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0046 ISLAND AVENUE
I' p i I i; j �i I' ' c . 4 S /w r Town,of Barnstable x *Permit# p� Expires 6 months fro �,ssue date ' Regulatory Services Fee P MAM Richard V.Scali Director Q 2 2016 Building Division i 1N V R�U n, ® CTom Perry,CBO,Building Commissioner A STA D L C 200 Main Street,Hyannis,MA 02601 www.town barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERNHT APPLICATION - RESIDENTIAL ONLY I Not Valid without Red X-Press Imprint Map/parcel Number_ Property Address Residential Value of Work$ b"— Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 6Z �UWPVR 7 ejZ-7a 6Z//,b Contractor's Name JE�1r'J r�fL`�/�1� �1 . Telephone Number _6`0ff 7 Zl)--6, S' Home Improvement Contractor License#(if applicable) 1 Z.(�2_ Email: Construction Supervisor's License#(if applicable) - e 1%6/ Xworkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ; .WI have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy#��^C�j�� 3/ 5' 31 FW 1 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: (� ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.'Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission., A copy of the Home Improvement Contractors License&Construction Supervisors License is equir d x SIGNATURE: s Q:\WPFILES\FO uilding permitforms\EXPRESS.doc Revised 040215 AC4:> CERTIFICATE OF LIABILITY INSURANCE OATE(bIMIDDIYYYY) 11/1612015 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 DOWLING 8r O'NEIL INSURANCE AGENCY INC CONCT NAME 973 IYANNOUGH RD PHONE FAX PO BOX 1990 W. N°' HYANNIS, MA 02601 ADDRESS: INSURERS)AFFORDING COVERAGE NAIC i INSURER A: LM Insurance Corporation 33600 INSURED INSURER B: J J DELANEY INC 20 RASCALLY RABBIT ROAD UNIT 2 lNsuRERc: MARSTON MILLS MA 02648 INSURERD: INSURER E: INSURER F: COVERAGES CERT!FICATE NUMBER: 27325240 REWSION 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. LTR TYPE OF INSURANCE DDL S BR POLICY NUMBER POLICY EFF MMMIIDDI ExP YYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMSMMDE 7 OCCUR PREMISES Ea occurrence) $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ MIOTHER: LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $ POLICYJECT LOC PRODUCTS-COMP/OPAGG $ $ AUTOMOBILE LIABILITY COMBINED SING IMI $ Me accident ANY AUTO BODILY INJURY(Per person) $ AALLOWNED SSCHEDULED BODILY INJURY(Per accident) $ OS AUT NON-OWNED PPROPERTY DAMAGE $ HIREDAUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION WC5-31S-318101-015 11/2/2015 11/2/2016 STATUTE ERH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1000000 OFFICER/MEMBER EXCLUDED? ❑N N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1000000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1000000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additlonal Remarks Schedule,maybe attached If more space le required) WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. : CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 MAIN S HYANNIS 02601 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE LQ _ � M-�qL LM Insurance Corporation ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 27325240 1 1-310101 1 15-16 WC I yogesh.patil®libertymutual.com 1 11/16/2015 10:59:41 PM (PST) I Page 1 of 1 27be CoMM07t peal th o,jf aysadimeta ' 600 Was iFi~gton Street Boston,M4 02HI svit zma Lgor/dia Mtorkers' Coffipensatian Insurance Af davit B.�de7dCmtxm-ctaraMe cianslPhu nbers Applicant Infarmai on \,' PleasePrintt l Nam JAL Address: Are you an empla}*er?Checkthe appropriate bay Type of project{rcq eed} - 1.0I am a employes Mith 3 4. ElamI a a general contractor and I' employees(fa11 an&or part-time).* #tee luredthe sub-contract= 6. ❑New conaftuction 2.❑ I am a sole propiietar orpar a-er- fisted on the attached sheet '£- ❑Remodeling sbip and have no employees Ilese sub-confrac am have g- ❑Demol tibn warping forme is any capacity. employees and hne,worms' INa wood ms'comp-i marance camp-icsurano-$ 9..❑Buildm g addition required-] 5. ❑ We are a corporatim and its 10-❑Electrical repairs cr adcritians 3.❑ I am laomeommer doing all work offices Have exercised their 1L❑Plumbiagrepaus or adcfitioas my-&-If[No workers' - fight of esemptian per MGL M❑Roof repairs I � incnsa+ice rez,_ired.]Y c.152,§1(4) andwe have n 13. f)ther J,Y, O1JJ employees.[No'worke&' comp.insuran-ce requued_] 'AnysMffcsat Mat chedabox#1 alsnfiIlovtthesectioabeTowsbnsdagtheirwarkexs'ca®peasaticapaTaeginfoamsFiob Samevaraerstehasubmit this.afddac iodaingtheyamdoingRUWUIand&MhaEautsitFeCantact@smnstMffimitanewaffidaeftinditesach.. rawm coEst=cbect this box mastattached,snadditi—al street stowing tia--ofthesul)-c m2ndstae-whedwatnatibaseeaddeshwm employees.Ifthe mc&-conft=neshave empIoyee%tbeymuerpmv-idetbak workea'gyp.policy numbm I arfi QrF Srrrpl fJl[Ltis prau%diry ivarkers'sonrperrsafrr�rr irrsrtrQttre for�r}J carpFnjfeex $e£oty is#7tepa£ic�ar�trl job site fnformatiorn t ItssuranceComgazzpName: a . - - `, c Policy-,4f-or Self-ins-Lic-�. c Expi�inDate: 1 - 7- Job Site Address` (.� U� J�r.�ll�l CitylStatel g lj�q7 Attach a mpy of the warl`ers'compensatiQapolic:declaration page(showing the poficy,number and expiration date). FaR=to secure coverage as regmred.under SecEibn 25A of MGL� 157 can lead to the imposition of criminal peaces of a fine up to$L54a OD anctrar one yearimpzison�as well as civil penalties.in the fozm of a STOP WORK ORDERand a fine of up to$250- 3 a clay against the violator. Be advised brat a copy of this statement xnay be forwarded to the Office of Investigations of the DIA for ins�.,-coverage v�frcatim Ada lrerceWcndff tTr� andpsruQls a, uratf7ra iafarnxafiarrprmd abot�is bars and correct Sim Date: °Z/ ]?iiane 2 0 6 OJOWal use a�nT. Do not write in this.area,fa be wuipkted by city artotrn ofjac� T' CCity or Town: P rm*ff;cease 4 Leg Amtho�rlty(ci de one): L Board of Heeahk 2.Bmgdmg Department 3.6tyaown Clerk 4.Dectdcal Iuspectnr S.Phumbing Lusgector b•Other Contact Person: Phone#- - ormation and Iastrucfions ens�fon far their loyees' Maccar3msefts�eralLaws claapfea 152 recj=es all e�Ioyers'fn providew��'��ffi� ca�ract afhiie, sfa� an, is defined as 6.event'persoam fhe service of aa9 prssaanttm this �£°3'e� agx-ess or iinpliecL oral or " Air�&Yar is defined as"an individual,parfne ,assoc on,corpmahan or other legal a asedtify,at any tV7er, or more andin the I selves of a deceased employer,or the of the fisregoi ag m a Joint eat mTd=, inch ding legal repre receiver ar trastee of an fiLdividnal,pmtxxslIP,association or other legal entity,a PlOYIng e=PinY=S- However the owner of a dweI&ng house having not more than three apartments and who resides therein,or the octet ofihe- dw Mag house of ano lIer who employs pamans to do mace,construction or repay work on such dwelling house therein sh0notbecanse of such=ploymentbe deemedto be an employer." or on the grounds or bm�app�ant . MGL chapter 152,§25C(S)also states that"every sfzf a or local licensing agency shall withhold the issuance ar renewal of a license or permit to operate a birs ess or to construct bmldmgs in the commonwealth for any applicant who has not prodnced acceptable evidencz of compfisnr_with the insurance•covexage regII.ired. Addi ionally,MGL chapter 152,§25C(7)states`'Neither the commonwealth nor my of-its political subdivisions shall ewer into any contrast fat the perforce ofpublio wow until acceptable evidence of camplian.ce with&e msuranre.. regtmements of this chaptcrhave lieen presented to the contacting aafhozity." AppIi,znh-, Please fill o_ot the wozkeas'compensation affidavit completely,by checImg ae boxes at apply Yoe sitaation and,if necessalL supply sob-conj a r(s)n (S), addresses)and phone�ber(s) along with their certificates) of insurance. Limited Liability Campardes(TLC)or Limited Liability Parinexships(LL P)wiihno employees of aer than the members or partners,are not required to cant'workers' compensation ibsmanoe If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe snbmithtd to the Deparfinent of Industrial Accidents for confirmation ofinsuzaace coverage Also be sure to sign and date the afdavit. The affidavitshould be retnmed to ffie city or town that the application for the peonit or license is being requested,not the Department of Ldesf:ial Accidents. Should you have any gees Lans rega7lm7g the law or if you are required to obtain a workers' compmsationpo]iey,please caIltha'Departmen±atthen=berHgtcdbelow: Self-fiL=edeompanies should eater their self-insurance U.cznse number on the appropriate line. City or Town Officials . f Please be sate that the affidavit is comp leis and primed IegIly. The Departramt has provided a space at the bottom of the affidavit for you to fM out is the event the Office of Inver g� has to coact yourtgMiling the applicant-, . Please be sure to fill in the peuniVlicmse M=ber which will be used as a reference number. In addition,an applicant that must submit multiple pennWHcense applitations in any given year,need only submit one affidavit imdicatmg dent p olicy bfb =nation Cif necerssary)and under"Job Site Address"the applicant�hoLld watt---all Imraticns in ( Y or town)_-A copy of the•affidavit tfiat has been,officially stamped or mm kccl by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fut= permit or licenses Anew affidavit Must be filled out Ca.ch year.Where a home owner or citizen is obtaining a license or permit not related to any business or commm vial v&nt= to bum Ieaves etc_)said person is NOT regoi=ed to complete this affidavit (ie. a dog license or peunit The Office of Inveshg'aiioas would lzke to thank You in advance for your cooperation and should you have any questions, please do not hesitate to&e us a call The Deparimenf's'addl=s,tlephome and fax number. CMnGU JJ E t?f M ssaclhnstt s Depaximmt of IadEstdal A=Uen� man� �Qsto-u��E�11F, Tf,-1t 4 617' -49W ckt 4-06 or 1477-MAS A I` Fax 9 617-727 7749 Revised¢24-07 f . . . anfwSTABLe 2 1659.q . �'� Towno f Barnstable . Regulatory.Services: . Richard V:�Scali,'Diieetor. . . Building`DivWon Thomas Perry;CBO Building Conimission.er . . . . . 