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0044 SOUTHGATE DRIVE
yv o ,n y rtv 1 ACTIVE ar dtib q L (I t�r Town of Barnstable *Permit# U l of a,. Ex 'fires 6 months from issue date Regulatory Serviceso lee BARNSTAB1z, MASS. Richard V.Scali,Director , 16;q. Building DIVis1 fi�' APR Paul Roma,Building Commis ;.200 Main Street,Hyannis,MA 026 ° �/'yy SJ /www.town.barnstable.ma..us Office: 508-862-4038 j � �P-790-6230 EXPRESS PEIIMIT .APPLICATION _-_RESIDENTIAL ONLY 2 Not Valid without Red.X-Press Imprint /�/ Map/parcel Number� Property Address'7 _ ��• l ( �i///�J ❑Residential , Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address >0A,07,q11 VY du I'Ver MQm If _ Contractor's Name /�df(� _ 1,".='--Telephone Number Home Improvement Contractor License 9(if applicable) I _'� Email: Construction Supervisor's License#(if app?ic,ablel. AWorkman's Compensation In Check one: ❑ [am a sole pmpnetcr ❑ I am the Horneovni i, ` t l have Worker ( otilpens;rtion Insurance ` Imurance Company Nlame I&V Workman's Comp. Policv# �i—,—_- 500 500 7_ WWI —��- — Copy of Insurauck Compliance Certificate mist accompany each permit: Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to wa A 1)�Xa ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/Oiders.U-Value_______—(maximum .32)#of windows #of doors: *Where reyu.rzd: Isruancc of this pc:unit do-s not exempt corrnha:+ce Vith other town depat:ment regulations,i_e Historic.Conservation,etc. ***Note: Prop:rty Ov.i.er must sign Property Owner Lettrr of Perrnission. A,of+y of the flisme Improvement Contrr,ctors License&Construction Supervisors License is n+-luir .d. SIGNATURE. CAUsers-,d colh};\A.pul} Sou.,,cai\�tr r,rtiui`, : r,doivst1-Nie .:cii,r.,nntiiait nutlockli 711691.F<\!.XFlt1.5, OIY25,117 „ M BAKER BAKER Authorization Form: I AU PG To p'-12 17-Z as owner of the subject property, hereby authorize Baker& Associates to act on my behalf, in all matters relative to work authorized by this building permit application for-- Address of property: 44 Southgate Drive -Hyannis, MA 02601 . Signature of owner: Print Name: Date: - ,F.7L1 u 3tic and 'IaA:a j RICHARD P GARNEAU JR PO SOX 476 : WEST BARNSTABLE MA,4 a�.. 041104=18 �p.t 411 Office of Consumer Affairs and Business Regulation' 10 Park Plaza - Suite 5 170 Boston, Massachusetts 0 116 Home i ravement:!COntra for Registration , s�ppyy ss..,, k` rrbbr2 Card PALER & ASSOCIATES INC , trot cr: 162F. Centerville, MA UpdateAdd.ressantl return Caro Mar'*reason tar atsanae C""Y �'w,. a�»d g sa;•i ffiCe of Can�wM ar 414t)s`e dusdzc Rp caipidatt' . HOME IMPROVEMENT CONTRACTOR Registrauon valid tar individual use onji TYPE,Sup r fi-ni _v--, tWore the expiration date, it found return to 0111Ca Of Consumer Affasirs attd Business Regulation 1 Q r z 10 Park plaza-Suite 51 id, Boston,M.A 02116 BAKER. SSOCIA`C iN � t hiARD Get"'€- 4 x -2 Hill F34 MA 02632 6 Undersecretary Not valid without signature Akovr;ut. liotK i Ir1IL.:a I t: W- L!/,gbILI I if MUK1' NGE 4/2812017_ TMIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAT*N 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 INSURERS),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT:If the certificate„older Is an ADDITIONAL INSURED,the policy(ies)must be endorsed,i►SttBRt?GATION(S WiAiYER,atibject 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}.. PRoovcsR ACiAM Dowling&O'Neil Dowling&Or Neil Insurance Agency I 973 lyannough Rd, Pt?BOX 1990 (IC,No ExtL 508 7'75-1620 �,�c N� 5087781218 AaREas coi(,a�dolns.com Hyannis,MA 02601 _._ INSURER($ AFFORDING COVERAGE NAIC d INSURER A;NGM Insurance Company 14788 INSURED INSURER Associated Employers Insurance _(111.04 Baker&Associates,inc. SURER 0 »— P O Box 923 � I 1N.� � Centerville,MA 02632.0071 IN$vRER D INSURERS r _ _. _. _.... INSURER F; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN is SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR TYPE OF INSURANCE Y»� ADDLSU9R' POLICY EFF 3 POLIC P If3$ tlrt0( POLIO NUbtBrt M( pg ryOJyYYYMM�DOh'YYY LIMITS q GENERAL LIABILITY MPJ72234 : 4119/2017 04I19(201 EACH OCCURRENCE ;s 1,000 000 t -m .�, x,., y o.=�.,.,d.............................. X COMMERCIAL GENERAL LIABILITY RA AG TO RENTED _ t MISL MF a uccu n .$500 000 CLAIMS-MADE O OCCUR r 4aED LXP �r p a,n Pu song S 10 000 PERSONAL A ADV INJURY S 1,000,000 ...._.................. __.. I G NEtAA AGGREGATE s2 OOp 000 GEN'L AGGREGATE LIMIT APPLIES PER. ( P $ RCDucT COMPIOP Ace s2 0,000 f FRG I PQLECY ......^.,...._ 3 _ ... ).w LOC ........F.......... F AUTOMOWLE LIABILITY - AtvYAUTO BODILY INJURY Mer orvson) Is ALt.OWNED SCHEDliLEtiC?DILY INJURY IPn acc€ nrl $ AUTOS ALTOS I E HIRED AJTQ°� NON,0WNE0 I tfTGPERT'4AAbi�t AUTO& I ` I UMBRELLA LIAR QGC 1N EACH OCCURRENCE � EXCESS LIAB I »..�.� CLAIMS-MAOE AGGREGATE ._. S. RETENTION R 5 B WORKERS COMPENSATION OO.�Tt�Q �i942t±17 4/2'12�I1 r° 0�ir23/201$p L Y tJTI3ISS .,...,.,aETH AND EMPLOYERS'LIABILITY '�{(�.