The URL can be used to link to this page

Home My WebLink About0346 SEA STREET i+ CRAPE 00 -IN SULATION ; { - FIBER GLASS SEAMLESS SPEAYEOAM SUSPENDED SATTS. GUTTERS INSULATION CEILINGS 1-800-696-6611 a 1 CD Town of . !JG� l�S � . ' T ; A Regulatory Services _ A' Building Division 'Addr`ess - �t j Address 2 - y ,Y �'. rn Date: �; a p/I Z" Dear Building Inspector f y • - - - .o i, Please 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.l ' F Property Address Village Insulation Installed:, Fiberglass Cellulose .R-Value Restricted Unrestricted r' r Ceilings ( ' ) (,�) .. ( yam) .)4i ( x) - Slopes Floors (X) t1o) Cx„� Walls Si erely a. s #apeod ss' y Jr, esident ulation, Inc. y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel2o3o Application 4�9 Health Division -Date Issued Conservation Division Application Fee _ Planning Dept. Permit Fee S� Date Definitive.Plan Approved by Planning Board Historic - OKH _Preservation/ Hyannis Project Street Address 3410 � - Village W`7 Owner UV Address 7 Telephone Permit Request f /1� 7A%� �J `� o�� ` J��✓'TAG l 77 &!kq e6J' k WWI A" telxia ew6odda z tl1� airy %i 9 I IZc/l 2. Z� � �Q 1 -61 ld . 6 673 �a Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain % Groundwater Overlay Project Valuation Lox 0 Construction Type �'l®'�/�.—� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 63"'- Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.#) G _ r.. Number of Baths: Full: existing new Half: existing Number of Bedrooms: existing _new -" 9 Total Room Count (not including baths): existing new First Floor Room Count Heat Typb and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stogie: ®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 ❑ i Commercial ❑Yes ! If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER)- Name Telephone Numbers Addres �� V 1221�L License# Jj 4kwrrr� f I Home Improvement Contractor# �� b Worker's Compensation # l�LAV Z456i01 ALL CONSTRUCTION DEBRIS RESULTING FR M THIS PROJ CT WILL BE TAKEN TO dm�,for SIGNATURE DATE M, FOR OFFICIAL USE ONLY ` APPLICATION# - DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE ` OWNER DATE OF INSPECTION: FOUNDATION FRAME k. 'x INSULATION F FIREPLACE r 'l ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL r FINAL BUILDING 4 - DATE CLOSED OUT ASSOCIATION PLAN NO. - `� 10 Park- Plaza - Suite 5170 f_ ti Boston, Massachusetts 02116 ' Home Improvement Cwitxactor Registration ._. Reqistration: 153567 1 vpe: Private Corporation , Expiration: '1 211 512 0 1 2 Tr# 206433 CAPE COD INSULATION, INC HENRY CASSIDY - 455 YARMOUTH RD. --- - -- - _. HYANNIS, MA 02601 Update Address and return card. Nl:u k reason for change. L) Address I-_I Renewal I _I Employment I LostCrd AI Zi iUhbitIrO-li1Wi''7g - (1(ficc„b��(tt'nittsuwcr .-affairs '�ttusSucr/e Rrgultriou License or registration valid for i;;dil'7d1a »rc .1, _ hiOM�IMpRb� `f(1(��J" �IV1`�AC I f�J{°t`i':�`u before tlic expiration date. If found return to: a Registration: 153567 Type: Office of Consumer Affairs and Business Regulation. Expiration: 12/15/2012 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 SOD iNSULA l ION, INC _NRl' CASSIDY 5 YARMOUTii RD (AWS,MA 02601 k ----_.