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0020 ERIN LANE
26 f 'own of Barnstable�FTHr Tpk •�.� O lJ ( �`� t 1 Py �. *Permit# i ne dale Regulatory Services Expires 6 monflrs Fee xw�vsrAst.t';, , ynss. Thomas F. Geiler, Director �ArF1 Mp`Y A Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Fax: 508-790-6230 Not Valid withoul Red X-Press imprinl Map/parcel Number �q r ( 1 �Z /Residential Address (� A/d/ G/I ?Value of Work v Minimum fee of$35.00 for work under$6000.00 Owner's Narne & Address Contractor's Name /Y1 ��Ccvyi r/Q .Telephone Number ,zg' Home Improvement Contractor License#(if applicable) I G'b/ � Cons uction Supervisor's License# (if applicable) Workman's Compensation Insurance Check one: Vm a sole proprietor -PRESS PER Im the Homeowner ave Worker's Compensation ranceEP I'01 Insurance Company Name e `SOWN O BAR(vSrABL Workmen's Comp.Policy# NJ 'S Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) A11 construction•debris will be taken to ❑ Re-roof(hurricane nailed) (not stripping. Going over existing layers of roof) Z7eplacernent de #of doors Wind ows/doors/slid'ers. U-Value (maximum .35)# of windows *Where required: Issuance of this permit does not exemp t pt 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 r d. SIGNATURE: Q:IWPFILESTORMSIbuilding permit formslEXPRESS.doc. Revised 072110 -ram ,Yr, {)r�,c� rSLittt :=tL'Ct1;�'>?+YiS - Y oflrt!-_sEi�t'til�its •� comp S / t J s i �' +- {ram r" Phone . city Stm-/ f- Zip: a . e Type of proje t iregttired'}: ; Check the appropriate l �r you an employer'! } } am a general conzractor and i ( 6 construction i, ;air,a employer with_ ___� nape hired the su b-contractors C i 7. � F,etnot?eli{7g emplovees(full andior pat,-time).` j }fisted oI the attached sheet. } Demolition i 2.7'I !am a sole proprietor or pa:firer These sub ontractors..".ave t g i ship and have no employees employees and have workers' 1 .9 Building addition working for me in any capacity. c m- p,insuranM' 1 } .1 Electrical repairs or additions do workers'comp.insurance 5 we are a corporation and its g repairs { }}:(— plum,_ re airs or additions required.) officers have exercised their I �-1 3.❑ t air,a homeowner doing all work right o V e!nptton Per i i ,-).D Roof rvpau_s myself.(tio workers' comp. }52 §1(4),and we have no } 13:11 Other j insurance reyuired.j° employees.(vd workers' i� comp insurance tequtred i I' j lit In{a[mation. 'Any applicant that checks box§;must aso fib oot the section 7elow st owing the. woM rs'com,.ensattoapo Y w affdarit mdicat ng sach ox must attached an g they re sheet snowing the name o�the sub- oa:actors and state wttet'rer or aotthose enures hale -Any apP'nen who submit this affidavit Indicating they are dotnS a;l work and then nI a outst�e co�uawm nd st snotr'a°` di :Cartractors that check this employees. lithe sub-con�c!ars have employees,they must pravtCe their trtSU C t Ce for my employees. Below is the policy final fob Sdt2 I am an en[ptoyer t?tat is providing workers'compensation information. �^ d 0 t lnsurance Company vame: � Expiration Bate: Policy#ar Self-ins.I ic•#: © � CityState.'Zip: ' %oh Site Address: Ye showing t}ae policy nutn er and expiration date). Attach a copy imposition of criminal penalties of a of the workers' compensation policy deciaratton pa® STOP FORK ORDER and a bane Failure to secure coverage as required under Section 25A of�iGL c. F 52 car.lead to the tm t ator. Be a dvised that 3 copy of"iris Statement may be forwarded to the Qtiice of line.LID to$I.SOQ•UO andlor ene-year*I tprisonment,,as well as civ:i penalties in the fomn of a of up to$2.50,00 a day against the }nvestigations of the D?. for insurance coveracation' rovicfetl ab ve is true nncl correct l do hereby certify under firs and penalties of periu 'tltaP Ilse information p v n- O i� signature. 16 i ©f tc ial use only, Do not:uri(s in this area, to be completed by city or town Official. i� Permit/License# ! l City or Town: Issuing Authority(circle one); Inspector S.Plumbing Inspector }.Board of Health 2.Building,Department 3.City:Town ov+'n clerk d.Electrical inspe' . 1! 