200 Main Street', Hyannis,MA 02601 . . www.town.barnstable.ma.us . : . Office: 508-862-4038: . Fax:.508-790,6230 Property Owner.M. . Complete acid Sign This:Section. If Using.A:Builder. I, �[i'►«.firt i J Owner o.f the subject pKo' erty . .. y6 .=StA�f�� .Av4wu4. lt�.t, ry t': _. hereby authorize . .) pC�(12�.t �L�Xt�C' f S to act on my Behalf,. . in all-matters.relative to work authorized by*this building pern-it.application for:'...' (Ad&r ss'of Job) x 'Yl:vi�ft, / 0/h Signatui s�.C�.'iler . . itte . . .. its. . . • 1?rnt Naive . If Property Owner is;applying for permit,pleaw complete the.}lomeowners License Exemption Form on the C:`t)sers\Decollik\AppData\Local\Microsoft\Windows\Tenapcxary lnternei l:iles\C'ontent.OutlookLPIOI DIIR\F.XPRCSS.doe Revised 0402 L5 ftk 28734 pv49 010477 03-12=-2013 a 12$ 46 ISLAND AVEME RBALTV I[RUST ACCEPTANCE OF APMRMIENT By SUOCF.3rfiOR TRUS R T.Dimitrl J. monalas,lam inW as a mxvmm Trustee of The 4619and Aveme Redty Trost, uldh daW Sept mbw 22. 2011, mordW with BarmaAle Decds in fool 25727, gage 10, as a numJed, heck admaawiodge and acogg my VF&&nm as Tntstec of said Taunt,dfecdvo as of(hc cite 1cmf- Datcd:March 2,2105 tri J.NiojWdj C0WONWFALTH OF MASSAC14USEM SUFFOLK,sL 4n this. day of M mch, 2015, before nw., the rand l• Pe'suWAy zweamd Dim ui J. 1�I= y cdenoe i= o idenrrtFcation,which ryas�pit- �' �"°ed to me tltrv�t sap' of . ograAk idendfim ion with sigeatme,mod by a fcdcmt or stATt gwv=MMW agcncy, r-1 oath ar a6frmrsdm of a cmdibde witncss, M MWW knowledgc of U*utrdemipw d,to 6c the P�ma whm namtc is signed oa this dmumv,and acknovdedgcd to we drat he signed it voluntarly fat its stated pmpose. Nowzy- s�r .f. blic ` Ym My ComuWon Egim • :. ,. MSMLE R061SM OF oWS y �aall � ��a �6b '4%aee N Commonwealth of Massachusetts Town of Barnstable 200 Main Street- (508)862-4038 BOARD OF FIRE PREVENTION REGULATIONS APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Permit No: TE-16-833 Date Received: 4/27/2016 Job Location: 112 OCEAN DRIVE, HYANNIS Map Parcel 266-008 Contractor's Name: Edwin L Medeiros Phone: Contractor's Address: PO BOX 595 State Lic. No: 11359 EAST FALMOUTH, MA 025360595 License Type: Master Electrician Class A Home Owner's Name: GIATRELIS, DANIEL J & KAREN L Home Owner's Address: 12 COUNTRY CLUB WAY Home Owner Phone: Work Description: Temp Service3 .Utility Authorization No. Details: No.of Recessed Luminaries: 0 No.of Cell.-Susp(Paddle)Fans 0 No.of Transformers 0 KVA 0.00 No.of Luminarie Outlets: 0 No.of Hot Tubs 0 Generators 0 KVA 0.00 No.of Luminaries: 0 Swimming Pool 0 No.of Emergency Lighting Battery 0 Units No.of Receptacle Outlets 0 No.of Oil Burners 0 Fire Alarms Zones 0 No.of Switches 0 No.of Gas Burners: 0 No.of Detection and Initiating Devices: 0 No.of Ranges: 0 No.of Air Conditioners: 0 Total Tons 0.00 No.of Alerting Devices 0 No.of Waste Disposers: 0 Heat Pump Number Tons KW No.of Self-Contained Detecting/ 0 Totals: 0 0.00 0.00 Alerting Devices No.of Dishwashers 0 Space/Area Heating KW 0.00 Type of Connection No.of Dryers 0 Heating Appliances: 0 KW 0.00 Security Systems 0 No.of Water Heaters 0 No.of Signs 0 No.of Ballasts 0 Data Wiring: 0 No.of Hydromassage Bathtubs: 0 No.of Motors 0 Total HP 0.00 Telecommunications Wiring: 0 Others: II Commonwealth of Massachusetts Town of Barnstable 200 Main Street- (508)862-4038 BOARD OF FIRE PREVENTION REGULATIONS APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Panels: - ES Amps: 0.00 ES No Meters: 0 NS No Meters: 0 ES Volts New Amps: 0.00 NS Underground: False ES Overhead: False New Volts: Sub Panel#: 0 ES Underground: False NS Overhead False Sub Panel Amps: FOR A SERVICE CHANGE, A HOMEOWNER CANNOT CUT &TAP. A CUT & TAP MUST BE DONE BY AN E- 1 ELECTRICIAN WITH A PERMIT OR THE POWER COMPANY. Estimated Value of Electrical Work: 0.00 Work to Start: 04/27/2016 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE Unless COVERAGE: w G U ss waived ed by the owner, no permit for the performance of electrical work may Issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited.proof of same to the permit issuing office. Insurance Coverage: None Specified I certify, under the pains and penalties of perjury, that the information on this application is true+and complete. Company Name: Edwin L Medeiros 4/27/2016 - Signed: Applicant Date - Telephone No. If the licensee does not have insurance, then the Owners Waiver must be signed, and attached to this Permit Application. *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: "IMPORTANT:A separate permit is required for the installation of smoke detectors.Fire Alarm inspections are performed by the FD having jurisdiction. Estimated Construction Costs/Permit Fees Date Paid Amount Paid Check#or CC# Pay Type Total Project Cost: $0.00 4/27/2016 $30 00 1391 Check ..._..._ .... ...... ......... ......... Total Permit Fee: $30.00 Total Permit Fee Paid: $30.00 rrI, ' T H I SIRS NOT � PRI T � Sk 28734 P945 010475 03-12-20%5 a 12 4 03w 46 ISLAND AVENUE REALTY TRUST RESIGNATION OF TRUSTEE APPOINTMENT OF SUCCESSOR TRUSTER AND ACCEPTANCE OF APPOINTMENT.BY SUCCESSOR TRUSTEE RESIGNATION OF TRUSTER (Pursuant to Section 7) Date:March 2,2015 1,Bruce Miller,of Boston,Suffolk County,Massachusetts,hwstee of the 46 island Avenue Realty Trust,uldh dawd September 22,2011,recorded with the Barnstable County Registay of Deeds in Book 25727, Page lbl,as amended, (the "Tract!% pursuant to the provisions of Section 7.1 5 ww4 hereby resign as Trustee, such resignation to become effective upon the aocepmace of appointment by the Successor Tr usift of The Trust. [the remainder of this page intcogonidly left blank—the w=t page is the signature page] (w5354774.1) Bk 28734 Pg46 #10475 r� Bruce Miller CONdONWRALTH OF MASSACHUuSPriS SUITOLK,ss. l- _ On this� day of March, 2015, before me, the undcrsigncd notary public, personally appcarcd Bruce Male,as Trustee of the 46 island Avenue Realty Trust.proved to me through satisfactory evidcrloo of identification,which was❑Photographic identification with signature issued by a federal or state govcrameutal agency, ]oath or affirtnadon of a credible witness,q personal lmowlcdgc of the undersigned,to be the person whose name is signed on this dolt,and acknowledged to W11that he signed it voluntarily for its stated purpose as Trustcc of said Trust ' Public My Commission Expires tWMMl181K ttIL9i9A�. 00= k RMSTABLE REOISM OF DEEDS John E Meade,Reg(sW (W5354774.1) I t Sk 28734 P947 ♦10476 03-12-2015 8 12303P 46 TSLAND AVENUE REALTY TRUST APPOINDIENT OF SUCCESSOR TRUSTEE (Pursuant to Article 7.2) Mote March 2,2015 Purmnt to the provisions of Section 7 of the 46 Island Avenue Realty Trust, as amended,the undersigned,being the Trustee of the Trust hereby certifies that in accordance with an instrument in writing signed by the sole Beneficiary of the Trust pursuant to the q provisions of Suction 72 of said Section 7, Dirultri L Nlonakls has been appointed as successor Trustee of the Trust,such appointment to become effective upon the acceptance of appointment by such successor Trustee. [the remainder of this page intentionally IcQ blank—the next page is the signature page] S {w5354774.1) • HK ZU-134 VCJCi *IU4'tb Bruce Miller .v. — .—_ ._....�. COMMONWCAI,`1 R On MASSACI-RJSCTTS SUFFOLK,ss. On this,day of March, 2015, before me, the undcrsigucd notary public, personally appeared Brace Niller,as Trustee of the 46 island Avenue Realty Trust, pmved to me ftough satisfactory evidence of identification, which was (l photographic identification with algmture issued by a federal or,state govemmental agency, ❑ oath or affirmation of a credible witness,q personal knowledge of the undersigned,to be the person whose name is signed on this document, and acknowledged to me that he s4pncd it voluntarily for its stated purpose as Trustee of said NotatypOc Ky ission Expires BARNSTABLE REGISTRY OF DEWS Jahn F. Meade' Register Shea, Sally From: gmartiny88@gmail.com Sent: Friday,April 22, 2016 2:42 PM To: Shea, Sally Subject: Fwd:46 Island Ave Realty Trust l , Sent from my iPhone Begin forwarded message: From: Nick Lazares <NWLazaresga admiralsbank.com> Date: April 22, 2016 at 2:31:55 PM EDT To: "gmartiny8892mail.com" < martiny 8@gmail.com> Subject: 46 Island Ave Realty Trust To whom it may concern, I hereby certify that Dimitri Nionakis has replaced.Bruce Miller as Trustee of the 46 Island Avenue Trust. Nicholas W. Lazares Attorney at Law Sent from my iPhone ---------------------------------------------------------------------- CONFIDENTIALITY NOTICE This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. i r C©Mw I-an0nVTe r assac u-setts -Permm it Map Parcel Date: V (s /(� �p G I�o5-\ Permit .' Estimated Job Cost: $ 7;_6 O O Permit Fee: S Plans Submitted: Yll<S ✓ NO Plazas Reviewed: >�E'�1S.�� No Business License ` o? Applicant License ," Business Information: Property Owner f Job Location iforination �1a.me���%FS Name! y& -3/c,,.o'-A v f tlb z 6V Stye;t: 7 I(A Street;_�l (9 C A v"E City Town: N / / �aC City/Town: Cuv/Ij pr `l elephone"1 d ' 7 7� ® 93 Telephone- Photo I.D. required Copy of Photo I.D. attached: YES No J-1 /M-I-unrestricted license ,>-2,/M-2-restricted to dwellings 3-stories or less and comme;rcial up to 10.,000 sq. ft._f 2-stories or, less 1_1 far,-m'.lrr NA1lit; ly E`rinrtn I'i n�z Commercial: Office Retail Industrial Educational tUire Dept. A—pproval Lnstitutional� Other Sgaaar-e;rootage: under 10,000 sq. ft. —over 10,000 sq, f<, Number of Stories: Sheet arretal work.to e complc}ted.: New Work: Renovation: 1m V Ati '1Metal 1W'atershed Roofna _ Kitchen Exhaust System Metal Chimnev/ Vents Air Balancing Provide detailed description of work to be dome: INSURANCE COVERAGi`. ! have current liaWii instararrce policy or:its ec ivaiertt Which meets t herou meats of M.O.L.Ch."t12 1'es:Q4l'0 If you have chocked YFs,indicate:the:type of coverage by checking the appropriate box e[Qw:: A liability insurance policy other type.o in eptnity^ El Bond 0: p!frtNEWS INSURANCE WAIVER--tarn aware that the licensee does not have the insurance coverage.