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HomeMy WebLinkAbout0145 DUNN'S POND ROAD /4 -Dunn�3 .-Prr� c i i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TO' Map-. Parcel 0 03 Application, ` Health`Division d.'le "'10 F111 3-Dafe Issued, 3•� t � �� Conservation Division Applicatio Planning Dept. • A- A �� I'ermit Fe Date Definitive Plan Approved.by Planning Board Historic - OKH _ Preservation/ Hyannis e(A Project Street Address l 5 Village �}.� ,S• Owner 114 Address yOl(YIP� Telephone 508 445 9 0 $ , Permit Request R11 Z- 11 ee. i C e - ct JI�Af Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes >kNo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION - ---(BUILDER OR-HOMEOWNER) Name �4�i an 1'�c n� Telephone Number j()R 3 4$ 0 gQg Address - a01�4AND } rf License # �• �it.�Ad d1,'�� NA- 046 9 Home Improvement Contractor# 11[ 3 2 0 Email Worker's Compensation # VC 08 554 d +6 0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE 5 Lk 0 (` b t FOR OFFICIAL USE ONLY ,t APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: - r FOUNDATION p? FRAME INSULATION { " FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. } Doc 1i104s790 01-20-2009 . 3s40 BARN STABLE LAND COURT REGISTRY V DECLARATION OF HOMESTEAD , I,Laura Hunt,owning and occupying as my principal residence the real estate at 145 Dunns Pond Road in Hyannis,Barnstable County,Massachusetts, ownership evidenced by t I 1V Deed recorded in Barnstable Registry of Deeds Book e Page 56 0 X Certificate of Title#145606 1 registered in the Deeds Land Court. Shown as Lot#7 on LLan Court plan# 06114-Registry of Inheritance'from Probate Court Docket#Court, County Probate ' , . hereby declare a Homestead m said premises under the provisions of Chapter 188, Section 1 of the General Laws of Massachusetts. I expressly reserve the•right,to myself and my spouse andd to the survivor of us, And to the Executor or Administrator of the survivor of us,to revoke and rescind this Homestead as to ourselves and our minor,unmarried children. Executed as a sealed instrument this day of �I RA1 A��y 20 ©q DGW02,9% 08-27-97 I2217 �a� nay = a CTF#it45M BRMT#l.E L t T REGISTRY, I, PD[II'Tl' MICHARL Mmum of� 396 North' Street, Hyannis, BsrastabIo County, Massachusetts 02601 for consideration of own DOLLAR 41.00) paid, grant to MARILYN A. I[= and MRA J.`MM. both of 145 'Duan's' Pond Road, Hyannis, r Barnstable County, Massachusetts, as joint tenants, . WITH QUITCLAIM COVENAM o- That certain parcel or lot .of .registered land with buildings thereon. situated in that p rt of the Towns of Barnstable, Massachusetts, known as Hyannis, and being more particularly bounded�,and described as followaa SOUTHEASTERLY. By Dunns Pond Road, one bundrod (100) feetj'' . � r a SOUTHWESTERLY By Lot 89 two hundred seventy-nineand 67/100 (279.67) feet; NORTHWESTERLY By land now or,formerly of Phebe C. Parker, at ai,. one Hundred and 02/100 (100.02) feet] and m 4 NORTHEASTERLY, By Lot,6, two hundred eighty-one and $7/100' (281.87) feet, All of said boundaries are determined by the Court to be located' as shown on subdivision'plan 10614-8 dated August 26,' 1949, drawn by Bears* & Kellogg, Civil Engineers, and filed' in the hand Registration Office at Boston, s copy. of which is filed In Barnstable County Registry of Deeds in*Land Registration Book ,67, Page 66 with Certificate of„Title No. 10166, and said land is shown the as LOT 7. There is appurtenant to said Lot an easement of Way in coon with Werner Sippols et ux and others lawfully entitled to use the same in', over and upon Dun ns Road ` A as shown on said plea for free ingress and egress to and from said Lot- and the 4 Public Highway. .. For Title, see Certificate of Title No � �'° b tefi, " WITNESS my hand` and goal on this an'►g day of 6606W 11997. . Id +J ; ;r!'i.a 1'i r.L'? HILIP CHAEL 80UDR81►U a - „;opol-r.° A..'" l ULi i�... NWEALTH OF MASSACHUSETTS Barnstable, saw Then personally appeared the,sbove named Philips Michael Boudr*su and aoknowl'edged the foregoing instrument .to•be his free act and deed, before me Note Public My commission expirea s swe4,11 006 URNSTRBIE REGISTRY OF DEEDS HOME OWNER WEATHERIZATION WORK PERMIT: PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. I hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation on the property located at: 4vadilis-, OA&19 The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather stripping; air sealing; attic& basement insulation; exterior wall insulation; ventilation measures In consideration of the weatherization work to be done at my home l agree to the following: 1. 1 give permission to Housing Assistance Corporation the property with such equipment and materials as may be necessary to perform weatherization. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read the provisions of this agreement and give my consent. Home Owner(sign Home Owner email: Date: ` t '.f Agent:(signature) Date: Weatherization Contractors: Adam T Inc Cape Save All Cape Energy Frontier Energy Solutions Alternative Weatherization Lohr Home Improvement Building Science Construction Tupper Construction Cape Cod Insulation ORD� DATE(MMIDWYYYY) AC CERTIFICATE OF LIABILITY INSURANCE , ,4/12/2o 6 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 policypes)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 endorsements. PRODUCER CONTACT Risk Strategies Company NAMES Risk Strategies Company eHCtN E (781)986-4400 FAC No:(781)963-4420 15 Pacella Park Drive " EA4D&ILEsS;randolphcld®risk=strategies.aom Suite 240 „. �., INSURERB)AFFORDINGCOVERAGE NAIC . . Randolph MA 02368 P INsuRERA:Selectve Ins, of America INSURED ..INSURERS Allmerica Financial Alliance Ins' Co 10212 Cape Save, Inc INSURERC:S.tar Insurance Co .7 D Huntington Ave , INSURER D: v .. - INSURER E: South Yarmouth MA 02664 INSURERF: COVERAGES CERTIFICATE NUMBER-CL1641211375 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 SUBJEC7'TO ALL THE,TERMS, EXCLUSIONS AND CONDITIONS OF SUCH.POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, TR TYPE OF:INSURANCE POLICY.NUMBER.. ..MPMOL EFF MPO IDDrYLICY YYY)P - f LIMITS... . X COMMERCIAL GENERAL LIABILITY ! $ EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE a OCCUR PREMISES(Ea occurrence)• $ t'. _100,,00.E X Si9944t10 ion6/2626 10/16/201fi. MEDEXP An one. arson $_ 10,000 + PERSONAL&ADV INJURY $ '1,000,00.0 GEN'L.AGGREGATE LIMIT'APPLIES.PER; GENERAL AGGREGATE $ r r" ' 2 0.00-.OQ.O PO.LICI'�'E� �.LOC r ,.. PRODUCTS-COMP/OP.AGG $ (•2.,000,000_. OTHER: COMBINED SINGLE IMIT .AUrOMOBILE.LIABIL(TY -, ",a.+.. -. Ee'accidenf `__ $ 1,0,00,.000- ANY AUTO t J } :" `� BODILY INMRY(Per person) $ B ALL OWNED SCHEDULED > • r -- AUTOS X AUTOS .A1 NA46196600 11/6-12015' 11/6./2016 BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ 2 AUTOS '" * ''' Peracciden[ ' h t, $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $: 1 000 OO D A EXCESS LIAB CLAIMS-MADE , y , AGGREGATE $ 11000,000 .. X " " 81994490. `" lo/16/2015 101/16/2016 DED RETENTION 9IE�. $ WORKERS COMPENSAT10N - -- ER - OTH- e - f"s. s r Officers Includedfor '� X AND EMPLOYERS-UABILITY w ..YIN ° " ;t #ti" ,If a STATUTE ER t« N ANY PROPRIETOR1PARTNERIFCUTIVE NIA Coverage �. F ' E.L.EACH ACCIDENT $ 500,000 C OFFICERIMEMBER'EXCLUDED?'� N❑ - (MandatorylnNH) t 9C085540700 4/9/2016 i,4/9/2017,' E,L`DISEASE-EA EMPLOYE $ "'Soo. boo � . If yes,describe.under !. •}�.1,":. :.. ��:, . `. ....�.. .y., ,.... .. ..;, ..^ , � ,. _ DESCRIPTION OF OPERATIONS below M .,, E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION.OF OPERATIONS I.LOCATIONS I VEHICLES(ACORD 101,.Additional Rema*s,Schedule;maybe:attached if more spice.Is required) National Grid Corporate Services LLC d/b/a National Grid, Action Inc, Colonial. Gas Company and,NStar. Electric are all included as Additional' Insured$41th respects to the General:Liability coverage of;named d insure as required by written contract. t"'' +S• - { _ ` CERTIFICATE HOLDER j CANCELLATION t SHOULD,ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED:BEFORE r Housing Assistance Cox " `f THE EXPIRATION DATE THEREOF, NOTICE WILL BE.,,DELIVERED 'IN poration ` Cape Light CoanpaCt ACCORDANCE WITH THE:POLICY PROVISIONS. . -Barnstable County 460 West Min Street AUTHORIZED REPRESENTATIVE Hyannis, HA 02603. Michael Christian/CLC ID 1909-2014 ACORD CORPORATION. All Nghts rasor d. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Armlicant Information Please Print Legibly Name(BusinessiOrganizatio.n/Indi.viduai):Cape Save Ind Address:7-D Huntington Avenue City/State/Zip:South Yarmouth, MA 02664 Phone#:508-398-0398 Are you an employer?Check the appropriate box: Type;Of project�Cet�uired): L[D I am employer with_ .15 employees full and/or art-time ( part-time).* 7. []New construction 2.M I am a sole proprietoror partnership and have no employees working for me in any capacity..[No workers'comp.insurance required.] 8: Remodeling 9. El Demolition 3:F1 I am a homeowner doing all work myself.[No workers'comp.insurance required.]i 10 0 Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either.have workers'compensation insurance;or are sole I LE]Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13:❑Roof repairs These sub-contractors have employees and have Workers'comp,insurance.; 6.❑We area corporation and its officers have exercised their right of exemption per MGL c. 14.E]Other Insulation, 152,§1(4),and we have.no.employees.[No workers'comp.insurance required:] *Any applicantthat checks box#1 must also-fillout 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 thatis providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name_ Star Insurance Co. Policy#or.Self--ins.Lie.