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0635 PITCHER'S WAY
AD S2,— g l� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ma i Map Parcel Application 4 o? Health Division Date Issued SAP 2 2 2016 Conservation Division TOWN OF BARNSTABL Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village y e y\n, S Owner e 50v\ Address 5 1� ����� e-5 q)&LI Telephone -1 c I a `l �� a Permit Request C 1nc, n ae- V ►ic tU Q_5 to 1r\av�c�L Cad PeO� acre5s ".b\e yi,-�� txk-u1�� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ! Db D 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 Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new . Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION - (BUILDER OR HOMEOWNER) Name r�a (� Q 1 Q� \e- r Telephone Number Address R S Or O yx o_ S License # i oX b 0 c 0 U!� 0, Home Improvement Contractor# Email 1-3. o,DNc Q r Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �� T SIGNATURE �� �' DATE ' FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. AWC wide to Woad C,omtwr4ort ur H,-A Wad Arica:IZO mph HZnd.Zomi , Massachusetts Checklist for Compli�ce un cmRs3n?t.t)J - - • _ CcmpFBacs 1_1 SCDFE• lr&d Speed{3-see.g< } - 110 niph Wrd Exposure Gary B 12 APPLICABIMY - --- - -- I�funi6ex a1 dries ja Taaf urfirdi exams&iri;t2 stap��haIl be w¢�sidered a sfnay} sbries s 2 stark s . - - -- - Rnof Piiz h f(Fg 2) - Mean RmfHeIght -- (Fig 2) it 33' Budding VIM,W (Fig 3) _it 5 MY Building Lengff4 L -- _ (Rg 3) d g Blr , BrAcling Aspect:Rasa(L N) - (Fig 4) s 3:1 Noaa&tal Height afTallest Dpeningz _ (Fig 4) GS' 1-3 FRAIMNG CONNEUMNS " General wn�Trarnos tvt3dt fiarnirig r�nne�nans (Table 2) ` .' Z7 FOUNDAT7aN . Founclafion YMIs meerng mIL*=eras of 7Bg ChRR 541141 DDnCreb'_l✓rasaruy_m.. 22_ ANr_HORA.ETD FDLIUDATIDX'� 518"Anchor Botfsmnbedded or'S/B`I'roptie�ry ftie�anir.�Andjars as an alferina5ve,in mincrefe only _ ' - Bott S�cing-general._..__._.__�.�.�_..� •(fabie4} in_ BDlt Spacing from etrdfjaint cf plate (Fig 5) _ Bolt Embedment-mncrelm (Fig 5)--- Bolt Embedment-Masonry—_ (Fig 5) Ply Washer. " (Fig 5) 3.1 FL.ODRS - Floor-Earning memberspans chmaked [per M CMR aWdBr 55) Mmtr um F3aor Opens ng I.mwision (Erg 6) ft<I z Full I ja ight Wall Studs at Floor Openings less ff-Em 2•from FxferSor Wall(Fig E}_•- hRkdntim Floor Joist Se#backs Suppoi rtg Loadbmrung walrk or 5hmmaIt (fig 7) lAaximuin Cm-Oavered floorJotsts Supporfing Ll3adbearing Wails orShmrwall (Fg 8) •FloxBrachg atEnd><ralL [Fig 9)- . Floor Sheaftning Type (per730 CMR Mapter 55) Floor Shae d vng Tl Hmess --(per 730 GMR Chapter 55 in. Floor Shm-&fng Fasteriutg_ - [Table 2)_ d rmis at in edge[—.In field 4A WALLS V&I Height - - Loadbearing V'S& - [Rg 1fl and Table 5) _ f�an-Loadbaaring waifs_ - (Fig I and Table:5) it-.sw V&I Stud Spacing (Fig I and Table 5) —in5 2--drao: ' wail m y Dimes (Fgs 7 i£$) _$ c d WDDd Studs - Lr�dbeatitag t�*alls Rakie?# —.,fix -_$ {UL on M -Laadheating walls.__._ _Tablm 5) �c_-_ft - Gable End Wag Bracing' Fun Heigint Ettdwall ids (Fg 10) _ INSP,Afi>c Haar Length {1=1g 11} - $LM . 'Gypsum Caring Length[rf WSP not used) -(Fg 11)- _ff z Q 9W - abd 2 x4 cbnftmLm LaImal Brace @ B it:o_c - ar 1 x 3 aTmg f+mIItg strips @ 16`spacirng-mom tin 2 x 4 blocfdng @ 4 ft spacing in end jatst ortruss DDmble TDP - SpI"rca lmnglh {Tg 13.and Table 5) _ft asrrc-a f�nn�5nn tnm of 15d mrftr=Harts} AWC Guide fo WoOd Caffrs"dion in ffigfr trvzd A-ers: II D inph Ward Zone Massachusetts Check for C©mgXance(7sn c s3w-7-r-*' g waII connacfia s - Lataa!(na.of 15d common nails) (Tables 7) 14ml4 adbewirg Wag Cormec IC)m Lzhn-al(na.of 18d cammDn nos) (fable B) L aad Bearing Y all Openings(record krgesf DpeMg bLIt c V=k all openings fur corcjpEance tD Tables B) ft_h ;ttO Sa Plats Spans (fable:9) _ft . Fug Height Skids (nm of's[ijdsl (Table 9)— Non4-md Berg Wag Openings(rer ar'd hu qmt opening bfrt check all openings far campllanca tD Table B) HeadeeSpar .-- (fable 3) _ _in-`12' SIX Plate Spans._ - (Table:9) _fr_h s iz, Fug Height Studs(no.of studs) (fable 9) _ adw orWeg Sheathing tD l�Lst UpiBta and Shear Sirnuffatreousfy _ Wm=n BuMng D-anemon,triF - . NarrrW Height ofTallest Opens& ---- Sheavbg Edge (Table 1 D or now 4 if less) M. Field flag Spacing. - --- - (Table 1D) in_ ShearConneclion(no_of 1Sd common nails)(Table ID) Perat Fug-HeightShealing (Table 1 D) 5%AddrbDrW Sheaflvng for Wag with Opening>ZW(Design Concepts) Mw*Mzn Building Dimension,L - Nommal Height ofTallestDpenmg? ` Sheaifvng Types (nofe 4) T Edge Nan Spacing_ (!'able 11 or nD a 4 if less) in. Feld Nag Spacing ; (Table 11) in- Shear Connec5on(no,of 1Sd common nags)(Table 11) r - _ Percent Fug-lieighl 5l>eafhing (fable 11) % _ 5%AdMonaf Shea$ing for Wall wry-Dpen ng>-Ta'(Design Concepfs) Wag Cladding Rid for Wind Speed? - - S.1 JZDOFS_ . Tpol<see 13BRS Y►►ebsi>e} Roof framing men-ber spans Checked? (For l�s use AWC Span - R.oaf Ovarhang —(Fgur-a 19) if s smaller of 2:or L13 Truss or Rater Connections at Laadbearing Vlfaiis . Proprfebuy connectnrs - - Upfft (Table 12)_- r U= plf (Table 12)_ t= plf , Shear [-table 12) S= '-pff., Midge Strap Conner imm,rW collar ties not brad per page 21_- (Table 13) T= pif - Sable Rake DADDker (Fgure 2D)-- _ fit-`smaller of 2'or L IZ Truss or Railer connec:6o:rs at Non-lzac5aznng Watts - - Proprietary Connecbrs - UpIiit_ (Table 14) U= Lateral(no_of 15d common oaf)•-(Tables lb_ Roof Sheaifung Type (per 780 CNlR Ctzapfers 58 and 58).