�i�I Y 1 N - „ I ANY PROFRIETOR fPARTNER XECUTi�E- ;OF CERiMEMBEREXCLUDEi EA.cHACCO r r s500_.0_0-0 AiNIA in NH) _ �s¢sac a under E.L.DISEASE,EA EMP QYE mo 000 II 7E CRI�TION Or OPERATION§Lljtq Y ,I O)SEA3E POLIO IMI s500,00b I _ �_ i _ ___ nF.SCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACIDRD 101,Additional Reinarka SC hod Uto,It more space Is roqulredj Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements, Nothing contained in the certificate of Insurance shall ire deemed to have altered,waived,or extended the coverage provided by the policy provisions,, CERTIFICATE HOLDEFt CANCELLATION Baker&Associates,Inc, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 923 ACCORDANCE WITH THE POLICY PROVISIONS, Centerville,MA 02632 AUTHORIZED REPRESENTATIVE @)1988-2.010 ACOIRD,CORPORATION.All rights reserved. ACORD 25 2010105 4 { } 1 Of 1 The ACORn name and logo are registered marks of ACORO #$1901601M190159 CBID e ` The Commonwealth of Massachusetts Department of Industrial Accidents "s / Congress Street,Suite 100 'k Boston,IVA 02114-20.1 i fa warn.mass gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING ING AUTHORITY. Applicant Information Please Print Leeibly Name:(Businessi()rganization individual):Baker&Associates, Inc. Address: PO sox 923 (521 Shootflying Hill Road) City./State/Zip:Centerville, MA 02632 Phone#: 508-362-2445 Are you an employer?Check the appropriate box: W 1 Type of project(required): t,�I am a employer with_ 1 _ employees(fun andor part-time):* 2.Q 7. dew construction I I am a sole proprietor or partnership arrd have,no employees working for me in any capacity (No workers'comp.insurance required]1 9. ❑Remodeling i .o I sin a ivarncowner doing all work myself.f No workers'comp.insurance re-quiretl.J 9. ❑Demolition 4131 am a homeowner and will be hiring Contractors to:rniduct all work on my property: I will 10❑Building addition ensure that all contrtcatorseither have workers'Compensation insurance or are sole 1.1.F1 Electrical repairs or additions proprietors with no employees �.o I am a general contra,ctsrr and 1 have hired the soh-contractors listedonthe attached:sheet, 12.rl Plumbing repairs or additions rh�sr uh-cnntrarrc,rs have employees and have workers'comp insurance., 13.oRoof repairs 6.M we,are 0 eorTxrMtion and its officers h avt:exercised their right cif exemption pet'MGL c. 14.[:]Other—..,,.,, { 152,51(4),and w•have no employees.t o workers'camp.insurance required,) I Any applicant that checks box#I trust also fill taut the section below shovi ingtheir workers`compensation policy information, $I iomeownen who submit this affidavit indicating they are doing all work and then hire outside contractor must submit a new af33tkavrt indicating such. i ontractors that check this box must attached an additional sheet showing the name-of the sub-ebntractors and state whether or not those:entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workerv'compensation insurunce for my employees. Below is the Polity arrd job site information. Insurance Company Narne:Associated Employers Insurance Company ................. Policy"or Self-ins. Lic. it; WCC-500-5002454-2017A Expiration 4-23.18 ___ _. .. _ .... . gate: Jab Site Address: ` V City/State/Ztp: aJ$ J Attach a copy of the workers'co nsation policy declaration page{showing the policy ttumber and expiration date}. Failure to secure coverage as required under 41GL c.. 1.52,§25A is a criminal violation punishable by a fine up to$.1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a SOP WORK ORDER and a fine of up to$250.00 a day against the:violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. /do hereby certify under the pains a peon 8ef pf perjury that the information provided above is true and correct Si nature: Date: v d" Phone 508 2-2445. Official use only. Do not hirite in this area.In be completed by city or toe+n official. City or'Town: Permit/License Issuing Authority (circle one): T 1. Board of Health'2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other ` . Contact Person: Phone#: ' own of Barnstable *Pja�3ermit# Expires 6 months from issue date Regulatory Services Fee s�vsrwar.$, ; MASS $ Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 50 (e ~- a 7IL/ y f't Property Address � ( ,��� f�i�adfi� lq1".Er1 . �a esidential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address At e-.ol, AIZ S V4 ell o i-c e, 22 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance �yr>�m1� Check one: {� ❑ I am a sole proprietor �� (� I am the Homeowner 4 2013 ❑ I.have Worker's Compensation Insurance SEP Insurance Company Name r S-TAB �-� Workman's Comp.Policy# TOwN of B Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side -f�oY1 ❑ Replacement Windows/doors/sliders.U-Value !