Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0086 OLD STRAWBERRY HILL ROAD
Gerd s�aaJ�xey {�//P TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION " . Map Parcel App lication.# Health Division Date Issued Conservation Division Application Fee : Planning Dept. Permit Fee v Date Definitive Plan Approved by Planning�BoarW• Historic - OKH _ Preservation / Hyannis Project Street Address Village 14N axs�s Owner Cr o-yrV V S$" Address SdoaAQ. Telephone Permit RequestkA�QAPJA1 `� Square feet: 1 st floor: existing akproposed 2nd floor: existing proposed Total new d Zoning District Me:� Flood Plain kn Groundwater Overlay Project Valuation 5 Construction Type r o�J\ Lot Size Grandfathered: ❑Yes allo If yes, attach supporting documentation. Dwelling Type: Single Family 4d Two Family ❑ Multi-Family(# units) Age of Existing Structure IT70 Historic House: ❑Yes GYNo On Old King's Highway: ❑Yes allo Basement Type: B Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 1 new \ Half: existing \ new Number of Bedrooms: J existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: IGas ❑Oil ❑ Electric ❑ Other Central Air: &Yes ❑ No Fireplaces: Existing__t___New Existing wood/coal stove: ❑Yes No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size Barn: ❑ existing 0 new+-i� size_ t+^' Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other ,t l a Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ r Commercial ❑Yes &No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION - - - (BUILDER OR HOMEOWNER) Name hi A_ Telephone Number h`daAddressl�S License # C. ' AskUAAc + Home Improvement Contractor# NT.,I Email orker's Compensation ALL CONSTRUCTION DEBRIS R LILTING FROM THIS PROJECT WILL BE TAKEN TO ` �3n.5:�Lf N&M6y-kkA_ 7 SIGNATURE DATE i FOR OFFICIAL USE ONLY APPLICATION # r DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL' t . 4 PLUMBING: ROUGH FINAL a GAS: ROUGH FINAL _k FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Ile Comm:onwrealth oaf Massachusetts t Department afIrrrldustrid Accidents Office o,f Investigadens 600 Washington Street _..__y Boston,M4 02111 f�arvs�}massgov�diri Workers' Cumpensat on Insurance Affidavit:Bu ildersiContractsrs/Electricians/Plu nbers ficant Information Please Print LegibIT Name(Bus®emorganizat onandividaQ ��Ci ( 0/4►1 oi� G Address: � lv�(r �J City/stat-dZip: S plwne - 1go I Are you an employer?Check the appropriate born: Type of project(required): 1.&1 am a employer uith c� 4. ❑I am a general contractor and I * 'have hired the sub-contractors 6. ❑New consiauct on employees(fall and/or part-time.2.El I am a sole proprietor or gartuer- listed on the attached sheet. 7_- �Remodelin g ship and have no employees. These sub-contractors lie $ g.,❑Demolition worming for me in any capacity employees and hatie worms' 9. ❑Building addition ' [No-wor"'comp.insurance coop-insurance., required-] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am.a homeoumer doing all urork officers haveexercised their 11.❑Plumbing repairs or additions `mysdE [No workers'camp- right of exemption per MGL i2.❑Roofrepairs insurance regmked]T c.152, §1(4�and we have no employees.(No workers' 13.❑Other' comzp,insurance required.11 •tlay app&c=diat chects box AEl nmsi also fill out:the section beiaw shriving their walere compensation policy inEormsteoaL #Homeowners who submit dsis sf6d2trff inuff;catmg they are doing all wan$and then]nice outside contactors mast submit anew affidavit indicating sacb- fCbntrsctoas that cbwk this boa must attached an addiCanal sheet showing the mane of the sob-couMwA as and state whether or not those entities have employees. Ifthe sub-caatm,etms hm aynplayee%the =ntpnn ids their workers'camp.policy number. I am arc elrtpkiver tliat is pr4niding irrarkers'coitgx tsativii insurance for ay enrplayees ReIow is the policy and job site' ircf ormadom Insurance Company Name: i4zr�,s, Policy#or Self-ins.Lic.-.AwG` '1�I� ' 7 Q 3 `d d /�. Ekpiratioa Date: Job Site Address �9 1 O 1 City/Statelzip: \t Attach a copy of the workers'compeniationpolFcy 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 OD andt'or one-yearimprisoument,as well as chril penalties in the form of a STOP WORK ORDERand a fine of up to$250-00 a day against the-violator. Be adtrised that a copy of this statement maybe forwarded to the Office of Imvestigations of the DIA for insurance coverage yerifica<tion_ I rlo hereby semi nitdor tJte 2s and pel�alties afparjurJ'tTiatflte iref brrrra#iorr.prm rigid abm�e is trace and correct �. a sienataure: I}ate: Z " Phone Official use only. Do not write in this area,to be completed by city or totr n official. City or Town.: Permitffikinse# Issuing kuthority(circle one): 1.Board of Health 2.Building Department 3.City1rown Clerk d.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: taformation and lnstructionas Massaahusetts General Laws chapter 152 requires all employers to provide workers'compensation for fheir employees. pa suantto this statvte,an erpIoyee is defined as.-..every person in the service of another under any contract of hiie, express or implied,oral or written" An e7npIoyer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged is a joint enterprise,and inchiding file legal representatives of a.deceased employer,or the receiver or trustee of au individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or budding appurtenant thereto shall not because of such employment be deemed to bean employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicantwho has notproduced acceptable evidence of counpliance_wn the insvranmcovearage requited." Additionally,MaL chapter 152, §25CM states"Neither the commgawealth nor ray of its political subdivisions shall enter into any contract for the perfoimaam ofpublic work-umtiq acceptable evidence of compliance with the ins m-an ce.. req ri-emeats of this chapter have been presented to the contracting aurfhozityf Applicants Please El out the wojk='compensation affidavit completely,by cherldag the.boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), addresses)and phone number(s) along with their certfacate(s)of hm rance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or pal taers,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this aidayk maybe submi ted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date+.lie affidavit The affidavit should be r-ctumed to the city or town that the application for the permit or license is being requested,not the Department of Io.drzztriFJ Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please caIl the Department at the nnnal ea listed below. Self-insured companies should enter their self-fi1Mance license nuanbm on the appropimatB line. City or Town Officials t Please be some that the affidavit is complete and prirtted legil)ly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the appltcant Please be sure to fill in the peumit/licrose number which will be used as a reference number. In addition,an applicant that must submit multiple permitllicense applications in any givea year,need only submit one affidavit mdicaimg current policy bafbimation Cif necessary)and under"Job Site AdaTess"the applicant should write"all locations in (city or town)°'A copy of the affidavit that has bean officially stamped or marked by the city or town may be provided to the applicant as proofthat a valid affidavit is on tide for furini-e permits or licenses_ A new affidavit must be tilled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial ventUre (ie. a dog license or permit to buns leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to than you in advance for yourr cooperation and should you have any questions, please do not hesitate to give Us a call- The Department's address,telephone and fax number � 'fie C>.MmmW Ith-of Ma macho nttg I�egaz�ment cif 1ud�ial Ac�.ents Office of lvesdgatio= 8mtoia,,MA G�11E Tf,-L 4 617 727-4900 ext 4€6 or 1-977-MASSAFE Fax#617-727 7749 Revised 424-07 anaszgo�f ilia A94C Guide to Wood Construction irrHigli )end Areas: 110 rnph V7nd Zone Massachusetts.Checklist for Compliance(780 CLMR5301.2.1.1)' Loadbearing Wall Connections N Lateral(no.of 16d common nails).._..._..._.....-•---._.....(Tables 7)........-..._.............. Non-madbearing Wall Connections Lateral(no.of 16d common nails).._._.......__..:......_..(Table 8).__.....__..._._......................_...._.... (, -A Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans -------------------_._......».....:.............(Table 9).......:.:._...__.._..._..__It in.S 11' SMPlate Spans .__-........_........._....._....__._:.......:.(fable 9)..............