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HomeMy WebLinkAbout0039 LATTIMER LANE � -7 7 71In r I f �1 a/�+ '! I� r zY— tAME � 1NSU1_ A-TliP 23 b ' , SaRAY EOwM SOSVEn OEO 'B BwTT3$3 • ., NSuIATrOn C���SEA I�n�a 3��9 .,� 1-800-096-&.1jlb! .a Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 -Date - Dear Building Inspector ` Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected t)y a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements: Property Owner .', Property Address Village Insulation Installed: -Fiberglass Cellulo-o R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) Floors Walls Sincerely. He y E Ca sidy r President Ca e Cod sulation, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r 1 MapParcel �h A lication pp Health Division Date Issued f Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address S 9 Village /�� .r/�/J,5 Owner /,�Gl�,6� ,l7�G�T�/.e��T,f� Address Telephone ef ��,�t�b5f�. Permit Request /2 -?f, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2, 6 Construction Typer�/o Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting ddbum6ntation. Dwelling Type: Single Fam'il Two Family ❑ Multi-Family (# units) a Age of Existing Structure Historic House: ❑Yes allo On Old King's1Highway.'`❑Yes��iNo 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 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: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER)_ Name ��D ® ®.s��� � Telephone Number Address /� ,�� /�/�D F/ �lG� License#�� Home Improvement Contractor# Email Worker's Compensation #4<dDl ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE G`Z 2- FOR OFFICIAL USE ONLY APPLICATION# s DATE{ISSUED MAP--/PARCEL NO. t ADDRESS VILLAGE OWNER a DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING, D AT-ECLOSED.OUT, ASSOCIATION PLAN NO. 0 >' B ou I S n a Assistance Corporation Cape Cod HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE ' PLEASE FILL OUT AND SIGHT THIS FORM IF YOU ARE qt THE APPLICANT HOME OWNER. hereby consent to and agree that weatherization work- tnay be done by the Weatherization Program of . Housing Assistance Corporation { herein. after referred as "Agency" ) on the property located at: c_> f�y t a v.e y- v\ {��;tbt 15 The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures:u es: weather-stripping & caulking of-windows and doors, insulaticn,of attics, sidewalls & basements, `attic and other ventilation measures and possibly replacement of badly deteriorated windows. in consideration of the weatherization work to be done at my home I agree to the following: 1.. I give permission to the "Agency" its agents andemployees .to _ travel onto or across said property with such equipment and materials as may be necessary to -perform weatherization work on rsaid property: 2 .. The Housing Assistance Corporation reserves the right to inspect the fuel or -utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read the provisions of this agreement as listed and freely give my consent. Home Owner: (Signature) = f e al Date: . Agent: (signature) Date: The Commonwealth of Massachusetts Department of Industrial Accidents , W Office of Investigations y w 1 Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Avylicant Information Please Print Le ibl Name (Business/Organization/lnclividual): Address: V,G City/State/Zip:_,d6U/A t WL � Phone#: 0� ' `71r7_(`71 Arc, ou art employer? Check the appropriate box:•' Type of project(required): Ll am a employer with _2G7 4• ❑ 1 am a general contractor and I employees (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. ❑'Remodeling 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.] S. ❑ We are a corporation and its 10.❑ Llectrical,repairs or additions 3.❑ I am 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 ��^A (� `� employees. [No workers' 13.�Other d V, I Y`- ti comp. insurance required.] 'Any applicant that checks box#I must also,till 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 indicatingsuch.- tContructors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those eiitities have cmployccs. 