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0040 KILKORE DRIVE
/�� i ` � h i i I �� �� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- a Parcel Application #Health-Div isions Date issue Conservation Division _Appkatbh Fe �JT "Perr Planning,Dept* t Fee Date Definitive Plan Approved by Planning Board Historic = OKH Preservation Hyannis Project Street Address i-Ao Ktpre- Dowt"o- Village Owner ?61,La S C3 4 Address CA Y__t;i ko re- Or• cmliS, P/A Telephone &qc)C) Permit Request CN.S LA. L�h,Sn Square feet: 1 s't floor: existing i proposed 2nd floor: existing proposed Total new Zoning District.� Flood Plain Groundwater Overlay Project Valuation 000. 00 -Construction Type Lot Size Grandfathered: L3 Yes; Ll No If yes, attach supporting docum?ntation. Dwelling Type: Single Family :Q Two Family LJ Multi-Family(# units) Z= Age of Existing Structure Historic House: LJ Yes Ll No On Old King' Iighway-�_LJ Yeg, LJ No Basement Type: Ll Full LJ Crawl Q Walkout LJ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft CIO Number of Baths: Full: existing; new Half: existing new". r- cr- Number of Bedrooms: existing —new Total Room Count (not including baths): existing new - First Floor Room Count Heat Type and Fuel: L3 Gas L]Oil L] Electric LJ Other Central Air: Ll Yes LJ No Fireplaces: Existing New Existing wood/coal stove: Ll Yes Ll No Detached garage: Ll existing Ll new size—Pool: LJ existing LJ new size Barn: J existing L3 new size Attached garage: LJ existing Ll new size —Shed: LJ existing Ll new size Other: Zoning Board of Appeals Authorization D Appeal # Recorded LJ Commercial U Yes Ll No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address 10101 &Aff_j� License # CS-oo(O&Lti -Y), k Home Improvement Contractor# t 0111=,Ez Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO, DATE SIGNATURE 0 1S— 3 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED 3 MAP/PARCELNO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: > FOUNDATION FRAME y INSULATION i FIREPLACE f ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL S FINAL BUILDING , DATE CLOSED OUT r , ASSOCIATION PLAN NO. r d , 7 • . ems M Town of Barnstable Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street,"Hyannis,MA 02601 " www.town.barnstable.ma.us Office: 509-862-4039 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize ,'�,QCW)Cl 2 to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) pov"; u), Signature of Owner Date Print Name If Property owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. TAKEVIN Muilding Changes\EXPRESS PERW IIE URESS.doc Revised 061313 Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mars s. ov/dia b' . Workers Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Avulicant Information Please Print Legibly. Name(Business/Organization/Individ.1): Sprinkle Home-Improvement Address: 199 Barnstable Road City/State/Zip: Hyannis, MA 02601 Phone #:` 508. 775-1778 Ext.10 Are you an employer?Check the appropriate box: Type of project(required): L[XI am a employer with 10-12 4• ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction proprietor p listed on the attached sheet. 7. ❑ Remodeling 2.❑ I am a sole or artner=" , shi and have no,-employees, These sub-contractors have 8. ❑ Demolition working forme in• any capacity. employees and have workers' _ 9., ❑ Building addition [No workers'comp:insurance comp. insurance. , required.] 5.;`❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑.I am a homeowner doing all work- officers have exercised their. 11;❑ 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,theymust 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: A.I.M Mutual Insurance Co., Policy#or Self-ins.Lic. 43 Expiration Date: 1/01/201?t Job Site Address:14 b.. \Mw(-e Er. City/State/Zip: w c 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 u the p ' en f perjury that the information provided above is true and correct Si tore:- Date: 3J b 1 Phone#: 508 775-1778 Ext. 10 . 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/TowdClerk 4.Electrical Inspector 5.-Plumbing Inspector 6.Other Contact Person: Phone#: f SPR1N-1 OP ID:D: CERTIFICATE OF LIABILITY INSURANCE FDATF 2/23114 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(les)must be endorsed. If SUBROGATION IS WANED,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 endorsemen s. PRODUCER Phone:,508-775.6060 NAME C _ !, Bryden&Sullivan ins Agency — - 88 Falmouth Road Fax:508-790-1414 PHONE "' F Hyannis,MA 02601 ADDRESS:Kelley A.Sullivan M... ......,w.............. .,.. INAURER(S)AFFORDING COVERAGE NAIC _ _ WSURER A:Associated industries of MA INSURED Sprinkle Home Improvement Inc. INSURER0: _ 199 Samstable Rd INSURER ... Hyannis,MA 02601 INSURER 0 INSURER E INSURER F: -- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY 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 TERMS1e EXCLUSIONS AND CON_OMONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 7RR TYPE OF INSURANCE A y V..- -.^POLICY NUMBER Ipp E� LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY PREMISES(Eawn-igm�_• S CLAIMS-MADE OCCUR MEO EXP Any one omm) S PERSONAL 3 ADV INJURY S r GENERAL AGGREGATE s GENL AGGREGATE LIMIT APPLIES PER:^ PRODUCTS.COMPIOP AGO S POLICY PRO LOC S AUTOMOOU LIABILITY C5MWO nt SINOUe LIMIT ANYAUTO BODILY INJURY(Parpemon) S ALL AUTOS OWNED SCHEDULED BODILY INJURY(Par aedddent) S VT HIRED AUTO$ AUTOS NOWMNED a �DAMAt)E S S UCESSA B HCcuLcA.R.-MAE EACH OCCURRENCE S EXCE88 LIA AGGREGATE DED RETENTION S i WORKERS COMPENSATION we STATU OTN• AND EMPLOYERS'LIABILITY' A ANY PRoPR(ETos�ARTNEmxcunvF vrN WC400700943 01/01/15 01/01116 E.L.EACH ACCIDENT 5 500,01 OFFCERIMEMWA EXCLUDED? D N I A PkItdom In wo� E.L.DISEASE-EA EMPLOYEES 500.01 OES ONO OPERATIO E.L.DISEASE-POLICY LIMIT f 500,01 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORD 101.Addidonal Remadct schedule,It more apace Is required) CERTIFICATE HOLDER CANCELLATION SPRNKHO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sprinkle Home Improvement,Inc ACCORDANCE WITH THE POLICY PROVISIONS. Fax#508.775.1350 Margo Mack AUTHORIZED REPRESENTATIVE 199 Samstable Rd. Kelley A.Sullivan M)ffinnls,MA 026011 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010105) The ACORD name and logo are registered marks of ACORD Massachusetts (Department of:Public Safety -,-.Board of BuildingRe ulations an. ,g d Standards License CS•0066i13_ BRADXSPRIl=E` � W]3i%l=ABLE Expiration Gommissigner �10108rii0'lS . ... L - 1��lh(4 in,iiF;i,�trtcll�of lt'i%:.xrrfi�iir/l - h !1[aeoELba�ameeAllstn&.BanfaRvt, s ion i�Ai'RQVE�AENT:CO�N1TilkGi Oii 40 7-3T.- - - How,!tom _0.EtM-4 1 sled:`3prWcUa l9gae�nis..MA 62601 Uadorseceegry .. c'. i ... Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991M )of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DPS itPRO&Sdesvalid a w WWNWW aee 0.1y beftm Ike effllbadem&W g Mqd rota tr OEMOFC48ftwor Aghim RqXWW to we*hers-sake SlTo Ruftok MA lafM C'� s. ao 10 z - .�+E> .Town.of Barnstable *Permit# Expires 6 months from issue dote Regulatory Services . Fee. S • .AxrEuss, . Thomas F.Geiler,Director , ,► PR` SS- PERMIT :Building Division -" Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,"MA 02601 www.town.barnstable.ma.us - W B�R�I. .