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0185 RIDGEWOOD AVENUE (3)
1 �5 �r� �. �aa � v�, �l� � t �n r �- �. 3� � -- �� � �, �, !, Town of Barnstable B. Wilding Post This"Gard£SoThat it:as.Uis�ble Fromzth,esStreet A roved Plans Must.be.Retained onlob and this Card,Mrist be Kept HARNBTABI.F^ a z 6" Posted Until F�nat InspectionHas Been Made " F � m ° Where a Cert�ficatiz�of Occ"u anc :�s Re utred,such B.uildm'"'°shall Not:be Occupied until a:F�nalKlnspect�on has,been made Permit Permit NO. B-18-2779 Applicant Name: DENNIS L MASON Approvals Date Issued: 10/16/2018 'Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 04/16/2019 Foundation: Commercial Map/Lot: 328-226 Zoning District: SF Sheathing: Location: 185 RIDGEWOOD AVENUE, HYANNIS Contractor Name: :.DENNIS L MASON Framing: 1 d $ N Owner on Record: MWV ASSOCIATES LLC - Contractor License: CS-074821 2 Address: 22 CAMPION RD Est Project Cost: $0.00 Chimney: YARMOUTH PORT, MA 02675 Pe,_fnit',Fee: $25.00 Description: (BUILDING ONE UNIT A FIT OUT COMPLETE FINISH 2 B•EDROOM Insulation: p ( -) Fee Paid S 25.00 (11/2) BATH UNIT Date 10/16/2018 Final: Project Review Req: ' : / Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: Rough Gas: This permit.shall be deemed abandoned and invalid unless the work authorii 8,,by this permit.is commenced within six months after issuance. Final Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which'this permit has been granted. All construction,alterations and changes of use of any building and stnictures'shall be in compliance with the local zoning by laws grid codes. Electrical .:, This permit shall be displayed in a location clearly visible from access street or road and shall be mainf rsed open,for public inspection for the entire duration of the work until the completion of the same. R Service: The Certificate of Occupancy will not be issued until all applicable signatures y,the uilding and,Fire Officials are provided`on this permit. Rough: b B Minimum of Five Call Inspections Required for All Construction Work:' 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Final: 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. Fire Department "Persons contrac ' with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Applicadon N=ba.. 0„p 4rv1e1 � - Penmt Fee...... .................... . ....Other Fee................ ..... Kam M{a Total Fee Paid...................»................................................ ' TOWN OF BARNSTAB LE pmn*Approval by........./�.......... ...on.... � BUILDING PERMIT _...... 376 �....��...� .............Pz=L_.... APPLICATION Section 1—Owner's Information and Project Location Project Address Mw.) l � .� Village � ��+.i►� Owners Owners Legal Address ab 2 �� �+�t-� ��►� { State dR , zip 6 � .. owners Cell# 5®9 ' T�7 ���' E-mail Section 2—Use of Structure Use Group �i �ewd�.