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HomeMy WebLinkAbout0681 PITCHER'S WAY 681 ��a ��/ r i f T0m oCAPE COD f i e 9 INSULATION `' , ., Y` FIBER GLASS SEAMLESS SPRAT EDAM SUSPENDED BATTS GUTTERS INSULATION CEIlIN05 1-800-696-6611 'r'" Town of Barnstable Regulatory Services Building Division 200 Main St d Hyannis, MA 02601 i Date: Dear Building Inspector IPlease accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed& completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings T Slopes A'ekI�, Floors/P)4 e-S ( /C) t Walls ( ) ( ) ( ) ) ( ) i Sincerely j ftCodl resident n, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ParcJ Application .4 Z Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 6eT I P I Village Owner Address 6$\ V C}6v S �A� Telephone S O T -2 g �1 Permit Request w eA-4,krT o, 0-0 PJL� 0,'To C AIAo5e Ao A41c 'R-3o ca V\cue 40 R-�°t f-G• �J S�1\ /t.�re�-�-r,� 1 � i��1�� 1��t ��ke J �a-rc s-cr9-\ o,-��C.`���Se✓�%�?,�-�' v Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new-.'. Zoning District Flood Plain Groundwater Overlay : 1 Project Valuati4 -7-3 00^' Construction Type Yp Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure tc(-12 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 Telephone Number Address S 5 YA-ren o-AS, #-k,, License # 100 htvA-,.)r1NS mA1• C4L60 \ Home Improvement Contractor# 5­3 S-C 7 Worker's Compensation # ARM Lyc -00_ys°10 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO h n_ m SIGNATURE DATE ',lio I FOR'OFFICIAL USE ONLY f APPLICATION# .< DATE ISSUED AL MAP-/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION t` FIREPLACE i ELECTRICAL: ROUGH FINAL J PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING �` DATE CLOSED OUT ASSOCIATION PLAN NO. ti 7 li o Massachusetts The Conxmonri ealt f Department of Industrial Accidents Office of investigations 600 Washington Street t l Boston, MA 02111 ' �y wwlv,mass.gov/dia iers Workexs' Compensation insurance Affidavit: Builders/Contractors/Electr Pleasle Print Lans[Plume ibI Applicant Information Name (Business/Organization/Individual): CA tp, rAf Address: r City/State/Zip: ! �— Phone #: �0 7 7 �� Z Are you an employer?Check th appropriate box: Type of project(required): 1.(� I am a employer with 4. ❑ I am a general contractor and I New construction have hired the sub-contractors.. . einpltiyees'(fiiil and/of part-time).* Remodeling listed on the attached sheet. 7, ❑ 2.❑ I am a sole proprietor-or partner- These sub-contractors have g• ❑ Demolition ship and have no employees employees and have workers' 9 El Building addition working for me in any capacity. .insurance.$ [No comp. workers' comp. insurance 10.❑ Electrical repairs or additions tequired.] 5. 0 We are a corporation and its 3.❑ I am a bomeowner.doing all work officers have exercised their 11.❑ Plumbing repairs or additions right of exemption per MGL 12.❑ Roof repairs myself. [No workers' comp. insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ 0ther&I,&ILj#4 +I o 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 arc doing all work and then hire outside contractors must submit a new affidavit indicating such, tContractors 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 the policy and job site information. el Co . Insurance Company Name: -t 041 / Policy#or Self-ins. Lic.#: (1k)CA 0�1 � © Expiration Date; 3G — Job Site Address: ��� t�E�s� C,e�v — 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 Investigations of the DIA for insurance coverage verification. I.do hereby certify ter e pa' arTd penalties of perjury that the information provided above is true and correct. Date: L ' —�L —Si nature; Phone#; .S 0 7 75 f Official itse only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority (circle one): I. Board of Health 2, Building Department 3, City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Phone#: Contact Person: topers a Gray Tnl PaUu; 042 GI ient#: 4597 A�� yu CCINSUL C E TIFICATE OF LIA131LITY INSURANCE nAYE(IVIMLUUlYYY,') THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS 07/27/201 O 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:I,the certificate holder is all ADDITIONAL INSURED,the policy(ies)must be endorsed.if SUBROG ATION I S WAIVED,subject-to certificate holdar in liau of Such endorsemant(s). m Ilea terin8 ItOI conditions of tile rt e policy, certain Policies may require an endorsement.A statement on this certificate does not Collie,,rights lD the PRODUCER N1)FACT Margaret Young Rogers 8 Gray Ins. -So. Dennis _-----..-- -......__._... PHONE 508-760-4602 IFAX .. ..._.._............._ ...._..,. 