-....._..........._It_in.511' /yam Ful Height Studs (no.of'studs).....-....._.:....._...:.........(fable 9)..........._....._._........... _..............._.. Non-Load Bearing Wall Openings{record largest opening but check all openings for compliance to Table 9) Header Spans.:..................... able d .�tt in.512' e2X!Q, .._..._.............-•-•------R )......._............_._....... Sill Plate Spans....................._.................... -_...(fable 9).............._._.............._ Full Height Studs(no.of studs)..._....._......._.. -------(fable 9)........_........... _.----....._.................... �� Exterior Wall Sheathing to Resist Uplift and Shear Simultaneousfy4 Minimum Building Dimension,W Nominal Height of Tallest Opan! ......................._......................_....-...._....:.._..._...._5 6`B' Sheathing Type........................................(note 4)a,................................_........ ..;... Edge Nail Spacing ._......._. ._.. . (fable 10 or note 4 if less)__....--......-.... in. C^4A Feld Nail Spacing.......... _._....(Table 10)......... ....._........_................. in. �!a Shear Connection(no.of 16d common nails)(Table 10)... - ............................._._._........ _ _ Percent Full-Height Sheathing.._.._........: Jable 10)....._........._........_........_........... °!o �A 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts)-_:-_-_.__: _- A Mabmum Building Dimension,L " Nominal Height of Tallest Opening..._........_.....:... ...... ..._....._....._ 5 6 B P Sheathing Type..._....__....__-........._._.._:_...(note 4)._................_.____._. �— Edge Nail Spacing.........__.__.......:..._._....(Table 11 or note 4 if less)........_-...__...... kL �j[jCz FieldNaq Spacing......................_.._.;..._......(Table 11)........._......_......._---__.....-•T-...... in. Shear Connection(no.of 16d common nails)(Table 11)....... ............._..�° Percent FuIPHeight Sheathing__.;..._.........--(fable 11)..._.....__........ 5%Additional Sheathing for Wall wilh'Opening>6W(Design Concepts).:......_.._._:.. A,* Wall Cladding Ratedfor Wind Speed?___.....__--.............................................. 5.1 ROOFS . Roof framing member spans checked?........._:...__.....(For Rafters use�1WC Span Tool,see BBRS Websife) . V?� Roof Overhang ....(Figure 19) _ft s smaller of.2'-or L13 .� ' Truss or Rafter Connections at Loadbeanng Wags :( Proprietary Connectors _- Uprdt............_.................... r:._... able 12 U= , plf 1Kx Lateral. .....••-•.......__..... ...(fable 12)............... •......_._....L= Of Shear._:.._.................:._ --:......(fable 12).............................__..._..._5= ptf ' ' Ridge Strap Connections if collar ties not used per page 21... able 13 ..............................T= pff Gable Rake Oudooken...........::...:_.... .......(Figure 20).............. ft s smaller of 2'or L12 Truss or Rafter Connections at Non-Loadbearing Walls' Proprietary Connectors Uplift-.... ..:........ ........____..(fable 14)_........_......_:. _ J—&— .......... Lateral(no.of 16d common nails)_.(fable 14).......................................L= lb. Roof Sheathing Type_.... _...._..._..---•:_--...__ (per 780 CMR Chapters 58 and 59) ......... . ,fig Roof Sheathing Thickness..............._:.........:.__...:.....::......................................_in.z 7/16"WSP AIW- Roof Sheathing Fastening...................._.:........_-........:(Table 2)_.............-_................._...._......_-........_ f. Notes: , -1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 7B0 CMRS301.lA.Item 1.If the checklist is met in its entirely then the following metal straps and hold downs are not . ra uired per the WFCM 110 mph Guide: x a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 i~ Uplift Straps per Figure 14 ' d_ Ad Straps per Figure 17 e• Comes Stud Hold Downs per Figure 1 Be and Figure 18b 2 'E=eptiorr Opening heights of up to 8%shall be permitted when 5%is added fo the percent full-height sheathing - requirertients shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. A FYC'Gufde to Wood Construc iorr in High Wind Areas:110 t Mph Mind Zone Massachusetts Checklist for Com'Pance p3o mrRs30i:2.i.i)' Lf cam= . Compliance 1.1 SCOPE ; Wind Speed(3-sec.gust).._:.__........_..... ._...... .....»...»........._...._......110 mph 4rar WindExposure .............._. ..»......._................_....»...._.....................:.._.............»B IT Wind Exposure Category................Engineering,Required For Entire Project........................................0 12 APPtJCASILrrY Number of 5tnries(a roof which exceeds B in 12 slope shall be considered a story) stories 5 2 stories o t4- RoofPitch....._..__.._..:.»._...:»»......._...»....»...._.:.-.--.-.(Fig 2 MeanRoof Height.»......._......_._._.__.........._._..._.r.»..._(Flg 2)»._._._....».....__...............»._.__ft 5.33' ", Building Width,W_.....__.......»...».»......._..._.._..._....._,. (Fig 3)_..»._...:..»..:...._.-------...___:._.._it 5 scr BuildingLength,L' .:........_.._.»....»......»......._..».__:_......_(Fig 3).._._.._..............._.._................_ -ft S 80' Building Aspect Ratio(UW) .........................................(Fig 4)_._.___........_.._._....._:......._.. <3:1 AAA Z Nominal Height of Tailed Opening ..--•.--»._..»:��.�.._.:_.„(Fig 4)................................... _. r. 1.3 FRAMING CONNECTIONS General compliance with framing oonnections............_.(Table 2)......................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete......................:....:.......................:...._.................. :........... ................... ................... ConcreteMasonry............._._._»..__._..............»...._.........._..»..».._......»._._............:._.._»:........._..... & — 22 ANCHORAGE TO FOUNDATION113 5/B'Anchor Boltsdmbedded or SM"Proprietary Mechanical Anchors as an alternative in concrete only BoltSpa c njq-general................................._.....:fable 4).......».._..--------.-----._._»----__ in. Bolt Spacing from endrofnt of plate.......»..._.....___...(Fig 5).-_._»_.».................... in.�6'-12'. Bolt Embedment-concrete._-_..__•............._....••.._..•(Fig 5)...-.._.».»......__..».::_..._...._.._. in.z 7" d�A_ Bolt Embedment:-masonry ...___......_ Fl 5 r_........»........... in. 15 N I� Plate Washer-:....................... _._------------_------•--...._>3"x 3-x YV 3.1 FLOORS Flow1raming member spans chedced ..._........»....».».... (per TBO CMR Chapter 55)..... PA Maximum Floor Opening Dimension.•.:..-.._»..».....-_....._-.(FIg 6).....___.__..........._......._._..........—tt512' Full Height Wall Studs at Floor Openings less ffian 2'from Exterior Wall(Fig 6)..:.................................... Mbdmum Floor Joist Setbacks Suppoiing Loadbearing Walls or Shearwall...._.»....»(Fig 7).................._....»._._...._............. ft s d ,'CA_ Maximum Cantilevered Floor Joists Supporfinti Loadbeadng Walls•or Shearwall.........._(Flg 8)___._........._0.............................—ft s d M� FloorBracing at Fltdwals.._......_..........»_...»....»_.._....._»(Fig 9)_._.__.._................... Floor Sheathing Type ._..»»-......._.._..:_..._.._............_(per 780 CMR Chapter 55)............_....__.».._..._ Floor Sheathing Thickness ................................._.._(per 7B0 CMR Chapter 55)..............._... in. Floor Sheathing Fastening_.._........__....._..__..................(fable 2)_—d nails at in edge/—in field M 4.1 WALLS Wail Height Loadbearing wails._._. ......--..-»..__._.................. (Fig 10 and Table 5)_.......__...........».—ft s 10' Non-Loadbearing walls..».......:._....:....».._.._:..._-_... (Fig 10 and Table 5)......................... It's 21r Wall Stud Spacing ......._..__._........:............__.......».._(Fig 10 and Table 5).............._..._In. ZV o.c. Wail Story Offsets ._......._..._...._............_»......».._...(Rgs 7&8)_...._.................... —ft 5 d 42 EXTERIOR•WALL5' Wood Studs Loadbearing virall;._._._............_................_._-........»(Table ... .........».._.._.2x - ft—in. jq NotrLaadbearing walls._._:.........._....._. able 5XZ Gable End Wall Bracing .»..»._._... — — — Full Height Erdwall Studs»...»...._.»_..»_...._._._..._..(Fig 10)»....•. ..._....,.....__......_.......__ ._:....... '�! WSP,Aft Floor Length.___-._..:_......_:...-_.__..._(Flg 11) ft zW/3 Gypsum Calling Length(If WSP not used)....:._......._:.(Flg 11). _.._..._... .............._.. —ft z 0.9W _ and 2 x 4 Continuous Lateral Brace @ 6 fL o.c._(Fig 11)...............................-......