°� ❑ Commercial Structure over 35,000 cubic feet Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3—Type of Permit New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire struct are) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild El Deck Apartment © Sprinkler,System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify .Section 4-Work Description TAsturAded 2/ MIS ApplicationNumber....... ..... .......................!.......... Section 5—Detail Cost of Proposed Construction 4,C- AIW Square Footage of Project Age of Structure Dig Safe Number #Of Bedrooms Existing Total#Of Bedrooms(proposers 110 MPH Word Zone Compliance Method ❑ MA Checklist❑ WFCM Checklist ❑ Resign Section 6—Project Specifies ❑ Wbing [] Oil Tank Storage - ❑ Smoke DebecWm ❑ Plumbing pas ` ❑ FIre Suppression Q Heating System ® Masomg allmney Q AOrelocate bedroom Water Supply public �] private SewageDisposal Municipal 'Q On Site Mkoric District ❑ Hyannis FFatoric District ❑ Old Kings Highway Debris Disposal Facility-. d c► I am using a crane Q Yes No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No Section 8—Zoning Woranation Zoning District Proposed Use Lot Area,Sq Ft Total Frontage Perceaiage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard proposed Rear Yard Required Proposed Side Yard R=pfted Proposes_______, Has tins property had relief from the Zoning Board in the past? 0 Yes Q No JJwtTMd mans Application ................................•.. Section 9--Construction Supervisor NamejXo-jwvg�, Telephone Number Address City State LicenseNumberO ®a l�'LieenseTypeld�9 'on Date 'J�p Z Contractors grnnii .. Dom# �rt • 1 lundmstandmy the rulm and regulations for Luznsed cow Supervisor is wcmdmw with 780 CMR the Massaclmsetts nuderstand the=&ucdm fnT=tkzuWo=&M specific inspectim and demon so owsz n f Barnstab .Attach a copy afyour Iimme. Signattne Date 40n-10—Home Improvement Contractor Name Telephone Number . Address City State -Tip Rggistra mNumber man Date I understand my responsfix ities under the rules and regulations far Home bmprovemeat Conductors is=Mdance with 780 CMR the Massa�huetts State Building Code. I understand the canstructiOn mspectioa procedures,specific iaspectioms and docanmentatian rec}aired by 780 CMR and the Town ofBamstable.Attach a copy of your RLC... Sigaafiae ' Dak- _... Section 11 Home Owners Ucense Exemption Home:Owners Name: Telephone Number Cell or Work Number I understand my respa asifr`lities under the rules and regulations for U=nsed Construction SWMIAsar ia, with 780 CMR the Massachusetts Stake Bing Code. Imd=tandftcOBWactimkRxcd=P=O&MV=i&bV=dmmd docmmeaon r�aired by 780 CM and the Tows of Barnstable, Signature. Date �ANT. SIGNATURE Signatiae Date 1 Print Name , y Telephone Numbea 71 E-mail perm t to: teot!*�Wss Section 12 Department Sign-Offs Head Department ❑ wing Board 0f required ❑ EL-toric District ❑ Sam Plan Review(ifmqukw-) ❑ Fire Department Conservation ❑ For COMMei W world Pkse take yortr phvs firre *to theme 4fip=WuWfbr:WmaL Section 13—Owner's Authorization I, , as Owner of the-sub j ect property hereby authorize to act on my beW in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date PrintName wam�a:2MMIS "AM P,lt W SUOSOR.RfuONE D-AN.0.LAP E.." NADER BAU.,I1.0.ALL� E,C SOL W ..u N ALS _ EGEND mL.1.ONRLAP.Nridl E.