5,Other Phone *: Contact Person- ' The Commomwweaxlth of.Marssadnisetts r!r -- Department of Industrial Acciderats 0ice f Investig at)or)s ! _ d00 Washington S'tree � .. - g t - t - h Bostorn, AL4 02111 sw n'tip n)ass.govIdia 'Workers' Compensation Insurance Affidaiit: Builders/Conti-actoi-s/Electizci.ins/Pl:umbers Applicant Information Please h-int Le 'blti• Name (Business/OrgA1untiondndividuai): � # lvscaln Address: City/state/zip: 2 0 S Drone #: Lag- &OA—cmp� Are you an employer? Check the dppropriate boat L pro'.ct(required): 1-❑ a eurployer tivith 4. ❑ I am a general contractor and I loyees(full andlar part=:time). s have hired the sub--contractorsconstruction 2. I am a sole proprietor or partner- listed on the attached sheet- emodeling shipand have no employees These sub-contractors have etoworking :for me in any capacity. employees and Have workers' [No workers' comp.insurance comp-insurance.1ildingaddition required] 5. ❑ We are a corporation.and its ectrical repairs or additions 3.❑ :I am a.homeowner doing.all work offcers have exercised their mbing repairs or additions myself [No workers'comp. right of exemption per MGL of repairs ins-urance required.]r c. 152, §1(4),and.we have noemployees. [No workers' er compAnsurance.required:] 'Any appticaut that checks box#1.n ust also fill out the section below showing their workers'compensation policy inforrmtion. t Homeowners who submit this affdavit indicating:they are dosing all work and then hire outside contractors must submit.a new affidavit indicating such. tComtraciors that check this box rarest attachad an additional:sheet&hawing their of the sub-courtractors 9q.d state whether or not those entities have. employees. If the sub-contmctorsbave employees,.theyxnust provide their wurkus.;comp.policy number. I ant ari e))tployar that is pro�trdirtg nror rers'cvrrrpeatsrrt an ilrsarnrr.ce for)ray ettrplol=ees. Belong is the poliq,and job site Iuforrurrrtio)t, ✓ r✓ Insurance Company Name: Owe, `�'S S Cd Policy*or Self-ins.I ic.#: �OU 1197 3 Yv /® Expiration Date.- Job Site Address: t' ' Few t/t City/stateilzip-: 4A On Attach a copy of the workers'cornpensation policy'declara:tion page(shmidng the policy UUAer and expiration date). Failure to secure coverage as required under Section 2.5A of hIGL c_ 152 can lead to the imposition of criminal penalties of 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$250M 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. I do ltemby cer sunder tite its and penalh'es ofpeVury that the hiform-ation provided a. oue is tr,.e and correct ��/� St .tur 1X4 Date: � w Phone#: d —9)_— 61 fd` O ffcial)tse nly. Do)lot writ-in this area,to be completed by city or toitm ofczaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department.3. C:ity foram Clerk 4,Electrical Inspector S.PlEInspector 6. Other Contact Person: Phone M. 6 . Y �/e �iammzo.w.eal!! o�'✓�.aaoacl:�iae!!a ` : \ Office of Consumer Affairs&Business Regulation ! License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: - Office of Consumer Affairs and Business Regulation Registration 126893 Type: 10 Park Plaza-Suite 5170 !' Exprratro..n $/3p�2„ Supplement Card Boston,MA 02116 The Home Depot'At NorrieiSerMires i ,Y DARREN 2690 CUMBERtAND,PARK WAY S � i� --- A `AI'�`A,GA 30339 Undersecretary Not valid without signature I ' I- r - Ae Office of Consumer Affairs andBusiness Regulation 10 Park Plaza- Suits;5170 � ti Vs, Boston,Massachusetts 02116 Home Improvement�;�or Registration Registration: 149128 Type: Ind'niidual E)cpiration: 11/28Y2011 Tr112K244 TIMOTHY HANSCOM 4•{-�`: TIMOTHY HANSGOIU! ._ —_.. __ -._--•----------...._.._ 4 CIRCLE DR. :.. - :{'r.•rJ __ _ _ —._. .. .....-.._ WARE HAM MA 02571 sr Update Address and return card.Mark reason for change- .> r; Address M Renewal I Employment !J Lost Card . . Jh.,•CR: eS 5cns•ru.;u-0�crr.E `� Jfire.' 't`✓:r'ir..:.earaxaas/.�i�;r�i...:wcrYa License or registration valid for individul use only �- Offi"of Consumer Affairs&Dusiness Rtgutatiou ' HOME IMPROVEMENT CONTRACTOR More the expiration date if found return to: •Z Reg�rdtlon.. 