� (maximum.35)#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: GG.cI/li'vt o Q:\WPFILES\FORMS\buil gpemvtforms RESS.doc Revised 060513 Emak 77w CtamnymmmUh a,f MassachuseY ttxren t o fndus&ial Accndentr OKWe o,f i stigadons ' 600 FPaskinngton Street Boston,MA 02-Ul Y wftirt.ma mgotldra Workers' Compensatiun Insurance Affidavit Bugders/Contractors/E ectricians/Rumbers Apigicant Information Please Print Lezibly Name(B aolfnditridnal): Address: Lt t{ S,� '�>, /StatrlZip: Phone 4- 90 --1-)1 —•S-( `7 Are you an employer?Ch6k the appropriate box: Tfpe of project(required): L❑ I am a employer with 4- ❑ I ant a dal contractor and 1 6. ❑New employees(full andlor part-fiime)* have hired the sub-conh tors 2-❑ I am a sole proprietor or partner- listed on the attached sheet. 7- ❑Remodeling ship and have:no employees These sob-coIItractars have g_ ❑Demolition working for mein any capacity_ employees and have worms' 9_ ❑Building addition [No workers'camp.f Lsuraa ce comp..ncnrance t 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions :3.tCama�bomeow=doing all wodc officers hum exercised their 1I.❑Plumbing repairs or additionsri t of tioa er MGL o workers'comp. c.152,§1 d we lta^��e no _ 12❑Roof repairs insurance �-� 13.El Other employees-[No workers' comp-insurance required:I *Any WHcnd flat dhedcs boa#1 most also fill our the section below sbn►rinr they coed ors`con vemdon policy iafbrmarim T Hmmeowners who submit this sfdaviC in&cztkg they ate dmag all wok n d&en hire n�coutmctors mast submit anew afdasit mthcatiag sarh_ —cmrs Stst check ibis hoot mast xrWIed an additional sheet dwwh g the name of ft PAF-mmtramots and state arhPdw ornot Stnse a does bavo employees. If the sob- —tmcrms lie employees,dLLT must piuvide their workers'comp.policy numb I am an employer that is pratug workers'cool wmdion irmirimce for my amptayee s Beloit is die pa&7 and job site informadom Insurance Company Name: Policy#or Self-ins.Uc.#: Expiration Date: Job Site Address: CitylStatelTsp: A:tita&a dopy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coy-erage as required under Section 25A of MGL c. 152 can lead to the imposition ofcriminal 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 start maybe forwarded to the Office of Investigations of the DIA for mete coverage orerification- I do hereby certify renderthepains ant!penalffes ofpedwy that the informatianprovidedabove is true and tarred f S im mtare:= �Date: /3 Phone# O; cial use only. 27a not write in this area,to be completed by city or town afficiaL City or Town: PermitUcense# Issuing Authority(drde one): 1.'Board of Health 2.Budding Department 3.CityNown Clark 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursnantto 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(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and;if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurmce. 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-ir=ed companies should enter their self-insurance license number on the appropriate lime. 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 pennit/license number which wr11 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 I (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 caU. The Department's address,telephone and fax number. The Commwwealth of Massachusetts Depailment of Industrial Accid.eats Office of kvestigatlans 600 waswrtgtoa Street Boston,MA 02111 Tel, 617727-4M ext 406 or I477 MASSAFE Revised 4-24-07 Fax#617-'27-7749 www.mass.gov/dia �'ME � . Town of Barnstable Regulatory Services s r MASS. Thomas F.Geiler,Director �� ►�`� 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 as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit (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 Print Name Print Name A Date QTORMS:OWNMERMISSIONPOOLS 6/2012 1,11K Town of Barnstable ' Regulatory Services M,E, Thomas F.Geiler,Director Eo j �``� Building Division " Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8.62-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: t, �O13 Please Print /Q 7 �/ L f� JOB LOCATION: �7 �O.Uf/' f'��e D.r. 0� �11 1'l t S Qum er street village if jz( 644U 1 N -. "HOMEOWNER":_ DoR TL-o4 peal re. SoV?l 1 —S(-7 %1 name home home phone# wor phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hue who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection yr-oiedures and require ;ents and that he/she will comply with said procedures and requirements. igna re of Homeo r Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in. your community. C:\Users\decoHik\AppData\LocallMicrosoft\Windows\Temponuy Internet Files\ContentOutlook\QRE6ZUBN02RESS.doc Revised 053012 L � a TOWN OF BARNSTABLE, Permit No. ____ 98 1 Building Inspector .�n..r .�� Cash eon,639 rar w� OCCUPANCY 'PERMIT Bond No building nor structure shall be erected', and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to GreerLbrier Corp. Address 7 Centerville ,, Lot #22 44. Southqa-te Or.. Hyannis Wiring Inspector Inspection date Plumbing Inspector � � Inspection,date Gas Inspector ��� i � � Inspection date Aer- A.9., p ` , pe Engineering Department Inspection date 1 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. Qre -,V- 1 -� 6a&=Ae�:L Building Jnspector A 0 l--1 r �. t s v t 1.4e� j I '• � .� �y • �g� �.:Fr+�ta.,j.'1.�� / 7'aa tf Ms � €,+ � � J't'-� sw i+t .,.'� p: .. ��I� ,•4 xi ;c s ..