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HomeMy WebLinkAbout0050 STERLING ROAD �D S-�e rl � n l��. —- -- --------- - --- - -- _--- -- --- . __ � � _1�, Town of Barnstable Building w s Post,This Card So That it is Visible From theStree#-Approved Plans Must be Retained;on lob and this Card Must be Kept DAIDWABM Post d Untflif inal lnspe�ct on _H, a�st B..een'Made-�. .. m» ,...._ ... - .. '41x Occis`ipldgshllNt b Occieh rt YR ui suc_ _ a._ ha b, uti _ pco . md.eu _.. Permit u n - OW Permit No. B-19-3829 Applicant Name: Approvals Date Issued: 11/13/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 05/13/2020 Foundation: Location: 50 STERLING ROAD, HYANNIS Map/Lot: 268-172 Zoning District: RB Sheathing: Owner on Record: BOY, RICHARD L& MARIE Contractor Name:` Oliver Kelly Framing: 1 Address: 50 STERLING ROAD Contractor L"icense: 12`8957 2 HYANNIS, MA 02601 ` Est. Project Cost: $8,000.00 Chimney : Description: Roof 1 Permit Fee: $40.80 Insulation: Project Review Req: Fee Paid:, $40.80 r Dates 11/13/2019 Final: Plumbing/Gas Rough Plumbing: r- •Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afterlissuance. All work authorized by this permit shall conform to the approved application and the=approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws-and codes. � Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for.;public inspection for the entire duration of the work until the completion of the same. ; Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this,.permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to.Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Application numb• Y Q„ Fee ....................... Y.. .�...Z. ............ Building Inspectors Initials..........r ................... Date Issued.............. .��J ...�1.. ............................ Map/Parcel............ ........ TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO W S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: NUMBER STREET VILLAGE Owner's Name: Kk�VdIZ 0 Phone Number Email Address: C-f— bo R— .4U 07. Cell Phone Number Project cost$ Ln, Check one Residential mmerci OWNER'S AUTHORIZATION r As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK ❑ Siding ❑ Windows (no header change)# ❑ Insulation/Weatherization ❑ Doors(no header change)# Commercial Doors require an inspector's review Roof(not applying more than I layer ef shingles). Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name ' t_0J---Q— �rll, l I Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# 0� 1 t I - (attach copy) . Email of Contractor o -�,4 Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY11S IN A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................. *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be'attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 201bs. or>Yes No ,if yes, a gas permit is required. Natural Gas Yes No ,if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES 'Manufacturer# Model/I.D. Fuel.Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLIC ' SIGNATURE Signature Date ` All permit applications are subject to a building ficial's approval prior to issuance. The Commonwealth ofMassachitsetts Department of Indtistrial Accidents 1 Congress Street,Stcite 100 Boston,MA 02114-2017 ,<. www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Elect_ricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information 1 PIease Print Legibly Name (Busine,ss/Organi ation/Individual) 1�R. Address: le'\I ? �' 1 Phone#: �`- >� ' '1 City/State/Zip: � ��+ U (� :ti:,l, Are you an employer?Check the appropriate box: Type of project(required): 1.61 am a employer with _employees(full and/or part-time).* 7. n New construction 2.❑I am a sole proprietor or partrership and have no employees working for me in $. Remodeling any capacity,fN. o workers'comp.insurance required.] 9. ❑Demolition 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]' 10[]Building addition 4.E]1 am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I L E]Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.FJ I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.R<oof repairs These sub-contractors have employees and have workers'comp.insurance. 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other 152,§1(4).and we have no 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. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors rnust submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the subcontractors 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 prov ding workers'compeitsatiotr insurance for my employees: Below is the policy and job site information. Insurance Company Name: t ' (4411va Policy#or Self-ins.Lic.#: ((�' ��ZV VN i) x p ration e: I i-% - Zo Job Site Address -�:k9- City/State/Z r Attach a copy of the workers'compensation policy declaration page(showing the policy nu ber and expiration date). Failure to secure coverage as required under MGL c. 152,§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 STOP 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. 