1A912E Office of.Consumer AfTairs and Business Regulation 10 Park Plaza-Suite 5179 s�+ Expiratlon:••11/2EJ2011 Tr# 290244 Bostou,MA 02116 TIMOTHY HANSG014.:; TIMOTHY HANSCONi,; 4 CIRCLE CR. WAREii.AM,MA 0251: 14oty witho ,(signature Ila 1}epm'turent of 1 ul�ltt ?tis iE V Board OF Euildit,- Re'td,ttinns ► .t irrtllr�;> -- Construction Supervisor Specialty License License: CS SL 99162 . Restricted to: WS - TIMOTHY HANSON 4 CIRCLE DRIVE , WAREHAM, MA 02571 m Expiration: 64/20111, ( unmi>.i:nt°i• Tr': 99162 eS,lEv-d� £L�� .•r.3�.+Jf.4.L '•3.�iA'1"'C ..;} L SEP-07-2010 12:41 HOME DEPOT HYANNIS P.001 HOME UARROVEtt+tiENT CONTRACT PLEASE'R1rA0 THIS' Sold,Furnished and Installed by:' Sran ch'Nlwei`Boston. :Date/U'/ 'THI7 At-Home'Services lac: ='r` d/b/a The Rome Depot At-Home Services Sraach�'Numbeir. . - r- "- 345AGiecnw6odStrcet,'Unit2,Worcester,MA W607. : •.ToI1.Eree-(9G0)657-S•182; Fax(508)756-8823 QNorth 33 South 3T; Ftdetal ID#75 2698460;1 Lic.#`C 02439:]Ul Cont.Lic#16427 Lic#'S65522c•MA•Home'bnpravemen/t�Conttaccor Reg, (#.126993 Installation Address• _ �1V" � Q' Zip :...; Parchaser(x): /.:. WorkPhoae: iomcrtione: Cell Phone. Home Addrii26:. . 9.. ": '_ (If diffcreaYfiom-insKallation Address)� 'City �;: --State -Zip.... lE-mail Address(to receive:,pr6iect communications rind Horne Depot updates}: �/� ❑TDO'NOT wisli ta,rcceive any,marketing cn4dsSzom The Home Depot f/!p Project Informations.:Unders.Wcd("Customer".);the Awnersbfthe'property]ocated atjibecabove installation address,.agrees:to.buy, and. At-HoMe,Services,Inc:('"The Home Depot")agrces.t5,fimtisk dehVer and arrange"forthe'iri§taitatioa("InstaH tiou')of lilt InAwrials described on'thc•'below'aad%on the iefereAced,Spcc Shect(s) all of hich'are'incorporated''into::this:CoAtract by this reference,along witlrsay applicable State''Supplement'snd=Payment Sort znary attached hereto and'any:(Mange-Ordcts.(collectively, ':lob*:Ror�.�a•i.�e) odacts Sec Sh s)#c Project Amonot Ljp4oflng.Lls4ris Windows:LJ imulation $- .;�-�: ..}QC•n?tters•/:Covors- ntry:DooSa [] •l, �. oofin : � Siding' Windows''- latlori' - •: E]C-suttocs4 Wvccs.Q$ntty Doors:Q 60 F_lRoofin*& Siding' "Windows lnsulatiori 7. QCiiiters�Co4ces`❑Br._tiy Doors Roofing, ^Siding, Windows. Insutatron OCmtters/Coven Entry noon-Q Minimum.25'%AelwsitofConttaet'Amoantdac'opon`esecutlomofthiscontruck -ToiaX Contract Amount S. - Mnme'Pumh.•uers maynotdeposirmore than ome tliud orthe Contr`actAmount., Customer:agr=that','immediately'upon'oompletion;of the,work for.each-~Product;Custom;if. oxecufb a•-C,o M tiini Cc. fcatt (one foreach product ss.deftnecl:by an'indivrdual;Spee;Sheet)'and°pay any balance.due.. AS applicablc;.;each Customer under this :Contract agees'to beiointly and severally obligated:aad liable hcrcmider The Noma Depot reserves the right to issue•a C mige;Orde otKeaninatc this'Coatraet or any indivldual`Product(s)included berein at its discretion,if The Home Depot or its authorir ed servrceprdvider determines e=h it-c:mnot per#bim•its obligations due to-a structural ':problem-With'the home,;environments[haz ids-snch.as:mold,asbestos-or lead-paiwother saFety,conceins;.pncing erwr:;,.or:tiecanic work required to complete the job.wa_.not included in�the:C6ir i //t.• .. :: Payment Summary:.:7hc Paympt_Surnmaty# '�"��b includcd'as pFuC;Ot'thls Contrsa sets-forth the total' "Contract amount and payments required:fdr,tiic deposits an"d Sriat:payrriytlts by product(asiapphcable� NOTWRT.0 CUSTOMER You are:entiticd to a completely'fdled-in copy of the Contract-at,the•timryou sign.,,Do not,signst.Comptetion Certificate(note: there is-one Completion Certificate for each listed Product's defined'b3 iodh idutal Spec Sheens)before work on that Product is complete. In the event of termination of this•Contract,Customer agrees to pay The Home Depot the costs of materials,labor,expenses and services provided by The Home Depot or Authorized Service Provider through the date of termination,plus any other amounts'set forth in this'Agreet ieM or allowed under applicable law. THE HOME DEPOT MAY WITHHOLD AMOUNTS OWED TO THE IIOME•DEPOT'FROM THE DEPOSIT PAYMENT'OR OTHER PAYMENTS MADE, WITHOUT LIMITING THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH'AMOUNTS. Acre tanceand Authorization: •Customer agrees and understands that,this Agmemmilis the entire agreement between Customer and The Horne Depot with regard to the Products'and Installation.services and supersedes all prior discussions and agreements,either oral or written,relating to said Products and Installation.This Agteement.carinoi be assigned-or amended except by writing signed by Customer and The dlome Depot.Customer acknowledges-and agrees that Customer has road;understands,voluntarily accepts the terms of and has received a copy of this Agreement- l Accep by ., . Suomi by: C s In Safes Co tant's Sinn / Date V 'Telephon o. !t� Custo er's Sigrwure 'Da Stiles'Cbrisultant License No. CANCELLATION: 'CUSTOMER MAY CANCEL TW*. (mappli l'tc) AGREI MENT WITHOUT PEN kLTY'OR OBLIGATION BY'DELIVERING WRI MN'NOTICE TO THE'.