-requited:by Chapter 112 of the Massachusetts General Laws,and that rpy s(gnaturei czar this permit application waives this requirement Check One Only owner [ Agent:; El Signature of:Owner or Owner's Agent By checking this boxi],I hereby certify hat all of tie details and Information I nave submitted(of entered)regarding this application are true and accurate to the best of Amy knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all partinent.provisicn of the Massachusetts Suilcs'ing Cade and Chapter 112 of the General Laws. Duct Ins pectio respire :prior to insulation.insteltation: YES.. No Date Comments Final I s-nection Date Comments; Tvne:of License i 3Y t R I e ---�----�-- � Q faster-Restricted` �mnn [',Joasney ersory sittire of Licensee ,lourneyperson-Restricted i License Number, fl . Check at = g- nspector Signature of.PermR-Approyal' a , _o COMMONWEALTH -OF._MASSACHUSETfS o ® ® • e er Mill BOARDrOF _. , SHEET METAL WORICRS 1 SSUES THE F0L LOW I NG L I CENSE: AS A BUSINESS - : lz I� JQHN R ROB I GAUD :M� W ROBIES EFRtG:ERAT(QN ...NC N z 279.YARMOUTH RV: i� H YA NNIS MA 02601 ee�otal.'1�.Iehl Ia. y:/aI•i�Vl[�I. _ _ fi COMMONWEALTH OF MASSACHUSETTS BOARD OF SHEET METAL WORKERS ISSUES THE FOLLOWING LICENSE AS A MASTER UNRESTRICTED D, 2" JOHN-R ROBICHAUD � 27 MARBLE Rp _ W BARNSTABLEf MA 02630 1608 z J 28 08128/2017 1550 0 D I r A6� o CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) llk. 12/18/2015 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 endorsements. PRODUCER CONTACT Rogers&Gray Ins.-Kingston Branch NAME: 9 y 9 PHONE 508-746-3311 FAX 63 Smith Lane 877 816-2156 Kingston MA 02364 E-MAIL mail@rogersgray.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Arbella Protection INSURED ROBIREF-01 INSURER B:Atlantic Charter Insurance Group Robie's Refrigeration, Inc. INSURER C: 279 Yarmouth Road Hyannis MA 02601 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 1397243135 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 I WffTYPE OF INSURANCE D R POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 8500061485 12/31/2015 12/31/2016 EACH OCCURRENCE $1.000,000 CLAIMS-MADE aX OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY FI JE C a LOC PRODUCTS•COMP/OP AGG $2,000,000 OTHER: A AUTOMOBILE LIABILITY Y Y 1020024673 12/31/2015 12/31/2016 Ea accdent $1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ A X UMBRELLA LIAR X OCCUR 4600061489 12/31/2015 12/31/2016 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 DED I X I RETENTION$10,000 $ B WORKERS COMPENSATION WCA00554700 12/21/2015 12/21/2016 PER AND EMPLOYERS'LIABILITY Y/N XJ STATUTE I I ERH ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? a NIA E.L.EACH ACCIDENT $500,000 (Mandatory in NH) E.L.DISEASE•EA EMPLOYE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $500.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Additional insured status for ongoing and completed operations, waiver of subrogation, primary and non-contributory coverage is automatic under the general liability when it is required by written contract or agreement. Additional insured status and waiver of subrogation coverage is automatic under the auto liability policy when it is required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN OF BARNSTABLE REGULATORY SERVICES ACCORDANCE WITH THE POLICY PROVISIONS. BUILDING DIVISION 200 MAIN STREET AU, D REPRESENTATIVE HYANNIS MA 02601 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Tr `.1 awn Of Baru stable: ■AIMSTABLE, a' .HAM Thomas F.Cvealer,Director Torn Pe.rry Buii€tiq Commissioner 200 Main Stme t,Hyannis, A MOI wwrw.town.barnstanie.ma_us U c : 508-862-4038 )pax 3tI8-7 4-b23fl Property Owner M.11st CP PIet And Sigma � Sufi Owner 01 tie s bject.�ato�ert�f hereby auffiorllw O < _-�- to:act on my Behalf, in a1.1 matters re.larive to.work authorized by dus bujIdi g per=Z. (Ad.dress ofjob Pooh fences and:alAuns ge the lesions of ity of th ie nte Fools are not to be Ued before f�nee is z sta e , and pools are not to be utihzed u.ntdI all final ins eet c� s are performed'aid: ee t d ;S�gnamre of nex ,mature Of Apphcan 11rint Name I'rinf.l`aamu Q �Rtvt•S:OWM.kF 'vi'S53t)I�P{)C7vS 9 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 r 600 Washington Street Boston, MA 02111 t, www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Robies Heating & Cooling Address: 279 Yarmouth Rd City/State/Zip: Hyannis Phone #: 508-775-3083 Are you an employer?Check the appropriate box: Type of project(required): 1. ✓ I am a employer with 36 4. 1 am a general contractor and I 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 8. Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp. insurance comp. insurance.+ required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. 1 am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself o workers' com right of exemption per MGL y � P 12. Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13. Other comp. insurance required.] *Any applicant that checks box#l 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: Atlantic Charter Insurance Group Policy#or Self-ins.Lic.#: WCA005554700 Expiration Date: 12/21/16 Job Site Address: y(9 _,J�2&"d AV, City/State/Zip: f-(�4 t7r�`�4 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$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 certify punder the pains and penalties of perjury that the information provided above is true and correct. Signature: !'K- -eS, Date: l(9 / CD 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#: F:\Glenn\MISCELLANEOUS PROPOSALS\Lazares,Nick 46 Island.doc • '�FAn ROBIES Our 52nd fl. nniu_e. rsai fi ry Heating & Cooling � `y 279 Yarmouth P.oad,Hvannis,Massachusetts 02601 PROPOSAL 508-775-3083- 800-698-4522- I ax 508-534-1272 •www.robies.com Committed to Semite€r Quality Since 1959 100°4,Satisfaction Guarardee. PROPOSAL SUBMITTED TO: PHONE: DATE: Nick Lazares nwlazares@admiralsbank.com February 8, 2016 STREET: JOB NAME: Air Conditioning CITY,STATE,ZIP CODE: JOB LOCATION: 46 Island Ave., Hyannisport, MA Furnishing and installing air conditioning as follows: 1st Floor: Carrier 24ABC630 16 SEER Condensing Unit Carrier FB4CNF030L Air Handler April Aire 1410 High Efficient Air Filter Honeywell 5000 Thermostat 2nd Floor: Mitsubishi MSUGE12NA Outdoor Unit Mitsubishi MSYGE12NA Wall Mounted Indoor Unit The air distribution will be fabricated from galvanized sheet metal with R-6 FSK fiberglass insulation. The supply run outs will be round insulated pipe/flex with balancing dampers.The supply and return grilles will be floor mounted. Robies will also provide refrigerant piping, condensate drains, outdoor unit pad and permits. The price of the above, including one-year parts and labor warranty and all manufactures warranties will be Please Note: Electrical wiring is NOT included in the above pricing. MASSACHUSETTSW A FINANCE CHARGE OF 1%%PER MONTH(18%PER ANNUM)WILL BE CHARGED TO PAST DUE BALANCES OVER 30 DAYS Sheet MeulContr�ttw The customer agrees to pay all collection costs and attorney fees in the event it becomes necessary LICENSE FtS We propose to furnish material and labor, in accordance with the above specifications, all for the sum of: Dollars Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike Authorized manner according to standard practices. Any alteration or deviation from above Signature: specification involving extra costs will become an extra charge over and above the estimate. All agreements are contingent upon strikes,accidents,or delays beyond our Glenn Davis control. Owner shall carry necessary insurance. Our workers are fully covered by Note: This proposal may be Workmen's Compensation Insurance. withdrawn by us if not accepted within Thirty(30) days. Acceptance of Proposal --The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature: to do the work as specified. Payment will be as outlined above. Date of Acceptance: Signature: White - Original Yellow- Customer Pink - File Lazares HVAC Load Calculations for Lazares 46 Island Ave Hyannisport EIE--j! RHVAC HVAC L oAD Prepared By: Robies Wednesday, March 16,2016 Rhvac is an ACCA approved Manual J and Manual D computer program. Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D. r Rhvac Residential 8&Light Commercial HVAC Loads Elite Software Development,Inc. Robies Heating and Cooling' :Lazare's Hyannis,MA 02601-2096 ,: r Page 2. Load Preview Report Has Net ft. Sen; Lat Net Sen Min MinClg Sys Sys Sys Duct tg Scope AED Ton /Ton Area Gain'; Gain Gain Loss CFM CFM CFM CFM CFM; _S¢e Building 2.50 678 1,696 25,240 4,787 30,026 35,543 464 1,153 464 1,153 1,153 System 1 No 0.51 639 324 5,347 734 6,081 6,954 91 244 91 244 1 244 7x7 Supply Duct Latent 79 79 Return Duct 0. 4 4 5 Zone 1 324 5,347 651 5,998 6,949 91 244 91' 244 244 7x7 1-Master Bedroom 324 5,347 651 5,998 6,949 91 244 91 244 244 3-5 System 2 Yes 2.00 688 1,372 19.892 4,052 23,945 28,588 373 909 373 909,' 909 10x17 Supply Duct Latent 342 342 Return Duct 0 4 4 5 Zone 1 1,372 19,892 3706 23.598 28,583 373 909 373 909' 909 10x17 2-Living Room 416 7,185 1,215 8,400 11,134 145 328 145 328 328 3-6 3-Kitchen 180 3,833 762 4,595 3,477 45 175 45 175 175 2-5 4-Foyer 192 378 0 378 450 6 17 6;` 17`. 17 1-4 5-Study 150 2,205 589 2,794 4,113 54 101 54 101 101 1-6 6-Front Room 434 6,291 1,140 7,431 9,409 123 287 123 287' 287 3-6 F:\Elite Program\Rhvac 9 Projectslazares.rh9 Wednesday, March 16, 2016, 10:41 AM Rhvac-Residential&Light Commercial HVAC Loads Elite Software Development,Inc. Robies Heating and Cooling. - Lazares Hyannis,MA 02601-2096age 3' System 1 Summary Loads Component , Area ` Sen r� ,,,Late �. Sen, , .,..Total. ..,.;: . Description - �� Quan Loss ° Gann'', Gain Gain.; 1 D-hw-o: Glazing-Double pane, operable window, heat- 94.5 3,013 0 2,969 2,969 absorbing, wood frame, u-value 0.57, SHGC 0.44 12D-Obw: Wall-Frame, R-15 insulation in 2 x 4 stud 337.5 1,626 0 348 348 cavity, no board insulation, brick finish, wood studs 1613-25: Roof/Ceiling-Under Attic with Insulation on Attic 324 689 0 616 616 Floor(also use for Knee Walls and Partition Ceilings), Vented Attic, No Radiant Barrier, Dark Asphalt Shingles or Dark Metal, Tar and Gravel or Membrane, R-25 insulation Subtotals for structure: 5,328 0 3,933 3,933 People: 2 400 460 860 Equipment: 0 0 0 Lighting: 0 0 0 Ductwork: 620 83 161 245 Infiltration: Winter CFM: 16, Summer CFM: 9 1,006 251 142 393 Ventilation: Winter CFM: 0, Summer CFM: 0 0 0 0 0 AED Excursion: 0 0 651 651 System 1 Load Totals: 6,954 734 5,347 6,081 Check Figures Supply CFM: 244 CFM Per Square ft.: 0.754 Square ft. of Room Area: 324 Square ft. Per Ton: 639 Volume (ft') of Cond. Space: 2,592 1.System Loads Total Heating Required Including Ventilation Air: 6,954 Btuh 6.954 MBH Total Sensible Gain: 5,347 Btuh 88 % Total Latent Gain: 734 Btuh 12 % Total Cooling Required Including Ventilation Air: 6,081 Btuh 0.51 Tons (Based On Sensible+ Latent) Notes: Rhvac is an ACCA approved Manual J and Manual D computer program. Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at your design conditions. F:\Elite Program\Rhvac 9 Projects\Lazares.rh9 Wednesday, March 16, 2016, 10:41 AM Rhvac-Residential&Light Commercial HVAC Loads Elite Software Development,Inc. Robie's Heating and Cooling Lazares - [Hyannis,MA 02601-2096 �. " . _ �� Page 4, System 2 Summary Loads Component A%ea I Sen LatJ Sen Total. Description Quan Loss"� � '" G 'i°ri°� ° '� Gairi Gain 1 D-hw-o: Glazing-Double pane, operable window, heat- 166 5,298 0 5,488 5,488 absorbing, wood frame, u-value 0.57, SHGC 0.44 1 D-hw-d: Glazing-Double pane, sliding glass door, heat- 84 2,682 0 1,428 1,428 absorbing, wood frame, u-value 0.57, SHGC 0.44 106-w: Glazing-French door, double pane clear glass, 84 2,822 0 2,138 2,138 wood frame, u-value 0.6, SHGC 0.39 8Br-smi: Glazing-Skylight, Flat double pane reflective, 12 498 0 884 884 small curb, metal sash no break, curb R-6 or more, light shaft R-6 or more, horizontal, u-value 0.74, SHGC 0.27 11 H: Door-Wood- Panel With Wood Storm 21 376 0 175 175 12D-Obw: Wall-Frame, R-15 insulation in 2 x 4 stud 861 4,147 0 888 888 cavity, no board insulation, brick finish, wood studs 1613-25: Roof/Ceiling-Under Attic with Insulation on Attic 1140 2,426 0 2,166 2,166 Floor(also use for Knee Walls and Partition Ceilings), Vented Attic, No Radiant Barrier, Dark Asphalt Shingles or Dark Metal, Tar and Gravel or Membrane, R-25 insulation 19A-13p: Floor-Over enclosed crawl space, No insulation 1180 3,144 0 842 842 on exposed walls, sealed or vented space, passive, R-13 blanket Subtotals for structure: 21,393 0 14,009 14,009 People: 11 2,200 2,530 4,730 Equipment: 358 2,024 2,382 Lighting: 0 0 0 Ductwork: 2,597 346 680 1,027 Infiltration: Winter CFM: 75, Summer CFM: 39 4,598 1,148 649 1,797 Ventilation: Winter CFM: 0, Summer CFM: 0 0 0 0 0 System 2 Load Totals: 28,588 4,052 19,892 23,945 Check Figures Supply CFM: 909 CFM Per Square ft.: 0.662 Square ft. of Room Area: 1,372 Square ft. Per Ton: 688 Volume (ft') of Cond. Space: 11,844 System Loads Total Heating Required Including Ventilation Air: 28,588 Btuh 28.588 MBH Total Sensible Gain: 19,892 Btuh 83 % Total Latent Gain: 4,052 Btuh 17 % Total Cooling Required Including Ventilation Air: 23,945 Btuh 2.00 Tons (Based On Sensible+ Latent) Notesw Rhvac is an ACCA approved Manual J and Manual D computer program. Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at your design conditions. F:\Elite Program\Rhvac 9 Projects\Lazares.rh9 Wednesday, March 16, 2016, 10:41 AM Rhvac Residential 8 Light:Commercial,HVAC Loads Elite Software Development,Inc.' Robies Heating and Cooling _Lazares t � H anrns,MA 02601-2096 �' 5. System 1 Room Load Summary Htg Min Run Run CI'g Clg Ming Act Room, Area SfenstHtg �� Duct � 4Duct � Sens LatT Clg Sys No, Name " SF 'Btuh CFM Size `` Vel Btuh Btuh a, CFM ---Zone 1--- 1 Master Bedroom 324 6,949 91 3-5 597 5,347 651 244 244 Duct Latent 79 Return Duct 5 0 4 System 1 total 324 6,954 91 5,347 734 244 244 .._.. . ----... System 1 Main Trunk Size: 7x7 in. Velocity: 718 ft./min Loss per 100 ft.: 0.185 in.wg ,Go011n g Sy stem SUmma Co,olirig ��Sensible/Latent : Seri"sibi'd Latent ;," " Iota{ Tons, Split .�Btuh� Btuh,., `Btuh: Net Required: 0.51 88%/ 12% 5,347 734 6,081 Actual: 1.00 75%/25% 9,000 3,000 12,000 Equipment-Data wn Heating System Cooling System Type: Natural Gas Furnace Standard Air Conditioner Model: MUY-GE12NA Indoor Model: MSY-GE12NA Brand: MR. SLIM Efficiency: 0 AFUE 20.5 SEER Sound: 0 0 Capacity: 0 Btuh 12,000 Btuh Sensible Capacity: n/a 9,000 Btuh Latent Capacity: n/a 3,000 Btuh AHRI Reference No.: n/a 3575943 F:\Elite Program\Rhvac 9 Projects\Lazares.rh9 Wednesday, March 16, 2016, 10:41 AM Rhvac-Residential&Light Commercial HVAC Loads Elite Software Development,Inc. Robies Heating and Cooling Lazares °Hannis, MA 02601-2096 System 2 Room Load Summary Htg Min Run Run" Clg Clg Min Act: "Room " AreaSens Htg Duct duct" Sens �Lat,1� _i �.Clg 3." sSys' N'o Name SF Btuh, FM, '. 'Size Vel G Btuituh CFNI CFM ., ---Zone 1--- 2 Living Room 416 11,134 145 3-6 557 7,185 1,215 328 328 3 Kitchen 180 3,477 45 2-5 642 3,833 762 175 175 4 Foyer 192 450 6 1-4 198 378 0 17 17 5 Study 150 4,113 54 1-6 513 2,205 589 101 101 6 Front Room 434 9,409 123 3-6 488 6,291 1,140 _ 287 287 Duct Latent 342 Return Duct 5 0 4 System 2 total 1,372 28,588 373 19,892 4,052 909 909 System 2 Main Trunk Size: 10x17 in. Velocity: 770 ft./min Loss per 100 ft.: 0.099 in.wg Co ,_o....lie 5sfem Summa �" �.. Coolingw" 'Sensible/Latent;" >Sensible "`` LatentT Total'' Tons' Split Btuh�E„," �G�Btuh,,�: �Btuh Net Required: 2.00 83%/ 17% 19,892 4,052 23,945 F:\Elite Program\Rhvac 9 Projects\Lazares.rh9 Wednesday, March 16, 2016, 10:41 AM TOWN OF BARNSTABLE BUILDING'PERMIT APPLICATION Map Parcel Permit Dn: 1 Health Division �� c5 `� Lbe Date Issued 1 ©`^ (6 f 6 Conservation Division /OhoIo Feed -Tax Collector Treasurer 6116 cap Planning Dept. , Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis # i Project Street Address �/� Villagei fz�/r/rs a Owner Address Telephone Permit RequestDe- _ n �� f) /j.�TiSis; C�.�/✓�a2T" f7 7 4- t�.�os.r L�;C•�.�, _,9 r)�� .� Square feet: 1 st floor:existing&1 proposed_ O 2nd floor: existing ; proposed _Q Total new D Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type "2� ,P�:y� Lot Size ,LS���f� F Grandfathered: Ule"s ❑ No If yes, attach supporting documentation. + . Dwelling Type: Single Family U __ Two Family Cl' Multi Family(#units) Y Age of Existing Structure 3a ze&45 Historic House: ❑Yes No On Old King's Highway: ❑Yes 00 Basement Type: ull L1,0rawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ® Basement Unfinished Area(sq.ft) y5'D Number of Baths: Full: existing new Half:existing f new Number of Bedrooms: existing_ new Total Room Count(not including baths):existing new First Floor Room Count w u Heat Type and Fuel: ❑Gas V:ril'O Electric ❑Other Central Air: Itles ElNo Fireplaces: Existing �_ New_ Existing wood/coal stove: ❑Yes #No Detached garage:O existing ❑new size Pool:O existing ❑new size Barn:O existing ❑new size Attached garage:04 isting O new size 22Shed:❑existing ❑new size Other: y Zoning Board of Appeals Authorization O Appeal# Recorded O Commercial ❑Yes ❑No If yes,site plan review# a Current Use Proposed Use - BUILDER INFORMATION ` Name �� ,�( /,,� �¢�rrc� Telephone Number ? Address 2 ( License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE'ONLY a R PERMIT'NO.: e _ � } {. �.-E' -. j `` .tip -. .• � ..—. !, • . DATE ISSUED MAP/PARCEL NO. ADDRESS .�a F' VILLAGE OWNER ... DATE OF INSPECTION FOUNDATION FRAME INSULATION EIREPLACE .." .,. ELECTRICAL: ROUGH FINAL • PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING - ,. . ,fit sx s 1 t�,. r - ♦� t '- J � if i ' DATE CLOSED OUT f .< t ` ASSOCIATION PLAN NO. r . I r • i i SMOKE DETECTORS O.K. "� _ _ *n"m U� / V 11 NEW COL U"NS OM CON PER VVV I4''_FOUNDATIONS TO SUPPOOOhRRT .. • T ' ST LE BUILDINf3 DEFT. I EXIST.CANTILEVERED =_-- ao►w nn i DECK A (2)DOUBLE HUNG WINDOWS ;; # iW/SUPPORT MULL I •. EXISTING STEEL BEAM TO W-2 REMAIN ;1 WOOD C-OSET PO-E E 'A6AGC SHELF NEW 12'-0 'W•T-O'HT. BIFOLD LOSET DOOR INSULATED STEEL '1 ACCESSC DOOR TO BELOW - - VERHF�6 B96R- STAIR X(�i'T/✓ NEW BRICK MASONRY CHIMNEY ' SUBMIT BRICK SAMPLE FOR llrP.OF 2 { OWNER'$APPROVAL STONE HEARTH I NEW COFFERED CEIL:.`IG TO I I -- ii BEAM CONCEAL EXISTING STEEL ••I I .. NEW PORCHI.;\`\ II COLUMN.TYO._- NOTE (2)DOUBLE HUNG WINDOWS o'ff W/SUPPORT MULL D DOWEL NEW FOUNATIONS D I WITH 3 d BAR 12'LONG i DRILLED 8 GROUTED INTO -" .. • -,�. - - _-_ _ ', FLOOR I man EXISTING WALL•2'-O.O.C. 1ImpiO�a�G 5 �p------ In EEI STUDY I y SAW CUT AND REMOVE EXIST, TOP OF CONC.WALL AS REQUIRED AT NEW DOOR OPENING. SIM.AT NEW CL ® T.O L J � GARAGE DOOR.SEE AL50 NEW FRENCH DOOR SECTION - COMBINATION UNITS - MOTE NEW PORCH COLUMN,TY . I 0 .A. ,eTAQ MG _____ - I¢ -�i ' W ENTRY DOOR W .I- I 6 LIV - - it I bIDELIT=S Lw PORCH COLUMN. YP. GENERAL-NOTES fil l y _ J -=--- - I CONTRACTOR TO REMOVE ALL EX15TING }mj 'VTF ___ _-- I COWINDNTRACTOR E 0 ORS O FRAME .`!EW ROUGH P629T PLOOR OPENNINGS FOR NEW WINDOWS E DOORS PLAN PER MFG.INTALLATIOM INSTRUCTION. NnrCN exuT. �•-e } ALL FORMER OPENNINGS SHALL BE un NEW CONC.FLOOR SLAB ON INFILLED W/NEW EXTERKJR PARTITIONS � GRADE TO MATCH ADJACENT. 3 OCT.2000 NEW FOUNDATIONS NEW MAWR By. ADDITION SEE TYP. FOUNDATION SEC. I NLW 3/3Y•1'-0' I rl--�FiRST FLOOR PLAN `--L --3/3Y •1'-O' i; 1 MAW TILM 'WOOD RAILING'POSTS -YP.OF(6)1 ARCMRCCT3 ' 1�Gl101f WONT.w - 5orua•rm _ 1 _ MASTER SURE i SHINGLE ROOF ON PORCH BELOW TYP. SOUND BATT -- INSULATION I5' DOUBLE HUNG WINDOWS-YP. I BATHROOMS TYP, SURROUNDING NEW • .%(p - Gll�4T•] 1, BUILT IN DESK m :- VI✓F//VHS '�' - t2' WALL W./OAK TOP m DAP bi CLOSET POLE H SHELF TYP. go-----_ 1I Rgo ON WOOD LOUVER BIFOLD DOORS EMY1WROOF a /erriHCl� •I ml O ei 41 r SKYLIGHTS TO REMAIN VNf I a O TYP. wl rds m � m Z r----- STAIR W/NEW OAK 1 i I -READS a RAISERS 1 1 1• S O'- '. iEXI BATH. � � erAv ^ 6123Ta� �I+ BEDROOM .