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0026 KILKORE DRIVE
?,�o tf;�Kare 1���ue - - � f - — l 4 - - Town of Barnstable r�,tt 0 Regulatory ,Services Expires 10 S Otlf tfrle aRvsr�at a, + Fee #ass. 1659- Thomas F. Geiler, Director Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town•barnstable•ma.us Office: 508-862-403 8 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 508-790-6230 Not Valid Wititarrt RedX--Press Imprint ' Map/parcel Number a-7ca7 Prop rty Address Residential Value of Work 7q 1 Minimum fee of$35.00 for work under$6000.00 Owner's Name & Address N/I/ q I IAV /0 Contractor's Narne q�Mo ���L Telephone Number 4 Home Improvement Contractor License #(if applicable) Construction Supervisor's License#(if applicable) �W/Orkman's Compensation,Insurance Check one: ::�'k: S PERMIT ❑ I am a sole proprietor P jl�am the Homeowner I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name ' !`f e yS . c Workman's Comp.Policy# i d r 7 3 Copy of Insurance Compliance Certificate must accompany each permit. 'ermit Request(check bo)c) ❑ Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be' taken to ❑ Re-r of(hurricane nailed)(not stripping. Going over existing layers ofr000 ❑ -side Replacement Windows/doors/sliders. U-Value ®�0 #of doors (maximum .35)#of windows_ *where required: Issuance of this permit does not exempt conipliance'ivith 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 re NATURE: 'FILESWORMSIbuilding permit formAEXPRESS.doc ... ' •ifs'•4�!..�+.•„� ; The Commonwealth of Musachusetts Department of Industrial Accidents Office of Investigations 600 A'ashington Street Boston, AL4 02111 wivii)-mass.gov/dia Workers' Compensation.Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information M1 Please Print Le6ibly Name (Business/Or(,anization/Individual): Address: City/State/Zip: Phone#: ���d — �� Are you PC employer?Check the appropriate boa; I•❑ In a employer with 4. Q I am a general contractor and I Type of project(required): mployees(full and/or part-time).* have hired the sub-contractors 6• ❑New construction 2 I am a sole proprietor or partner- listed on the attached sheet. 7. b emodeling ship and have no employees These sub-contractors have working for me in,any capacity, employees and have workers' s' 0 Demolition [No workers'comp, insurance comp.insurance.+ 9• ❑Building addition 3.❑ required.] 5. E] We are a corporation and its 10.0 Electrical repairs or additions I am a homeowner doing all work officers have exercised their myself prightI LEI Plumbing repairs or additions y [No workers'comp. of exemption per MGL insurance required.]t c. 152, §1(4),and we have no 12.E] Roof repau-s employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the-sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job-site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: �� Job Site Address: ` �,e J City/State/Zip: / AIWO Attach a copy of the workers'compensation policy declaration page(showing the policy num 'er and a tration date). I/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 S 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 ofthe MA for insurance coverage verification. I do hereby certify corder the pains and penalties o f perjury that the 'rfnrmation provided above is true and correct Signature: Date: (gyp / Phone 4; — Official use only. Do not write in this area,to be completed by city or town nffcciaz City or Tovt•n: 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#: The Commonwealth of Massachusetts Department of Industrial Accidents ' Office of Investigations �a f 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: q� %,c� City/State/Zip: f"r = of 3 y Phone#: Are you an employer? Check the appropriate b Type of prof ct(required): 1 I3 I am a employer with _ 4. I am a general contractor and I 6. ❑N construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.- 7. Vemodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp, insurance.t required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions re 3.