# WC085540700 Expiration.Date: 4/9/2017 Job Site Address: 145 Dunns Pond Road City/State/zip; Hyannis Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00, and/or one-year imprisonment,as well as:civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator:A copy of this statement may be.forwarded to the Office.of Investigations of the DIA for insurance coverage verification. .I do hereby certify under th pains and penalties of perjuryGhat the information provided above is true and correct Si ature: Date: 5/10/16 Phone#:508-398 0398 Official use only. Do not write in this area,to be completed by city or town official City or Town; Permit/License 4 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#: Office of Consumer Affairs and Business Regu lat>on J 10 Park Plaza Suite,5170,. Boston,_Massachusetts O21'16;_ Home ImprovementContractor;RegIstratlori a, �# Registrafion ;1,:71380:;.' _ t {, Type .Corporation Expiration 311 412 0 1 8 TeX 41929T CAPE SAVE ING. € � " a - t i WILLIAM 'MCCLUSKEY ;t ` 7-D HUNTINGTON AVENUE SOUTH=YARMO'UTH MA 02664 iNy Aq �Y Update Address and return card Mark reason for change. ❑ Address ❑;Renewal ❑ Employment ❑Lost card SCA 1 L 20M-05/11 '�l� �1C (2PJILIId(3'IYtl1CCCl�Il,0� ��Gl'J1CtGf1lG"C Office of`Consnmer Affairs:&Business Regulation License or registration valid for�ndiv�dul:use only' HOME JMPRovEMENT CONTRACTOR. before the expiration date ;If found:return to: Re istration r T Office of Consumer Affairs and Business Re ulation I!- fi,�rl' fi, 9 i71380 YP.e g. Expiration 3/1�iJ2018 Corporation 10 Park Plaza Suite 5170' Boston„MA 62116 CAPE SAVE INC. E ¢ WILLIAM McCLUSKEY F a 7-D HUNTINGTON AVENUE, SOUTH YARMO.U.TH,MJa`02fiti4 �` y Undersecretary 'Not valid"wihoSsignature . Massachusetts -D:epartment of Public Safety Board of ftilding l2egul:a ions'and Standards L_V,.. :.w Li1111E 1'll l'CII'/1I JI1 fIC 1 Vlltil JItCItAI License: CSSL 102776 IT, - WILLIAM J MC(IU 37 NAUSET ROADtwo West Yarmouth BHA Expiration commissioner 0612812017 Town of Barnstable �FSHE Tqk, Regulatory Services gip' o Richard V. Scali,Director lk 3AMSfABLE, ; Building Division BARNS TABLE Mass. wannul�.curtum�•mnur•rrcuars 9 nR6svoxs Muu'•6rrnux•wesre+areru� �AT16 ��m , Thomas Perry, CBO 1639-1014 Building Commissioner. 200 Main Street,, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TENT PERMIT eq (APPLICATION MAP/PAR 11 0 !r— G a ISSUED ON /, BY ADDRESS A JvV1MxtC,0� /�D VILLAGE CHECK ONE Residential Commercial NUMBER OF TENTS PURPOSE OF TENT Xo) FAt 5 AuzS �G IF THIS IS A NON-PROFIT EVENT CHECK HERE (if not leave blank) DMIENSIONS OF EACH TENT x TO1?i � �O q� � . DATE TENT(s)UP TAKEN DOWN ON 6 l 5)9-0)(p Bq,9� Ve ARE THERE SIDES ON THE TENT(S)? CHECK ONE .YES NO If you checked yes you must attach a floor plan of the layout to insure proper egress for emergency purposes per the Building Code requirements. . ATTAPH THE FOLLOWING DOCUMENTS: , ✓✓ FLAME SPREAD SHEET FOR EACH TENT 4/ FLOOR PLAN OF INSIDROF EACH TENT THAT HAS ASSEMBLY USE PROPERTY OWNER'S AUTHORIZATION IF THE APPLICANT IS NOT THE HOMEOy R ./ WORKMAN'S COMP.AFFIDAVIT(AND CERTIFICATE IF REQUIRED BY THE DEPARTMENT OF INDUSTRIAL ACCIDENTS,INCLUDE POLICY INFORMATION PER FORM i INSTRU5,RONS). LOCATION OF TENT ON SITE(PLOT PLAN OR G.I.S.MAP SHOWING LOCATION) . PROPERTY OWNER NAME APPLICANT PRINT 14WZ*01x 'FAA t��* NAME 720,eS� 1 \n1C_ SIGNATURE DATE br 41/6 RETURN WITH A COMPLETED APPLICATION BETWEEN THE HOURS OF 8-9:30 A.M OR 3:30-4:30 PM.M TO OBTAIN A HEALTH DEPARTMENT APPROVAL AFTER OBTAININGAN APPLICATION# FROM THE BUILDING DIVISION. If this is Town of Barnstable property,you must provide the property owner's authorization completed by the Town Manager.Using the Town Green?Call our Survey dept. at 790-6400 s 4939 to ensure water lines are preserved for staking purposes. If you are utilizing Aselton Park call Structures and Grounds 790-6320 I ffit, d:B� MAIL IN APPLICATIONS ARE NO LONGER ACCEPTED 2-5.1 Tents $25 A) A tent may be put in place on a lot usedfor residential purposes, for no more than 10 days,*in connection with special family occasions or events; but not to be used for any commercial purposes.•� . $25 B) A tent may be put in place for not more than 10 days, nor more than twice in any calendar year, in connection with a•fund raising or special event by a public institadont or non-profit agency: ,$100 C) Subj ect to annual approval by the Building Commissioner, a tent maybe erected and used as a temporary accessory structure to an existing permanent business only during the period beginning May until October 31. The tent shall conform to all the parking requirements and Bulk or Dimensional requirements of this Ordinance. $50 D) Maintenance and occupancy of tents in an organized and supervised recreational camp subject to compliance with the rules of the Barnstable Board of Health. Provided; however, a Special Permit is first obtained from the Zoning Board of Appeals.. 