- Atalid Undersecretary ith t sio ture '� IVL•tssachusctts- Dc ru'nncn[ ut4 Pu - I bllc S�ltct� Boat-d ill' Buildiw, Rc"ulations anti j[aJld«Il'tt.0 Construction Supervisor License o License: CS 100988 « HENRY .CASSIDY 8 SHED:ROW WEST YARMOUTH, MA'02673 Expiration: 11/11/2013, ('uiwuissiuurr TrN: 7620 { r '' Th.a L-,�tntr!or:rvr>.fl!!r U,f•ll�1t�S�aChus'etl,� =-_ C? �rartruer'!i i (Ir'fdustriczl �c'ctc�en.fs S --�'fl �.1�7�iY OFr2Ce�ilrl.iPf}'2Stl C11fU!1'J' '_sf rig •J J f r F1ginrt Sf r r.c.. MA 0211 f `s c5'" rvFvit.rrlss.got'/dia ti\ ut.l:r-t:s' Curzl}aellsation Znsu-riuce ��fl"td:t��it: Builders!Cohtrttc.torsi)-Jectt ic.iansrl'tl.unht_rs 'I'Ltc ltll ttllul m t(icul a'Icasi I'r irit. Cto ihly ! ;itlllt. ,L;.;alnr-;s/C.)It_,anv:atiort/lnilivictual):._ t II, ,,t tit:l � t,> - � s ,G1� Pl�ocit: Ff � s�o •�_ ?__�_ -_- � �._�� _ r. "u'.l Liu clrtl,lop'l? C'tleck (h appropriate, bo,C; Type n( h"ojecf (ter!-uircd). l ! I �--7 =l. l tni ;rral Ulutractul and I �,`t tl t l_ 1 1v}r I , ((Litt lnd1or par(-t rn hl\cc icd the sub contlamil'S b D Ntw cc,rnttuc:[it:m i .In .� +,.�li, l.,rulitinto, �,,. l:rtllor.l_ hsi<:ci aic:attached she"[. 7 �� Rc,tllodf lull.', r.l ,A„d Luavr. ,Ii, r•t'tih1C)ees 1'hcsc ui; contlaciors ha 'c 17rrnollrlull art�ploy s.at�d have �rorkcrs' '. wulhing Cut roc. Ott eui} capacity, 9, L� Nuilding ,ulditiilrl . i (l;u urkcrs' curnp. insurance comp insurance t We arc a corporation and its rnl:,alrs or oddiholis I i i aut a lmirlLowncr doing all work officr,rs have ourciscd their t l.L.J Ptw:rtbing repays or additl0r!s I mys,cll (I�lo wotk.cl-s' conll:r. [ig.htof excmp[iUn pea AlG[ tIn Roof rc.pairs e I 2 ;1(4), an we have no l il,�,l.,.raul:r., let{tnrctl.] d - ,,, entpioyres. [No workers' comp. uIsurauce rrquirrd,] _ :...----__...- _ 1,1 ,apl,lira.nl Ohio cFn-cks box, #I must also fill out ncr.scclio❑below,howilig Uicu workers'compensation policy irifonnntiun. „ h,;Iwo,.,,-ucls who submit[his Otrf'idavit indicaligG they Lilt doing all W1.1il:,rid lhcn hire outside rontraclors must submit a nc.w alTidavlt inclicatiul;sur:h. I! .mllat.tcm thin check this bax I-nust auachcd all addition&l,shcel showing iu name of the sub-coiili'aclors and state v,'hc[hcr ur 1101 dtusc cntiUcs have (I u,c.sub-cori Cructurs huve employees,they must provide Iheu workers'comp.policy number, I tJf! III t.11tploYer eho 4s pruv dt/tg Workers' colt pe,,ISGGJII itistirance fc)r irly ein,ployees. Selorh is the ElothT wto'iob 31i(t, ' i t..0ulpa.n IJumr: rr cn rlF Ins. l.fc, lF ( Q. LxtiI-atio>a Dater -- —� - h `,Itr, r\rl,fri Cir`/State%Zi --- �.� - - narh :I copy of the workers' curnpensatiotl Policy declaration page (showing the'potic) uurnlJer and exl'rtr tclt ) .:.ilur- it:) sa:ur<: cuvr,rELgia asp a c-quired uodcr Scction 2 5,\ of Iv1GL,c. 152 can lead to tbt imposi(ion of c t trrunal pr,a tlti:;r of a ,Il, tr.j $1,500.00 and/or onlc-year unprisoament, as wc.li as civil penalties in the fortn•of a STOP WORK OP\_ FA( anti it(inc. to ,y;?50.00 a day agai:ost the violator.•.Be, advised iha[ t copy of this statcalcut may bc. forwarded to the Offtcr.01 t, ullum uC thc :DIA fir insurance cov`eragr verification. -- _ he.re,c y cyrtyj j ui e pr, and penalties ofperJ:::y that fhe irlformacion provided above is trice. will drr ri. o , Late: --...---- I . (t�fi I.rl u..ic only. Cro rio write,in this area, t'o be corfrl4ted by ctry'or towrt offfcral Perrnit/Umise ht.l U w rt ---- — - -- ----- uC(lot-i('s< (circle one): 'hoard of fie,utt.h '2. kiuilding Deparlment 3. C:irvl'oirn Cleril 4, L,Iccuical Inspect:()" 5. Plurnbint, 1ns1 01 l Phone ...-....-.....