� -- S I -1 I NEW GUTTER TYP. + I on ______________-- �a n G� v oB PRAM � ® NEW ROOF OVER FOYER GUEST w 2 o OVER BUILD EXISTING AND - u� BEDROOM PRO'vIDE ALL FLASHING AS �`T1'I REQUIRED 3 OCT.2000 I"wm wrl . la 3/3Y•'M10' (51SECOND FLOOR PLAN MAWM"'' SCALE:3/32' v A-2 _NEW ROOF TO OVER BUIL_D R00. Man � MATCH CRICKET SLOPING TO i ADJACENT FRONT I,REAR ON OVERLAP OF(2) ARCHITECTS HIGH ROOFS .m NEW PORCr- -CSTS 3 ♦�a„dm�aaY w RAILING,PAINTED �waatlm — — _ EXIST.TOP OF PLATE — — T — _ — _ — — �I -- — — — — — — _ _ _ _ _L _ EXIST.2 L.71 PL ERE DECK EXISTING CAN=(LEVERED DECK TO REMAIN ® ®I ❑ I / \ I NEW SUPPOR'COLUMNS — _ '\ ® BELOW EXIS-.DECK EXIST.DINM ROOM P.P.at _ �TFmISAED'FCOa� — — ♦-____I4; NEW VINYL CLAD I (1X4 CASING T— PRENCH PATIO WHITE.TYP. I T r DOORS TYP. I I I I VINYL C-AD DOUBLE 1 1 HUNG WINDOW;SI.TYP. NEW'SMOOTH STAR' NEW STOOP FRAMED LIB I 64 m FIBERGLASS DOOR W/ 'W"TH P.T.LUMBER H Am MATCHING SDLIGHTS COVERED W/'IX4 TRANSOM'BeY MAHOGANY DECKING THERMA-TRU z SOUTHEAST / FRONT ELEVATIONS C C ! ecaLs, !AST ecot 0 rwl Pis ` m L CONT.RIDC-E VENT i NEW FIBERGLASS ASPHALT O W j ROOF SHING_=S i NEW ROOF C"/=R FRIEZE BOARD DTL. — — _ FOYER � — PAINTED W'H*TE TYP. I _ EXIST.TOP OF PLATE 9XI0 CORNER BOARD PAINTED WHITE TYP. ' NEW'CEDAR SIDE WALL 1 SHINGLES,STAINED EXIST.2 w PLOOR DECK ® ® CONT.EXTRUDED GUTUTTERS WHITE PORCH GO_UMN_UMn W/WOOD Tmf I I I TRAIL PAINTED WHITE BUILDAIG ALUMINUM DOWN SPOUTS,TYP ELEVATIONS It �LI I III I I I I I I I I 3 OCT.2CCO 1 J I I I I i L-SEE LANDSCAPE PLAN I I III I III 11}�—TYPICAL 42'DIA.SONOTUBE i I FOR STONEWALL. COLUMN FOUNDATION W/ j u i i wwn sir. NEW 0'TH.FCUNDATIOM WALL I i TERRACE PLANTING I I I 4'-0'MIN.DEPTH BELOW NEW FOYER ADDITION.TOP KER I OF WALL TO MATCH EXISTING NEW GARAGE DOOR ON NEW 20'STRIP FOOTING MATCH I '��� EXISTING BOTH.OF FOOTING OR 3/32''410' MIN.4'-O'DEED SEE ALSO PLAN M•WMa 1110., SOUTHWEST / LEFT SIDE ELEVATIONS .3 CRICKET(S)BEYOND !�lJriT'ftAE I:QRCIaI'}ECT9 eoromrdlr.w E%L4T_1O1P OF PLATE —12 EXISTING SLIDING PATIO — DOORS TO REMAIN I I I i I EXIST,2 re FLOOR DECK PATCH 9 REPAIR El EXISTING FINISHES EXIST.DM GE ROOM PJ.ELEV. AS REO'D. tft � II Ii_ I I I •�V NEW WOOD TRTIMMED _ _ '• �_ BEAM TO MATCH FRIEZE -- _I --�— —___--�yL _----- _---J ORD.DTL. I rA m ! v. >e. owl, NORTHEAST / RIGHT SIDE ELEVATIONS C �a - rA �; e E a�e NEW CEDAR SIDEWALL rWT� SHINGLES.STAINED COS TYP. y� BOTTOM OF FRIEZE H TOP OF WINDOW CONSTRUCT KRICKET bi I APROX.6'-W AFF. BEHIND NEW CHIMNEY BOTTOM OF FRIEZE H LEAD COATED COPPER STEP TOP OF WINDOW FLASHING&COUNTER APROX.6'-4' AFF. FLASHING AT NEW CHIMNY EXIST.TOP OF PLATE !}AR CORNER BOARDS.TYP. BXIST.2 ue FLOOR DECK ' Una EXISTING CONNECTING HALL SUL.D➢YG TO DINING ROOM ELEVATIONS EXIST.DINING ROOM PP.ELEV. - - - - - - - - — _ ?IEW P RgM��C it MS I I 3 OCT.2000 11 KER sO�Uh NE.CONCRETE=OUNDATION � - 3/32'-I'-O• MAWEIY III z PARTIAL NORTHWEST / REAR ELEVATIONS A-4 BEDROOM W1TN 9CSSOOE TRLL99 TO FORM CATHEDRAL<ELING9 � CONMJN O aVGM VENT.TYP. 1 3 LptERS B+/T R-19 GATT INSUL FgAMC CRICKET BEHIND--1 COVe4 VRTN CC!WATER SHELD �� +Sr.LATER OVER GEEING UOSTS AND SHmGLE9 ' �� (MRPI] LAYER BETWEEN EA. JDMT.TYP.TOTAL R VALUE•JS I � 1@W I++O ROOF RAFTeR9 AT+p• 4 .BItOK�++A�.K' Ex STING ROOF RAFTERS TO BE REMOVED.TTP. // I PL NDG ANN COA D COUNTER FLASHING D COOPER STEP SOK ASPHALT ROOF FELT W/ICE• AROUND--Y.TYP. WATER SHIELD AT ALL eAKS AROUND RAKCS VALLEYS.AND MNETRATIONS I+CW S/B•PLYWOOD ROOF DECK ALunMIM veMvl6 oalP F-0GE. Y. EXIST.TOP OF PLATE CASTING FLOOR DECK AND FLOOR 1 .I' NEW CCLING G 1 _A MG TO RCMAM CONTI TO NEW I �� REPAR 4ND DAMAGED OR UNCKN < BEDROQM BEDRO M ry coNomons � � i I I— G 1 EllMOTE'A' NEW s tsH FLooR OVER p4—DDD'"P.OF I VIDCRLATMCNT �/� e EXIST.2 Ke FLOOR DECK e l NEW BRICK Mpsonar cHINNeY Q^ 17 Aw Inev FIRE Box,MANrL.E.sLrsawno. I: f1�1 AND HFJ.RTlL COORD.ALL �� N/pROrtTCCT AND / ( \\� i m L NCW 9+/ BAIT INSUL m FLOOR OF I/1 Y" m N C O I L n MpyTCR BED a00N 9ME ABOVE 1 l RVB I 6AaAGE I II i I! II O m fi%IST_DCYMG ROOM fiLfiV. �— +'-ri' MEW FIMSMED FLOOR NEW TERRA. E —LATLON BETWEEN 9lECPCR TYPICAL I Y F I N. I I NEW co, RCTE LEV m SLAB 1 NEW COMG FOUNDATION FOR 9TAQ NEW WOOD TRM PAINTED TO CWMI@Y FRCLOSE EXIST.STEEL BEAM OVER CX T, NEW SLAB TWCKMC95 FRAME NATG ING FLEE BEAM ON VAR@3 L J L J S-A�RTCETTAAI DF�" "a TO L J . MEW CONG FOOTING HATCH BEAMS TO—COFFERED �Gx OONC�FOU+Dp TON9 AND exISTING CELNK3 OMS*N WALLZ NEW FLOOR 9LA9 'OVER WALL MEW SONOTUSE FOUNDATION PARS AT NEW PORCH COLLMNS EXTEND MEW OAK PLANK FLOOR OVER J/a' MIN—BELOW PROPOSED GRADE ' T!G PL—DECK GLUED AND OR—STUtSED CARTK TTP. MUD 96.1- TTP EXTERIOR WALL GONST. }♦�+ SCREWED TO NEW U. SLEEPERS.TYP. REMOVe eXSG SIDING AM BUILD�'(G GRAOe U MRLA TINYMENT.n TALL NEW CEDAR--Le SIDE WALL C-R 9fiGTIOMS ! IR:v+ss FELT. •I BUILDING SECTION e'TM•° WALL —WLW ' rATS. p—EL TO.—TIN. S I ve 4/� APT PAKYTCD OVER NEW B MIL POLY MM VAPOR DARRER 3 OCT 2000 MEW Y-O'x+]•DEEP STRIP FooTnG - ��fiYK W/Li KEY MAY CfiR �W arro••M.a i �uwaw rtws BUILDING SECTION�_ r-.-, � To._... A-5 I pF 1HE tp� The Town of Barnstable , • snauvsrnai.e. . 9� M6 Department of Health Safety and Environmental Services ATFD MA'S a Building Division ' 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: 4�07C— 5x�467_ ac/� I eG-le. Estimated Cost Address of Work: 44� SG�4y� f}`� T,•��it/i C D Owner's Name: ��yG�// V�111V5D1y Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own 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 THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav M&bkJLUb(m {. g.mtpqn pw&W hr 0iw md'Iww4mmW RrNre1a1 Buddbp iiamd+O 0OW Fw1bl. MAXIMN mmgcw M s Wilt Fkw mommomm Mob IIi wa Pxcimw lawiNt' R +s' MI a Q iT� ;32T D 1► IOR 1=9t N N 10 ` �8 t2l� O 1ft0 d is AFUE TBIM% tF b WA WA warmsv N n 10 d v u n wA Wa 1s At= v is 1! IO i uAFUS x D a WA MAT aI! 21 WA WA D !0 t0 6 90AFUE AA is N N 10 s 90 AFt1P 1. ADDRESS OF PRQPERZY: w� D !�N�i " JL� � IU►s 01�7 2. SQUARE FOOTA(P OF ALL SXTBItIOR WALL& 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(03 DMDED BY Q: S. SELECT PACKACM(Q--AA-1e art dv" NOTE: MWI MORE INVOLVED MEMODS OF DETERMINING ENERGY REQUIRE1 rEDM ARE AVAILABLE. ASK US FOR INFORMATION. BUILDING BISPE .t R AJPROVAL: YES. NO, _ o-fomu-l9t03Ws f -� DEPARTMENT OF PUBLIC SAFETY ONE ASHBURTON PLACE, RM 1301 • BQSTON, MA 02108-1618 I ! CONSTRUCTION SUPERVISOR LICENSE i Number: Expires Bir.thdate: + � 015925 . 04/01/2000 04/01/1939 -140BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 015925 Birthdate: 04/01/1939 F. Expires: 04/01/2002�-- Tr.no: 21375 Restricted To: 00 CHARLES W TARDANICO PO BOX 628 Keep top for rece: OSTERVILLE, MA 02655 of address not i f ii . Administrator J 7. , y,�'p , �'�� � 'tr a t+ i °•l S � +n � F + s: , r , I 1 -�h r( I i � f l l t r, ., i tt 4`. " • �i i) y t j l ,: �� 1 7r 4 �' ,•'. t 'i • r t�Dr r li,..f ' I'1 A,8} �'•�rI ��(r.1 i, I 'i .,{:fit. I J 1: -I')��Ilfr'•j7 LII 6 R �''� t.� �' '? t4 _� •_'}�X`` '�I �Al t'4 t. i S+t r ,rt4A ,�I it t jl� t �i •r iy �� "t t.. ° ^f '�tr 6t i �r 7(�ll J I �' ,1 tlt4J�i i. S 't a r 1Jrlg. QR }1066 ppI nd 'Stand ii" tYa4k "7.r to , .. k o 1301 �1. 10 f� I Y l I rf ? -,t}^J j a l 'rt tr'� r Qtg1t r 1 r ,•1 4L...� 9;.1 a ,TP, 6 h I! , il;.Ss •1 Aw . 14r t,e t � Y^, �Iti1F1J r ti �' R Jzk 1 "V5% .. y,l' 7� , 1---�2rr CTr t i tr`'�"n�f ��i"'�. lt• GF,r`il �T=}��1Qn K*�/07�Q�R',.-.., r'. + .I '''�'��3 `, �`��46�•t,li9Lil;I.�{�, {t1;'�h••1 li/�i� � 1"6gl t J .,a h+ - 1 ?:� � r�.d diV t �T'•ra" '�� , 4r� I , rq 6{ t)j.'?�� I�r�-, tp�BK`h,t�r e I ! jt J.'I• - ' � �_I .�� r � -J'. °p; + - k I �' 1 tl �� ti ,fi^�nI t•}} I:Iil, h .tn. 'h ri'/[:Sr ?Nrrl ' t� lit rr:, I i, I il.lr7 N: ���� ?f1lQUR�'� 11� t :t �' � r• ( xl..ru��t,F fi� tt t� v, t', r r r r ,: ri, � +., i.:.NAR!- ' �,I` t Yp fil/. ; h4,�' ' {kt , '''1':p 1 , S ,I VI f 65 J) i j[ v j{ }� r gp�HtGb 1.: lrr r 1 1•; r�l ;,�,t, � , :., vf : .,t J�;^. ,�, � ,,, t( ' Z-�w?�? .,A....: �R�1 L'L'E���a�'02656�:•r 4; ,'AOMI/3TRAM�. The Commonwealth of Massachusetts - -- I== Department o Industrial Accidents p = = O/f/ce of/aresdoo ions 600 Washington Street Boston,Mass. 02111 -- Workers' Compensation Insurance Affidavit r�rmar��J name �1�4'� location: city Phone# ❑ I am a homeowner performing all work myself. 1 am a sole r rietor and have no one workin in ca acity I am an a lover providing workers' compensation for my employees working_on this job. O ..:....:...:;. mP G t a e COatABsnY n nt 4: X. insurance co. ::'. ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the followingworkers' compensation polices: .. comnanv name -- M. << > ><< .... ::.. "htm:::::::.:............::::::::::...... t:3 0 ::.;:....::...:::....:::.......:....... . ................. ti�nrart one::;:' ' t' 2 ': `:. '' ? `; ;; :±;_:': :: ::::::::::3%:::2:Y;:::: :::;1;:; >::::;:;:::: :::>; 2::?'::::::: T;::;:::;:; f:=?:::::;:;::;fi;:::;;::rr:::;::::::::;:;:;,;t;;: . .;.:::::.::. adtlt�ss. Ane . ........................................................ _:..... .............. iC3'f:w. rand;co. ::>:<;>::><:>: :. Fafiure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine to S1,500.00 and/or one years,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties'o .ury that the information provided above is true and correct Signature / Date /0// Print name ��1� �GG �t/��•>L Phone# 7 z $SASS official use only do not write in this area to be completed by city or town official city or town. permit/license# ❑Building Department OLicensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Depart3nent contact person. phone#; __ ❑Other Oetised 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire,express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a . . r dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states 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 1 evidence of compliance with the insurance coverage required. Additionally,neither the not produced acceptable p commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit.. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial 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 below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pi number which will be used as a reference number. The affidavits may be retu6R in+ the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of 10llesIN20008 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 jr YOU WISH TO OPEN A BUSINESS? For`Your Information: Business certificates [cost$40.00 for 4 years]. A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by.M.G.L.