�" pp � Office: 508-862-4038 'Pax: 50 79U-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY l Not Valid without Red X-Press Imprint . Map/parcel Number 005 Property Address Residential Value of Work 8 '�_ _, Minimum fee-of$35.00 for work under$6000.00 Owner's Name&Address S CO i 4D V_� k-Ur2. Contractors Name Sprinkle Home Improvement TelephoneNumber 508.775-1778 Home Improvement Contractor License#(if applicable), 103757 Construction Supervisor's License#(if applicable) CS Up ' ZWorkman's Compensation',Insurance 3 Check one: ❑ I am a sole proprietor .. ❑ I am the Homeowner x •- I have Worker's Compensation Insurance ¢ Insurance Company NameAsg,7Ciaterl lndu.�triPS of MA " Workman's Comp.Policy.#'AWC, 7004943012011, Copy of Insurance Compliance Certificate'must accompany each permit . t Permit Request(check box) §tRe-roof(hurricane nailed)4tripping old shingles) All-constriiction debris will be taken`to'YCtr+llottTyt J&,yi Sk' br) ❑Re-roof(hurricane nailed)Y(not stripping... Going over existing Iayers of roof)El ' .0 r Re-side _ #-of doors, El Replacement Windows/doors%sliders. U-Value (maximumT35)#of windows 'Where required 'Issuance of this permit'does not exempt compliance with other town department regulations;i.e.Htstoric,Conservation etc. `***Note: Property Owner must-sign Property Owner Letter of Permission A copy of the Ho rovement Contractors License&Construction Supervisors License is wr _ SIGNATURE: `,. C:\Usets\decollik\AppDati\Local\Microsoft\Windows\Temporary lnte et Files\Content.Outlook\DDVR7AAZ\EXPRESS.doc Revised 072110_ n . P s Town of Barnstable Regulatory Services Uinw F.Geller,Dhvetior Building Division .. Thomas Perry,CI80 Boil t Comm"oaer Y 200 Main Strut, Hyannis,MA 02601' . www.town.>�rnsbtblenia.�' . Office: 5094624038 Fax3 508-790.6230 Property Owner Must Complete and Sign This Section If-Using A Builder Ll1 A CQ1I� as Owner of the subject property heroby authorize Sprinkle Home improvement to act on piybehaK is all matrere relative to work authorized by this.buildiag'pem it application for. LkAylts (Addi+ess of Job) Signature'of Date Print Name if Propwty Owner b applyit for permy plank compleft the Homeowners License Exemption.Form w the reverie ddL C:�tJrorsWeooW'IdAppDaq�LopNNiaowRlWiodow�lT .. f gggg�empo�aey Iatasnet F�IaVCo�nt.0utlooldDDV87AAZ1B7� . Revised 072110 } s �h e f p �l.r, e.ri r•e{1 ;l r a pmJW , a. E f 2✓F(i, ,�,y I "1 r'tr,,t f-�• _ - i tjti�'.er,f! r,n unrer a� atrs A itU>toCSS ekulat+un %t{s.+r f ila:r 1 Isrr.�. t+, si rt,+r;r , zs i �t rate4 ar i sj HOflAE IMPROVEMENT CONTRACTOR to )SC, r� a�i�' �si'. '' _ - - - V s o Registration' fl3r5; Type t,rcf,, tb5 6643 r { Expi atson ` 191207?. ,private Carptiratic '� � ,u s �, c�"n�ry'V?<;s,� }•?"�3tit„tMPRQUEMENT iiJC W BRAD K SPRINKLE 190 LOTHROPS LANE bvgi0 sprink3£ W BARNSTABLE, MA 02668 a9J r=:s a`>ke R 6004 ! nrn a ,rr r<ekt.tration Valid for tndividul u,%t(mfr Failure.to po%%"%a current cditi+rn ref chi t, 10ry the <<xj)rr,rtirin•date. If found return to Massachuutis�State Bu.ildint;(;tnli� `F t)k'fi+:��5t'fa)o u`tri.u'. ffatrs.:nd Kusineas fZet;ulati�rrt is cause for revocation of this ficchse. eta.A q2 116 Refcr.tu:• • WWW.�1as.ao��1)P.S Stet Valid wittur!It iQn. ur sk r I zc CERTIFICATEV OF LIABILITY INSURANCE ART{i 1/24/hY\'\'Y THIS CERTIFICATE IS ISSUED AS A MITTER.0FjNFOIMhTION ONLY AM CONFERS,NO RIGHTS UPON•THE„CERTIFICATE*HOLDER. THIS CERTIFICATE � DOES NOT AFFIRMATIVELY OR N.ECATIVELY.AM7END EXTEND,OR ALTER THE COVERAGE A,.MRDELI'SY.:THE''POLICIES'BELOW, THIS CERTIFICATE,OF s INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING'.INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER: IMPORTANT: It the certificate holder.as'an'ADDI220NAL:INSURYD, 'the po22cy{Ewa) ,must."bs ond_ozs�rS. It SUBROGATION,IS WAIVED, subject ' to the t&=8 and aonditaons of th pol%Cj, prtain,pol�cloa':may caquira an orxCarssimant X atatmsant on this carcificstst. Coos not Copier rights to the art ticatis`holder in'liay.of such<andorsaoant(a) > Bryden 6 Sullivan Ins Agency rams ,x Inc talc, ro,.ucla :tAc mot_ f.•Y/LLL 188 Falmouth Road aPws,. mm� Hyannis, MA 02601 �ii°"'• iP' 7. I M1IC a" ` �, ; .r � iMiLialiD l,l',,./b.ID2tiQ C`PVOWi . xrstsun AN 11..I.M. :Mutual IrisurillCi Co Sprinkle Home Improvement Inc 199 Barnstable Road xM. _ Hyannis, MA 02601' $ •• P� - - x COVERAGES C=T11PICATZwNUMER3: R$V3sIOM7 NUbSSHR> .=, THIS IS 10 CERTIFY THAT THE POLICIES 0r_•INEt7RA"=i'LISZYD atLOM'NAYE ORtN,;ISSUED;TO TNL=INSURED NAMED.*4WVC FOR TIRr.POLICY 9tRiOD INDICATEDt e - - NOTMITKOVA DING AM MQUIUMMT.:=.T Oit'.COMITION oP XMY QONTPACT„OR'OtUER DOCUMENT WIT". RESPXCT-'.TO'MNICM THis CtRTIPICATt-MAY at issUED OR.,mAY- : ..PCRTAIN, TVZ INWIL NIZ APfopvto BY TNt:',POLIC IRS OrISCRIHSD NERt IN-.IS.SttB,IYCT. TO:ALL TNr'TERMS.-,CXCLUSIONs-AiD CONDITIONS OF SUCH POLICIEs. LIMITS soobm OW HAVt.•USX REDU= W'PAI.D CLAZMs[ •'-.3 '� ,;'+i.. '• - +. :....'' `� ;•,: - _ POLICY EFF POI-ICY EX.P: 3 T POLICY NUNN •ate TIM Or �SIISURANCC, _ _ .x •rr{w—) �r iao..mi GENERAL LIABILITY - - :awes ocaautra a aC0"rXitc IA:.GctitML 1.1 AST-TY .. ` DAlYOR!O R7olItD a' ' # (tg# t lAYaifii tfs.+ow,rsv�wi 00CLAiK$.KADY U1wY Q - �. !!� !!� s vlAtWii c Y1QV.xW4aY:. ♦. L/ AGGPLGTG »SxST APYix E1'CPi c � � a.: $. QPO'.x CI OrVdJGC'' Cl—, - - AUTOMOBILE LIABILITY . g cov"M ILOSLE LIKir _ may, ';a wnid.eaY ! � ❑ANY AVY u 6, fi `$� } . � �' �E y "�ODSL7 iIIJWq lPu P►+_• ) � a.:; QALt OIINEtF AiY^9 5 ,� {$ _ 9 �.•; -. 6 .. (' - { _ � �• .OGILT iMlfxX%iPAs wal4dtt 4 a' - �SCME.'r«Lt" - t MNgOIlT"MASK a N:ReD AL•SO7 6 ( -. • fy�x�atNOaNli . El fl EjU"ie sA L.AB., GCLrbR - a a I C] CE s !A11 o CiR::K3 MA::G -. p' A�Iaps"". - t } a DPCTUIT:ON i. - AID tMPIAYttS LIABILITY THE PROPRIETOR/PARTNERS-;• C. i t L. LACa'A6CIDOPr, 500,000 A _ uuvrIVE CFFICS s-ARE ® srci: excl I. 70 04 94301 7011 i'C L. Pissawt aaucr`Lxrxr , R500,000 ' > ,O11-01l2011 01IOit2012 1 ' a L P ataat 2A aaoioaac a 500,000 DaasaPri -assaustnas�arwtlo�aras toeanoanx •' ;:' � :; ,' ' ,' , WORIZRS CCriVZX%GE 'APPLIES TO MASSACHUSETTS EMPLOYEES m 41 CZRTjFv*T*L HOLD&R CANCELLATION ,:', ' _ ANCELC } SHOULD ANY Or THE ABDVT DESCRIatEO POLICI&S,at CLD..shoat THE C%PIPAI'lokt"DATt THIREOF NOTICE,WILL ,� DELIVERED IN ACCORDANL[,K ITN TNr PR00F ofINSURANCEs,, ;`t � AtfnICMF LIP Ai►llt fialTAT2�[lfly.. «..�_ �_JJy f _' a � � ,� . � e .. ..; .�` _ : _ - "� ' � - ,� 4 c 'i { a _ s sP ..�. t� t � �. t ... b ' .. - { y .. � ' .. � � � � f •• {3 The Co�narrontevealth of Alassachuse9 b ' Llerd�rc»t ojlndast�►ial Arcideats Owe of Investigations_ d 600 WwAOStot StreetY Boston, Maser 02111 z www eeass rovldia Workers'Colu' pensationlnsuranee Affidavit:fBuildtiWConti-actorslElectricians/Plnmbers Appt Informatioe -Please Print Legibly Name .vi" . Sprinkl �Holme lrnpfovement Ate; 199 Bamstable Road'", C'It3,iSat:lZ�p:Hyannis, MA 02601 'P6one ..' S08r7. 5-�}778 ,. Are yea as empioW. Cbeek fte apprmriate boxf. TM 0tkojed 0e401r ) 1.OC t am as exnpioye with 9 4: b. 1 ama general c ontractor and'1 6. Ne;w constntetion employees(full andtor part time)!, ""have hired the sub-contractors Remode 2. 0 I am a sole or listed„on d�attached sleet.. 7. � � l � Pam'- . LL ship and have no e�aployexs These sub-aoneractors have.:"-., ave. 8 O De tnolition wexlcittg forme in any city. 3� empioyex§and have workers' 9, 0:13 i.. mg addition (No workers'comp..inativaacx ,` comp•''insurance 'a required] 5 U W ewe s e7orporatron"arai eta 10:0 Etextncat repairs or additions 3. 