- Client#:4597 CCINSUL /� ACORb CERTIFICATE OF LIABILITY INSURANCE DATE jMM/DD/YYY`O2ro2/2o12 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. IMPURTAN 1:If e certificate holder is an AUIDITIONAL INbUKIzU,the po icy les must be endorsed. ,su lec o 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). - - _. _ _ NAME• Margaret YOUng PRODUCER Rogers&Gray Ins.So. Dennis ----- -` S PHONE- ..._ . ...,.. ....... ..... ._, _ .._._._ FAX.- 434 Route 134 t a ��•EXtI:508-760-4602 _ l!---1,—).:..87Z816-2156 P.O.Box 1601 j ADDRESS: ou,ngma@rogersgray.com I PRODUCEK _-.1 . .... __ South Dennis,MA 02660-1601 ,-CUSTOMER to s INSURER(S)AFFORDING COVERAGE NAIC# _ .._._ _ INSURED INSURER A:Peerless Insurance 18333 Cape Cod Insulation Inc ;INSURER B Ohio Casual Insurance Com an 455 Yarmouth Road __ ..._ty_..___. .. P. y_.._..,.__,. INSURER c:Atlantic Charter Insurance Hyannis,MA 02601 INSURER D:Commerce Insurance_ Company 34754 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. NSR ADDL SUER y POLICY EFF POLICY EXP ME OF INSWRA%;E _ _ A GENERAL LIABILITY CBP8263063 04/01/2011'04/01/2012 EACH OCCURRENCE $1,000,000 _ X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED ^� PREMISES,(Ea oxurcenCe) ,$1_UO,000_..., CLAIMS-MADE X OCCUR MED EXP(Any one person) PERSONAL&ADV INJURY $1,000,000_.------__ _. __... .. GENERAL AGGREGATE — $2,000,000.... --.,. GEN'L AGGREGATE LIMIT APPLIES PER: ? PRODUCTS COMPIOPAGG i$,2,000.000 _ PRO i $ oa D AUTOMOBILE LIABILITY tilMMBCKVMK O4/O1/2011;04101/2012COM13INED SINGLE LIMIT $ ANY AUTO acadenq,...- . ;._.1,000,000.:._ BODILY INJURY (Per person);$ ALL OWNED AUTOS BODILY INJURY(Per accident) ;$ X;SCHEDULED AUTOS _.__._--.___. ..___ __. PROPERTY DAMAGE $ X:HIRED AUTOS (Per accident) _.. . ..:...... w X.NON-OWNED AUTOS r $ ' B !UMBRELLA LIAB ;X OCCUR 0001254514645 04/01/2091'04/01/2012;EACH OCCURRENCE - - EXCESS LIAR CLAIMS-MADE AGGREGATE $1 OOO OOO _.. _DEDUCTIBLE $ _.. __. .. _.. X;RETENTION $ 10000 C WORKERS COMPENSATION WCA00525902 06/30/2011! WC STATU OTH AND EMPLOYERS'LIABILITY Y/N 06/30/2012 X_?_TORYLNACfS ER '.-... ANY PROPRIETOR/PARTNER/EXECUTIVE i J E L,_EACH ACCIDENT _. $SOO,000 OFFICERIMEMBER EXCLUDED? N/A ' (Mandatory in NH) 1. E:L DISEASE_.EA EMPLOYEE 500,000 If yes,describe under +' E.L. 0 T $500.000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Workers Comp Information Included Officers or Proprietors k s CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE r' 01988-2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S77368/M68179 MEY I , ro � OWNER AUTHORIZATION FORM' (Owner's Name) - - , e6, is •1 "e � ", < •. owner_ of the property'located at5.4 ;¢ i 6 A (Property Address) : 171 i (Property.Address). „ hereby authorize (Subc' tractor) '. an authorizedsubcontractor for RISE Engineering, to'act on my behalf to obtain a building permit and to perform twork on my property: - ' �+ Owner's Signa uredd Z13ZIl t D EC`, 71 5 {2011 11 Date . r ppIKE r Town of Barnstable Permit# Expires 6 months rom issue date Regulatory Services Fee + BARNSTABLE, �$ rKnss.1639. Thomas F. Geiler,Director �� ArfD MPt A Building Division. ' Tom Perry,CBO, Building Commissioner 200-Main.Street, Hyannis, MA 02601 www.to.wn.barnstable.ma.us Office: 508-862-4038 Fax: 508-190-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY / Not Vatid without Red X-Press Imprint Map/parcel NumberQ�/ Zb c3 Property Address 3 q�, SQL Slf 4e—J TTy41�(Als 1,Residential Value of Work t7 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Loa r y irC c 'Ken k\-4 P.b 9ox 34y� Iaer 6r A N Y ►ab$ 4 Contractor's Name Telephone Numbersb&-- 7 .)