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0042 POINT LANE
- ��i /�D'/��'�-GZ'�-_ � ��� u 4 r Town of Barnstable Building °""q'�""'""S�Z' �� �,� r.x ,v-�e� n a- �-". x-- r• tv� t .' ?� n J � -+a� `sr s sPost This Card So TFiat it is U�s�bleyFrom the Street Approved,Plans;IVlust be'Retamed on Job and:this Card Must b'e°Kept EA•NSTA81E. • ;� ^' ft ." ,' '� t e, �' `k.:xs F"''C,°��� ` N ttYs �xc� . • 6� � Posted R� Where a CertificateofOccu anc ?is.Re uir'ed 'such Biiildm shallN�Ot beOccu ieduntil a Final Inspection has been;made er �� Permit No. B-18-1321 Applicant Name: MCAS LLC Approvals Date Issued: 04/30/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/30/2018 Foundation: Location: 42 POINT LANE, HYANNIS Map/Lott 288 169� Zoning District: RB Sheathing: Owner on Record: WASILEWSKI PAUL JR&PATRICIA ,g Contractor Name` ,MARK D NICKERSON Framing: 1 r C Address: 42 POINT LANE t ContractoroLicense CSSL-101185 2 HYANNIS, MA 02601 strject Cost: Chimney: P x Description: reroof not under solar panels Permit Fee: $35.00 Insulation: Fee Pa Project Review Req: id' $35.00 Final: r Date 4/30/2018 al r R' � ^ Plumbing/Gas Rough Plumbing: �� �;';� _..._ .� _ BuildingOfficial i Final Plumbing: v ' Rough Gas: n within six months after;issuance. g This permit shall be deemed abandoned and invalid unless the work au hon ed b this permit is commenced All work authorized by this permit shall conform to the approved application andthe!approved construction documents-,for which this permit has been granted. •7. 4 Final Gas: All construction,alterations and changes of use of any building and stru6res shallzbe in with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street oe road and shall be maintained open for public inspectidn for the entire duration of the work until the completion of the same. F $ Electrical a The Certificate of Occupancy will not be issued until all applicable signatures by the suild�g anted Fire Officials are'provided Service: on is permit. Minimum of Five Call Inspections Required for All Construction Work:; „ 1.Foundation or Footing . ", Rough: 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable Post Thls Card So That rt isrUlslble'From;the Street A ; roved`.Plans Must beRetalred on;Job and this Card Must be Kept h Building wrxsee�ss c Pp F �; Mom` Posted Until Final Inspection Has BeenMade � �' to Where aCertlfieate,:of Occu ancyis Required;such Buildrng sh 11 Not:be Occupied until a Final Inspection has been made Permit M. :: .. ,, _ .... P .. .. .,� .,� ,.. _.ate: .� r _. o. � .a. >a .. . , ... r.w .___ • . ,.._ > ... .n ,.. ,- Permit NO. B-18-1321 Applicant Name: MCAS LLC Approvals Date Issued: 04/30/2018 Current Use: Structure Permit Type: Building-Sid ing/Windows/Roof/Doors Expiration Date: 10/30/2018 Foundation: Location: 42 POINT LANE, HYANNIS Map/Lot 288-169 Zoning District: RB Sheathing: Owner on Record: WASILEWSKI, PAUL JR& PATRICIA •, ' Contractor Name " ,MARK D NICKERSON Framing: 1 Address: 42 POINT LANE $ Conractor.LicenseCSSL-101185 2 HYANNIS, MA 02601 .;� � € Est Protect Cost: $6,330.00 Chimney: Description: reroof not under solar panels Permit Fee: $35.00 Insulation: Project Review Req: ���� Pald $35.00 Date 4/30/2018 Final: Plumbing/Gas Rough Plumbing: _. Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authoriiedr i m by this permit is commenced within sonths after Issuance. Rough Gas All work authorized by this permit shall conform to the approved application a!nd the`approved construction documents fo'which'this permit has been granted. • Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zo,,!ng by laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open foOpublic msp$ectlon for the entire duration of the work until the completion of the same. s Electrical The Certificate of Occupancy will not be issued until all applicable sign y atures b ,t�he Building a•'nd Fire Off vials are providetl on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: > Rough: x W 1.Foundation or Footing ' .. ._ ;.. .. 