❑ I qu a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 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#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they most 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: HO,101 P Policy#or Self-ins. Lic. #: Q t 3 mom- Expiration Date: :3 l J-Z- n Job Site Address: City/State/Zip: &/AV-^ ad, Attach a copy of the workers'compensation,policy declaration page (showing the policy number an xpiration date). Failure to secure coverage as required under Section MA 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 er a pains and penalties of perjury that the information provided above is true and cor ect Si ature: . 6 Date: Phone#: � [ 6 Official use only. Do not write in this area, to be completed by city or town ofciaL 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#: +•. uiation UFCeee of Coasu r Affairs — ii0#IE IMPROVEMENT CONTRACTOR Registration: 126893 Tye' 4_xpiratkm: &3/2U12 Se;ppiement C The Home Depot At-l-lome Services DARREN DEMERS 2690 CUMBERLAND PARKWAY S GA 30339 Undersecretary License or registration valid for individul use only before the expiration date. if found return to: Office of Consumer Affairs and Business Regulation 10,Park Plaza-Suite 5170 ,ard Boston,MA 02116 Not valid without signature t --� HOME IMPROVEMENT CONTRACT i PLEASE READ THIS Sold,Furnished and Installed by: Branch Name: Boston Date: THA At-Home Services,Inc. d/b/a The Home Depot At-Home Services. 345A Greenwood Street,Unit 2,Worcester,MA 016,07 Toll Free(800)657-5182;Fax(508)756-8823 Branch Number.31 fvdaal.ID#75-2698460;ME Lic#C 02439;W Cont..Lic#16427 • CT Lie#MC.0565522;MA Home Improvement Contractor Reg.#126893 A installation Address: �� K01 '`l� > �Qy1�7�S! `a G�� G City State Zip i Purchaser(s): Work Phone: Home Phone: Cell Pbone: [ l [ ] f 1 Home Address: (If different from.lnstallatioti Address) i - City - State - - Zip F mail Address(to receive project communications and Home Depot updates). ❑I DO NOT wish to receive any marketing entails from The Hoag:Depot Protect Informafinn: Undersigned("Customer"),the owners of the property located at the above installation address,agrees to buy, and THD At-Home Services,Inc.(-The Home Depot")agrees to furnish,deliver and arrdngc for the installation("Installation')of all materials described on the below and on the referenced Spec Sheet(&),all of which are incorporated into this Contract by this reference,along with any applicable State Supplement and Payment Summary attached hereto and any Change Orders(collectively, y y "Contract"): Job#: pmr w Rcft a-) ts: S (s)#: Pro-ect Amount Roofing Siding indows ❑Insulation + �j - ❑Gutters I Cover; DEntry Doors ❑ y T�y 6 -T Roofing []Siding ❑Windows ❑Insulation $ (]Gutters/Coves (]Entry Doors ❑ ❑ltoofing Siding [:]Windows ❑Iasula ien ON ❑Gutters/Covers,[]Entry Doors n v ' Roofing Siding ❑Windows ❑Insulation $ ❑Gutters/Cowni- ❑Entry Doors ❑ mininrwn 25%Deposit of Contract Amount due upon ereention or this etintruct. Total Contract Amount $ U Maine Purchasers may not depodt moue tlrsn mn thW of the Contract Anroont. ! - L Customer agrees that,immediately upon completion of the work for each Product,Customer will execute a Completion Certificate (one for each Product as defined by an individual Spec Sheet)and pay any balance due. As applicable,each Customer under this Contract agrees to he jointly and severally obligated and liable hereunder. The Home Depot reserves the right to issue a Clangs Order at terminate this Contract or any individual Product(s)included herein,at its discretion,if The Home Depot or its authorized service provider determines that it cannot perform its obligations due to a structural problem with the home,environmental hazards such as mold,asbestos or 'id pauit,other safety concerns,pricing errors or because work required to complete;the job was nut included in the Cop Payment Summary' The Payment Summary# ✓ 5 `1 7 included as part of this Contract, sets forth.the total. Coutnict amount and payments required for the deposits and final payments by Product(as applicable). NOTICE TO CUSTOMER You are entitled to a completely filled-in copy of the Contract at the time you sign. Do not sign a Completion Certificate(note: there is one Completion Certificate for each listed Product as defined by individual Spec Sheets)hefore work on that Product is complete. In the event of termination of this Contract,Customer agrees to pay The Hnme Depot the casts of