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0170 ESTEY AVENUE
/ 70 F Home Energy Raters LLC BTorrey @,EnergyCodeHelp.com Box 989,E.Sandwich,Ma 02537 888-503-2233 f Duct Leakage Test Address 170=Estey_=Ave Hyannis Port, MA 02647. Date February 28, 2013 Contractor Daley HVAC Test Type Post Construction Leakage to Outside-Includes Air Handler/Furnace Conditioned floor area =1911 Sq°FT. To comply with Section 403.2.2 Of the 2009 IECC Code in this home the Maximum duct leakage CFM < 153 CFM (1911/100 x8 = 153) Duct leakage tested = 72 CFM This Home complies with Section 403.2.2 Of the 2009 IECC Code Test Mode - Pressurization' Test Pressure = - 25.0 Pascals Equipment - Series B.Minneapolis Duct Blaster Duct Leakage as Percentage of Floor area = 3.77% Contact our office with any questions, Bruce Torrey, Certified HERS Rater Home Energy Raters LLC Commonwealth of Massachusetts Sheet-Metal Permit Map' Partel io-ia--a�is - -PRESS PERMIT Date. Permit# Estimated Job Cost: $ to/Wo OCT 2 2012 Permit Fee: $ Plans Submitted: YLS' .N�. ®F BARNSTA Reviewed: YE ^ 1*0 Business License# - Applicant License# Business Information: Property Owner/Job Location Information: Name: bAL Name: Wilt Street: 0 �W- ��� � Street: (7 0 ES7-Q y AUK . City/Town: T)aWS-P_ , MA. a6 3 ) City/Town: Toe1" Telephone: 7 7�j--��l`�-OS_)0 Telephone: Photo I.D.required/Copy of Photo I.D. attached: YES O J-1/ -1- estricted license " 14 J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept. Approval Institutional— Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: q g Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: �asr I N N Aq taw tn i c t�,a wl -ro Ace 0neeDAfe kw butt mV4 A i(L CAS;�titl�;� — ixi- ►►CAI 1'tvw► wK k -i vi sul mo— 1 UThe Commonwealth of Massachusetts Department oflndustrial Accidents Off ce of Investigations- '600 Washington Street'- Boston,MA 02111 www.mass.govldia Workers' Compensation Insn nnce Affidavit: Builders/Contractors/FIectricians/Plumbers Applicant Information Please Print Legibly Name(snsness/organizationrindividttat): -t � DAl2v •Address: a3 Snoetoo- 1?;. City/Stawzi_p: MUST&J'ffi, Oa6'3I Phone.# Are you an employer? Check the appropriate bow Type of project(required):,' 1.❑ I am a employer with 4• ❑ I am a general contractor and I employees (full and/or part time). * have hired the sub-contractors 6. ❑New construction . 2.Aj I am a'sole proprietor or partner- listed on the'attached sheet 7. ❑Rcraode' � - - ship and have no employees 'These sub-contractors have 8. ❑Demolition working for me irr any capacity, employees and have workers' insurance.$ 9 ❑Bm addition [No workers' comp.insurance c_ �•. required.] 5. ❑ We area corporation audits ME]Electrical repairs or additions officers have exercised their '3.❑ I am a homeowner doing ill-work' 11.❑Plumbing repairs or additions • Myself [No workers' camp. rigs of exemption per MOL 12.❑Roof repairs insurance required..]t c. 152, §1(4), and we have no employees. [No workers' 13•❑ Other comp,insurance regmr'ed.] *Any applicant that checks box#1 mast also fin out am section below showing their wmicers'compensation policy mfmmation. t H®eowncrs who suhnnt this aindavit indicating they are doing all work and then hire outside contractors mist submit a new afadavit mdicating such. $contractors that check this box must attached an additional sheet showing the name of 1h6 sub-ecntractors and stair wheffier ornet those entities have employcos. ff the sub-con' I have employees,they their workers'camp.policy nmmber. I am an employer that is providing workers"compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Y Policy#or Self-ins.Lic.A ExpiratianDate: Job Site Address: CAy/S- p: Attach.a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failore,to.secure coverage as.regoired under Section 25A of MQ,c. 152 can lead to the imposition of dual penalties of*a fine tip to$1,500.00 and/or one-year mi 3PI samnent, as well as civil penalties in the form of a STOP WORK ORDER and a f nc of up to$250.00 a day against the violator. Be advised that a copy of this ctLt=nej t may be forwarded to the Office of Investigations of the DIA for insurance coverage yeafcation. I do hereby c under thepains-andpenalfies of pmjjury that the information provided abovgqe""is true and correct. Sr.Oaizae: Date: id_ la d0�e2. Phone# Official use only. Do not write in&is area,tb be completed by city or.town offdaL City or Town: PermitUcense# Issuing Authority(circle one): 1.s .Board of Health 2.Budding Department 3.CitylTown Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: �z Town of Barnstable Regulatory Services f } 6,+ea g Thomas F.Geiler,Director 1639 � Building Division D 14AA'� Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.mans Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Ugn A.Builder I, RuL I(i o ,as Owner of the subject l property hereby authorize A L to act on my behalf, in all'ma.tters relative to work authorized by this building permit 126 aW (Address of Jo ) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled-before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. G S L Pw-Jt`efli2. S' tore of Applicant % Print Name Print Name 2, CC t2/ Date QTORMS:OWNERPERMISSIONPOOM Town of Barnstable Regulatory Services s�atvsTnsrs, * Thomas F.Geiler,Director MAsa i63� .m� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINTFION OF HOMEOWNER ' Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable'to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner i Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of ccnstruction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15)_This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. in this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forns:homeexempt WEPT VI t r COMMONWEALTH OF MASSACHUSETT ~ Sf ET ETAL : OR , S i�►S fl M/#S'�'ER UP3'RCSTRICTED ISSUES THE ABOU„t LICENSE TO h(ATTIfEW G 'DALEY : . to � ',F 01 a'� 23 :STONE RIDGE RD I $� - BREWSTEf2 35 MA .Ov2631 17 1315 ;08/28'/T3 53149 ..