_tome Improvement Contractor License#(if applicable) )d3 7 5 7 Construction Supervisor's License# (if applicable) C;S IOLo l3 ❑Workman's Compensation Insurance Check one: ❑ J am a sole proprietor PPSS PERM ❑ I am the Homeowner r, -have Worker's Compensation Insurance AUG 1 7 2069 Insurance Company Name A550C1�—" :E�aa tl"01.6, � OF BARNST ABLE Workman's Comp Policy #PTLzC. ' -?Cbg9�30 0,06 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles)F All construction.debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side �eplacemenf Windows/doors/sliders.'U-Value. S (maximum .44) n *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 Hq p vement Contractors License is required. SIGNATL'11 Q:`.0 I'FII.I-SWORM%tidding permit forms\EXPRESS.doc Revised 100608 f HOMEOWNER: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES I authorize Sprinkle Home.Improvement to act on my behalf in all matters relative to the work to be performed on this job (i.e. permits, applications etc.) if'necessary. ' e-AAA�Zlilt Claire C.Kennell or La "Decker Brad Sprinkle 7 a Date i Date The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations , 600 Washington Street .Boston,MA 02111 r F www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ~�-^ Please Print Legibly Name(Business/Organization/Individual): ',inr n k 1 e TICJtryl� .Lyy�,o rb-V rn ✓\ Address: ]� �f r\`j—t e City/State/Zip: Q A t,. O� Phone#: •)O'S.' _ �5 - (_1 R Are you an employer. Check the appropriate box: Type of project(required): [Byo 1. 1 am a employer with , Q� _4. 0.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. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑Demolition_ working for me in any capacity. employees and have workers' comp. insurance. 9. ❑ Building addition - '[No workers'comp.insurance 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and'its ❑ P i 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 re airs c. 152, 1(4),and we have no (� insurance required.]t ' e ( ) 13.[Other Yq�ip �j cbQ employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out.the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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 Insurance Company Name: Policy#or Self-ins.Lic.#:-p►h�C `77QQy3 161 a WCj Expiration Date: r Job ,ite Address: Y& 5P01 f r $ � � �f.� :, City%State/Zp:..tf/Ccrt I'1 i5 : rn. �07�00� • 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 I,nvestigations of the DIA for insurance,cover erification: I do hereby certify underJi_nsVes.of perjury that the information provided above is trues and correct. ,iSi afore:' Date: Phone#: 0 7 (1 Official use only. Do not write in this'area,to be completed by city or town official r 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#: r lio it d of B'jidding.Regul ihbns: old St lndtu:al �� ' Gonstruc,"hon Sup'ervisorLiCens:e` License GS 6643 Expiratron. 1:0/8/2009 Trtt` 9427 Resat coon: 00 E RAC),I< SPRINKLE 190 LOTHRUPB LANE VW E3ARNSTAB:LE,MA 02668 Con-Inksi.60e-` 0;0 3i;;Q'0;0 cf.@nclosed space' I-A M48:00, only VG 1 ..2'=) arnrly>TIoni'es Fadu•re t0:posses •a eurrei't ec}rt�prl of"fh'e 1V,Iassachu.,setts State BifiliftiRgitod`.e I is cause for revoeatt.on of hts Ucens:e: i t _, I f ` Ji/7.: / YL i N�/Ct( 7�r'.t.',iA,p f CYd-Gfi)/,t.'