0 I am a homeowner doing all-work 4ftoffrcers have c ceacised then _ }: myself (No wetkext'oomeP. �� right of pceaaption pexan MGI: 11l•Phmbtng repairs or.acklitions :.. insurance required)t. c:152 § l{4),and we have no 12, 0 Roof repairs employees. n6 workers, comp: insurance required P 13. y • 7.7 Any a/lieaec Ya ddmim bear ft time ato M eo 1>te aeeelN bdvw�wYi'dwk werbera' PelkT {_ tneeaewaws wfe nhu t fth soM wo i eadog�acre debe an wore and rim hire eea-'fi, oMa^eaeees_mw sobs*a MW attiilirit i ne tot cheer d bra nut attach as addkkmW shed dowba do nave ed dw ssoeaU Mon and ee�e wbedws wr vw`deie eatllfee bur empbyem - ebe w►aeaes hawwb tires t�et M ar#de tYebr waerluee'eaeaw.Mtic�r rr �rir 1 ente p eaepb�er Ow Ism 'aeraepenrssrlox LAtsatrantat for MY seyaloyees<Bdow Ott dluep 6ry eard}�sfte. heft U&M lamwancey Nam.Associated Industries of MA Policy#or Setif-ins.Lic..#:xi'AWC 700494301201,1. ` ' ExPuati gam, '.01-01_2012 lob Site Address: IC i l x ®nY��'' 'Cr lStatelZe tY P= Attach a cagy of tom:wrorte+era''eenmpeoaatiun poly,declaritioa page{sowing:t!�peiIky ntmbei:sty espiration(date). Failure to accrue coverage as required under Suction 25a of MGL-i 52 can lead to the imp(mbon of criminal penalties of a fine up to SOM-00 and/or one year imprisonmentf as well as ctvil`penalties in the`form of a'STOP WORK ORDER and a fine of S250.00 a day against violator. Be advised that a copy of this statement maybe forwarded'W the.Office of investigations of the: DIA for oo verificaetion , 1 do Jiar6y early r slid perwaJ9hie of Pe jar}'tJtrat tree rrfor� adoa pno>a�iad abro►ae rs�nec tied COMM Si Date. � .t PKW N"e. 6frad•Sprinkler" _ p1�„e. 508 775 1778%Ext.1'0 Official irsie only Do Rat writs in this arree<to`be eoaiptdesi by cuy or town ©, c:al Clay or Teva: Perailttlkense# tanning AmIlm y{drde one): a LBtoatd of Hei!!ii 2. BatMiiag Drpsrtmeet 3`Cityll'owa;Crk 4 Electrical inspector S t'larubi taspectatr 6w odw `P�: PhOee#. a< oFt , Town of Barnstable .*Permit# o® 9i .y Expires 6 montAs from issue date SAxNSTABLE, Regulatory Services Fee 2 v MASS. Thomas F.Geiler,Director �a39• .• �plfDMA'tA Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 ®P IT Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIA V; 2 9 2006 Not Valid without Red 8-Press Imprint TOWN OF BARNSTABLE Map/parcel Number t_2 6�— Property Address ❑Residential Value of Work D i GOO ��L �-� Owner's Name&Address K A (A 1Lj 217 'CAIT Telephone Number 7 '1`1-72 Contractors Name —ty i Home Improvement Contractor License#(if applicable) 1®S �� Construction Supervisor's License#(if applicable) i-3 Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner Vhave Worker's Compensation Insurance Insurance Company Name 's Workman's Comp.Policy Permit Request(check box) ❑'Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side, replacement Windows. U-Value +�� (maximum.44) *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. Home Improvement Contractors License.is required. Signature Q:Forms:expmtrg Revise053003 Board of Building Regulations and Standards j r HOME IMP,,ROVEMENT CONTRACTOR i Registration 103757 { 4 Expiration 7'19/2008 Type Private Corporation �- SPRINKLE HOME?IMPRQUEMENT, INC. F 5 rt Brad Sprinkle r 199 Barnstable Rd. ` z c- ,;�U,Q •� Hyannis, MA 02601 Deputy Administrator n BOARD Of BUILDING,REGULATIONS a License: CON.STRUCTIOWSUP.ERVISOR Number CS 006643 i J r -{Expires 10/0$/2007 Tr. no: 6638.0 Construction-CS; ;' ' Restricted 00; BRAD'K SPRINKLE 190-LOTHROPS L-A, E 1N.BARNSTABLE, MA a026683�6 l Commissioner f The Commonwealth of Massachusetts Department.of Industrial Accidents Office of Investigations > 600 Washington Street Boston,MA 02111 a www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AQplicant Information Please Print Legibly Name (Business/Organization/Individual): S0(►t1 k.�e tiU►'Y12 -4-wt(J�GV2 ,,T Address: 119 i?>�r�S-I-"A �Qa� City/State%Zip: d o l Phone#: ,50�- 7 �.S'• `! Are you an employer?.Check the-appropriate box: Type of project(required): 4. D I am a general contractor and I 6. D New construction 1.��..am a employer with_ y_ have hired the sub-contractors employees(full and/or part-time).* 7. Remodelin 2.El am a ole proprietor or partner- listed.on the attached sheet h $ g ship and have no employees These sub-contractors have 8. ❑ Demolition working forme in any capacity. workers' comp.insurance. 9, D Building addition (No workers' comp..insurance 5• D We are a corporation.and its 10.❑ Electrical repairs or additions required] officers have exercised. their right of exemption per MGL ILE] Plumbing repairs or additions 3.D I am a homeowner doing all work myself. [No workers' comp. c. 152,§1(4),and we have no 121-1 Roof repairs insurance required.] t . 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: a ' t Homeowners wbo sukanit 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 end their workers'comp,policy information. I am an employer that is providing:workers compensation insurance for my.employees. Below is the policy and job site information. _ Insurance Company Name: �ll►'Yl (�ln� r Policy#or Self-ins.Lie.#: O�y y y 0�00_l__ Expiration-Date: 5 (3 `b 'Job Site Address: City/State/Zip: Attach a copy of the workers'.compensation policy declaration page(showing the policy,number and,expiration date). Failure 0—secure coverage as required under.Section 25A of MGL.c. 152,can lead to.the imposition of criminal penalties of a fife up to$1,500•.00 and/or ono-year imprisonment, as well as civil penalties in the form of a STOP.WORK ORDER and•a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and pen t' s of perjury that the information provided above is true and correct: Si afore: � Date:. Phone# 8 `?7 S L Official use only. Do not write in this area,to be completed by city.or town_of j`iclak City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone'#: g HOMEOWNER: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES I authorize Sprinkle Home Improvement to act on my behalf in all matters relative to the work to be performed on this job (i.e. permits, applications etc.) if necessary. l° Salit Brad Sprinkle Date Date w r-co- 00 1 r ; 0 r rrslJl'1- (-,r;o r10N01 U11 r-�o �RD 9PRI CERTIFICATE OF LIABILITY INSURANCE so DATEIMW 7/Y N-1 07 27 06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bryden G Sullivan Ins Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR BB Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis MA 02601 Phone: 508-775-6060 rax:508-790-1414 INSURERS AFFORDING COVERAGE' NAIL# INSURED INSURER A: Aspen Specialty Insurance 14788 INSURER B. Sprinkle Home Improvement Inc. IMURERC: 199 .Barnstable Rd INSURER D: Hyannis MA 02601 INSURER E: COVERAGE$ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SmSo'r TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRC TYPE OF INSURANCE POLICY NUMBER DAT[ EAVD� MDIdY LIMBS GENERAL LIABILITY EACH OCCURRENCE S 1000000 1*14 A i X COMMERCIALGENERALL"IUTY BINDER 07/01/06 07/01/07 PREMtSES(Eaoccuran�� $50000 i CLAIMS MADE n OCCUR MEU EXP(Any orm person) $1000 -- - _ PERSONAL S.AOV INJURY $ 1000000 GENERAL AGGREGATE $2000000 GEN'LAGGREGATE LIMIT APPUE$PER: PRODUCTS•COMPIOPAG6 $ 1000000 17 PRO- POLICY PE LOC Emp