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. I �j p 1L Insurance Company Name Policy#or Self'-ins. Lic. #; WC oyt;2-2 rj O Expiration Date: Job Site Address2 9 Z,4/ City/State/Zip: 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 tine 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 copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cer ify r the pains and penalties of perjury that the information provided above is true and correct. S nature: Date: Phone 6 l D Z 2 S` Official use only. Do not write in this area,to be completed by city or town official. City,or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector ( 6.Other Contact Person: Phone#: g� �+J� �y CAPECOD-27 CVANGELDER E 1 I I-I4/''1�E V F DATE IMWUD1YYYYI LIABILITY INSUIRANCE 41112014 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 THECOVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED j REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to thu terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not cootor rights to the certihcatu holder in Ileu of such endorsement(s). PRQDucEH CONTACT - NAME: Cape Cod Commercial __ Rogers&Gray Insurance Agency, Inc, r PHONE - -- TAX (877)81�-2156 d34 RW 134 - - JAIL No Extl: - --- FAIC�NuJ_--__.._ South Dennis,MA 02660 E-MAIL — —" ADDRESS: INSURER(S)AFFORDING COVERAGE" NAICN — INSURERA:Peerless Insurance ComRanyINSU - _--- " "— -- ^-----_ "`" IN SURERR:COMMERCE INSURANCE COMPANY Cape Cod Insulation Inc INSURER c:Evanston Insurance — 'I8 Reardon Circle INSURERD:ATLANTIC CHARTER INSURANCE GROUP. South Yarmouth, MA 02664 INSURERE: _.__._.__._,._.____ INSURER F: - - COVERAGES _ CERTIFICATE NUMBER: REVISION NUMBER: 0fIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 111E POLICY PERIOD INDICATED NO[WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICAFE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 1-0 ALL THE TERMS, L-KCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSH �CDbt.S1ll3R - POLICY EFF POLICY EXP 6111 'I YPk OF INSURANCE WVQPOLICY NUMBER iMMIDDIYYYYI IMMIDDIYYYYI - LIMITS A j X CONIMeRCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 ( � -DATvIAGE-TORENTED_.—._._._ _._._----..._- cI:;IM,MADE X OCCUR CBP8263063 0410112014 04/01/2015 PREMISES Ea occurrence $ 100,000 ( f -I _,00 MED EXP(Any ,I, parson) $__T-,_ —5,000 i PERSONAL&ADV INJURY $ 1,000,00 OLN,AGt r c GATT:l IR11I APPLIES 2,000,000 GEN AL . ^ PER:I INI2D- _ ERA-E X Ill` JE PRODUCTS-GUMPIOP A G_G_ $_ - 2,_0.00—,0_0 _ LOC AUTOMOBILE LIABILITY OMBINED I E LIMIT $ 6 i ANY Au10 14MMBCKVMK 0410V2014 0410112015 BODILY INJURY(Pei person) $ - ALL OWNED XSCHEDULED - ,, BODILY INJURY(Per acon $ 1 000,000 I-�l1fUS AU fOS -, ` P 6dk - -- --- X X NON-OWNED PROPERTY DAMAGE $ t I ruRED.wTUS AUTOS ParacddenlL—__ ---- X UMUReLLA LIAR X OCCUR _ _ 1 000,000 EACH OCCURRENCE $ C i excess LIAU CLAIMS-MADE RIO XONJ453512 04/0112014 04/0112015 AGGRCOATIE T -- $ ^ _.. ._ ..__---- , UEU I X I RE IENTION$ 10,000 Aggregate $ 1,000,000,- VYUKKERS COMPENSATION STATUTE OR I- iANUEMPLOYERS'LIABILITY ` .. ' .TATUTE _ ...__._..---.-- D !AN1 r-HCIPRIETORIPARTNER/EXECUT1vE YI;N_� WCA00525904 06/30/2013 0613012014 E.L.EACH ACCIDENT $ 1,000,00 iOFrICERIMEMBEH EXCLUDED? - LJ N,l A ----- (Mandatury In Nil) - + . . E.L.DISEASE_EA EMPLOYEE $ '1,000,000 - nt`;CRIPI ION OF OI'ERAI IONS balow - - E.L.DISEASE_POLICY LIMIT. $ 1,000,000 DE5CRIP LION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Addltlonal Remarks Schedule,may be attached it more space Is required) ..a Workers Compensation includes Officers or Proprietors. Addillonal I115ufed status is provided under the General Liability and Auto Liability when required by written contract or agreement with the•Certificate Holder. CERTIFICATE HOLDER . CANCELLATION . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DE EVIDENCE OF tNSURANCE" LIVERED IN - " " ACCORDANCE WITH THE POLICY PROVISIONS,, AUTHORIZED REPRESENTATIVE ! " ©1988-2014 ACORD CORPORATION. All rights reserved.' ACORD 25(2014101) The ACORD name_and logo are registered marks of ACORD Massachusetts -•Depaftm!'nt of Pjblic Safety _;Board of.Building Regula;tons,nd Standards - Construction Superilisor License: CS-100988 HENRY E CASSII) 8 SHED ROW WEST YAR1VIOLPrkl 02 �TF Expiration' Commissioner 11/11/2015 Office of Consumer Affairs and Business Regulation 10 Park Plaza -Suite 5170 ; Boston, Massachilsetts 02116" P .Home Improvement Cggt a for Registration`. Registration: 153567 1 ype:' Private Corporation',,. " r Expiration: 12/15/2014 Tr# 233831 CAPE COD INSULATION, INC HENRY CASSIDY - 18 REARDON CIRCLE -------- j SO. YARMOUTH, MA 02664 , ------ Update Address and return curd. Murk rcasun for cfi^iugc. Address. Renewal Employment Lost Card 'tic: �(l, �rr•riru�rucFctlll c`"C�.Gr<[�dac�ca�ceCl � . Utticc of l onsumer Affairs s; Business Rcgulatiau License or registration;valid for iudividul use only `j{OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: pistration: 153567Type: Office of Consumer Affairs and Business