.i'•B�G Board oGBuildrngliegulafio//ns and Standards HOME IMPROVEMENT CONTRACTOR Registration: 103757 y Expiration;; 7/g/2010 Tr# 271033 av Type:: Pnuate Corpora;ion SPF2dNKLE HOME IMFROVE'MENT, INC. Brad. Spnri'kfe . 1ra9:Barnsta6le Rd: � Gt-�.:�-` Hyannis MX02601 Adm n"istratoi License or registration valid for individul use only before the expiration date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston,.Ma.02108 Not valid wit out sig tore l 12/31/2008 14:18 Bryden & Sullivan Insurance Donna Seviour4Margo 1/2 AC CERTIFICATE OF LIABILITY INSURANCE OP ID DS DATE(MWI)DIYYYY( SPRIN-1 12/31/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bryden & Sullivan Ins Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 88 Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis MA 02601 Phone: 508-775-6060 Fax: 5087790-1414 INSURERS AFFORDING COVERAGE NAIC# INSURED - - INSURER ..Associated Industries of b1A INSURER 6: Urinkle Home Improvement Inc. INSURER C: 9 Barnstable Rd INSURER0: Hyannis MA 02601 INSURER E COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEENREDUCED BY PAID CLAIMS. INSIT-knot POLICY EFFECTIVE POLICY EXPIRATION- LTR' NSRD TYPE OF INSURANCE POLICY NUMBER- - DATE(MM/DD/YY DATE(MWDD/YY) LIMITS G,FrNERAL LIABILITY - EACH OCCURRENCE 5 COMMERCIAL GENERAL LIABILITY - PREMISES Ee ocarence 5 _ CLAIMS MAD_E ❑OCCUR - MEO EXP(Any one person) 4 • PERSONAL L ADV INJURY 5 ' GENERAL AGGREGATE 5 GEML AGGREGATE UMIT APPLIES PER: PRODUCTS-COMP/OP AGO 5 PO- POLICY JECT LOC AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT 5 ANY AUTO (Ea accident)ALL OWNEO AAJTOS - BODILY INJURY (Per person) - 5 +! SCHEDULED AUTOS � _ HIRED AUTOS - EMILY INJURY 5 NON•OWNEDAUTOS - (Per acdderip - PROPERTYDAMAGE S - - _ (Per accident) GARAGE LIABILITY AUTO ONLY•EA ACCIDENT 5 - ANYAU70. - OTHER TTWJ EAACC S AUTO ONLY.. AGC 5 EXCES W MBRELUI LIABILITY EACH OCCURRENCE 5 `I OCCUR 0 CLAIMS MADE AGGREGATE 5 5 DEDUCTIBLE - S RETENTION S - WORKERS COMPENSATION AND - T WC STATU- OTH• ORYUMSTS ER - EMPLOYERS,LIABILITY - A ANY PROPRIETORIPARTNER/EXECUTNE AWC7004943012009 01/01/09 01/01/10 E.L.EACH ACCIDENT s 500000 OFFICERIMEMBER EXCLUDED? • .• E.L.DISEASE•EA EMPLOYEE 5 500000 d yes,describe under SPECIAL PROVISIONS below _ E.L.DISEASE-POUCYUMT S 500000 OTHER DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES!EXCLUSIONS ADDEO BY ENDORSEMENT f SPECIAL PROVISIONS - CERTIFICATE HOLDER CANCELLATION . Sppimcl SHOULD ANY OF THE ASOVEf DESCRIBED POLICIESBE CANCELLED BEFORE THE EXPIRATION - DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Sprinkle Home.improvement, Inc NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL Fax 75-1350 Margo Mack Mack IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR M 199 :Barnstable Rd. REPRESENTATIVES. Hyannis MA 02601 AUTHORREO REPRESENTATIVE IKelley A.Sullivan ACORD 25(2001/08) 0 ACORD CORPORATION 1988 TOWN OF BARNBTABLE 25-811 Permit No. --�--=------------------------=--- P I = Building Inspector cash --------------—------------- so" ,e,a e) OCCUPANCY PERMIT Bond ___-__-____ Issued to Capricorn Realty Trust Address tot #3A 346 Sea Street, Hyannis } Wiring Inspector �` �? � Inspection date s < Plumbing Inspectors/r -f- - � / Inspection date Gas Inspector Inspection date L . Engineering Department ` f'%�i/ f . �'�,A! Inspection date - o Board of Health !Fr � ., ,� 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. /t / ......................................................119..1 /'V.! .........................J Building Inspector c"}^ .