1 do hereby ti tgder the pains and pe es perjury that the information provided above is true and corr ct. 1q Si natu e. Date: Phone#: - O C Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5..Plumbing Inspector 6. Other Contact Person: Phone#: KELLY ROOFING PH. 508 509 4640 8 Rhine Road MA C.S.L. #099167 Yarmouthport MA H.I.C.R. # 128957 MA 02675 November 12'2019 Proposal submitted to Mr. Richard Boy of 50 Sterling Road Hyannis MA. We propose to supply all materials and labor required to remove and replace the existing asphalt roof at the address above. Protect,all walls, Windows, shrubs, plants etc. during roof strip. All debris to be removed to town transfer. White Aluminum Drip Edge to be installed on all eaves and Rakes. Ice and Water damage protection membrane to be installed on first Six feet of all eaves in all valley areas and around all protrusions. Remainder of roof deck to be covered with synthetic underlayment. . Install limited lifetime warranty Architect style Shingles, color to be specified, All shingles to be storm nailed (6)We Generally Use Certainteed Products with All Accessories to maximize available warranties.This quote is Based on The Regular Landmark Series Shingle Replace plumbing vent pipe boots with new. Repair/Replace all flashings as necessary. Install Shingle Vent 11 ridge vent with hand nailed caps. (On house, Garage & Breeze way) (Remove if posible Cupello and garage spin vent. 'ADDED*) Complete Clean up off all areas including all gutters and all nails after project complete At a total cost of$8,000 Payment Schedule; Balance upon Completion Proposal Submitted by: Oliver Kelly If Acceptable please sign and return a cop to the address above. Proposal accepted by: Richard L> Boy,, Date. 12 Nov 2019 r ' This proposal is valid for 45 days from date a ove, please call to verify thereafter. ' Best Contact Info: 508-364-8262 ' C:4 Z® CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD"YYY) `-f 1 07/02/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ' CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Linda Sullivan DOWLING&O'NEIL INSURANCE AGENCY PHONE 508 775-1620 ;vc No ADDRESS: lsuilivan@doins.com 9731YANNOUGH RD INSURERS AFFORDING COVERAGE NAIC9 HYANNIS MA 02601 INSURER A: ACE AMERICAN INSURANCE CO 22667 INSURED INSURER B: KELLY ROOFING INC INSURERC: INSURER D: 8 RHINE RD INSURER E: YARMOUTHPORT MA 02675 INSURER F: COVERAGES CERTIFICATE NUMBER: 420827 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. 17p TYPEOF INSURANCE ADDL SUBR POLICY EFF POLICY EXP POLICY NUMBER MM/D MM/D LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO N ED PREMISES Ea ocaurence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ MOTHER: TAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $ POLICY❑ PRO- JECT LOC PRODUCTS-COMPlOP AGG $ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS NIA BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident 8 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION P R OTH- AND EMPLOYERS'LIABILITY YIN X STATUTE ER ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBEREXCLUDED? WA WA WA 6S62UB8H08580919 05/10/2019 05/10/2020 (Mandatory in NH) E.L.DISEASE-FA EMPLOYEE $ 500,000 U yes,describe under DESCRIPTION OF OPERATIONS below I I E.L.DISEASE-POLICY LIMIT $ 500,000 NIA DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay Claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This Certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance).. The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/IwdAworkers-compensationriinvestigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The Barnstable Insurance Company ACCORDANCE WITH THE POLICY PROVISIONS. 108 Route 6A AUTHORIZED REPRESENTATIVE Yarmouthport MA 02675 Daniel M.Cro ey,CPCU,Vice President-Residual Market-WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(201001) The ACORD name and logo are registered marks of ACORD C�O�/721�20�1ZLlt2lGGG�4��%CJ�rdCY.Gf?iLGc�'G��,1- Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Individual OLIVER KELLY Registration: 128957 8 RHINE RD Expiration: 06/13/2021 YARMOUTHPORT,MA 02675 2 sca 1 0Update Address and Return Card. �o/nn•'osi(n� •!7C (iC/i7ii)Cq/L%Y�.//�/.•�.•��lCy-illU!/iiL//-i Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: Registration'. Expiration Office of Consumer Affairs and Business Regulation 128957 =_,06/13/2021 1000 Washington Street -Suite 710 OLIVER KELLY Boston,MA 02118 OLIVER M.KELLY.:'. 8 RHINE RD. ,�l�.