materials,labor,menses and services provided by The Home Depot or Autborized Service Provider through the date of termination,plus any other amounts set forth in this Agreement or allowed under applicable law. THE HOME DEPOT MAY WITHHOLD AMOUNTS OWED TO Tl1E HOME DEPOT FROM THE DFPOSTT PAYMENT OR OTHER PAYMENTS MADE, WITHOUT LIMITING T'HL HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS• Acceptance and Authorization: Customer agrees and understands that this Agreement is the entire agreement between Customer and The home Depot with regard to the Products and Installation services and supersedes all prior discussions and agreements,either. oral or written,relating to said Products and Installation.This Agreement cannot he assigned or amended except by a writing signed by Customer and The Home Depot.Customer acknowledges and agrees that Customer has read,understands,voluntarily accepts the terms of and has received-a copy of this Agreement. Ac eptcd �( Sub by: Custo er's Sigma ate Sales o ultant' ignamm Date X - 1 �' Telephone No. v Customer' igmture to Sales Consultant License No. (an applicable) CANCELLATION: CUSTOMER MAY CANCEL THIS AGRF,FMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO THE HOME DEPOT BY MIDNIGHT ON Till; THIRD BUSINESS DAY AFTER SIGNING THIS AGREEMENT. THE STATE SUPPLEMENT ATTACHED HERETO CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN CUSTOMER'S STATE. NOTICE::ADDITIONAL TERMS AND CONDITIONS ARE STATED ON THE REVERSE SIDE AND ARE PART OF TIUS CONTRACT 1 12=27=16 C-SC White-Branch File Yellow-Customer id WdTO:Z L00Z BE 'nail TLZZZ9£80S: 'ON XtjJ p26tut?[; WOad f ` t.>_s u!i:xe� ,rt Horne h-powiment C6tractUr Registration Ragiszratiort: 149123 Type' Irtdividuat Ex6ration: 1/0/2011 T� 29CN4 T!MdTf-I`Y HANSCOfVf _._-.TJ M0THY-'HANSC0—M 4 CIRCLE DR. Lrgdate Address and return curd.SWk reason for c laltga —? Addre33 i R fletvai. `` LAID) •, ✓f�•l:`OY:G>;f,;;F4fl'_"in'�¢ C�t:'G(�yJ::CLf�I",CUY./..[A --.w "�_--.---_'� _ f �icenme or registration vatid for individu!use on =-;�•� G`.,Ce ofC:c,7sUMer..%s .irs�T3usiaeaQ Re�uda iaa before the expiration date, if found return to: - .a '= HOME IMPROVEMENT.CONIM- CTOR _ +-W--- . ---« ----'�`— OtTice of Consumer Aff�sirs and Businec�Regulation r-egi,tration; 149Y2t? 10 Park Fieza-Suite 5170 F.. . : sxpiratiQj:,: !V23i2`J11 9 2 _._ _�. Tvpe:,. :liid'i5�du31 Hy HANSCO Not vond w itho sigfrature h i• .l)�'#tartrn�itt ul.}'trblic�aFrt . Qit,u t# nF #3uihlitr� Kr,ulan,nt> :uti!�tundm-0 Construction Supervisor SPeciRlty License License: CS SL 99162 Restricted to: WS TIMOTHY HMSCOM , 4 CIRCLE DRIVE WAREHAM, MA 02571 Exnlracion: 6/4013 t unu,,;.<i'•M•' Tm 16331 9 Assessor's office(,st Floor): ® Assessor's map and lot number Conservation Board of Health(3rd or): NASd7UR Sewage Permit number � nua Engineering Department(3rd floor): i630- House number �6' �4 �o�w a Definitive Plan Approved by Planning Board ` ./ 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO IAI-e j�li� /C Oo Al 6;4V/4 ire pvlcj. TYPE OF CONSTRUCTION ///� roe—' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accordingto the following information: � Z h►Location I'lQ6 Ye Z?Y- Y gA j/ >' Proposed Use N e Cr vrd I�G Zoning District / Fire District f Name of Owner 1.41& g&AA*4P. ifShT-7,4JV Address Name of Builder NC Address 6D 620a r o// ��• �/�� Nh• Name of Architect- S`ftry,�Q— Address Number of Rooms' '•2< Foundation Exterior ��� Roofing ASP 5)'r����� Floors Cy R-Fofi Interior yy a/�4�j Heating 4+ V)' A-5 Plumbing /�101-6 Fireplace "Aj'L Approximate Cost Area Diagram of Lot and Building with Dimensions Fee 12c� a� ,v �w r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name �dw-i- ��� v e. Construction Supervisor's License 01-2 3 b 7 s :i ASHJIAN, ALEXANDER '} No 35273 Permit For BUILD ADDITION & GARAGE Single Family Dwelling Location. 26 Kilgore Drive - Hyannis +- Own'er. Alexander- Ashj ian - ,y! � • j' �I � . r�w •' ! t Type of Construction Frame 6 Plot -Lot Permit Granted August 111. '; 1 g: ' 92 4 r 1 c Date of Inspection "' 19 - - } Date Completed 19 r 7 _{ •` 4 , �1 COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY, ' 1010 COMMONWEALTH AVE. � OF BOSTON,MASS.02215 Xt MASSACHUSETTS ENCLOSE-CHECK OR MONEY ORDE LICENSE EXPIRATION DATE CONSTR. SUPERVISOR FOR REQUIRED FEE, y O6/30/1993 0-389 1 s 1 MADE PAYABLE TO RESTRICTIONS 6. EFFECTIVE DATE LIC-NO. NOW 6 06/30/1991 017:3.57, _ "COMMISSIONER OF PUBLIC SAFETI RAYMOND . A PAYNE. ;JR m (D SH). BLUEBERRY HILL.