•, FROM. - TOWN OF BARNSTABLE BUILDING DEPARTMENT Mr. Francis Lahteine 367 MAIN STREET HYANNIS, MA; 02601 Town Cleric Phone: 775-112D SUBJECT: ,FOLD HERE " DATE Rebruary. 8; 105 M E S S A G E Work has been completed under Building ,Perm t 1#25811 (Capricorn Realty Trust). Please release Bond. SIG EDI DATE - - - .REPLY • SIGNED Ne7•RM! RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. ACT. SENDER: SNAP OUT-YELLO.W.COPY ONLY.SEND WHITE AND PINK COPIES'WITH CARBON INT ' . Assessor's map'and I �(YJ�r1 Y„W CFTHETO Sewage, Permit number .................:........... �p� J Z BA"STABLE, i House number .......................J...�,.......!�.................. ..... 90 "639 0 MAX TOWN OF BARNSTABLE t BUILDING INSPECTOR Y APPLICATION FOR PERMIT TO ..•:Construct Sincrle Family! Dwelling a.................. ......... TYPE OF CONSTRUCTION ............'Wood .....Frame...... ' .................................................................................... September-27. 198 .. i TO THE INSPECTOR OF BUILDINGS: r The undersigned hereby applies for a permit according to the following information: Location ....lot... A Sea Szre... ......................: ............................Hyannis.... .......................... ...... ......... ................ ProposedUse .......:................................................... .................................................................................................... a Zoning District R.B. .....Fire District ...................... anis, NIA ................................................................ ............................... Name of Owner -Capricorn Realty Trust ;Address 765 Falmouth Road, Hyannis, MA Name of Builder Franco Real Estate Dev......Co Address .765 Falmouth Road, Hyannis, NiA Nameof Architect ......... ......... ......... ......... ......... .........Address ..................................................................................... Number of Rooms .....Six P.C. ...............................Foundation .............................................................................. Exterior Clapboard and/or shingles RoofingAsphalt shingles .............. .............................. Floors Carpet Interior Sheetrock .................................................................................... .................................................................................... "Gas — F.W A .'— — Heating .....:Plumbing Tv10 Copper ,I ' r�� ............. ............................................................................ Fireplace None ...,_..,..•,..Approximate. Cost $40, 000.00 ............................. ............ Alt � �. ft. Definitive Plan Approved by Planning Board ________________________________19________. Area ...............s .............:..... Diagram of Lot and Building with Dimensions Fee G+•........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH N,J • e nyf OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby 'agree to conform to all the Rules and Regulations of the Town of Barnstable re rding Qthe above construction. _ 0 Name ,♦! ......Pre........ k , Construction Supervisor's License .::....000989 c' �... ...... r _ CAPRICORN REALTY TRUST ,Of..25811.. Permit for ..one Story.......... . ` •:S;ingle .Family...Dwell•in9,•,•,........... . Location 0 3A 34 S ee Sea...Strt 3 .... ...t ...........:: yax>? s.......................... ............. 