ss
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County of
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s On this day of , ,before me personally appeared
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{, known to me to be the individual_ described in and who executed the foregoing instrument and
n � I
acknowledged to me that--he�,executed the same.
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My commission expires
Notary Public
i•
ACKNOWLEDGMENT OF PRINCIPAL
(Corporate Officer)
t
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STATE OF
ss
County of
On this day of ,before me,
personally appeared , who acknowledged himself to be the
of , a corporation,
and that he as such officer being authorized so to do, executed the foregoing instrument for the pur-
poses therein contained by signing the name of the corporation by himself as such officer.
My commission expires
Notary Public
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MAScheck COMPLIANCE REPORT
Massachusetts Energy Code Permit #
MAScheck Software Version 2 . 0
Checked by/Date
CITY: Hyannis
STATE: Massachusetts
HDD: 5973
CONSTRUCTION TYPE: 1 or 2 family, detached
HEATING SYSTEM TYPE: Other (Non-Electric Resistance)
DATE: 8-25-1998
DATE OF PLANS: 7/13/98
TITLE: LOT 45
PROJECT INFORMATION:
COBBLESTONE LANDING
COMPANY INFORMATION:
BAYSIDE BUILDING
COMPLIANCE: PASSES
Required UA = 535
Your Home = 446
Area or Insul Sheath Glazing/Door
Perimeter R-Value R-Value U-Value UA
--------------------------------------------------------------'-----------------
CEILINGS 1500 38 . 0 0 . 0 45
WALLS: Wood Frame, 24" O.C. 2828 21. 8 3 . 0 139
GLAZING: Windows or Doors 489 0 . 350 171
GLAZING: Skylights 22 0 . 600 13
DOORS 21 0 .350 7
FLOORS: Over Unconditioned Space, 1500 19. 0 71
-------------------------------------------------------------------------------
COMPLIANCE STATEMENT: the proposed building design represented in these
documents is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building
has been designed to meet the requirements of the Massachusetts Energy Code.
The heating load for this building, and the cooling load if appropriate
has been determined using the applicable Standard Design Conditions found
in the Code. The. HVAC equipment selected to heat or cool the building
shall be no greater than 125% of the design load as specified in
sections 780CMR 1310 and J4 .4 .
Builder/Designer Date
I
MAScheck INSPECTION CHECKLIST {
Massachusetts Energy Code
MAScheck Software Version 2 . 0
LOT 45
DATE: 8-25-1998
Bldg
Dept .
Use
CEILINGS:
[ ] 1. R-38
Comments/Location
WALLS:
[ ] 1. Wood Frame, 2411 O.:C. , R-21 + R-3
Comments/Location
WINDOWS AND GLASS DOORS:
[ l 1 U-value: 0 .35
For windows without labeled U-values, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ } No
Comments/Location
a
SKYLIGHTS:
[ l 1. U-value: 0 . 60
For skylights without labeled U-values, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments/Location
DOORS:
[ ] 1 . U-value: 0 . 35
Comments/Location=_
FLOORS:
[ ] 1. Over Unconditioned Space, R-19
Comments/Location
AIR LEAKAGE:
[ ] Joints, penetrations, and all other such openings in the building
envelope that are sources of air leakage must be sealed. Recessed
lights must be type IC rated and installed with no penetrations
or installed inside an appropriate air-tight assembly with a 0 .5"
clearance from combustible materials and' 3" 'clearance from insulation.
VAPOR RETARDER:
[ ] Required on the warm-in-winter side of all non-vented; framed
ceilings,- walls, and floors:
MATERIALS -IDENTIFICATION
' [ ]' Materials and equipment must be identified so that compliance can
be determined. Manufacturer manuals for'all ' installed heating
and cooling equipment and service water heating equipment must be
provided. Insulation R-values and glazing U-values must be clearly
marked on the building plans or specifications.
DUCT INSULATION:
[ ] Ducts in unconditioned spaces must be insulated to R-5 .
Ducts outside the building must be insulated to R-8 . 0 .
DUCT CONSTRUCTION:
[ ] All ducts must be sealed 'with mastic and 'fibrous backing tape.
Pressure-sensitive tape may be used for fibrous ducts. . The HVAC
system must provide a means for• balancing air and water systems.
TEMPERATURE CONTROLS:
[ ] Thermostats are required for each separate HVAC system: A manual
or automatic means to partially restrict or shut off the heating
and/or cooling. input to each zone or floor shall be provided.
HVAC EQUIPMENT SIZING:
[ ] Rated output capacity of the heating/cooling system is
not greater than 125% of the design load as specified
in sections 780CMR 1310 and J4 .4 .
MISC REQUIREMENTS
[ ] Refer to 780 CMR,- Appendix J for requirements relating to swimming
pools, HVAC piping conveying fluids above 120 F or chilled fluids
below 55 F, and circulating hot water systems .
----NOTES TO FIELD (.Building Department Use Only) - --------- -------------
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