�iGlos�i" �� = ✓ , .a; YARMOUTHPORT,MA_02675 Undersecretary ' Not valid without signature L Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction.Sdoetvisor Specialty CSSL-099167 Expires:09/28/2021 OLIVER M KELLY , 8 RHINE ROAD a YARMOUTH PORT MA 02675 Commissioner TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma �' Parcel A #"v� 0 u p-_�: P Application-�-- � Z pp ,J Health Division Date Issued ' `�`t(- K/ Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address () n C. Village i Owner C�d 1 )C� Address � Telephone G� �' �- 1 G��� Permit Request A-V)4kkca � 1 ,. -CA1% Q0_ �c cad3un Ly a a L1N\a L r _ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed'- Total new Zoning District Flood Plain G r'oundwater Overlay Project Valuation 1--4 • QU Construction Type it, Sc x t A;0*r\ Lot Size Grandfathered: ❑Yes ❑ No If yes, attach sup ing door enion. DwellingType: Single Family yp g y 4� Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's"Highway: LJ_,Yes No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other ' Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) ' Number of Baths: Full: existing new Half: existing never 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.f, ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: El existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes �(No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name T-.K-Y1SL1111 Telephone Number ��5" Address .® . T�p3� License # C:S -0 �3 7 tkm � ©a( otpu Home Improvement Contractor# Worker's Compensation # U)C_ V00 3 to ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO u 1 SIGNATU+1 ov., DATE zd l FOR OFFICIAL USE ONLY APeLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE r OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL s PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i t , J The Commonwealth of Massachusetts print Form_ Department of Industrial Accidents Office of Investigations 'r 1 Congress Streets Suite 100 _.. Boston,AM 07114--2017 www massy ov/din `Yorkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers �-- Appliiant Information Please Print Legibly A& 1 Name:(Business/0rganization/Individual) N5 _ Address: D Ce33 City/State/Zip: rTU YtI Phone W: y 1 Are oti an employer?Check the appropriate box: Type of project(required): 1.M I ain a employer with 1 e> 4. ❑ I am a general contractor and I etziplayees(full.and/or part-time).* have hued the sub-contractors 6. New construction 2.❑ I-am a sole proprietor-or partner- listed on the attached sheet. 7. ❑ Remodeling These sub-contractors have - shi- and have no employees 8. Demolition p �P Y ❑ . workingfor me in an ca aci employees and have morkers Y P tY- 9. Building addition . [No workers'comp.insurance comp.insurance. 10. - Electrical r airs or additions 5. - - We area corporation and its ❑ eP required:] ❑ rp . 3.❑ I.am a homeowner doing,all work officers have exercised their- 11.0 Plumbing repairs or additions doing, right of exem exemption per MGL P P. . myself.[No workers- comp. 1'2_❑ f-repairs insurance-required.] t - c. 152,§1(4),and we have no _ employees.[No workers' 13. 1Other -.�45 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- 'Contractors,that check this box must attached an additional sheet showing the name of the sub-eontrectors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.'policy number. lam an employer that is providing workers'compensation insurance_for my employees. Below is the policy and job site information. / 1 1 Insurance'Company Name: f "lGj iAc— Policy#or Self-ins.Lic.M. W Gy002 n Db Expiration Date: nov 1 - � Job Site Address:® 3+�V.T)` City/State/Zip: Un mM'o a Attach a copy of the workers'compensation policy d aration page(showing the policy nu and expiration date). Failure to:secute coverage as required under Section 25A of MGL c. 152:can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. d do here ce under the airs and enalties ogrfer'ury that the in ormatron provided above is true and correct Signature: _... . . _ Q . ... .. ... . _ Date _. . . Phone#-- 7: y V6 B::Y.,. Official use only. Do not rite in this,area,.to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle otie): 1.Board of lFfeid,!k .Buildingo Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other 03/31/2014 03:53 9787778415 PAGE 01 ' L CERTIFICATE OF LIABILITY INSURANCE 3/31(/2014 THIS CERTIFICATE 19 ISSUED A9 A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S)I AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE MOLDER. IMPORTANT: N the certlflcsts holder Is an ADDITIONAL.INSURED,the pollcy(lea)must be endorsed. it BUBROOATION I$WAIVEO,subject to the terms and conditions of the Policy,certain policies may require an endorsement. A statement on this certmaste does not confer rights to the Certiflests holder 1n IIsU of such ondo►sem s) PRODUCER COUNTY INSURANCE AGENCY INC PMONE (978)774-2463 A/ ,�-(978)777-8425 123 Sylvan St A-MAIL Danvers, MA 01923 INSUReNIe)A►1o11DINa COVERADE NAICe INSURER A:COMOrCO Ina. Co. INSURED Building Performance Contracting, LLC INSURER B:Esmez Ina. Co. INSURER c:Atlantic Charter P.O. Box 633 INSURER D:RB Jonea Truro, Ma 02666 INSURERE: t , F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED OF-LOW 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 CLAIM. I" ADM *Von _M0tV1ffr POLICY EXP LTR TYPE OF INSURANCE om YYVD POLICY NUMBER MMIDD MANDWYY rY LIMITS GENERAL LIABILITY EACH OCCURRENCE s 1,000,000 R C,OMM17RC,IAL OENERAL LIABILITY PREMISE ff"ce $ 50,000 CWMSWADE [j]OCCUR MEDEXP( ens ereon) S 1.000 B 3DE9441 11/19/1311/19/14 PERsoNALaADvIN.IURY S 1,000 000 GENERAL AGGREGATE s 2,000F000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG 5 POLICY ROPECj LOC s AUTOMOBILE LIABILITY Ea accideAtl 1 1,000,000 ANYAUTO BODILY INJURY(Per person) s A AUTOS S I&D AUTOS 8GDDGK 2/2/14 2/2/15 ( erecaaenl) s NON-OWPER DAMAGE— BODILY INJURY P HIRED AUTOS AUTOS NED Pv etxldenl = S X UMBRELLA-LIABOCCUR EACH OCCURRENCE s 2,000,000 D EXCESSLIA13 CLAIMS-MADE CUBW3904112 5/1/13 5/1/14 AGGREGATE S 2,000,000 OM I I RETENTION S S WORKERS COMPENSATION TH• AND EMPLOYERS'LIABILITY T Y I T //w, ANY PROPMETORIPARTNERIEMECVE TIN R 11/23/13 21/23/14 E.L.E. EACH ACCIDENT S 500,000 C 0"ICERRASWER EXCLUDED? ® MIA PINndiam IeIng NCV00939900 E.L.DISEASE-FA EMPLOYE S S00,000 N yyeess a Vbe undN DESCRIPTION OF OPERATIONS below' EL DISEASE•POLICY LIMB S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional RaMbfka Schedule,If more SPOW Is reWlred) s CERTIFICATE HOLDER CANCELLATION ` Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORI RE ENTATI 988r2010 A RD CORPORATION. All rights reserved. ACORD25(2010/05) The ACORD name and logo are registered marks of AtORD re PERMIT AUTHORIZATION FORM owner of the property located at: (Owner's Name,printed) (Property Street Address) (City/Town) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. Owner's Signature 2zz Date FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: 1, Participating Contract r Date Rev.12132011 V/zc� iarrrmioiuu o�P/ zaaac%uuet/a License or registration valid for individul use only ` Office of.Consumer Affairs&Business Regulation • . before the expiration date. If found return to: , ME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulatio egistratioh: :1T4235 Type: 10 Park Plaza-Suite 5170 xpiration: _.1/1;5/2:Q15 LLC Boston,MA 02116 BUILDING PERFORM*NCtCt�NTR�'CTING,LLC. "g 47 JOSH EDMOND 8 KINNIKINNICK RD TRURO.,MA 02666 Undersecretary Aot valid without signature PV Massachusetts -Department of Public Safety Board of Building Regulations ulations and Standards Construction Supemisur z License: CS-078815 JOSH EMOND PO BOX 633`' - Truro MA 02666^ r Expiration Commissioner 03/25/2015 ITT Assessor's mcip and lot 'number ..... ..26.8...E"..2.72................ E T Dx, if H Sewage Permit number �FL!?rCl f�„t; y1 ..:T. /� C c jj,0ad • • `S Z HARASTADLE, i IA,use number .............................................:...................... 9 MA86 R 00a,1639. 9� 'Fa MPY a� TOWN . OF BARNSTABLE BUILDING INSPECTOR r APPLICATION FOR PERMIT TO .G.0nst r.uct...add.i.hi.Qn...XR..gAi.�_tj n.g..rouse; TYPE OF CONSTRUCTION .....:.......................00d Frame . ......................................................................................................... Ma x c h..23........................ TO THE INSPECTOR OF BUILDINGS: .. _ The undersigned hereby applies for a permit according to the following information: Location ..........54...5 ter l i n9...Road.p...Hx.sin!1 i:.5.....MA............................................................................................................... l ProposedUse Res.i.dfat.i.al................................................... . ............................................................. ............................:.. ' Zoning District -.Resi„dencg,,.a,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,Fire DistrictHyannis Name of Owner R.,ch�.r.�.. ..Mar..Le..�A.y.............:..............Address ..,SD...Ste-r.Ling...Road,..;H-yann.is.,...MA................. Name of Builder-Ri.ch.ard..B.ay.............................................Address ...5.G..St,er.11ng..Road.,..H.y.ann.i.s,..MA................. ..........................Address 0...Ste.r..l.i.ng...Road.,...Hyz'nn.is.,...MA................. Name of Architect .R1.ch.ard:.B.Qy............... 5 Number of Rooms °ne ............Foundation P.ar.t.i.al....faundati.on........c.raw.l..s.Racs....... Exterior Wood S ' ..............h.I.ng.le.........................................................Roofing ....AS.pha.1.t................................................................... Floors .....Carpet...&..L.ino.le..un...........................................Interior ....Sheet.rock............................................................ w. Heating Hot...AJ.1".............'......................................................:Plumbing ........................ .................................................... Firepp ..Approximate Cost .