� '�'� a. x 9 } � � ��,� �; Mkt � �t, i : ll,:F� r ✓`''^, r� 4` X s + ^r. -.gl, k ,.�"s c l � s ��. L a� i' �3� � L�JE. Sri.# WIDIT-H = IC70 1 r+...�`.�TSF"'t> F7��H OF r 5 CERTIFIED PLOT 'PLAN L nT 2�. So✓TffG�4TE CONSTRUCTION ONLY r F ''."` NEW TOP OF FOUNDATION I8_....: A®OVE . LOW POINT OF AQWAOEMT Mom° { .� 3 .e ROAD. � PA���;;.r�er ©e ;Fi it ',DP.�! �. SCALE / YAJI DATEt Gam` % 1 Y CERTIFY. THAT THE f Owo.4 rro A/ D EDGE E EE Q l F<.. �� ; GI.lEN:T 8H;QWN ON TH18 PLAN 18 LOCATED € EGISTERE.0 REGISTERED '} �''Q� '3 ON 'THE GROUND A8-INDICA?EO AND CIVIL --' LAND p ' "'"�' „�' ." :CQNFOR�18 TO :THE Z NI01A' L.AY�k9► ENGINEER 8URVE �ANO$TA 7I2 M rely ' �b;'L3�4f' f ' AIN'STi a ?r .r 4a. JG{k 4 j K Y Y R .'. .HYAI�AIi , 1NA► S�, NER' , R 6: 'LAND. $URVET®N' t t A - tAssessor's map and tot�r.umber � . y •K �Fw �/� _ ��. �0 �6 /J / . //t,�i �tiuci U SEu c%I F7NET .r CGc`iii c QUO ��`4 Sewage Permit number. ...............................................:....... B8BH9TADLE i . oMvHouse number ........... . . eta Ar TOWN OF •,'BA:RINISTABLE B,U1tDI,HG' INSrPECTOR = APPLICATION FOR PERMIT TO .......... /'..../: . ... ........................................... . TYPEOF' CONSTRUCTION ............................:.( .. I� ... ...... :................:........................................:... y r :..........o�,'.... 3............19Y.�. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ................... ..v.. ....�.....�.�.'..........�. � , r` -..... Y2lU .:.. �h��.:5...... .......... ProposedUse ........................ t.! ''�C......�!`1'`?:l y.................................................................................I......................... • h Zoning District .................... ...................................................Fire District .....:. . y ....... l.:s........................................... 1.�. t-ei� ��Q l-VL J/e Address ............ U �/ Name of Owner .......... I' ..QX...S..../........... ......... ..... Nameof Builder ........................5 -eti-le........................ ..........................�...... .......�............................................ �. Nameof Architect ..................................................................Address .................................................................................... .................Foundation d Number of Rooms ..........:...................................... t .........a.i......................................... Exterior � 'f (�. .T � �f �`� ......................... ........................... ..... .................Roofing ................ ...... ......................................... / . Floors 1. f!. .....f..l�i9/(. G✓PJL7 ...Interior .................5,y�.. .� .... Heating ....Plumbing I................................ . Fireplace ..................................................................................Approximate Cost / � ............... .. .............................................. Definitive Plan Approved by Planning Board -----__.S" ( �� -- -------19--�-. Area ....................... ................. Diagram of Lot and Building with Dimensions `( Fee . �a r SUBJECT TO APPROVAL OF BOARD OF HEALTH .fit - I hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl regarding the above construction. / Name ....................... ......................................................... -'GREENBRIER CORP. 23583 n 1/2 Story N 6 Permit for .. ... ............................. ....` Single.. .Family....DKe 1.11.ag.............. .. .. Lot 22 Location ............4A...,$.Q.u.t Lg?,.L te...Dr. • ............... iiyazzn s........................................... Owner ...C.Q.rP.,..................... Type of Construction" Fr.aMr............................. ................................................................................ Plot .......................... Lot ................................... Permit Granted :October..25.i......19 81 .... .. .. . f Date of I n s p e c t i o n ...... :t, ....19 Dale Completed ........................./74- 19 V f PERMIT REFUSED .................................................................119 ...................................................:........................... ............................................................................... ............................................................ ..............o... ti ............................................................................... Apprbvecl .............................................f:,: 19 ............................................................................... ............... .................................................... � - f r� .-� • �. � - r.r r.f:.r t-�.'�r . t� • - c y T'a,..f�t.i.1w.'nf. T � / �/ G r Assessor's map and lot number .�.,./. ..... ...��.� ,.�.'��/f� ' h Y , A" Sewage !//�'t'CT' yl/ TCt ! SEl1 r A iTHEl��1 • Q Sewage Permit number ...........:.................................... ....... r / 1 BARISTADLE. i House number ..... ...A..................................................::...... y� MA86 O 1639• \0� oMixa' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......... 