____-_---- , idsness — _ _in-?wi s WSP Roof�heaiti'v►g Th RW& of ihV F'asterfm-q (fable 2) - r in 1�1 the erg of •1. , This dhe�t shalt be,met in i�entin�y�exdudmg f}re sperm-ic ext�on noted in 2, comply ►�q�r� 7BD CMR,53D1.Z1_1 Itatt 1. ff the cheddtst is m�in its errt ty mat�e fDgowng rne#al straps and hold downs�not required per ffie WFCM 110 mph GLfldw a. Stall Straps per Figure 5 _ b. 26 Gage Straps per BgLm i 1 c. UpM Straps per Figure 14 _ d All Sfraps per RgL a 17 e_ coma-Stud Hold DDwns per Frgiae 18a and Figure 18b - 2_ 'E�epizDst Opening heights ofup•� B it StTdH be pernlr�i ivIten 5%"s added�tfre percP•nt fuQ-height streatfting _ 'requirernerft shdvm in Tables 1 D and 11. 3 The:botbm ca plate fn exiirior waUs shag be a iTllnIImjrn 2 in.norninal t#ridmess pressure traaM54 AZ-gr I . -A WC GahL-fo Xbod Cb=r -rrcdba ur J�h WuzdAr eas_110 17T.11 f3 kd Zanz � • Massachusets CheddiSt for COMPEMCe(yea CIVIRs3.0 11:1)r a From Tables 10 and 11 and for Son ofWA s Saffng and BUD&g AsperdfMfiQ[detE i e PWCfX t FU&Helght ' Shawmg and 149 570cing refs b. Wwd Sb *►ra►Panels shd be minih n thtdrness of 711 r and be hmb&d as follows: - - _ L Panels shA be insWed kD s =gih ands paraW b str�s. I M hau-imnial johft shah oc=over and bd nalled to fuming. RL On single stoty mnstuction panels shall be attached b bof#flm pis and iap.inembw of fe double ------- --_-..-- --._M Dnf�tra-s�nt�' c6an.-LPPet�R�sisaIIhesffachedfo$heiapmember-of-ibe_upperdm6lL-tnp-- ---- play and b b-a3 d jurist at bofbm of pane.Upper of chne:nt of lower panel short(be made b band joist and lower affachmerit made fn lowest ptate at fast fioorframing. v. Horizontal nafl spacing at dole fop plaits,band joists,and-*dem shall-be a double now of ad - staggered 3t 3 inches on a pes figures below:Vaiiml and Hcdmrrtal N.—u ng for PaneJ Affachment 5. Glarn�g protet&on:a)hew house orhorimnfaf addr3on—required if ptojert'ls i tnHe orr3oset•fa shore(generally,soufh of Rfe.28 ornorlh of Rfe.sj b)verttri addtSan—not required t¢iless therettsive renova�on in fhe fIIst floor c)replammerfiMdows—needs energy cansawafion c:DinpWc:;only(chap 93)- - 6.Wood Frame Cm-L-tuction Manual CWFCMj for 110 MPH,Expamre H may be mbtained frorn the Atnedcan WoDd Cauncf (AWt) r-r�eu�r�sa urt� . • 1 [I l [ Q wabsba— Crti L •'it li•[ � � Q f JIr I .m 11 [ It I lik a � [ �6F E.'iIDt11?�i1Z� 1 L! Ad IF 1 l 11 Il [ r [ [ rl • txxYs4r STAGGERS? • f,�kES ���- - lZ4tLP J PANS ` 5ee i3els$qrz HSXf Page Ysri2cal and Horizontal ldarT.9 i�ealf for Panel Afiarhment ' �e�ti�ai !-fo>iao n�I Naifmg - fbr Panel Affse.hraant _ IV r Deparhaeat a, 'fiat AcAdeats - face qfafia=. # 600 FFm&fiWm Street Boston,MA#2111 wEEv> Ma3mgop/6 a Wcrlers' CumpensatimaIasurmceAffidavit:ceders(Cuntract�r&Mec ,ickmsfflhxmhers AppUcan t f nn Phase Print f ret y s- Ad&c= &r doys %1 2 S� Giigf&3�b�- � - bo r d M®. Phone tak Are you an employer?Checkthe appropriate bay Type of project(reed)_ L❑ I am a employer with 4. ❑I am a general contmctar and I- emgSOyee3(fiall an&b part-ime). * bane hired ldse sub-co�ctors 6- El New c orn 2.D<am a stile pmimetos orparE¢er listed dmthe attdcbe d sheep I- and have no 1 These sub-co�actas have �P �P�� ❑Demolition wcdting forme is any capacity_ for andbave xvodmrs' LNo troths.`camp.iasy F �� e camp-tn + # • - g- El Eu�ldmg addition r -I •. 5- ❑ We are a corporatiea and ifs I�1❑Elecido l repair or ad&Eons 3-❑ I ama hamemmer doing all wadc officers hm exm ised titer IL❑Plnmbingrepaim or additions ENO ems'comp- of CEMUP&M per MGI. I7❑Roofrgxln insumncerequ iEd-I i C-M §1(4).andWel meuo emglayem[No wosl rss' I3_❑Other cam-kmmaIIce• qdu-._- Any �t ate ffi� sechoabeiaw a�ag a�umxele��.mfi I. licy. *i�ameovrne�x�rha saber dais�daeu ig�uedom�alf�o�aad6ieahae a��caatmcmesmnst suhmitanesv�da�2 mrTi -Canb3Ctsffist r bmr!r thFs bow mast aged au s ion siceei shwa ag the of the snb c s®d sty �ornot tbnse ea�ties ham emPlayem Iftbesnh- tskuce enpIOFee%tfieg—Fmyide thk Wmdwoi,CMmP•PAS-=ber I am art emp w t1utispr4n*MW workers cauTensatian hmtraawfor my enP&t;w= Edoav is tTiapnticy aitdiah site �form�an. - Insmwee Company Name: Paficy 44,or Self-in&Iic- F�pi�iaaI}afe= Job Ste Aiddre= CifylSW&2e .P- A ff ach a copy of the workers'compensationpolicy declaration page(showing the poRcy,number and expiration date). Fate to secure coverage as requirednnder Section 2 5A of MGL c�15�7 can lmd to the imposition of ctirnmai.penalt6.es of a fine up to$I,50 UQ amVor one-•gearitupdsonment:as Weil as civil penalties in The fog of a STOP WORK ORDERand a Eke Of ug to MM a dap against the violadr- Be advked that a copy of this statement snag be fxwnded to&e Office of Investigations of the DJ4 Er h2sm=w covemge verifics6ion. Ida IM-eb9 °ander tits pains and Pennines 40fp&jaq that trio utfbrnzad pn*i&d above h;Mw acid correct ALLDate- 9 PhmeA. 