Ben. none AUTOMOBILE L(ABILrrY ANYALITO EaMaccdut}SINGLE LIMIT II ALL OWNED AUTOS BODILY INJURY $ - SCHEOULED AUTOS (Por Dotson) HIRED AUTOS — BODILY INJURY II NON-O WNEO AUTO& (Per amidenU PROPERTY DAMAGE $ (Per accident) GARAGELULBLITY AUTO 014LY-EAACCIDENT S ANY AUTO w OTHER THAN 6A ACC $ AUTO ONLY: AGG S EXCESSJUMBRELLALIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ II RETENTION $ +- $ WORKERS COMPENSATION AND TWV LIMITS TF EMPLOYERS'LIABILITYEft ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUOED7 E.L.DISEASE-EA EMPLOYEE I If es,desaib@ under E.L.DISEASE-POLICY urnrT $ SPECIAL PROVIelON8 oelow OTHER DESCRIPTION OF OPERATIONS I LOCATIONS J VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS Carpentry; Proof Of Insurance. Upon request, a Certificate of Insurance for bvtb Liability and Workers Compensation will be issued for specific jobs. CERTIFICATE HOLDER CANCELLATION SPRNKHO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE 166UING INSURER WILL ENDEAVOR TO MAIL I0 'DAYS WRITTEN Sprinkle 508-7T5-1350 Horse I>nprovdruent, Ina FaxNOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SHALL Fax #508 Margo Mack IMPOSE NO OBLIGATION OR LL451LITYOF ANY KIND UPON THE INSURER,ITS AGENTS OR 199 Barnstable Rd. REPRESENTATIVES. Hyannis MA 02601 AU IJILYULUREPRESENTATlV ACORD 25(2901100) &,kuk') p ACORD CORPORATION 1988 �I N1AY. 23• 1c006 0: 20r'M ASS'JCiAIELD 1NSll RAN C'E NO. 7283 r, 2!2 CERTIFICATE OF INSURANCE 18SULr DATE(MMIDDIYY) 10512111.066 PRODUCER THIS C TI E'D AS A MATTER OF INFORMATION ONLY AND CONTEPS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE B:-vden&Sullivan Ins Agf ccy DOES NOT tiRfEND,E,CTM OR ALTER THE COVERAGE AFFORDED BY THR POICIIES BELOW, Inc I - -- 88 Falmouth Road � u COMPANIES AFFORDING COVERAGE — Hyannis, NIA 02601 INSURED Sprinkle Home Improvement .IaC ICOMP'ANY P.I.M. Mu(ual Insurance Co 199 Barnstable Road LETTER A 1•ymnis, MA 02601 COVERAGES _ THIS IS TO CERTIFY THAT THE POLICIES OP INSURANC_E L ISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE PDX THE POL1C2 PERIOD INDICATED,NOT'WrrHSTANDING ANY REQUMMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUME14T WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISKrD OR MAY PERTAIN,TIRE INSURANCE AFFORDED EY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDJTI:OX$OF SUCH POLICIES. Ln'dITS SHOWN MAY IQAVE BEEN RLDUCED BY PP.:D CL,AINIS. co ---- '~ AOLICYFFFEC?IV6 PCIYCYEJ(IilL1Tt0. LTR TITS OF INSURANCE POLICY N'UMOBR I LTMITS UATIi(MMiDD.'1'Y) DA1'L(MMr'OOIYY) �-- GENEKAL LMOIL►T'Y •,—,Iy, `_ GE.NQP.n,L F,GGR.EGATE - S -- --- �COMMERCIALGENGRALLdABIL1TY I RODUCTS•COMPIQPAGG. S AM1ISNIADG�(:CI,RI PBR$OA'AL.B.AOV.INJURY S — y•._..,M... OWNERS&CONTRACTOR.S Pats:'. I I ,;ACH OCCURRENCE � S _ ! FLRBZAMAG6{Anyom-liru) --��-5 MED.r.XPENSR rAm onc rwmn) f AUTOMOBILE LIABILITY ��— COMBINED SINGLE f 1 ANY AUTO I I LIMIT I ALI.OWNED AUTOS r I 80DILYINIURY I S SCHEDULED AUTOS I I(ror Neon) � hIRED.A')TOS - AIODILY INJURY S NON-OWNED AUTOS I I h�JOCi4tm) i L ARAGR W.BILITV — PRovr•RTY DANIACC s I 1 _ -R, %CFSSLIARIL.:TV •—_ E..ACRO.-CLR1)LNCE PO MIRELLtFORM AOGREGA7ET 11611THA.N UMBRELLA FORNf WORKQR'SCONPBNSATTONAND 'I�CSTATU- OTH•; t:Ml'WYERS•UABIL(Ty I i TRY L1N11T'_, ��.ER... i �ood���a,,aoou osn3/2U06 I as/131ano7 - CCiDGNT __ s — A THE PROPRIC•.TORi IKCL I ! 2L DISEASE.-POLICY LIMIT I 500 000 PArTIkIBRSLx5Ct'71VE r OFFICCRS ARE. !'�FI C.I 1 dL VlSeA E-•BA EMPI,OY'Fs` § 500 000 j0TIIXK i _T--- I DESCRII'fIUNUFOrl:AATIUdVSILOCI��T'ICINSN�:HLCLES!'.iPECIAn.2TIL'�MS t CERTIFICATE HOLDER CANC'CLLATION -- SHOULD ANY OF THE'F,BOVE DESCRIBED POLICIES BE CANCELLED BEFORE'i HE EXPIRATION DATE THEREOF, THR ISSUING COMPANY WILL ENDEAVOR TO NfATL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO MAX.SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Brad SprinkleLIABILITY OF ANY KIND I1PON THE COMPANY, ITS AGENTS OR 199 Barnstable Rd. RF.PResENTArIyEs, — AUTIIOR.I%P.D REPRPSkNTATi4''r. Hyannis, MA 02601 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ' ]�? Parcel ®D S- Permit# 0 Health Division 3 '# 3/0 AI 7 l-o Date Issued �a Conservation Division a`I_JIN 01 Applicatio Fee Tax Collectorei'� d Permit Fee Treasurer o D �PpC Planning Dept. �L�NNB�� oBr�Date Definitive Plan Approved b Planning Board c��o Roe Historic Historic-OKH Preservation/Hyannis Project Street Address `4 D f-6 rz -_D Y, Village 4A rkyt S Owner U , 00l 1 Address L4D I !y6Ye--Dr, Telephone Permit Request �� l �- � 5 4.1 Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new �j Zoning District Flood Plain Groundwater Overlay V Project Valuation Ito' 5Z,3 Construction Type Not Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other `= a � Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/co i stove: O Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑ ❑new size Barn: ''sting ❑'new size Attached garage:❑existing ❑new size Shed:Cl existing ❑new size Other: = t Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ r, Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name ,Dvm o, , � Telephone Number Address �� �� License# C S b 1 �b J 2 6 dZ Ce Home Improvement Contractor# Worker's Compensation# � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Vv�� SLak_ SIGNATUR l � DATE z d FOR OFFICIAL USE ONLY 1, , . f PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER r DATE OF INSPECTION: FOUNDATION /,� FRAME f'12/n eft /e r INSULATION X FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH / FINAL FINAL BUILDING, �i n/ C�c /��/d/i' f -DATE CLOSED OUT ASSOCIATION PLAN NO. ZVE T°� Town of Barnstable Regulatory Services 1ARNSlAe I.E, Thomas F.Geiler,Director y hinss. � E1619. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. l l Date 7 2-I 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: rV "� �'�`- Estimated Cot �� 3 Address of Work: Owner's Name: 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: n/� /0070� Date Contractor ame Registration No'. OR Date Owner's Name Q:forms:homeaffidav f RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 O O Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq. foot x.0031= X a -7� plus from below(if applicable) GARAGES(attached&detached) square.feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. P + >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: - square feet x$96/sq.foot x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) ' F Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 _ (plus above if applicable) Permit Fee �5 projcost u I CAPIZZI HOME IMPROVEMENT INC . SPECIFICATIONS AND ESTIMATES PAGE 11 OF 12 • STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT OWN THE PROPERTY LOCATED AT IN MASSACHUSETTS. I HAVE AUTHORIZED Z' 1 o" ' ` ' �� TO ACT AS MY AGENT TO APPLir FOR A BUILDING PERMIT INIACCORDANCE WITH 780 CMR, THE MASSACHUSTTS STATE BUILDING CODE. I GIVE MY PREMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. w SIGNATURE OF OWNER: n OWNER'S ADDRESS: �O OWNER'S TELEPHONE: 7 1 ®- 0 0) LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 NEWTOWN RT)_ , COTTTTT, MA 02639 APPLICANT'S TELEPHONE: 508/428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: ACCEPTED BY DATE THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL #26967 f - - uu.uuivu; I�uIc�ICUJu m LtlhIIIUIV f AUL Ui ACORy., CERTIFICATE OF LIABILITY INSURANCI„p 03/2803 / ZZ-1 PRODUCER THIS CERTIMATE IS ISSUED AS INFORMATION Norcross 'i Leigthton Cape Lou. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE C.J.MoCarthy Ins.Agency,Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 437 Station Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. So.Yaxmouth MA 02664 phone: 508-394-0946 tax:509-760-140'i INSURERS AFFORDING COVERAGE? INSURED INSURER A: Maticnal Orange Mutual Ins. Ca INSURER 0: Safety Inaurance CgWany c2lizzi Home X rovement Inc. INSURERC: Guard Insurance GrojT 66 eMto I� RQ INSURER D: Gotui m 02695 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMEv ABOVE FOR THE POLICY PERIOD INDIOATED.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 INSURMICE AFFORDED BY THE POLICIES bESCRIBED HEREIN 16 SUBJECT TO ALL THE TERM&.EXCLUMNS AND CONDITIONS OP SUCH POLICIES.AGGREGATE LMTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN TYPE OF INSURANCE POLICY NUMBER T M LIMITS GENEAALUABILIrY EACHOCCURRENCC 51000000 A X COMMERCIAL GENERALUABILITY MPS02733 04/01/03 04/01/04 FIRE DAMAGE(Any Oro firm) 8300000 CLAIMS MADE [K OCCUR MEDExP(Arty on•pwwn) 910000 PERSONAL A AOV INJURY $1000000 OENERUAGGREGATE $2000000 OWL AGGREGATE LIMIT APPLIES PM: PAODUCTB•COMPIOPAGo f 2000000 POLICY JwTRO. LOC AUTOMOBILE LIABILITY B ANY AUTO 1601064 04/01/03 04/01/04 COMBINED B NGLELMAIf I ALL OWNED AUTO$ BODILY IN.IURY X SCHEDULED AUTOS (+.,p,a,) 11000000 X HIRED AUTOS OODILYMJURY i 1000000 X NON.OMEDAVTO6 F'ii00bOnq PROPERTYDAMAGE 1500000 (Pn ooOlduiq OARAOB LI41LIrY AUTO ONLY.CA ACCIDENT I ANY AUTO �q THAN SA ACC I =ONNLY: AGO I ExOEss LIABILITY EACH OCCURRENCE i OCCUR CLAIMS MADE A00REOATE I • s DEDUCTIBLE i RETENTION I I WORKERS COMPENSATION AND X11 C EMPLOYER&'UAMLITY CANC401043 01/01/03 01/01/04 E.L.EACH ACCIDENT $100000 ILL.WCA39•EA FmPLOYe4 1100000 ILL.DISEASE-POUCY LIMIT s 500000 OTHER DESCRIPTION Of TX)H&iocATioNLYiEHicLretgxcLuslomt ADDED BY ENDORSEMENTfAPECUU.►RoY sW6 CERTIFICATE HOLDER 1Q ADDITIONAL INSURED;INSURER LETTER: CANCELLATION &WOULD ANY OF THE ABOVE DESCRIBED POLICIES BE OANCELLED BEFORE THE EXPIRATION DATE THEREOf,TIT&ISSUING INSURER WILL ENDEAVOR TO MAIL ,1LI_DAYS wTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO E0 SMALL IMPOSE NO OBLIGATION OR UMILITY OF ANY KIND UPON THE INSURER,ITS AOENT5 OR . REPRESLNTATIVBS. AUTHORMD WITATFVt r ACORD 25-9(7/97) CORPORATION 1NI , I ,,F .. uaar,Wt+Fhe`sM*+'�+R"'v!'+'M+'« ov:, r+'sAsar.r.>?v r.,.: _�i-aa .•nt.pw t*;,a r: ✓(a/a�. S�1\ /4100!lNJEOlLI/ICIlFV6 Iloard or Ilnilding Regulations and Standards r HOME IMPROVEMENT CONTRACTOR isl Re g rallon: 100740 e=-tit" Expiration: 6/23/2004 Type: Private Corporation , CAPIZZI HOME IMPROVEMENT,i aromas Capizzi,jr. 1645 Newton Rd. Coluil,MA 02635 Administrator a%/!P, 1E)O fJl.11tOffll/EQAX O���Qd,JpC�UdE��d bb BOARD OF 13UILDING REGULATIONS 1 License: CONSTRUCTION SUPERVISOR r Number: CS 057032 ! r �+ © S. +.. J Expires: 09/26/2UU3 Tr.no: 579U Reslriclod: 00 TI IOMAS X CAPIZZI JR 213U PERCIVAL Ult ,, ' W BARNSTA13LE, MA 02666 Adrninislralor 1 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,i'vlA 02111 Workers' Compensation Insurance Affidavit Applicant Inffoo{r-mation: /� PLEASE PREN T , N.��IE 1 U 1 U�QS �-E,l l Z 1 �� �• LOCATION CITYl5 STATE l"V'r ZIP CODE PHONE 1 t O I am a homeowner performing all work myself. O I am a sole proprietor and have no one working in any capacity. ensation for my employees working on this job. O lam an employer providing workers' comp Company Name �I� z to 0 Address l _ _ �f p- �l City ►"t U 1 U I State 14 Zip Code 2k 3 S Phone T ` 2 b - 7 5 lJQ - n 1,� CA WC-U D 104 Expiration Date Insurance Co. W l��� Policy O lam a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation policies: Company Name Address City State Zip Code Phone T Policv Expiration Date Insurance Co. Company Name Address - City State Zip Code Phone Insurance Co. Policy 4 Expiration Date Failure to secure coverage as required under Section 25A of�iGL 152 can lead to the imposition of criminal penalties of a fine up to Failure to and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 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. do hereby certify under the pains and penalties of perjury that the information pri ed above is true and correct. ileN � Date Signature n _ Print name �h D YVA(US C� 17iZ1 ,r . Phone r"r `mil O Official use only-do not write in this area 7 to be completed by city or town official Permittlicense 9 O Building Department O Ucensing Board City or town O Selectmen's Office O Health Department O Other O check if immediate response is required phone Contact person Feb, 14 03 02: 10p Michael Hurley (508) 888-3000 p. 1 ` -Harvey Industries Named Z5 ENERGY STAR° Partner of the Year Money tsM All You're Saving by the Environmental Protection Agency and the U.S.Dept.of Energy in 2001. . Harvey vinyl windows are ENERGY STAB qualified throughout the U.S. with Low-E/fton glazing.ENEROY STAR'qualified windows are 40% more efficient than windows that meet most national building codes. If all products in the U.S. were ENERGY STAR'qualified, we'd save$100 billion in energy costs over the next 15 years. ENERGY STAR®windows are good for the environment, using less fossil fuels which cause,- air pollution, smog, and global warming, Sowre:U.S.Depart twit of Erurgy.Must use Low-F_/Argon to advtve ENERGY STAte rating U and R Values U-Values in accordance with NFRC-100,based on whole window values. U-Value:A measure of heat transmission.The lower the U-Value,the less heat loss. R-Value:A measure of a window's resistance to heat conduction.The higher die R-Value,the better a wiuduw is able to insulate. Clear Insulating Low-E Low-FiArgon' VINYL WINDOWS U-Value R-value U-Value R-Value U-Value R-Value Classic Double Hun (Mechanical) _ :_0..5.1_._..._...1.96 0.40 2.50 0.35 2.86 Classic Double Hung (_Welded Sash)__._ -0.51 1.96 0.39 _ 2•56 0.35 2.86 Classic Double Hung (Welded Sash and Frame) 0.49 2.04 0.38 2.63 0.34 2.94 Classic Plus DH w/Tru Channel Storm Window 0.33 3.03 0.28 3..57 0.27 3.70 IL�t Signature Double Hung 0.51 1.96 0.39 2.56 0.35 2.86 Signature Double Hung(Welded Sash) 0..50 2.00 0.39 2.56 0.35 2.86 Slimline Double Hung (Welded Sash) .0.52 1.92 0.40 2.50 0.35 2.86 Slimline Double Hung (Welded Sash and Frame) 0.50 2.00 0:.38 2.63 0.35 2.86 Slimline Single.Hung - 0.52 1.92 0.40 2.50 0.35 2.86 ,.-Vinyl Casement/Awning - ---- -0 4.7_.._ 2 l 3_. 