51l e........................."..�:v�.. ... ............ TYPE OF CONSTRUCTION ...............................W f,") ;l/i...... G';?`., ............................................................... 3............19x.�. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .................... ..... .............. ProposedUse ........................ c+ f(........�' °f ........................................................................................................... .W ZoningDistrict .............�......,.t..'...........................................Fire District .........,................................................................... Name of Owner i '� ��'�� tY� ;�/e/� .I k / L) P�tir°-'�s�i................�!Address ............:..... .................................. Name of Builder � .-�-•E'_ ..........................S.fa.?,-r�?.:�'.........................Address ............................ ....................................................... Nameof Architect ..................................................................Address .......:............................................................................ 1 T- - Number of Rooms .................... ......................................Foundation ..................... '............�:. ..�(✓2Y Exterior C"d-4i2 C1,4 .................Roofing ............. ............ . . � ................................................. Floors �...�`v�C. f..l..'4!{� .� ��........lnterior ..................... .r-Pt.... ✓. b ,. ............. ............................... Heating L� .................................Plumbing ....................................................al C- 4 C v ........................... ,�?�..�°�........... Fireplace ..................................................................................Approximate Cost ............�............. ............... .......... 21151 Definitive Plan Approved by Planning Board ________-5 ski______19__�__ Area � .... Diagram of Lot and Building with Dimensions y Fee .�� Z SUBJECT TO APPROVAL OF BOARD OF HEALTH 3- e { Ar-• A I I hereby agree to conform to all'the Rules and Regulations of the Town of Barnstable.,regarding the above construction. Name .......... "...:. .: ". .......................................... GREENBRIER CORP. c'A=3 6— No ...2.3588. Permit for Build One 1/2 S .ory Single Family Dwelling.....,...... ..... ................ Location „Lot #r22 44 South' ate D ......................A.. ............. ..- Hyannis ............................................................. ......... ....... Owner Greenbrier Corp. .......... Type of Construction' ...Frame ............................ ............................................................................... Plot ............................ Lot ................................. Permit Granted October 26, 19 81 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ............................. .............................. 19 ..........................� ................................................ .................................................................................. ..... .............................. ... . . .. . .. ... . �....... .!..�1.. .... ................. Approved ................................................ 19 ............................................................................... ............................................................................... TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3o Parcel Permit# Health Divisions f � � " �_ Date Issued Conservation Division : l Fee w7f / --� Tax Collector�' oo fAC — f'/NO& P�— �j 06) Treasurer — L a Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address i/ A-- 0/' —)'`e— Village as n Owner fi?v I Qav .1) t 001'o>Atl /�o�� Address `/y �OIJ •, 61;t� Telephone 6-4 Permit Request 7�2 v r//o�/ — iy a 24 _eL� O. Innd le� J h i�h 4d, e, o"7 &-i"%S l i Dx/_ C,2lac e -,-)a la ,y,e 12o Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new I' Valuation a l ooa Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 2' Two Family ❑ Multi-Family(#units) Age of Existing Structure cA O ,/gGz� Historic House: ❑Yes ®'No On Old King's Highway: ❑Yes N'No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 6o Fireplaces: Existing ( nL_ New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use p,)ale&le-- Proposed Use I BUILDER INFORMATION Name SCE cvs �l Jed(, Telephone Number 2 P1.