1-9 c3i- Orkid trae aml5p Da not wr&r im dib area,to be cxrvzap&&d by city ortolm of idal City or Tarn= PerxnaUcenze* Lmuing AM'h01*Y(come One): L Board of$•eat 2.Buffirmg Dq= mcaat 3.f AT117O 4a Oerk 4.Elecft=d r rr.Plumbing r . C.Other to Contact Person Phi P: f 6 �J: Y JIfA�••. ■ - .■•.■1� �/1r{�•. -I �.fllr ■'�'R 7■ 11 ■• ■" •••7.1�?.. r1lu[a�!1 :t••)• t■t t.- 1 .f■air • �- • 1 Ii /a / r i a�3ftl�t : .l. !■•a •t■. •Y.■ !r�.w rat• :'�•.wYla./■ HI •• .l■•n •1 •a.�! •J: �i■t•1 • •f :ta• ••• • BE rl - �• 1. : •la �illai! •1/�� .11• t■ 1■•t{■' t■ - ■1 ��■t.:■•w • : •i F �1 ii1■u ■• •1 ■a a a •" • ■ • ram- . a{ u■ m. ■_. ■■cw•u sw.Mrn•1. n •n� _. :,1m gnu •• n: r;uu ••�-� :••• •� it" •••a►► • _ / l o• ■•{ - r-•u• [• n u - u:ll nl �- .n a nl ■tom a{■ -•u• :.Y I- it 1 ..0 n ra • rtnm.rt ■ n- a1 ■• n-tun:af.0 r m • •ra IIa .1 -•-n •••■. m • 1 ■ lu■_ ■•.w • is tr J •n■■ r• t u •n• .0 a.1 tea.m is�+�+n ■. 1 a• •�r:n ■ ■ .■ gnu ■•n 1u • a��n�■ u • :n .nu ••:� _ . • rn- n:v �- - r r . _.Ir_ ".vu: - a l - I - n t. . i1 ♦v.. -u - a • • • -! - I ■- ■/ t ■• . •- ■ ILYII�V. ■ •I ... ■ 1 Y • n / 1. � al ■. r•il.l■ . ■ •■ . . r • ✓. 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Ut O :Nissan's .t r.0.. t- on �•/- '1 - ■• ra• - • r .en 1 a- O ■r • ■ •..�••:I■■a • •1 • .•" t• at.Ia ••1 [t r .l!►: •I •a{ r•••� .1••n :ta• 1•t t ••a 1- - .aa• ••w■rl■ •' �+•A ■■a ili1 : •at art•. ■- �■■•n .{t• Y- ■I11rt a�? It•:It.1 tto:•t a t tl��.vt�.. r r:;� 6 95H .- :al t • .flit= _ • t t • �a_t in to r Town of Barnstable Regulatory Services. �� dF Richard V.Scali, Director Building Division ` RAJINSMAREZ,i�sa Paul Roma,Building Commissioner 6 5� 200 Main Street, Hyannis,MA 02601. www.town.barnstable.ma.us Office: 508-862-4038 F _ _ Fax: 508 790 6230 HOMEOWNER LICENSE E FZAMON Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING-ADDRESS: cityhown state zip code .The current exemption for"homeowners"was extended to include owner- c mP o cupied 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. 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 M 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. Town of Barnstable .r Regulatory Services r Richard V.ScaIi,Director MAM 1639.�`� Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, A�nri Q � i��n 5o cad , as Owner of the subject property hereby authorize o-ec-� o®k e to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) **Pool fences.and alaniis are the responsibility oof the applicant Pools are not to'be filled or utilized before fence is installed and all final . inspections are performed and accepted. 40 h 6= L A J f Signature of Owner S' A t e Sa (10 � F Print Name Print Name o�& Date Q:FORMS:OWNERPERMISSIONPOOLS TOWN' OF BARN. � 7 A P lb VIA Lo o$2 l 6 c J J-4TQ • D d�x vow, Office of Consumer AffairsZnd Business Regulation 10 Park Plaza' .Suite 5170 Boston, Massac setts 02116 <' Home Improve me or Registration Registration: 128708 Type: Individual F Expiration: 5/9/201.7 Trlt 266808 JEFFREY T BOOKER - - �.- JEFFREY BOOKER 85 GRANITE ST . . _ H FOXBORO, MA 02035 Update Address and r to n rd;'Nlark reason for change. n Address Ren wa n Fail loy.Rpht�.rn Lost-Cara y SCA 1 0 20M-05111 �^ public Safety Massachusetts,Depa U ationsmentfand Standa ds,- � � Board.of Building Reg ' License: CS-051800 Construction Supervisor � j •. JEFFREY T BOOKER Construction Super sor 85 GRANITE ST Restricted to: use group Which contain FOXBORO MA 02035";: /. Unrestricted-Buildings of any cubic meters)of ' less than 35,000 cubic feet ace. enclosed sp Expiration: mi "m i 0611812018 Comssioner l Failure to possess a current edition of then Massachusetts Code is cause for revocaMSS GOVIDPSot this se. State Building informationvisit'WWW ppS Licensing OF jtiTo CAPE SAW Weatherization 508-398-0398 December 14,2011 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for permit application #201100873, Status A, Parcel 270230 at 635 Pitcher's Way,Hyannis,Permit type: RADD, and issued on 2/24/2011 has been inspected by a certified Building Performance Institute (BPI) Inspector. R-10 Cellulose insulation was added to the attic. Walls were dense packed with R-13 cellulose insulation. Basement sill was insulated with R-19 fiberglass batts.All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey Barnstable District Court CapeCodOnline.com Page 1 of 2 qs , , Barnstable District Court June 07,2010 2:00 AM In court Tuesday: DISPOSITIONS BUEHLER, Gordon F., 50, Southington, Conn.; guilty of operating a motor vehicle while under the influence of alcohol (OUI) Sept. 5, 2000, in Barnstable, 45-day license loss,one-year probation, $1,597.22 costs and$50 fee; two other traffic violations, dismissed. GUNNERY-FAY, John A.,21, 12 Manamok Circle, Mashpee; malicious destruction of property valued at less than $250 April 18 in Sandwich, dismissed. ILLIFFE, Charles R.Jr., 19, 932 West Main St., Hyannis; admitted sufficient facts to larceny of more than$250 and breaking and entering in the daytime to commit a felony Dec. 3 in Barnstable, continued without a finding for one year, $780 costs and $90 fees. KARRAS,Jonathan,21 550 Strawberry Hill Road, Hyannis; admitted sufficient facts to larceny of more than$250 and breaking and entering in the daytime to commit a felony Dec.3 in Barnstable, continued without a finding for one year, $600 costs and$90 fees. MCLAREN, Sean,47, 94 Sea St., Hyannis; admitted sufficient facts to possession of cocaine May 4 in Barnstable, continued without a finding for six months, $400 costs and$50 fee. MURPHY,John P. Jr.,45, 800 Bearse's Way, Hyannis; guilty of OUI Dec. 16 in Barnstable, 45-day license loss, one-year probation, $1,847.22 costs and $50 fee; negligent driving and another traffic violation, dismissed;guilty of another traffic violation,filed; responsible for.another traffic violation,filed; not responsible for two other traffic violations; assault and battery with a dangerous weapon, assault and battery and intimidating a witness Feb.27 in Barnstable, dismissed. NEILSON, Daniel W.,43, Meriden, Conn.; admitted sufficient facts to OUI May 30 in Yarmouth, continued without a finding for one year,45-day license loss, $1,847.22 costs and$50 fee; negligent driving,dismissed. ROBEDEE, Richard W., 21, 83 Whitmar Road, Cotuit; guilty of larceny from a building Sept. 31 in Barnstable, one year in Barnstable County Correctional Facility with 90 days to serve and the balance suspended, one-year probation,$600 costs and $50 fee; breaking and entering in the daytime to commit a felony, dismissed. WOODS,Alan W.,49, 6 Blisscott Ave.,Yarmouth;two counts of assault and battery and malicious destruction of property valued at more than $250 Feb. 24 in Yarmouth, dismissed. ARRAIGNMENTS (The following pleaded not guilty.) BERGMAN, Michelle,41, 10 Old County Road, Harwich; mayhem and aggravated assault and battery May 29 in y Yarmouth. Pretrial hearing June 29. CALLAHAN, Mark J.,61, Sherborn; OUI and another traffic violation May 29 in Barnstable. Pretrial hearing June 8. CLARK, Mary E., 23, 79 Cherry Lane,Yarmouth; OUI May 30 in Yarmouth. Pretrial hearing June 14. ELLIOTT, Mark,50,44 Kimberly Way, Cotuit;two counts of assault and battery,assault and battery of a person 60 years and older or disabled and threatening to commit a crime May 27 in Barnstable. Pretrial hearing June 17. http://www.capecodonline.com/apps/pbcs.dll/article?AID=/20100607/NEWS/6070321&te... 6/7/2010 Barnstable District Court I CapeCodOnline.com Page 2 of 2 ERGUSON yRodney;35,63b Pitcher'— s'Wa.y"Hyannis;failing to register as a sexual offender May 20 in Barnstable. Pretrial hearing June 30, GIACOBBI, Michael C.,25, Southington, Conn.; possession of oxycodone with intent to distribute Friday in Barnstable. Pretrial hearing June 21. GRISWOLD, Lance;;4r127 HHamden Circle, Hyannis;failing to register as a sexual offender May 8 in Barnstable. Pretrial hearing July 9. HAMBLIN,Jared S.,43, 52 Old Mill Road, Marstons Mills; breaking and entering in the nighttime to commit a felony Tuesday in Barnstable. Pretrial hearing July 1. HASKELL, Graham, 27, 13 Crystal Lake Drive, Orleans; shoplifting May 31 in Barnstable. Pretrial hearing June 29. LEROUX, Raymond A., 53, Pawtucket, R.I.;OUI May 30 in Yarmouth. Pretrial hearing June 29. LEWIS, Laura, 541, 96 Captain Besse Road, Yarmouth;assault and battery Friday in Yarmouth. Pretrial hearing July 2. NISTRA, David M., 33, Marshfield; OUI for the second time and another traffic violation May 30 in Yarmouth. Pretrial hearing July 13. OAKLEY,Annette L.,27, 17 College Road,Yarmouth; assault and battery with a dangerous weapon (wooden stick), assault and battery and assault with a dangerous weapon May 31 in Yarmouth. Pretrial hearing July 20. PEZZOLLA, Fort Lee, N.J.; assault and battery, negligent driving and disorderly conduct May 30 in