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT t ' B-18, �t Town of Barnstable *Permit# Tres 6 months from issue date Regulatory Services Yee • BARNSTABI.Fw 9� MPS& Off Richard V.Scali,Director Building Division APR 3 0 2919 Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us V� O 69-4JP Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 018 I t Not Valid without Red X-Press Imprint Map/parcel Number Property Address 2 / � b:Qqe, (5 Q [Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address P �(.V' - Z Ise, r,� ce h �� OZ6 Contractor's Name (,�/l�e f��� Telephone Number 6'k 1;?L/a• �O�' Home Improvement Contractor License#(if applicable) ` � l Email: /"`M Jeel 02U,53 0 Con ction Supervisor's License#(if applicable) Workman's Compensation Insurance Check one: ❑ I apn a sole proprietor ❑ am the Homeowner ® I have Worker's Compensation Insurance � /�'�. Insurance Company Name !/ ' ► 1 (�-J " "`^ lb���/ !� AA Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Req st(check box) l�s Lyj hurricane nailed)(stripping Id shingles) All construction debris will be taken to no-F Uri 1 e. , ��n S ❑Re-roof(hurricane nailed)(not stripping. Going over. existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forrns\EXPRESS.doc 06/20/16 A R ® DATE(MMIDD/YYYY) A� CERTIFICATE OF LIABILITY INSURANCE 03/01/2018 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 - CONTACT NAME; Rogers and Gray Processing ROGERS &GRAY INSURANCE AGENCY INC PHONE Exit: (508)398-7980 A/C No): ADDRESS: mail@rogersgray.com 434 ROUTE 134 INSURERS)AFFORDING COVERAGE NAIC# SOUTH DENNIS MA 02660 INSURER A: AIM MUTUAL INS CO 33758 INSURED INSURER B MCAS LLC INSURER C: NICKERSON HOME IMPROVEMENT INSURERD: P 0 BOX 2476 INSURER E: ORLEANS MA 02653 INSURER F: COVERAGES CERTIFICATE NUMBER: 243979 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR ADDL SUER + POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MWDDIYYYY MWDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS-MADE `OCCUR D MAGE TO RENTED .., PREMISES Ea occurrence S MED EXP(Anyone person) S N/A PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY❑PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG S OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S Ea accident ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) S NON-OWNED - Pe�aPER ccidenDAMAGE S HIREDAUTOS AUTOS S UMBRELLA LIAB HOCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE N/A AGGREGATE S DED I I RETENTIONS �/ S WORKERS COMPENSATION /� STATUTE ORH AND EMPLOYERS'LIABILITY _ — ANYPROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBEREXCLDDED? NIA N/A N/A VWC10060211892018A 03/01/2018 03/01/2019 (Mandatory in NH) E.L.DISEASE•EA EMPLOYEES 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at vcww.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 Daniel M.Cr v y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Convnonwealth of Massachusetts t Division of Professional Licensure Board of Building Regulations and Standards f„nit JCt�;l�s PefYiSCr.�� �W48lf.Y CSSL-1U1185 Expires: 10/26/2019 MARK D NICKERSONi PO BOX 2476 ORLEANS MA 02663 -w Commissioner C Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home improvement Contractor Registration Type: LLC Registration: 133851 MCAS LLC Expiration: 08/16/201.9 D/B/A NICKERSON HOME IMPROVEMENT PO BOX 2476 , ORLEANS,MA 02653 . Update Address and return card. Mark reason for change, r r n e_...,.,., e�� rl LeF+s:2rr+ — Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:LLC before the expiration date. If found return to: Reaistratlon E=Iration Office of Consumer Affairs and Business Regulation 133851 08/16/2019 10 Park Plaza-Suits 5170 MICAS LLC Boston,MA 02116 I31B/A NICKERSON HOME.iMPROVEMENT zl MARK 0.NIC-KERSON 12 COMMERCE DRIVE Not valid Without signature ORLEANS,MA 02653 Llndersecretar} THE Town of Barnstable Regulatory Services 3 BARNSTABLE, " Mns6. Richard V.Scali,Director aGg9. � Fcrnrt`�► Building Division Tom Perry,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 Eau,wwaoewski. , as Owner of the ro subject property 1 p p tY hereby authorize Nickerson Home Improvement to act on my behalf, in all matters relative to work authorized by this building permit application for: 42 Point Road Hyannis,MA 02601 (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature.of Owner Signature of Applicant U U.