3 (A-D added and changed by Town Council vote on 2/22/96 as item#95-194 -by a 9 Yes 2 No roll call vote.) e Client#:861709 ATLANTEN.1 ACORDTM CERTIFICATE OF LIABILITY.INSURANCE DATE(MMIDD/YYYY) - 5/1812016 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 NAME: _ US[Rental Specialties - PHONE 888.489-7165 _F"X 888 489-7105 A/C No fxt AIC No 1616 Smith Road,Suite D E-MAIL Temperance, MI 48182-TX ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# 888 489-7165 INSURER A:Hartford,Fire Insurance_Co. 19682 INSURED Atlantic Tent Rental Co. _ wsuRErre:-1'win City.Fire Insurance Co. 29459 689 Wachusetf St. INSURER C INSURERD: Leominster,MA 01453-5026 INSURER E:. INSURERF: a COVERAGES CERTIFICATE NUMBER: 'REVISION NUMBER: THIS IS TO CERTIFY THAT THE.POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE:POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY,CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR:MAY PERTAIN, THE INSURANCE AFFORDED BY;THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP LIMITS LTR I R WVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY X 45UUNQY9048... ? 8/23/2015 08/23/201 EACH OCCURRENCE $1 000000.. - A COMMERCIAL GENERAL LIABILITY CLAIMS-MADE �OCCUR PREMISESOEaoccu ence $300 OOO MED EXP(Any one person) r $1 O 000 + PERSONAL&ADV INJURY. $1 000 000, GEN'L AGGREGATE LIMIT APPLIES PER: RALAGGREGATE. $2,000000 PROGENE X POLICY ECT PRODUCTS-COMP/OP AGG .s2,000 000 LOC OTHER: $ AUTOMOBILE LIABILITY ... .•. .. •: .. - COMBINED SINGLE LIMIT Ea accident $ ANY AUTO:: BODILY INJURY(Per person) ;$ , ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per,accident) $, HIRED AUTOS NON-OWNED - - PROPERTY DAMAGE AUTOS Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS-MADE " - ,r AGGREGATE $. DED RETENTIONS $ B WORKERS COMPENSATION 45WEQY9664 5/28/2016'05/28/201 X PER: OTH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE STATUTE FR— Y I N E.L.EACH ACCIDENT $500 000 OFFICER/MEMBER.EXCLUDED? .. NIA - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 000 If yes,describe under DESCRIPTION OF OPERATIONS below ! E.L.DISEASE-POLICY LIMIT $500 000 ` A Inland Marine 45UUNQY9048. 8/23/2015 08/23/201 Blanket: $448,000 Equipment Floater Deductible: $1,000 DESCRIPTION OF OPERATIONS I LOCATIONS/.VEHICLES(ACORD'161,Additional'Remarks Schedule,may be attached If more space Is requlred)_W X Town of Barnstable is listed as additional insured with regards to°liability arising out of.operations performed be named insured as their interest may appear. ppear. ' .. CERTIFICATE HOLDER CANCELLATION Town,of.Barnstable: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE' THE' EXPIRA=N,.'DATE THEREOF, NOTICE WILL' BE 'DELIVERED IN: 206 Main street' ACCORDANCE WITH :THE POLICY PROVISIONS. Hyannis,MA„02601: ti AUTHORIZED REPRESENTATIVE 88-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) 1 of 1The ACORDriame and togo are registered marks of ACORD r #S17875283IM17875213 = ` ; ,FXCAH. IMPORTANT• DOCUMENT CeWf=ae of Am ISSUED BY Date of Shipment 842012015 01 Registration Number INDUSTRIES INC.® Sales Order# F-140.01 S0-621602 EVANSVILLE,INDIANA 47726 MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN This is to certify that the materials described are inherently flame retardant and were supplied to: 162810 ATLANTIC TENT RENTAL _ 12 MIDDLE ST LEOMINSTER MA 01453 USA 15T Certification is hereby made that: The articles described on this Certificate have been treated with a flame-retardant approved chemical and that the application of said chemical was done in conformance with California Fire Marshall Code. All fabric has been tested and passes NFPA 701, ULC 109. Serial# 80MI02(2) Description of item certified: _ FIESTA TOP 20WX40 WHITE SNYDER Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric SNYDER MANUFACTURING INC PHILADELPHIA PA C 1 Name of Applicator of Flame Resistant Finish Signed: ANCHOR INDUSTRI S INC , ?Tae�unomvealtfY r►f��c&usel�s . DePMtWent of-udrfsbadAccsder OJJFW-e Of brMfigmiam 600 Wash6igioai,S`fie& Boston,MA 02111 } vI�ma-, gov/di a War-kers' Cun3vensali=Ins ce af'rrizvit-Bifildel-J()mtract(irsfFlectrid=stPhmmbers scan# �rniaiitsYt PleaseFiiut v Name �� �--- Addresw Cty/stawz* 1 --OVxo\n yea Are ym an employer?check appropriate box: w Type of prodeet(ram: L I am employer-da 4 ❑I am a feral coatrackw andI 6� ❑Neer �oyeW(fall audfor p * lurvehh-edtke snb-com at ors consuuttim ❑ I am a sole proprietor orpar� list,-�d osthe amwbed sheet. I ❑Rem deliag slip and hve as emplayee& . sub-confracta m have j 9- ❑Demalffiaa woddng fnr me in agy c q=ii y: cuplQyees and•bave wodmre Gads' comp-iosuon�I' g- ❑Buildiag addiii n EN* camp. 5_ ❑ We are a coq=a6 nand ifs I4.❑Etectdcalregaits or adtF x 3_❑ I am a koni-mumer doing aU vark officesshm cYa=sed flnrrr IL❑Flumbingrepaim or w1di ians sayzdE[No warkecs'oomp- right of ememgtiou per MGL iosmnce%eqniveal I c-152,§I(4�and-we have aw I2-❑Roofrepaug employees-[No WadDee 13-❑Otbes camp.k=ma=e mVzireaI s aarp€ica�2Hasicherlsbm 101aaaaastslaofMQ=tbe5wdMheIwadamangdaekvmd Ueca®pmM pGRCymfoemad=_ Haa aepar wi»Sewza dais Effid2te imd-xca>�g max 4WM9 SnWra[3c manIdMMbrae*=Sidecarvct=-must snb ica nEW 2Mdzo'[iadic fMz such 'Caafficto6zfiatcheYicrbas�mc mnsE:Radaed asdditS�sB.