__.._.._.._,.._ or 1 x 3 calling furring strips @ 1 So spacing min.with 2 x 4 blorldng @ 4 ff.spacing in end joist or truss bays Double Top Plate ; Sprce.Langth 13 and Table 6 Splice Connection(no.of 16d common nails)........»....(Table 6)..._.__._........»............._............... _ y AWC Grade to Wood Corrstructiorr hi Higlr Wind Areas: 110 mplr 1•Yrsd Zone Massachusetts Checklist for om fiance 80 ChiR 5301.2 'J.l ' C � ) 4. a. From Tables 10 and 11 and location of wall sheathlhg and Building Aspect Ratio,determine Percegt Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: t. . Panels shall be Installed With strength axis parallel tD studs. il. All horizontal joints shall occur over and be nailed to framing. fiI. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story constructon, upper panels shall be attached to the top•member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. ' V. Horizontal nail spacing at'double top plates,band jolsts,and girders shall be a double row of Bd staggered at 3 Inches on center per figures below:Vertical and Horrmntal Nailing for Panel Attachment 5. Glazing protection:a)new house or horizontal addition—required if project Is 1 mile or closer to shore(generally,south of Rte.2B or north of Rte.5) b)vertical addition—not required unless there Is extensive renovatlon to the first'fioor c)replacement Whidows—needs energy conservatlon compliance only(chap 93) B.Wood Frame.Construcdon Manual(WFCM)for 110 MPH,Exposure B may be obtained fmm the American Wood Council (AWC)website. wHarTHs EDGERE-s-rs ON r�kMM usead was Arse • :: to �` ' . • 1 11 pIf .11 "r i1 iin ru i 11 rz AL II FRAMW �l li ii 11 l ®6EN113#AEDLC1E IV li it 2C - 1 S If ,t I ' if it If N ;SFAC.kJr: 1 P�trrg �- )*AM:1 EDCOE AOUBLEum-wGEsPAcm DmAL See Delay!on Next Page Detail Vertical and Horimnlal Nailing Vertical and Horizontal Nailing for Panel Attachment for Panel Attachment ' I C-f/ze�oa�nmco?icueaCC�'o� aaaacLucoet�a, OfSae of Consumer Affgirs&Business aitua ian OpROVERIIEW CONTRACTOR istra0anz 'tT11899 Tlt Amtion: - Disk FER-ULLO REMODIm, Mr�L FBRULLO 40 ORISTM_L PATH MARSTONS MILLS,MA 664 Undersecretary y f�S Massachusetts -Department of Public Safety . Board of Building.Regulations and Standard; Construction Supervisor _ License: CS-107347 MICHAEL FERU1,10 40 GRISTMILL P_'A Marstons Mills MAA 02648+ . Expiration Commissioner. 09/09/2017 L�cegse or .. befO-' reg�st , ,O�ce be eaPrar ohog valid �d for �- q ]0 park p�°q� merAdate jf fogq d� W Bostoq,;11T 'Sgtte S a��and.B d et-0—to,�qfy 6 A.p2116 1p usr9ess R�ulation • m t Not w�rh00tsiggatgre }i Unrestricted-Butldm s of ; contain.less than g an,"use group which ;, .. an 35,000 cubic feet(99,1m3)of enrclosed space. t Failure to •� `• Possess a current edition of the Massachusetts State Building-.Code,is cause for revocation of this license. Por l)PS;Licensing information visit"''` www:Agess Gov/ppS r ACoO©R ® CERTIFICATE OF LIABILITY INSURANCE DA 0813l/20/YYYY) � 08/31/ 15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the. certificate holder in lieu of such endorsement(s). TT PRODUCER 00623-001 INAMEACT Bryden&Sullivan Ins Agency Inc i PA o.E.,): (508)775-0476 (AA/C.No.: 88 Falmouth Road E AIL Hyannis,MA 02601 INSUREft[SJ AFFORDING COVERAGE +'�+, I NAIC# INSURER A: A.I.M.Mutual Insurance Company t< 33758 INSURED INSURER B Michael C Ferullo Ferullo Remodeling 1 INSURER C 40 Gristmill Path. 1 INSURER D Marstons Mills, MA 02648 i 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_.O.R_CONDITIQN OF_ANY-.CONTRACTOR.9SHER-D.O.CUMENT_WLT.H_RESPECT TO_WHICH_T.HIS__.� CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO-ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID C�L�AI�MSS��.p ILT TYPE OF INSURANCE AD No POLICY NUMBER MM/DDYn Yvir MM/OD % LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED S PREMISES Ea occurrence CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERALAGGREGATE $ EN'L AGGREGATE LIMIT APPLIES PER: II PRODUCTS-COMP/OP AGG $ OLICY F_PURO- ECT F_LOC 1 -AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED ` PROPERTY DAMAGE . HIRED AUTOS AUTOS I Per accident $ S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ KKDEDgg ppMM RETENTION $ �//C g T� TH Is AND EMPLOYERS�IIABIIL Y X TORY LIMITS OER ANY ggR2�7QR/PARTNERlEXECUTIVE YIN N E.L.EACH ACCIDENT $ 500,000.00 A OFFICERIMEMBttREXCCLUDEE�O44 a NIA AWC-400-7032382-2015A 4/30/2015 4/30/2016 --- (Mandatory bbin NH) E.L.DISEASE-EA EMPLOYEE $ 500,000.00 If ge; dIPT�ON La OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Michael C Ferullo is covered by the workers compensation policy. CERTIFICATE HOLDER CANCELLATION Community Development Partnership 3 Main Street Mercantile#7 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Eastham;MA 02642 THE EXPIRATION DATE THEREOF,' NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD oFTMEti Town of Barnstable °* Regulatory Services • 13.1100Mnu, • K►ss. �►, Richard V.Scali,Director i639• �� •, 039 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 w .a Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder .. I, ','as Owner,of the subject property here au orize C o to act on my behalf, in all m tters relative to work authorized by building permit application for: 0IArrt� �fris OF"c�j (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspectio s are performed'and accepted. Sign f et Signature of Applicant Print ame Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services oFtINGE� Richard V.Scali,Director Building Division ►� Tom Perry,Building Commissioner MAas. i639• $' 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. x HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that.he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFUM\FORMS\building permit fomis\EXPRESS.doc Revised 040215 l' ( A.P. 381— &"13 4.P. .381-11 225.03' s SH i `I 0 LOTS 75 & 197 # 34,742 S.F N ^ W� v t C� v� ROAD .�_._. �I�L CERTIFIC.ATIO.N' ' 1 CERTIFY TO THE ABOVE ATTORNEY.BANK-AND THEIR TITLE INSURANCE COMPANY THAT THE MAIN BUILDING.FOUNDATION OR DWELLING WAS IN COMPLIANCE WITH THE LOCAL ZONING BYLAWS IN EFFECT WHEN CONSTRUCTED(WITH RESPECT TO STRUCTURAL SETBACK REQUIREMENTS ONLY)OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS.GENERAL , LAW TITLE VI1,CHAPTER 40A,SECTION 7. 'SEE ALSO LCPLAN 26682-MlLOT 197 . co u FLOOD DETERMINATIOIN' BY SCALE.THE DN�¢ELLING SHOWN HERE DOES`OT FALL WITHIN A-SPECLZL FLOOD HAZARD ZONE.AS DELINEATED ON a MAP OF COMMUNITY G _2 MfJ1C 58 `STONE\ D..TED--Ir-'Ct, g�' r c• F i tit ;�`=ti •.,�c G t t- , - ! a c Olde Stone Plot Plait Service, LLC CMv S. C A P.O. Bo--x 1166 LA BRIE Lakeville, MA 0234.7- A ; Tel. (800) 993-3302 Fax: (800) 993-3304 i�,-('�=`. 'WD suw I PLEASE NOTE: This inspection is not the result of an instrument survey.The structures as shown are approximate only. An instrument survey ! would be required for an accuratedetermination of building locations,encroachments.property line dimensions,fences and lot configuration and may reflect different information than shown here. The land as shown is based on client furnished information only or assessor's map& occupation and may be subject to further out-sales,takings,easements and rights of way. No responsibility is extended to the landowner or surveyor,or occupant. This is merely a mortgage inspection and is not be be recorded. X cz t `� 4-4 ��g.py 6o } R { 5 b y, -.. � :. .. m-,..es:�,,.-+r,--..-�.-..vim-r rm.em. •m. w.a ..: '-..,�-..-cm.�+-:.a-..,anw rr�.e�-cs..+y.,-�w�.r.,.- 3 Y E� tell r � : k { { E 8 3 f r r , d ' t .f g V f C B 4 yy 55 7 R � -03 to 4� Ci Yt F S e # 2 ��ee.�_.....1..4'..y.�.sF.t�-�....�,rnmr.^rF---:X-.�._:�w.�cri+rm•�r..r+--,-�.e-�.Y-,�,��nx.,maw._xa-.n..,.cc:r.,r.-�--.-,-=...;axir... .......,...__ .,.�.. ..:.-�.rs,�.N.«.��-z s- -,.,,_...-sa+x.a�.�-._..,.-__.�..-..s__v-.r. +a..--e....4, 7 z ,kyx tr xrtir-... ., t� ru d to��x-�r � v T �, 1 + ZO �j 1�i 1p + �.�b�,{x rL�§a �,,�� k 'qua y 1 } z,. RUCTION CO. psi 66 and Commercial Suoltler, 1 m1 , 3 A _ IZATTON SPECIALfST r y `` ';� z 7<0 u - a v March 15, 2014 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main Street Hyannis, MA 02601 RE: Insulation Permits Dear Mr..Perry, This affidavit is to certify that all work completed for permit application#201309476; Status A; Parcel 249125 at 86 Old Strawberry Hill Road, Hyannis, MA; Permit Type RADD and issued on 12:00:00 AM has been inspected by a certified Building Performance Institute(BPI) inspector.All work performed meets or exceed Federal and State requirements Sincerely, Michael McCarthy McCarthy Construction TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # (J Health Division Date Issued �1 10 Conservation Division Application Fee P Planning Dept. Permit Fee �5 Date Definitive Plan Approved by Planning Board r,� J Historic OKH _ Preservation / Hyannis Q Project Street Address Village fRR fc -�-ycinr� s Owner —Address •�c Telephone S Permit Request io'� g.