*JLt i vL du4 Print Name Print Name Date 1 2 PROPOSAL MCAS LLC NICKERSON HOME IMPRO NT •ROOFING •SCREEN PORCHES 508-240.3081 - - P.O. BOX 2476 •SIDING SECOND STORIES•DECKS •RENOVATIONS 508-255-5107 FAX ORLEANS, MA 02653 •ADDITIONS •INTERIOR/EXTERIOR PAINTING www.nickersonhomsimprovement.com •SKYLIGHTS •WINDOWS/DOORS E-Mail markl202653@yahoo.com •GARAGES •KITCHEN &BATH REMODELING 12 Commerce Drive PHONE 774 208 3905 �aT4/9/2018 TO: 42 Point Lane JOB NAME/LOCATION Hyannis MA 02601 SAME JOB NUMBER JOB PHONE t We hereby submit specifications and estimates for: S fr-if`p sh'mg#es-off ers#ire-roof except front main roof::wtyere�soiar•panels:�are--Naii-al[yloos_eaheatl ii.n_g�:... Install 8`-heavy-duty-White alminum drip edge on ali'lower edges and new flanges around vent pipes Install 36" StormShield Ice and Water protector on all lower edges, around all openings, in all valleys and over rear dormer roof complete Install Roofers' Select high performance black underlayment felt paper on remaining stripped areas Install roof shingles on stripped area as listed below- hurricane nailed (6 nails-per shingle) Install 5 :inch open trough gutters on rear dormer Supply all labor, materials, debris removal and disposal fees GGO'6- Landmark Lifetime architectural roof shingles - 235 lbs./sq., 10-year algae resistance and 110 warranty estimated at : ETTER - L; n mark Lifetime Pro architectural roof shingles - 250 lbs./s ., maximum definition colors, 15- ye- gae resistanrean5ilUfMPRwin5warranly7estimateciat W - Landmark Premium Lifetime architectural roof shingles - 300 lbs./sq., 15-year algae resistance and 110 MPH wind warranty estimated at OPTION - Install ridge vent at per lineal foot OPTION - Install zinc strips at peak of roof at• _ per lineal foot PLEASE INDICATE COLOR CHOICE ON RETURNED PROPOSAL Only items specifffed are covered by this proposal- Proposal does not include any chimney work if needed Rotted wood repaired at^ " per man hour plus material.costs if needed - - Price is for stripping one layer of shingles only additional layers will be priced accordingly We PropOSe hereby to furnish material and Tabor—complete in accordanc JJ e with the above specifications,for the sum of: dollars ayrrent to be made as follows _ - T dollars requested with signed proposal 45. All material Is guaranteed to be as specified.All work to be completed In a pmfesslonal manner according to standard practices.Any alteration or deviation from above speoilications Authorized Involving extra costs will be executed only upon written orders,and will become an extra signature - &"RICA charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance.Our (Vote: is roposal may be workers are tully covered by Workefs Compensation Insurance. withdrawn by us i accepted within days. Acceptance of Proposal—The abode prices,specifications and 30 conditions are satisfactory and are hereby accepted.You are authorized to do the work I " as specified.Payment will be made as outlined above. Signature 29 +' Signature ✓ Date of Acceptance: �'GT_lI 4/302018 Print Page Print this page • Owner Information-Map/Block./Lot: 288/169/-Use Code: 1010 Owner Map/Block/Lot I WASILEWSKI, PAUL JR& 288 / 169/ G S MAPS Owner Name as of PATRICIA Property Address 1/1/17 42 POINT LANE 42 POINT LANE HYANNIS, MA. 02601 Village Hyannis Co-Owner Name Town Sewer At Address: Yes' GIS Zoning Value•RB Assessed Values 2018 -Map/Block/Lot: 288/169/-Use Code: 1010 2.018 Appraised Value 2018 Assessed Value Past Comparisons Building Value:. $ 170,800 $ MOO , Year Assessed Value $ 43,800 $ 43,800 2017 - $ 3489500 Extra Features: 2016 - $ 349,600 2015 - $ 365,300 $ 9,700 $ 9;700 2014 .$ 354,300 Outbuildings: 2013 - $ 359;700 2012 - $ 355,400 $ 135,500 $ 135,500 2011 - $ 351,400 Land Value 2010 - $ 352,700 $359,800 . 2009.- $ 388,200 2018 Totals $359,800 2008 $ 420,100 2007 - $ 469,500 Residential Exemption Received=$93,229 • Tax Information 2018 -Map/Block/Lot: 288/169/-Use Code: 1010 Taxes Hyannis FD Tax (Commercial) $ 0 Hyannis FD Tax(Residential) $ 967.86 Fiscal Year 2018 TAX RATES HERE Community Preservation Act Tax $ 76.85 http://wwovtovmofbarnstable.us/Assessing/printl8.asp?ap=0&searchparcel=288169 1/4 .4/30/2018 Print Page 'Town Tax(Commercial) $ 0 Town Tax (Residential) $ 2,561.75 $3,606.46 • Sales History-Map/Block/Lot: 288 / 169%-Use Code: 1010 Ilistory: Owner: . Sale Date Book/Page: Sale Price: WASILEWSKI, PAUL JR&PATRICIA 1959-09-21. 1054/461 $0 • Photos 288/169/-.Use Code: 1010 • Sketches -Map/Block/Lot: 288/169/-Use Code: 1010 y.z 4•� sj .. 