— P,3 V— 9 So 6 Address Z,Do pla x License# 7 'fG3S O,�k a S eD Home Improvement Contractor# CS On ��3 Worker's Compensation# UU a MOO t c, `l J ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO O° P/0�� P 24 SIGNATURE, ��irmG ,%� 0' _ DATE L FOR OFFICIAL USE ONLY 3 s A PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING t DATE CLOSED OUT F ASSOCIATION PLAN NO. �°�4z,,,". ✓�ie � � a� �aaoa,�fivaell . arnmea�uue .. y BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR i 4 Number: CS 074638 Birthdate: 08/10/1952 Expires: 08/10/2002 Tr.no: 74638 Restricted To: 00 HAROLD G PETERSJR .I 171 WALNUT ST � !Nf BRIDGEWATER, MA 02324 Administrator 1 5 • 2 00-35,000 cf enclosed space (MGL C.112 S.60L) 1A-Masonry only 1G-1&2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code i is cause for revocation of this license. i i DIG SAFE CALL CENTER: (888)344-7233 - „ •i/"a�S:�. wai�'`:c a.,j�++�..ye_ter.. _�_�ie�ii:..:i.::.-..a'.i.s�...:t.i-�u.w�_- _ — • �s _� .., ' Board of Building Regulations and Standards One Ashburton Place - Room 1301 ' -Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 126701 Type: Supplement Card Expiration: 07/08/2002 4 SNE PRODUCTS/FOUR SEASONS SUNRO - HAROLD PETERS 600 PLAIN ST t _... . MARSHFIELD, MA 02050 r Update Address and return card.Mark reason for change. Address i-I Renewal i -i Employment f 'I Lost Card �.,. .t �/ce �a�sinconureal!/c o�.���iu�oac/auaell + ,, _, � -• Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:, Registration: 126701 Board of Building Regulations and Standards ` Expiration-- 07/08/2002 One Ashburton Place Rm 1301 I Boston,Ma.02108 Type: Supplement Card SNE PRODUCTS/FOUR SEASONS FfWUd VETERS j 600 PLAIN ST MARSHFIELD,MA 02050 r Administrator Not valid without signature -_ - The Commonwealth of Massachusetts Department of Industrial Accidents oxce 61108st/Aatioos 600 Washington Sired 1 Boston,Mass 02111 '— Workers' Com ensation Insurance Affidavit name: V CrV t/ -Y-) /00 i location Q'o 0, 630-,A e 0 - city he's m ohone# ae- ❑ I am a homeowner performing all work myself ❑ I am a sole rietor and have no one working in any ca aci � ////O I am an employer�roviding:workers'com pensation for my employees working on this job. ?::ti�::::f}:{%:::??:?iris{i::;:•i-• �>^ ••$}:Y4`is�3ii:{�i;`''''':•.'l;:i::;:;.;:}::Si''{.;.{:?;�`:�:;.}}::�:•:;,;.yj :`;:;:vj:;:;:;.�:ij:{?$�:}::::��i�:':<'';:';}`'�{ii:?�i:;�.:$�?�•y}�S?��:.`+?�v''i{:;'<•�')'�: ................:.............:................. ............................................. ................................................ ............................................... ...................... .."{.... ::: ��t'�F...... ,.L. :\.�:. ::: ::.. ...:..::.:::.:�::::::::::::::.:.......�:.:.::.::::.:::::::::::::::}}::c..i7ii}Y::::±:::w:::4.v.:::::?w}:::.4::::::::::::•}:}:::}::}:::•v.•::::::::.::nv::: •}}:ii{{.x.}'.}::;:.::{•;}:{.:Y ..r:. :.:.::..:: ., .xv'.......:....t .. .: x::.vxv.\vv::.v:.vr.•.v::•x: ?::'•x:.::w;....:: rv::-:••:::r v.:,vv::::::.vnw:::::::;nv::.;r.r....4.;;.tti...:..:.:..:.i.;._:4:4}:•::•}:?i{?{. .........................t....^}:?.. ...fi.......?v::.::::?{:.•}}7?:?S4}:•7:•:•}T:•}:?•:i: .. .:.4•x::vr..x... :::...:...........:::•::::::...-. ::::::::::::::::::-:::::.:::::•..•-:::::::.:.::::........................•....::•::•:..tr..: .: ::.:.::::::.::.::::r.•.::..::..:.,:•::::: 21,000-91 RISEN ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the coma= rs listed below who have the following wod='compensation ..... .......,.:...:x:::..r.,::.v.:.}:.::.4:;4:.;}:::....::..::.::::::::.:�::::.�:::::::.:::.:..............h............,.......................... h: : .... .r. .�:M,�,,,r,v.:::v:.: v:a:•4:•}}:??Si?•:•}ii}1:x?{•:4i:4:.v:::::............v.......:.. ..:. ...........,...................-::•v:::w.:................................................: ........................A....n.M{............?.......,...M.t......................... :;ii{'%i:�i%i:rii::;}�i r i}iii%ii:isis4:::-Li:j!:{ri};:}i}i:::}:T{?$::!?'ii::iv'%:v:{{4iii�.iivii}:{ij}:;:,:.�$i::}jire;�ii}'%iii:�i:'<�:vvi?�iii?:>??�i:•:::;'i'.''j?;:.rji:v�ii::i'�i`i:Lv?'?~:i?�iii�:�'�ii�i::::}v:;:}�i:;:;:;:.}•.::.:�co :; 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Geiler,Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: vr'u/-)/00 M J � ��» �� Estimated Cost '0102 D Address of Work: 7 Soo h a� Owner's Name: �Q y v i, r'/ 7 Date of Application: I hereby certify that: Registration is not required for the following reason(s): ; ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERILMY I hereby apply for a permit as the agent of the owner.- Date Contractor Name Registration No OR Date Owner's Name q:f6rms:Affidav:rev-122001 i RTlFICATE OF LIABILI ATE(MM/DD YY) 02-27-01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BARROW GROUP, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 636 EXCHANGE PLACE, SUITE 300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW - LILBURN, GA 30047 (770) 931-7652 COMPANIES AFFORDING COVERAGE I -- ! coMAPANr FRONTIER-INSURANCE.COMPANY INSURED RESOURCE MANAGEMENT, INC. COMPANY 281 MAIN STREET, SUITE 5 B FITCHBURG, MA 01420 COMPANY -- --- ---—-- ------- — C COMPANY COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT POLICY PERIOD WITH RESPECT TO WH CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED B ICH THIS Y 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. CO LTR - TYPE OF INSURANCE POLICY NUMBER POLICYfFFECTIVE POLICY EXPIRATION