� t Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total`rrew �a Zoning District Flood Plain Groundwater Overlay �- Project Valuation Construction Type UJ s' Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U-' 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 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 # t Current Use Proposed Use 4 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address PO$OS 52 License# Dennis,Nwst Cell (508) 280-6964 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO YI-t PIN- SIGNATURE DATE f FOR OFFICIAL USE ONLY 4 , /APPLICATION# c f DATE ISSUED MAP/PARCEL NO. ,r ADDRESS VILLAGE ' S aJ �„ c OWNER r , �j - 1 •y Its ,• ' �y* DATE OF INSPECTION: �:� {1 7 , FRAME " .INSULATION,=_ FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. s r Affairs& iess Regina License or registration valid for individul use only � Office of Consumer Affairs&Busi(�ess Regulation g j OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: a egistration: ,1'ti9393 Type: Office of Consumer Affairs and Business Regulation xpiration .6/16/2015;, Individual 10 Park Plaza-Suite 5170 j Boston,MA 02116 MICHAEL MCCARTHY MICHAEL MCCARTHY, 6 RANGLEY LN. SOUTH DENNIS, Undersecretary Not valid without signature Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor : s License: CS-058633 ¢ MICHAEL J M'CARTHY PO BOX 52 W DENNIS fAA02670 m° Expiration Commissioner 04/10/2014 I a �GF s�►�-9a�7 OWNER AUTHORIZATION FORM Owner's Name) owner of the property located at 6 C/ S� W LC'rC-Y Izo a 4 (Property Address) (Property Address) } I n hereby authorize (Subcon ctor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a.building permit and to perform work on my property. ZL L Owner's Wignature Date The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' s 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Mike McCarthy Construction Box 52 Address: West Dennis, MA 02670 Cell (508) 280-6964 City/State/Zip: CSL-5868$oneRIC-169393 Are yo n employer?Check the appropriate box: Type of project(required): 1.bi am a employer with 3 4. ❑ I 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 workingfor me in an capacity. employees and have workers' Y P tY• 9. ❑Building addition [No workers' comp. insurance comp. incnranceJ 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.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.�er 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 subcontractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie. 1w -dal 7 CS_(_ Expiration Date: 7 l Job Site Address: 0VQO�� .-�nY�r _ City/State/Zip: <^]C ,r,1/, 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 DIAlor insurance coverage verification. I do hereby certify th pains andpenalties ofperjury that the information provided)above is true and correct Sip-nature: Date: / 5 Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health s 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions �Y Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than threeapartinentstand who resides therein,or the occupant of the dwelling house of another who employs persons to d'otmai itenance,construction or repair work on such dwelling house or on the grounds or building appurtenant'thereto'sl all not:bech se-of such employment be deemed to be an employer." A MGL chapter 152, §25C(6)also states that `every{;'state or local.licensing;agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or . town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each . year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone.and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations . 600 Washington Street Boston,MA 02111 Tcl,#617-727-4900 ext 406 or 1-877-MASWE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia 10/16/2013 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 -REPREStNTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to.the certificate holder in lieu of such endorsement(s). 'CONTACT PRODUCER 01962-001 i NAME:.. ..... .... Bryden&Sullivan Ins Agcy of Dennis Inc j4��. o_Excg_ (508)398-6060 — ��,No,_ (508)394-226T — PO BOX 1497 EMAIL So Dennis,MA 02660 ADDRESS: NAIC# INSURERA A_LM Mutual Insurance Company 33758 INSURED INSURER B Michael McCarthy Construction Inc Westox 52 Dennis, NSURERD: Dennis,MA02670 - -- —_--- -------- ._--_ _ .--- -- _- I II NSURER E_-__-_-- 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 TERMS, EXCLUSIONS AND CONDITICNS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAWS. . INSR IADDL gUBR' POLICY EFp POLICY EXP LTR - TYPE OF INSURANCE I WVD - POLICY NUMBER _ MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE NTE - COMMERCIAL GENERAL LIABILITY I j TO RE D $ ._.:..-..._.; ,---._._.� � I I I I PREI IISE�La occurte ce I • I CLAIMS-MADE ` I OCCUR I MED EXP(Any one person) I$ -- —- j- -... ------ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ � - -T- - -- --- 1 i ---------- -- GEN'L-AG-GREGATE LIMI A-PPLI-E S PER: i I PRODUCTS-COMP/OP AGG $ _ I -.._ .._ i POLICY PE i LOC - — -- ----- __.. - -I- -- - - -- CT AUTOMOBILE LIABILITY I i I COMBINED SINGLE LIMIT '$ (Ea accident) _ ANY AUTO I I I BODILY INJURY(Per person) :$ -i ALL OWNED I SCHEDULED I BODILY INJURY(Per accident) $ AUTOS AUTOS ----- - ---- --— ----- -- _._.., ;_._.. PROPERTY HIRED AUTOS I DAMAGE NON-OWNED $ AUTOS �JPeraccident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ j EXCESS LIAB I i CLAIMS MADE ;AGGREGATE I$ _- ----- ----- --�- ------ - I r--- ---- - ---- --.....-- - -- -- DED I RETENTION $ i L ,- ------- - --!--' T RY LIAtS' OE'$ \ WpRKERg COMPENSATION X I I I AND EMPLOYERS'LIABILITY A PRPYRIET�R/PARTNER/E ECUTIVE Y N I I E.L.EACH ACCIDENT $ 500,000.00 A o� ICE MEMB R EXCLUDED ��( N/A VWC-100-6017656-2013A 7/17/2013 7/17/2014 ((fMaflndaddtan,In NH) ----I E.L.DISEASE_EA EMPLOYEE $ 500,000.00 D �SsCRIP A OF SPERATIONS below I F.L.DISEASE POLICY LIMIT r$ 500,000.00 I I i I DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION TOWN OF SANDWICH Attention:BLDG DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN HALL ANNEX THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sandwich,MA 02563 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE r' - I ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD -- i Town of Barnstable �..oEiHExo Regulatory Services TOWN ��' �: �f� ���, P ' Thomas F.Geiler,Director 06 ► BARNSTABLE, ` t t' MASS. Building Divisions -5 M. A Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601T Office: 508-862-4038 Fax: 508-790-6230 COMPLAINVINQUIRY REPORT Date: /o? X:i7bI;?--- Reed by: m Complaint Name: Map/Parcel S Location / Address: �CY Originator Name: Street: Village: State: zip:. Telephone: r Complaint Description: A4 oe FOR OFFICE USE ONLY Inspector's Action/Comments Date: Inspector: Additional Info.Attached i Ft .r Town;of Barnstable *Permit# d y, ERMIT Expires 6 nion `fr s me Regulatory Services Fee sntwsrAABIM- 9� MASS. 2011 Thomas F.Geiler,Director 1639. ♦0 '°TFaMa' BARNS EASLE Building Division 1 " Tom Perry,CBO, Building Commissioner 200.Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 'Tax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press imprint Map/parcel Number Property Address ''�\ tg Residential Value of Work��. 00 Minimum fee of$35.00 for work under$600 Q, Owner's Name&Address C�I0.rut Contractor's Name Man 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 ❑ lam the Homeowner �( I have Worker's Compensation Insurance Insurance Company Name Z�12 P-- CA, Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof.(hurricane nailed)(stripping old shingles)f All construction:debris will be taken to. ❑Re-roof(hurricane nailed)(riot stripping. Going over existing layers of roof) ❑ Re-side #of doors J9 Replacement Windows/doors/sliders.U-Value 6 (maximum.35)#of windows *where required: Issuance of this point does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. ' A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\ ws\T orary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 HIC Registration Complaints Page 1 of 1 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Mass.Gov Consumer Affairs and Business Regulation t Home>Consumer>Housing Information>Home Improvement Contractor Program> ................................................................