2 (22 AS z2 0 Al ;AGAR, 24 TQ ti=fiR 24' AM 1,1 a ,40 II As Built Cards:Clickcard#to view: Card #1 Constructions Details-Map/Block/Lot: 288/169/-Use Code: 1010 �r Building Details Land Building value $ 170,800 Bedrooms 3 Bedrooms USE CODE 1010 Replacement Cost $251,146 Bathrooms 2 Full-0 Half Lot Size (Acres) 0.37 Model Residential Total Rooms 7 Rooms Appraised Value $ 135,500 http://wwwtovmofbarnstable.us/Assessing/printl8.asp?ap=0&searchparcel=288169 2/4 77m ttiommomvealth ojfMauad'=dts D,eptrtment wild-trslriatAcc da7ds Offwe of LnW_ 0 i=. 600 Washbigim Street Boston,AL4 02HI tvtvx.v_mass gov1dia Workers' Crmpensaf tm Insurance AffidaviL Bmlders/CantractarsJEIectm-MUs hEmbers A13pli #InfctrmafiQn _ - Please Print F.eiIY -Name(Bu Address: (/ 6Q)(- _C9LI16�2 CitylStatcl �_,(_"�s J 1Qfle tr �' VD , �J raFT u au employer?check the appropriate box: Type of project(regnued: I. am a employes with 4 ❑I am a general contractor and I 6 ❑Newoonst�Eioa � emplloyew(full andfor part time)_* have lured tSre b-coadsacEoss fisted Andre attached sheet "I. ❑Remoddding- 2.❑ I am a sole proprietor Cyr Partner- ,���coatrac#ors have sb�p and have no employees & ❑Demolition -Worling for me is any capadty employees audhave warms' 9. 0 S•uildmg addition INo ' insurance coffip_i0surantr required-] it offers camp. 5. E] We are a corporation and its 1 ❑Electrical repairs or a d ams 3.❑ I am a meouner doing allWO& officers have exercised fair 11_0 P grepaiss or additiams o woAmrs' n�of exemption per MGL ofrepairs mysel€ e - c-152,§1(•4h and we have no insurance regnif8d.-]i - 13_D Other employees.[No wodoes comp_iamnsace required_] •day aPg&sa�f�at�heds'hos fl mn�also ffio�the sectiaahr7,owslrm4iug ttiPR�e2s'ca®peasatin�peTsyi�oEnrsSiaoi E�omeacvaerswbo snb®lY this affida�dd ig ticey axe daia�slF ora�c and rhea] outside coatmctnrs�act 5ulo-mit a nezv ai�da�it mdi sntlL ICemctnstbs3 e1-1r this bmc nmst aRtadsed sa addili�sheet shoe gthenameof the sob c o-zb-mod stata sciceth�ornotthnse®htiesha� at emplepe—Ifthesub-c=tadumb—emPloF-s,they=utPmuideilugr R &M"`LP•Polk'numseL I nut art erripiay�r fltatisprm�rJittg tt�orkets'cuttgrettsrdiart utsrtratrce for etrtpla}�ee $dots is YitaprrMV curd job site inf ormadom Lnsur-ancecompanyName: V Poficy fi or Seff-ins.I.ic.# W D D l5 n ExpigatioaDate: I c Job Tit d � 7 0"n� CstylStgedZip: 6 tiC#ach a-mpy of the workers'compensationpolicy declaration page(showing the policy member and a ation date). Failure to secure coverage as requireduader Section 25A of MGI..m 1572 can lead to the imposition of criminal pensides of a fine up to S 1,54�00 and Forone-year itzzprisoataemt,as vcrell as ri-.I peaalties in the farm of a STOP WORK ORDER and a fame of up to 5(l_@}a a dap a�raiast the violator. Be a&ised'�at a copy'of this statetnent maybe Forwarded to the Office of Investigations of*e DIA for insurance coverage ti'erifrc tion Ida Ifemby m&fy rttrdsr tits paints andpata6s o Firdury thattfte informatimt protwW abm is tt3rg nerd correct TlAtw Phone OAW at am ar;£y. Do not avrits in this=ea,€o be campfetesd by cifp artoirn qjOTC&I My-or Town PermitUcense 9 Issuing Authority(circle one): L Board of Ktahh 2.Building Deparbueaat 3.CHY41rowa Clerk 4 Electrical fmspector ti.PlumbfiM Inspector 6.Mar Contact Perin, #: 6 Town of Barnstable Clln d g Post This Card�So Thatrt�s Visible:From the Street ApprovedPlans,Must lie';Retained on]oband`this Card Must be Kept g �► PostedUnt'I Fi H'as"Been'"IVladea Y s £ 'nal Inspect on Where a Certificate'of Occupancy is Required,Isuch�Buildmg shall Not be Occupied untilasFinal Inspect on has been made Permit No. 13-17.4375 Applicant Name: PAUL F. COLBURN Approvals Date Issued: 12/21/2017 Current Use: Structure. Permit Type: 'Building-Addition/Alteration-Residential Expiration Date: 06/21/2018 Foundation: Location: 42`POINT LANE, HYANNIS Map/Lot 288-169 Zoning District: RB Sheathing: Owner on Record: WASILEWSKI PAUL JR&PATRICIA Contractor Narne a,PAUL F COLBURN Framing: 1 'r on License b a Address: 42 POINT LANE CS 009887 2 HYANNIS, MA 02601 EstProject Cost: $2,500.00 Chimney: Description: build a handicap ramp to comply with code Permit Fee: $85.00 P ,v Insulation: FeePaid 585.00 Project Review Req: � ',S,Date 12/21/2017 Final: Z. Plumbing/Gas /Lv �h ARF Rough Plumbing: Building Official Final Plumbing:. This permit shall be deemed abandoned and-invalid unless the work authorized bythrs permit is commenced within siz months afterlssuance. Rough Gas: All work authorized bythis permit shall conform to the approved appl�ca 1 1 and the approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and struct ures shall be in compliance with the local zoning by laws and codes. This permit be displayed in a;location clearly visible from access stre for road and shall be maintained open for public inspection for the entire duration of the _ work•until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Buildmgaa d Fire O ials ar"e provided onYhi`s permit. Service: Minimum of Five Call inspections'Required for All Construction Work. Rough: 1.foundation or Footing 2.Sheathing Inspection Final: -3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT s� � QQ C ApplicaaonNumber... ............ a. DEPT.XASS Permit Fee........... .................Odwr Fee.................. q DEC20 2011 Total Fee Paid..................................................................... TOWNOU�FcBFj :S'T ..� U11. Permit Approval by.. .......................On.. ... BUILDING PERMIT � APPLICATION �, ...°U..... ...................Piet.......... .... ................. Section 1 — Owners Information and Project Location u Project Address 1.2- L .Owners Name (0-01 �- PU , c.i QL_ kL5% 1 e ui Owners Legal Address r< City Id v, r1 5 State Zip Owners Cell# -71 A( -Za$-3`�a E-mail Section 2—Structural Use Single/Two Family Dwelling ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Section 3—Type of Permit r ❑ New Construction ❑ . Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar , i El Pool El Insulation ❑ Renovation M h Other-SpecifyQ,�� c-�,.,►� w r'� (��� Section 4—Detail r Cost of Proposed Construction4,-Z de)• Square Footage of Project Age of Structure Dig Safe Number #Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Last updated:l ln/2017 Section 5 -Work Description v S I� •� Y�Rf�BL yL-C�� ���1� `��' G��M P IK �.: y h Mc.�, G��t� Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage . ❑ Smoke Detectors a ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑.Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private • 1 Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis historic District ❑ Old Kings highway Debris Disposal Facility: I am using a crane C Yes ET-No Section 7—Flood Zone a Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No t=1 I Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed i Has this property had relief from the Zoning Board in the past? ❑ Yes El No j Lag updated:11nr2017 Legend ,. Parcels Town Boundary 288163 h „ $ i6� ti — Railroad Tracks 25814 a #48 _- #176 268152 j t #16 r` �,, 2881664(�' Buildings #17 £ y € 39 Painted Lines i ---- ----'"' � _ Parking Lots 4 t %28 162 �s iy � rK'11 Paved Unpaved l 288161 1 Driveways 288150 ) IL. #1d Paved #1€t8 28815.1 € t p - r s € ;Unpaved #2 Roads y� z258167 % `€i #` d Paved Road `�= Unpaved Road 1 Bridge - ll ® Paved Median Streams Marsh Water Bodies tN a ffiui �. 4 \ 34 gg��yy qq IN "9 fi { I�g gq 7y�g�yYy\ . `�. E V i '16C�003 :p •a' b _�' 28811titVSlG P _ l,�yK ,y�il" €f \z. F a.� 2851-69. e , a 2 81680 �' ' �':' 28'8'1 P j /. 3 g,, •.'^ 4i #ate`• gg 7 #35 r F 288174 #212 fj. 2# 1 '. 2881688OI �.. 54 ' 8 £ s f '• ❑' Map printed on: 12/20/2017 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 02601 O 83 167 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 508-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale:1 inch= 83 feet cartographic errors or omissions. gis@town.barnstable.ma.us The Commonwealth of Massachusetts Department of Industrial Accidents UW Office of Investigations ' 600 Washington Street - Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information n Please Print Legibly Name(Business/Organization/Individual): Y c j F C- rr\ Address: -i p:,P-I City/State/Zip: �o a-b ,I1ci Phone#• �6`6— 3 411 —`?y (q Are you an employer?Check the appropriate box: Type of project(required): 1.�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, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees.[No workers' 13.❑Other_L�—r naff jJ comp.insurance required.] *,My applicant that checks box#]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 anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees, If the sub-contractors have employees,they must provide their workers'comp,policy number. . I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. nn Insurance Company Name: 9 at-dL 1,n ti . 14 Policy#or Self-ins.Lie.