`RiD N AN Y NIS . MA 02609,. P EASE :NOTE"'`fE•E;� 3:AlCREASE PHOTO(BLASTING OPR ONLY) FEE �• - e UN, 100.00 'I E FfC7IVE FE , A ` 1989 HEIGHT NOT VALID UNTIL SIGNED By LICENSEE AND OFFICIALLY ' 5 - STAMPED OR SIGNATURE OF THE COMMISSIONER .00 NO.T. DETAMLIC.ENSE •:STL THIS DOCUMENT MUST 9E SIGN NAME IN FULL ABOVE SIGNATURE LINE -� CARRIED ON THE PERSON OF SIGN RE O LICENSEE THE;HOLDER WHEN ENOAG i' OTHERS-,RIGHT THUMB G>qMT ED' IN THIS :000UP�{TION 2DOM-2.87.81429 S �/ee�io�rvrnoxuieal!/c�. d M t� IMPROVEMENT CONIRAC.TOR ' ! Reg�':'stratioo 10555� iYNzi - INOIVIDUnL i Expiration 07/11/94 Rayrbnd A. Payne Jr. 100 _Mbarry Hill Rd. ' I ADMINISTRATOR Hyannis MA 02601 t . I 1 1, ) e I I OFFICE AND MODEL HOMES: ASHLEY DRIVE, CENTERVILLE, MASS. TEL. (617) 775-6812 (617) 428-9101 E� F . T 1 e . Beautifully designed for gracious living. Large living room with,fireplace and spacious dining area connected wooD DECK to stone patio by sliding glass doors. 11/2 baths and 3,bedrooms with large closets (one bedroom is beauti- fully wood panelled for alternate use as den.) Wall to wall carpeting throughout. Intriguing kitchen features Whirlpool appliances, including self-cleaning range. Oversize garage and full basement. Professionally land= 'T". pow �. scaped for easy maintenance. BEDROOM �' DEN 12'-2"x 11'-8" 12'-2"x 11'-8' DINING ROOM KITCHEN 10'.11'8" 10'3"x 11'8" Builder on premises daily (including Sundays) 9 a.m. —6 p.m. c „g GARAGE I 16'x 22' C. LIVING ROOM MASTER BEDROOM F c. 23'x 12'6" DIRECTIONS: , 13'-6'x13'-6" Cross Sagamore Bridge, follow Rt. 6 to Rt. 132. Right on Rt. 132 for 11/2 miles to right at traffic °° light (Phinney's Lane) 2 miles on Phinney's Lane to right on Rt. 28. 1/4 mile on Rt. 28 to right at o STEP 11 Old Stage Rd. (Howard Johnson's and Mobil station at traffic light) 11/2 miles on Old Stage Rd. to PINERIDGE on left. 64 t/a r �a vJ CP KIN 0 j� 1 � N a c n b C @•p•� P[QNvvu��� (3®aid �. J�e(,(9.�• �/3�� rAssesso's offioe (1st floor): Twg-7 F Assessor's map and lot number .....:�.f,..4...4 05. . � �o Board of Health (3rd floor): Sewage Permit number �.�0..3...... ...... ............••... Z B9B39TODLE, i Engineering Department (3rd floor): WA 9 \e� House number ...................................... P :::./................... o spy a• APPLICATIONS. PROCESSED 8:30-9:30-A.M. and 1:00-2:00 P.M. only, TOWN -OF B1ARNSTABLE BUILDING ISSPECTOR APPLICATION FOR PERMIT TO ...:`.1Jt✓ .F! f1.4.T............� !.£C rn/G ..........................................:.......... J ............. StN1 I.4C7-:11A424 W dbl� (Z/0ti4I( TYPE OF CONSTRUCTION ....................... ...... ............... ...... ............................................................... ...................P'•-....y...............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: •pp /� ,((,,�� Location o.. si..........!.`....`.KGxF 2r�,ir i,��..rJs,..l.'. .............:.....................................................: ........... ................ /........ .�...... / .. Proposed Use . J r' t. `4.j v Zoning District .R C.-..l...................................................Fire District Name of Owner GlLeEn�hiL1�A C o 2�'> Address v'. .�➢�..�l�Or...`c v rexvs.c C.�......................... '... ................. ............ ...... .. Name of Builder ...........s....�.`..... .........Address ........-JraM� Nameof Architect ...........7 ................................................Address ...........f......................................................................... Number of Rooms .................................... •...........Foundation �1) ... .. Cow ETC ........................................................................ Exlerior .....L...'...A S' S u ;`ni(rLL�S, CE.J�/a/L np d/�L7 I..... ..................................................... Roof ing .........../F� ......................... I........................................ Floors ......... ......................:..............Interior .........��iur/ :............................... ... Heating .w ......... .Y.::.......G'`�.'r................................Plumbing ................