Regulation expiration: 12/15/2014 Private Corporation 10 Park Plaza-Suite 5170 r;v! Boston,MA 02116 APE COD INSULA r10N 'iI�JCt -NRY CASSIDY 3 i EARDON CIRCLE L 3 D YARMOIJl'ii, MA 02664 ' Uudcrsei ctary ea wito na ok h -- Town of Barnstable *Permit# Erphn 6 mon�rom iss�c dgsa RegWato>ryy Services Fee MLL "AM ®$' Thomas F.Gainer,Director Building Division x Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601w 1V0 V 2 8 2005 Office: 508-862-4038 roWtq OF BARNS, Fax: 508-790-6230 AE3L� EXPRESS PER1ddI'T APPLICATION Not Valid without Red X-Press Imprint T®Wly O� Map/parcel Number Property Address dResidenual OR ❑Commercial Value of Work i�� Owner's Name&Address �Jv' - Contractor's Name A,f v'�2 leeZ� 'Telephone Number Home Improvement Contractor License#(if applicable)_ Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ygan the Homeowner I have Worker's Compensation Insurance Insurance Company Name e�R°-1 Workman's Comp.Policy# 1 J 5 :3 Permit Request(check box) E�Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations.i.e.Historic.Conservation.etc. Ae d L"do?"Mu~ildiing Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 :Home Im rovem p edContractor Registration Registration: 128957 " Type: Individual ` Expiration: 6/14/2007 Oliver.Kelly Oliver Kelly 9 Peregrine lane S. Yarmouth, MA 02664 update Address and return card.Mark reason for change. DPS-CA1 dj 50M-04/04-G101218 [] Address Renewal 0 Employment Lost Card KELLY ROOFING 9 PEREGRINE LANE PH/FAX 508 775 4498 . INSURED SOUTH YARMOUTH MA REG. #128957 MA 02664 October 5, 2005 f�iGF.J1� s;oll�r.�'QJ Proposal submitted t of 39 Lattimer Lane Hyannis Ma. /j We propose to supply all materials and labor necessary to remove and replace the existing roof at the address above All debris to be removed to town transfer. Aluminum drip edge to be installed on all eaves. Ice and water damage protection membrane to be installed on first three feet of eaves and in all valley areas Remainder of deck to be covered with#30 felt paper. 25 year limited warranty jet style shingles to be installed (Similar to existing) Bathroom vent pipe boots to be replaced with new. Cobra ridge vent to be installed on length of ridge with hand nailed caps. Protect all walls, windows, decks, plants and shrubs etc. during roof strip. Obtaining of town permit i At a total cost of (Same price or 30:y�e�ar�chitecte shingles)' , y Payment Schedule ; 30%with signed contract,balance upon completion. Respectfully submitted, Oliver Kelly Proposal accepted by, ��� Date / /2005 •'•.•.. Remember Lujean Printing for all your printing needs! 428-8700 0 4507 Falmouth Road (Route 28),COWit f In the spring of 2002 Doug Redegeld, doing business as Liberty Window & Door Co {Windows Doors Home Repair). with an address of 17 Preakness Lane, Mashpee MA. 02649, also his home address, with a telephone number of 508 477 7830, replaced a picture window for us. This window was purchased from Harvey Industries Inc. of Hyannis MA. of which Mr. Redegeld was or is an authorized dealer, We next discussed with Mr Redegeld replacing fifteen storm windows on our home. He gave us a written estimate of$4,125. It was our ; understanding that these windows would also be Harvey Indusrie-S Inc. windows. Shortly after all the windows were installed we had sorff—el problems with a few screens, and they were replaced by Mr. Redegeld.- P M We asked mr. Redegeld many times for a written warrenty, that he had promised to give us, but never did. he kept on telling us he guarantees his work and products, and would repair, replace or correct any problems. In the spring of 2002 we noticed we had a failed window. We called Mr Redegeld. He came over and agreed that the window was defective and said-he would relate it. After some time and many telephone calls Mr. Redegeld arrived with g w t are replacement window. When he attempted P to install this window he found that it did not fit. He told us that he would contact the manufacturers represenative and would replace the replacement window. After waiting four to six weeks and not hearing from Mr. Redegeld 1 called him, 1 called morning, noon and night and got no answer, nor was there an answering service as he did have. On Tuesday, August 20, 2002, we drove up to his house and found no one there. We also noticed no furniture in the house. We returned to the house on t Friday, August 23,2002 and found a man in the house. We asked iif Mr Redegeld was present and was told that Mr. Redegeld did not live there any more, that he and his wife and family had moved to