0aer ,,, ay?ricorn„Rea1tY...Trust..... 1` of Construction ....FrAMP.......................... t .. ....... ........................ Pits... .................... Lot ................................ _ Pit Granted ..... November 22 ..19 83 ...... ..... �....... ' D of Inspection ........ .................. ....19 Datel:C mpldted .. :.�F.. ...7........... .1 4 _ I r . s 01, I 4 60 ' A L 0 r 7 'r .3 Zr �. ' PQnPo��, 3 GSr=DOM• � ' I /4 Piz EL � ,� GR` •;1-I��E I�.weS Qom. e ��I •\' A '^ PQ: ELUS en Do EL 9 Fo Ncilo \ su �✓ itIdI i !J N i G — To lk - ►. -� 4� sl s- Srar:c PQoPosEp Fob f ^* (�i I L: L6;S k t Li' to • fR ` � f A 5 '�t� i '. t-4 Z I o rn � I �f-ou.run'no� EL c� VI i ` I EL= 19.55 U rr f I . EL}��1� N J I 2C 'c Tir1-'E • t ,\ LEGE �® EXISTING SPOT ELEVATION 0.0 w3�-/ c CERTIFIED PLOT PLAN EXISTING CONTOUR ---- 0 __-- .e/ p ' rv�./�E - 3 A FINISHED SPOT ELEVATIONtow Tower g" sew�2Al br FINISHED CONTOUR t4 0 � Il-rcf IN APPROVED - BOARD OF HEALTH -5 'PA DATE AGENT SCALti= �� 3 v DATE, �yA.3 EE ENGINEERING CO. /N �'�''l`.° ` � LDR� DG CLIENTS .I -CERTIFY THAT THE PROPOSED EGISTERE REGISTERED J.08 NO BUILDING SHOWN ON THIS PLAN FTO CIVIL LAND �S, •'` CONFORMS TO THE ZONING LAWS- EN_ GINEER UR EY f S OF .SAR10TABL E ASS. 712 M A I N STREET ": CH ;SY' 83 _�—.a HYANN I Sa MASS. SNfET.�`OFF': '� DATE R G. LAND SURVEYOR L r 2&+ Rib EL of.bps, < d ol) i s y EL a Fo.MbNno 'W su $ `; 2 J J a� , nI I oall ( { 8 Et 0.6 5 s . ` f 7 ; -` N�l seD scwe-k r_ ,r lil � �'j vs 151 19. 55 u.c,.v. D• I � ` I � �I l I q �LiuE/w.�iEl' \lI1 �j I� '�N L E G E N D EXISTING SPOT ELEVATION Ax0 �u3cl CERTIFIED PLOT PLAN EXISTING CONTOUR ---- 0 ---- o p �- 3 A FINISHED SPOT ELEVATION Q,�, ?ow" 8 " s�w�2 � � ,� ;�`/,l �i.,vp✓.-.� � ,� FINISHED CONTOUR 0 s'l� Llt� IN APPROVED BOARD OF HEALTH S�,j ��d J ��A .�� " � DATE AGENT SCALD, / ''- 30 DATE , LOREDGE ENGINEERING Ca /N CLIENTS 1 CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB N0..� R8— BUILDING SHOWN - ON THIS PLAN CIVIL LAND =`' CONFORMS TO THE ZONING LAWS f' DR "BYEs,�Z ENGINEER UR EY OF BARNSTABL E ASS. 712 MAIN STREET CK � •2�9..e"..._'. ' HYANNIS, MASS. y S•r683 OF '. DATE R G. LAND SURVEYOR Assessor's map and lot number TOWN OF BARNS TABLV � BUILDING INSPECTOR �� 00N0-00N �� 0 ��.N� 0NNR APPLICATION FOR PERMIT TO ....Construct..Single Family. iuo__,__._,_..^._..^_ � Wood �r��e TYPE OF CONSTRUCTION -------.-----------.------------_--..~--...-.-.---- ..Sen_�embe��_ 27x.__.]~R�_ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for o permit according to the following information: Location ..... _# V,_S��..S�re��t, _________,_______,_._ �i�,}��_____.,_,_____ ProposedUse --------....-..------.-------------------------------------- / � B � �& � Zoning CVs�� --�-�----�---------------Rve District --.�\��-�.�------.----_----, | \ ^ Beal 8�t�t� Dev� CNome of BoU6e� o/A 6du 7-5 ��lmml �b Road, ��! �o� �& - e -------------. - . �� - ---.. Name nf�Architect ---.--'A66reo -------------------.-.------_ Numberof Rooms ...\.S.ix.....................................................Foundation ...........P.-.C.......................................................... E*ehor ..Clapboard.. ..sl l.�/�--__-�Roo�ng ---' �.. ...-----___~_ Floors ---Ca-r� -t Interior Bheetr-n�k --------_---_--_.. � ----- -- G�o - � }� �\ ��o Copper Heo�ing -------�-.�-.�'`---------------F1umbng -,--.�- �� ----...-------__-.. ��0" 000 O0 Fireplace ---�ooe------------------------.Approx|moteCox --�-----..