DATE(MM/DD/Yl) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $ PRODUCTS CLAIMS MADE OCCUR -COMP/OPAGG $ OWNER'S&CONTRACTOR'S PROT. PERSONAL&ADV INJURY _$ EACH OCCURRENCE g --—------- - - - - _ - FIRE DAMAGE (Any one fire) $ AUTOMOBILE LIABILITY MED EXP (Any one person) $ ANY AUTO COMBINED SINGLE LIMIT S ALL OWNED AUTOS ----- -- - -- _ SCHEDULED AUTOS BODILY INJURY S (Per person) HIRED AUTOS --- --- - -- NON-OWNED AUTOS BODILY INJURY $ (Per accident) PROPERYY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO -- -_. OTHER THAN AUTODNLY EACH ACCIDENT S EXCESS LIABILITY AGGREGATE S j UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE $ OTHER THAN UMBRELLA FORM - - - WORKER'S COMPENSATION AND - S W2 00001979 03-01-01 03-01-02 X O Y LIMITS OER A EMPLOYERS'LIABILITY — THEPROPRIETOR/ EL EACH ACCIDENT $ 1,OOQ000 PARTNERS/EXECUTIVE X INCL - EL DISEASE.-POLICY LIMIT S 1 QQO,- I OFFICERS ARE -EXCL OTHER EL DISEASE-EA EMPLOYEE $ 1.000.000 DESCRIPTION OF OPERATI)NSILOCATIONSNEHICLES/SPECIAL ITEMS COVERAGE IS EXTENDED TO THE LEASED EMPLOYEES OF ALTERNATE EMPLOYER:' SNE PRODUCTS, INC., D/B/A SANDCASTLE SERVICES; SANDCASTLE SUNROOMS, SANDCASTLE BUILDERS; SANDCASTLE HOMES. FOUR SEASONS SUNROOMS, 600 PLAIN STREET, MARSHFIELD;MA 02050 t; CERTIFICATE HOLDER a CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE SNE PRODUCTS. INC.b/B/A SANDCASTLE SERVICES EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL SANDCASTLE SUNROOMS. SANDCASTLE BUILDERS', 30'SANDCASTLE HOMES FOUR SEASONS SUNROOMS DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 600 PLAIN STREET BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY MARSHFIELD. MA 02050 i OF AN ' IND UPON THE COMPANY, IT AGENTS OR REPRESENTATIVES. AUTHORIZ EPR ESE IVE ACORD 25-S(1195) / 0 ACORD CORPORATION 1988 ,acoRo CERTIFICATE OFLIABILITY INSURANCEPID JA DATE•,,,--=„ PRODUCER SANDC-2 09/20/01 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATICN MFST Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND. EXTEND OR 175 Derby St. Unit 40 ALTER THE COVERAGE AFFORDED BY THE POLICIES EELC�^.'Hingham MA 02043 COMPANIES AFFORDING COVERAGE Richard Eagan, Jr. COMPANY - -- - PhoneNo 781-740-6300 Fa.No A ;-CNA Ins' rance Co. _ COMPANY - -_ B itravelers ,Insurance Company; COMPANY - 3 — Sandcastle Northeast LLC C,< 600 Plain Street _ Marshfield, MA 02050 COMPANY — p COVERAGES 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 RECUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT'PJITHRESPECT 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 T TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR: - POLICY NUMBER - r DATE,MM/DD/YY)° DATE r,1MrDD,'YY LIMITS. GENERAL LIABILITY A X COMMERCIAL GENERALJABILITY 2052018716 GENERAL AGGREGATE _ 5 $2._000_��: 08/01/01 08/01/02 PRODUCTS•COMPOPA_GG s $2 ,000 .CLAIMS MADE X JCCUR - -' PERSONAL S ADV INJURY S �'1 ,000 OC - OWNER'S b CONTRACTOR"S PRO- - - - _ •_� - F EACH OCCURRENCE S $1 ,O O C - -'" - - - FIRE DAMAGE:Anv one I:re' S $1 OO,0 C r I _ _AUTOMOBILE LIABILITY MED EXP:Ary cne cerson 5 $10 0 0 C� � - - B ANY auto zI-810-6241D9775—IND-01 .'08/O1/O1 08/O1/p2 COMBINED SINGLE LIMIT 5$1 00G vC` ALL OWNED AUTOS -- X SCHEDULED AUTOS . BODILY INJURY S (Per oersom - X HIRED AUTOS P ----------- ._ . X NON-OWNED AUTOS BODILY INJURY S - PROPERTY dAMAGE S GARAGE LIABILITY ANY AUTO AUTO ONLY. __EA ACCIDENT S - ... OTHER THAN AUTO ONLY -- - - — EACH ACCIDENT S AGGREGATE EXCESS uA81LITV _ ' _ - EACH OCCURRENCE S $2, 000,'OC A X �r.iBRELLA FORM 205.78078.Z1� - 7 ., — 08/01/01 08/01/.02 AGGREGATE s $2 ,'000-; OTHER THAN�IIMBRE--,. ^.R,'.' - r V✓CRrERS COMPENSAT'i�`::.\:: EIMPLOYERS`LIABILITY - vVC STA Ti,1. Jih . - -,TORY LIMITS ER. - �THEPROPoIETORI - - - EL-EACH T ACCtDENr PARTNERS r;TIVE 1N - - OF CERS ARE _ EL DISEASE POLICY,LI?AIT . OTHER. EL DISEASE EA FMPI OYEF ES RIPnCh OF OPERATIONS., Operations usual to the insured - I c=TIFIC.;TE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE iHE j ` .EXPIRA TION DATE THEREOF THE ISSUING COMPANY.WILL ENDEAVOR TO MAIL Sandcastle Northeast 'LLC ' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT 600 Plain Street, BUT FAILURE.TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Marshfield -mA 02050 OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES - AUTHORIZED REPRESENTATIVE _25-S(1!95) w /�1 _ RD CORFORATIC111 5 i '1 CONSUMER INFORMATION FORM—"SUNROOMS" Massachusetts State Building Code (780 CMR, Appendix J, Section J1.1.2.3.1) The Massachusetts State Building Code (780 CMR) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, constructing/installing a house addition with very large percentage of glass to opaque wall, seeks to utilize a special energy conservation exemption option for "sunroom" additions to an existing house (780 CMR, Appendix J, Section J1.1.2.3.1). This FORM is not intended to prevent a homeowner from selectinga "sunroom" of an size, configuration, orientation, form of construction or percent glazing, X 9 but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year-round comfort