#:_ R Z W e- n 7 q©I Expiration Date: J LZ14 ti$' Job Site Address: Z i��" i-•e-ke 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 under the pains and penalties of perjury that the information provided above is true and correct Signature: �a � Date: (--P-,W A? Phone 1 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 5.Plumbing Inspector. 6.Other Contact Person: Phone#: 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 of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(e7 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 compliance evidence of ta ance with the e insurance enter into any contract for the performance of public work until acceptable P 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 cagy workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below, Self-fi=ed companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant, Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit(license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked.by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth of Massachusetts Department of Tndustnal A=dents Office of Investigations 600 Washington Street Boston,MA 02111 TeL 4 617-727-4900 ext 406 or 1-977-MASS Fax 4 617-727-7749 Revised 4-24-07 www.mass..gov/dia f Nov. 3. 2017 9:03AM No. 0601 P. 1 ACUR& CERTIFICATE OF UABIUTY INSURANCE DATE "" Jtm—� - r ,1/0=01T 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 CONSTRUTE A CONTRACT BETWEEN THE ISStflNG INSUREPASh AUTHOREEED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the poll y(lea)nwd be endorsed. WSUBROGATION IS WAIVED,subject to the terms and condMons of the policy,certain poitcles may require an endomernenL A statement on this certificate does not confer rights to the cettlflcate holder In(ieu of such erldoTse�ne s Prtoouc�R Renon YOImg&Dawns fro Kathy Jones 58 Howland Street (508)432-1478 PAX (508)430.1632 PO Box 569 E�tAa !m 'Drles®BYandD.com Provin mt m MA 02867-W59 IN MRERA.Anvard Imumnce Co INSURED Paul Colbum PO Box 60B INSURIM D., Truro MA 026W COVERAGES CEERTIFICATE NUMBER: REVISION NUMBER: 'THIS IS TO CERTIFYTHAT 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 RESP50T'To WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT MALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCEDBY PAID CLAIMS. Din TYPE OP BrS(IRARCE � PC=W POLICY EXP CONIMMURAL GENERAL VABRM EAf:BADE a DAe1AGE TO ROTTED a MEIP OW aft mmml PEREtONAI a ADV OMMY _CMFM Aa6 s AUTO11ON"LUJRdTY C iBINEO BUK;tE L@�IT 8 ANY AUTO 9001LYOLIURYtPMm^) i AUTOSS AUTTOSSLUS) BODILY(NAMY(Pe emmanq ; NOMHRREDAUTOS AUTOS PROPfRTYOAIyl1,(E i - a Umem LA m OCCUR EACH OCeURRENCE C EKI=LIAR DI.AIN184ADE Ar3MWAYE A WommReCO11PEn8ATRNi R2W1C887801 W4=7 =412018 X P AND EMPLOYERS'LIABIUW ANY PROPRIETOMPARTNOWXECUTM ELEACH 100,= ORS E MrI EXCLUDED? NIA Mn14IMq In NH) LL _Fp 100,000 w4vR do>; m under E.4018648E-POIJCYLBLIT sm.m DLSCRIpTMDN OP OPEAATtONe f LOCATMORS I Y@eCLCtiS�QOrm IK Addillmal Rena ft SdmeWq may be aft*w Irame"m N n*Mda CARPENTRY&REMODELING OPERATIONS; SOLE PROPRIETER,PAUL COLBURK IS Included for coverage.. -MRnFICAR HOLDER CANCELLATION A1009316 SHOULD ANY CIF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF HARMCH THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED UU BUILDING DEPT ACCORDANCE WITH THE POLICY PROVISIONS, 732 MAIN STREET HARMCH MA 0284& Ar►nIORO RMOMTATpA 01988.2014 ACORD CORPORATION. All rights reserved. ACORD 26(2044101) The ACORD name and logo are registered marks of ACORD C1�e tOana�narzu�r��a�C�lla�¢c�cc�e(a'a's -\- Office of Consumer Affairs&Business Regulaicery, k HOME IMPROVEl1AENT CONTRACTOR Registration valid for individual use only r °a TYPE:Individual before the expiration date. If found return to: �R lstration Exairatidii Office of Consumer Affairs and Business Regulation 153905 01/23/2019 10 Park Plaza-Suite 5170 N..{G �� Boston,MA 02116 PAUL F.MOURN f, PAUL COLBURNI)E !� �-- 11 Gospel Path Truro,MA 02666{z ' t Undersecretary Not valid without signature f Commonwealth of Massachusetts Division of Professional Lice6sure Board of Building Regulations and Standards Constr d n�S�Spyrvisor CS-009887 E�pires: 11/09/2019 PAUL F COLBURN., 11 GOSPEL PATHlPO:BOX 6Q8t TRURO MA 02666 -.��trt },' ► Commissioner 610 -_ C> CLIy - l A _ � { - �, .. � + � � } �.� w r V S _ _ ''- _ e..u�a .. � f ,* . ;: ��' 4_ _ a ,�.s. i 7 c 1 � .. _ �: {� ��h� . ' .._..T � _ �_�`S `` .« S � � .. � :.. � .s - y, F _ .. _ t - ,. } ° - _ . � 1 _ - � x t _ - .. - { - .. f � _ _ �I '� �-- Zl�--- �^ � � f L fr i 1 1 v 1r �I --.