-E BASKETS Fit.)AND—ARD NOTES ,o wm.E.e1m f°°C0'r m 1DP Dr 'FEAVA,E sue R soa 01 X m, x 088E LKx PUQ P'OOE,BAtt 14tOMrw s 4:.1 TO a \y \ � n F )i��•\-/ ��l -lN..)J r,OVOs[0 Yot u CRwE Nrv4O nL00 Wp RAEE a'(,=�ACi49�OPrce„1O � IN, BARK uut c—Ox dlDrtot a T[AKM nrl[s ww to tiauE,i¢Mdi v u tw -$t 1 r[e HNC R 1.1L„YOEk'R SU856L nun A,u,wr w E.CAVAIE HDLE m •' ,ry LwwOpa •rzwwypy,�ArtA °pu¢a w'vaN,[. 'Mss Lv \� ••ywL' ,r a.ANETER °;« p �PaDPx�wa.RSE°" aeam PAVEMENT CROSS SECTION „ sat PLANT., "D wm tR eHa .. xPstmwa » ro a �,u w I . sPEarrcD Rod wrruts nOPO9m FOR \ °w+�r"NOrcrc tl, d , , �°YOWt fief H,M fi[Ax aw0.,mmv OCRu EDGES \: ti mm uu�cuu r� AS AWAT is wsr.MAPw a m..ntW mAN.Ac AGz``B7.9u W,eaE �� e.re srtMdnt Di.MT�raLKAau — a &FWIA PLANTr1G Dal»e w w1.- waulm PER"Dus ImGK P'wGRs `�; d _ d.d, N01 i0 SCALC ,�A(rr+�» M.IX m wRa,Y P r MO•�'OI,AO[.wl PIwO Y•Au0 Ai. O,cvnt a r .Ass G, _ _ arse AIA eom Psl MxriaG`'ura7ieE•umr PA,ERs v' LOCUS MAP m,icmn Aw a.O9wv M 0,wronx 1O,u .� � uRt BR.Cu PAv[Rs M EauK \� WALE,•.3000': «DYKE BNOOu Rw.r t•OPtM,[ 9,r[N¢0 KM_TA m NAK m�,10ua Nw6 SV6ACE,CAr[A ,x•x-••:••{: \'PFAsr. ,u, F mxC4r 0•.'-n0 MR[wsx ulrwcM GA,O[ ad AM OaCYM n,U,uRs m eE w,r,um E.RxD^•• OJ,•YB.RaLER GDMPAGTED • ASSESSORS YAP]Se PARCEL 22e q y:,•c E''n9,NB11iE'ri'P Awn w,L?awnms , SSm v[ (•5a uu PASMNG I]o0) r>w y: _ a:m t9aMw mR werzt w e•LeM[:saD ;DWIILDeMP SDESLSE "' °° OWNER OF RECORD 9 fN; I K u S.1 °f'SM.mM�Naul�elEMprs vRmOam,fE DISIVRBm APFAS •� \: -Ywv ASSOCIATES LLC _ ` IE..I• - ,rwm(Rx1 rtAu6 lttP.) ...-I IN I lIro1 R'E ID . DPmP PRSION OU.S„Y \\ Oupru uv,trz YARMWiNPORT MA OH75 ! [D 9renNK �eNw""woWAD umE RouE �'. \\• I... CEMENT CONCRETE WALK IN "A '�` PERVIOUS BRICK.:PAVERS.SECTION ° —GMit,m MMN „�'k3,3" s \�" oEwr.ED sroxE REFERENCES mew c-wrtx as,xG 10 aluE AD.B,DG. xOi TO scuE \:` DEED Boa 11210 PACE 101 lw•mq•a•» *au�rnttw cwn ms•ia wa sw°�Cr ro °wawrt \� uwNlwm rtau wrt \\\\ SCALN vWE PLAN SOON B PAM RIB . eu BAeN MIT , ^^' [ ZONING SUMMARY AOAcr ro uuOE Asuc-.r. �jI UHE 6 MAP 32e PARCEL]3 /195 IRIT CONC.1:12 NCP auI wu r A Is ,w0x P CURB CUT—AG ZONING D'Smel:SF GSTIOCT RG%Si DISTRICTS Y1V'J�S"CIAPc 93 �.DLL' TACnLL i x w' ur�Lw�rvrt R WK.: ROP.SED. S1RIP COLOR°o LOT 512E 20.000 SF. 1),09,S.F. °w,lv+'N•"°i°uC• u m `v`i ' D M.) _( 0 :m°O• UW,LOT FRONTAGE 2O ;2V _ H uw.Lor o.D1N loo' ut' X m. "RY..0.3' SA Ew,R.0 m EARi iR[NCn NOON ipENCn Q D ,p°n1r•�wd°e°mu m ,•snAJa uD - - ¢s � _ IN.'.3e.5' PAYEME").PROPOSED uw.FRONT SETBACK 2O 20.1' . s _ i3e,dA• MIN.SIOE SETBACK 10' 0..' 1 l�—W�,w,,�^" M g m yy -•, teY2 e'SialaDE fEN E Mw,RE/Jt sEiBACK lo' WE.MNG NOGNT 3V 18'! A n _ 'Yp0 [THEE rh IM. PIPE IN TRENCH BUILDING WAR AGE 20.es OUMP5IER NATIMPURAL TC0YERAGE ]DR 3eA.neR MEN Q 11 , -tl. y t.