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0170 MITCHELL'S WAY
�70 isUjgpl-AA i I Shed ARN S TA Permit TOWN OF B BLE MASS. 6� 9.i'�lF A Permit Number: Application Ref: 201502927 20151224 Issue Date: 05/21/15 Applicant: OLIVEIRA, SERGIO A& SIMONE L Proposed Use: Accessory.Structure Permit Type: SHEDS 200 SQ FT &UNDER Permit Fee $ 35.00 Location 170 MITCHELL'S WAY _ Map Parcel 290140 Town HYANNIS Zoning District Rg Contractor PROPERTY OWNER _ Remarks 8'X12' SHED Owner: OLIVEIRA, SERGIO A &SIMONE L Address: 170 MITCHELLS WAY HYAN N IS, MA 02601 ' . Issued By: PF - POST THIS.CARD SO THAT IS VISIBLE FROM THE STREET; Town of Barnstable �TME'Okti Regulatory Services rTAB A Richard V.Scali,Director vou ` MASS'- ` Building Division . Tom �$'OT i63 ,0 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 .,rt www.town.barnstable.ma.us "' l i. N Office: 508-862-403.8 Fax: 508-790-6230 PERNIIT#'O `�� Ct FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less Location of shed(address) Village o Prope owner's name Telephone number Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) ll_ Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:040914 � .. � . ..� .. . .. , ..� . .....- . 11 - . . , � �-,,.-! - , .: * - �, I .� �. .- ,�.: .:. : .._ .. ... : � ... . _ '. � ... I , , _. - : -, .� - . . . ". �. :�, .....- ... - , . :,a I, ::7 -`�,:, --��--" ` - ., . ... 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I ,:_.-,.: .--,. -�. ,=:, . . - - - __ wp - - I - ._ , - . - �.:_ - -_�%_, ,- . , . . - - t- 7�1.��Y�q, - - ___ I � .- 4 I - - 7 -- -- ,n ; .. - - '- ' � "C�'0 N,s�_�uf_t.� 5-0, -c--__ ..� . �m .I,� - I ,- - -A -_,�� �- & .;--- __�- - . �.... - T--A' N T ,r'-- 4 -�- - ' - - ___' , , -- - . . , ..."...., ,,, ., i. - Ar i� - i � ,� � .�L E U, R --, - - . - I I-� -�_��,�,�,.;F�-_:!�V EXI ," .� �. F,. 11 - , _., _ ,V_':-, " ��__, 7��,.-,..�,:-__ , . . - - . I - - i - - :...- .. � '. .. * . I- 1� �.,_�� -..!,r� - .. 11 . ... , . I I, t; U.S.POSTAGE»PITNEY BOWES TOWN 0F EARNSTAELE _ -SC::z BUILDING DIVISION (�200 MAIN ST. ZIP o2so1 $ 000.480 02601 02 1w MA 0001.383424MA.Y. 22, 2015. HYANNISr �-hwlsj VOA M I FNOT RETURN TO SENDER DELIVERABLE'E AS AD'D'RESS'ELa a UNABLE TO FORWARD i � i i' _ �. �# i x x ' • i ii iii i _ mot , Shed * „ F BARS,T-- E TOWN OPermit iARNSTABLE, ;� ,; - . MASS x , 9$ 1639. �� it4" F Permit Number. Application Ref.' 201502927 k 20151224 Issue Date: 05/21/1:5: Applicant: OLIVEIRA, SERGIO A& SIMONE L Proposed Use: Accessory Structure w. Permit'Type: SHEDS 200 SQ FT &UNDER Permit Fee:$ 35.00. Location 170 MITCHELL'S WAY ti Map Parcel 290140 Town HYANNIS Zoning District RB xr a Contractor PROPERTY OWNER Remarks 8'X 12''SHED - Owner: OLIVEIRA, SERGIO A & SIMONE.L - t.. Address: 170'MITCHELLS WAY F} a•R k HYANNIS, MA 02601 - Issued By: PF i POST THIS.CARD SO THAT IS VISIBLE FROM ' 'BY STREET �x�� } Fes, Town of Barnstable 'Permit# - qY Expire 6 m ;fr rissue date Regulatory Services Fee BAaxsrABIE, ti MAn $ Thomas F.Geiler,Director 039. �fD MA'I a � �q Building Division Tom Perry,CBO, Building Commissioner / 200 Main Street,Hyannis,MA 02601 ' v www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number. Property Address ( 30 ( I c..y/-J� [LResidential Value of Work 2-SD-0 Minimum fee of$35.00 for work.under$6060.00 Owner's Name&Address �� Contractor's Name � � �=sv(F cLY'-t(J C,) fielephone Number 500"" ' Home Improvement Contractor License#(if applicable) T aj 3 LS-S Construction Supervisor's License#(if applicable) CS 1 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor X PRESS PERMIT ❑ I am the Homeowner [ .I have Worker's Compensation Insurance Insurance Company Name Y�3&C-c+1� f AA ✓gUkticC AUG 3 0 201Z Workman's Comp.Policy# Qom' SL 31 o `t N "''^`"" ^FF BARNSTABLE Copy of Insurance.Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to Cjj C—CC(� ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑`Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)-#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.