--- �.------------_-----------______ �. _�. � —�---ate- Q� _ t, �` � � /I r$� �\��f / — — �� _, ,�� I .. � �\ '-` - � -� - --_ _ s---- d �x��'� r-- rI � S �>` f �r _. � v __._,. �� ----p�-�-- . - - - -- --- ------- S � - _ - --- - - c� — __ 1 - .. } � _. —_. _ _ ; _ _e__�_ U r F i .,at�o, C.... I � ��iC� �o ���, �����, �y �Q �,� Qua �O�j ��� .,��1�` Yt Y Section 9-Construction Supervisor Name ((n v r'r, Telephone Number Address f 1 G o RL City i -y-v ro State o 2 6(:7 License Number License Type LS Expiration Date t LI � Contractors Small l v�n �-�(lo v r-n r c_-w,\Cel1# `'f(, I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedm-es,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Sigaattre ��-- t� Date 2� zo It Section 10-Home Improvement Contractor Name ��-� L� l �, n Telephone Number 5 a g -3�1 Address ; City ry State M Q__ Zip Z Registration Number °i S"3�z� Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your KI.C... Signature � � Date 1� ',+p Section 11-Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Canstxnctim Supervisor is accordance with 780 CMR the Massachusetts State Buuldmg Code. I understand the construction inspection procedures,specific inspections and r do=entation required by 780 CMR and the Town of Barnstable. Signature Date i > 26 61 APPLICANT SIGNATURE Signature P Date 1 Z Print Name / a-Q Telephone Number `�'�a�- 3 q -q`t i 9 E-mail permit to: e- c(3 l(i U(-r**,CAX -y am< Ca M Last updated.1 inrz017 Section 12—Department Sign-Offs F. Health Department El Zoning Board(if-required) Historic District ❑. Site Plan Review(if required) ❑ Fire Department ❑ Conservation E For commercial work,please take your plans directly to the fire department for approval Section 13— Owner's Authorization r as Owner of the subject property hereby authorize 4 Cal v�n to act on my behalf, in all matters relative to work authorized by this building permit application for: , 42 b\n+ LWe EL U2( b 1 (Address of jab) Signature of Owner date cr[ri c 9 , W o_%� Print Name i Lastupdzb:&1117rz017 Town of Barnstable BUi1d1I1 x ' P st�:This Card�So;That t is��hsible From:the Street A,6,roved�Plans.Must be,Reta�ned qn°Job and�this Card,MusMbe,Kept << 'l' M"S& Y Posted Until Final Inspection Has.Been Made. f ',� r ' � �'��, � � yb� � ,��r � �y�t� �� ti Where a��Gert�ficate of Occupancy is Required,such:Bu�ldmg�shall Not be�Occupied unt�ha�F�nal inspection has been made'," Permit Permit No. B-16-2477 Applicant Name: Craig Orn Map/Lot: 288-169 Date Issued: 08/29/2016 Current Use: Zoning District: RB Permit Type: Building-Solar Panel-Residential Expiration Date: 02/28/2017 Contractor Name: CRAIG ORN Location: 42POINT LANE, HYANNIS Est Project Cost: $ 16,386.00 Contractor License: CS-080034 Owner on Record: WASILEWSKI,PAUL JR&PATRICIA (; s Permit4Fee $ 133.57 � Address: 42 POINT LAN Fee Paid; $133.57 E HYANNIS, MA 02601 Date 8/29/2016 Description: Installation of an interconnected rooftop solar,PU system8 panels(7.84kW DC) Installation of an interconnected roofto sofa"r PV system:28 panels(7 84kW D,C) Project Review Req : P Y p � ,,� ri� Building Official x This permit shall be deemed abandoned and invalid unless the work authorized by this permit is;commenced within six months after issuance. All work authorized by this permit shall conform to the approved appination and the approved�constru ion documentsforwhich this permit has been granted. All construction,alterations and changes of use of any building and st uctures shall be-in compliance with the local zor�mg by laws+and codes. This permit shall be displayed in a location clearly visible from access s#reef" oad'and shall be maintained open for publ Viinspedion for the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by-the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required forAll Construction Work, 1.Foundation or Footing 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue=lining a installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection , 50, 5.Prior to Covering Structural Members(Frame Inspection) ' , 6.Insulation "" 7;final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. i`�iJ K Jsl� "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ra Town of BarnstableBA RECEIPT; " 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-16-2477 Date Recieved: 8/29/2016 Job Location: 42 POINT LANE,HYANNIS Permit For: Building-Solar Panel-Residential Contractor's Name: 'CRAIG ORN State Lic. No: CS-080034 Address: OXFORD, MA 01540 Applicant Phone: (978) 549-9438 (Home)Owner's Name: WASILEWSKI,PAUL JR&PATRICIA Phone: (508)775-4800 (Home)Owner's Address: 42 POINT LANE, HYANNIS,MA 02601 Work Description: Installation of an interconnected rooftop solar PV system: 28 panels(7.84kW DC) Na Total Value Of Work To Be Performed: $16,386.00 32 Structure Size: 0.00 0.00 0.00 ao Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or.statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Craig Orn 8/29/2016 (978)549-9438 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $16,386.00 1 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $133.57 1 8/29/2016 $133 57 XXXX XXXX-XXXX- Credit Card 4487 i .. ..........................-.............................................. Total Permit Fee Paid: $133.57 • i � F Assessor's map and lot number C� i Sewage Permit number .......................................................... THE To�♦o� T®WN4 OF BARNST.ABLE i BARNSTABLE. i 9�p M6 9• . BUILDING INSPECTOR �ll —�11t1l /L1 Dpo APPLICATION FOR PERMIT TO ........................................................................ . ............. ............................... a�� C/� � �/�y� TYPEOF CONSTRUCTION ................. ............................................... .. ............................................................... '~ ........................... . .........1973. TO THE 'INSPECTOR OF BUILDINGS:The undersigned hereby applies for a permit according to the following information: Location ......................./PJ/Lr. ..... ............ Q,G�GGf° ......................................................... ................................... ProposedUse .............Al.V�1e............................................................................................................................................ 4 ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner s �wU/ �Q.. �/��S'" Address /�� L ........................*........................................ . Name of Builder ...1..?` j.... ... �'�: /../ �..Address ...... .. : ....................................................... J.. �S Name of Architect /� .....(�;/-/ti.........��Gl....... %......Address ............�:����..��.......................................... Numberof Rooms .............................. —................................Foundation .............................................................................. Exterior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .....................:.............................................................. . Heating ....................G[0 ...................................�.� ...........................Plumbing .................................................................................. Fireplace ...............................Approximate Cost Definitive Plan Approved by Planning Board -----------_---------_---------19________. Area /•r 3 2 /V d' Diagram of Lot and Building with Dimensions Fee .... .............. SUBJECT TO APPROVAL OF BOARD OF HEALTH "'d V0 f qj3° ��ss ptl Wo L)s .e� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .... . .................. ....... .......... ........... Wasilewski, Paul g No ...16z.7�.. Permit for ......stau►nnin pool .................... ....................................................... a Point Lane Location ................................................................ Hyannis ............................................................................... Owner Paul Wasilewski .................................................................. Type of Construction .......................................... ................................................................................ Plot ............................ Lot ..... - - . - ---- -- -- ——-- l Permit Granted June 6 73 t' Date of Inspection 19 6 Date Completed .!`. '..�.�...............19 r PERMIT REFUSED ................................................................ 19 ............................................................................... ............................................................................... r h Approved ................................................ 19 M .................I............................................................. fr f