considerations involved in selecting and utilizing a "sunroom" addition. The connection of "sunroom" structures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and constructionrnstallation of "sunrooms", included below is a non-required, open- ended list of product and design considerations that a homeowner may wish to consider before actually constructing/installing a "sunroom It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize potential energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO "SUNROOMS" • Solar Orientation and Natural Shading • Type of Glazing • Insulating value • Solar heat gain • Frame materials • Glazing to frame sealing and gasketing materials/seal durability and/or weather tightness of the sunroom • Adequate ventilation—Operable windows and fans • Applied Shading Systems • Insulation level in floors, walls, and ceilings • Possible Sunroom isolation from the main house via a wall and/or door or slider Homeowner Acknowledge The Massachusetts State Building Code, Section J1.1.2.3.1, requires that the actual property owner (not the owner's agent or representative) acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the information in this document concerning sunroom comfort and energy conservation. el Signat of Actd9l Building Owner Date _AVL�;Ay✓,,v >0PoJPL/'AQ,fZ, y,�/ Baru Garr _NlrE,��,s A4 Print Name Address of Permitted Project (SoB� 77/ - 5i7,4/ Owner Address (if different than project location) Owner's telephone number 8_6 CA-1ru ® C3 F R P C) E R-FY LANES MAY ne ®-r BE ACc u Q2A-ir0= STANDARD LEGEND NOTE:not all symbols will appear on a map ° 3 GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES 6 ^^-•--^� EDGE OF BRUSH r _i ORCHARD OR NURSERY \ V-Y•7--V EDGE OF CONIFEROUS TREES / c MARSH AREA — — EDGE OF WATER DIRT ROAD DRIVEWAY PAVEDROAD� PAVED ROAD DRAINAGE DITCH - - - - PATH/TRAIL D 306 PARCEL LINE MAP r 2111�—CELNUMBER I #1860 F--HOUSE NUMBER I - - 2 FOOT CONTOUR LINE 7 5 —�� 10 FOOT CONTOUR LINE \ /•\ - Elevation based on NGVD29 4.9 SPOT ELEVATION / 00o STONE WALL -X—X- FENCE RETAINING WALL 150 J RAIL ROAD TRACK C� STONE JETTY / SWIMMING POOL / \ 17 1 7 PORCH/DECK 1 L] BUILDING/STRUCTURE \ DOCK/PIER --- HYDRANT j� e VALVE OO MANHOLE IW 0 POST 0"' FLAG POLE T O W N O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T. E M S U N I T c SIGN ® STORMDRAIN N PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The lames 1"=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE a TOWER " i' e 0 20 40 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Mop Accuracy Standards -0- LIGHT POLE s 1 INCH=40 FEET* - enlarged scale. on the map. at a scale of 1"=100'. Parcel lines were digitized from 2001 Town of Barnstable Assessor's tax maps. O EIECfRIC BOX bOe6 pF114E A Town of Barnstable *Permit# 3 �P� ti0 Expires 6 monthsf}om issue date Re ulato Services Fee '�� o • snxxsrnscE, g rY 9' Thomas F.Geiler,Director Building Division X-PRESS PERMIT Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 AUG 2 6 2002 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY L Not Valid without Red X-Press Imprint . Map/parcel Number Z Z7 Property Address Ld l se U74X esidential Value of Workfy, Owner's Name&Addresstl7G Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner _ ❑ I have Worker's Compensation Insurance Insurance Company Name �.�at QN` • Workman's Comp.Policy# Permit Request(check box) 1 . Re-roof(stripping old shingles) All construction debris will be taken to SkAXk= Ln:se 1/lW7 to C-6pe— - 3603, ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Fomvs:expmtrg Revised121901 0 � I �- , I a • OPEN WALL 8"t BEGINNING AT DOOR REMOVE PORTION OF EXISTING 'SUNROOM WILL - I BE LOCATED. INSTALL FOOTINGS i r I � AND NEW SUNROOM PLATFORM. Ii PLATFORM TO BE FLUSH WITH EXISTING FLOOR RAILING . FINISHED FLOOR ` FI NISHED DECK' 17/1ae CD ---------- - FINISHED GRADE J CI � s � it « 2e 24-3a � 2e REMOVE DOOR AND WINDOW } EN WALLS'* REMOVE SIDING ADD SHEETROCK EXISTING STEPS TO REMAIN , � EXISTING HOUSE . Z 0! EXISTING DECK L CD CD LH REMOVE PORTION OF EXISTING H g l DECK WHERE SUNROOM WILLco BE LOCATED.-INSTALL FOOTINGS AND NEW SUNROOM PLATFORM. PLATFORM TO BE FLUSH WITH V EXISTING FLOOR Z r it co SIC 12 -11 CD 15-11 1/8" ; • • - • � Plan an , Front Elevation T Y u a cn Q, � rL-J KICK PANEL TO BE -4LAMMMPAPEU 112 SOLID TO ALLOW FOR VENT a z 10-9118 < a 10-9 � Left Elevatio'n Right ElevationCD �- _ CD C it arrT \' ( I I I o _ 8 CD RAILING W FINISHED FLOOR FINISHED DECK FINIS. - HED GRADE ` to i g r? T it CD , ef , • M • M e �. a 1a' t Y , r 8 r t , s a . n. + r - o- � w• 24'-r3" ML STM s �. 24'�" - - - �asnNo�oa�. , e .. FOUNDATION =\. v " .. .. -. a _..- _ 4r �' .. • k" � ai ..t s t x- ,J e �-10'DIAM.CONCRETE SONOTUBE.T.O.F.TO BE? k a BE 4 MIN BELOW x 5 � 'MAX 'ABOVE „ " 0 16 � a , w M � Z • p - .. 7 Z � m �'— ,. z -ro _ 10 1/ 8 10- 1/8 t , Q • IPL 2X1 GIRDER DS — F . A • II ti y� r r u - " u T-0'3/4 f T-8 3/4 , 7—8 ' Y . 0. u � t „ ' 5 4 , -,. 7 a 4 - y n n Q t a M1NG PLAN FUN � .� FRA q , e i r , .