• ***Note: Property Owner must sign Property Owner Letter of Permission. A A copy of the Home Improvement Contractors License&Construction Supervisors License is fired. SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.outiook\DDV87AAZ\EXPRESS.doc Revised 072110 Client#:'51439 CAPEENT ACORD., CERTIFICATE OF LIABILITY INSURANCE °ATE`1201 YY' 04/1 s/2o12 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 poi(cy(ies)must be endorsed.if SUBROGATION 1S WANED,subject to the terns 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.endorsemengd). PRODUCER WMjkGTLinda Taddia " Rogers&Gray Ins. Kingston PAX Ne P��Ne ;508-746-3311 63 Smiths Lane EMAIL : 56 877-816-21 Kingston,MA 02364-3700 DRESS: Itaddia@roge.rsgrayxom INSURER 8 AFFORDING COVERAGE NAIC II 508 746-0055 INSURER A:Arbella Protection Co 17000 INSURED INSURER B: Capew(de Enterprises LLC J.P.Macomber&Sons INSURER c PO Box 763 INSURERD: Centerville,MA 02632 INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BEL0W 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE.AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. tNSR ADDL UB POLICY EFF POLIC EXP TR TYPE OF INSURANCE POLICY NUMBER MMIDD MMIDD LIMITS A GENERALIJABILITY CPP8500050813 4/30/2012 04/3012013 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISES�EaEoNca�irr0ence s250000 CLAIMS-MADE 51 OCCUR MED EXP(Any oneperson) $5 000 .PERSONAL&ADV INJURY $1 00O 000 GENERAL AGGREGATE s2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG E2,000000 POLICY JECT PRO LOC $ A AUTOMOBILE LIABILrTY 58944400004 4/20/2012 04/20/201 .(Ea go Ndin SINGLE LIMIT 1,000,000 ANY AUTO BODILYINJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per aoddent) $ AUTOS AUTOS $ X HIRED AUTOS X AUTOS NON-OWNED PR aodd n DAMAGE S A X UMBRELLA LIAR OCCUR 4600050814 4/30/2012 0 01 EACH OCCURRENCE $5 00O 000 EXCESS LIAR CLAIMS-MADE AlIGREGATE $5 00O 000 DED I x RETEmIONS10000 N $ A WORKERS COMPENSATION 0054370411 4/14/ 12 04/14/201 CSTATU- oTH. AND EMPLOYERS'LIABILITYYINIlYY 1 IY[i EL _.._... ANY PROPRIETORIPARTNEWEXECVTIVE E. .EACH ACCIDENT $500 000 OFFICERIMEM. EXCLUDED9 N NIA (Mandatory In NH) NO EXCLUSIONS .L.DISEASE-.EA EMPLOYEE S5OO OOO If yes,descrfbeunder DESCRIPTION OF OPERATIONS below E.L.DISEASE.POLICY LIMIT SSOO OOO DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Addldonal Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ®198 -2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S803691MS0368 CJF the Comatonitwd1h of Massachusetts Department ofIndustrial Accidereaas Off we we of Investigat ons 600 Washington Street Agston,MA 02111 Workers' Compensation Insurance Affidavit- Bu ders/Cont ctors'Ele.ctricianslPin hers APPUcant Information Please Print Le 'blv Name 03usinewVorganizatiowindividual). C.CC Address: l S� Co(YMC1ZQ vtC �"T' C tytStatelZip_ n"t-�- .Mik Ph ne Sy o Are you an employer?Cbeck the appropriate box: Type of project(required): L 0-I am a employer with ZZ 4 ❑ I am a general contractor and I * have hirer]the s ib c isa tors 6. ❑New construction. employees(fall and/or part-time)-* 7. ltegnodelin 2.❑ lam a sole proprietor or parer- listed on the attached sheet. ❑ g ship and have no employees These sub-contractors have: g_ ❑Demolition. woddng for me in any capacity. employees artd have.vrorkers' [Nos workers'comp_insurance comp.insurance.: 9_ ❑Building addition required-] 5.. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3_❑ I am a homeowner doing.all work officers have'•exercised their 11.❑Plumping repairs or additions self o workers' right of exemption per MGL �` [N . comp• 12.®:Roofrepairs insurance requinetil 1 c.152,§1(4�and we have no employees..[ldo.workers' 13.❑Other comp.ms rance,required_] 'Any applicant t6atchecks box#1 must also.frll out the section below showing their workus`'mmpessatian policy inf6stnatim Homeowners who submit this affidm it iuEcating they are doing all work sad then hue outside couuactors must submit a new,affidavit indicating such- konu actors that check this box must attached an additional sheet showing the none of the'sub-coutractors and state whether or not those entities line employees.Ifthe'sub-contractors hsve:emmtployees,the),must prmiidetheir makers'.comp.policy number. I ant art a3►nplo}er that is prtxtidixtg workers'comp rtsah rt insurancefor rity euip*,em BetQrt is rhos psfie andjob.site irtforrFtttnirnx Insurance.Company Name: r r�1 =��/-Ct 1 (' ! r Policy#or Self-ins.Lie_4: 00 S 7" ��-� 7 � � Expiration Date: (/`/ I Z P Z 1� ,, �J Job Site Address: 1 1 C�� �` ✓ i' City/statelzip: D Attach a copy of the workers'compensation.n.policydeclalaration page(showing the policy number and expiration date). Failure to secure coverage as required under section 25..E of M,GL c,.:1.52 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 da gamst the violator. Be advised that a copy-of this statement maybe forwarded to the Office of Investigations of th for insurance coverage p tion_. I do hereby rti , rider tft pains anrd pain' es.ofpeditty