%t �•:`�� g PERVDU 5 1,. PROPOSED"-- 1 III �1 vN y PAVERS EELSIOP" A:bP�:�Z� PAVCD PARKING - 1 R a.voruGu rmM •-• V 1 wnOarw MAP]2B PARCEL]. �, • lTj j"- VI t/ ^"`°^D g 4O 1�=-�' - 39.9'„ ! p SITE IS LOCATED M1Mw lIQ VIEUN[AD PROTECTION �AMES ARTHUP AVOW � -y_ _• � p OVERLAY DISTRICT DO S3 PG s I f _ I S6 o' p�arEp qm,{2 (- 0 Mir«Id' ) �� -.) }, 4.,I ' I �,14# O'PERIMETER MEN MACE-MART RED.FOR 1• 7A i 30.5' n 1 SUTTER PER PUN OrMEN4gtS VANS. :":'::[t.wxdrL_�°r;e.gym.ate,.Pr-a R • 1 •�ll�Pole ma.PM rwYmr•. " USES: SEWER MANHOLE DETAIL /� / w 3 UNIT M )e I I, ' . ,-y,I.3-5ronos°ED USCVAMULM�M�Y DWFLRGSC M9 hUMT 11 I T, > !i f • ) )! A `.womPrw° a°Nrr• b" TOMwaSE STTLE RE9O[xnAl BU0.yINGl FOR A PROP�ED RYWELL TOTAL a e RESIOERnAL DMAUNG UNITS 'C tIR WTrOR 1Y'100 w,.IEP SVPPLY DN. BU0.pNGr] 3'v5• j r 'U 1 4 Ij,jam ii b * ^ Pu4n:e+0Pnl . TO,_�.s'2O /IP xi�llf O9e.wJ AT 0.YwmeueN RPvO - �� µ,l( �n" .� TREE PLANTING DETAIL wA •• �P" cD Q�o1 — t PARKING CALCULATIONS: -500-]l5-OObJ PERMOUS ti UHI==�� - Al B DYklL- VISITOR .� -R1NGIEU'+ n `• ellYa` F Rm our WATER LINE NOTES: C. ARDS( -- 1 " UWH •,4 -, • � g�V t r �` ,� aowvJ MM 1.5/D.V.+,VWTOR SPADE/10.,]SPACES RED. ,tmAu.w aAx ro, lu,ysOMO ,�ye rsuOYwvA q ,/"C uWT ,-, c a 0 ) 13 SPACES MWOED wauaNO I"ANOMAP wMRNw�"a�w xs°w mLP ro.. /�•r /" r �_ _-/ �,a�� I >m tai,•�Nw�a`Iu S•o..m>m""�"Ons°'""'w,o r:`�. rur ze PARcnm l�Ze'��,'C.I`' 1].oe : M c mm n UrRSON SILVA 1� �''4=A uNR D I " X REQUESTED WAIVERS _ iwu d maoRn roe,00 Pu°n°vn u9itOtiAr DS 2e4O7 PG xB �1 yJ -___ v t•• 1 8uW N0 To P)RLDUCTW1 IN PMNOG LANDSCAPE BUFFER .,vN�•�ru,0 mv[m � YwIIDING]0 ARIUNG BUFFER 10 1'.10'PCPoMCTR SUfFFR tO 3- M sii�,E cw H,r^ngnrH�XiMi o•�wiwi:.u•iiq w.vMt a ...A SONIC WK.. U.IO,_ MAP 328 PARCEL TDB y,$ ..3• o�^-t.-.l l`1dj7 - SITE PLAN cirPw •rintY'orsx $MAR LED COW'LETF,POST MHT GARY E.—SLEY J.-, g393-1 REDUCTION IN DUMPSN R SETBACK FRON ABUTTING - OF • w4F tt r 1 w� a.,ram O OB B88.PG 85 PROPERTIES EOMYERPAL TO NORM .'PROPOSED. " °"" TYPICAL LIGHT POLE r �m /- ( ' RIDGEWOOD RESIDENCES dMA"K °a a mRrxe wrt.we,[,e rFrnoxo c°xarc,oR uo nssnm aawm Nor to v+,[ I 1,7) \ 30'O.C. OEOP 9r LOT ALL 15A(REMILDEWS".B UN 15 PROPOSED. ). RCSIOENCE PER AT �.1 LOT ALLOWED.(RECUUTORY AGREEMENT RED) SITE/LANDSCAPE PLAN e2. 241.5(ejcn 1V PERIMETER GREEN SPACE(VARrtS 3'MIN) 44EM.9@IDGE1l1/OOD=AVENUE "20 HOPE CPV-SAy=NP DY AO5 G1Cx 84Mx CB/US,m O,ol GW efnu AR4O-2..I.N U)SICI LANDSCARNC.M'LANDSCAPED SETBACK 10 HYANNIS• MA .I 12•P HOPE ulN TO usl[D n.ustm ,_ �,' SGMe i.20 - REgpENDAL PROPERTY UNE PEDNRFD rxuvER TO..5' V SLOPE OaS ux.(,N_IS Pau R. WEST RESIDENCE AND 10..'TO SMEW RESIDENCE REGUMED, PREPARED EDN M N-1]��RW tYnO in H-]g•HOO,�CPP' 0 ,P » Y m s0 R[, aTwvP.n On,a Rom" x�g, ROPE,R op. me ®2W BI LOT SIZE RNEf(v MERGER ISSUES TT"ASUTn"c SEASHORE HOMES INC. rv[ COMMERCIAL PROPERTY),ALSO Rua FOR AB LOT COV[FACE ,m rdum ma maOi'O''amr x>rw0, IT REOWROD DUE TO ANY MERCER'SSUES(MAP 12O/]J) �' vlr(rro.l x.o•Im,) DATE: MARCH 8.2O18 B"8'� fr i'P•' Jas Ow.Pw[Y,rwE 3 ON t0 J •P . `PPOPOSEDC(]1RLCREEEN ROPOSED)NATURAL-xA NATURAL REVISED U: MPo, 0, 18 (SPR COMMENTS) �i i ;td S w b r: m ri rt ssM� q p REVISED iHRU: APRIL 13. 7.2(8( WAIVERS.WAIVERS) "i BURDING REVISED THRU: APRIL 37.2018(EDIT MAKERS) A / (( • ,. P REVISED iHRU: MAY 31,2018(MOVE COMMENTS) WATER SE WA - 'ApwO REVISED THRU: AUGUST 17,2O18 MOVE WATER SERVICE) S,'E'!LD rLA1H WIN. - .,°•'A, °•4u,yP s, WA, 0 e•GM2¢o'si�otmNt --- •n un4� 3122"S Ewu SMHI DRAINAGE CROSS SECTION :a3^' P' _ we"pe en fneeNa�iar. �a:( xa xm,o suiG dmP MwroM.r sxw[vr%Paver.gym IW P'--I ve nn.,arrs.w MAT.twwr, Yw E \ .