0.36 2.78 0.33 3.03- -- Vinyl Casement/Awning and Thermal Panel 0.32 3.13 0.26 3.85 0.25 4.00 Vinyl Designer Shapes 0.49 2.04 0.34 2.94 0.30 3.33 Vinyl Hopper 0.47 2.13 0.36 2.78 0.33 3.03 --------- -- Vinyl Picture Window 0.46 2.17 0.33 3.03 z 0 30-3.33-. Vinyl Picture Window Deadlite 0..51 1.96 0.37 2.70 0.33 ' 3.03 Vinyl Roller- 2 Lite and 3 Lite 0.50 2.00 0.38 .2.63 0.35 2.86 WOOD WINDOWS Majesty Double Hung N/A N/A N/A NIA 0.40 2.50 Majesty Fixed Casement (PW) N/A N/A N/A N/A 0.37 2.70 Majesty Casement/Awning N/A N/A N/A N/A 0.42 2.38 Majesty Picture Window (DH) N/A N/A- N/A NIA 0.38 2.63 Temp.Clear Temp Low-E Temp.Argon . PATIO DOOR ,U.Value R-Value U-Value R-Value U-Value R-Value `Harvey Solid Vinyl Patio Door 0.50 2.00 0.4L 2.44 0.38 2.6 j a R 'All vinyl windows with Low-E/Argon qualify for the ENLRGY STAR'program throughout the U.S. The use of tempered I-ow-E glass may effect ENERGY STAR"qualification in your region.U-and R-Values are subject to change without notice. - f • I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I I I Checked by/Date I I I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 7-14-2003 DATE OF PLANS: 7/2/03 r LE: SALIT EC NERtWIRTPON: AE SMENT'REMODEL-''j COMPANY INFORMATION: CAPIZZI HOM,E IMPROVEMENT COMPLIANCE: PASSES Required UA = 98 Your Home = 86 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS ' 625 19.0 0.0 32 WALLS: Wood Frame, 16" O.C. 664 13.0 0.0 55 --------------- ---------------------------7------------------------------------ COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable- Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the ,building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310'and J4.4. Builder/Designer Date V . MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 SALIT DATE: 7-14-2003 Bldg. l Dept. l Use I I CEILINGS: L I I 1. R-19 I Comments/Location I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-13 i Comments/Location I I AIR LEAKAGE: [ ] I Joints, penetrations, and all other' such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting,fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the i inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. i 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I • I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ,: ceilings, walls, and floors. ; 1-MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating _.",I_ .and cooling equipment and service water heating equipment must be I provided. . Insulation R-values and glazing U-values must be clearly. I marked on the building plans or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: r [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC,system must provide a means for balancing I air and water systems. I ' i I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each.-separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system. is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. I ( ] I SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I [ ] I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : I I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS_ 0-l" 1.25-2" 2.5-4" " . I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0, 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant+ below 40 1.0 1.0 1.5 1.5 I ' [ ] I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water-pipes to the following levels (in.) : I I PIPE SIZES (in.) i NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0.1" I 0-1.25" 1.5-2.0" 2.0+" ;I 170-180 0.5 I 1.0 1.5 2.0 1140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 I 0_5 0.5 11.0 ----NOTES TO FIELD (Building Department Use Only)------------------------- . C Assessor's office(1st Floor): ; Assessor's map �and lot number 2o2 O�i G� a TN f t0 I Conservation(4th Floor): t n` 1 rJ E '" ��P��`•w Board of Health(3rd floor): f - • Sewage Permit number t'L spy�ntc 0 L14Engineering Department(3rd floor): s639.``�d' House number Definitive Plan Approved by Planning Board 19 ' APPLICATIONS PROCESSED 8:30-9:30.A.M.and 1:00-2:00 P.M.onlyAPPUCAM '0 Oh PIAMa TOWN OF BARNSTABL, a �$ BUILDING �INSP.ECTOR _ � � {mow APPLICATION FOR PERMIT TO I) 3(i Aj lip- -TYPE OF CONSTRUCTION 12i 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following inf rmation: 9 Location K O V Proposed Use Zoning District 1L Fire District Name of Owner � �L ��L Address �V0 Name of Builder 0��6'� /Q A Address Name of Architect A M'-e— Address r` 1 Number of Rooms Foundation Exterior NA Roofing Al A Floors Interior Heating /V A Plumbing at/ Fireplace N& Approximate Cost z Area .2 6 y p _ Diagram of Lot and Building with Dimensions i' / Fee cy 9 • ,£ ,� _-A 20 N � a O OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Si ipervisor's License l 7`� r, No 7989 Permit For wooden deck Location 40 Kilkore Drive Hyannis, MA 02601 Owner Paul W. Salit , .qF Type of Construction Plot 272 - Lot 005.003 Permit'Granted 19. Date of Inspection: Frame 19 Insulation 19 Fireplace 19 , Date Completed 3A 19 i ` S^ • � t i , 1. - 52- 4z \ r 11/02/94 17:02 '$817727 7122 DEPT IA'D .ACCID Qoo -y - Canun iuvea tli o Ma,1Jac1ztt_4etb aUaParfinenf o�.9,zdu�friaC�cci� 600 Wajhiglon.Treat James J.Campbell UoaEon., ii/aaaachws�le 02111 Commissioner Workers' Compensation Insurance Affidavit 1, V 410 Ala 4 . Ap with a principal place of business at: � do hereby certify under the pains and penalties of perjury, that: () i am an employer provid'mg workers' compensation coverage for my employees working on this job. Insurance Company Policy Number I am a sole proprietor and have no one working for me in any capacity. () 1 am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number () I am a homeowner performing all the work myself. I understand t`at-copy of t1:is statement will be fomzrded to cite Office of Investirarions of the OTA for coverage verification and that failure to secure ccve-age Ls rec.,.i,-ed under Section 25A of MGL 152 can lead to the imposition of criminal penalties consisting of a fine of up to S 1,500.00 and/or cr,; years' imprLmnment as well as civil penalties in the for:of a STOP WORK ORDER and a Me of S 100.00 a day against me. signed this 61 aAV1x0W1 ," day of ZZ 19 �Sf a � 73s7 Licensee/Permittee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TnT.T\T n' RARNTCTART.F RTTTT TITTTT('_ PRRMTT # u 3 ` FPOM Panasonic FRX SYSTEM - °PHOhJE NO . ate. 'Jun .27•-1995 01:11PM P2 PIot; Plan Of land In HYANNIS; M. Prepared For s Y NAVY FEi3ERAL CREDIT UNION � a CHICAGD TITLE INSURANCE COMPANY► INC. July 20, 1994 Scale: 1" = 30' Thompson Surveying & Engineering,. Inc - .,;> 525 Mill Street Marion,MA. Spy W N NUf �. �. � /S,�cam. �,►� . � I s I certify, to{Navy `Federal Credit Union, Chicago Title Insurance Company, Inc. and Paull, & Seguin the following: This plan' was not rpoade from`a tape. and instrument survey. R These certifications are made to the client mentioned,,and are for mortgage purposes only. x p P y p es used to establish: ✓ 4 Under no circumstances are the distances shown to be s _ •a . , �r ro ert limes or for construction purposes. '-� This plan is not to be used for recording or deed descriptions. The existing dwelling show on the plan does not fall within a special flood hazard zone as delineated on the F.1.R.H. Community #250001. Panel, #0005C;' dated August 19, 1985, (Zone C.) The existing dwelling shown on the plan is in compliance with local applicable zoning by-laws with respect to.h®rizontal dimensional ranuiramaniC_ Property-being shown on Assessors Map #272' Lot 5-3 j I certify there are no visible encroachments or easement`s•, eucept_as shown. x. a , r a; r r v a I t• � ti t rr f f � r � t 1 ' \ a t _ �,, . - ; LL �- D COMMONWEALTH DEPARTMENT OF PUBLIC SAFAvi 4� M Stui9dM1�t0 { OF I ONE ASHBORTON PLACE `' Qp�laoalhta�fOrI1M00+It10A ; MASSACHUSETTS I BOSTON,MA 02108 �tMt>r1i0s�ew. �. LICENSE EXPIRATION DATE CONSTR. SUPERVISOR CAUTION F. 0 7/11/19 9 S RESTRICTIONS 0.1 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST } THEFT, PUT RIGHT THUMB NONE " � o 06/30/1993 017357 o PRINT IN APPROPRIATE o RAYMOND A .PAYNE JR BOX ON LICENSE. BLUEBERRY HILL RD o BLASTING OPERATORS HYANNIS -MA 02601 Z MUST INCLUDE PHOTO. PH O eR ONLY) F c -" D0.00 �Ir NOT VALID UNTIL SIGNED BV LIGEMSEE AND OFFICIALLY 5) ' HEIGHT: STAMPED-OR-SIGNATURE OF1HE COMMISSIONER \` FAC 0 11"3 ` \ , THIS DOCUMENT MUST BE - SIGN NAMEI FULL ABO NATURE CARRIEDONTHEPERSONOF SIG RE OF LI NSEE 'VHEAS`RIGH`- THE HOLDER WHEN EN. - A ER Q C3 bTHERS-RIGHT'h9UM8PRINT GAGED IN THIS OCCUPATION. now ;��h+ r HOM � -CONTOWMD Rili trattoe b5552 , 0llA 7/1 96 .