- it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI_, 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate'that'is required by law. GATE: S it Fill in please: APPLICANT'S YOUR NAME/S: �l BUSINESS YOUR HOME ADDRESS: M TELEPHONE # Home Telephone Number NAME OF CORPORATION: —AI I NAME OF NEW BUSINESS �� . �j ,,,S,�c.! TYPE OF BUSINESS e1y Sr/Lii7rG IS THIS A HOME OCCUPATION? YES ✓ NO AIDDRE55 OF BUSINESS 3 14 te ? Ai4 _ `� MAP/PARCEL NUMBEA [Assessing] When starting a new b{&ne share a e s`6f4e al things you must do in order to be in compliance with the rules and regulations of t he Town of Barnstable. This form is intended to assist you in obtaining the.information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth 'Rd. & Main Street] to make sure you have the appropriate permits and licenses required to legally operate your business in this town. • '1. BUILDING C❑ Is�SI ER'5 OFF E_ OMPLY WITH HOME OCCUPATION This individu I h e i. e o a y per it req ire nts that pertain to this type ofWIV ND REGULATIONS. FAILURE•TO Au orizaSl na COMPLY MAY RESULT IN PINES. o COMMEN 2. BOAR OF EALTH This individual has.been informed of the permit requirements that pertain to this type of business, Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) l This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: - 1 Town of Barnstable Regulatory Services TtiE Tp� Richard V.Scali,Director s • Building Division * MRMABLE, 1 `e$ Tom Perry,Building Commissioner iOrEc tu't" 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: ( ZCp HOME OCCUPATION REGISTRATION Date 1,1J Name: �U Cr �/ Phone#: Address: (o 'Qt' n Village: f+"Gf/ & Uv� Name of Business: Type of Business: 0 Z7-cN6-- Map/l..ot- �r0✓ `�� 1 IlVT=: 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 explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. I - • 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 undersigned,have read an agree with the above restrictions for my home occupation I am registering. Applicant: 1 Date: k 1 00 Homeoc.doc Rev.103113 ` Assessor's office (1st floor): _ uF INE toy t Assessor's map`and lot number .. -f,.� ....1 ... . � �_ �5 d-EM r�Bder re�P yow Bard of Health (3rd floor): o� �fe` 5 f>C nt Q>(Z 9 sy �py Sewage Permit number ..................................,.................. t BAMSTADLE. i Engineering Department (3rd floor): /- YSTEII� ..........� ........ SEPTIC S �. ' House number ................................ ....... . D IN CMP APPLICATIONS PROCESSED 8:304 9:30 A.M. and 1:00-2:00 P.M. only l►4STAL WITH TITLE 5 rg TAL CODE AND TOWN 'OF BARNS � "' c ��- �cy� BUILDING INSPECTOR d e KOLI s,,l 01.E Au N � .T! ON o .. Dti1APPLICATION FOR PERMIT TO ........ ............� ...., , ............... .. .. It— TYPE OF CONSTRUCTION ... 5.440-P....r.W4X?�......................................................................................... Mk .7..------. ---...198 co. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a/permit according to the following information: YLocation .......... .(p.......�5.L4.N4...../X v.,g�:... ..................................................................... Proposed Use ......A17.1�.. r7..a!y.t� .........&�A...... �.1 g7`�....!V. �t?...Gi4,e Zoning District ....................Fire District ..........�.YANW IS .........R F.-............................... .................................................... b T Name of Owner ....M.&70. .......J.......�.�M. u-tr ..Address ........!�.(,p........ S c a !Q........&.re.f....ky .R 7- fo�oyc 5, Name of Builder ...�A. Y..$..1.. ..f...... v.j.A..t'7...1.k4 ........Address .........Cie.%C!V.ttV.C.4.C.e......................I.................. Name of Architect ......4..k!A.e,S........97lA..L:T:�......................Address ...........Wes..r ......E !I.R.N.s.T t/.,E ..................... Numberof Rooms ........ 'y-..................I...................................Foundation ...........SLA..O...................................................... Exterior h . ..�L!r b1J0M. ...........Roofing ..........ce .4 .!' !. � .......' . ... .. ................................ Floors ..............................................................Interior .............!e .�.�? ...................... ....................................................... Heating .................................Plumbing OD Fireplace ..................................................................................Approximate Cost ................J........:........................ .............. Definitive Plan Approved b Planning Board ___-_.1_R�9v Mt 19 67_: Area Z PP Y 9 Y ...... .......... . ............. Diagram of Lot and Building with Dimensions Fee ........................ SUBJECT O APPROVAL OF BOARD OF HEALTH Z '6, �0 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 ...l6 A69---v. t ... �:... .......................... 8hysid� �� c.� ,nic� Co. tive, Construction Supervisor's License .................................... 0'IvATLEY, MARTIN J. 2506 Build Garage No .......... Permit for ; . c Accessory to Dwelling ` ......... ..:.......................................... `.' Location 46 Island Avenue x .Hyannisport .. .... .. .. ...................................... Owner .. Nartin J....O'Malley....................... ; • E T e=of Construction Frame } .......... ................. af, Plot,.:... . .................. Lot _ Permit Granted......May �' :....19 86 Date of Inspection ..........................P... ......19' Date Completed - 1 T r s t -� Assessor's office (1st floor): THE Assessor's map and lot number � r.0 �.... . ,,,1;,oh �,{ �•,�,J �oF ,Hoard of Health (3rd floor): A �►�1 E'"' `n`9 aAj fO ,1 Sewage Permit number ....................................................... '` i BABaSTaBLE, J MAX Engineering Department (3rd floor) ... osYA903 . House number ...............................:. . ........... . .1.......... 0�° a� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR �.. 'DP MQ1-1Sh OtD 6AAAC,-e & ft*APPLICATION FOR PERMIT TO ........ Rti.........���.r7....... .�`.................c'...............?.........~'.9................... ... TYPE OF CONSTRUCTION ............ ........................ ............. f...........................,........... .....!..... i................. ................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 4(........ S,LAw ...... vE' ���/.fi.N.!!.45..(�r ?f........................................................................ j. ........... Proposed Use ......��7 d7 i ri.ary L..........S qvm ........... !....... ...... Eu�...C�A�A%to Z C Zoning District .. F— ....Fire District ........;..... rV l .............................................. .................................................................... 02 7 Name of Owner .... N M a Lt t ..Address ........ :f....... S a,y G( A ( r ace R-r ---� C 5q Name of Builder ..... f..f.`"a..!.s;�.+... .�..: .?..i ..! �?cs.........Address ......... tir E /?.1.41.A:L...P.........................................: Name of Architect q M .S S'�!..t.T .......................Address �.aP. :.fi:...... 'R s ............. ............ ............ ....n.�......a1/��.�: Number of Rooms ........ .....................................................Foundation ........... a....................................... Exterior � h i N.91J.p....... !....e..�.�.4?...� �;4:^'.. ...........Roofing ........0 E �' SA i '!+.G.� r......... -....... ...... .................................... Floors .....................':...............................................................Interior s`!.%.h.......................................... ................ .............. Heating ................................. ..........Plumbing Fireplace ..^! ..........................................................Approximate Cost �5j LOCH. OD ........................:............... Definitive Plan Approved by Planning Board -------J `_Q0_!' 19 7 Area ....e.. ............... Diagram of Lot and Building with Dimensions 1 g 9 Fee �...�....{.�..���........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 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. ' 3. Name ... �1�':.. ... !zQA...................... i Construction Supervisor's License .................................... WMALLEY, MARTIN.J. A/arage 1 No ..29306.... Permit for ..Build ......Accessory_.to..Dwelling Location ....46 Island Avenue .....................Hyannisppx t................................. Owner ......Martin J. O'Malley.................... ...................... Type of Construction ......:TaTw......................... ................................................................................ Plot ............................ Lot ................................ I Permit Granted May 7, 19 86 Date of Inspection ....................................19 Date Completed ......................................19 {/ Assessors map and lot number t .. ..................................... SINE 0 14 -,P number .1,1�5... TIC SYSTEM MUST _3-,Se.wage Permit nurn .......................... E 33ARNSTAXE,INSTALLED IN CORP-PLIAN), q�use number ........................................................................ MAS& t639- 3 WITH TITLE 5 'ENVIROwENTAL CODE AN M" ap iv +T is TOWN 'OF B A R N STARLE, BUILDING NSREC OR APPLICATION FOR PERMIT TO ��� ��.............................. . .. ............... ..................................... TYPE OF CONSTRUCTION .................................................... ............1.11t,�,.L._e..... .. ......................................... ... .. . ............ ................................................19C..... oTO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit ac ing to tie following information: Location ............. >, -.................. ......... ..................................................................................................... Proposed Use ..............ZF Z.. ...........EF .................................................................................................................. Zoning District .....................ez.1.....................................Fire District ............. ......... ......./- I..........I............I........... Address Name of Owner ....... ........... .....:1V.......A .... ................. ........ ........... .................................. L Nameof Builder ..................................... ...... . ........Address ......... .. .... .............. ........... ..... ..... i��'�..... ...... Nameof Architect ..................................................................Address ..................I..............:.... ../.................. Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................... ............................................Roofing .......................................—Roofing .................................................................................... Floors ................�Z......................................... .......Interior ............................................................. ...................... Heating ............ Plumbing .................................................................................... ....Fireplace .............. ..................Approximate Cost ....... .................................... /14 u,? e Definitive Plan Approved by Planning Board -------------------------------19--------- Area ................................ �-0- Diagram of Lot and Building with Dimensions Fee .......... 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 regardin the above construction. Name ....... ...................................... ........ ........................... 0 Construction Supervisor's License :................................... '01 LLEY, MARTIN 2 7J 61 Remodel Dwelli q ................. Permit for ................................... Single Family Dwelling ....................................................................... ...... 46 Island Avenue Location ................................................. .. ........... HyannisPort ............................................................................... Owner ..Ma.r.ti.n...O..'.Ma.l.l.e.y........................ ..... .. .... .. .. ..... .. . .. .. Type of Construction* .....Frame.......................... .... .. .. . ................................................................................ Plot ....................... Lot ................................ + d e April 17. ........19 85 Permit Granl ................................ Date of Inspection lQn.t.� .19, Date Completed ....................................:..19 / Assessor's map and lot number ::.................. Sewage Permit number .!?�...m:..a.: ............. ............. BARN eDLE, i House number ro rnea O 1639. `00 �0 NAY Av TOWN OF BARNSTABLE Y� -- BUILDING INSPECTOR APPLICATION FOR PERMIT TO .................................. . ........................................................ TYPE .OF CONSTRUCTION ................................ ........... . ......................... .................... ......... .......f.....................19J.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit acco fcfng to t e following information: 4 ``�� Location ............ ✓............................. . r.... `............ ......... .................................................................................................... ProposedUse .............., ..................:........................................................................................... i Zoning District ................... •e.�.....................t...............Fre District .............���...... r ............ .................... t Name of Owner a.. ......•................... .. Nameof Builder ...................................... ......... ..................Address .................................................................................... ;Name of Architect ..................................................................Address Numberof Rooms ...................................................................Foundation ................................................................................ �:CJ Exterior ................!�`'.. .. ..........................................:.Roofing ......................... ...................................................... Floors ......................................................Interior ...................................................................�................ Heating g Fireplace ...................................................Approximate. Cost ....... ��,!.................... .. ... .................................... Definitive Plan Approved by Planning Board -----------------___-----------19________. Area !Ua....0`?. .`f.l. ........... Diagram of Lot and Building with Dimensions 00 Fee ...........,................................ 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 regardin the :above i" construction. Name .... ............................ ................................. I� 00,'✓�l/ l Construction Supervisor s License .................................... O'MALLEY, MARTIN A=265-OZ1 �?6�W 2h761 P Remodel Dwellir No ................. Permit for .................................... g Single Family Dwelling..... ... Location ....46 Island Avenue ..................HYannis�ort............................... Owner Martin O'Malley....................... Type of Construction ... rame.... ............................ ............................................................................... Plot ............................ Lot ................................ Permit Granted ....Apr.i1...•17..............19 85 Date of Inspection ....................................19 Date Completed ......................................19 170 � 1 zz .;x- ka Al o° Q �4(A L r 3i :Q, ��• 163 5 �3-/0•' /moo � � r w .. "� r -`=G�Gs Jul:!•%may . . j �-v/tea co��.e7.- ����� pis ys A .. . • :- ._ t'dD Foe �Llk, lvo,F,e 10U/5.�.Z'O/llp0000s/.S ' ' i::.. �;. ...' - —� �,= L •/'-_ -dip ' ��P.�/L /2 /9ti"3�. f` .c�`.�. -76 Assessor's map and lot number ............................:............ Sewage Permit number ....... !l� ��FfNET��♦ TOWN OF BARNSTABLE i H9BBSTADLE, i ° M6 9 � BUILDING INSPECTOR �o wn�c a• .T -A�J _mod✓.�� -� APPLICATION'FAR PERMIT TO ......................................:..__............................................................ ................... TYPEOF CONSTRUCTION ..................................................................................................................................... " /, .19X TO THE INSPECTOR .OF BUILDINGS: U The undersigned hereby applies for a permit according to the following information: Lgcation .................. -.. �� �. ................................. ........................................................................................ ProposedUse ............................................................................................................................................................................. ZoningDistrict ............ ...........................................................Fire District ....................... ............................. 7 Name of Owner ? ' .Lh.........Address ......S......�.:.......-✓ .....r.c...a..l.p...":.....�..-./i.....:./'l ....... . .... Nameof Builder ..........................................................--.—.Address .................................................................................... Nameof Architect ..................................................................Address ..................:................................................................. Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing ...... Floors ............!........ ! �� -............................................Interior `ems , f................................... Heating ........ .....• .... r............ .!.E.............................Plumbing ........... .-^ Fireplace ..........Approximate Cost .... Definitive Plan Approved by Planning Board ________________________________19________. Area ....!.! . P...,.................... Diagram of Lot and Building with Dimensions Fee ....... ................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I ti I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . Mancini., Philip F. A=265-21 18637 add dormer & No ................. Permit for .................................... bath to dwelling ............................................................................... 11/ ,n Island Road Location -Mv........................................................ Hyannisport ........................................................... Owner Philip F. Mancini ................................................................. frame Type of Construction .......................................... .................................... Plot ............................ Lot ................................ September 7 76. Permit Granted . ......................................19 Date of Inspection ....................................19 Date Completed—...........:..........................196 PERMIT REFUSED ....... /............ .. 19 ..................................... .. .... ... ............ ................ .. ........................... . ................. ............................................................. . ................ Approved .............................. .... 19 . .......................... . ... .........!n ............. %............. ......yi .... PW-4��....................... THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA Assessor's map and lot number f r fi r i ` ` ..... fiti�i t tiJ< C Jx r •r S O*THE TD </ sewage Permit number' .. .'F'..fj'ury �� r'.....✓� .. .Fitt,Y•�•.}P q BAHaSTADLE, jr. I•yfJse' number ...:........................ ... .................. . 9O�•Il 6 1639. DMA V - BUl-LDHNG, IN APPLICATION FOR PERMIT TO �... � �t /..fa , ... .. ^..ti- ...............................:.. ls' TYPE OF CONSTRUCTION s ,-� - ? ° ....