434 Route 134 Arc.No J EaL EMAIL - � ._...................._._._. P.O.BOX 1601 ADDRESS: South Dennis, MA 02660-1601 ROUQCE CUSTOr+IER 10 a: UvSURclI _ INSURER(S)AFFORDING COVERAGE: NAIC A Cape Cod Insulation Inc INSURER A:Peerless Insurance 5 Yarinouttt Road INSURERe:Ohio Casualty Insurance Company Hyannis, MA 02601 INSURER C:Atlantic Charter Insurance INSURER D Commerce Insurance Company 34754 INSURER E: "— COVERAGES wsuReR F --.._-..___.. CERTIFICATE NUMBER: REVISION NUMBER: Trtl.",15;1'Li(;Elt'1'Ir:Y THAT I'HE 1-'OLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INO'CATEU N0I,,VN'HS'I'AN0ING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT I.0 WHICH THIS CER I'1r1(:AvE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSION"AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR TYPE OF INSURANCE NS12 VD POLICY NUIVIBER OLICY EFF POLICY EXP A 6ENERAL LIABILITY MMUDD/YYYY MML100/YYYY LIMITS GBP8263063 4101/2010 0410112011 EACH OCCURRENCE $1,000000 :(!M1!MI HCiAI (ll'NLHAI.I.IAlall"IIY DAMAGE b_ff N ,D -� Mwulr 51 I c'L;(:uH PREMISES Eu....:...tour„a $100 000 (:;nlNis MCI)EXP(Any ono uonon) $5,000 -- —•"--_----"� PERSONAL H ADV INJURY $1,000,000 -- GENERAL AGGREGAT $2,0000, 00 (,r.N'I A(ii;lil.(;/il t t IrvIIT APPI IL:i PIrH "--'--E_ - -- I101;0 I'Iirt PRODUCTS•COMPIOP AGG $2 000,000 I I' LUG D AUTOhIUBILE LIABILITY $ 10MMBCKVMK 4/01/2010 04/01/2011 COMBINED SINGLELIMI'I !"AfAuIO leaamoont) $1 000000 Al UVVNI I I At I10,' BODILY INJURY(Pe[Person) $ X St:nrui)1 11)nu 1 u;; BODILY IN (Pear arcutoru) $ X I1181.I1:NUIuj PROPERTY OAMAGL $ (Perucdaent) _X NL:N i NVIVI 1.)A1)1(15 --. .--_._._..._....___...._.....,....,___..... $ 6 uMBRELLALrA6 FCI OCCUR MEYAPP397725 06/1712010 04101/2011 EACH OCCURRENCE $1 000,000 .... EXlh.Sp LIAU AIMS"MAUF AGGREGATE: $1 U00 U00 X''RrlrrvuurE t 10000 -----___..._._..__._......__.._..._ .. C WORFCRS COMPENSATION $ ANO EMPLOYERS'LIABILITY YIN W CA00525901 613012010 0613012 111 X �c YTAru, ore-1 ANYI'hOPk;LWRWANI NI-WkXr:CU I IVk ..................._..,_....._—_....._....... OI I u:LWD.It(,NI-•) I-'SCLUI7EM � NIA E.L.EACH ACCIUL-'NJ $500,000 (IYWuaatary m Nfl) u aoe rluwlbo r,wwr F L.DISEASE-F..A EMPLOYEE $500.000 I!trk;Ha'L'UN i a-OI't•hAIlUNS bakrw E L.DISEASk•POLICY LIMIT $500,000 UESCRIKION LV OPL"RATIONS I LOCATIONS I VEHICLES(AIWCn ACORD 101,Additional Romarks Scnulula,it mora spacu is roquuaa) Workars Comp Information Included Officers or Proprietors (Sea Attached Descriptions) �ERTIFICA'fE HOLDER CANCELLATION 10 Days for Non-Pa nlent :1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CORD 25(2009/09 01988.2009 ACORD CORPORATION,All rights reserved. 1 1 of 2 The ACORD name and logo are registered marks of ACORD #SS48141M53353 M EY J67UC SU lte 5170 10 Park Plaza Boston, Massaetts 0211:6 Home Improvement Cactor Registration Registration: 153567 '" ` Type: Private Corporation Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC HENRY CASSIDY 455 YARMOUTH RD. HYANNIS, MA 02601 .:,Update Address and return card.Mark reason for change. Employment - Lost Card •� Address [] Renewal [� >-cAI r, 5oM-04/04-oio1216 License or registration valid for ir.3ividL!use on!y Office o mer Affairs us.ne Regul-Lion before the expiration date. If found return to: H- 946 Type: office of Consumer Affairs and Business Regulation Registration: 153567 10 Park Plaza-,Suite 5170 Expiration: 1?J15/2012 Private Corporation Boston,MA 02116 OD INSUTAT,I,ON;ING.,,:., HENRY CASSIDY';: a":`::,•s`;; - 455 YARMOUTH Atalid ith t si ture r HYANNIS,MA 0261:.1 t ,;_;:; Undersecretary ' Massachusetts - Department of Public Safct\ BOMA (WBuildiml, Re(',ulations and Standards Construction Supervisor License License' CS 100988 Restricted to: 000 HENRY CASSIDY 8:SHED kbW � 'NEST YARMOUTH, MA 02673 R ,r.'- Expiration: 1 ill 1/2011 G„u�iui..i,ncr Tr4: 100988 r � . !j 7C T T -1 2 I y� 1�� 11,1A 0 1 10 6 9 F�N F R,G Y & H( N11 E I-"IT A i R ASSP� L 4 C- C AT-ON 0,R R- I HOME OWNER WEATHERIZATION WORK PERM T&FUEL RELEASE:' PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOW OWNER. hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation herein after referred as "Agency") on the pr,gperty located at: The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping&caulking of windows and doors,insulation of attics, sidewalls; &basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows.In consideration of the weatherizatioa work to be done at my home I agree to the following: 1. I give permission to the "Agency" its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five(5)years after the weatherization work is