- N TL Y� ,5 , } aysond ` P Xne Irk annis NA 01601 '�",�'z ADMIN►STRATl1R• 1 j The Town of Barnstable KAB&• snxrrsr�. • �0$ Department of Health Safety and Environmental Services 1659. �8%. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only 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: S rV c2G Y� Est Z � Address of Work: Z16 A-- Q i Owner.Name:�`G9U L L r Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S 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 ,�o.�r �u+c',�,,. *r'.R ._,.,..�,y,� #•tqy�-yrs�"t��. ��� A'� ��' � X 3���'1Ga��,`�H" .� FF }N�>o TOWN OF BARNSTABLE Permit No. .327.7.2 BUILDING DEPARTMENT 1 """ I TOWN OFFICE BUILDING Cash 7 a1Ml 1 a6}9• / '►�ra�r HYANNIS,MASS.02601 Bond J/.....X CERTIFICATE OF USE AND OCCUPANCY Issued to Greenbrier Corp. Address 40 Kilkore Drive (Lot #19) Hyannis, Mgss. USE GROUP FIRE GRADING OCCUPANCY LOAD r THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. May 1, 19......8.9...... �. G. .. ....... . . Building Inspector 0 c • TOWN OF BARNSTABLE, MASSACHUSETTS WING 7 P I' RM' A=`72—0 0 5—0 0 3 DATE :1, L L1 19 1�3 9 PERMIT NO.!.j4i? .12772 0 - 1L #00139" APPLICANT C. ADDRESS P- C� T3 510 C01 -C V (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO BU W 4 S NUM E OF STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) Lot- it 1 Ao ZONING (NO.) (STREET) DISTRICT BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT-BLOCK SIZE BUILDING IS TO BE -FT. WIDE By FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTI TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: SE_,wagc_-. C3104 Bond ARE�OR VOLUME 45, 00U. 010 PERMIT $ (CUBIC/SQUARE FEET) ESTIMATED COST FEE 55 .50 OWNER _P BUILDING DEPT. ADDRESS 0 o, C r%7..,J.- BY f. THIS PERMIT CONVEYS NO RIGHT TO OCCUPY All STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY.( PERMANENTLY, THEBUILDING CODE, MUST BE A PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUB LIC SEWERS MAYBE OBT':AUNIF ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONcotici; OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JO INSPECTIONS REQUIRED FOR B AND THIS WHERE APPLICABLE SEPARATE ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR I. FOUNDATIONS OR FOOTINGS. ELECTRICAL, PLUMBING AND MADE. W HERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED�UCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). 3. FINAL INSPECTION BEFORE FINAL1.4,,NSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM. STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT r OTHER BOARe HEALTH WORK SHALL NOT PROCEED UNTIL THE INSPEC_ PERMIT ',V!LL BECOME NULL AND VOID IF CONSTRUCTION S ON TOR HAS APPROVED THE VARIOLIUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE AINSPECTIONRRANGED INDICATED FOR BY TELEP THIS CARD CAN HONE OR WRITT CONSTRUCTION, PERMIT ;S ISSUED AS NOTED ABOVE. NOTIFICATION. I V I I 1 I 1 I ` , 37e u v U i I I , I i -1 CER T IFY THAT THE w os SHOWN ON THIS PLAN IS CLIENT LOCAT PAU`A. JOB NO /29 ED ON THE GROUN LEVY ��. AS INDICATED DR.B'Y: -4SL '� CHKD.BY: SHEET-LOF / 912 f� - _..__ �- DATE REGIS E ED LAND SURVEY -- i^EVY®ELDREDGE WAGNER ASSOCIATES,INC. A5 BVILT PLOT PLAN ENGINEERS - LANDSCAPE ARCHITECTS PLANNERS - LAND SURVEYORS lO' /9 /�'��'�� IN 889 WEST MAIN STREET CENTERVILLE, MA. 02632 SCALE : 250 DATE: ZLg9 ---- r-r- P bk� I e—(CL*- AsF�ssor's offioe (1st floor): a'�, OoS O �D*TNttoy ,/"'7 Assessor's map and lot number ............................................. Board of Health (3rd floor): rO�Q ♦� Sewage Permit number .................Cx ..... + Z 9ASd9T11DLE, S Engineering, Department (3rd floor): f 'w NMI ASI \0a House number .......N....................... o,• Dr�.� 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 ........ 8^�SfuCi �c.�E(rc.�.vfr ...................................................................................... TYPE OF CONSTRUCTION ......�. A� .� ��`i1 ` .......:wa7Ji� �IZ�-`-rCe .................................... y ............ ............... •...........................`...y--••--------.19...... . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: a KscKOIt i>,ts✓E ��c „ v.vaS Location ..............................................................................I......... ....n.......................................................................................... Proposed Use ssAvC—cF . ..p....sc Zoning District ............................................................Fire District ............................................ Name of Owner .... 6A, e O'cn'..................Address ...� r3 5/0 CL' vi Cat v1 c LF ...................................... ......r.............................................. -r Nameof Builder ....... � ...`.`..�..............................................Address ........�✓..................................:...................................... Nameof Architect ..................................................................Address ....... ........................................................................... Number of Rooms ......................Foundation ...to.1.Piz-E�......,,,,, Co•N«cTf ............................................ ............................................ Exterior „ C ...... cn�s S,v�.vG rF3 - C��� �s n,ne i 1................................ ..........................Roofing .............�....:.............................................................. CAiT et / VJI-VyL $NL`�TK0C[., Floors ................. ...... ........... ..............................................Interior ............................................................. Heating .....I !/ ........VY.........�!'.:x.......................................Plumbing ...................g -I Fireplace .........A!d...................................................................Approximate Cost .. yS.dA'0...�.......................................... Definitive Plan Approved by Planning Board ----------- ---'_ -- �v / y� 19 Area ... �f... :. /> :.. 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 regarding the above construction. Name /...................................... Construction Supervisor's License ..Q013.y. ................... L - ' ' - ' . . � ^ � - . . ' , ' ^ . GREENBRIER CORP . 32772 BUILD DWELLING Single Family Dwelling Hyannis Greenbrier Corp . ^ Wood Frame Type of Construction '—..-.-_----_-----� � ----------------..---------.. ' � ^ ° Plot ............................. 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P„ frjr(j"Le. 7. .'><,t.,. ;33„ ,-k. ,:,. ... .... `�`-" ���r�:�. z:.�[.. .'�a�... :.• � x....s5k`.�,. a,..Ito-,:. •tS�„ s w .: 3" ...«E �...... ., ..,.«..: ...-,.1.. ,. -.n-..,., ,. ... .::,_. ,. ,.,h:.:r`,..,. f. .61 #-y ..—•y- y..' ..JY- 3 y3 h� ,....`. '' '�.u ":COMMO a h : its �y DEPARTM � 5 NWEALTH r` M r„F„ ENTOF'PUBUC :.c.tax �ia ,ui• +d �?> ?, �� f i. , - `�rCE i..-,Y�'++�'.