$.4,QQA....................................................... lace .NO.p.a...................................................................... Definitive Plan. Approved by Planning Board ----------_--------------------19________. .Area ../f.....:!...................... Diagram of Lot and Building with Dimensions . r g g Fee ......:...�..��....:................. SUBJECT TO APPROVAL OF BOARD OF HEALTH f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the To stable regarding the above construction. Name .... ...................I.................... .......................... BOY, RICHARD & MARIE 2 3 9 Ot'-, Build Addition No ................. Permit for .................................... Single Family Dwelling Location ...5.0...Sterling...Road..................... .. .. .... .. .... .. .. ....... .. ,Hyannis ................................................... ............................ Richard & Marie Boy- Owner ..................T............................................... Frame Type of Construction .......................................... ................................................................................ A Plot............................. Lot ................................ -7 March 25, 82 Permit Granted ... ...........................19 Date of Inspection ....................................19 Date Completed ............................. .........19 Assessor's map and lot number .....M..268..L... ... ... .X, —�e/. � �u _ /At /hj i S��w L� i� e e.y e eel QypiT Etp�� H o Sewage Permit number ....... l!?� J.....;:.A6'.,/(•.JOyer R BJB39TADLE, • tdAuse number SAM " :. 9�C 1 639 9 O MAY A\ TOWN OF BARNSTABLE _T BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..to..q�Sisting. house........................................... TYPEOF CONSTRUCTION .........W�d Frame... ............................................................................................................. Ma.0 h.., n.......................19.. 2.. TO THE INSPECTOR OF BUILDINGS: The undersigned {iereby;applies for a permit according to the following `information: h Location ...........54..Sterli� ..Road,,..Hyap:4a.s.,.. .............................. ............................................................................. ProposedUse ...................................................... .............................................. 'ti ....................................... • Residence .........fire District ........1{ anrats........................................... Zoning District ..... ........................:............:... ....,. X Richard,.Fr Mar'i,e BQY...........................Address ...SQ..S.teraang..Raad.,..Ryannla.,..MA................. Name of Owner M .... Name of Builder-R1.04rO..159Y.............................................Address ...5Q...S.tel.]J.ng... ................ ........Address Q..S.ter.l.i Name of-Architect .R.I.Gha.rd..Qc�.y................................. ...5� ng...Rmad,..Hyann.is,,..MA................. Number, of Rooms One...:........................................Foundation Ra.rti.a.1...foun.datlon.......Graw.l...saace...... Exterior; W994...5hi pg.ie ............. Roofing .'...As.R!?.d1.L.................................................. ... . I .. .. .. ... Floors Car.pet..&...Linoleum..........................................Interior .....Shaetroik........................................................... Heating HOt Air Plumbing Fireplace .Nona.......................................................................Approximate Cost ..$4.,.Qpo..................................................... Definitive Plan Approved by Planning Board ________________________________19________. Area ..,!'. ! ..................... Diagram of Lot and Building with Dimensions Fee '. SUBJECT TO APPROVAL OF BOARD OF HEALTH f r 4{" r , J+ i `} t+ .r w { ie « t «Y k� .e i rt' r r .i rr .y � i l .t i r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS r I hereby agree to conform to all the Rules and Regulations of the Town.of'Barn`stable regarding the above construction. (r •-- f »�--� rName ....................................................... ...................... BOY, RICHARD & MARIE A=268-172 239*&l Build Addition No ................. Permit for .................................... Single Family Dwelling ............................................................................... 50 Sterling Road Location ................................................................ Hyannis ............................................................................... Owner ..Richard & Marie Boy .............................................................. Type of Construction Rrame .......................................... ................................................................................ Plot ............................ Lot ................................ ti Permit Granted Marc,,,,,, 5 ...........:......19 82 Date of Inspection ....................................19 Date Completed ......................................19