completed. I have read the provisions of this agreement as listed and freely give my consent, 4" Home Owner: (Signature Date: Agent: (siEmatureL�� Date: ..... te: 3 HAC approved Weatfierization Company:cr-)O, 14 Caliber Building&Remodeling Cape Save Creswell Construction Frontier Energy Solutions Lohr&Sons Peter Smith Resolution Energy Rock Solid Construction All Cape Insulation �OFII E r Town of Barnstable *Permit# `�P 0 Expires 6 montlisfrom issue date Regulatory Services Fee • HARNST + "t^9 S. Thomas F. Geiler,Director 163 �lFD MA'I A Building Division Tom Perry,CBO, Building Commissit2 r ESS PERMIT 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us FEB 2 3 2010 Office: 508-862-4038 EXPRESS PERMIT APPLICATION RESII�L�NT�A,gF �7L"�Ht5L�-6230 Not Valid without Red X-Press Imprint ` Map/parcel Number Property Address (9 t T i1.4 1 S - f Residential Value of Work y Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address tk-)trx� tj." 1°'t 43 I'4 V1 — r je.Z Z �( c.J i`i � Telephone Number D Contractor's Name ( �� ����' � Coc.1-� T p Home Improvement^Contractor License#(if applicable) Construction Supervisor's License#(if applicable) E "or an's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name r Workman's Comp.Policy# (A�.C- 6 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side J #of doors. ID/Replacement Windows/doors/sliders:U-Value _(maximum .44)#of windows ( _ *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Q�pvner must sign Property Owner Letter of Permission. A yff the Ho Improvement Contractors License&Construction Supervisors License is re ed. r / i SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc " - Revised-090809 i ;.r �4 The Commonwealth of Massachusetts Department of Industrial Accidents � Office of Investigations I3 t 600 Washington Street c� Boston, MA 02111 tr` Zi www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le gib) Name (Business/Organization/Individual): Address: Z {,J I�O YR K ;`,4 i� Phone #: , ��� ^��jr � 7— City/State/Zip: � Are you employer? Check the appropriate box: Type of project(required): 1. am a employer with 4. ❑ I am a general contractor and I have hired the sub-contractors 6. ❑ New construction employees (full and/or part-time). 2.❑ I am a sole proprietor or partner- listed on the attached sheet. T ❑ Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ re uired. 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions q ]. 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box fill must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,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 andjob site information. Insurance Company Name- / ( Policy#or Self-ins. Lic.#; P,,J Expiration Date: ✓ j �� `j p � Job Site Address U-, +'l-r1 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 Investigations of the DIA surance coverage verification. I do hereby cerh ind the pains and pencil es of erjury that the information provided above is true and correct. / /� �/ r 2 J Signature �- 1 Date: Phone#: o/ q 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 S. Plumbing Inspector 6. Other Contact Person: Phone#: r �. Information and Instructions 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 g e representatives of a deceased employer, or the and including the legal of the foregoing engaged in a joint enterprise, n g 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 three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, constriction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an 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 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-contractors) name(s), address(es)and phone number(s)along with their certificates) 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 pen-nit 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and sho t uld 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 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.tnass.gov/dia MA Reg#146589 Fromour Home toYorrrs... I Federal ID#20-2625129 CT keg#0`'05216 ws,Si RI Reg#26463 U 59627 Windotting and More 10WHI Corporate Headquarters,26 Cedar St,Woburn,MA,(P)800-342-2211(F)781-933-9626,www.newpro.com THIS CONTRACT MADE THE 2-3 day of O(j, 20A between' (Home Owners) (Home Phone) (Bus/Cell Phone) (Address). - (City) (State) PP) the"Owner"and NEWPRO Operating, LLC, "NEWPRO". ❑ The job address is a condominium. NEWPRO hereby agrees that it will for the consideration hereinafter mentioned,furnish all labor and material necessary to install the following described work at the premises located at - onrn e Job