tliattlie iriforrna iimi praaided abosww is se:a d cDrrect Sienature. Date: Phone M G a f e at t onty. Do not write in this area,to be completed by city.ortotavvt�r�citti City of Town: Peramit/ cense 9 Issuing Authority(dr dL one): 1.Board of Health 2.Building Department 3.City(Ioum Clerk 4.Electrical Insspector 5.Plumbing Inspectorr 6.Other Contract Person: Phone 0: 6 License or registration valid for individul use only office of(n7 Affairs&Business Regulation before the expiration date. If found return to: OME IENT ONTRACTOR Type: Office of Consumer Affairs and Business Regulation egistr3358 10 Park Plaza-Suite 5170 xpiratl014Ltd Liability Corpc: Boston,MA 02116 CAPEWIDE ENTE :L C RICHARD CAPEN 4507 R RTE 28 � �y�Pz COTUIT, MA 02635 Undersecretary Not�validthou gnature t Massachusse"s Department of Putblic Safety E3uarcf of ljui'ciing Regulntit`sns abet Standirds Unrestricted-Buildings of any use group which (um[ruction Super%i.ur contain less than 35,000 cubic feet(991m3)of License:CS-M273 enclosed space. iZK,`u'RD V GAPEN 122i[I Failure to possess a current edition of the Massachusetts (Expiration State Building Code Is cause for revocation of this license. Commissioner 712013 For DIPS licensing Information visit: www.Mass.Gov/DPS ,oFTMET 'own of-Barnstable o� Regulatory SerAces • s,isKsrasr.� : . MASI �+ Thomas F. Geller,Director i639. ArFDta - Building Division Tom !'erry, Building Cornmissioner 200 Main Street, Hyannis, MA 02601 www.town.b a rnsta ble.ma,us Offce: .508-862-4038 a Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder Q( C Uc V14 ,as Owner of the xo . P p?�3' hereby authorize_ ���r�(� }( f��'-9 CC to act on my behalf, in-all matters relative to work authorized by this building permit application for. .(Address of Job) Signature wner Date �C—CLG c0 O Lc vC—ca Print Name If Property Owner is applying for permit please complete the Home0*.Wners License Exemption Form on the reverse side. I Led � '� ' �'� //y /�7_3 Assessor's map and lot number ��G �........ ...... SEPTIC SYSTEM MU S BE ................... INSTALLED IN COMPLIANCE WITH ArRTICLE If STATE " Sewage Permit number .....6.r ..3... SANITARY CODE AND TOWN REGULATIONS. FTIIEt TOWN OF BAR NSTABLE B9$BSTADLL i "b q .• BUILDING INSPECTOR L • APPLICATION FOR PERMIT TO .................. TYPEOF CONSTRUCTION ......... .'^:-- . ........................................................................................ `7. .......`. ...............19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following informatio Location ....... .. .. ......... ..................1...�.... Al ... .. ............. ........................................................... /� ,, �-. Proposed Use ............. .................... ........................................................................................................................................ Zoning District ............ ................................................Fire District ............I �f..4 ?.. ..! .L..., ........0....................... Name of Owner 5.......V........S.t ` Address ...................... ` I ................... .. .!.... ................ Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ........... ..................................................Foundation ..........�U ................ .,cc �u ...... Exterior ..........c. A2..........5."?l..!�.. 1.�..5..............Roofing ...................:.S.n... .`�.�..� ...... .!..f3:�^ .. ...... Floors1 `�.' .. ,v`" .......................................Interior ............. ..! /. .. .................................. Heating ...... ......... �9"� 5 G ',e-1�. .......................Plumbing ............�....... ..:.'.:...\........................................ ............... ......... Fireplace L ..........Approximate Cost v�Z -----19--------. Area T 9 Definitive Plan Approved by Planning Board -------------------______ ..... ....._..._...... Diagram of Lot and Building with Dimensions Fee a%� . ............................................. .SUBJECT TO APPROVAL OF BOARD OF HEALTH D 3G,.a </ o0 8 .oo I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... :.......V,...... .. ........`.............. Smith, J. K. No .16�8.... Permit for .......One story......... single family dwelling .................................................. /70 Location ...................... ..................................... Hyannis ............................................................................... Owner J. K. Smith .......... ..................................................... Type of Construction ...........frame............................... ................................................................................ Plot ......................... .. Lot .......... 5................. 4 Permit Granted ...... .:.....19 73 Date of Inspection ................//........nn..........19 Date Completed ..... ConPz� PERMIT REFUSED ................................................................ 19 t ............................................................................... ............................................................................... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ................I.............................................................. I l " W -_ 37��1.1%'t-'-_I , -1 G �"_-.�`_ � i. .:Z- �- �� - :%z... 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I" o TH 0 -W _OP � s % "M " LjE " L T N _ '_ rn , X � L3 " ' r . 7 _ '� � ._� .1. . :::._ I LLL � . I I � - - ' 11-L - _ — I- . , � - � L ; 11 --- I , -.� G z7 r J -�-' 1 � vi � ��� 1_�Ac 4 0 ,Car}- ` .�. l a STATE , CODE AND TOWN, -''.AT �Sn. Q.Y p THE r0 �. TOWN F'O BARNSTABLE BABBSTABLE, 9� OYae�� BUILDING INSPECTOR n . APPLICATION FOR PERMIT TO .......... �y1: .......................................................TYPE OF CONSTRU'CTION ...........:.. ..4�. 5......... -- .....�i.� .�'° .................:................... .................... :..... .......................192. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby/applies for a permit according to the following information: ,y Location ......f J..�...�':i-?mil � .��....................... /.` . �:�.!................................ G ..../: .......... f ProposedUse ..................OL . ... >1...&.- ..................... ...... ............................................................ Zoning District 7.` l� ��ty .............::.............. :.....................................................Fire District .............. .......... ...5 .... � — ° Name of Owner ........3...�w. ............. !^�..`.!..~:.....Address .............> /t lJ..5Lz1-.`.�6..' .................................. Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address ..................................................................................... Number of Rooms ................... ,. ..............Foundation ` °r`—'!-5:..�. 4 '.C. q ................................ .................. Exterior ........ . ? + �Jc:�.( .5.....................Roofing .......:.. " ' ........ :~f !�"��jn Floors �..................... ...................Interior .......... ...................................................... Heating ....... ........... �.�.... ✓Z..................Plumbing L.:......................................... iA........................ lr J Fireplace .................1.......... .. .................................................Approximate Cost ...........�. .................. .................. di Definitive Plan Approved by Planning Board.----------------______----------19________. Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH / 7-3 �� T"B "SEPTIC SYSTEM'MU INSTALLED IN CO M WITH ARTICLE II STATE A IITRRY CODE AND TOWN r' K ,U.ITIONSa r cb J ra��t ,f J I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....:. ����',.` '........ ..... ..4,�.......... Smith, James t� 16181 permit for .....�n® sto Y -• singlefamily.......... ............... .............. ................. Locatioj Mitchell. W .......................w..�..............:............... ,. ..................... Y.annis......................................... Owner James Smith ` Type of Construction .........f.Y'm.0..................... ..................... ..................................... .............. } Plot ......................... .. Lot ...........#7.3............... 4 i i Permit Granted .............'�:��.�:..........:.....19 73 ' Date of Ins ection .......... — . Date Completed , A. ....1...7..........19 PERMIT REFUSED 6 U6 ............................................................................... �, g ............................................................................... d ............................................................................... / I Approved ................................................ 19 f - I I } ............................................................................... r .I ............................................................................... p