_._....................................,..,..,........:...........,..........:................................._.......,...........................,..............:..............._:................... HIC Registration Complaints Registration# 153118 Registrant B.B.L.HOME IMPROVEMENT Name MANUEL BARROS JR. Address 48 ROCKY GUTTER ST City,State,Zip MIDDLEBORO,MA,02346 Expiration Date 10/30/2012 Status Current No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search ©2011 Commonwealth of Massachusetts o http://db.state.ma.us/homeimprovement/licdetails.asp?txtSearch... 11/10/2011 i d �F 1NE 1p� * BARNRrABLE, MASS. i639' Town of Barnstable 1� Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.bariistable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Y Property Owner Must Complete and Sign This Section If Using A Builder. I, Casr l,e 2 ,.as Owner of the subject property hereby authorize �� �G�a e a� to act on my behalf, in all matters relative to work authorized by this building.permit application for: kA3 V(-�A \7VM (Address of Job) Rc Signature Owner Date Print Na4 If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. . C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 The Commonwealth of Massachusetts Print Form t Department ofIndrustrialAccidents Office of Investigations 600 Washington Street A. Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):� ,De Address: �vr City/State/Zip: Phone#:--) CrIbQ0 Are you an employer. Che the appropriate bog: El I am a employer with p y 4 I am a general contractor and I Type of project(required): 1. employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ® Remodeling ship and.have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.$ 9. ❑ BuiIding addition required.] 5. [] We.are a corporation and its 10.❑ Electrical repairs.or additions 3•❑ 1 am a homeowner doingall work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. ,right of exemption per MGL 12. Roof re airs insurance required.] t c. 152,,§1(4), and we have,no P employees. [No workers' 13.❑ Other comp, insurance required.] *Any applicantt that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp:policy number. I am an employer that is providing workers'compensation insurance for my employees Below is thepolicy dnd job site information. Insurance Company Name: r Policy#or Self-ins. Lic. #: — Expiration Date: Job Site Address: t 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 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 _ v Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury t t the r ation rovided above is true and correct. . Signature Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#• � OUP Sv��J CA`r1't'�GC�DY 1 LA e L WL sues WWoO ss:Eo of-LL-Lu -•1 bhuy'L. rdasmc9tmtts- Department of Public S:di y i li� Ord of ffiul OIng Regulation and Standord-t �� 50S S 4757 �.t 0a C rWIon Supervls®4 License. C dt Aft oden�oo ad ' OW XOesdpat '> ,,mod w�40-CM ONA yew i.�eo : drS 52957 now"in MANU�qE,.goa8. all ' ' •'•1 _'t1�dH}1l�V� LL�'' �!T.'n+tQ .`ppi�p R__"T QU"p{Mp� �r��r��,�y���wy _,i••q ;r` ?.1•' tyrypm. MI 16�99•ti'F•7'�a ,'• cR:; . i'•pp�xhaeor Yrs: t�7 ..• .pr.`It Ir.• �..•�.9p"9�• :1//.J• �� " �i,'r\{.;• !- -•�i.r ,R•...i ••+•:u. :�":��� �.:�1• '•gyp�P:I,�n•,. � • f•�'^' !r I• 3.: •v,;i�xt..,' •'•�, ss: i�r 4'e•:G.r•„r1h...�: 1+;:'�q'•y?' 'r , -'• - i,*;;j,Q�; d'i�1%iW<::r.. .�•i ..�.•,. s.J'•.•r,n'�;t •;t.;fr•:.+.t: ."'. "3•p�• t .Tf` ..�.^• ,r i +�..': r:•L: .•.i..f,,.j'.• ,•e..f .•,.,•.� yr. r Y�}S kd. 77;i� ' .,s,J rii ` r-o''-...;,::4... .;+• •.�,i•:fir': .,�}.+ti..A:;•,i:• .';-.ty.ti• •rQ3, b'.. ff�!A ,9 °`� , i y\', �� 1 f •.St: ,'y:.t..S .p::9d'.!•v '?' •+'`t .!. ;FY bit . �:t .. os i ;:``ti`' V�!tiY1 ` ••',-:irri�++.tl,M pR' P :,i4 J ..p;,Y. it.'�:•.I.It�+ ,In••1•. \. +••L. x':•'M i•'i: � .I� •ti"� �. •'�.l'.- ..x;,�..• .• ':li i+••� ..f.•1:>F�.r n!:n•.'•••rvt:•::n'; •�•• + L •:t:j'.�:F + . ' �.t•+ x'•.i '• v,�rjR;•':,•••••. •a't•:i:.'t•.�..\i.:��j N„L9 ^p r•�• .f x:,i,o'"Jnf•.•r;, 1••r' F ):t pn!t•••�1rT•U)•'•:.'•�•� fn, 'w•49• r.• �� ... ;� .. +..•�' 'l,•,'; •• :.. ,M;9 '04.•:•..(jriiu--=•• r'Lr•xwwlwS+y;tJI.•�'i• - ..Mb'',.•• v I. I �: /' a lh i lr+-al�k�1s It1�'1 I t. - N. tI r i.rt e ya t7E " 13�' �4uet� CONTRACT#OO003DO .:,'sd ' st' .n. y xl MASS 1kCHUSETTS EX,-Eftt"011-1 3TIQNS 11�S A LED�SA�ES CONTRACT; iE' INST LLEp S SPECIALIST i'. N�M,yE% 1 g ;y i s CUS uR it It ;�I I n �;1 STORE NO. STREET'A .Ry. STIjE ] D. II s � 1 ET ADDRESS„ ° f .9Q E# 71 F 1 ¢ 30 1Itl i( Iltlll y f _ 7� :cI� :1. r' i' I f TE ti STATE IcJ ❑I ZIP t a' CI {FIY:., 61Q it. , - j STA TELEPHONE a t Y L'EP NE v II,tIZ Od.dll u: l l •t l lz 'rl Et `?tt9G•.� Z— ' 7 UATE LOWE'S HOME CENTERS INC IS MA'HIC NO 14888E �J l i ChSH �"' Lcc REG 1. i p I - FEIN 88-074888811 II I f a3�5n`f � 9T�P CHfiG I CNHRGE I Y k m 4 s a Is ta'I at( Iw• 1 T1ds is only,a,gyole for the mercnamise a ny aeMCe§pdrtted below Thfi;becgme3tnn greerr�)"u�abp;pa]+mer'Itl n yr 'ftf the!Snare aigreament,ln�luQlpg the specr8calty completed pages of this -"-dawmentr8ie T�1m3 alSd Cdnddions inducted With this doW men! any othegadddnd�„and attachnrenis herdhi7s]IIil fe„ to`herem as fhls^'Cantracl I a PLEASE READ AFl TERMSAND CONDITIONS dN, 9t REVERSE SIDEOF THIS PAGE AND fOLI.DWIN�, GES, gF,60]t,�Sl„GNING 9 1-: - ._ ..._. _ 11NST 11ON STREET ADDRESS ( 1 0 PITY STATE ZIP w I li O�-Q I�lR" 4ft &L12 I ur�Q,1 .X Tr 6 ZL o In a ILIA' -.IQ (— r a !t..GIl1.1 Ih .. .F i': y 'I::: :.'il. I: C f _ `Ill :-II `.;'IL. I' a O d Are errnits a ulred fQr this S Contract Total u ' p f q i�lstallatjQn? [vpes [; No ! *applicable t�x.fncluded NOTICE70 dUSTdMER:,:FediiIr :few'requires;Lowe.'s;]o,provide you'witif a pampfet'Renovate Rf�ht.By'sig}ririgrthis Contract,Customer ackaowted`es Navin recelved•a copy of this'ppam filet before'work began informing Customer of the potential risk of the lead hazard exposure . fr8m6no alii6n$(11JW tobe Derfdkned Ih Customer's dwellin lunn:�!.]'r I", 1 .I..I , }�,; ., I:• ..I� ... " '11; " '-t• (' ` r /r.� ,. i F�HOTOIRELEASE:Customer gran A'Lowe s]and i�"4e s employees 1�ia right to't d t hotographs of all 1�oricper{ortned atthe Premises related to this Comriict,and urrev4ablylgra66:t6,LoWe's.all ri6ht,1titI4tl np ilfte Ai in and'(b t86 06o'to6ra0hs,`fonuse ih dll inaeketsland media,:worldwide,in perpetuity. Gusto Mr,authori�ppj I;owe's;$o I Gopynghp;:Iusaf[arpd;publish the[phgtographs ;nI Ip19t ar[d/pr electronically;[and agrees that Lowe's may use such ghptogrOphs for enyl�awfullpyrposel II mclilv�in� but n9t.limitedltll,.trlarketingl(ed�er/t sing,l P4blicit�, illpstratio7, ti ming and Web content. By initialing here Customer agrees fo the"foregomg. [CiAtomertp imttial to th'e left] i, p I Work' o co mence uppn reasonable avallability of Contractor andlor,any special order or customer made Good(s)which is anticipated to be I .. ./� '1 Z' (( ,, [fille in date].Estimated completion data is /I 2-a ffiil in date]. j Said estimated subsfanbal completion date is not of the essence.,,A statemeht of anypontingencies that would materially change said estimated substantial completion date isl as follows- - - - __. tment of such'contingericies).applicable,inserts sta IF YHE,CONTRACT TOTAL IS$1,Qb0,00 OR LESS bu1stomer must'pay in full:; CO TE THIS SECTION ONLY WHEN THE CONTRACT TOTAL EXCEEDS$1,000.00: ustomer to Pa m Full; OR Customer to use the foliowI a ment schedule, [ Y,. 11 9 P Y " (1)Deposit$ to be paid upon siging contract.Deposit should be 1/3 the total contract price;and (2)Payment of$ to be paid anytime after this Contract is signed and before commencement of installation,I/We authorize Lowe's to do one of the following(check appropriate box below): [ ]Charge my/our credit card for the amount of the payment indicated above anytime after the date this Contract is signed; or [ ]Deposit my/our check for the amount of the payment indicated above anytime after the date this Contract is signed;and (3)Final payment of$100.00 to be paid upon completion of the installation and both parties'satisfaction. NOTICE REGARDING ARBITRATION AGREEMENT FOR CLAIMS COVERED BY M.G.L.c,142A LOWE'S AND OWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT LOWE'S HAS A DISPUTE CONCERNING THIS CONTRACT,THAT LOWE'S MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUT- )VE OFFICE OF CONSUME AFFAIRS 7UISNESS REGULATIONS AND THE OWNER SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION AS PROVI N G.L.c. b By. Date: Lo 's a gent c. " By: Date: D Ow r Signature THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE RESOLUTION INITIATED BY LOWE'S PURSUANT TO M.G.L.c.142A.THE OWNER MAY BE PERMITTED TO INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THE SECTION ABOVE IS NOT SEPERATELY SIGNED BY THE PARTIES: DO NOT SIGN.THIS CONTRACT IF THERE ARE ANY'BLANK SPACES AND UNTIL YOU HAVE READ THE TERMS AND CONDITIONS CONTAINED ON THE REVERSE SIDE OF THIS PAGE AND THE FOLLOWING PAGES OF THIS CONTRACT. BY SIGNING BELOW,YOU ARE ACKNOWLEDGING THAT YOU HAVE READ,UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE OF THIS PAGE AND THE FOLLOWING PAGES OF THIS CONTRACT.YOU ARE ENTITLED TO A COPY_9F THIS CONT T A THE TIME OF SIGNATURE. WITNESS OUR HAND(S)AND SEAL(S)BELOW THIS .