Address E-Mail for proprietary use only TOTAL LbolO Additional Model TOTAL. Windows Purchased NEWPRO Work Number Oty CASH Window Color In: Out: Sliding Glass Door IPRICE Capping Color Steel Security Door Door Color In: I. Out: DEPOSIT Model Name Model Number(s) Qty Sidelites WITH 1020 Double Hung New Construction Unit ORDER ' Picture Window —� Storm Door BALANCE Casement Obscure Glass -TOP—) B&ffOM DUE AT 2 Lite/3 Lite Slider Screens of F e%Lt INSTALL Bay/Bow Frame Please Initial. Roof. ❑ Soffit: ❑ Customer understands that NEWPRO®does not OAS�'Garden Windowdo any painting or staining. (ie:when removing Balance paid tdtiat installation Awning or replacing interior stops or trim) Hopper NEWPRO®is not responsible for conditions or Shaped circumstances beyond its control including,con- FINANCE Other densation resulting from or due to pre-existing Bank completion form signed at installation GRIDS olo I _SDL_ -em conditions. DESCRIBE WORK: . ti C,.Nl A A,1j rA 7 Est.Start Date: .3 Customer understands this is an"estimated date" Est.Comp. Date: ` Mnta Initials Customer understands all steel security doors will have a 3/4"aluminum threshold installed over existing threshold. It shall be the obligation of NEWPRO to obtain any and all permits necessary under this agreement,as the Owners Agent. The Owners who secure their own construction-related permits,or deal with unregistered Contractors will be excluded from the guaranty fund provisions of MGLC,142A. All Home Improvement Contractors and Subcontractors shall be registered by the Director and any inquiries about a Contractor or Subcontractor relating to a registration should be directed to: Director,Home Improvement Contractor Registration,One Ashburton PI,Room 1301,Boston,MA 02108,(617)727-8598. If the Owner is obtaining financing by way of a Retail Installment Sales Agreement,such Agreement shall include a time schedule of payments to be made under said contract and the amount of each payment stated in dollars,including all finance charges. The Retail Installment Sales Agreement shall be incorporated herein by reference. If the Owner is obtaining a revolving credit line to pay,in whole or in part,for the contract amount herein,the terms of the revolving line of credit including interest rate and payment terms,shall be clearly set out on the credit application. The portion of the credit application referencing a time schedule of payment,to be made under this contract,and the amount of each payment stated in dollars,including all finance charges,shall be incorporated herein by reference. NEWPRO represents that it carries Workmen's Compensation and Public Liability Insurance in the amount of$1.00,0010-$300,000. If the Owner refuses to permit NEWPRO to proceed with the work herein,or in the event of any breach of the Owner of this agreement,for any reason whatsoever shall cause the owner to pay NEWPRO a sum of money equal to thirty-three and one-third percent of the price agreed to be paid,as fixed,. liquidated and ascertained damages,and not as a penalty,without further proof of loss or damage. NEWPRO shall not be held liable in damages for delays in the performance of this contract due to causes beyond its reasonable control. Owner warrants that he is the owner of the property on which the work is to be performed or that he is otherwise authorized on behalf of the owners to enter into this agreement. This contract represents the entire agreement between Owner and NEWPRO and cannot be changed except in writing signed by both the Owner and NEWPRO. You are entitled to a copy of the Contract at the time you sign. Keep it to protect your legal rights. We,the aforesaid owners, certify that immediately after the signing of the aforesaid agreement,a copy was furnished to us. You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller,which may be his main office, or branch thereof, provided you notify seller in writing at-his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. (Saturday is a legal business day). See the attached notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF TH_ERE•ARE_ANY-BLANK SPACES L�be owner has seen"sample"warranties that will be provided by NEWPRO upon installation. SarriWa warranties provided to Owner. IN WITNESS WHEREOF,the parties have hereunto signed their names this-23 day of , 20_jD _ EIN# Signed Marketing Representative Printed Nam Owner Accepted: NEWP ting,L By Signed Owner CORPORATE OFFICE WARW K BRANCH O ICE 26 Cedar St c Woburn,MA 01801 4 Minnesota Ave (P)800-242-9974(From NE) arwick,RI 02888 (F)781.:933-0717 (P 800-356-3312(Fro NE) (F)401-732-1 WHITE: Branch Copy 'YELLOW: Customer's Copy PINK: File Copy GOLD: Finance Copy US-15 R0508 r., -Jam_.,��- f_ r^••--��11_ � •r; _i- ._ ;1:...,{.1,_ ... Y- - �:7r�1 I�iC. ,ii• ..