� � -E ;: • t5 1 ' • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 0G Parcels Application # 6 q a3 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board P'V i Historic - OKH _Preservation / Hyannis Project Street Address F A UE Village 016 4uk S Owner P40,vL KA11kc;2f Aie- wVL I E Address 9Tri 9 -P&-fVZ_ 139COk LAA-m5 G if AVZ.:(.,c�Tre7 ti C e ap A)0 Telephone 7 7 q - y�7 - �'3 t 1 i Permit Request 'S'XuLt-UAL P�E10A%✓LS A Ec&i5 To tN c Lu Ct 6 t-"MiN S t N5 To tJ Fl-«,2 a 6r Alms WD(ZK `S 1NWrC-.z((3Vz- LQQW 04J1_' Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type R�f�Ac�25 Lot Size (-)4-) Se FrT Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure q0y4"5 Historic House: ❑Yes C IkNo On Old King's Highway: ❑Yes �(No Basement Type: %i Full ,Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 3 new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Coup-t_ «`(o CD g.a Heat Type and Fuel: 1� Gas ❑ Oil ❑ Electric ❑Other Central Air: .Yes ❑ No Fireplaces: Existing a New Existing wood/coal stove; ❑Y s ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ Aisting q,,new: ize_ Attached garage:Xexisting ❑ new size _-Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes %No If yes, site plan review# Current Use Res%X- ir �-- Proposed Use S'E}►�/tE APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name LU A t *r AA UAP emi Telephone Number 6_0 s- 7 6 0 k j k% Address ( ;)'a. P6iu l� sr Uew 5`cl_ License # -2 ct. '&P,U-to REs beL rnoa1 50L01c.—S Mt_ Home Improvement Contractor# % 09.?iv Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1A(Lm0uV14 i S t9®s,+ L Ake!A SIGNATURE l� �� UJ DATE P 7 FOR OFFICIAL USE ONLY r APPLICATION# DATE ISSUED `A MAP/PARCEL NO. } ADDRESS VILLAGE- OWNER, , DATE OF INSPECTION: FOUNDATION '.'.. FRAME r a INSULATION^ ;+ i' FIREPLACE ELECTRICAL: ROUGH FINAL . PLUMBING: ROUGH FINAL f 1GAS: -:` ROUGH` t-,`. FINAL 'FINAL BUILDING° Y J i C . DATE CLOSED.OU,T- ASSOCIATION PLAN NO. The Commonwealth of Afassachusetts Department of Indwstrial Accidents .r Office of1mestigadons 600 Washington Street Boston, hIA 02111 VJ www.mass goy/did Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lealbiy Name C3us;uess/0rga»rimdndMdm4: Whalen Restoration Services Address: 22 American Way t City/State/Z,ip: South Dennis, MA 02660 Phone : 508 760 1911 F2. re you an employer? Check the appropriate box: 9I am a 1 with Type-of project(required): amp 4. ❑ I mm a general conpshe=et employees(fnIl and/or part-tmze).* have hired the sub- 5. ❑New construction El I am a sole proprietor or partner- listed on the attach7. ❑Remodeling ship and have no employers These sub-contractors have 8 ❑Deznolhion working for me.in amy capacity. employees and have workers' [No workers'comp. inmrance comp,Msurance.t 9. ❑Building addition . re[Nired,] 5• ❑ We are a corporation and its 10.❑Electrical repair or additions 3.❑J am a homeowner doing all work officers have exercised thew I.❑Ph=bmg repass or additions myself [No workers' comp. right of exemption per MGL 12 ❑Hof repairs msutance required.]t c. 152, §1(4), and we have no employees. [No workers 13.❑Other comp.insurance required.] *Any applimat that checks bar#I dart also ffi oat the sc:dm below sbowiag then workers'carnpensatioa policy information Hnmeawnaa who submit tbis affidavit bdimtiog�y am damg Q work and thin hire outside r=Umctors mast submit a.new s�davR indrrating such #Canhacxms that check this box crust atteehd as additinae1 sheet showing the name of tine sub-contractors add state whether or not thasc eatitir-s have employees If @re sab-contractors have employees,dry mast pRsvide toes worms'caam.policy rmmhrr. lam an employer that is providucg workers'compensation i=za-ance for my ernploye= Below is the po&cy and job site informatiom h=z<ance Company Name: "Arbella Protection Ins Co Policy#or Self ins.Tie.#: 9091320411 Bxpiraiion Date: 4/1/13 Job Site Address: 170 eS7L Y -tq/6 City/Statt-- i : 14YA VIS MA O D43 Atfa.rh a copy of the workers' compensation policy decja_ration gage(showing the policy number and expiration date). Failure to scare coverage as required under Section 25A of iAGI,c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year koprisormmez� as well:s civil penalties in the fnnn of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised Thz ?"r"OUy of this statement may be for warded to the Office of luvw igations of the DU for histu$nce coverage verifica_tiM I do hereby cerk;fy' under the pains and penalties ofPerlra3'aw the information prvrided above is Zrue and correct Date: 7 nl V / Phone# 508 760 1911 Offuial use only. Do not write in this area,to be coarpleted by city or town ofj-zciaL City or Town: Permit/Ur-ense# Issm,mg Authority,(circle one): L Board of Health Z BmIding Department 3. City/Town Clerk 4.Mectrical Inspector 5.Plumbing Inspector 6. Other Contact Pers on: Phone I:Theresa Cahalane-Norkts To:Kathleen, Whalen Restoration Sery Ire./Wylie Ce (15087609995) 11:25 07/23/12 EST Pg 2-2 Client#:245206 WHALENREST "ACORD,,,, CERTIFICATE OF LIABILITY INSURANCE DA7123/2012 TE(MMIDDIYYYY) 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 pollcy(ies)must be endorsed.N 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 Ileu of such endorsement(s). PRODUCER HUB International New England P orEiec Christopher Hedetniemi 265 Orleans Road AIc Ne Ext:508-945-0446 arc No: 508-945-9136 E-MAIL North Chatham,MA 02650 508 945-0446 INSURERIS)AFFORDING COVERAGE NAIC a INSUREDINSURER A:Arbella Protection InS CO. i Whalen Restoration Services Inc.; INSURERS: Whalen Services Inc. INSURERC: 22 American Way INSURER D: South Dennis,MA 02660 