%Li_ DAY OF a� I,�• Lowe I Centers,Inc. S eciali t AWoA Owner Co-owner or Witness Custo7lA#cknowledges receipt of a true copy of this contract which was completely filled in prior to Customer's execution hereof.You,the buyer,may cancel th s transaction at any time prior to midnight of the third business day after the date of this transaction.See the attached notice of cancellation form for an explanation of this right. #90981(Rev.12I10) FILE COPY ®aeregisteered trademarks aFLF the gable s r .; CIOparagon �+T1t C p Ling R p�uble tlullp. . + YeW.Low-E iG r klon F)bed , z AES97 � �... polar mat�iAlil COefficient 003-1 v 3 + 5 1 nil I 10i1�1e`Transttat#a�c 0: 5 Manuracturer sttputatem rMr urasa a a°wed o�tto""s"OB � "�erelermiged�Pora�fu seP o(�dures foo ddarmlydng b ' cr a area For more cs6 wVMarVrlBfl[al coodldons RCs.web � y �41)6213114 or Wsft.Pada's wsb seta at # t+ 1 e o { �I IAINGf11MANDpppp e { tIFl4 1 CNfl9iBASSOCdg10N;f 150 29x53 COW-6 tiMS TO t CIA I �{ 3 t f HUD.UM 1 i 1 Carrp��, IA' i f � I � 1' 3 , i 1 --_ -- T� ✓ � 0/VVN44IQ h —Office-of-Consumer-Affairs Business Regulation License or registration valid for individul use only _.. _.. : . OME IflAPROV _ before MEPIT t:ONTRACTO the expiration date. ff found return to. - _ _ Office of Consumer Affairs W..-_ and Business Regulation -- Registratio ' 88: Type 101°ark Plaza-Suite 5170 _ cpi . 013 Supplement,Card. Boston,iVIA 02116o LOWE'S HOME - `tir _ MICHELLE:RE .136 TURNRIKE,R - - - —SOUTH,BOROUGH --- Not d without si - Undersecretary valid _ F _ _ w P 1/1 uu!s5 1 7 1161044 8857-I SSTAL eDD SALES P 3/3 Rpr-27.2011 12:55 PM SBL—BUILDERS 18007908526 PAGE 1/ 1 E412�12011 MBL1 11,23 Fax 544 564 5531 Bauchi* 2nMtuauce ®001/001 ,I CERTIFICATE OF LIABILITY INSURANCE TM CDR7rFtOA ri:!s MUED AR A MAl7Rt ar - CER71FrCATE DOES NOT AfPMATrv@LY atMWy �1 O1r.Y A�E lIQ R�IT$ICON THE CL!R IR----HOLDER 71/8. "LOW- TMC FCiIplCAT$OF 91SURA MaT YOONl11ltfiE A,AMM OM�lVT Tt nOMBRAcie APB Iff 711t POUdSB RR'IRE6C MIME OR PRODMER,AND TOM�QMR"' N 11�Id31ApG gAl�R6R(��,AlA'kp11�p � �o3i i��' coi d lorsed:' �t3 A�81�iii y $;;ice es ana carolwo mhr retie an•-.a— ase IfOrdtllf rR UAu Of Q11011 B.1rlCY N1 �,_•w......, w.. A Re�111er�on ihr�orallRoUN>'0!6 n01�M21f t1111b to tlr6 PROMCM Aobaab $ Houahsa Jr. Z352 Route 29A r JWA PO 34o�c 4 00 Cat:aLlmet, MA 02539 Rrgk 1329 a�ImPr MAI'lapRolN� ar& ►duv � name �P =t IAA1AmWL�rd Insyxsaar .42590 48 Rocky Guttor 8treat Iw�e:At�uiid 1wsLr�Ratsq r �r ¢2990 1.4idel�+bo>"o ; INAtdr911g.'9.1r �iaet1lrasrae ,�,�780 Mh 09346 INWIaiRO ROVCRAG S ► cA.TM n .._.,�. INS is "-"»_'^'_~_.. C 1JM8SR: . ..,. ....._.........�__.._ �_... 4'®9('.AT@, RfAT T1ifi POUCEEB OF lk®uitIWCE�rS"t'[�BFJ.OIAf}NYe�#1 MV�RR: Cd:rE0F7cATE DMYgp 00 MiEM T8001)QR OQIpt7DN OF�N1( Y PED ` (;Cpfti➢ACT R MAY PEW � 1q'tent B CT TO WNaH Tt1fS E u18rOl�AiVD CO>,AWrT1pN8 pF BLIQi POLrc P��6v1Y D0E ry T ,D T�; (8�70 A1�, T'�aoflNBUR,W1� A�� ear 4�4 e�a . . �N�1-I4biLiTY •►"OItCYwwlq . Yiy) �j• •.' sods • A X IALQfiIHF%LU#Aj1JrY DMP2016*2 �/7�13 11/Z 12 00 p1 a .L,COC;000' won,,aa = '3,o00,coo '' !�asowaaAwwiiJRv: :3 ,�.OQG,A00 a8w1,�4?dAo0+sT8LIoHrAsvUEBPER cE aLA s .,2,000,000 s 2,040,Q00 C ANYAUIO pGICp0001007975 4/30/11 a/10/12 YIkA�ly Ascew►aowiros (►ate) '`, }C DCHROIrI.gp AIRq� , 9001LY YWRP(j�r�pipe„p C f uAWp® � I�ydw�pAu'►09 �aaoolee,+0�1� 1 . UMUMMAIAM" 3 ... F�QCPB8LIA9 �.-..CLAai6'841LE EACMeQGUItllLNOE ...•_— _^.. 2 . _~Zt®11Caplg A00ftOATO $« REM'MON 1 11p0.K8t0$COMSN><ATIDN ANO wumrry Y/a a8423 //9!1/u 4/2-5/12 MIw T01KL ITS . � #f EJ-MACHACOMW = i,Q00,goo ��I�'I�AN0009►�A80NGIlAb►tg0e19ttiENI�LI�WypA,t(OOf�191.AddINOM�►)�11�Ip'So1�EUM.I�mm Y.o�ee e aids xna: T.omo I .aa wra?, ..._ - ., . .,,. =navzsadt4 as re a Rxw, inc a►rtd X,oee's Homo Canter& �s�o axe..p,�I►Aq Ites Atldit�Al I oP�t to Oom"R . L AZsMEy and Auto. 7.in1�,Iiby IrietaitArcb>spiiesice&Loves.cwa C6Qt1lzIGATE MQLOER CAN 1 >JlrlOUip Off Ol Im,30YOR W*=ji"M=0 CYiCRL68afa�pl� �wG s ti.Cpm u•p�g,� xYtO - TM( QXl°tlr4 R DAM.T%** ' " MALL ME Od1JMAW IN - ACtn; x$ _t"UrmAoe PRbV1iRl1rR. PO Box 1111 N Wilkembo,= NC.18,656 ADM D 26(INS" Y�aC ' '� , -��pMp t'sl erv►d. 11-11-10 03:35 Comm Sales # 1094 123 >> P 1/1 ���1 � �7 08 35 >> omm_5a L es � '1 Uy4 r_•I/�1 'a ME1 20�-1~11• Q �? �7742262044 1857-INSTALLED SALES P 3/3 Apx.27.2011 12:55 PM 8$L--BUILDERS 18007908526 SAGE. 1/ 1 eaia�12oi1 � iis23 834.1Z 5C8 566 5531 A,Dua�ie 1A�amrancs - �045/001 C4,P�t7� D.anp„t,ovim + CERTIFICATE OF LIABUTlI INSURANCE f108 CRR11Ptt:ATE 18 AS A MATI'�iOpVP-. 1 ONLY*0�.041I 140•REOffIS�Oti fi16 CgR[g70A'I��IOt:DER'CIS CER'11F1CAM OM NOT A201MAMVELY OR NMYMY ANI@lAl.WRND Ot ALIER m cwtaAatr APPORMP Ur TMd P0.TCISS DM OW. 1M.gERWAT2 OF @=RM=OM 10T CQtie'115111 -A CCWPAC7 lil MMM Tim 1"Low 0800 isle NtA IN= REMs ESNTAT"OR PRObUm,ma ym Ct PATE ktt LDM tl,b tCl1t18 gtld tandw ttb0 W a : Y�!►o7Vp)ems!of��aiso��. S tOAA �w POW 0*00 t P*ft�o OW mu0tdm�m bmm(itMrmmmRL A r�lwa.rRontNtmm�mtllfopN aides notoomw t10tt0rM" o�rtAlkarm hotaa��n IMF ofnuoh��qo__dgmdn��:.,p.. Robert R Hauollim>D J'x. Inzc_=noe MRS509f S64«K4dt1 - „- two) Otit♦-558:► 1352 Route 29A 38� ��lho - YO Box 400 ' Ca tatett►eL� "A 02534 RtCl� 1326 , ��Da tfi691tittir►AIYoltADltPcoan�aae wta� twtq,op�t 111wtQu!4Td Insnranaa. A2S80 $� Ra> ztapravemoab saLC awt ia:Aat sa zagarinwpq 42500 48 Roa1y Cutter atxeot I c pugoab r o%%.v ,rioo Z730 ktLc%dl.L-'t'no. 106 022410 tw mmawo, 11 ' ' mmiewnt7�Em RAVCRNt CERi1Fh`.ATYy(IUMp�R: . IiR�g010jj �----�- .`--. 7M18 18 70 CEIyTIFY T►O�T�^^►�1 Pt7ltCM68 pp larellwdt.2 EtsCE�1 BELOw?►AYe Bt]1 tI�K'i�Tl�, h011,V�7H9TANONG A11Y ka1►1GtEI,OCta�TClltf t!k OF ANr oR gCOWl311fiitp$1R:4:t T,DW!lpli TIAS C�IrnFiQATF war BE rssti�so OR AWAY PMVAK THE fMe< O*U020�0' �p Q E�<q�sta.RC1 TO ALL 1t� ,moons AND ror+olr�o,vs ot:�uat vouaEA.tgara ar T St►o'wM'ItpirlNvi'�1�11i�aCEo$rvAe.or�.� ' , oanu�ira.LNWu1Y 'm'bNCYmattma»•ta :� _ LEI= t�,4tct700utmat�CB ',' .0 ,1,Qp0,000' A .7C Ot�oNCttCw.cpnmC�u.radr,lnr . '' umaaldp CUSOWAADC o 8B$P20164^� t/47 4/7l3Q �ramWN&" t: 3,OOp,00d ' .. ,rta�otw��.rpvtw4Rv; ,r �,OQO,PQO cowi,�ooaoa+, �.au�raonlat asR .==MAOMed�tt s „0,000,000 wtwwa.cater Aw s 2.000,0 00 e .nn�tno- � ;A00040oS0e7975 4/xo/u o/le/iZ p•'eA�"j�`�' .d 1,000,oD0. N.�OrmnatoAtjioo - I daOa.Yt�aauitrVaa�m� 'r ' X �mtCa4ConUtri9 SDDIt.YYUR4tY(/M►m��q t X WmQEDAtrtgt< Q ' ' ?C wON4wNtDAtrn09 0 ...-�IOtB3t2iLlWD pIMUAN =R WW4 R[reaY,ou s ; 8 maAR�ts o��m►IOma � ktDotaaovDmta•aawtmtrtYr a�w nstOC�78d23 4Jaa/1; d/xLJZ2 � to t�iyi`�s M mxm.uow am X/A e�.CX:t1�CgQYN+ i 1,Q00.40Q „�^y t:L.DttM-1xVA% M d 1,000,000 �.......,.�L 'Det>CSAeaO�OQQ � � g=,p- 04"AODt f t.Aa mw1Utm, jV"*�Rmao+a.o.61"1ia0, � - t.Owe'a4 O9=5a "Z a o )[1w, roc acid 7avtmw'A Ro+no C+mrcraa Sao are patIDld tes 1klelit i.C¢iltl Sna:vxOdg as roast to Gwt�u+ Id.�as3.] ty'and 1lr�e.xdawutp isaot�vllezCc ,iOa®LO+Wva,com T�FICnt m�►masx,ml teQ4wcXU J► t�tota.b�m�w ar•tte Heave oso raicss ea c�ttela.+stimat;FClmiw Love 1 s Comzautiioe; Zak fDA oK7K tlAttttt�01; It0T7Ci tfirtta. U DCUVM Qf IN Attmi: IS rr►etsm;arstDe ItGCORW101WWlfM M6li]CTpKtJVJt111, PO Box i 13l N Wilkesboro, me 20656 Molt D 26(W .' 1'n+r Ar OgtO neaw�rvtl tmgat iw gad lNgn M�iteliol i91' �.�ru'�p1R''meserv.d, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 2S_ Permit# 0 t Health Division)e, R ) LjM C) �b I oI Date Issued r Conservation Division �/ Fee L � Tax CollectorAeAS-1�- / SEPTIC SYSTEM MUST Treasurer rC *,aar l INSTALLED IN COMPLIAil Planning Dept. V ITH TITLE 5 Date Definitive Plan Approved by Planning Board - f' Historic-OKH Preservation/Hyannis Project Street Address 0 L Q/ S--r eA/J C: / �. e-V Village - � y h n/iz/ 1 4 0 Z 1�a / Owner 1ZZ �t c/ d 21 c S f-,S Address 517 I/ Telephone Permit Request r^.4 Pa U-9`C�L, �I�/ �� </� e — Square feet: 1 st floor: //e��xistingg-+� proposed 2nd floor: existing proposed Total new Valuation.. CO 0C/ Zoning District Flood Plain Groundwater Overlay .Construction Type Lot 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 v 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 3 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 M20 Zoning Board of Appeals Authorization ❑ Appeal# Recorded T R m Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use - y BUILDER INFORMATION Name rr, �- �^ ° Telephone Number 7 Address 3E _) License# 47 ,,I Home Improvement Contractor# p ® �� Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE 9 1,2a O I 36 X :•- FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. F , ADDRESS '_VILLAGE OWNER r DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ,- PLUMBING: ROUGH FINAL .r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT _ F ASSOCIATION PLAN NO. ` CF ZHE 1p� The Town of Barnstable $ Regulatory Services 039. Thomas F. Geiler, Director, Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Fax: 508-790-6230 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: iq y,���.. Gr'' Estimated Cost_�Y,_S_]�V n 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 rJob 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 pply f r a permit as the agent of th er: O r G1 D t Contractor Nam Registration No. OR Date Owner's Name q:forms:Af fidav:rev-070601 The Commonwealth of Massachusetts Department of Industrial Accidents . 