- .... ....... ................. . TO THE INSPECTOR OF BUILDINGS: The undersigned .hereby applies for apermit according to thefollowing information: wr. ,���F cc-tea �".� .i.. . r r` Location ............... ..... .... ............ r .. ............ ... ................. .... Proposed. Use . .fir!_ _.... ."....... ,;;'.®....•....a .... .. ............. ... Zoning District .... ..:. ..............................Fire District, .. :.......... - ., , ,-µme ,•� .��� .......... /�Name of Owner....? ..... LLr y.id!. .....Address ._... /...................................................................... Name' of Builder; Address ........ --`� r -Ea Nameof Architect ............ E .......Address .................................................................................... Number of. Room ..s '..: ...... .............................: Foundation ountion .......:. /� !T . Exterior .... ..Roof Floors . ...............:... ........ ............:......,....:•..............................Interior .......:: ..:..... -.-......: :............. Heating . ......Plumbing .:............... . .... .................................. Fireplace ' E..: .:....Approximate Cost .. ......... ..... ... Definitive Flan Approved by.Planning Board.__ ________ ______________19 Area .. .............. Diagram of Lot-,,and Building, with Dimensions.• " Fee ............. SUBJECT :TO APPROVAL OF, BOARD OF HEALTH - , f 3: S71 I hereby agree to conform to all the Rules and' Regulations-of the Town of,Ba�nstable regarding the above construction. Name . ... ......................... ............... Mancini, Philip F. & Annette�M� (-l=[65-2 i .• `� s'' is , a� ' No Permit for ...' dd..to dwe frig ................. ..... Location ..........•. .................nd.............................. .............. HxannisP.ort............. ................... Owner ..... hilip..F. !..&,,Annet W„M..., aneni k' Type of Construction ..........zrawe...................... ............. !►... Plot ..................... L 3 .......... Permit Granted . .,..Sep 29 19 78 Date of Inspection ....................19 Date Complete .. ................19 .PERMIT REFUS D IF ...... �: f r!�..... t ...... 19 ...... . � ... .. ........... .... 1 .a..... . ............../ .. .. �f . .............1./............... .f. -7 Approved ..�"./I U.. �1. . .. 19 ................/��.... ............. 1... .!. .. L= ............................................................................... Assessor's map,and lot nu er .. C�. ...... .. -, . ...... ,.. � OF?N E t0 Sewage Permit number � LE,9HHST �l v � � y 6�Q �♦� use number. ........`. Z Ha i /.W...................... ae 9 163 q. `00� TOWN OF BARNSTABLE . BUILDING INSPECTOR f APPLICATION FOR PERMIT TO ......C.... �CK .... .... .... ...................................................:.. TYPE OF CONSTRUCTION .... � ► .. ��� V.. ................................. ...... ................................................. : ......................1A3. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location S'scr�ti� Z�:i�. .......... �► .. t1ti . ...... � 1�. %��.(�C� - ................................................... ProposedUse ..............................l,/ .k-...................................... .......... ..................................................................... ZoningDistrict .. . ..........................................................Fire District .......yiAN.v... ..................................................... 'Name of Owner .�4t.1. ....VS►:...Rt.C.1k1E.'(i. ..........Address �.3 � :. LYti.. ....tiCt�Tl ti`!�.�'. .�`'.. ... b . Name of Builder )"Wyts ...�(y�.....pit.F:�CIAC...............Address ..S3.CZ:.. LC� . �.. .......................... Name of Architect .......................4A.1?.:e............................Address ......................... . Number of Rooms �C �..................................Foundation �.� .e? .............. ................. ........... ................................... Exterior ..........................!�1 ................................................Roofing ......................4-4011 e.................. Floors ��' ..........Interior ................A. 0R.rJ f ............ ............... .... ..... `.....'v ... ............ :....................: Beating ' ...................../(JDiv...e............................................Plumbing .........................!Vd!!/. ...................... .... ...... /v0'v.'e...............................................:A Approximate Cost Fireplace pp ..................................... .........................._ 31 Definitive Plan Approved by Planning Board -----------_------_------------19________. Area r. `{D...�.sT-.... Diagram of Lot and' Building with Dimensions / Fee :..... al. .!.......... . SUBJECT TO APPROVAL OF BOARD OF HEALTH i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the,Rules and Regulations of Town of Barnstable regarding the above construction. Name ...........c.. ..............................................c................... t ©O�\�C ' Construction Supervisor's License ................ ...............:.. PICHETTE, DAVID W. No .. 25.5.. Permit for .....Build Deck - Single Family Dwelling .............................................. 46 Island Road Location , ............................................................... Squaw Island, Hyannisport 44 Owner,...D.auid..Tnl......Pichetta................. Frame Type of Construction Plot:rt.�................. Lot ............. ........ ,. Permit Granted ,.,,,;June„28,,,,,,,,,,,,,,,19 83 Date -Inspection .....:................... 19 ` Date,'Completed ..................:.... 4 ill 14 ii • T .r, Assessor's map and lot n;uer . ...... .... THE umber TOWN OF BARNSTABLE ` BUILDING NNN 0 D0NG INSPECTOR / APPLICATION FOR PERMIT TO .�����.�����1--��������---.--_.-----_..—.-_..—..—.--^--.- TYPE OF ����� � ��� CONSTRUCTION — —.. 4 ------.-------.-.—.—.------.-------. � —.. . ---.... . .---._—.. � TO THE INSPECTOR OF BUILDINGS-\ � \ - ^ ^ � Th6 undersigned h$n*6, opp|ies'�v,o perm fhncco,6ing,t6 'the foUov�og infurmmdbn�'4-� Locotion . _]������\�_-�0�.}` ___ �J.. ' __.�� ................................................ ProposedUse ..............................���,�.�------------..�-----------------------------.. ` \�m Zoning District — ..[------------------'RneC;sthcf — ..................................................... Name of Owner --...�..���.\��Tr�� ---..Ad6,ex ��nc�..��t�..�J _. ^_.&��' Nome of Bvi|6o, 3��^J��' —'\�]`—�l«��`�rf��.----'A66nes« ��^u�..��Vw�..���_. �M� .0AIPt_ ~--Nome of Au6i��� -------���!������---------A66nss --------..~ ^ Number of Rooms .................dec.��-----------.Foun6ohon --.�^���!.+/7--��.[g�� -------__ ` vx/�� Ex�erior --------'�����----------------.Roo�ng -------�����.--------~------_.. � ^°'�� � Floors -----------��~ —��.��-----------Interior ---------«����.��----_________.. � ' ^ O � Heating ----.--' .-..-------...--.'--F1um6n —.-_,..^ / �O� t� ���o°~ Fireplace ---------------------------.App,oximoteCoo ----------__________.,__ Definitive Plan Approved by Planning Board --------------------------------lQ--------- ----. An»o —�_cle °f-/ --------- Diagram of Lot and Building with 'Imenxionx .� _ Foa_ � --r-----------. SUBJECT TO APPROVAL OF BOARD OF HEALTH ` - � --- ` ��_` ( o«Q j - 7 � Aj Alb ' ~^ ` . . OCCUPANCY `PERN\R3 REQUIRED FOR NEW DWELLINGS ~ | hereby agree to conform to all the Rules and Regulations regarding the above construction. Nome .. —.~~-----------------~ | ' . . '~. Construction Supervisor's License ................ ' | PICHETTE, DAVID W. A=265-21 2 5,2 5�0� Build Deck No ................. Permit for .................................... Accessory to Dwelling ............................................................................... Location ...4.6....I s.l.a n.d BQasA4 ............................... Squaw Island, Hyannisport .................. ...................................- ........................ Owner .....David W. Pichette ............................................................. Type of Construction ..Fr.a.me........................... ................................................................................ Plot ............................ Lot ................................ June 28, 83 Permit Granted ........................................19 Date of Inspection.....................................19 Date Completed ......................................19 job A¢�s� i 94 22 ------------ rz- Ito i I f M1 41rz- i r - -, ------- - �L 6¢faZ 614 rnIto D f ♦ i i i _ l i I CERTIFY THAT THE 37RUCTURES ARE SHOWN ON �•;, THE PLAN AS THEY EXIST.ON ThF' GROUND. - 0 0, 1% : -. ._ . DATE I PROFESSION LAND SUh'f TYOR - Laces Fla¢ ' e j O 121. 14 16 20 i V ,18 20 _ 229 09 10 Propose O BIp 20" '16' 1 16 Exist.. _-22; ti O t� 227 0 " Deck —G n o `'o. �G i' .. sting De Abo 14 .. Ave \ � \ r Y IQ LP)1 r . • ~r•- oo �o✓ �t C x ��. `. ,i LO .1 �3 \\moo o� Proposed 15,642 fsq.ftil - Roof Otter i i (dotted) ` c5 Existing 16 R 58.00 L,C �` Paved Drive 9p7 22 '=164. p (L� 20 Y{ OF ' o� pCGISfFR�� �y PLOT PL 41V 0-[' LAND LV ZONING DISTRICT- RF-1 F � J. T. . .a . No.SS%0, -, 1 1 A I �Y 1 ;Y 1�...J'1 01 6. 1 1✓�L 1 BUILDING SETBACKS p«D�r3 o� FRONT 30' egHo s nv `°!� Depicting The SIDE & REAR 15' OYERLAY DISTRICT. AP ; } GRAPHIC SCALE JOHNSON RESIDE, i ao o r to xo 40 eo s Scale:. 1" = 20' 'De te: August 30, 2000 =ASSESSORS MAP• 265-21 ` STREET ADDRESS: 46 ISLAND .4 b � � � IN FEET ) Prepared By- I r. .. t see = zo •r_ Stephen T. DnT.•L A. � � .. ._ ......._.�,...,..._..,+w..y,..-.........+....w.w;••.:f:+e.L......�::...:. .'_...:.,.»,......,..r.M...w.w.,.w.a,av%:...V..c•:...A«aw+!.-w.�b•,var•.,..:�,,, �+s,-.-..•-.�µ.. ,.....,.q.—_.•^""....-�.:•.�---^"'••,-'--- _ - -. - . ...,e. , +S k , - i sl L IV Y ,+`` � ��<.� ��.a moo. 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'4 C-',sit !_�-i # sC t .A Y14'S � - � �v 11�(+#�M S TG' { �t L: - ; :.- , ,, �a• u ?�: rs l)F' bA K r1`✓-r^O L E {�IA ".7 �-•+y,,Yt�' 'J ,� ���«.!�>i .,:, �,k r_T` t., i3 t .._,. _. . ..__ �., •44� ./t'�'`-'�T .!i .:r •�-,,,�,' .�. d _ 6-/f 71 l - Z.