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 DO SUB A TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF POLICY EXP MN/DD/YYYY MMIDDIYYY LIMITS A GENERAL LIABILITY8500040398 0410112012 04/01/2013 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY P MI RENTEDn $1OO OOO CLAIMS-MADE OCCUR MED EXP(Any one person) $5 000 PERSONAL 8 AOV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:POLICY PRODUCTS•COMP/OPAGG $2,000,000 PRO- JECT LOC $ A AUTOMOBILE LIABILITY58243400004 0410112012 04/01/20, COMBINED SIN L LI 1 $1,000,000 ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS X AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X ED ALFTOS PROPERTY DAMAGE AUTOS Per accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAe HCLAIMS-MADE AGGREGATE OEO RETENTIONS A WORKERS COMPENSATION 9091320411 410112012 04/01/201 wC STAM' OTH. $ AND EMPLOYERS'LIABILITY ER ANY PROPRIE BER/EX LUDED?ECUTIVE Y I N E.L.EACH ACCIDENT $SOD OOO OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE 5500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$500 000 __ _7 f DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Project Address: 170 Estey Avenue,Hyannis,MA 02601 CERTIFICATE HOLDER CANCELLATION Paul and Kate Wylie SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 9819 Deer Brook Lane THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Charlotte,NC 28210 AUTHORIZED REPRESENTATIVE 11� ,g C ©1998.2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 Of 1 The ACORD name and logo are registered marks of ACORD L S756848IM703151 TC002 Board of Buildini,: Rc,-ulationN y Construction Supervisor License License: CS 74928 WILLIAM WHALEN 122 POND STREET BREWSTER, MA 02631 �. cam- Expiration: 8/10/2012 �P�n9Tn77lnrlOPlr��1J n t��jln6.4�rr'�rrrr'//S Office of Consumer Affairs&Business�ss Regulation License or registration valid for individul use only � _ OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: `- egistration: 129244 Type: Office of Consumer Affairs and Business Regulation 'Expiration: 7/30/2013 Private Corporation 10 Park Plaza-Suite 5170 Of Boston,MA 02116 Whalen Restoration Services Inc. William Whalen 22 American Way South Dennis,MA 02660 Undersecretary Not valid without signature I I SKETCH I.,-Main Level First Floor 170 Estey Ave. Hyannis iT FamBr Room " 40'2' 4'2• 5'11'_'f-7 9"-i 12'8" 21"V 12'6' T 3'6'_ 13'1' RBatlh �1 I 5'7' I /5 1 4'8'� I O r 16'0' 16'4• --20'9' 3 4 9' b Room12 f 1 9A.—and ob.ma 5 i 8'2'—� S<a►s3 '6" 22'd• a P ?i umaa,am '^I i iron[Sinbm Area Oft- I i 1� T I' O N 12 5 29 d[d —m 23' W 4 Main Level WYLIE=FLOOR_PLANS 7/24/2012 Page: I SKETCH2,.-Main Level Second Floor 170 Estey Ave. 22'8' D5k 16'3- 15'T m S�nroom ? o 10'9" 15'2' 1T 6" T 1' 8' 2'6' 5-11' 6' 4'4• T 4' T 9'9• T 1' 3' vB 4 6'2' I 3'� It "aB S Bathroom m m 1 1 in b t U 6 5e a 41T3e �m m a� Room2 O I I. 1 5 94 � 1 1 �Y2' 175 1 c c eed— o c m 8,6., 11 11'8' 2' T8' �toraaeAttic _ 14'2' m closet 1 14'1' Ir 10" W Main Level WYLIE-�FLOOR_PLANS 7/24/2012 Page: 2 Restoration Services Inc. Fire, Smoke, Soot,Water Damage&Mold Remediation Services Cleaning • Deodorization • Reconstruction Specializing in Fire Restoration - All Work Guaranteed Access, Authorization and Direct Payment Request Form I (we) authorize WHALEN RESTORATION SERVICES to perform work as per estimate at property located at 170 Estey Avenue, Hyannis, MA 02601 fire 12/23/11 to repair damage caused by on As owner(s) of this property, I (we) understand that I (we) must authorize this work. I (we) hereby authorize WHALEN RESTORATION SERVICES to perform this work and accept responsibility for 0 payment upon completion. I (we) authorize and direct my Insurance Company 1loyds Policy No. QMD1126347 , to make payments directly to WHALEN RESTORATION SERVICES, Insurance Claim Specialists, for doing this work and to that extent I (we) assign the benefits applicable to this loss to WHALEN RESTORATION SERVICES. I (we) acknowledge receipt of a copy hereof: OWNER k4== ATED SIG D ..Y OWNER WHALEN RESTORATION REP. SIGNED 22 American Way, South Dennis,MA 02660 Phone: (508)760-1911 • Fax: (508) 760-9995 • 1-800-244-2598 •E-Mail: restore@whalenrestorations.com Web Page: http://www.whalenrestorations.com OFFICE COPY W. Springfield, MA Pittsfield, MA (413)781-2897 (413)442-6328 Quincy, MA Worcester, MA (617)479-2619 (508) 754-4100 Mattapoisett, MA A, '- (508)758-6633 I 'y'"' ' ' Cape Cod& Islands (888)881-4598 Rhode Island (888)881-4598 Hartford, CT BUTLER (860)525-9034 Building Commissioner or Board of Health or Inspector of Buildings Board of Selectmen 200 Main Street 200 Main Street Hyannis, MA 02601 Hyannis, MA 02601 Attention: Records Attention: Records COMPANY: Underwriters at Lloyds London POLICY NUMBER: QMD i 126347 INSURED: -- v Paul S. and Katherine M. Wylie LOSS LOCATION: 170 Estey Avenue, Hyannis, MA DATE OF LOSS: 12/23/2011 DESCRIPTION: Fire OUR FILE NUMBER: CCI11-5327 Gentlemen: Claim has been made involving loss, damage, or destruction of the above captioned property which may either'exceed $1,000, or cause Massachusetts General Law, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General Law, Chapter 139, Section 313, is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, company claim number, date of loss, and claim or file number. Very truly yours, Alvv� t Gonnella djuster .. _ -- � -JVO-JG'=F=GG l7 - - --- F—617-479-1740 john.gonnella@georgebutleradjusters.com On this date, I caused copies of this notice to be sent to the persons named above at the address indicated above, by first class mail. Secretary January 6, 2012 ' P.O.Box 1557,Mattapoisett,MA 02739 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ' Zq& ;'Application # c�6 DO P T1 Health Division t ` `Date Issued Conservation Division ,t , Application Fee Planning.Dept Permit Fee Date Definitive'Plan Approved by Planning Board 0 Historic OKH _ Preservation/Hyannis 2 Project Street Address dE-,5 P_[.r rr—✓l l�/1 Village Owner Ph(l f l�<> err l(2�/t.