Vrginia two weeks ago, and that he did not have an address. R We next visited Harvey Industries Inc. and spoke to Nancy Lemont, branch manager. She confirmed that the picture window was purchased from Harvey Industries Inc: , but could find no record of the windows. She asked us to a sticker off of the window frame so that she could + follow up on this matter, which we did. the next day. After looking at the sticker, she informed us these were not Harvey Industries Inc. windows Now we have a failed window, a replacement window that does not fit and a contractor who has moved to Virginia. We have obtained a` telephone estimate of$140. plus installation, to replace the glass. Bill Hedrington 39 Lattimer Lane Hyannis MA. 02601 508 771 4052 i r - Assessor's offioe.0st floor): 1 t, o*THE To Assessor's map and lot number ..................dlAli:�.4..... Board of Health (3rd floor): 3 earnS OW C Sewage Permit number ................ .�C...�...C! ` ... Z 33AH39TADLE. Engineering Department (3rd floor): r 'moo 163e• 3 House number .................................../� ...... ... ... SEPTIC SYSTEMbusy o way a' APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00-P.M. only O STALLED IN COMPLIANCE I E • TOWN :OF - BARNS-Tn r5 o BUILDING �' INSPECTOR . . APPLICATION FOR PERMIT TO. 72A.. ............... TYPE OF CONSTRUCTION .. .1 D ............... .1.. .................................................. ............... .1-.�3.- 19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... �� .,1/f��,� ....G.:.!d <�f/.....�1`X. ...... ..................................................................... Proposed ..........................................................I................ Zoning District ... ....:.................Fire District .......... ... ,�iAV—f...................................... Name of Owner .. .....11--�9 �. ........Address .��...�. � ••.'r?•., �J�� Nameof Builder ....... .............................. .............................Address .......................................................................::......:.... Nameof Architect ...............................................................:..Address ....................................................................... Numberof Rooms ......�......................................................Foundation ............................................................................... Exterior .... .............Roofing..:•�C•�'.O ,. V; �a.in.............•....................... 4. . .........................................I............ Floors //�1 �.�1.. ................�,. o .�!..GtJ ..........Interior Heating ........... 0 . ..'A!r:1�........................Plumbing .................................................................................. Fireplace .............................Approximate Cost ...,f..,....1 Definitive Plan Approved by Planning Board -------------------------------19-------- . Area - � . � f Lot. and Building with Dimensions Diagram o o. 9 Fee ..�®i................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH T o T s 3a 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 ..................................... HEDRINGTON, WM. , G. J,R. 30371 Addition No ................. Permit for .................................... Single Family Dwellinq ............................................................ ............ 39 Lattimer Lane' Location ... ...... .......................................... Hyannis ............................................................................... Owner .....WM.....G.......Hedrngton, Jr. ..... . ... ........................................ Type of Construction .....Frame......................... . .... ....... ........................ ...................................................... Plot ............................. Lot ..................... ........... Pd-effyit-Granted .......January...1.3-F.....1`9 8 7 C,7 Ddie o-f-'Inspection ... 1 qt,4 I Date Completed ................19 lu per, e 9Lssessor's offioe (1st floor): ti 11` � cF To Assessor's map and lot number c� ��T..... y THE .................. ............ .. • v f Board of Health (3rd floor) z Sewage Permit number .......................... - Z BAHd9T11111LE, i Engineering Department (3rd floor): s° rasa House number ° 1639 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"�' �% v".�!e. -✓?.! !... ... .............. TYPE OF CONSTRUCTION ....J,./', � ............ ? /�...;,� /.. ..........................:.......................... ' ................... /: .'" �'19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to/the following information: Location �2sr! �S ��+ f�7 Z /fie .._........... . ..�. ..... ..... ., , � � _ . ,..✓.mac:..../..... -...� ......... .......................................................................... Proposed Use �i,:C.��a.`�.,,�.....?:.:.,--'1..�.a.'�y��,�i+rt.�+.....�.�i..',��.�.?�.............:.....:...................................................... Zoning District .... ' ram ... ;+!...��...'.....................Fire District +ilE7 .........................:................. Name of Owner !(. !I...,..., .�pi Address ... ...,. „2. !�'�r ..... •e .. Name of Builder ......................................... .......Address �. Name of Architect ..................................................................Address .................................................................................... Numberof Rooms ...... 2......................................................Foundation ..................................:........................................... Ex I e r i a r .......................................................Roofing l., //. i�, le::...................................................... /� � Floors �-+.��:,.�J.�a�'.............�:+.:..............�i....�t ..........Interior .................................................................................... Heating ',i•,,�........................Plumbing Fireplace ,................................................................................Approximate Cost ...... T.7Z) f Definitive Plan Approved by Planning Board _______________________________19________ . Areabv�. . Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ' r 3 r� IOil) 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. Named/.2r1!! 1/� �� �...... ....... Construction Supervisor's License .................................... HEDRINGTON, WN. G. JR. A-288-154 — No : 30371 permit for .,Addition ............. t Single Family Dwelling . .......................................................................... C4 39 Lattimer Lane Location ................................................................ ` Hyannis ............................................................................... t _ Owner WNI......G......Hedrington. . . . . . .,....Jr.. ........ . .. . .. .... .. . .. ....... .. . .... . Frame Type of Construction .......................................... :` ............................................................................... Plot ............................ Lot ................................ k. Permit Granted January 13 , 19 87 Date of Inspection ....................................19 ` Date Completed .................................:....19 r USX ��ti F1HE 1p� Town of Barnstable *Permit# 7 6 2 -9, Expires 6 months front issue date • Regulatory Services Fee d WANSTABLE, « KAM $ Thomas F.Geiler,Director �p sbgg. Aim Building Division Tom Perry, Building Commissioner �0uj"71 e 200 Main Street, Hyannis,MA 02601 PERMIT Office: 508-862-4038 )(.PRESS Fax: 508-790-6230 j 7 2004 EXPRESS PERMIT APPLICATION - RESIDENTIAL O*a Not Valid without Red X-Press Imprint S-TABLE T TOWN OF BARN Map/parcel Number \ Property Address T \ residential Value of Work �nn Owner's Name&Address 3 -v� Contractor's Name r If Telephone Number J Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Cheek one: ©'I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name j;j Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to t []'Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side � TIM ❑ Replacement Windows. U-Value ( 4 y '` ' e ✓ «�! _ *Where required: Issuance of this permit does not exempt compliance with other t Bo.amd-of Bunl'd Ong Regu'fw`t 4ns and S'tanda7ds , NOMIE N AM Nm M lw eUNTRACTOR ***Note: . Property Owner must sign Property Owner Let Ho Improvement Contractors License is requ Refrat �fi714 �I .. �_i2 at� 1;2'0"Q4 U-0 Signature �i SANCHEZ S HEA f Q:Forms:expmtrg " MIEECT©R SANCHI f Revise053003 ~M �6,9 LOWtER.COUNTR�'R13.' � .�„e;,,-�,�,rfu✓ -. y D NI[�IISPORAT MA 6263.19 dmuins4rator 1 °fTME rati Town of Barnstable Regulatory Services # EAMSrAuat,r ' Thomas F.Geiler,Director 1659. .� Building Division _ TFO MA Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-8624038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using A Builder the subject property- - •- - In I hereby authorize' f ... .: . .to act On my..behalf, in all inattets relative to work autho=` etl'by this building.pe=-'t•apphcation�for: (Address of Job) VS ;iAte-O4fOwaex Date Print Name