�t shouiagttteaaz@eof dae mi�cae�tmsaad stateQrbathet�aat tiaaae ebzce empIIoyees.Ifthesub-c�7raadnss7aas�ea�pIo}�es,sEae9»»:>Xp¢atide ter Radcexs'•�.polite aamabry Farm aneurpfqvrffurtisprax*iduegYaarkers'snu tesafaairrsarameafornxys v �ee� Be vfsElsapalicyrubje7x ira,�orrrratiorL . IasumnceCompanyName: (�0' 'Policy 4 or Self-ins-I.i,w 1 U � _ III: Job Ra Address= (PL-10 l n Vim/ Ciwstawl►-4,)Ia,n n i• AID a<copy of the zsorkere comPfflMadon declaration pap(showing the policy number atad expiration date). Failare to serum coverage zs required under Secema 25A o€MG'L c.1752 can lead to the impositiaa of edwinal penalties of a fine up to$U0@OG ardrar one-year iu:prisaumout as-efl as civil penalties m the f x=of a SIUP WORK ORDERand a� of up to$2YM a day against the viohtor_ lie-x&dsed tat a copy ofti&sfiatement xnay,be forwarded to flre Office of Invest ga&m ofthe DIA for immmnee coverage xeriffcafion_ Id'. certifya Fsrras apar�r<ty tTtlpe irrformab oa prmaahaa'6 iS mare mid Gorxxect simmd orce- I3atz OjqF-ia1 ime onTy ao mat ache in dib area'to be campreta by city arfaacn 4 lffi cal City or TDW : PermitT,iueense S IssiagAufl=ty(Circkone): L Soaral of I Bing DE =bnent 3.CityfToxva Clerk L Mechical kspmbr 5.Plumbing Inspector 6.Qthes. 1' Contact Person• phone r I Town of Barnstable Regulatory Services • s , • Thomas F.Geller,Director wilding Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.tovmbarnstable.ma.as Office: 508-862-4038 Fax: S08-790-6230 Property Owner Must .. Complete and Sign This Suction 4 If Using A Builder as Owner of the subject property hereby,authorize �7iS,&Q*1 ' d 1GoLs to act on my beha4 in all matters relative to work authorized by this building permit application for. (Address of Job) 17- li e ot Owner. Date Paint Name If Property Owner is applying for permit please complete the ~ Homeowners License Exemption Borth on the reverse side. Q:E:ORMS-.OW NERPERI&SSEON EXHIBIT «A„ SITE PLAN J -Cart Corral ,f + Q ' (aoX3o) I I 1 Fri 1711 1 r Y �yyosr� mbor° � t � I FROM o o t . 1 INITIALS LANDLORD TENANT Hyannis, MA , � v ?lie GanurroniveaItls of_IassacJiusetts Departinent of 1idust idl Accidents " Office of ImTestigations ?' 600 Washington Street _y Boston,M4 02111 x ` iP►v1r..Ynass goiY1dia ' ' , 'Workers' Compensation Insurance davit:BmlderslContractors/EIectriciaii Plumbers' Applicant Infoixnation Please Print I,eQibIy Naive{Si>siness/0iganizatioaadieidua Ad&e---,s: h 0Qt JA '12-op.V y City/State(Zip: Y11n C LT Phone 77S 3(O Are you an employer^Clieckthe appropriate bor Typeof project(required).-- 1_ElI am a employer with 4, am a general contractor and I 6• New construction, ' employees(full and/or part-time}.* �*e lured tfia sub-contractors 2.❑ I am a sole proprietor orpartuer- listed on the attached sheet. 7. Remodeling t �' shipand have no employees _• These sab-contractors have F 4 $_.'Q Demolifion, working for Me in any capacity ,' employees and have workers' , 9. ❑Building addrhoa jNo workers'comp.insurance comp- required-] required_] 5. We are a corporation and its 10_❑Electrical repairs or adda ms a Officers have exercised their 3.❑ I am a homeowner doing all work 1� 11_Q Plumbing repairs or additions aTsel€[No workers'cum t of exemption F: � �p � Per MGL 12.❑Rflofrepairs ° insura„cerequired.]F C.152,§1(4),and we havens 1J.�Other ' employees.[No workers' comp_insurance required_]' 'Any apptitant that rhet ka box=1l®sY also M out the section Wow sb—iag their workers'compensattonpalicy information_' t Sozneawaers wbo submit this of U-,k bditatiag they are doing all wa t and dL=hum outside contractors test sabmit a new affidavit h dicaiai;sadi y =Contactors that cberY this boa must attached m additional sheet shooing the nMne of the sub-coutsctars and state-hed"or nm these entities have :° a employees. If the mb-contractorshire employees,theynntsrprouide tuk worken'c=p.policy number. a - I our au employer fliat is prw,dirg markers'conzpensalion iusrrrance for Hly employees Below is the policy raid job site rnformahon. Insurance Company Name: Policy-lut.or St Mins.Lic_'4&L � ;` E�cpiration Date: % Job Site Address: t Z Gt 0 Vc-� City/Statel7.ip: Gl�tV11 Attach a copy of the workers'compensationpolicy declaration page(shooing the policy number and expiration date),e. 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 S1,500 00 and/or one-year imprisonment,as well as chril penalties in the form of a STOP WORK ORDER and:a fine n of up to MO-00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of >; Investigations ofthe DIA for insurance coverage verification - J: Ida ltereby c under th all ' s ofpc"u►y tliat the enforaiateonprmfrled a bmv is&mg and correct Sitmature:` Date: 1 a� Phan O teal use and. Da net write i• Jj'z }' t this area,to be completed by city artatin afficeaL . City Or-town:r Permitffikense 9 x IssuingAnthoiity(Circle one): d . z F 1.Board of Health BwT De artment 3. own Qerk 4..Electric Inspector P �.Plumbing Inspector 6.Other Contact Person: Phone#: 6 Mformation and Znstructious . 