� Address:9 �•f rvO�L�ytQ- Telephone 70 �3 )l9 7 Permit Request � .� a .� n Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0 DOGS • Construction Type ' Lot Size d� Grandfathered: 0 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: lid Full O'Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.): Basement Unfinished Area (sq.ft) � Number of Baths: Full: existing _ new _ Half: existing new I Number of Bedrooms: existingiriew Total Room Count (not including baths): existing 15 new First Floor Room Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other + Central Air: U'Yes ❑ No Fireplaces: Existing a New , Existing wood/coal stove: ❑Yes ®'No Detached garage: ❑ dkig 0 new size—Pool: ❑�x,�t n ❑ new size _ Ba kisting ❑ new size_ W419--b Attached garage: sting ❑ new size _Shed: ❑ new size _ Other: a Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ c ' Commercial ❑Yes le�'No If yes, site plan review# r Current Use Proposed Use_ cz APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 0 Name o1am� Telephone Number 90 q Address hl tr License # 2 dt- Home Improvement Contractor# AC Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ock2tk Co --(f e 11 o SIGNATURE DATE h r FOR OFFICIAL USE ONLY " F APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 3 GAS: ROUGH FINAL FINAL BUILDING > 4- DATE CLOSED OUT t ASSOCIATION PLAN NO. r ' p.2 oF'ME�� Town of Barnstable Regulatory Services I,"'"AT��g,"°M� Thomas X Geller,Director 9,,,rfotifl���0 BuildLng Division Tom Perry,Bidding Commissioner 200 Mein Street,Hyannis,MA 02601 www.towit.Uarast�ble.mu.as Of-rice: 508-862-4-038 Fax: 508-790•.6, Property Owner Must Complete and Sign This Section If Usirig A Builder T, 'KC lit, I , as Owner of the subject property herebyautborin to act on my behalf, in all mat:teis rela ie to wodc authorized bythis building perrriit application for, O aloe- cwis, HA (Address f job) i` Si t e f Owner Date Print Maine If Property Owner is applying for permit please complete the . Homeowners License Exemption Form on the reverse side, Q;I'O RMS:o�,l'I�FiRPERhf�S sl�N The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 - www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):��Q_U ,T�' I�WA D�� fi Address: an r 1 Vie_) City/State/Zip: c,u/! Phone#: rS 8Do Are you an employer? Check the appropriate box: Type of project(required): 1.M I am a employer with 1O 4. ❑ I am a general contractor and I YP P J employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, [demolition 10407&- a -1 working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.El Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no 13.❑ Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Z u r icjn - l' Policy#or Self-ins. Lic.M rl A P 7600 Expiration Date: 1Xga3 Job Site Address: �/D C4&7EL/, )QCe_"' City/State/Zip:44.41,7112 Mal- 17 - b �Attach a copy of the workers' compensation policydeclaration page(showing the policynumber and expiration 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$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. 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 hereby cer fy,un a the pains and penalties of perjury that the information provided abov is true nd correct. Si mt A AeQ24Date: Phone#: - - Official use only.. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: 01/•19/2012 01:16 5087602211 OCEANSIDE LM INSURAN PAGE 01/01 DATE(MMIDDfYYYY) A Q CERTIFICATE OF LIABILITY INSURANCE i��9/zoiz __[ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYEZ END OR ALTER TO C NFERS NO IHE COVERAGE AFFORDED GHTS UPON ME ABY THE POLICTE HOLDER. IES CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, AUTHORIZE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate arifc the holder Is R certaAnDpolicies Amay reUquiree�an endo the irsement A statement on t his cert if ificate does not confe fights t the the terms and con certificate holder In lieu of such endorsements. ONTA T Chrietian Barber, CIC PRODUCER NA" . Ax PHONE (509)775-0500 .(SOB)790-7955 Oceanside Insurance Group EMAIL .Chrietian@oceansideineurance.com Oceanside Insurance Agency Inc NAIC1I INSURERS AFFORDING COVERAGE 52 West Main 9tre9t Hyannis MA 02601 INSURERAArbella Protection Insurance INSURER S.EVang ton Ins Co INSURED Benabby, Inc. , DBA: Disaster SPeoialists INSURERC: p, 0. Box 480 INsuRERD: INSURER E: Sandwich MA 02563 INSURERF COVERAGES CERTIFICATE NUM9ER:CL11123002252 REVISION NUM9ER: THIS IS TO CERTIFY TFIAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD M OR CONDITION OF ANY CERT FTIREMENT, TER CATE MAYBE ISSUED OR MAY PERTAIN N HE NSURANCE AFFORDED BY HE POLICIES DESCRI EDCT OR OTHER OHEREIN S SUBJECT TO ALCUMENT WITH RESPECT L THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN R POLICY D BY PPODCLAIMS. LIMITS I TYPE OF INSURANCE POLICY NU BER kCH OCCURRENCE 1,000,0001 TT GENERAL LIABILITY $ lOO,000 REMISE I o eecu n eo X COMMERCIAL GENERAL LIABILITY 1/1/2012 1/1/2013 10 000 MEDr_xP'Anyone or ton $ � A CLAIMS-MADE FX OCCUR 8500038944 pERSONAI.t.ADV INJURY $ 1,000,0001 GENERALAGGREGATE S 2,000,0001 • Bailment Coverage PRODUCTS•CO MP/Or AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER Bailment Coverage $ 250 000 LOC POLICY COMBINED SINGLE LIMIT 1 OOO OOO e ecc a _ 9 AUTOMOBILE LIABILITY 80014Y INJURY(Per poraen) $ A ANY AUTO 1/1/2012 1/1/2013 BODILY INJURY(Pot eccld"t) S ALL OWNED X SCHEDULED AUTOS S 47018400003 PROPERTY DAMAGE ~- pg[aCUtler] HIRED AUTOS AUTNONO WN[D 9 8 000 PIP•Beelc EACH OCCURRENCE $ 1,000,000 X UMBREL �LALIAO OCCUR 1,000 OOO AGGREGATE � A EXCESSLIAB X CI.AIMS-MADE 1/1/2012 1/1/2013 S 10,000 4600030945 0 D X RETENTIONS WC aTATU- OTH- WORKERS COMPENSATION -LIB' R AND EMPLOYERS'LIABILITY