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance davit A � � location /•g �P hone� 7 city AI A I homeowner performing all work myself. am a sole proprietor and have no one working is anv ca acity %/%%/////%/ sm0//,r�///////.r////////f%%% ,111111A--- / /,mgU1,1/0000//%//////%':,l0gl 01.00iMi.,�//%/%/%//%/O ///O%/w/%/%///00�/D//W/MME, din workers' co ensation for my employees working on this job. : arnlover rRi mP ::::.:.............:.::..:..::::::..:.::::.:.:.:::.:.:.:.::::::::::«:;>:;>>:»::>>:<::>:::::>»»::» :::. tom anv name:. -. address.: :. ..:::.:.:.::.; :::>.. ;>;»::<:::;;:. hone# or homeowner(circle one)and have hired the contractors listed below who ❑ I am a sole proprietor,general contractor, have ensation Polices: ........:::::::.. the following workers... :P ...:.....:.::.::.;::: ;>.. <:»:<:>::>:<;:;:::.::;.:.:; : e ::::..................... 'on .........:................::::.................... ........................:v:::::::::::.�:::.:�:.v:::-v:•4'r�L?i::�:•:ki:?•::ii:�::•�i:::iiiii:�i::?':�•':.... .:::.,..;..... // :::. •:-::.: ........11...... anv nsrn adiiress. >: e#.h on ::::::: :::::::::::: :::::::_: ::: :::...........................::......:........ ......:..........:........................ ii 0 ,. / Faihe n seems coverage as ieq�red under Section 25A of MGL 152 can lead to the lonposition of ethadnal penalties of a tine ap to 51.500.00 and/or one years'secure cover agnt ar well as civil penalties in the form of a STOP WORK ORDER and a ttne of S100.00 a day against me. I Understand that a copy of this statement may be forwarded to the OMce of Inv om of the Du for coverage verification- I do hereby certify th arres and en that the information provided above is&w. d con cf. Date / Signature Phone Print name oincW use only do not write in this area to be completed by city or town oitMcW permitl�icense# ❑guildinn;Depart city or town: - ❑Licensing Board Optics re ❑Selectmen's i ❑check if immediate response b required ❑Health Department (]Other contact person: phone#, (tevaed 9/95 PJA) Information and Instructions etts General Laws chapter 152 section 25 requires all employers to provide workers' compensation fV ctheir Massachusetts . employees. As quoted from the "law", an employee is defined as every person is the service of another under of hire. express or implied. oral or written. of An employe r is defined as an individual, partnership, association, corporation or other legal entity, or any two or or the receiver c the foregoing engaged in a joint enterprise, and including the legal representatives of re a deceased employer, trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a house having not more than three apartments and who resides therein, or the occupant of the dwell house of o dwelling house o grounds work on such dwelling another who employs persons to do maintenance , consizuctton or repair wo building appurtenant thereto shall not because of such employment be deemed to be an employer. enevi MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance lica or who hr ' ease or permit to operate a business or to construct buildings in the commonwealth for any ap of a license PAdditionally,neidier the re u fired. compliance with the insurance coverage q not produced acceptable evidence of commonwealth nor any of its political subdivisions shall enter into the performance of public work until an contract for of this chapter been presented resented to the contracting of compliance with the insurance requirements r have acceptable evidence omp authority. Applicants the box that lies to your situation and Please Min the workers compensation affidavit completely,by.checking applies su lying company names, address and phone numbers along with a certificate of insurance as all affidavits maybe PP Y of Industrial Accidents for cam of insurance coverage. Also be sure to sign and. submitted to the Department or town that the application for the permit or license is date the affidavit. The affidavit should be returned to the city ���y questions regarding "law"or if yc being requested, not the Depa taieat of Industrial Accidents. Shnuld:y+ou are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns The Department has provided a space at the bottom of ti Please be sure that the affidavit is complete and primed legibly. the affidavit for you lican t. Please o to fill out in the event the Office of Investigations has to contact you regarding aPP be sure to fill the permit/license number which will be used as a reference member. The affidavits may be retu�t^ the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions• please do not hesitate to give us a call. E� RThe Department's addh and fax member. The Commonwealth Of Massachusetts Department of Industrial Accidents oMce of lavesUgadons 600 Washington Street Boston,Ma. 02111 far#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 r RESIDENTIAL: SHEDS - POOLS-DECKS-OPEN PORCHES- GAZEBOS DETACHED GARAGES FEE VALUE WORKSHEET ACCESSORY STRUCTURES >120 sq.ft.(Sheds,detached garages,gazebos,etc.) >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—USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00= $ (Number) PORCHES x$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00 $ ABOVE GROUND SWIMMING POOL $25.00 $ RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) PERMIT FEE $ ( lo Q:forms:dkcost eff:082301 p ........................ L,.r r a x r ,�, t b a a2' d1 1: 1 f§< l ?. t jwl.., !r� �c � �^. �M�.Y ��',oy, ��`' c�'"� � "',,�� , ar-Z s Y` i:° »ate �� ��i�, � t . ,�. s r ✓ •�r J&" 9i y'��.+�y'�L����},Y{�i��61i:'�3�,�` ��,�sy r r E +» i �y��„� �"� .S k'�"�' �; j{;, tit�.,,' ' n l• a. '�`u8 m c� tx '., r � �` .`� t�'�s-^%F sib '- s�•w�. a�'� ��� #. � ,+ t�4 - •�. .r' ¢`Y�� �,��� Kra ..��"g� �`y;�'�'".� `} �Seq n �µy •>^���� .��.„+?A �`?" ,� 'WW�m�a� y4� .�.,..x r3 � �:k'"a � .. �.� +j� �4."� � yyT<' ,b„ qt } 'F 1.. �4 .P.. 's�, .ri'`• ��k».k tl id'�: '. C i+N k qr , r ua� 'j a�t� I:•+X rs�� ..4' �r,$' ��"a`rs�-a`L ,,t �+� �, •i� �' ,�* � ";+:;w� h � - a+�;.4�1 �y � 't4�"'8 S�„��t. z,•�.� _,.-ia 5 � � 7�,,�_, a... g ��,_ '. n � -6A� ��'_,y�„i s«r:a I t•�+�'�� � si��'` •�,� rw•'�i• '# .:- r s <,� lot low Ou I'm MY, y Y 4 A•'*Yr3s 'i jrt .,1 .N 't. f'^4'•i ' g '.._ly, M err: � �', kA �•. .sir w - ,�`a,- .�^`' r p o g' t,}tg x s :. f� P `,i s �1,' -a$a --'.} §^ �++rMy s Yq.fa�a��,�•t ' i w Hi r, g"{ v n, :.t +id:., �� y /'�i It All -77 + ,4 -°1 A�,r _ F t' ''A•a -ll a i t^s �,,55 j�+ '{ if .Y � l f .'.' �9 J ix"�_r a #:c:.. ! r f. � y i TT- 1 -- ---I --— -- — — — --� —'—1 �----E---�-----�"---�-- -- -- � -- " — -— �- -- — . is 71 1 aial 11 ra& 3•'�-.'A�, .9w� ai k �a�r.3' y,. k' ..fxa !� - : f ' I: ..I LIFT s �5 1 � � i , - z ` -- -� IL --- - N6 - ---- din `�- -- --- --------,___-- _- - � --------------------..__ . _. _ ._ I - - _ - N --_--` ---- -- - ----- - c6 P - -- -- - ._.------- 91te -6 Board of Building Regula ons and Standards One Ashburton Place - Room 1301 Q ' Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 123067 Type: DBA Expiration: 12/02/2002 THOMAS EDLDRIDGE CONSTRUCTION THOMAS ELDRIDGE - 138 SPRING ST. - HYANNIS, MA 02601 Update Address and return card.Mark reason for change ❑ Address ❑ Renewal ❑ Employment Lost Card Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ' Board of Building Regulations and Standards Registration: 123067 One Ashburton Place Rm 1301 Expiration: 12/02/2002 Boston,Ma.02108 Type:' INDIVIDUAL THOMAS EDLDRIDGE CONSTRU THOMAS ELDRIDGE ✓� 138 SPRING ST. V/ HYANNIS,MA 02601 Administrator Not 1vV1W—a I il without signature 109Z0 v `,-51WAH 1S ONIbdSBEi I��` ' 390I8013 S`�StlNOH1. � - I tJ of Pa1 ,illsa�� n - . ' 8S61/£0/90 00OZ/£0/90 O€650�-_ - 1 35NIJ 80SIA NQ tIalSN03 A-133VS OI18 It ''A0 1N3N1aIN30 ^ / 00 D . o T 91 s X q o � _ V Q0 , �x EPz u' T —o o �a \O o o a = 0 - <o N N D m m o Zp �n A vi C O m p n ® O OO v o v n m v o 0 o2n A CDs o o '^ CD O o O ^ m� n ti Z <�A O A m v O O p rT'I m m G m A A A y Town of Barnstable *Permit# � - THE Tp�� Expires 6 months from issue date Ana• ' O� / Regulatory Services Fee a� v� NAM $ Thomas F.Geiler,Director t6S9• ♦e '�Eo may' Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hya nnis,MA 02601 w X-PRESS P E rt°:`�411 r Office: 508-862-4038 S E P 2 0 2001 Fax: 508-790-6230 - EXPRESS PERMIT APPLICATION TOWN OF BARNSTABi Not Valid witltoat Red X-Press imprint Map/parcel Number Property Address oL -� w � Residential OR ❑.Commercial Value of Work ❑' s ' Owner's Name&Address' ` Sty C �^ ES 0 �o V t` C Contractor's Name Telephone Number O��' Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑sWockman's Co ensation Insurance one: Er I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) J?(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) i.e.Historic.Conservation etc. *Where required: Issuance of this permit does not exempt compliance with other town department regulations. Si_nature expmtrg r Town of Barnstable ..°�IKE'O'''o Regulatory Services .+ Thomas F.Geiler,Director 9'`MSTABM MASS. Building Division A�Eo 3 ° Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 COMPLAINT/INQUIRY REPORT Date: duly 10, 2002 Rec'd by: Complaint Name: A.w. Br i d cle s Map/Parcel , n+_# go Location Address: 86 Old Strawberry Hill Rid, Hyannis, MA Originator Name: (Dumping by) A.W. Bridges Street: 86 Old Strawberry Hill Rd Village:Hyannis State: MA Zip: 02601 Telephone: Complaint Description: . Bridges has dumped used hid 1 di ng mat.eriz, cz an town owned land between Old Strawberry Hill Rd. and the Middle Schgol athletic field , a wooded area. It had been placed directly in and .blockod a pathway used by —students between old Strawberry HIII Rd. and the middle and higbschools . The materials were moved from the path by persons unknown, but are still to- ha fc)iln i n the wonQed area beside this . FOR OFFICE USE ONLY Inspector's Action/Comments Date: Inspector: Additional Info.Attached Q:forms:complaint 7HET��y TOWN OF BARNSTABLE i • i BAHHSTADLS, i ,639. BUILDING INSPECTOR �0 MpY Or• APPLICATION'FOR PERMIT TO ........... ...... .., r TYPE OF CONSTRUCTION ........ . .................., .... ........ .. ./........19 4! TO THE INSPECTOR OF BUILDINGS: The undersigned-"hereby applies` fora .permit according to the following information: y- - i Location .......�.�.1.......... a............. ! .A........5 .��..�� ! .���...... e.. ............................. Proposed Use ......6�X T!7 E N /*0-4-- ...................................................................................................................................:........................... Zoning District IP— f"r ! .......................Fire District ..........,/ ��• f�............. .............. . ...... ......:. ................ . .......................... Name of Owner 67a%rH,1A0.07Address ax�f/iq�/ l�r ...�r ......gvo mi A......11".*.A* �`/ I' Name of Builder .. ... .....!7 ........toGts !/N�7�...Address .................................................................................... Name of Architect .. !'/rr.¢ ..... S...................Address eN�'TA ......... ........... Number of Rooms ...............vl�,.......................:.....................Foundation ............. ®.UC. .............. ................... Exlerior x�®d✓lh.........6. A�?GJ........................Roofin �5 ..AoA.T........................................... '.! g ................... .°h Floors ✓'..Ann" ✓AAZ........ .1 �'!L�..................Interior ............4le-.-.4'`/ ' ;...................:...................... Heating .... ....Q../ ..................................Plumbin �Q �' .�J •• g .................. �. .................. Fireplace ............/:k..-�........................................................Approximate Cost ............... .. ............................ Difinitive Plan Approved by Planning Board ________________________________19________ . Diagram of Lot and Building with Dimensions 7 THE PROPOSED METHOD OF PROVIDING FOR SANITARY WATER SUPPLY, SEWAGE DISPOSAL AND DRAINAGE IS HEREB PPI-ti NED Pe 6G, �� t � 4Q �► /� �. _, ..� TOWN OF BARNSTABLE, BOARD OF HEALTH V LICENSED INSTALLER MUST OBTAIN SEWAGE 3a Zb t PERMIT; AND INSTALL &YS.TEN[j J r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 12-a-/,'It Name .. ................... :.... ...................... , .......... Cushing, William A. No ..12450.... Permit for .....two story, # ........................ single family dwelling Location. .... Old Strawberry Hill Road ... ............................................. I Hyannis Owner .........Willia. .m..A. Cus�n.ing. ................. .... ........ .. ............... . .... f t Type of Construction ................rame.......................... i ................................................................................ Plot ............................ Lot ................................ ; a , Permit Granted .........Jllzle..19................19 69 Date of Inspection ...19 (', q ' 1 Date Completed 19 ' PERMIT REFUSED ................................................................ 19 ............................................................................... ............................................................................... ............................................................................... c Approved ................................................ 19 1 ............................................................................... ............................................................................. Assessor's office(1 st Floor):® L ' s u��� fi `�3.P ,l f�' Assessor's map and lot number a? i,fl�s ���® THE Board of Health(3rd floor): WITH TLE 5 d� Sewage Permit number ENVIROWMML AND t BAHl9YilDLL Engineering Department(3rd floor): rue& House number 8 JS YC ���Q�� oo '639. ®� Definitive Plan Approved by Planning Board 19 ' �Fp MAY a• APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only i TOWN OF BARNSTABLE BUILDING INSPECTOR t k. APPLICATION FOR PERMIT TO n cc ,TYPE OF CONSTRUCTION UY�l b'2 6 19 6 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the�f/ollowing information: >, Location 56 I?Aw i32ey F"I Proposed Use Zb v Zoning District l�' / r-L Fire District Name of Owner Z3,513 Y4 6 S/! fh0 01 A5 Address Name of Builder �t� t/Sy1J�/i� . Address rev l3GUI� / /ji ,E'y Name of Architect �� _ Address Number of Rooms l�)II-) Foundation F,I<,5X/G 3-LvGC` 55�"x4K F�fi Exterior 1-v op!e Roofing i Floors �/4N� �-- Interior I Heating Plumbing Fireplace IVQ Approximate Cost Area S ' Diagram of Lot and Building with Dimensions Fe h�0r r X - q3 r N 1- - z 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. Q� Nam e Construction Supervisor's License Q 3 7 St. THOMAS, BOB & . CINDY t3 No 33015 Permit For Build Mud Room Single Family Dwelling Location 86 Old Strawberry Hill Road s Hyannis Y Owner ° Bob & Cindy St. Thomas Type of Construction Frame Plot Lot y Permit Granted June 26 , 19 8 9 Date of Inspection t9 _ Date Co j feted 19 Q :r Assessor's office(1st Floor): //�� Assessor's map and lot number �4eY— � { �o*Yr E rot Board of Health(3rd floor): e�Q� �♦� Sewage Permit number Bes Engineering Department(3rd floor): ® = MAS&rAea L 1639. � House number S oo�o rar y�®� Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION OYIj ©Um e (;-26 is TO THE INSPECTOR OF BUILDINGS: ` The undersigned hereby applies for a permit according to the following information: Location CMG -0 57i7Aw t3-e� r`./ H, Proposed Use Woe-/Y\ �f Zoning District L-�+^/f-��V�/�"� G}�'�'P��/-`'`L- Fire District / Name of Owner /?G l Cl �-0-/ S/r -1h 6�,'5 Address G f�5 C?'"4 Gu ✓�y C2/ Name of Builder /3 ��j�I�iY— �� Address Name of Architect C}�^-�-.. Address Number of Rooms Foundation /z5 X/G Exterior l�/G Roofing /Vk ' Floors 1//q Al A L Interior Heating A/ i Plumbing A16) Fireplace NQ Approximate Cost SUU Area r Diagram of Lot and Building with Dimensions Fee D. --T - J i 5"J. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. I - Name 11 u Construction Supervisor's License G 3 7 St. THOMAS, BOB & CINDY A=249-125 ^ _ 033015 Permit For Build Mud Room Single Family Dwelling Location 86 Old Strawberry Hill Road Hyannis Owner Bob & Cindy St. Thomas Type of Construction Frame Plot Lot Permit Granted June 2 6 , 19 8 9 Date of Inspection 19 Date Completed 19.