-HOME DEPOT.'BY-MIDNIGHT :ON THE.'TH[RD :BUSIN>r,SS DAY- AFTER SIGNING' TFIIS AGRE)EMEN): THE STATE. `SUPPLEMENT ATTACHED.-` -_-HERET•O CONTAINS'•.- A FORM TO -USE IF `ONE . IS • ;'l SPECIFICALLY- 'PRESCRIBED BY LAW IN: CUSTOMER'S STATE �• , NOTICE:A001nONALTF.RMS AN g CONDITIONS ARV STARED ON Tffe REVM.E SIDE AND•ARP PART'OF�*6N1•RkT sn.s aeo......o�l�r_cr+• -_ "' - Ufra7o:Aa9re�+-i� V.Pana/_•l9faA�nvr 'Pinir_Calves f:nn�tiMnM'. :f Assessor's map and lot number /" ! �F TM E t0 Sewage Permit number . ...................................... Z EARISTADLE. i House number ........................................................................ ro rasa O i639. 9� 'EJ NPY a� TOWN OF BARNSTABLE BUILDING ANSPECTOR APPLICATION FOR PERMIT TO �??2S, f`!� (Y� Ie'/ir ..........................................................:.......:................ ......... TYPE OF CONSTRUCTION ...............Oct,,--P -Pr,+,v .....................................................................11................................................. ........f.`.......................19� �. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... .....................�%.......... .......%�! A.. ... .................................................................................................... ProposedUse .... ......................................................................................................... ' /. f r , Fire District ....?.�../s Zoning District .............. 1rr ............................................. ....... Name of Owner .....0 � i.. !� ..Tkc-............................Address ......: �I±.!?.!.5............ Name of Builder ............. .t^?.!v.....................................Address .....................:..?.Q,,.✓&.0'.7..x.............................................. Nameof Architect ..................................................................Address ..................................n.................................................. ' Number of Rooms .........................................Foundation ......... Dur }................................................ Exterior C�nr16p�.;� / �-�i� ..5)i�r� e'�. Roofing �` ......./� ........... .� .... . / . ............... ................... g ........../........................................................................ Floors .............. ,.. � .'... .j........................................Interior ...... ...... .ti? :k..................................................... Heating ; (...................................: Plumbing ✓ �. .............................................................. j. Fireplace _ -.............................................Approximate. Cost Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area .... ................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 30 3d w' b 301 ` 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(.- ....... . ......................... Construction Supervisor's License ........... OLD STAGE INC. A=291-17,00z- 25795.. Permit 1�2 Story No ............... for .................................... Single Family Dwelling ..........:.................................................................... Location Lot 2, 20 Erin Lane ................................................................. Hyannis ...................;........................................................... Owner-..Old...Stage... . ..Inc............................. .. ..... .... ... .... . .. .. . Type of Construction ..........F.........ram...e..................... ................................................................................ Plot ............................ Lot.................................. Permit Granted .................................November 18.......19 83 Date of Inspection ....................................19 Date Completed ......................................19 e 1 Nf{ • f o•TM� �� TOWN OF BARNSTABLE Permit No. _25795 --- --- ---- Building Inspector ,� 1 31AUS AU : S•"`� Cash ----------- ----- _ -- � rua 07q. ''�"'•�'' "• OCCUPANCY PERMIT Bond -� Issued to Old Stage Inc. Address Lot 2, 20, min.-lam, Hyanas Wiring Inspector / / ��,p;s "-- Inspection date -r� Plumbing Inspector�� � Inspection date Gas Inspector v r' ' t Inspection date ,Engineering Department f-" ! i/.,+,./�.0� Inspection dam Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALT. 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. i Building Inspector FROM' _- - 'TOWN OF BARNSTABLB -BUILDING DEPARTMENT NT "Mr. Francis Lahte nq,a ,R ' Tom Clerk 67 MAIN STREET- HYANN S, AAA 02eOi Fho►or 775-1120 SUBJECT: FOLD HERE :AT f MESSAGE ° A a -_T J has ce'�. j4T' k S��µ #1 :�1�''Y!<�' ''�: J'JP"`u Rr V cV^A 4 4 B 0••• 'V .>•,a t1 Please releas e 'Bond } SIGNED. e � DATE - .. - v ,✓` RzEPLY - 4 - - - N87•RMI• - _ _ - - i - .RECIPIENT:;.RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. ` SENDER-: SNAP.OUT YELLOW COPY ONLY.SEND WHITE'AND PINK COPIES WITH,CARBON INTACT f 'i1K ' 3Ax :c. 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APPLICATION FOR PERMIT TO .......�sff1.4?..�......Z..... . ...•.-.........: ................:.......:.................................:......:.. TYPE OF CONSTRUCTION ...........................Cra y, a ...�` ...................... 19. J. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....14e.... ' .......... .............. k, 1,0 e ........................................................... ProposedUse ..... / .... ��!....Q.t �'��l!.�`� ' ............................... .............................................................. Zoning District ...............l.1 ...............................................Fire District ......... t7`.................................................... Name of Owner ..... ..........................Address ....:..d ........�....�1..: .... C:�....�1� hv1..S............ Name of Builder JF}tMC. .......Address SO. ................................... ................... ....... ............................. ....................... ......... Nameof Architect .............................................................. .Address ...................... .......................................................... Number of Rooms -.Foundation ..........r��?tce?.C' ................................................ Roofing ......:'�%S/�Li-9 Exterior /l /......................... ...................................... Floors ........... 5 tzk j.,....:............. Interior h�P�P �C.:................................................... Heating ....../Yt' r' Q!:f... ..............................Plumbing .............. ...................I ..........`........................ Fireplace ................. .'".............................................Approximate. Cost .......3U`. .......................................... Definitive Plan Approved by Planning Board --------------- _______. Area ....7&0..��................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTHd lub� f��L r - • IV t .t 301 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of B rnstable /erd, bove construction. . ` - , Name .,.. ..'....;... ................ Construction Supervisor's Licen ..O .... OLD STAGE INC, _ s e w 25795; 12 Story , YVo .............:... Permit for .................................... F�m�.ly...Due I11rig. .............. s 'Location .Lot..2........2.Q...Exin-Lane:.......... = 5 ......... ...H.yanna.S........................... .......... 1 Owner ...R1d..,St.age....Iric.............................. Type of Construction' ........F.ramg. ................... J r........ .............................. •`• �1'+ ! ,' , Plot ..:......................... Lots.................... ........ -• ,Y November 18• 83 Permit Granted ...........'. 19...:................ _ Date`of,Inspection ............ ........:..........19 A.2 Dates Completed . .If .... ...:I 9,G f� y i _ 4- r t