YIN E,L,EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE NIA E,L,DISEASE-EA EMPLOYE• 9 OFFICERIMEMBER EXCLUDC07 I� (Mandatory In NH) It yyea describe un'ar E.L.DISEASE-POLICY LIMIT S DE9�RIP r" OF OPERATIONS below 11CPLOO979 1/22/2011 1/22/2012 FoemAccurence 1,000,000 B Contractors 1 000,000 Aggregate r Pollution Liability DESCRIPTION OF OPERATIONS(LOCATIONS I VEHICLES(Attach ACORD 101,Addltlonal R9neAr!4 Scheduto,IF more space in required) Certificate of Insurance for Workers Compensation to follow directly from assigned risk Carrier. CERTIFICATE,HOLDER CANCELLATION (509)790-6230 SHOTHEULD ANY EXPIRATONHDATEVTHEREOF,ENOTICEIES BWILE BECANCDELIVERED IN BEFORE ACCORDANCE WITH THE POLICY PROVISIONS. Town of Barnstable Atten: Building Dept AUTHORIZED REPRESENTATIVE 200 Main St �+ Hyannis, MA 02601 ;�ta,, C Murray CIC/MC •. r cf,;/!, ACORD 25(2010/06) A 1988-2010 ACORD CORPORATION. All rights served. INS025(20100e).D1 The ACORD name and logo are registered marks of ACORD RightFax N1-1 12/22/2011 7: 19:42 AM PAGE 3/003 Fax Server I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICA 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),�UTHORIUD REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROG TION IS WANED,subject to the terns and conditions of the policy,certain policies may require an endorsement.A statement on this certificate d es not confer rights to the certificate holder In Heu of such endorsements. PRODUCER CONTACT OCEANSIDE INS GROUP NAME: 52 WEST MAIN STREET PNoN' FAX (AlC,No,Elct): AlC,No): HYANNIS,MA 02601 EAWL ADDRESS: PRODUCER CUSTOMER ID V. INSURED INSURE S AFFORDING COVERAGE NAIC iF BENABBY INC DBA INSURER A ZURICH DISASTER SPECIALISTS INSURER B P 0 BOX 480 INSURER C SANDWICH,MA 02563 INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICFFS OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOT WITHSTANDINO ANY REQLIRIMffiSI,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMBNT WITH RESPECT TO CH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,TILE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREDJ IS SUBJECT TO ALL THE TERMS,qCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY E LIMITS LTR DISR WVD 0Q&DD GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE RENTED S 0 COMMERCIAL GENERAL LIABILITY E PRQ9SE5(Each occurrence 0 CLAIMS MADE 0 OCCUR. EXPENSE(Any one S arson 0 PERSONAI.AADV S INJURY I GENERAL AGGREGATE $ GEN'L AGGREGATE LR ffr APPLIES PER PRODUCTS-COMP/OP f 0 POLICY 0 PROJECT 0 LOC AGO AUTOMOBILE LIABILITY - CO1.2D7ED SINGLE S LIMB (Each accident O ANY AUTO BODILY INJURY f er Person 0 ALL OWNED AUTOS BODD.YINJURY S i (Per Aecidmt) 0 SCHEDULED AUTOS PR.OPITiderit) GE S er ucidmt i 0 Hmm AUTOS S 0 NON-OWNEDAUTOS S 0 0 UMBRELLALIAB 000CUR I EACH OCCURRENCE S 0 EXCESS LAB 0 CLAWS-MADE AGGREGATE S 0 DEDUCTIBLE S 0 REMOTION S f WORKERS'COMPENSATION WC NI A AND EMPLOYERS LIABILITY , A STATUTORY YIN LIMITS ANY PROPRIETOR/PARTNER/ .L EACH ACCIDENT S500,000 EXECUTIVE OFFICER/MEMBER N NIA 6ZZUB4102P700 01I01/12 01/01/13 EXCLUDEW (MANDATORY INNH) EL DISEASE-EACH S500,000 LOYEE LFyes,describe under DESCRIPTION OF 191.DISEASE'POLICY S500,000 OPERATIONS below DESCRIPTION OF OPERATIONSJLOCATIONS/VEMCLES(ARach ACORD 101•Additional Remarks Schedule,if more space is required) 1 THE 117SUREDS MA WORKERS COMPENSATION POLICY AND ITS LIMITED OTHER STATES INSURANCE ENDORSEMENT AUrHORTZES THE PAYMENT OF BENEFITS FOR CLAIMS MADE BY THE INSURED' EMPLOYEES IN SLATES OILIER THAN MA ITO AUTHORIZATION IS GIVEN TO PAY CLAIMS FOR BENEFITS IN ANY STATE OTHER THAN MA IF THE INSURED HIRES,OR HAS HIRED,EMPLOYEES OUTSIDE i - MA THIS POLICY DOES NOT PROVIDE COVERAGE FOR ANY STATE OTHER THAN MA TTUS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECMG W ORKM C MP COVERAGE i CA�ICELZATI ..CERtII''1CAI�S?W ,., :• :., -- ----. ..-. SHOULD ANY OF THE ABOVE DESCED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,N TICE MALL BE DELIVERED IN ACCORDANCE MATH THE POLICY PR VISIONS. --- AUT ok=REPRESENTATIVE Brlaw MacLeaw aecoRD.2s;'o ; <: ..... . . .::. ...... . .. ....:: _.:: . < 'Aco �RroRkrlorr,�:: ref'srved: i\lassachusetts- Dipartment of Public Safeh Board of Biiildin,ly Re-ulations and Standards Construction Supervisor License License: CS 104053 Restricted to: 00 JOSEPH MARMAI 93 PARTING WAYS RD f KINGSTON, MA 02364 j i -- - -�� Expiration: 3/15/2014 j ( unmissi mcr Tr#: 104053 a n 91te O fice o onsumer Kdrand usmess egulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home ImprovemeatContractor Registration Registration: 108642 Type: Supplement Card kj Expiration: 8/20/2012 BENABBY INC/ DISASTER SPECIALIST JOSEPH MARMAI 9 Jan -Sebastian Way Sandwich, MA 02563 ' Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card DPS-CA1 0 50M-04/04-G101216 I� ✓fie 'Cooanirreo�n��lea�l o�,/l�aaacic/auaeCta — 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..'':10?' Type: 10 Park Plaza-Suite 5170 Expiration Ji3%2012012 Supplement Card Boston,MA 02116 i BENABBY INC/%b)9X T R SPEG'IALIST JOSEPH MARMAI Box 480 Sandwich, MA 0256S'Q-"''I. '' Undersecretary Not valid without signature ►�w Seta alloaoM AS PER M*UACnW5 SHCA DRAN1Yb a WW RALIY M CAMU MUM ZP i"Tom M W/PI.E)OA.A wu rHi r IF] F-1 11F] 0 LILJ 11 �l F]l PAP,11A- FTAP FL. VA110N y FE] I�EW SXY(ECN 511�1001OM - l15 PHC MMU ACMW5 %SOP Oftw rb - ao FEI - WwKN"acawH.K PWVCC zr:VMTOM M w1 Kf)Oa.A5 tau. ❑ H OAM or Ob" HOM Ll 51PF �L�V A110N C Opp051t Sind SIMILAI? ) L 1 i • S � S ww iyw 9MOM Z vUIFr PkVN 6 w/ O Mlw Kllm Q � O � - Q NEW 51moom z R.El0U.A5 RAi.IJG e�,r�, O tOP i DOfYOM RN. 3/4"FtY%VM 9 MOCK &M KCNWU V T fOF i MOM RA. 2-2 c 8 105t5 o I6"ocm000mmumid XXa.AS WU. R-25 BAPf 1�91J1f10N EXI5f. W&Lcar BOOM f r� noN oim.M OF fWAM 17AIF "On f0f.ftooR jorA5 t'W fCf NO. ; 95-1" fo a" PKAIMNG NO. : 5�C110N COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY ! OF ONE ASHBORTON PLACE MASSACHUSETTS BOSTON,MA 02108 f EXPIRATION DATE L.