�............................................................... Fireplace � .....Approximate Cost .......'`�5 ....................................................... ,Definitive Plan Approved by Planning Board _______ _ ------------19_ Area .....,...(?...�.L. . � f Diagram of Lot and Building with Dimensions /Ti Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 3A X � jN1SP ti IJ�S�iod�l�S OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of dtheTown of Barnstable regarding the above construction. Name ......... .i%...... /.............................. ........ Construction Supervisor's License 6���S7 GREENBRIER CORP. `}No .3.2.6.1..2.... Permit for .... S t.Q);Y........... Single Family Dwelling ........................................................................... L.....5:�t...#.!8.......2.6...F Location ..... .i 1.k0 r.e...Dxive . .....................HYnn .......................................... Owner ..G.re.enb.r.i.e.r... ....................... .. .... ....... .. . .. .. Type of Construction ..Frame ............................................................................... Plot............................. Lot ............................... Permit Granted ....January 30 ,........I...........................19 q9 Date of Inspection ............................... 9 i '.Date Completed ............... ......19� C"^�6jSMW TS�WN{'OF BARNSTABLE,,MASSACHUSETTS AIINZ72-005-002 7 DATE JClYlllclry 30 r 19-' 89 PERMIT N'O ` APPLLCANt_ Greenbrier COr . r ADDRESS A_ (7._ Rnt 510��-- ,6 i,' (}n i 347. >I! IN0.1 (STREET).. - CONTR S-L;IPENSE) r+ PERMITnTO, Build Dwelling (4l'.STORY Single Fami1 r DW nn NUMBER OF S 7 � � i DWELLING-UNITS (TYpE'OF,IMPROVEMENT) NO. �(PROPOSED-USE) : '� Y ZONING AT (LOCATION)- T.n�. #� Q 26 Ki ,-, n Tlr ,� t `''ii a e�1413 DISTRICT_ iv® `f (N0.) r (STREET) 7 ".. BETWEEN AND (CROSS 'STREET)' . (CROSS SFAE ET.):::SUBDIVISION. '.LOT C ... LOT BLOCK ' SIZE. rrt ,BUILOINGIS FT. WIDE..BV FT .,LONG BY: F,T IN HE'IGHTIAND,,SHALL CONFOaM`IN}CON$TR110T10 :r t t ).TOJYPEr USE.GROUP BASEMENT WALLS`:OR FOUND 'I y REMARKS:, Sewage #3103 k AREA Bond VOLUME `` 864 sq. ft• . 45 ObO.`00 PERMIT , ESTIMATED.COSTF;EE4 (CUBIC/SQUARE.FEET) owNER eenbrier Coro. ADDRESS,_P G.'_Box 510• Centerville BUILDING:DEP.r � ,BY +w4. � 1 { off{ I s OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. DIT IO d. 'MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE -fr INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR .^ ELECTRICAL, PLUMBING ANDI. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBFINAL INSPECTION TI TO BEFORE FINAL INSPECTION HASIBEEN MADE. _ 3. FINAL INSPECTION BEFORE OCCUPANCY. - POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS _ ELECTRICAL INSPECTION APPROVALS I I I 1 �a.• 2 * 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT al t f OTHER 11.. r BOARD OF HEALTH i /ay T WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN i CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITT NOTIFICATION. w VV4(mod 0 ✓,� • M ,,T��,, TOWN OF BARNSTABLE Permit No. .32,612,,,,,. BUILDING DEPARTMENT I TOWN OFFICE BUILDING Cash .. 7 Yl l�o6sY ... .r HYANNIS.MASS.02601 Bond ....x... CERTIFICATE OF USE AND OCCUPANCY Issued to Greenbrier Corp. Address Lot #18, 26 Kilkore Drive Hyannis, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD F THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN r REQUIREMENTS'AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE.- . , August.1 e..., 19......$9....... .........lr*** ing Inspector TOWN OF BARNSTABLE r' BUILDING DEPARTMENT _ u ' TOWN OFFICE BUILDING HYANNIS, MASS'. ASS:02601 MEMO TO: Town Clerk FROM: Building Department '. DATE: An Occupancy Permit has' been issued for. the building authorized by Building Permit #........ �a... .......................................................................:....... ......... .°. _...... »_ issued to /�/P ✓�J/µ! !-... ,Y .._.......!» ..:......./ ..7 .... L._"Cp r f3'�! ..._ .». w Please release the performance bond. Assessor'$ offifle (1st floor): Agsest6AV, map and lot number t ......A(DP�oFTHEto`♦ Board of Health (3rd floor): fO� o 3 Sewage Permit number ...... t BAUSTADLE ...............�.