�'.;:i'�a ^^:'-:?1L.(I ri ,1C: C•Dl '.� ci � I � _-_• 1 _• _. 7 ' .� r ar I, � 1 0� I r J, r ie � r,:iel_-. �-�_ ^__.__..—�.---•.-- •----'_4:=�- " '.li.i it�.�•' l� 1 V -tea::".i•'`�t i..-.,,: ,-r^:.....1�,,-, ,. --�+ :ter✓c _--�- YiOR'RE2.�.i:NiF=N�F?IOi'!^iiD �-=;,ry cf.S=L��fEr�^�'..181.Ti CU -74 :J E$Ce:iFTl •r'Ew1T:0No.•_D,r•?ICKS 1 YcY.•CLE=1-%Y`r•L r�nlc-F t. 10N --- "-'"'" - ;YC❑e°.CtlSEU SJ,:or S BE C;.II'-=LLE:;Bi 8'n JULD Ah!`(OF?HE d• F -.r:• EPIC_ c 159'JCI�INB�R.r. -_� - i 1 j_r5 Wn1�EP:4G?IL=-rD?pE C°Y.:'sIC:,T:ISo_:,SR. niz!PiS;X.;:R—(i 5i%`:_—,-�---- �_fv ar b t ihr,1-t ,, FJn;ii4`r F '�.✓' ti a,w ak + ar-4r qr ,, 1 r .am- a xZ /� a f e 5 a,w i ,� a t u k t � o -r d ace s:; nt wi a Y Consruct�oraufi p►erv� �ar Lf�,er� e i .q st 1 h ates 41$/r� 965 scp 9t�93 h�'� 4�•l , I THOMA:S PEAGC�CK J'R � `� i 33 A# L�;ND �V IV U C .. . f 17 S61 , MAQ2771 S a�misin ,r on 41 , �iOOOV3d . Mi 11 `JNUVV J3dO O�JdAA1 ] pao juawaiddn.S and L L0Z/919 4' , � cY X.a"y'.If�� ;/�/:�'2��E9 ��F3s9Y�Y/�d�✓✓�S/�� ti°� 3 � < 1-;ieense or regist,-atio* n valid foi- individol . befcre the expiration date,. If found. return t .):. Board .of Building Regulations and St. dard.s One Ashburton Place Rm I30-1 Ma. 02.108 111.0 _ _ w> •. . • :. w •" .fit'+.� 1sJ ♦•Y w.Mr A.I.— �H...•fir`•Iw.Yj r^'.`� . � N (l f�••�f14� ... • . ..V � - t Assessor's office(1st Floor): �7 /^ Assessor's map and lot number / C_ yp*THE to y Board of Health(3rd floor): Sewage Permit number �j" / • BAH39'tADLL i Engineering Department(3rd floor): / rasa House number (o;�� �° i6}9• Ae0°j Definitive Plan Approved by Planning Board 19 �o APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only 'd TOWN OF BARNSTABLE BUILDING INSPECTOR. APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION �/�m 19 S9 TO THE INSPECTOR OF BUILDINGS;- The undersigned hereby fh}ereby applies for a permit according to the following information: (� U Location fj S ujl4 /\/A w N Proposed Use • A/g Zoning District y� "' S Fire District Name of Owner IV Q Address A y W% Aq S S > Name of Builder 12Av nQniQ 1 , ( /YW! 3r Address f dU �3�U l3 2� M"/ I�l� ff Y,OY�/y Name of Architect Address I t Number of Rooms b J�/r Foundation �$'�`` fi (31- °` Exterior W/c N/�i `c 5 Roofing f1S®hAt t 5A/V et v< Floors d� `e— Interior D2V, Heating r Plumbing N c� Fireplace /Vd Approximate Cost Area �9Z Diagram of Lot and Building with Dimensions Fee t fi 3�` titi ti ._._�� --•,------ fig. X �y IV 14�t' f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations ofTthe Town of Barnstable regarding the above construction. Name Construction Supervisor's License Q ' 73s77 r e OTT, HELEN A=271-176 No 33338 Permit For Build Addi_ti_on Single Family Dwelling Location 681 Pitchers Way Hyannis (Lot #1) Owner Helen Ott Type of Construction Frame Plot Lot Permit Granted November 6, 19 89 Date of Inspection 19 Date Completed 19 r Assessor's map and lot number .........:...... .......:.............. ��� �'c �O� ,� 2 --77 Sewage Permit number .:...................................................... . %T"E TOWN OF BARNSTABLE r Z BARNSTADLE, i NAM 5b 1639- BUILDING ; INSPECTOR �, C APPLICATIONFOR PERMIT TO ..........:.............. .......................�...................... ....................................... } _ ... TYPE OF CONSTRUCTION .........:.............. F ................................................�.. 192 TO THE INSPECTOR OF BUILDINGS: i The undersigned ,hereby applies for a permit according to the following, information: Location ...`.:. G" ....r...... /*�f.�. ,r i. !�'f r �............ .. rYT/?................................................... I � /rr.!`. • Proposed Use ...:.. ...... ......... ......... ....................... .... . . ..................... ........ ion r Zoning District ° ............................Fire District ............. .(�. f +7' .. �^-Y "" '`ra/s� ,..£-.rrrt,slr,^"r f� Nameof Owner y ........... ........ ..::....:.......:....Address ......../ ` ............�.... ......................................._ Name of Builder ! .................Address ......:::... ................................................... ........................................................................ . Name of Architect Address ............ Number of Rooms .......................�!.........................................Foundation ......<!f.....,.....l..d•;�.