�T CAUTION 06/08/ 199 7 ! CONS TR. `aL)PE-RV I :):)F FOR PROTECTION AGAINST RESTRICTIONS EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB PRINT IN APPROPRIATE 1 8 I? F'AM 1 L.Y HOMFS 0 L i L I. / 19')4- VJP*_ 1 t>` t) BOX ON LICENSE. tl SCOTT L t-Jt:)E L_F E'L �S BLASTING OPERATORS 1 a 1 hl I L_f_f i;T MUST INCLUDE PHOTO. PHOTO(BLASTING OPR ONLY) FEE: H A R t•)I C H I D O R T M f l 01'6 4 E>' r �l t NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY ark to Poss*ss a aarrent ' HEIGHTS STAMPED•OR-SIGNATURE OF THE COMMISSIONER W assaohmsstts Ststs Ba/ldlaq DOB C0d0/s aaaso for row"it/oa 01 o/to/s l/aaasa. i!76./013/ 1.9bci i THIS DOCUMENT MUST BEMAKI SIGN NAME IN FULL ABOVE SIGNATURE LINE CARTHE HOLDER WHEN NOF ! IC � SIG RE O LICENSEE THE HOLDER WHEN EN- OTHERS-RIGHT THUMB PRINT GAGEDWYHISO CUPATgII'.k HOME IMPROVEMENT CONTRACTOR Registration 109960 Type - PRIVATE CORPORATION Expiration 10/02/96 FRANCIS E WOELFEL INC Scott L. Woelfel G� moo:-7f 32 MAIN ST ..ADMINISTRAMij HARWICHPOR.T MA 02646 � ----------------------------------------------------------------------------------------------- 1,t. Li� 17 U� 4.1V1 I/[:r1 10L WJVI 0 {l" aUQpa.lnrznl o��n�tria[�cci�anl� 600 wadkiv&m S'tm�l J817M J.Campbell &IoIt, Mk"ad mmlta 02 f If Commissioner Workers' Compensation insurance Afridavit I, Woelfel Inc (Scott L . Woelfel , President ) (aae�odpe,�� • with a principal place of business at: n Street Harwich port , MA - 02646 cao�isrxeizsp� do hereby certify under the pains and penalties ofPerjury, tfat. 0 t am an employer providing workers' cotnpensauon coverage for Jmy employees working on &ls job. Mar land Casualty 0024192625 Insurance Company Policy Nmnber 0 t am a sole proprietor and have no one working for me in any capacity. 0 i am a sole proprietor weral cancraaor or homeowner (circle once) and have hired the conrracxorx listed below o e e allowing workers' compensation poPtdes: None Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Humber Contractor Insurance Company/Policy Number () I am a homeowner performing all the work myself. 7 �= ^c :`':_ c'v_�C`r�is S-:e nenr w ill*e ferv::r.ec to ne Cfrict of ir,vcSb&:Zriaru of c`.e PIA for Mrtfage veriCeition and that f:ifurt to scccre cc.r2Ee rE�::EC--r-ru cct:cn 25A of MGL 152 car le.c to 1-0+c irvcsirion cf crimin_i pc-Wes cors&dna of 2 fine of up to S 1,500.00 anc/cr c-= wen-is&eit aemartiEs in ztr'c era STOP WORK ORDER ens 2 fine of S 100.00 a day ag2insr me. Signed is day of ` March_ 19 95 Licensee/Permirree Building Deparanent Licensing Board Selectmens Office Health Department TO VERIFY COVEI2AGI; INFORMATION, CALL: 6 t 7-727-4900 X403, 404, 405, 409, 375 ,nirN nr fiatWC-.An- r o T, r t•.r , .«..__ 7, 7y 9S� )M�� The 'Town' of Barnstable . NAM . 1b� Department of Health Safety and Environmental Services " Building Division 367 Main Street,Hyannis MA 02601 Office: 509-79"227 Ralph Cnossen Fax:. SM773 3344 1��;��,.��+Building Conwtissio= For office use only Permit no, Date AFMAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c_ 142A requires that the"reconstruction,alterations,renovation,repair,modernization,eonvefdon, impmvernent, removal, demolition, or construction of an addition to any pre-cAsting owner ootupied building containing at least one but not more than four dwelling units or to gructum which are adjacent to etch re"de*nrr nr hni1dino hp itnnn hn• - rnquirorlrents. Type of Work: Addition Est.Cosy ,$2 0 . 0 0 0. 0 0 Address of Work: 1 7 0 Esley Amenue . Gamer Name: M i a e l and U011y B.arach Date of Permit Application: I hereby certify that: Reegis=tion is not required for the following re2son(s): Work excluded by law Job under$1,000 Building not owner-occupied . Gaiter palling cam permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT" WORK DO NOT HAVE ACCESS TO T14E ARBFrRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hercb�-apply for a permit as the agent of the o%rncr: A(-V 109960 Date Contractor na Registration No. OR Date (NN'ner's name Assessbr's Office(1st floor) Map 3 0G Lot I q 6 V�� Permit# �d? Conservation Office 4th floor -b 'VA -3 3 (p Date Issued / j J ,f,4-Board of Health Ord floor 1�A Engineering Dept. Ord floor House# T7 — Planning Dept. 1st floor/School Admin.i ld . : Definitive Plan Approved by Planning Board M19 p 9. (Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) TOWN OF BARNSTA E " Building Permit Application Project Street Address 1 7d E sTF Y A veNU E Village Fire District Uy nt]f� (honer M R >` M R S• 'p A 2.P C-4 Address 1-7 D P�MFN A✓0Al0E Telephone Permit Request: ' An ffl i if Cz A DU 2 m e 2 1-n A c ET A S K v rECR V STP-m 5 N 1?on M Zoning District ll� Flood Plain Water Protection Lot Size ,22 Grandfathered Zoning Board of Anneals Authorization Recorded Current Use Proposed Use Sari Rco m Construction Tyne UWp Eaistin2 Information Dwelling Tune: Single Family A Two family Multi-family Age of structure So Basement tune 1�0.QY1{�l� Historic House nio Finished Old Kings Hi hhwwav /'jd Unfinished x Number of Baths No.of Bedrooms Total Room Count not including baths First Floor Heat Tyne and Fuel G A•5 biArm A-t 1 - Central Air ye.S Fireplaces Vr_E5 Garage: Detached Other Detached Structures:#U Pool Attached X Barn None Sheds Other Builder Information Na_mc 00FIEE L IWC. , Telephone number Address 43a Mai n Si- License# n(,l(„��' A R 11104 PD T— Home Improvement Contractor# I O q!o O Worker's Compensation # bn C. Qn24 1Q.1 A "*A LtFG f "UoJi-j 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 L P ND F 1 L L Project Cost 20,coo /J Fee SIGNATURE of DATE3��'�GS BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T I /G FOR OFFICE USE ONLY 3/14/95 azo_ 306. 