�.:'.i l., I��� I .,�_'` a'v„ rr •�A' .. •s• + s £us=` 4#4``' , 1010 COMMONWEALTH AVE ' Y a $ s MASSACHUSETTg " $" BOSTONr MASS 02215 Yc J �r`•:T- 5-1c' M4�rH' 7.. ENCLOSE CHECK OR MONEY ORDER EXPIRATION�ATEtf rrCONSTRLI$UPERYISOR ' ,' fls% /A �` FOR REQUIRED FEE,' 993 0.3�9 RESTRICTIONS s EFFECTIVE DATE 'MADE 30/1 ; N10AlE LIC-NO. o R! PAYABLE TO s 06/30/1991- ' 017357 0 COMMISSIONER:OF PUBLIC SAFETY' CQ � tiRAYM0AID; A PAYNE YJit _ (D ENDS sH., , > BLUEBERRY` HILL. RD :: j HYA�fNIS `.MA ::02bfl1 �. ! P ASE--:NOTE ' FEE CREASE. � 4 PHOTO(BLASTING oak ON FEE.: - � I N C R E A$E 1 flfl.flfl JUN 71991 E , HEIGHT: NOT VALID UNTIL SIGNET BY LICENSEE AND OFFICIALLY ECTIVE FEB- 1 1989 STAMPED-OR-SIGNATURE - THIS DOCUMENT MUST BE D +`N 0 T DETACH LICENSE STUB CARRIED OER N THE PERSON AG- OF SIGN RE o LICENSEE « SIGN NAME IN FULL-ABOVE SIGNATURE LINE OTHERS-RIGHT THUMB PRINTEDE NOLTHSwOCCUPATON .�CG::•l.;•,r,_. AICCDA COMMISSIONER ��200M•2.67.8142g - �L. s ; q i - F 6 s kr wb; r Assessor's office(1 st Floor):, Assessor's map and lot number TWE tp Board of.Health 3rd floor): �Q� o ( ) t /a t VUST CONNECT TO TOWN SEWER Sewage.Permit number , t Z DAD.d9TABLL i Engineering Department(3rd floor): c--zc _ :`'/ m ( rua House number se}o• Definitive Plan Approved by Planning Board i 19 APPLICATIONS PROCESSED 8:30-9:W A.M.and 1.00-2 y_:00 P.M.only t t ' ° .R 0. OWN OF BARNSTABLE Barnstr, i.on� t az�� �' BUILDING INSPECTOR Lgn,�d It I ---)- Da-te I 1 APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 19 � � I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location L�D L 0144= Proposed Use Zoning District G Fire District ^.,)AJI S Name of Owner M V S, 1/41,k �`S Address A/o Name of Builder jZjy4,6+v9 �. l�ayNt 3V . Address 16'4043u0 5`= �Y Name of Architect S z Address Number of Rooms Ql'' Foundation j U ��/,,ke,5�o i SPA/1/ Lam$ t /� Exterior � C J � Roofing Floors l ps4-F o Interior Heating Plumbing 0&19 vv Fireplace Approximate Costlop Area Diagram of Lot and Building with Dimensions Fee N � N Q l0 t.a _ _ A puvn 16'X22e OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License HARRIS, MRS. a@. No 34653 Permit For -;Bi.LTLD GARACa - Sinal P F'ami 1 y �G]P1 1 1n4 ✓ . J. Location., 40 KilkorP Dri P Hyannis _ Owner Mrg_ Rarrlc' Type of Construction- F r a m R: r' `- Plot Lot- Permit Granted t Octobek• 22 , 19 91 Date of Inspection g 19 Val Date Completed 19 ' , . � n ;4. . t"a`'1"li4n/{"i'r1r14''r1'�rhyj,f4aiT+lArty`+'.`a''T'�i++�+.t�h+r*Wt7�j!j�"�'��4►^.�I1�'7'S^";•'►"r`�.,7i'ks'�++' �~ye�"{'1'� 1'df`M�V?�1�•,q{.�/�,�,,j�.•f+r�•-�'tijd•�,+NFt""�„''.- x Assessor's office(1st•Floor): a��X14J Assessor's map and lot numberc�T"E Tp Board of Health(3rd floor): , L /. ,• d � Sewage Permit number Engineering Department(3rd floor): 11AH39T0➢LL S riva House number__ yd °o �639. Definitive Plan-Approved by Planning Board 19 �oilk A, APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN • - OFF: BARNSTABLE k, BUIIDING INSPECTOR n APPLICATION FOR PERMIT TO Ni 3> TYPE OF CONSTRUCTION TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location L pL ✓ {V f�i �VrL 1 If Proposed Use Cl a V a GJ- - `Zoning District Fire District,. Name of Owner V 5, 11,4 Y V S Address 9 k o Ye 17y V Name of Builder Zav4lQwP A. Pa4A.,tc eke Address ��®��� � ����� /? Name of Architect S a. Address Number of Rooms Foundation /U Exterior to� i Nl t`5 Roofing /4 SPA ' Floors / ,�o��F CO�y!/�`�r� Interior -It?4 cao< �Ax,r,e-« ovau,Ayi Heating h/o Plumbing o el Fireplace /yJ Approximate Cost Area Diagram of Lot and Building with Dimensions Fee t,J� n.� c t 4 . 3 ' 9e h OAO 1 , b'X2Z' y2 c.AVAJ-Q— — —..— — OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS r r , I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. { Name Construction Supervisor's License '` �7 HARRIS, /MARS. A=272-005-003 /�-add�' 0 No 34653 Permit For Build Garage Single Family Dwelling Location 40 K.ilkore Drive Hyannis Owner Mrs. Harris Type of Construction Frame Plot Lot Permit Granted October 22 , 19 91 Date of Inspection 19 Date Completed 19 "ERINUT COMPLETED try/fir Assessor's offioe (1st floor): _ ?NE Assessor's map and lot number .....v?...............O.os-c>p Board of Health (3rd floor): Sewage Permit number ;. i BAfla9TGDLE % ... . Engineering Department (3rd floor): > 'oo 039• Housenumber .................................,........ ............................. o ma-4 >c APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only, 'TOWN OF BARNSTABLE BUILDING INSPECTOR As� Ger 1t��le�ec �GG APPLICATION FOR PERMIT TO ........................................,..........................................:.......................................... TYPE OF CONSTRUCTION .... S�..✓G-rC t...... P�f/1,` �. ...... T✓+� ' ...z� .r ................................................19...... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ! L ocztt! c KO tC 6-° ...... ............................................................. Proposed Use .......si,,�c�+ ....... ZoningDistrict ...........�Q ...........Fire District................................................... ................................................................... 1��7 (/�+ 13." �zOf t1�' •iu+t�KVI.IC ........... Nameof Owner .............................................!........................Address ................................ ..!............................................... S x Nameof Builder ........:.. E...................Address .....5�......................................................................... Nameof Architect ..................................................................Address ....... ........................................................................... Number of Rooms ......................Foundation .... y,`!z E� r�°t+.G� C e- / 's N.1 ' � C. e- 0,v» 14 Exleri . .. ..........................................................Roofng ... :.................................................................. Floors .......C...,p...r..�I.F....T.. / ;< ........ . ............. Interior ...... s'irt��.r1z .. r - ' &Heating ... .........J...... ...................................Plumbin ...................................... .. Fireplace ^ 6.` ........................................Approximate Cost /f dd'fJ S'� Ij :......................................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area :....��.../... .. ' Diagram of Lot and Building-with Dimensions Fee �5� SUBJECT TO APPROVAL OF BOARD OF HEALTH I - � ✓ s,p1ti.J f, ti ,t 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 ..................................1 ...................................... Construction Supervisor's License .. . j? I GREENBRIER CORP . A=272-005-003 No Permit, for ..BUILD...DWELLING ...S.ingle....Fam,il.y...Dwe1.1in.g............. Location .O...Kilko .e Dr..,,_,,,,(Lot,,,.19,) ' AY..annis ................................................ iOwner ...Gree.nbr.ier...Go.rP.,..................... I _ Type of Construction ...!1Q.4.d...F.KAM9............. ............................................................................... Plot ............................ Lot ................................ , Permit Granted ...Ap.r.1.1....4...................1989 Date of Inspection ....................................19 Date Completed ......................................19 i