� ,,^ � 11-1 s � o r NntA� rrx ma,.a. l L-C�+ c]rp engineer SEWER PROFILE DA" DwRTA.ouu�-PE DATE � R rD R ca AA Parr we]s ., PERMIT%I NOT FOR CONSTNUcnoN DCB #18-028 Town of Barnstable - Building., Post,:Th is" CardSo' That�t is Uisible.Fromthe Street A " roved Plans Must�be Retamed�on Job and this Card Musbe.Kept Bnxavtrwrsr� pp.. Post d UntilF rial Irispectio�Has Been 11%la e �- ° Where.axCertificate of Occanc s.Re used' such Buildln shallNot be Occupied>�until a F�nalanspec#Lon has been,mades Permit ,-, Permit No. B-19-178 Applicant Name: ALFRED J GAGNE Approvals Date Issued: 01/23/2019 Current Use: Structure Permit Type: Building-Sheet Metal-Residential Expiration Date: 07/23/2019 Foundation- Location: 185 RIDGEWOOD AVENUE, HYANNIS Map/Lot: 328 226 Zoning District: SF Sheathing: Owner on Record: SEASHORE HOMES INC Contractor Name ALFRED J GAGNE Framing: 1 Address: 10 EMBASSY LANE Contractor License 3387 2 YARMOUTH PORT, MA 02675 Est Protect Cost: $0.00 Chimney: Description: install 40,000 btu 96.5%AFUE furnace with 1.5 tons ac 140 seer e�9 Permit Fee: $85.00 sheet metal duct workunit A ? Insulation: Fee Patl $85.00 . Final: Project Review Req: Date 1/23/2019 .n 61, Plumbing/Gas Rough Plumbing: K 'r Building Official "_� ` Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within siz months afteri'ssuance. All work authorized by this permit shall conform to the approved application and th approved construction documents"for wh�cH h s 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 zoning y laws„and codes. This permit shall be displayed in a location clearly visible from access street or road a d shall be maintained open for public inspection for the entire duration of the . � Electrical. work until the completion of the same. �u Service: The Certificate of Occupancy will not be issued until all applicable signat6re9 by the Bwlding a d Fire Officials are,prouided on this permit. Minimum of Five Call Inspections Required for All Construction Work:" .. � Rou h: 1.Foundation or Footing '" '" "" `" •u, ~ ,. g 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 Final' Building plans are to be available on site c� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Commonwealth of Massachusetts Sheet Nlefal Permit Map,3dT Parcel Date: '; . 6� ! Permit g Estimated Job Cost: $ /Di , UD Permit Fee: $ - ' Plans Submitted: YES NO Plans Reviewed: YES NO Business License# 6 aiv Applicant Licenser Business Infomsation: Property Gvmer/Job Location Information: Name: �5,1VA7- /���. �� Name: 5- -z5Edz1)2� Street: t 7 ?41�:I-Z 147V4r2-5 ,LD Street: 6�S'✓��,r��a�cJ 4 9A City/Town.: Ca d 11W dzb 36 City/Town: S�Al+ cra,11101 Telephone: 52�- 5Ye— !eDO0 Telephone: 7-75f- `1F7-- 9 try Photo I.D. required/ Copy of Photo I.D. attached: YES `✓ NO sir J-1 M estricted license ' dwellings 3-stories or less and commercial u to 10 000 s . ft./2-stories or lees J-2/.M-2-restricted to dw ll1n� p � q Residential: 1-2 family Multi-family ✓ Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept.Approval Institutional_ Other Square Footage: under 10,000 sq. ft. ✓ over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: ✓ Renovation: HVAC ✓ Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/.Vents ' Air Balancing Provide detailed description of work to be done: r MURANCE COVERAGE: I-have a current liabili insurance policy or its e.quivalentwhich meets the requirements of M.G.L.Ch.112 Yes oKo l l If you have checked)L91, indicate the type of coverage by checking the appropriate box below: I A liability insurance policy [ Other type of indemnity [j Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee dogs not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement Check One Only Owner [� Agent CJ Sig ature of Owner or Owner's Agent By checking this box0, I hereby certify that all of the details and information I have submitted(or entered)r gardin-d this applir an are true and accurate to the best of my knowledge and that all sheet metal work and installations perormed under the permit issued for this application vain be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Pro aress Inspections Date Comments Final Inspection Date col—g is Type of License: By c1aster Tit3e Cl MastiBr-Restricted Cityrr ❑Joumeyperson Signature of Licensee Permits ❑Joumeyperson-Restricted License Number c3,3rf 7 Fee$ ❑ Check at y`^-x^- .Mass.crovldnl Email: Inspector Signature of Permit Approval 97 :Cal � � :u&lol aq r4`ua�v sm;uy a}?.t ;rzir�� 4r asx� r��f2 2a G=4a �� ' mod' 7=LmPWmgig v �ir�`�'``��st�t�`�.�tr.�d�'vs�rrad�uvsc� --`Ps'rn' �v��ra7jaF�T � r.>>3sar CI �° I zr— rV 3T�-{3 ✓' r r- 9a' m sa��sa c '? aI arm A ca fl0fl3 ° do arsg szo.--Jrq�jes= 3+ i* i�'T� tJC) t� = SFzse �zo� esn33 . pm xKpn � e-*gip.-go3-U.-q dx=a'sr3:T-Tasi-TEX jo Tp�V 1a9z. Gc�o S8> � qar PZQO�i 97 y-�rTr�r{ rGd. �������? � �a�d�uar::a,ra� �rs-�zu�.�sr��oa�sza�.ra�cas??*l�nrds?�vr�.ra��urauvurui " UPGE �Gn�g ' ] � asnpra�� �a[geTl.2gEIT 5.�33LT` zz-znrm.e ZMQM -C TJT Emsui 0=3t �m s jaazq FOE sz�- Tff= ssjd�as 9� ICI ET ' ^T-7zTs�sear ar3 aj.05-e Tue I c- i o� 2AT�i' L �, z u uzz� �jd = 5��a£asdPa a�,I, , �q aierz�oaddE au��aq�Gs���n�asr� a d Mal # ;aa. zto Si 0.09 fo LE s BAYSMEC-01 KALLIETTA DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE �s 10/0312018 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 have ADDITIONAL INSURED provisions or 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 ICpNTACT Almeida 8 Carlson Insurance Agency,Inc HONK E>a 508 540 6161 FAX No 508.457 7660 PO Box 554 L( -'.._'-,)�—._ __._...._ —_..-- ---- --' -� —�——- -- -..-- Falmouth,MA 02541 'EAosr.._......_.__.._....__._'_...___-----:--_____._.__-----.....__..____--_-----_----;_-------._____ NAIL#---- INSURER A_ARBELLA_PROTECTION INS CO 141360 .—.