�__.................................... 1056 sq"ft | Definitive Plan by Planning 800v6 l9---- . Area ---------.---' | Diagram of Lot and Building with Dimensions Fee _______________ � � SUBJECT TO APPROVAL OF BOARD Of HEALTH . � 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. —14 ' ' � , ^ , ~ � ' 1 ` ' � ` ^ , ' ' No j .................. , ' Construction Supervisor's ' License 0O��R�- ^- � -- .... —' ---'' CAPRICORN REALTY TRUST A=306-203 —04L No 258L1 Permit for .....One, Story;,,,,,,, Single Family. Dwelling Location ..,Lot 3A, 346 Sea Street ............................................... Hyannis ............................................................................... Owner C. .. a rico. rn Realty Trust .. .. .. Type of Construction Frame Plot ............................ Lot ................................ Permit Granted ,,, November 2 2, 19 83 Date of Inspection ....................................19 Date Completed 19 . `i t .5 _ -'. `. 5 1 Yn}f ',7.".--_i,�'�-4.i'',_�,,�,''1"f.-',-1'�"�.�;:1�-,.�j-.:�,,"_�'':_,-.,''��vi-7;,. r P N F. vfn ceT4r PP 'i i r 4'. r x 11 I .. I. i .�c� //(( ' Yv t I:. �./ V:'J U�� t , t�� Y...r ! a'R i i5. '.. 9 9-SI- _ ; p . . $ rX.- ° , �.o`:-r 3-` " / 6,3� 3'S,F tL ... �' . .• - .. - lk; Y/ h t . . .-' ��. .y P �. r I 5./ 4 y c ' ... ` j l: : 1 5Y�. L�T f 9.4 Y Y ;. ,« . Pa. 1 "- " k . wa f - wa yx`j. N ': .' rt �{ f•�r ". P 'c ,+ ofh +g:. 2( _ (9 1 Z 7 y . 1 Z _ 4 \j s � it t t` V `/ ! t tS +S� x N' 4 . @ _ `r i ' } V..- - . . :. i A V - 9; o's 'M Ats . \ fg t _Y h. I P. t ) Q d . 1 I y 2 y r ' ' ti -I�""..I:_,iV�..1:I—,.,..:'..,�I,.I'--'1,I-.,.-.--�lAII."I�.�1 I.I,�lI)4.��I��6%-..I..')..I"0..:..- I...'I,.—I 1_I"�,_�_I;'.'..�',-.I..I�'_,.,.1'" -..III_��-".,"��I..'�I 1%��,:-1 1;"�1-.�.-I,.�i.,�'..I II_—,�II,.-,�1..I�I I�:�_-,,..�'I-�.�",I��.1I�1"I.I�.�-I:.;"1..1 1'.III�I�!:..1.!.I��,.I...I.,1 I.'./:'�"F,',�.I;1-I.:�I,�...-"'.,.....I..I:...-I.,.��-.'N�I.,I,'.I"I�.:-�.I..'�,,.�,�I..�.I.-I I..II4'I��,'..I I��.'I...I��.��.I�.�I.Ii,I�..I I-,1 I I.I....,.,—�.....,.0I 1..�.I.��....-,I.�,...�,..I"I....I�_,��.'..,��-II�"..:"-I1.I,�.�''I_��1..-..�.��.�I,�......-I I".I'"-",I—'.,I.�:�.,I r V \ F 2 � s� , ' x : .' #, ,l;��I.��gt-I1 1.��.1,II.��._1�:._�;.�,:I"I.�-�'II�..I I-��!.1I�'..I�.I�"I..'.I.dI.—"i:��..'" 1 K. - P _ _ ,V s c t dt d* { � (I t .. �) ' t {� 'f N 'TRx 4. a p l"3 ... w, a f. ry .-� •�'' 4'Y=Thq'; - :w�' .. - .T >7'T ..- :Q �t4 'k } f'}.d'W t.0 + r VV Y ,, +♦ #. `:A� r �, r" i . ; 5'4 # + N v, t" vVO . �y k . rf: i F 4. ` CERTIFIED PLOT \�l/{�^ T , P L A N L ._ j r fs r ,t y ai .. S GV c�*. ! 3'�, r`• {1*�'sya v u k 'fir +°�_ �-t: i t P� I 1'. w., � F. {, SCALES'/ DATES �/` i � ,/// //' / / CAL DREDGE ENGIIY.E ' lN�3 C0:IN i Pi � t�r�o � r �,� , . y ,� '` � ,<P � s ' I .CERTIFY THAT '.`THE ' yy� A.7r0.>t EOi3TERED tirr0lSTEREQ a _ SHtiWN" ON THIS t?t.AN IS LpCAT R� LAND J01 p ,, ?_ . THE `GROUND A9 LNDICATI D A:wD ! r , CIVIL - - t ,1� �fC4t� QRMS. TO' THE,'ZONINo 1.ad419 4 ENGINEER SURVEYOR 4 ° pR;O r r , `r � 1' 0 u A ,. r r a. (/x�. :x a ;. p Y F /Tj/� 'T. �t j..1�A y yf rw+ °P�y'�. f..t 4 Y Yn 41:.. v �' S t1 w`s -j' •3d'�rj�P'f T12' MA1 N STRE`ET a �4l1� � ,yb .:;, : �i ls'8 ,= k',i t - � �� H YA N'1�I a ,� ur `' A ~#*4, r(#� x 'r z tP€,t Y 4�x'�-3."i -';4 r �. - n, . �. �: t ,�,� _ M T tl' x �� . ;; °lw`. _� ATE RE(3. LAND SIFfVEYQR ' 4...,.."5 ,A. f`k.,h..�fissr•c ,,P k"f ..`5, r'P I '. Pt ,x_.y, h,..,,.., wi`(