Yarmouth. Pretrial hearing July 1. REAGAN,Janyce L.,49, 193 Camp St.,Yarmouth; 0UI and another traffic violation May 28 in Barnstable. Pretrial hearing July 1. SMOLLER,Jared J., 31, 15 Wedgemere Road, Yarmouth; OUI for the second time and another-traffic violation May 29 in Barnstable. Pretrial hearing July 2. - WALL, Robert G.,21,27 Clinton St., Dennis OUI May 30 in Yarmouth. Pretrial hearing June 24. WHITCOMB, Charles P. Jr., 56, 88 Greenwood Ave., Hyannis; assault and battery with a dangerous weapon (furniture)and assault and battery May 28,in Barnstable. Pretrial hearing July 1. WINSLOW, Carolee, 70,411 Route 28, Yarmouth; assault and battery with a dangerous weapon (bottle) May 30 in Yarmouth. Pretrial hearing July 20. Copyright©Cape Cod Media Group,a division of Ottaway Newspapers,Inc.All Rights Reserved. http://www.capecodonline.com/apps/pbcs.dll/article?AID=/20100607/NEW S/6070321&te... 6/7/2010 `Barnstable District Court CapeCodOnline.com Page 1 of.2 4. ;. u NO NS � . h r� vF Barnstable District Court May 20,2010 2:00 AM In court May 13: DISPOSITIONS CHIPMAN, Cody J., 19,65 Woodland Ave.,Hyannis; admitted sufficient facts to creating a school disturbance, June 17 in Barnstable, continued without a finding for 90 days, 30 hours of community service. NARICKAS, Gary, 57, Route 28, Falmouth; making obscene telephone calls and threatening to commit a crime, Nov. 30 in Yarmouth,•dismissed. ARRAIGNMENTS (The following pleaded not guilty.) BARNABY, Demer A., 19, 119 Arrowhead Drive, Hyannis;forcible child rape and rape,.Feb. 17 in Barnstable. Pretrial hearing June 1`7. BARNABY, Kemar,21, 119 Arrowhead Drive, Hyannis;forcible child rape, rape,contributing to the delinquency of a minor and providing alcohol to a minor, Feb. 17 in Barnstable. Pretrial hearing June 17. CAMERON, Mario A., 19, 168 Barnstable Road, Hyannis; rape and statutory child rape, Feb. 17-in.Barnstable. Pretrial hearing June 17. CAM,ERON,.Ralston N., 18, 168 Barnstable Road, Hyannis;two counts of forcible child rape and rape, Feb. 17 in Barnstable. Pretrial hearing June 17. HARHKA, Carene(Careeme), 17, 152 Bristol Ave., Hyannis;two counts of forcible child rape and rape, Feb. 17 in Barnstable. Pretrial hearing June 17. MULLALY, Daniel R:,51,61 St.Joseph's St., Hyannis;assault and battery, May 12 in Barnstable. Pretrial hearing June 10. MULLINS, Richard M., 21,46 Oak Neck Road, Hyannis;larceny of more than $250, March 8 in Barnstable. Pretrial hearing May 20. LRQBBE-RTSON YTyler`W:, 1:9"'63b'pifcher's Way, Hyannis;forcible child_r-ape-an.d-rape,,Feb. 17`in Ba`mstable-1 R�etri�aly h�ea��ring,June�17. In court Friday: DISPOSITIONS BLACKBURN, Eric A., 21, 80 Woodbury Ave., Hyannis;three counts of assault and battery, intimidating a witness,. and assault and battery with a dangerous weapon, Jan. 1 and Jan. 7 in Barnstable,dismissed. FLYNN, Brian S., 21,4 Cranberry Knoll Court, Bourne; admitted sufficient facts to possession of heroin, March 2 in. Sandwich, continued without a finding for nine months,$585.costs and $50 fee; possession of Paxil, dismissed; not responsible for two traffic violations. GIBBS, Paul R:, 39,45 Asa Meigs Road,Sandwich;guilty of assault and battery,April 18 in Sandwich, 18 months in Barnstable County.Correctional Facility with six months to serve (25 days of pretrial credit)and the balance suspended,two-year probation, $1,170 costs and$50 fee. http://xvww..capecodonline.com/apps/pbcs.dll/article?AID=/20100520/NEWS/5200334/-1/... 5/20/2010 1 s: G47- 4 i Z� '7 -70 r If Oop G NL 1,0•o GA{.. f�tT EXP. rw-or,c tor Art14 V° V. �� � 0 7` ' ! Q 9 Fuze. � lot Ld NI IARD BAMA Z; ,�.2*0 sutN tbCA►Tlo� H Y A i1 tv I.S, M A S SA,. I C69ZTII=1( THAT TNE. 1-OUQQA-TtDb4 5"a%UIJ RsirEKEti.1GE/ WW r= #4 ANa SeTYaAGK 6>~ TI-I - ZawU C4= 5A1Z tASTA ,t DATE _ CA 1 B�QXTEIZ �rr, �`(E ING. REGl5tTJZ�D LAWID 6U2.VE,(O2S TNI'S DILAW IS +JOT $A'SE'o OW AN OSTSIZV1l-LF-- o M A1,57, tW'9M 1MF-v-4T SURVE`{ j Ti4c-- O;rc:Sjr--T'S e.14ow!_r> APPt.1 GAI�IT CA p e Wj vIE D F-vet-, KbT BE ue>eo To DETE2M%&lE LoT LIMBS y<-Tw£Tom TOWN OF BARNSTABLE r a� OFFICE OF w a BOARD OF HEALTH i639•���� 397'MAIN STREET eONO HYANNIS, MASS.ozsot To : Building Ins-pector From: Health Department Subject: Test hole and Percolation Test examination of he soil at ( d' ss) Village) was made on �- l S 7� and four-d to be (da.t.e) suitable ror sub-surface se:•;aget at site of test. hole. Building. Permit will not be a�pprok7ed or se: cue perm issued until Heal t'_ De-oart,-1ent recei vex<ti•To . Cordes o:£ plan showing building, sebTage systems and all o;her details 1isL�c1 in Board fo ,'Hea:l.th. instructions Co S'6" go °�plicants. This a-o�roval does not constitute a final decision concerning the installation Of a sewage systceri. All State and local Health regulations" oly t0 final approval . (` 1Cj31 tui e17 6/20/75 Assessor's map and lot:number �/ (fl , SEPTIC `-YS I EM MUS Y BE C71) INSTALLED IN COMPLIANCE PLIANC c . Sewage Permit number ....................2... . ...... '1'JI�F : ? �C�t. II %i'�TL .c..t)DL, ANL% TOW c.t : a sI �Qy�FTMETp�O , y' r TO�W1jX OF ;BAR�NSTA°BCE Z 323 TA11LE; • �,: call M6 9 ,j lay BUILDING INSPECTOR rv- XC . APPLICATION FOR PERMIT TO .. .. ..... ........ .......... . { �!t/ . ............... TYPE OF CONSTRUCTION .. ....F.... n .................: ................................ TO THE INSPECTOR OF BUILDINGS: The undersigned ereby applies for permit accor ing to the following information: cc / ... . . ...................................................... Location . ........... ... ...... �••••••'G�/ � �... 1... ... ...... ProposedUse ........ ............. ... ............ . .................... ............................................................................................................. Zoning District .... e..................................................Fire District .. ... � .... Name of Owner ...... ... ...... .... � -........Address ........1'.... ..................................... Nameof 'Builder ....................................................................Address .................................................................................... Nameof Architect. ..................................................................Address ..................................... ............................................. Number "of Rooms'....................J.................................:.........Foundation ........ ..... ................... ...:.............................. Exterior ............. ........./.................................................Roofing .............. . . .............. ..... ........ ................................ Floors `.`�s. .....!1/c `-'-V,................... :....................:...Interior ....... .. ................................................................. Heatingf..i../.K.....(!vl.... ..V.1'.................................Plumbing`................................................................................ Fireplace .............1�.. ..........................................................Approximate Cost .......�.�r. .... / ....:.............................. Definitive Plan Approved by Planning Board ________________________________19________ . Area .........�.:5....44?.. .............. Diagram of Lot and Building with Dimensions FL Fee ....................................:........ SUBJECT TO APPROVAL OF BOARD OF .HEALTH n I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardirgthe above construction. Name ............ ........................... A-270-230 Capewide dev. y No +��... 19 76 Permit for D.WC111.1ag............... ............................. f Location ...Lot,.•.fzA..lItchch,exa..Way.................... ......................Hyannis......................."................... Owner .....Capp-wide. Dept................................... , Type.of Construction W°dd . .......................................................... .................. Plot Aa.:270-230......... Lot ................................ July' 8 77 Permit Granted ............ ..... ....................19 �i Date of Inspection .�.� ...��.....................19 Date Completed ..>�if..� .......19 " PERMIT REFUSED" ............................................................. 19 ........................................................................... ............................................................................... ..................... ........................ ............................................................................... r , j4pproved ..............:................................. 19 .......... ............................................................ I Assessor's map and lot number . ! ....rl ..... ... Q/�JQ`TT l : Af ".I Sewage Permit number `-� *-- f T"Eto�� TOWN OF BARNSTABLE Q Z BARINTADLE, i + 16 9 A'' BUILDING ' INSPECTOR �'0 YPY APPLICATION FOR PERMIT TO j................:._.•..................:..........:.......:..............:..................................................: TYPEOF CONSTRUCTION ..............................�...................................::................el............................................... . n. ................................ TO THE INSPECTOR OF BUILDINGS: - The undersigned hereby applies for a permit according to the following information: Location �- y ��— 6 .�1 � .u'--. ' . .......:.... ................... ' .............................................. ProposedUse ................ ........................................................................................................................................................... Zoning District /° �......... �...................................Fire District ... ,.••................ Name of Owner .....�f �rt.e%!tG„ fClf1. ,.........Address .......... ...................................... Nameof Builder ....................................................................Address .................................................................................... / ° / / Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ........... ........................................................... 1 r' ExIerior ................!...�/..f............:...........................................Roofing ..............�-�-............... .. ............................... /7 Floors .Ci. / l/ . It� .........................................Interior ............:.:-n-i ..............................,................................... Heating .....:r Plumbing .............. '? ........................................... . ............................... Fireplace ...............fj :`........................................................Approximate. Cost ....... ..f.....1�G..J................................... • Definitive Plan Approved by Planning Board ________________________________19________. � Area Diagram of Lot and Building with Dimensions Fee ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 -,1 4 N' V e.t a hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding^the above construction.I %f- , Name .............. .. !. • .......................... Type of Constructi rn ...........Wo.o.d.................... Permit Granted ............\.......................19 �,ERMIT REFUSED ............... 9...................... ...........;........................\ --------------------^'—'---^' . � � � � ' — TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 13tParcel Z Application #a 0/ T 3 Health Division Date Issued o^2 0l Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Uv 6 Historic - OKH _ Preservation / Hyannis Co 3 5" P Project Street Address Village S Owner A Address 15*M f , y 7 Telephone �� Permit Request 8La W dj - f ri cake 1.0S� (X&& Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation-Sim f Construction Type - e Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family CY 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# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ct.ItWftA JV V_.L U StCC-q Telephone Number AddressC 1- � �� License 7 (t+vt��ucT�4 r/l 4�3� Home Improvement Contractor# L13 z-- Worker's Compensation # (A9Cfs9 4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY t ` APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE , I OWNER' i l r r DATE OF INSPECTION: .b FOUNDATION } r - f FRAME r f INSULATION i1 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ` 'f GAS: ROUGH FINAL c FINAL BUILDING -F DATE CLOSED OUT — ASSOCIATION PLAN NO. ujjrce of tnvestigatirons 600 Washington Street Boston,MA 02111 www.mass-gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ft Please Print Let Name(Business/orgaaization![ndivi hw):1!v A/��I CA{-i r—L } s ► tL ' -_A� C' &E Address: i G /StaWZi : V�OSA Phone#: Are you an employer?Check the appropriate box; . T of project(required): 1.[]I am a employer with,_„�; "� 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. 0 Demolition working for me in any capacity. employees and have workers' (No workers'comp. insurance comp.insurance.t 9. ❑Building addition required] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doingall 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 3a.❑ i am a homeowner acting as a employees.(No workers' 13.LdOther E 5u�dn J . general contractor(refer to#4) comp,insurance ] "Any applitmt that checks boa#I moat also fill out the section below showing their workers,compensatiod policy intbrandon. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContracwrs that chock this box must attached an additional sheet showing the name of the mb-con�and stare whether or not those entities have employees. If the sub-oantractots have employees,they mum provide their workers'comp.policy number. 1 am an enwphvyvr that is providing workers'corapensadon insurance for my eaployees, Below isr the policy and Job site informatiom Insurance Company Name: rA4A XT i 5 (j J S a A ]c.6 Policy#or Self-ins. Lic.