-*G-. y ' -- Or 11. Exterior .............!...................................................................Roofing ............ �..`... .....:........r...................... Floors . , 1�/ h- Interior . P ic' e CX— ..........J ...... ................... %;`. 6) L, � Plumbing Heating ..............,�..................................... g ............................................................... Fireplace ................. .............................................................Approximate Cost ....2.. .© Definitive Plan Approved by Planning Board -----------------------_________19________. Area ...... .�. ................... .. Diagram of Lot and Building with Dimensions Fee �G. Eo ....................... ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the,above .- construction. /G � r Name ....... /.................................................. Capew1de Development A=271~176 ^' '. . ~ 18961 No Per single ^ Pz Location— -----' ������� -`~ . . e�1�a Development ` -- - C}wnnar --..�����_. "����__.. Type of Construction '--..^ ___. ` -._ ----.---,.-�--------.-_------.\ . . \ - #1 Plot --------- Lot ----------.. ' ' F'e:biu 77 Permit Granted � Date . of . . . . Dp,= Completed ` . PE�RM�" REFUSED A - ' ~ ................................................... ---'' - .' . .._--.—.—.,,.--...:.—..--.—.-----. - ��� ` .—.--..—...--.—.....,.—.--.....---.,— . . . ----^—.—.---.------..~—..~--.. ' . . ^ ' Approved ................................................. lQ ' ' ---------------.---~------.- , � --------------------~---.—.. ' ' ` �S Y`�„�•`"`'�.o, TOWN OF BARNSTABLE Permit No. 19649----9/16/77 Building Inspector SAW3TAU Cash ----------------------- 0`�0 YPY►C OCCUPANCY PERMIT Bond -----________________________ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Capewide Development Address Hyannis lot #1 Pitchers Way, Hyannis Wiring Inspector fib + _ 'f`1-•�_ Inspection datea U! fi' ",^. Plumbing Inspector + Inspection date () � Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. a►,'�1� ' I A f�A�N�`.:�:�... /............ 19.' _ ........ ......... �� Building �In peetor N[� ' O"OT T TOWN.OF BARNSTABLE Permit No. 196099/16✓77 Building Inspector BA"STM Cash OCCUPANCY PERMIT Bond ---------_-------_____________ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall,be occupied until a certificate of occupancy has been issued by "the Building Inspector." Issued to Capes do DeyolopT ent Address Hyannis lot #1 Pitchers Clay, Hyannis Wiring Inspector (..��,"" pection date Plumbing Inspector °' x �" Inspection date F{ Gas Inspector a Inspection date . Engineering Department Inspection date i THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. .................................................. 19......_._ ...f�. ., .., ........................... Building Inspector IS4Z6 F-77 1 L Z 0 0 Ak 77� C)rt TvTo t✓ ��t u{ =t t��,c i - 3 30 6.Pi�. xe it .ri <r �000,fp� P��C'.C.(7GL•`t"10`..I C2t�T� ���Ii.f ?f1tt1►.I� Ofu �ES��.` � Kc>uuQ 'ter v1. 41 is X 46A rR M j OF At , y2j , +, %per WILUAM G,r� , t U/ C. mj f N v Ey 1 ;� ,o/TC'f�C�S , (iV4\ No. 19334su '+ f STV - s--v �7 97 ,?;x,., ,.�• -------- Pict 0 Ga�?rYl d•P._ �=.. logo t du 9L1 �:n 4 pv� DF"1� SUc'.kJ/L Box Sc-pric _2•S Itiv. Tt�w V_ •F- G.eAk/Q. iOao �S•7 tINv. G 1 �C..O LEAa PIT s wtrw •; CcxFAP Sd wnsuEn SPA✓y� STo+�� q,1 A s • UOT ) /�T)✓ . \Z,�7�T �a GvA �- cl.tz •rf-4A7 T14G �--vuQVp T, 14►J UCr.vIJ PL l�,t�l Phi= Ri=hiLC 1-lE_(�t�i�tel Gc��i't�`•!S W tT'i-� T t-1�� �.lUc=.L1►_1E:. �,.._.�`� � AWL-> �T�',ACt_ �:`�CtL11w l_M•i-_i�!'ry 0l= TNT v(.4 bars / or1 (�I�vt�l..ti. ` ,v` 11�1'y'�'���1f✓Z C=i�l�" tj{?I:�l i ;t 1 t(i_ lai�l" ,,W_.��i >!l(:LiJI .'% ( l''.1%a ; _t /.:f`..l- ! 1.A,?6 W to DtPV Co sor's map and lot: number ......: ... .. .... L `i 7� ��'? �, m ✓` - i SEPTIC;SYTEMF MUST BE M a �°� INSTALLED;Its 'COMPLIANCE , Sewage;�Permit number r c y q,. WITH,AR Fl LE I--STATE 4 cn , 1 SANITARYtgD AND TOWN, FTMEr�w �. = TOWN OF BA � �� L I ' �5 �Q o � N,�.� , AMBLE B9BBSTADLE, i �_ ,y pe p ' �' 9°� ~"6IL '� C; :ti DUB MING INSPECTrOR 0 ''�aypY ale r^ - ff n> APPLICATION' FO(R PERMIT.TO ....... y ��.. ......l.:�.. �� 1 f".lU: -- �............... .... TYPE OF CONSTRUCTION ........ ' ........ ...... .................................................... ..................1977 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to� the following information: Location .. . ...l..... !.. 4� ... 1/! !U .k. 'G. ��..... y`•• 1�!1��. . ................................... ProposedUse ......aelcnlie_14�4.................................................... ......................................................... ................ ZoningDistrict ........0 T �,..............................................Fire District !. ....... -CL................ Name of Owner ..lr..�- 'C.!/.`d.e... �1 ...................Address ......... ... � 1 ...................................... Nameof Builder ....................................................................Address .................................................................................... Name of Architect :........................................ ....................Address Numberof Rooms ............... ................................Foundation ........ ....... mac. .................................... Exterior ......................G/l. it�� ........:..................... ...Roofing ......... � .. l 666 Floors —(l..!. r................................... Interior � .. ............................... .............................. Heating .......�l�j...eN. .... .......1//../................Plumbing ....................G.............................................................. Fireplace U p ...........................................................Approximate Cost ........ . .. .�..............................1l.... Definitive Plan Approved by Planning Board ---------------____-----------19________. Area ......... L i' ...... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I I hereby agree to conform to all the Rules and Regulations of theTown of Barns blg regarAi�he abpve construction. C l�-Q l(/ N .. .... . ....................... .......... ` ^ , _ ' � . - . . ' . ^ ' ' . ' . ' - , ^ ' ' ' . . . ` . � ` ' . + ^ � ^ . . - Capewide Development 19609 one story single family dwelling Hyannis frame PERMIT REFUSED — -- - . —.—. � � - =. . ' - ' 7 ~__.._..^ � . � . __---'—'--'r—'---'1 ...... �� Approved ,'--....---_.---.----. 19 � � i —'------------'---^---~^^'—^^'- y ^ . ' . . � ��������������.���.,�.�.......� . ' � / | � \ As sw map and lot. number .�� SEPTIC SYSTEM MUST`fk J� S'" INSTALLED IN COMPLIANCE Sewage' Permit number ...................................+...,........... WITH ARTICLE If STATE �. THE rTO ♦1 N� OF BART � AVT .T® N Z BAHBSTAIILE, • �, 63q. " 9 G " BUILDING INSPECTOR ,, O i �0 , L 4 r1 APPLICATION FOR PERMIT .TO .... .. .............. ... -...... ..... .. ..........:.......::....... .......................................... TYPE OF CONSTRUCTION ... . - :.. ................................................ TO THE INSPECTOR OF BUILDINGS: The undersig reby appI fora permit according to the followin information: ` LocationA4J ProposedUse .....�� ..... .............................................................. ........................................................ Zoning District ...... ..L.. ................................................Fire District .. .. ..................................f2� Name of Owner .......... L a,, ;....Address ....... .:. ... ................................... �! ....Address ...... ............ ..r....................... Name of Builder :............................................................... .................................. l Name of Architect Address Number of Rooms ................. .......................................Foundation .®....... ;...................................... Exterior ............ .............1.....................................................Roofing ............ .......... Floors ..e...... .................................................Interior ............. � / Heating .....? ....LA?/....`...........................Plumbing .................................................................................. Fireplace ................../..............................................................Approximate Cost .... ...v.:o.©0....................................... : Definitive Plan Approved by Planning Board _______________________________19__:_____. Area F..j............................ Diagram of Lot and Building with Dimensions Fee" �01 S_ . ............................................. SUBJECT TO,APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Bar�st le r r ing the above construction. Name ........ . .... .. ................................................... . C Develmpmatit ' ' ' SA ���..l8g6l_ pe,mk. for .................................... one story .~ single family dviell1og .���--_....-----.�-----.....—._----. . . �1���erm ��� Location .----.--..--..�—^--------' ' uyaaoam ..—~-------.---------------. . Caoew1de 0evalm�mmnt Owner ----..�---_-----....................... ' frame Type of Construction ---------...---- ................................ ' ' #1 'Plot . Lot ^ ' ---------. -------'_—. ~ Permit [;nonoa6 —' .]6/7 Date of | 'i� ' ' - ' Dote Completed .1212'^�--.]9 ' ' . ' . . - . . ^ PERMIT REFUSED ........................... l� , —..------.--- .—.—.--.-- ......................................................... . -- ` ----^^'.'-�---......r---^.:..---.—~.. . , . .......................-,.---..—.---..._.--.—..�. . . � . . , � ............. ' ^ , . . � Approved ................................................ lV -------.---------...--.—....--.. -------`------------..—.--... . ` . . . ♦ 1 y ♦ a .1.. .E' � 1. i� ♦ ^ �F e 7 01 Iaxo6AL- C Pir cr y. t DTAWY- to�4 - t� GAL 'o• C ; t )itCH7-R tsR,,M 41 t g'7 .1 � CEt-TtFIeD PL C>-T' -ac�Yto� 1..�yANrJt� MA-$5 C RTtt=Y Tt4Ar T14E= I'00WDA'>IOW5Ua.4LJQ Pt-4" NEi2 t=a�J CO&kPLkeS W t Ti-A TWG- -St DE 1.1"E L O T ;?GQUttZGMcWCS O►= TtAE_ 'icwti.3 c� A2h1STQ L� �(.A � "3ac�tt 3Q2. PA&G TZ VA.TG tZEGtS cR.Z�D i..a.l.iC> SU2�:�YcrLS TW5 l7t_AW 4♦S LIOT E5AxSE'p via fsw uS';�c�vt�LC o �t,Crz.sS. A P P t.I CA..N T t-k.',T al& I:SCiJ TCs DGTi:.EMil-4t t_Itda5 I � THE TOWN OF BARNSTABLE Z M BUILDING INSPECTOR TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Name uf Architect ----------------------A66ness -----------------------.----. Number of Rooms ----- *�---------------Foun6o��n --� '//� -- �l..----------' Ex/erior ................... L~�`l-------------�RooGng --- ------------.—' Floors ------....<".........w..^—......,..-----------..|nterior ............. ................................ �� � ~� Heating --��/�/�1.!���.�—�!��—..(�*�.�------..P|um6ing ------..�---.---_,____,._,_____ � � �� . e� � Fireplace ------,--------------------..Approximo�� [uo --. �,�.�/.__.___,,______. � Definitive Plan Approved by Planning Board lQ__. Area ..........�FJ.~�.� Diagram of Lot and Building with Dimensions Fee --- SU8JECT TO APPROVAL OF BOARD Of HEALTH � , , � � � � ' � | hereby agree to conform to all the Rube and Regulations of Barnstable regarding the above construction. y - � ..................................................... —Capewide Development A=271-176 -- 19609 one story No ................. Permit for .................................... single family dwelling .............(AV.- .......................................... ...Pitchers ®aqLocation ......................................................... Hyannis ............................................................................... Capewide Development Owner .................................................................. frame Type of Construction .......................................... ........................................................:...................... Plot ........................ Lot ................................ Permit Granted ......BePtember 16 19 77 Date of Inspection .....................................19 Date Completed ......................................19 PERMIT REFUSED 19 ............................................................................... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... .................... ......................................................... Assessor's office(1st Floor): // l^y � Sys,r TW Assessor's map and lot number CC., Board of Health(3rd floor): dr� •"Q o Sewage Permit number rc Engineering Department(3rd floor): I sn House number JL= / �` 1639- Definitive Plan Approved by Planning Board 19 0 MAY d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN - OF BARNSTABLF BUILDING INSPECTOR APPLICATION FOR PERMIT TO U�� < �/ /� J /20d/7, TYPE OF CONSTRUCTION � rY) / 19 TO THE INSPECTOR OF BUILDINGS:. The undersigned herebyapplies for a permit according to the following information: Location e Proposed Use Zoning District �� ""�° 5 Fire District Name of Owner °f7'��� r1J d / 1 Address �i MA S > Name of Builder ��� /��� "-Address 160 13 v� t3 2��' l��/�/ 1 ;/Yid1 �? Name of Architect 5 Ae -e-- Address Number of Rooms D Foundation Exterior �� �Jj A/I C S Roofing Floors Interior Heating rr �'� '� Plumbing Fireplace /Vv Approximate Cost 'ao Area �/ Z Diagram of Lot and Building with Dimensions Fee All �tb a� c—IS N Y c-2t, 3g• /l 1 Y e j I 2I� I'rG Lk) .>� 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. pa..,d a, Name Construction Supervisor's License Q / 3S7 OTT, HELEN No 33338 Permit For Build Addition Single Family Dwelling Location 681 Pitchers Way (Lot #1) Hyannis Owner Helen Ott Type of Construction Frame Plot Lot r Permit GrantedNovember 6, 19 89 Date of Inspection 19 Date Completed 19 logo w.e R Rv _ - ky D k t 7� i All, 1 X 1 r 0� T I � � I i ( I � NO . JQ Sill -et S v A0LA V� Pk y �S z T— 8� 16k rouwpT'", S i