4 Massachusetts Geamal Laws chapter 152 regohes all emmploy=to pravide workers'compensation far their employees. parsLTa„ this sttate,an enplayee is defined as.,-_every person in the service of another under any contract of hhr,, express or implied,oral or wndtten." An 1aYE3 is defined as an individnA partnership,association,corporation or other Legal entiEy,or any two or more of the foregoing engaged m a joint entr.p e,and incln�the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or otherlegal entity,employing employees. However the owner of a dweIling house having not more than thlree apartments and who resides therein,or the occupant of the - dweliiag house of.another who employs persons to do maintenance,construction or repay woIk on such dwelling house or on the grounds or building appuntennrttherMto shall notbecause.of such employment be deemed to be an employer." r MGL chapter 152,§25C(6)also'statns that-every state or local licensing agency 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 compliance with the incnran_ce.covex:age regnired_" Additionally,MGI,%chapter 152,§25C( )states"Neither the commanwealth nor airy of its political subdivisions shall enter into any contract for the perfoumaam ofpublic work miff acceptable evidence of campliancewith the inc�rranGe. req TITe. (-_nts of this cbaptrr have been presented to the contracting authoaty" I Applicaufs , Please fill out the wo&ers'compensation affidavit completely,by checiciag the boxes that apply to your situation and,if necessary,supply sub-contactor(s)name(s), address(es)and phone number(s)along withtheir cmt£cate(s)of his rrance. Limited Liability Companies(LLC)or Limited LiabUity-Partnesships(LLP)withno employees other than the members or partners„are not regimed to carry wormers'compensation ins[m�ce. If an LLC or LLP does have emphoyees,apolicyisrequire-d. Be advised that this affidaYrt maybe submiLft-dto the Deparmentoflndusirial Accidents for confirmation of insurance coverage:. Also be sure to sign and date the affidavit The affidavit should be retnmed to the r ity or town that the application for tine permit or license is being requested,not the Departmmf of Ln&ztrwj 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 listed beIow Self-ius rCd,companies should enter their self-insurance license number on the appropriate line. City or Town Officials t _ Please be sure that the affidavit is complete andpri3tedlegibly. The Deparimeathas provided a space at the bottom of the affidavit for you to fill out in the event the Office ofIuvestigations has to contact you regarding the applicant_ Please be sure to fill in the pert to I crose number which wM be used as a reference number. In addition,an.applicant that must submit multiple Pmmitllicense applications in any given year,need only submit one affidavit indicating current p olicy in.6rmation(if necessary)and under"Job Site A�*�ess the applicant sho71Id write"all to cations is (city or town)-"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the . 1 applicant as proof that a valid affidavit is on file for future permits or licenses_•A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial vanfise (Le, a dog license orpermit to bunn leaves etc.)said person is 1�IOTreclrmz-dto complete this affidavit The Of of Investigations would like to thank you is advance for your cooperation and should you have any questions, please do nothesitate to give us a call. The Department's address,telephone and fax number: CGMMMWeattb;of cahusi-_M , Department of 1udusaial Accidents (�itCe of 7n�est?g�fio� ' 600 WaRbingbil Strut Bmtou,YA Ei111 TP1,4 617 727-4M ext 406 or 1-977-1ASSAFE Fax 617-727-7749 Revised 424-D7 gagidia I Town of Barnstable 'THE r Regulatory Services Thomas F.Geiler,Director Building Division aaRlvSMLE, 9 KAss. g Tom Perry,Building Commissioner 39. �10 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: o Permit#: HOME OCCUPATION REGISTRATION Date: I J D Name:( 6 r Skyk e-y-A , e !mil mig J, W i 7-T Phone#: Address: �� 1(VI VI`s 1/UYtCd .�Cl/1 a n IS 7Q &7,64illage: Name of Business: �15 h[�O Wl� 17✓i`�V�yl'1�V► Type of Business-.C QjMe tD"Y49mgyC� Map/Lot: C> /D 44, 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 residential 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 explosiye,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 is no commercial vehicles related to the Customary-Home Occupation,-other..than one van or one a - M pickup truck not to exceed-one ton capacity,and one trailermot.to.exceed 20,feet in length and,not to F. 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 be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the unde ed,ha read wid agree with the above restrictions for my home occupation I am registering. A cant: Date Homeoc.doc Rev.5/30/03 TO ALL NEW BUSINESS OWNERS DATE: - met Fill in please: onff .f 1 APPLICANT'S YOUR NAME:C��Y�IS T(9 Lr ,� 6� hGLEA I T' BUSIN�ESSS_q YO R HOME ADDRESS: l 'S Yl d v,I, TELEPHONE Telephone Number Home) 17!