�.......................... Engineering Department (3rd floor): GG moo 039, 0� House number ...................................... ....l................... '°�o�a�a` APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only, TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO :...`.� ;7t!�U;�y T f £C`c�,r'nT�r...................................................... rN�t`� ( /�M3C fl+a,W ,ll) 110//vi`4( _7 t,,,I.. (r TYPE OF CONSTRUCTION ................:...... ...... ` ..:. "..' ....................�......i..... .........................2... ... ...................�.`..` ` f.............19.fA; TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......................... K2,it G-F Zap E' S /tl l7 .................................. . i...... . .............y............................................................................... �1N ..CyC t o ....rr . r ProposedUse ....................................... f..... ............................................................................................................. Zoning District :....... C ` ............Fire District .............................................................................. Name of Owner ..(�AZ4: ^! lc, !f'K�, ��-�dK S/k'� r Address ...........................y............................................. Name of Builder ...............Address ........sp....C......_.................................'....................... ........................................... Name of Architect .............................................................:....Address .................................................................................... Number of Rooms ..................................................................FoundationyrD Co:✓�fLTC. pf .....................................................I......... Exterior ..... ... ..Roofing .......... ....................... .. ............. ... , :...Anterior ... .... aE7/CQGa t' Floors ......!.. .!a.!��... .:. ,;Ilniy: ........<....................:'. - . ................................... ................ T ` Heating ... A �.....:. ...G...S .......................Plumbing .................................................................................. t Fireplace �Y ,a..........................................................:......Approximate Cost .........X ...............................................I............... pp � Q l Definitive Plan Approved by Planning Board ------- ____I______._______19_ Area .........F1,:,../.{ . .. ................... Diagram of Lot and Building with Dimensions /Ti Fee �� SUBJECT TO APPROVAL OF BOARD OF HEALTH 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. w Name . .. .....r _ ........................................... Construction Supervisor's License ..... ........................ GREENBRIER CORP. A=272-005-002 ,77a—oc .,oo:z No, . ..61...... Permit for ....l.z...stort............ "¢ Single Family Dwelling Location ..,Lot #18s.... 26 Kilkore,,.Drive Hyann i s.............................. Owner .....Greenbrier . . . . . . ......Cor. .P...................... .. .... .. .... .. . .. .. .... . s Type of Construction .......Frame . ......................... ............................................................................... Plot ............................ Lot ................................ Permit Granted Ja. ....nuary 3..0.........19 8 9 ..... ............ . . Date of Inspection ....................................19 Date Completed ......................................19 _ 1 , N LOT 19 12p 00 K0) v j o � rn M LIJ 3 cri - CY !L lr) (00r 9' �L f J \ LOT 18 Z 15.0" S.F.3 �21.25 LOT 17 1 7 89 INIMAI:,:ME, � ASL NO. WE DESCRUMON ` -'B r AS ' BUILT FOUNDATION'zPLAN WV-1.8 1�IlTEHALL ESTATES., .PHNS ,'2 BARNSTABLE, MASSACHUSETTS GREENBRIER co Off. Y`l'� .TMYi �• • wV_ ` M1V nV•-�1� Nil 'I =CERTIFY THAT THE fOUNDATiON 40 y Y46tr r SHOW ,ON THIS PLAN CIS OCA zq r,C N ' a�u�}a � ON THE GROUN NDICATED IV Yy SLDI�QGB r TAM,�OAA�3 II(C. w DATE REGIS. a.,. D>LAND SURVEYOR r+' � �t I ee9-�asrr:xtaar}e trier .cn vmtit au I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# 1? -71 2 Health Division Date Issued 7 Conservation Division W Fee Tax Collector { Treasurer Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address