#: ", Q -(� Expiration Date:_,(, Job Site Address:_ 35- P1 TC �C`tLS UAq City/State/Zip: Attach ar copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead.to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties.in the form-of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the and pe ojperJuy that the information provided above b due and correeit ' Z1 1 1 Phone ©fflelad use only. Do not write in this area,to be completed by city or town o lelal ' City or Town: Permit/License# Issuing Authority(circle one): L Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: i CO CERTIFICATE OF LIABILITY INSURANCE �ATE(MWDO M) 1A/2a10 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). PRODUCER NA CT Shannon 3perrazza Risk Strategies Company PHONE . (781)986-4400 `aC (761)963-4420^ 15 Pacella Park Drive ADDRESS:asperrazza@risk-strategies.com Suite 240 PRODUCER 00018476 Randolph MA 02368 INSURERS AFFORDING COVERAGE I NAiC# INSURED INSURERA:Seneca Specialty Insurance Co INSURER B Aeating Grou Ins Services Michael McCluskey, DBA: Cape Save INSURER c:Charti8 Insurance _ 7 C Huntington Ave INSURER D: j I INSURER E: j South Yarmouth MA 02644 INSURER F COVERAGES CERTIFICATE NUMBER:CL1011132675 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, I EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR :ADDLISUOR TYPE OF INSURANCE 'IN SR WVDi POLICY NUMBER MMO188 YYY1 MAOAIOD LIMITS `GENERAL LIABILITY �--- EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY ? I ! DAMAGE T RENTED I — 1 i j I PREMISES Ea occurrence $ 50,000 A CLAIMS-MADE j X i OCCUR i ' �AG1002608 10/16/2010�i0/16/2011 - --1-7 ( MED EXP(Any oneperson) 1$ 10,000 PERSONAL&ADV INJURY 1$ 1,000,000 i GENERAL AGGREGATE i$ 1,000,000 uEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG '$ 1,000,000 �� X LOC $ ; POLICY i PRO- I i i AUTOMOBILE LIABILITY i ! ii COMBINED SINGLE LIMIT —� 6208200 ill/6/2010 41/6/2011 L(Ea accident) i$ 1,000,000 ANY AUTO i I BODILY INJURY(Per person) '$ ALL OWNED AUTOS ---------------- BODILY INJURY(Par accident)i$ X i SCHEDULED AUTOS + i — X PROPERTY DAMAGE HIRED AUTOS j ' I (Per accident) $ X NON-OWNED AUTOS ` $ j;X UMBRELLA LIAR OCCUR I j EACH OCCURRENCE _ is 1,000,000 EXCESSUAB i CLAIMS-MADE! I i AGGREGATE $ 1,000,000 F—' DEDUCTIBLE B I RETENTION $ P23578601 �0/16/2010.10/16/20111 $ C !WORKERS COMPENSATION Michael McCluske ! WCSTATU- ;OTH•I AND EMPLOYERS LIABILITY YIN IiI I y X :TORY LIMITS I ER ANY PROPRIETORIPARTNERIEXECUTIVE i s excluded from coverage j E.L.EACH ACCIDENT :$ 500 000 I OFFICER/MEMBER EXCLUDED? 7 IN/A! (Mandatory in NH) ( 9930951 i10/21/2010 YO/21/2011 E.L.DISEASE-EA EMPLOYES$ 500,000 It es,describe under i L DESCRIPTION OF OPERATIONS below E.L.DISEASE.POLICY LIMIT $ 500,000 i DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) issued as evidence of insurance. Contractors-Executive Supervisors or Executive Superintendents. CERTIFICATE HOLDER CANCELLATION (508)790-2425 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Housing Assistance Corp ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Ruth 460 West Main Street AUTHORIZED REPRESENTATIVE Hyannis, MA 02601-3698 Michael Christian/SMS ACORD 25(2009/09) 01988-2009 ACORD CORPORATION. All rights reserved. INS025(200909) The ACORD name and logo are registered marks of ACORD = Office of Consumer Affairs and Business Regulation i 10 Park Plaza - Suite 5170 `r Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 164432 Type: Supplement Card Expiration: 1 0/6120 1 1 CAPE SAVE WILLIAM MUCCLUSLEY 8201 S. HOURD CT CHAPEL HILL, NC 27516 l Update Address and return card.Mark reason for change. Address -? Renewal - , Employment j Lost Card l�e {noartr:rn,vsave�dflr <-j..:l�cxssr,�lrr�e�•d:; Office of Consumer Affairs&Business Regulation License or registration valid for individul use only before the expiration date. If found return to: 1 HOME IMPROVEMENT CONTRACTOR r Office of Consumer Affairs and Business Regulation " Registration: 164432 Type: r _ 10 Park.Plaza-Suite 5170 Expirations. 1416I2011 Supplement Card Boston,MA 02116 CAPE SAVE WILLIAM MUCCLUSLEY:. .7C HUNTING AVE, -- S.YARMOUTH,MA 02664 Undersecretary Not valid it ou signature �la..sac:1mwrt.r - Department-oI 1'tti)i3t' of 131aldin--- Rt-,ul ttions ,111tl €atttel tt'tf Licensee: CS SL 102776 Restricted to: IC " F WILLIAM MC CLUSKY I 37 NAUSET ROAD WEST YARMOUTH, MA 02673 Expiration: 6J2812013 i ,:rtnti> i.,re Te=: 102776 1 /�o�j�£W Town of Barnstable �. Regulatory Services s'RstE� Thomas F. Geiler,Director 9 �Fo a Buildina, Division Tom Perry,Building Commissioner 200 Main Street,Hya-uus,1,iA 02601 Nvi",town.barnstabie.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Ow-nerMust Complete and Sign This Section If"Usinay ABuilder as Omer of the subject property hereby authorize j-, 1 �1��a1 P i, �' _ to act on my behalf, in all matters relative to work authori.•td by this building permit application for: 9.9'oel1> t'Ay N&Lm5 A 2b,61 (Address of Job) Signature of Owner ate Y Af\f\(L- Print Name ` If Property- Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. :r-o-,?<<S:ot'r',tit3RPHR.,�Iss.o��