�5- o r NAME OF NEW BUSINESS TYPE OF BUSINESS_RoWe �WI IS THIS A HOME OCCUPATION? YES NO Have you been given approval from the bVAdin division? YES=NO ADDRESS OF BUSINESS Y15 `J h MAP/PARCEL NUMBER When starting a new business there are several things you mu t do in 6rder 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. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St.—(corner of Yarmouth Rd. & Main Street) and you will find the following offices: 1. BUILDING COMMISSIONER'S OFFICE This individual ha en inf m of any permit requirements that pertain to this type of business. thonzed SA* nature COMMENTS: 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: Business certificates cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town which you must ( Y ) ( do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. **SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. QACONSUMER\Lois\CA Forms\newbusfrm.doc j_J- o� �> TOWN OF BARNSTABLE Permit No. __28884 {UZMA = Building Inspector Cash ---------- Ox__� 16 xOCCUPANCY PERMIT ., Bond ______ __ Issued to Marilyn Hunt Address Lot #7, 145 itnns Pond Rond, Um-Anrli e Wiring Inspector f t Inspection date Plumbing Inspecto/�� \, T "'Inspection date /� a Gas Inspector tom ' Inspection date x Engineering Department `- ,9/,,,� Inspection date � OV Inspection date Board of Health ; C�!v �i<1 ( Y u� i '. / l .J f/7 � 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Building Inspector .,��•-�4 � �.-- .�.. � r�� " ti^ ._. � 5 •^'j.� , i4 ,� „ ..'�G. W '"�t+_� .'":a�+ fit;:" 4 Y:; t.. �d _ � r. .. . .I i TOWN OF BARNSTABLE BUILDING DEPARTMENT S saaa�r : TOWN `OFFICE BUILDING �� HYANNIS, MASS. 02601 �o ► r�r • MEMO TO: Town Clerk FROM: Building Department, DATE: An Occupancy Permit has pbeen issued for the building authorized by BuildingPermit $k...... ..f». 1.................................................................................................................................................................... # issued to'` �frGy.r/ %�c��v» ...»..». .................. .5... `'u ..... �?'... Please release the performance bond. M a ` 0 9� / 46 OT JAL.A/L✓ Ply E PA Je E D Fo/e [.ocA-Tio.v: I,OT7 �iUN►J�'l��Jr� �►�LC��2t.I5T~�l.E .. QD� - ,eEFE,ecvc�: 2 .�-/E.eEBY GE.eT/FY TI-✓FaT THE BC//LD/.c/G 4y;�_�.--,., ..;a„ SHON/AJ ON TH/S PL f�N /S LOCATED OA✓ 7-lwc- y^eoc�A✓D AS ENO WN NEeEOA/. g i ARNE c�ocun c�� en9ir-reerir�9 A Lik EA/G/A./EE G3 ' L.4.vp_ ScieV6Yo.B3 Gl�lf (O/11j./ ��iomats'cN �eo119 - ATTORNEY'AND COUNSELOR AT LAW y i 776 MAIN STREET-.� • -e '� -+ •'` `t:�' 4HYANNIS; MASSACHUSETTS 02601 _ yy 617-775 5366 November 27, 1985 Mr. Joseph Daluz, Building Inspector Town of Barnstable Town Hall Hyannis; Massachusettis',,02601 Dear Mr. Daluz: r This'letter will confirm that Lester N. Walter and Muriel A. Walter of Oakridge Dr.,.Grey Rock Pk Port Chester, New York have owned Lot'#7, Dunns Pond Road, Hyannis, Massa chusetts, consisting of .64 acres and as described in..0 12.271 at the Barnstable Registry,of Deeds, since November 10, 1950 and, in my opinion, the lot is buildable. They do not own and have never owned any adjacent lots on this road. Very truly yours, s N Ge r TNGiwjb r i n 3 co Assessors map and lot number..-49- ...... ......:......... ............. rMeT SEPTIC SYSTEM MUST L,� OF Sewage Permit number ....?S` ............... �...,.,,.. ........ WSTALLE® IN C®MPLIa41�C" WITH TITLE 5 Z BA"STAXE, i House number .....G ....: ........`P.":�...��. y...........�. i/II�®IVIIII'LIVT�L CODE AND9°° "6 9. \e�� TOW1 REGULATIONS '°rtoMpYa. TOWN . OF BARNSTABLE BUILDING INSPECTOR , APPLICATION FOR PERMIT TO ...oa S,r, �� �/ �Cc�� /-t/ ... .y4........... ........ f................. TYPE OF CONSTRUCTION .... ........4.tz .t!I.. :.......................................................:.,L,....................................... .....�lQ,V......9-1.................9. " TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to to the following information: Location ....... r. .'r......... !lz &A.,s...../"Qit/71......./T. ........ f!!d// �`. .. .......................................... Proposed Use ........§.1N.rP4L.F.......................... puolll�l/ ......................... ...................... /................................ Zoning District. .......at. .. ..................................................Fire District ...........I....... .1,�f.-...�.....�................................ Name of Owner ..f �i�l!� .... i�/4� .................... ...Address .L�3, ! 1' . ,111�,j I.. Name of Builder ..404...!g�...... ................Address .....e6...... /y..!tr i.. Nameof Architect ........ .........................................................Address'...............................,....:............................ .................. Number of Rooms ............................' ..................................Foundation / . ..........®U� � ExteriorOQ�..`5�f ��� .�� � �2.��/!lf�S.S SL'/r��.7................. , ....................... . .. ... .. .. . . .Roofing ..................�,. ��. . Floors a4�/�f�> 4-...!���1.Q/� /?.l ...Interior ......•�r IfGsL�1 DC>G....:.............................................. ..... .. ............. . . ..................... ., Heating ... r�!e.....�X....0.1..........................Plumbing .. 41V R41.......:........... Fireplace ...........................V.&e.t ie.......................................Approximate Cost ........ k ......... ...... . .... ....... II' Definitive Plan Approved by Planning Board _--_--__-_-_ --------------------�9--------. Area .......�.....0..'�....... 1001, Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH - 00. OQ - \b b s3 s' 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 .A4..C"... 4..r..r............................... Construction Supervisor's License .Ao.?17145........... MARILYN .28884 One Story ,-i No ................. Permit for .................................... Single Family Dwelling ............................................................................... Lot -7, 145 Dunns Pond Road Location ................................................................ Hyannis ....Marilyn. . . ....Hunt Owner ... ............................... ........ ... .. ......... Frame Type, of Construction .......................................... Plot ............................ Lot ................................ Permit Granted ....jAA14qTy..�4.j............1'9 86 spection ...............Date of In .19 4 Date Compl ed ..... .........I ' Assessor's reap and lot number ...� P�oFTNETo�� Seaage Permit number ... .. ............. ........ Z BA"STADLB, i • House number ::...... ........................................... ................ 9°o M639' e� mit pry ' r TOWN OF BAR T B NS A LE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...�j� iiST! UC?'...... ....IJGc/C?...J!Y/ TYPEOF CONSTRUCTION ..............(:C1.4.0.72....................................................................................................... .....fz.t/.......�,.l.................19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to to the following information: Location ..... �. .: ~�.........�1 U.�(/N.,5....���!t✓ .......!T. ...........�!� .!l!�f. .. ���y `SS.... ProposedUse ........Gty//L .....Dew .................................................................................... ZoningDistrict .....................................Fire District................................... ...................................:.......................................... Name of Owner ..✓ ;��jl��/1��....17.`��4�.. ......................... .Address .�1:3. ! (�Cc"l�Ll!� ... tlG t! a✓�[/f .. j`�.s Name of Builder ..� � f ... ...... �`f� ................Address Fly .Ae-7-H 4,4 .; Nameof Architect ..................................................................Address .................................................................................... f - Number of Rooms ...................Foundation a .. / . ....... ...." Exterior ....................... .. �!!. �.. '/. i67¢!� .Roofing ......... .�x.�r��fiS.S /� //?...?................... Floors �rJ!Uf1,�JlI............................Interior ......:�,.K......1 ../1....................................l.............. ,Heating :..f....y...G!a%"1. �1.....�✓ �✓....r�.� -..:.......... Plumbing ..J .. �!�7 ... %r�'t/c� rf ..WJW................ Fireplace ...........................41&4 .e............................. ......Approximate Cost ....... ........................................ Definitive Plan Approved by Planning Board _----_------------------ ---------19________. Area Diagram of Lot and Building with Dimensions , r, Fee . ' ....e� ..<... .....,�........... SUBJECT TO APPROVAL OF BOARD OF HEALTH s3� �s T !C1 G l 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 .. .. ?.f� ��` ..•..:.................................. r 4 T' Construction Supervisor's License HUNT, MARILYN A=270 dO,_S . 28884.... Permit for ,.One Story No ............. ................. Single Family Dwelling ................................................................. Location Lot 7, 145 Dunns `Pond Road ................................................................ Hyannis ........::..................................................................... Owner M.a.rilyn. . ...Hunt... . . ...... . ...... ..................................... f Type of Construction Frame' { ................................................................................ Plot :........................... Lot................................. Permit Granted .....January 24, 19 86 �. Date of Inspection ....................................19 ` Date Completed .:...... ..........:...................19 1