196 V ADDRESS 170 Estey Avenue VILLAGE Hyannis Mr. & Mrs. Barach , OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION q1 //q(50' FIREPLACE ELECTRICAL: ROUGH FINAL F _ • f • PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t FINAL BUILDING: DATE CLOS ASSOCIA a C ` __ { t Na4tucke t $ocr f . G (7 ! & 6 0 N./d.lU, -Q Jr 57L-P5 { .. 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P E R M I T [PMT] ACTION[R] CARD[000] KEY 216019 00000000] PERMIT-NO MO YR TYPE VALUE CR-BY MO YR %CMP NEW/DEMO COMMENT [B29636] [07] [86] [AD] " 850001 [GB] (01] [88] [100] [NEW ] [BY REMOD'L] [B37495] [03] [95] [AD] " 20000] [ ] [00] [00] [000] [NEW ] [HY SUNROOM] APPLICATION FOR PERMIT TO INSTALL AND REQUEST /'9� -�9 FOR ELECTRICAL SERVICE Inspector of Wires Wiring Permit # COM/Electric # 307305 Town of&A65 Massachusetts Building Permit CustomerA44 me &Ar 4 on (Street #) t7O /Ur6 Lot # in W the village of YMAJI S g _ utility pole number or underground number Customer's billing address j ` v Temporary New installation Change of service Starting date Job description tvWeAe. Aic F*2 Service entrance voltage�a0s� " Amperage " Phase Wire size(cu.or al.) Conductor per phase Number of meters Water heater Off peak: YesNo— Estimated load:Electric heat ` kw,lights kw,Range dryer Motors,H.P.&Phase Ready for first inspection WJ1035 Ready for final inspection Electricalntractor 3)A1W&_VIIs-rQ 9 Lic. #A-> �T) Telephone # • 9q-5rg4 Address-4 w6hst9}rs� Additional Remarks: r Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICATE INSPECTOR OF WIRES INSPECTIONS DATE FEE CHARGE Temporary Service '-'Rough g m in Service and Meter Off Peak Meter Final Approval Disapproved' rpG 'For the following reasons CERTIFICATE OF INSPECTION Date To the COMMONWEALTH ELECTRIC COMPANY.The installation described above has been,completed and has this day been inspected and approval granted for connection to your service. Inspector of Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA 46 INSPECTOR'S NOTICE --- Th f setts � oMassac} u a L-. e mmonLL,et < < he Sa D�rtrr,cni of pub.;. % BOARD OF FIRE PRKTION REGULATIONS 5.27 CMR 12D0 3/90 (lea < bi.nk] MlT .T0 PERFORM,tELE2CTRICAL ANORK APPLICATION FOB v+ith the M��"<hOSCR`Elccsr Date f R LEAS PF�LI�-L 72i 1X� .OR �E A� xNFOF2SI�TIOtl) " cctoc of Uires. � ��� io the In P.•.. city of To e'n -Of work described below. The undersigned applies for a permit to perform the electrical Lotatlon (Street Number) . Ot.•ner or Tc=nC O�ncr's Address Ycs No ❑ (Check Appropriate Box) Is this permit in conjunction with a building" ernit- Utility Authorization b0"- purpose of Building Undgtd❑ No of t',etcrs - s � 0 / T volts Overhead Existing-Service �6 p, Undgrd❑ No• of Y,ctcrs * Volts Overhead ❑ 2I�-.bcr of Fecdcrs and Ip1ciry Location and Nature of Proposed Electrical Uork Total No- of Transformers RVA Outlets Ho. of Hot Tubs. ❑ KVA' _ No. of Ligh�inS Above❑ In- Generators No, of Lighting Fixtures Svi�sing Pool grnd. grnd• No• oc—E=ergency Lighting Batt, Units No. of Receptacle Cutlets No. of Oil Burners FIRE AIuS . No, of Zones No. of:.Svitch Outlets No. of Gas Burners No. of Defection and Toul Devices , of hir Cond.` tons Initiating devices Fo. `of Ranges Heat Total Toil No. of Sounding.. No. of Pua s s No'. of Disposals Ho. of Self oundinj Devices Detection/Sounding Space/Area Heating 1lunicipal ❑Other No. of Dishvashers Local❑ Connection Heating Devices No. of Dryers o. o Lou Voltage Hoy of Uirin7 Ballasts . . No. of Vater Heaters Si s Total H? No. Hydro Kassag c Tubs No, of 2iotors SURANCE C0Y'c-RAGE Co❑ leted Operations Coverage or its substant' IN purs,isnt to the requirements of Y•assachu^etts General 1-avn S NO ❑ ." I have a current Liabilit Insurance Policy including o checking the appropriate box. .,• uivalent. YES❑ " NO I have submitted valid proof of sa_y to this office. YE" eq. lease indicate the type of coverage by If you have checked YES, p t xpiratio INSURANCi ❑ �� ❑ .Or,'ER ❑ (Please Specify) " Estimated Value of Electrical Work S Rou h Final��- Uork to Start Inspection Date Requedted: g Signed under the penalties of perjury: _ LIC.. NO- FIR2i NA2C Signatu e B Tel. No.. Licensee ._ -It.-Tel.`'No'.' t Address .+s and that nr,s3YnaCure on.this pa�i (x,NFlt'S I�SURAH UAIYt I +3 aware that the Licensee does not have the .insurance coverage o uival:nt as zaquired by Kasszchusatts General s atantial eq Ylessa"check one) /i ent application waives this req�rt"ent. Owner $ YER.'SIT F'� Telephone �- �.. �� ��� �� � 2 >�� SUBJECT TO API`77 `1 n} Assessor's office (1st floor):' BARNSTABLE CONSERVA T:Cif THE TO Assessor's map and lot number ��.�....-..1. ...:.. eK COMMISSI13,d Board ,of Health (3rd floor): d' 5+.�� ..... Z BA"STODLE. i Sewage Permit number ..�. DESIGNING ENGINEER M SEae�aR° ; Engineering Department (3rd floor): INSTALLATIONo 16 q. E AND CERTIF House number ........................................................................ THE SYSTE a RYp' :NG APPLICATIM49P I�MOSRS 9.30 9:30 A.M. and 1:00-2:60 P.M. only ACCORDANCE T/p p STALL tRICT $a N. table Conservation Commission T N -O F B A,R N S TYSrE� � g fined Dat L D I N G INSPECT O '����D 1� ComPLIAN E �/f _/ ����® WirH rirLE s APPLICATION FOR PERMIT TO ..t...... .!U..k.. ...G.1.4.l:( � .4.................: ??. ��rrL ..... fil:.:::..... TYPE OF CONSTRUCTION .......... . .!'1LO..P4................................................... �... . ........................... • i ..........................7.:.��....19...- -- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... ....... J J. �.1..........14.V.E............f N.ot.�.. �5............................................................................ ............ ......... ..... ProposedUse ..........F !!w0.7..1...................................:...............................................................................I......................... .