Village /�J9 Owner �✓ Address Telephone � ,7C 69 717y 913 Permit Request 26 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed talnew 7—g� Valuation i]M. t/y Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U--' Two Family ❑ Multi-Family(#units) Age of Existing Structure X Historic House: ❑Yes 2Jo On Old King's Highway: El Yes L9Ko Basement Type: [-Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count t -- Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size _ Attached garage:❑existing ❑new size Shed:Cl existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Ur o If yes, site plan review# Currerit Use Proposed Use _ BUILDER INFORMATION Name ���/ �G���T� Telephone Number Address � C- � License# 4�?S 6 6 0 l o Home Improvement Contractor# l � / Worker's Compensation# 2/?-g�S Z ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO � � � SIGNATURE DATE D �z0 " (! �� FOR OFFICIAL USE ONLY F PERMIT NO. 9 DATE ISSUED MAP/PARCEL NO. r ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION J FIREPLACE ELECTRICAL: tOU H FINAL PLUMBING: O H FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT r' ASSOCIATION PLAN NO. L The Commonwealth of Massachusetts Department of Industrial Accidents Office.of Investigations 600 Washington Street t ' Boston,MA 02111 ',M 5�• www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aupficant,Information Please Print Legibly Name (Business/Organization/Individual): Address: � C City/State/Zip: Phone Are you an employer? Check the appropriate box:. Type of project(required): 1.❑ I am a employer to with 4. ❑ I am a general contractor and I y 6. ❑ New construction loyees(full and/or part-time). have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet 1 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp.,insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.[]-Other /UCH) comp.insurance required.] 'Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information: `• 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 their workers'comp.policy information. 'am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site nformation. - nsurance Company Name: C'O/d1 �� �� • Go Molicy#or Self-ins.Lic. #: ���"151L t 7 7 Expiration Date: � �'— lob Site Address: 16X Ole C 45�111r City/State/Zip: 1',I`S /v Qzz G f attach a copy of the workers' compensation policy declaration page(showing the policy num er and expiration date). aihire to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine 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 >f up to$250.00 a day against the violator. Be advised that a copy of this statement may forwarded to the Office of nvestigations of the DIA for insurance coverage verification. do hereby certify un a pains d pena f perjury that the information provided above is true and correct >i ature: Dater ^� 'hone# � -7 Official use only. Do not write in this area,to be completed by city.or town offmial. 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, 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 "a4?ndividual,,parmership,,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 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,§25C(6)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 not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the 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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if. necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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.. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . 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 permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the i applicant as proof that a valid affidavit is on file for.future permits or licenses. A new affidavit.m must t be filled out.each. year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your 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 a Office of Investigations r. 600 Washin on-Street Boston, MA 02111. y Tel. #617-727-4900 ext 406 or-I,877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia I 4 ' "E, Town of Barnstable ~°* Regulatory Services i a ' BAWSPABL.E. ' Thomas F:Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder as er of the subject property ( /C hereby authorize / 21✓/r-r to act on my behalf, in all matters relative to work authorized bythis building permit application for. (Address of Job) L Signature of Owner Date Print Name a QTORMS:OWNERPERMISSION .............. .......... . ................... ...................... . ....... DATE(MM/DD/YY) .4C ....... ...... ........ 