__ INSURED INSURE s_AIM Insurance Commpany_ Bayside Mechanical Corp I INSURER — 497 Thomas B Landers Road Unit 1 F INSURERD: E Falmouth,MA 02536 ( — — INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM 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. INSR ADDLISUBR POLICY EFF , POLICY EXP L I TYPE OF INSURANCE � POLICY NUMBER LIMITS 1,000,000 A ! X I COMMERCIAL GENERAL LIABILITY I 1 EACH OCCURRENCE �AMAGE TO RENTED I 100,000 CLAIMS MADE i Xli OCCUR 18500060168 09/01/2018 109/0112019 1 X l Broad Form Add'I Ins I i MED EXP An one rson I$ 5,000 �- —i_Y_�—1 1 PERSONAL&ADVINJURY _ $ 1,000,000 2,000,000 I-GEN'L AGGREGATE LIMIT APPLIES PER: i i GENERAL AGGREGATE I$- ---I po POLICY -i jECT _ LOC j I I PRODUCTS;COMP/OP AGG_.18--___—,___2,000,000 I I OTHER COMBINED SINGLE LIMIT AUT OMOBILE LIABILITY BODILY INJURY Per 'ANYAUTO arson I$ - i OWNED SCHEDULED I I AUTOS ONLY I I AUTOS j 1 BODILY INJURY-Per acoidentL1$__.- HIRED I NON WNED I I i PROPERTY DAMAGE _$_ j .I _I S AUTOS ONLY _.!AUTO ONLY I I P(-eraCpdent UMBRELLA LiAB I OCCUR I I I I EACH OCCURRENCE __._t$____._.- -_ 1 EXCESS LIAB - `- �-CLAIMS-MADEI I ! AGGREGATE Is _ DED RETENTION$ I I I !$ B WORKERS COMPENSATION I PER ERH__I !AND EMPLOYERS'LIABILITY --"L�-- - - '-"'--�- OFFICRWRIETOREXRLUDRE ECUTIVE ` NI1N1Ai AWC40070313702018 ; 0910912018 09I01/2019 E.L.EACH ACCIDENT _-_— $___1,000,000 (Mandatory in NH) -- ' I I I E.desmbe underL.DISEASE-EA EMPLOYEE I$ 1'000'0O0 I DESCRIPTION OF OPERATIONS below 1 i I E.L.DISEASE-POLICY LIMIT $ 1,000,000 i I 1 i 1 ( 1 I 1 I I i i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, Town of Barnstable,MA ACCORDANCE WITH THE POLICY P OWSIONS.NOTICE WILL BE DELIVERED IN I AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Wed.3 Oct 2018 15:53:40 f .. 1 AS SACH USE - DRIVE R'S T L LENS � i z a�iss rurc�eea_ y 3 T ��: �� ,. t�t22�2o1s S�9481588MN F R i MIA -All t *` i= z�_�� 1112fif2921~ 1112611949 x, cEAss saesr e Erm ra a 9 I x maw i �,� WAQ OiT Mh�2336 Z3 b F t' 1xrP 7 rN s _3 fA S t ,, `a�zN�? tssoc M �,6NGT+6 02 h.; 1`1 t6l4�',.3 a "' w—G+Y rl 30D iVT31P16`Rev OL2L2616^ n •,:t s COM O WEALTH`OF MASSACHUSE'fTS ® Rl N its] ®I R ZJ&HAr , BOARD DF,. SHEET METAL WORKERS ISSUES THE FOL-LOWING LICENSE � . ALFRED J GAGNE i BAYSID'E MECHANICAL CORE Y J' izy�1� i .1 497 THOMAS B LANDERS ROAD1-^ zg., UNIT,1 .fALMOUTH,MA 02536 124: ; 11124I2020' 482757 ssera.ewwStaNzi�',a�YaFrm r : 011AM'ONWEALT.H OF,MASS%�CHU ,, BCIAIii?OF t• � m � ; SHEET METAL WORKERS ISSUES THE FOLLOWING LICENSE' s MASTER UNRESTRICTED g ALFRED J GAGNE 18 HAMBLIN POINTAD" ski s WAQUOIT,MA 02536 7707 'fir W 33$7 11128/2019 349036 .a Town of Barnstable: Building Department Services sesx�rtffia. F Brian Florence, CBO Eon Budding Commissioner 200 Main Street,.Hyamis,MA.02601 W town.barnstable.maus Office508-862-4038 : Fam 508-790-6230 ProP e Owner Must Complete and-Sign This Section - If Using A Builder I, s6 '!:�ko aA/Y U2 a —a)t r. ;a5 0-% er of the sub1ect PSOP Y . hereby authorize / i �b e�� '. to act on . in aIl matters relative to work authorized by this building permiz appEcadon for: . 5 lYAwr S (Ad ess of Job) . Pool fences and alarms areahe responsibility of the applicant Pools are not to be filled or utilized before fence:is installed and all final spections are performed and accepted ig=t=e of Owner signatu=e of Appliczat . Print Name Seem102r� Print Name ate Q:FORMS:OWNEBP=,MSIONPOOLS .. Rev:-08/16117. i