� � Fire District v�i s Zoning District ................<..`..��..... ..................................'.......... Vh�+RC..... ....RQ-rS®!�J so 0.....Oce�w s r �ld¢,vwfs Name of Owner ............ .............Address' ............... Name of Builder Qp {� '` c,� iu L/ 1•L�V 1,......41�0. �. ! !.. ..................Address .. ...........8 .. Name of Architect ..................................................................Address .................................. CP Numberof Rooms ..............l.................................:................Foundation .......BIO. (.( ...................................................... Exterior ..................�..0( ...&...............................................Roofing .............,............. . ..................................................... AV Floors 4 .6 0..4)...............................................Interior ......... l.. .f�LL c Heating ........... + ..........................................................Plumbing ........A '. ...... C.... ............................... Fireplace ........./•!• .! '!?C.`�............................................Approximate Cost r. Definitive Plan Approved by Planning Board --------------------------------19-------- • Area Diagram of Lot and Building with Dimensions Fee //,41. .............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .... ..... ........ '. .9.-01�.J............ Construction Supervisor's License 3.yy. ROBINSON, MARC A. `t No ...2.9.6 b.:. Permit Nor ..Rem:o.del...Uwelling Single Family Dwetll�in `r Location....166: Es�tey Av ue �..... ...... ; .. .................. ....HY.an?y5.... 1 '}' MarcuA. obinson Owner .... - Type ...... of Construction a Frame ,+ . �. .......................... j n -. .................................... ....... " .............................. Plot a Lot .+.:... u F ........................ _ Perm t Granted July 111, 19 86 ^ _ . Date of Inspection ......11 -3..............................T :1e Date Completed .....�............... ;19 y m S CO Cr to A S M to co tr ". Y few - ^t - •. r + tolc � ' S A 3 �4 r . a Assessor's office (1st floor): _ �/ oFTNIr Assessor's map and lot number :� .�..... �`.�v....... �'.K' Q.. �f .. Board of Health (3rd floor): ' • Sewage Permit number Z 339BH3TADLE . Engineering Department (3rd floor): 90o M639. House number •1 APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only _ OWN OF BARNSTABLE BUILDING INSPECTOR r:APPLICATION FOR PERMIT TO .......... ...............IN1©QE................................................................................................... a TYPE OF CONSTRUCTION ............p.....M....e .......t..................................................................................................... /l TO THE INSPECTOR OF BUILDINGS: The undersigne d hereby applies for a permit according' tto the following information: Location I WrGJ .F J y y V .0,,/( 1J i� ( ........................................................................... ........................................................................................................ ProposedUse ' .�... .. .`�..................................................................... ..... .. ................................................... .Y. ................................. l ��/s ZoningDistrict ...................�...�..........................................Fire District ..................... .................................................... V1�I�R� RoAJ . SdC) C.ce��v s Name of Owner Address .................................................................................... .......................... PAU a�tti,SC) � � � � � �3 � r/), ti► c Nameof Builder ....................................................................Address ..............U ................................................................. Nameof Architect ..................................................................Address ............................. .................................................... Number of Rooms ................. ...............................................Foundation ........�a.�U.............................................................. .......Roofing �Exterior .....................�:A..b f�P`... ....................................... '....�...... ...............if........................................... Floors O ..Interior Vk)1.,o g.L.z."......... ............................................. Heating 6- P4 Plumbirig ............... �.....A0 r .......................................................... .................. Fireplace SQ uAt-............................................Approximate Cost ...............`-�... " v ................. Definitive Plan Approved by Planning Board ________________________________19________ . Area ................ ;.,.................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OFM HEALTH t .. i 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 ... / .... ..... y � .......... V"'3' Construction Supervisor's License .................................... ROBINSON, MARC A. A=306-196 29636 Remodel Dwelli$g No Permit for ................. .................................. . Single Family Dwelling `7.0........................... ......... . Location .......'�6Estey Avenue ........... .......................Hyannis......................................... Owner Marc A. Robinson..................... ............................................. Type of Construction ......Frame ................................ ................................................................................ Plotk':.w.R...................... Lot f . L Permit Granted ........July 11, 19 86 Date of Inspection ....................................19 Date Completed ..............................:.......19 ��yy`7-0 /ego 70/o