111: ABIL X : - - :F , ...... Xlr., -8/18/05 AC TN . RIT ........ NSUIR ... .............. PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION OCEANSIDE INSURANCE AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 724 MAIN STREET COMPANIES AFFORDING COVERAGE HYANNIS MA 02601 COMPANY A COMMERCE INSURANCE INSURED COMPANY KEVIN J KELLEHER B LIBERTY MUTUAL INSURANCE CO COMPANY 2 RACE LANE C SANDWICH. MA 02563 COMPANY D .................. .......... 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 ti 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY.EXPIRATION LTR DATE(MM/DD/YY) DATE(MWDDNY) LIMITS GENERAL LIABILITY YM9445 5/2 2/05 5/22/06 GENERAL AGGREGATE $ 6-0-0, 000 COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 600, 000 CLAIMS MADE 7 OCCUR PERSONAL&ADV INJURY $ 300, 000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 300, 000 FIRE DAMAGE(Any one fire) $ 50, 000 MED EXP(Any one person) $ 5, 000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ . ........... ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ B WORKERS COMPENSATION AND 11/0 11/06/05- X I TwoRySLIAmTITS I I OTH EMPLOYERS'LIABILITY THE PROPRIETOR/ EL EACH ACCIDENT $ 100, 000 PARTNERS/EXECUTIVE INCL EL DISEASE-POLICY LIMIT $ 500, 000 OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE 1$ 100, 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CARPENTRY . .......... ................ ............... ..... ...... :::CA'lk.ft`: 01 ...... ....... ....... . ...... .................... ................ w ............ m SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWN OF BARNSTABLE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, MAIN STREET BUT FAILURE TO MAIL SUCH NOTICE SH /6�IPOSE NO OBLIGATION OR LIABILITY HYANNIS MA 02601 1, IT OF ANY KIND UPON THE COMPyNy, IT qW� QW,REPRESENTATIVES. AUTHORIZED REPRESENTATIVE .......................... PETER MURRAY Town of Barnstable Regulatory Services i `* sAPSrnaM * Thomas F.Geiler,Director HAM a`��, Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. 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: 1^Je2AJ Estimated Cost �T- Address of Work: Owner's Name: ZCeN 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 E 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. -7 /?Ti Date t Owner's Name ' Q:forms:hameaffidav IJ LOT 19 l W E 120.001, • 0 j 45.4, M W LL. W co rnv42,g' c Q cap p W N C) LO Y .� 60,9► ad 00 LOT 18 Z V21.2 LOT 17 P1 7 89 iNI11AL ISSUE NO. OA7E `DESCRIPMON- BY A3—BUILT .FOUNDATION PLAN=LOT 18 WHITEHALL ESTATES PHASE 2 BARNSTABIY,, MASSACHUSETTS hr' ' GREENBRIER CORPORATION I EV}' � SCALE 1�"s 4Q' JOB N0. '1398 w�-1w ,CERTIFY THAT THE FOUNDATION p 40 8o SHOWN ON THIS PLAN IS= OCATED s ^ w `�o r ON E GRO INDI A D ��.\'S�r ; L LBYY, BLDRBDGB Ic TiGIER ASSOCIMBS IXC. dq tm®tms .want mm n� us xmm DA RE REO LA SURVEYOR fle9 vm a artt t CjrnMVW VA 02632 I J • � ✓hie -C�am�rreoouvea;� �,..�czc�uaelta • Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 124773 ` Expiration 8/20/2007 "Type: K J K Construction . : Kevin Kelleher 2 Race Lane Sandwich,MA 02563 Administrator I - _...— REc,VLA 117Ae e RD O�RAO SUPERVISOR gO ''. License CONSTRUCO 4810 i'CS Numbe--,, 2674 1 ExP £0 {03tzp7 iTIM r _r� Rpstrtct0� r{a y p,� KEVIN J t\" of CE 0z56�."":''' issio R LN Comm A A Y 2 M SANDW iCH, j i iN l k i :n ; L/► r ,poi k, `. 0 4 J, 1 (4 6 io im , _J The Town of Barnstable T Department of Health Safety.� P y and Environmental Services Building Division 367 Main Street,Hyannis,MA 02601 i8.862.4038 18.790.6230 PLAN REVIEW caner: S�S �l�W Map/Parcel: o®Sr.0 o a oject Address: Builder: K C—vl H KE Lf.:.,—=P 67i� he following items were noted on reviewing: V X r !S- /6' S/'14 N - 7- SEE l9 � TL�� � 1�1ENs/o4 t:;7' r'©2 J0IS-r-5 60 � X' � • �-i 2T fo ' — `y'� S �-1 e¢LZ soH o 1-1Ecb 7-0 4 6:16-/fT f5 `4 N 1! S uE ttf AY jg,�-'7 o OF t N q O t= W [ t-t- A4 LL-o L j yo fJ 7a -y.S67 f •iewed by: