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0129 STRAIGHTWAY
a9 .�a�fway ,� __ . J. } 4. 49 Herring Pond Road l Buzzards Bay,MA 02532 P.5o8-888-iy4o F.5o8-833-3377 S. Resolution E N E R G Y . January 23, 2015 i Thomas Perry,CBO Town of Barnstable, Building Division 200 Main Street Hyannis, MA 02601 RE: Insulation/Weatherization Permits - Dear Mr/Perry: / f This affidavit is to certify that,all work completed of r insulation work at: • 129 Straighway,W Hyannisport • 36 Thornberry,Lane,Centerville • 48 Oak Neck Rd B, Hyannis has been inspected by a certified Building Performance Institute (BPI):Inspector. All work performed meets or exceeds Federa- I &State requirement. 1. . iricere ' Z o- Ph lip_.D Haglof En I I 1 I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map oZ (a Parcel a Application # ,701 Health Division Date Issued 11-71k. 'I`f (►�h Conservation Division Application Fee Planning Dept. Permit Fee 3< Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address )act Village �� , 14f1 ►SA(�� Owner /�L�k oen-uj(D Address (a,; S'Wna !�`'1 Telephone (Sod �7 I 3y EO Permit Request J O a S4 6P 0- m?�kA &P- an,� - n-u nc Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0D Construction Type ;Lot Size randfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure �q 1 I 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.ft) Number of Baths: Full: existing c�- new Half: existing new Number of Bedrooms: 3 existing _new Total Room Count (not in ding baths): existing new First Floor Room Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing 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 Proposed Use APPLICANT INFORMATION UILDER OR HOMEOWNER) y RESOLOU110N ENER6Y lt�P. 49 NERRIN6 POND RD. / °@ Name BUZZARDS BAY) NA 02532 Telephone Number( Address License# C S - l07 L( � Home Improvement Contractor# -) a_ l � Email L� s ��esol�Jl-+ �i y Worker's Compensation # ALL CONSTRUCTION D BRI ESULTING FROM THIS PROJECT WILL BETAKEN TO E S O l O U Q I i N g p A N D Y10, BUZZARDSRBAY, MA 0�a32 SIGNATURE DATE 1 1- 1 D -(tj FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAR/PARCEL NO. ^� = 1 __ ADDRESS VILLAGE OWNER r `= '4A DATE OF INSPECTION: ! FOUNDATION FRAME i _ INSULATION Y f FIREPLACE ELECTRICAL: ROUGH FINAL 7 PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING, _ eY DATEwCLOSED OUT F vrt r w ASSOCIATION PLAN NO. = = 9 =3 3L- 'C+l The Commonweatth of Massachusetts Department ofIndusWalAceldents Offce o,f'Invesdgadons - 1 Congress street,suite 100 Boston,MA 02114-2017 B6twit.massgovIdla Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers AIDD&aeaat IMOKMAtIOR Please Print Leglba Name (Business/Organization/individual): ResoiUti©n Energy, Inc. Address:49 Hening Pond Road City/State/Zip:Buzzards Bay, MA 02532 Phone#:508 8881740 Are you an employer? Check the appropriate box: Type of project(required): i.Q I am a employer with 6 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ i am a homeo*ner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c.152,§1(4),and we have no 13.E other`Neathei'ltion employees. [No workers' comp.insurance required.] *Any applicant that checks box 41 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-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 afil an employer that 1sproviding workers'compensation insurance for my employees Below is thepollcy and,ob site Information. Insurance Company Name:Continental Indemnity Co. Policy#or Self-ins.Lie.M.46 872479 0102 Expiration Date:06/14/2016 Job Site Address: City/State/Zip: Attach.s copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of A€dr In""To cove verification. I do hereby"cen fy u p i and a of perfury that the Informadon provided above is true and correct Si afore: Date: Phone#: 1740 Offwlal Ilse only. Do not write in this area,to be completed by city or town offwdaL City or Town: Ilaermit(License# Issuing Authority(circle one): 1.Bo.%rd of Health 2.Buffi�s Rep ent I CRY/Town Clerk �.EleCtrl6��Inspector S.Plumbing Inspector s 6.Other Contact Person*.--- Phone#_ ACORD' DATE(MM1DDtfYYY) CERTIFICATE OF LIABILITY INSURANCE � 06/0311014 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:it the cerllfioate holder is an ADDITIONAL INSURED,the policy(tes)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsemenL A statement on this certificate does not confer rights to the certificate holder In Iteu of such endorsement(4 PRODUCER CONTACT NAME: iad Ri9k TelsttraWfi ►Sm °1.m MCe PHONE I FAX (AIC.No,Ext): (877)334-4420 ;(AIC,ND): (877)234-4$21 10825 Old AIM Rd EMAIL NE 68154 ADDRESS: PRODUCER (877)234-4420 CUSTOMER ID INSURER(S)AFFORDING COVERAGE f NAIC 0 INSURED INSURER A: Contd.taenatal IadG=Lty Co. 28258 dRewintim zwszgy, Mac. INSURER B: Ciba REI801ut.Cm znexmrl M=. INSURER C: 469 He=inff PSnd Rd m=zazdo &W, la 02532-2226 INSURER D: INSURER E: CTL 1273 880009 INSURER COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH-RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR! ADDLI SUER f POLICY EFF POLICY EXP LTR f TYPE OF INSURANCE f INSR WVD 3 POLICY NU AND MMID LIMIT'S {GENERAL LIABILITY 1 i f f i EACH OCCURRENCE IS i COMMERCIAL GENERALLIABILITY I-}! ii? DAMAGE TO RENTED CLAIMS (� ( PREMIS�SlEaomirreneal }S MADE J OCCUR f 1 MED ( cns f5 N1 t (PERSONAL&ADVINJURY FS { i I j IGENERALAGGREGATE f5 IGENLAGGREGATE LIMIT APPLIES PER: ) 'PEtODUCTS-COMPIOPAGG IS 7 POLICY! PROJECT I LOC I AUTOMOBILE LIABILITY �! COMBINED SINGLE LIMIT I tEaa - ANY AUTO amem) IS BODILY INJURY er mmn IS ALL OWNED AUTOS I f SCHEDULED AUTOS ISODILY INJURY PerawdaN iS HIRED AUTOS I { PROPERTY DAMAGE i f (Per accEonn i5 NON-0WNEDAUTOS IUMBRELLALUI8I IOCCUR f :EACH OCCURRENCE is NEXCESS.LIAB j ICLAIMSMADEi l )AGGREGATE is OEDUanB E 1 ;RETEM110N 5 i I 3 ! f is WORKERS COMPENSATION i t i { Xlt STATU ) (OTH AND EMPLOYERS LIABILITY I g� ANY PROPRIETORIPARTNERI X—f N 1 } ! iE.LEACHACCIDENT �S 3001000 A FOxC1EuDE�D?oFRCERIMEMBER I y! 3 N/A I l_i 46-872479-01-02� 06/1A/2074I OO/U/2615 (Mandatory In NH) i i ! ' E.LDISEASE-E;.eenUNEE Is 500,000 it yyes,describe under I SPECIAL PROVISIONS below t 1 t 4 1E1_DtSEASE-POUC uW IS �00,000 (- � ! DESCRIPTION OF OPERATIONS I LOCATIONSI VEHICLES(Attach Acord lot,Additional Remarks Schedule,it more space to required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOrs NOTICE WILL BE DWMED IN ACCORDANCE WITH 49 vocrIza Wand RA THE POLICY PROVISIONS. B=Mzaa MV, N& 02532-2226 AUTHORIZED REPRI°ORKrAT1YE attng Px0jeat — 17. 7 8 3118 ACORO 2S(?A09/OB) The ACORD name and logo are registenht marks of ACORD +91U&2009 ACORD CORPORATION.All rights reserved. I a OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at (Property Address) (Prope Address) ( ti 1, hereby "authorize _ ; (Subcontl actor) an"authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property.. own Ps Sianature Date i ' Federal ID#06 05629 RISE Engineering RI Contractor ReglMratlon No 8186 NA Contractor Registration No 120979 A division of Tbielsc.kEugineering df Contractor Registration No 620120 S DupontAveque,South Y,armanth,MA.0266d A t S G SO&S68-1916X-6610 FAX:5 568-1933 CONTRACT R i . Page 1 PROGRAM Tft C616"CT rS EMEREO 106 B&AriN MU �NGtNIc RING CL&RC& ENOIN ERINOANDTNECUSTOMERFORWORKAS 060CRIBED BELOW CUSTOMER. - � PnONE DATE "Myt:t.. woRK Wmsn. lose:bemello 008)771-3.46 10122/20:14 184M 00002 BERvick:STREET 129:8traightway 129 Straightway BERNCE CnY,BTATE,DP ... _. .91LLIN8 CnYq BTATE,t7P West Hyannisport MA 02612. Nes(Hyannisport,MA 02672 JOB.OESCRIP'IION. AIR SEALING-Provide labor and materials to seal areas of your home against wasteful,excess air leakage. This Workwill be performed in concert month the use of special tools an diagnostic tests to assure that your homewilI tie le{t with a healthful level of air exchange and indoor air quality.Materials to be�.used to-seal your�horae can include caulks,foams;weatherstripping_and other products.:Pnmary areas for sealing include air leakage to attics,basements,attached garages and other unheated:areas(Windows are not generally addressed) (I2)working hours. At the.completion ofthe weather tion'Work,and at no additional-cost to the hoRleowner,aAnal blower door anal/or coRlbuition. safety analysiswill be conducted by'the:sub-contractor to ensure the safety of the indoor air quality: $924.00 AIR SEALING:Provide:labor and materials to install Man weatherstiipping and a:doorswcep to(3):door(s)to restrict airleakage.. $231.00 BASEMENT CEILING.Provideaabor and:materials to install(102):•linear feet ofR-19 unfaced fiberglast insulation to the perimeter ofihebasemeht.&ilingatthe.house ili: $12138 BASEMENT DOOR:Provide labor and.materials to insulate the back.of the bamment door leading to the bulkhead with 2 rigid_ board that meets the sections>k=316 5 4 Arid 316.6'requtremeats ofbuilding code. Seal ail edges and scams With FSK tape,. $72:22 RISE Engineeringwill,apply all applicable,eligible incentivesto this contract..You will'bebilled:onlythe Net amount.,Currently„ for eligible measures,the Ca.pel Compact offers t%incentive,not:to exceed S4,000 per calendar:year,and an incentive of; 100%.for-the Air'Sealing:measures,. For the safety and health of your home's indDorair.quality,:we:will_be conducting a blower door diagnostic:of the:available.air flow in. your;home both.before the work is_begun i and afierthe,.veatheriza ion.work:i,s complete.We:will also conduct a full assessment of the combustion safety of your heating system:and water heater:This has a value of$90.and is at no cost.to:you., $9000 Federal 10#VS4406629 RISE Engineering RI ContractorReglstTBtion No e766: MA Contractor Registration No 120979 A division of.Thlckch Engineering. CT'Contraator Registration No 620126 5 Dupont Avenue,South Yarmouth,NIA02669 508 56&19.26'_X 6610 RA FAX Sp8-56&1933.. CONTCT Page 2. R 1' E PRQGRAM. THIS CONTRACT 15 ENTERED INTO BETWEEN:RISE CLC-RCS- ENGINEERING AND THE:CU96-MER FOR:WORKAS ENGi.NEEAING OESCRIDE06ELOW ' [ CUSTOMER .PHONE DATE CLIENT I7 WORK ORDER t Jose:Demello (508)771=34.65. LQ/._2/2Q14 184U '% 00002 { SERVICE STREET --�_• BD11NG:STREET 129 Straightway`. 129 Straightway 8ERVICt CITY STATE;ZIP -BILLING CITY;.STATE;ZIP. West iyannispon,MA I02672 'West Hyannispott;MA'02672 JOB DESCRIPTION 1 Total: $1.1540.60 Program Incentivec $1.;466.:69 Customer Total:; 0 91 WE:AOREE HEREBY TO FURNISH SERVICES•COMPLETE IN ACCORDANCE WITH A80VE SPECIFICATIONS.FOR THE-SUM OF ***Seventy=Three A.91/100 Dollars $73.91. g UPON FINALMSPECTION AND APPROVAL BY RISE ENGINEERING,CUSTOMER AGREES TO REYR ANOUM:DUE W FULL WTEREST.OF/X WILL BE CHARGED MONTHLY ON ANY 73 UNPAID.BALANCEAFTER.30 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON:GUARANTEE%RIGHTS OF.RECOHON,SCNEOVLum.AND CONTRACTOR REGISTRATION.. t DO NOT SIGNTHIS CONTRACTAF THERE AREANY BLANKSPACES '(/�� AUTNORRED SIGNATURE RISE:ENOI NEE RING .S—CUSTO A EPTANCE —f S NOTE:?Ills CONTRACTMAY DBWITHDRAWN BYUS fF'NOT E%ECUTED WRHIN DATE OF ACCEPTANCE/AR...Rr.IAC.. �.T yL.L�_(/RCAn..CAN. ACCEPTANCE OF CONTR ABOVE PRICE3.9PE CONDITIONS ARE SATIBFACTORYTOUSA , PTED.VOU.ARfi'AUTNORIZED:TO DO:THE WORK DAYS.. AB SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE r {t{ Y F t i 4 { E z f e f i I 1 1. I I t I i 1 Massachusetts -Department of Public Safety Board of Building Regulations and,3tan darrdsaSy�L� Construction Supervisor license: CS-107842 pBMLIP D HAGLOF - . 56 SIASCONSET DR SAGAMORE BEACH MA M.62 07/26/2017 i o Office of Consumer,Affairs and Business Regulation 10 Park Plaza- Suit Boston,Massachusetts 02116 Home improvement ® tractor Registratgon Registration: '178211 Type casporation TNT 250244 Expiration 3126120W RESOLUTION ENERGY INC. � --_____------•--•-•------- --- PHILIP HAGLO __------- 4.9 HERRING POND RD -- BUZZARD BAY, MA 02532 -•.._.r._____--- 'Update Address and returoncard.Mark reason for change. Address Rene'"" 9;nrptopaatoufi �� Lost Cord c_a ca r sCA 1 0 2OM•05111 c J7r, T(arrr./Irnl/rdlrr�///r o/•G? cr�ur./rrrr://r License or registration valid for individut use only �, Office of&usuimer Affairs&ausihess Regulation before the expiration datc if found return"a*- OiUIE MUpROVEMENT CONTRACTOR Type: Office of Consumer Affairs and Business Ite�lalAtiun � egist:ration: ..118211 p 10 Park PIaza-Suite 5170 i xpirallon:. ,312t3%2016 Corporation B*Not M A 02116 � RESOLUTION EMER. INC i i PHILIP HAGLOF A9 HERRING POND R ..BUZZARD BAY,MA 02532 Undersecreetaryd ill 01 rgna re 4�J °F1KKE rti Town of Barnstable Pert# Expires 6 months from issue date P '+ IARNSGBLE, Regulatory:Services F MASS. $ Thomas F.Geiler,Director i639• ♦� � �pTFo �N Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 . Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not valid without Red&Press Imprint G � Map/parcel Number �Q Property Address Value of Work Q,Aesidentiai Q f Owner's Name&Add ress � s WAD Ct n n t5 l�/VL(A-5 J c -Telephone Number Contractor's Name ` joeV h e R0� P Home Improvement Contractor License#(if applicable) to,??- Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: X-PRESSFERMIT ❑ I am a sole proprietor ❑ I the Homeowner JAN 1 6 2008 have Worker's Compensation'Insurance Insurance Company Name_orvy) � ( -rn�n��E BARNSTABLE Workman's Comp.Policy# bC�ugq.�o `oxo-7 Permit R;Re'-roof stcheck box) (stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) El Re-side ❑ .44 '.Replacement Windows. U-Value (maximum ) �f * required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.list Where req oric, ation,etc. ***Note- r r must sign Property Owner Letter of PermSio om provement Contractors License is required. Signature Q:Forms:expmtrg � � . � Trie '�an�reoozusecr�l� .�G �uaell'd � _ ! - Bo u d of Building Reg i ns and Standards @ ' .rzt ;Construction Super sor License " License: S 6643 x r'' Expira n 10-02009 Tr# 9427 1 Re fiction':00> •> • BRAD K SP KLE�' F 190 LOTH OPS LANE � �ri� _ � W BAR STABLE,MA 02668 Commissioner- � § n ljze l�o�7vrnCvrtur�Lf6L a�/G'laJd�zc�Ll.I6rli'b ,�a � _ 'Board of Bmlding Regulations and Standards i .�Y��� -' .�'�HOME IMPROVEMENT."CONTRACTOR r Registration103757: Expiration '7/9/2008 Type -.Private Corporation SPRINKLE HOME`IMPROVEMENT INC 1 BradSpnnkle _.. r 199_Barnstable Rd -� HyanrttS aMA"02601 Deputy Admmis'trator rc , 4E } The Commonwealth of Massachuse#s ,Departmentof Industrial Accidents office of Investigations ` 600 Washington Street Boston, MA 02111 y` www.Mas.s.gov/die tn ' n Insurance Affidavit: Builders/Contrators/El lease Print Le bl Workers' Compensation licant Information c- -11 t ,me (Business/0iyo ation/Individual): Idress: � � phone#:YV �° 6 itiain e/Zip: �. r Type of project(required): e employer?.Cpeck the*appropriate box: 6 �] w construction 4. ❑ 1 am a general contractor and.I employer with____ --* have h11ed the sub-contractors 7 Remodeling' employees(full and/or part-tune). listed on the attached sheet $ $ �] Demolition I am a sole.proprietor or partner' These sub-contractors have ship and have no employees insurance. 9. Building addition working forme in any capacity. workers comp. ❑ insurance . 5 .[].We are a corporation.and its ,lp,❑ Electrical repairs or additions o workers' comp• repairs or additions [N officers have exercised their 11.[] Plumbing ep required.] right of exemption per MGL ] I am a homeowner doing all work c. 152, §1(4),and we have no 12.❑ Roof repairs Myself [No workers' comp. employees:[No workers' 130 Other insurance required.]t . comp.insurance required.], . their workers'compensation policy information: y applicant that checks.box#1 must also fill out the section below showuig lie Information. they are doing an work and then hire outside contractors must subu►it a new affidavit tndi°atutg sue meowners wbo submitthis affidavit indicating Y itractors that check this box must attached an additional sheet slid wing, name of the sub contractors and Below is'the policy and job site n an employer that is rovidin workers com ensation insurance for my.employees p g �y�o� p nn ?rmation. m I ► 1� V l(WUPI`1 JV16?U' urance Company J-0 Expiration'Date: :icy#or Self. Lic.:#: ` ) (Jp0 City/State/Zip: 1L�Co Yl ll l i Site Address: a� 5 ( Lliexpiration date). tech a copy of the workers' compensation policy declaration page(showing the policy numbef and ln enalti s P of a ilure to segue coverage as req e o nt,asses ll as G�penaltiesm the to, e of a STOP WORK ORDER and'a fine e up to$1;500,.00 and/or one-year P up to$250.00 a day against the violator. Be advised that a copy of this staternm t inay be forwarded to the Office of 7eStigations of the D1A for insurance co erage verification, a hereby ce ai id penalties of perjury that the information provided above is true and correct o y Date:. d mat ue:7 :one#'. l �C� —��� ff Official use only. Do not write in this area,to be completed by city or town o cetal. Permit/License# City or Town: Issuing Authority(circle one): 1.Board of Health 2..Building Department 3:City/Town Clerk '4.Electrical Inspector g.Plumbing Inspector 6. Other Phone#: Contact Person: NU,54'J �k7H7f..•_.11 ;41 HI'I��-I ll'I I'IU IUf-Il_ i ..__ .�.-- —• -••--�_ CERTIFICATE OF 1WRANCE E DATF, 0511612007 PRODUCER rHill CF.RTIFICA'I'T IS ISSUED AS A MATTER Or INFORMA'CION ONLY AND O,yden&Sullivan Ins Agency CONIFSRS NO RIGHTS UPON THF.CERTIFICATE HOLDLR.TN IS CERTIFICA'I'F.: Inc DOUP NOT AMEND,EXTEND UR aL'1 FR THF,COVEKAGF AFFORDED[1Y TI'IB POL�GIES FsEI.IJW, bS Pnhnouth RoodI —r• — _ __ Hyannii_MA 02601 T � COMPANIES AFFORDRIG COVE AGE [nnis, URED inkle Home fmprovmcat Inc Barnslgblo Road CO1 TANY A A,.r.Ivf. lviuttial Tnsuranoc Co LE'II'f&ti MA 02601 COYEAAGES THIS IS TOC1>RTIFY THAT'1:RE POLICIES Or' 9N$URANCE LIS')'L'D BFLOW H,IVHXVE BI?EN ISSUED TO'I'HE INSURED NAMFC)ABOVE,1+UK fHE AF PERIOD INDICATED,NOTWITHSTANDING ANY RBQUIMVIEN'f,'TE M OR CONDITION Or ANY CONTRACT'OR OTHER DOCU PNT WWII R TO WHICH TH15 CERTIFICATE:MAY aE!SSUL'G OR I` tkY P[RfFMN,THE INSURANCE AFFORDFD f3Y THE POLICIES DE;SCRIBFD II'L"RUIN IS S TO-ALL THE TFF-.IYfS,1?,,XCMIONS ANO CONDITIONS Oil SUCH 1`01.CM$.LfMTTS SIi_OkVN MAY HAVE BECN RFOUCED BY PAID CLti1]\i_S. CIO TrrF pF1NSU1LWCiZ rp{,YCI'P7UF.�DC-ii POL'" RliT.CuIV rpU IN,FXPIRAT1ON LihilT3 LTa GATE iwbvOU(YY) pnTf iMMIDU/YY) QCNRRAI.LInOtLITY � iFTAU NFRAt.ACCftDGA'Py F I l RSON:LS•CO)V.J?AUO• OCOMMEKIALOSN6RAL LIASarIv I RSONA{.S;AI7V.1NJUKY i [,�CLnIMy MnOt',�OCCL4t CH U{:CURI;GNCBCZ UOAT R'.S&CONIRACTDµ'SPROT. DAMACk(Anyon;Iirv) $ I _ M_ _ VP.r{XPCNSBIPayaflcrp^RM) Y _ AVTOMODILE LIABILITY �- ...�......_� ' COMMeDSNCII•B CIM(i' OANY AUTO OGUILY MJ{IRY �•` XK 00.60 AUT03 KIR{oAUTOS NON•UwN�D AtnG3 BUIIiLV INJURY CARAGU LI4R16ITY I (Dcraccid@c) _ I Rr;G0K17PAMAGP, txursSL,IA310TY f7O CACr+0cUMD OLLA PpaM0VTH6R THAN U�M(IRFLLA TOKM }YORKERS COMPENSATION.A VD STATUTORY LIMITSLMPLOYERS I,MABILITY x I�,AC'H ACC'IY�BN'i' 500,000 A pARNlfZS1F,Yry(!IIPIVG jpPPICIBBSNCU: 700�{y=�ZQ1200? O00$ 41.UI5(?ASIi•-POL1CYb,IMITril:ci T 500,000 500,000 COMNIF,NTS/DL';5 R1PTIGN OF QFEMATIONS On LocA'i"1t3Nw; � , I I CE➢TIPUA'TE HOLOTx Gh11'c' l,I 4T10,,N ~�sh(OL41) N:Y:QIPITxAloyP,pC.S!'It1Cliu PpWCMS OF CANC' LLrD OP,(+ORL;THE FXPIRAT'ION UATU I'll FRP,OPI THE ISSUINU COl I`0Y WILL GNDItAvOR TO MAIL -WRITTEN N'01-I('R T�THE CGRTImC'ATF,r1ULDT;R NAMED'rO'fH8 LIiF,BL'T FAILURL TO MAIL SUCr1 NOTICC SHALL IMP0,sV NO OBLIGA'rION xt LIAD141TY ORANYXIND UPON THF COMPANY,ITS.,,GLNT5 CIR RBI'RB$UNTATIVt?S, I I I - _ _ nC1TH0 'LFJDILT;PRFSF.NTATIVE ... _1 I i ! i i HOMEOWNER: O 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. J6de Demelo Brad Sprinkle Date Date i ++mot''`Y TOWN OF BARNSTABLE BUILDING-PERMIT APPLICATION Map of 6 6 Parcel 1,6. ;a-: SEPTIC SYSTEM M' � a zF,.. INSTALLED IN CCe s�`k3A'a�'�- Health Division Date Issued g � Conservation Division Lnc�. ���9id' F - Fee "V.? i® Tax Collector Treasurer JZ as - Planning Dept. ' f Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address , Village Owner �© f?:�'1 >ol Address Telephone Permit Request Bo, otz*2eo P21 w/Lc �s' ,. Square feet: 1 st floor: existi g 2 proposed 2nd floor: existing. proposed Total new Estimated Project,Cost Zoning District — Flood Plain Groundwater Overlay Construction Type fiyc�� Lot Size Grandfathered: O Yes El No If yes,attach;supporting documentation. Dwelling Type: Single Family �Two'Family ❑ Multi-Family(#units) Age of Existing Structure _Z_ r f Historic House: El Yes � On Old King's Highway: ❑Yes a<0 Basement Type: ull ❑, . 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: R'Gas ❑Oil ❑.Electric ❑Other r Central Air: ❑Yes Ullo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:Ming .❑new size Pool:❑existing ❑new isize Barn:❑existing ❑new size Attached garage: ❑existing .❑new size Shed:❑existing ❑new size Other Zoning'Board of Appeals Authorization ❑ Appeal# k. Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed.Use BUILDER INFORMATION Name r026/ad-J Coy&k4& --/6-- Telephone Number 3?f--09/ Address /Y 2— 924,- iu, k�-4 License# 0 ,�s •t lL�✓� I.�1 y;r� �'h�i . O 2-So3� Home Improvement Contractor# /3�y T Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOA�Vli/�6L! ��►�� 0-1 SIGNATURE DATE c�c� I - FOR OFFICIAL USE ONLY ' PERMIT r DATE ISSUED = MAP[PARCEL NO: 40, } ADDRESS t � � J } r VILLAGE OWNER DATE OF INSPECTION: ' - FOUNDATION FRAME, INSUL TION FIREPI:'ACE ELECTRICAL: ROUGH FINAL t - `PLUMBING: ROUGH FINAL - ^ GAS: ROUGH FINAL ' FINAL BUILDING - DATE CLOSED OUT-' i u ASSOCIATION PLAN NO. ? l_ r >\ The Commonwealth of Massachusetts =- -= Department of Industrial Accidents r , - Office ol/asest/gatfoos 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance davit name: — � e C.,A or? — location ci �/,.r'1/Yl� ✓ / hone# ❑ I am a homeowner pinforifiing all work myself. ❑�'I am a sole rietor and have no one worldn m* ca achy s ....................... Qtt„ dhon .:..:::::::::::.. oiicv .:::::: .... .::::::::::.:....:.. %// a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the followin workers'co ensation polices: mp g :.:•::................ comanv name;:. ..............:,:........::....::.....:.:....:::.. ... ............ address: : ::::.... .... .... ... ...... n vi•i:•:wv':.:iri4ii: :::.. hon ��•.:// �:.��:.:}'�:�:C::^:;i:;:::t:;�;:;""F,.;:;.;:ii;:i;;ii:yy;..._:;is�i�}kfiC:"{.'.?_i>;�:iihii�ii:• i..i...•::^i::v::•.�:::•:::v.i:•::i:•:ii:v:::•:4.�i:::v: •..n....::::::::::•:::::::::...............................................................................................................::...........i:i .... :;:i.�::•:::.}i:::: ... ... .. ....h..............................................::::w.�:::::::...�- :. :::.:::::•:.::::::w::::............::................n... ........................................ .......v.............v .......:......x::::::.�::::::......::•.�::w:::: :•::•:.::......:.......:•::::::::•.�::::y.....::::::•::::::::::::::::::•:::::•:::::::v:.�:•::::is.:�::'+.i:(•:::4i:::•ii:•:iv:.:?i:•i>: :?:v;:j i::i:Ji`:?•:::: .:M:::... ::...;':::::•:::.:�:{.iii':?:4:;}:is+.!;:;:•!!::•:.........::�.;.•.;ii:•::: _i: bshranee:ca<;::. ;>; oiie� �•.. ;:::::;::::::..:....::::<::::::<>.::::z<:::::»>::::::::.:.;»:.;;... e ............................................... ................. <«;ene h :::. .............:::::::.-:::::.:::::.::::..:..v-:::::.:::::::...... .....:.......::..........:......... ... .............................................:..:.::: . ........................................ :'.isi:::::::.::::.::...:...::.:•.�:::3i:=i:•:ii:::•:i:•::i :::::::._ ::::::::::::.:�:.:'.i:!::.::ii:•::::::::.�.�::::.isi`iiiiii:?iii::•i:.ii:.i-+::;•i::iY.;=:.ii ;.„:ii:::.::isi:>:j::;:>.,:;:::.:;i::`v�i:�:'<:::.i::is:I^iX::::.::•?iii?i:.:�.::•i::::.:::::............:.....:; Failure to secure coverage as required under Section 25A of MGL.152 can had to the imposition of criminal penalties of a fine up to 31,M.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the OiScs of Investigations of the DIA for coverage verification. I do hereby certify under the pauu mid penalties of p"Jury that the information provided above is hw-and correct Signature Date `3/,P/O,) Print name �zu P,0,4 ► A ZZ�o Phone# official use only do not write in this area to be completed by city or town official city or town• permit/license# [3Buditg Department OLicensing Board ❑checkif immediate response is required ❑Selectmen's Office _[3Hea1th Department contact person: phone#; 00fher Owned 9195 PJA) F 1HE Tp� The Town of Barnstable - swxivsrABLE. ' ��� Department of Health Safety and Environmental Services lEn 39. ° Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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: >�,41&71 P/LI Estimated Cost 1 �J /Address of Work: f �-p Owner's Name: Date of Application: 3 �/0 t) I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby a ply for a permit as the agent of the owner: v� Date. 4Coractor Name Registration No. OR Date Owner's Name I q:forms:Affidav )0 ` _ uNONE INPROVENENT CONTRACTOR Registration: - ,113804_ Expiration ,07/1612001'� TYPe ,.Private Corporatio -� � �. -PORCARO'S CONTRACTING INC JOSEPN PORCARO �ADMINISTRATpq 141 BRENIYOOD lN. i � BARNSIABLE NA 02630 T � �uu BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 015476 Expires:08/01/2001. Tr.no: 8348 'Restricted To: 00 JOSEPH J PORCARO P PO BOX 517 BARNSTABLE, MA 02630 Administrator Nameof Buil4r. .. .......a,;:do:." �!�2..............................Address .................................................................................... - fzl ,i � � � � � ' I I `. � 1 � i ! I I - - i - ! • Gam' r ' �,�i i ! I I r 4/ X I V •? �• i i i � ( i r � J � j � i i i i I � � ! I O ' i s 7 ..+3��r���*� f"ice,.. " Tye-•�'�ro p - - ' T .7. T p Y T F yy 4 y •t y'�r s� F . l 5,���y� 1 rY.� ifi�•a.-,r e i Tix ,,X 1`i F a t { -31� - 4' �LJ F h ct, f TF x,$�t .!y+�[ds4 ilf h• fk;f yp^'�.<�"��'a' 1 4 -�"3^ YFSrSr"!• w �� �'rti'f�c' w� ° w 'r - Mq illil _ Ell] H Til M Ll[ � � 1 ov -----... ft �'�,°.3� y4.i?.s.'Wk� i��'�=' ��+��,'�" d rr4,q��7? � i-'- _ —.-��Q�S4•�--1�l�l �T% 4.._!'-•' —�_�_._.. t n g �^.��'G �d+t Y Wit' ?w .. `A-r.. € u ,f - fr t y/ APPROVED BY: DRAWN.BY {�•E'e '"'QrvM1 SCALE:1-� DATE: g t/ REVISED' F Y DRAWING NUM81 4CI s p - a x g P:T, L:k-- T /� x R'T D� l Q�' �:..p NA'.'f'iJ 4 E> L{ !✓!J G J`'I C r�J 1G'� f i T f i is SAL / _ - Ir �O&K- Oar.. tub.. k }.L-a-. E, 'U 'rJ�"re �tx�. O�Pra •SeS.,Ps1.FT�2� h:-rot� fi'v1.R- l`�. Gr'.x f' `��� _•l/V: r I " � I:- - r� �ry'►` l is ID�t t foFi-.r7 V as/ k-Al i sle 11H 1'AiiL . -v, 4-ART 'b T Sp F tT BtA iwy �' ,L 7E n+J I�yL':QJU.ALL_ c ony _ �__ _ r�cuMN ra S�PPa rp Sp�;z �.5�>v _Pt ooR: PLi4N,1. c g �. P 11o"D( -' �> wrra AL 4^'A g,�-! Cn N ALL: p v axq -.ro r' + 3'7;t `1 _ r J Ip�cC. LOLJtR TP-E.x 47a P 10" So,J� - ___ . .__— _ I , L . I . , I Ili s�o � } � �?�.� ' -"Ted► ��! -- � ; . I - -' Z a I E r` _ - - r +,_ — ) h ;! r� i d e : ,•". y .� i � . ,' ... � A �r .�� i ,r. , �: , #' , r {- � . �,rk r • I S� 17 Assessor's map and lot number ........... ........ Q ...... SEPTIC SYSTEM MUST BE OAF LE— "TAL D IN • �; � — COMPLIANCE 1 F:'TICIrE II STATE Sewage Permit number. `��'"`' ° SANITAPY CODE REGULATION AND TOWN QyofTHEroe♦ TOWN OF BARN STAB LIE Z BAHBSTAML ' Mb 9 UL Y p/' RUDL�® IRC 10SPECTOR O'EO Py e� APPLICATIONFOR PERMIT TO .............. ............................ ....... ff< :. ....................,.................................. TYPE OF CONSTRUCTION ..............� ............................... .....:..:. .:.............:.......................... ................................................19........ 1 TO THE INSPECTOR OF BUILDINGS: s The undersigned hereby applies for permit according o the following information: Location.......4.F .....:. .. ............ :.. . . " ' ' ..................................... ................................... .�. ... .. ProposedUse ...................................................................................................................................................I......................... Zoning District .... .... ......... ..Fire District ......n...................................................................... Nameof Owner .. .:............... ..:........ . ..... Al.........'Address ..................:......:.......................................................... /�/� .......... ............................Address .................................................................................... ....Name of Builder" . � i?" .Address Name of Architect ................................................................ ............s�..................................................................... Numberof Rooms.................... .. . .............. .........................Foundation n............. .. ............................................ Exterior .. :...... ......................... ..................................Roofing .............. . .................................................................. Floors .................................................................Interior ............. .................................................. .......... ... Heating '" ... ' "..................:....................Plumbing ....... ...... ..............:...��.. r........................ ! Fireplace ..................................................................................Approximate Cost .............. ... ��.............................. ...... Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ...... ...5 ......... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH —10 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Namet................... DeMelo, Jose & Arlene ' , 168o6 add to single No .................. Permit for .................................... •family dwelling , ......... .................................................................... Location 129 Straightway ................................................................ ......................H'� nnis ..a ......................................... a Owner Jose & Arlene DeMelo Type of Construction frame ................................................................................ Plot ............................ Lot ................................ t Permit Granted December. . ..20 19 73 ............. . .. .... Date of Inspection 71 ........19 Date Completed/ . ..... PERMIT REFUSED 1 ................................................................ 19 ................®%..................................................... ............................................................................... ............................................................................... Approved ................................................ 19 1 ...................................................................... . ..... f ............................................................................... 'a FEE TOWN OF BARNSTABLE, MASS. O os THIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO t IQ0 c0i O (PROPERTY OWNER) (ADDRESS) ^' E+�y3•d (BUILD) (ALTER) • (REPAIR) �xv d.acdm isa _...................................................................................._....................._....._...._........_. ... .........._.................. J................................_._..... __......_.._ O O (TYPE OF BUILDING) (APPROXIMATE SIZE) 51 op LOCATION ......_....__._......._......_.......__..._.__..._....._........_............_......_..__ _._.......„............................................................. .__.....__._......___ `!/ (STREET AND NUMBER) (VILLAGE) p � NAME OF BUILDER OR CONTRACTOR _...�......................---------__._....._._......................._ .._.`__.._..._._._........._..._........... v A APPROXIMATE COST __. _. _..._____._____ _.__.................. �t I HEREBY AGREE TO CONFORM TO ALL THE RULES AND R-EGULATIONS OF THE TOWN •0., OF BARNSTABLE, REGARDING THE ABOVE CONSTRUCTION. l d o fA c.c (OWNER) / (CONTRACTOR) �. .._......._...............................................__........_.. ' 7 BUILDING INSPECTOR Subject to Approval of Board of Health. ,!570 P�OFSHETp�y TOWN OF�BARNSTABLE I BABASMULE, : ASSESSORS' OFFICE MA89. pp 1639. E MAY�`\ 367 MAIN STREET, HYANNIS, MASS. 02601 775-1 120 BOARD OF ASSESSORS DIRECTOR OF ASSESSING MARY K.MONTAGNA - ROBERT D.WHITTY ALFRED B.BUCKLER GLORIA W.RUDMAN 'f /,79 t �f ✓ ;:. : ?� Xj 3 `j��41 J Jy Assessor's, map and lot numb , .............. .. ..................... p Al. •J a� Q Sewage Permit number S/"" iue. 1— env o� {{ ........................................................ E y Z B98H9TSDLE, i House number ./D— ! , a.................................. 900 NAB \0 G a MaY a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... �L � � .................... ........................... .... ......... ................................................. TYPE OF CONSTRUCTION ...........:........................................... .... ...../...�. ......%.. ..... .................�................ , / G © .19 v TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ................1. ....... �.�lf .�i' �,1�/'7;�. Z�i.��. ?Q/Nj................. ................................... J/ �. ........... ProposedUse ...............�..........i�� ........................... ........................................... ............................................ ZoningDistrict ......I. .6.......................................................Fire District .............................................................................. 5 ...clell£4 o ���ilJ/,l Nameof Owner ................. .......................................Address ..✓......./.:... �`.?7.................... / .. ................ Name of Builder ..........J.(,�.A .El..................................Address f............... r....... Name of Architect ..Address ................................................................ .................................................................................... �................................................Foundation .....4.............................................. . Number of Rooms ••••••••••••••••••••••••................. 6049 S1iN6",C£S. S S�Exierior ....:... .................................n................................Roofing .............................).......................................................... CS�� / �"£� ......Interior ........1� 1 ,C Floors ............................................:.. ...... ............................ ............ .............................:.............. Heating r"T�JT[�..........................Plumbing &? � T�y(. g ..................................... ......................................................... Fireplace .........V.O/� �n � .•..................Approximate Cost .........1`? j...................... Definitive Plan Approved by Planning Board -------------------_-----------19________. Area / .(.. .. � s .off. ...... 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. Name ` ..................................... Construction Supervisor's License .................................... DEIXEMO, JOSE A=268-215 No ...26862... Permit for ...ADDITION................................. .......Single Family ....................... ............. ......... Location ................................ Hyarjrds .............................................................................. Owner .....Jose...DeMelo ........ ..................................... ........ .... Type of Construction ..Frame............................. .......... ................................................................................ Plot ............................ Lot ................................ Permit Granted August 20 ......................f..............19 84 Date of Inspection ....................................19 Date Completed ......................................19 C�t-10 l � `- � Assessor's map and'lot number i� 01G Sewage .Permit number S/94.4— ��� I ����'ion ;� , — 't �,'`Q ♦� ........ Sep-Tic sus House number' ..........h.��,.+� !J?? �! Tii IrALL�� �� i^ f E� I!ate pj�L 0 NAY '. r"TOWN. OF �BAR�NSTA�- ElYrAppptw�y.��� Ah® REGUBUILDING INSPECTOR r APPLICATION FOR PERMIT -TO N. �' �� /V ' 'TYPE OFCONSTRUCTION ....... . V ,. .......... .......... ...........19:v _ TO THE INSPECTOR OF BUILDINGS: { The undersigned hereby applies for a permit according to the follo ing information: , Location f f� / lG I .•....7..: f.�7... . ..�.� ... ... . Proposed Use ............... Y.... ........................... . .................................. ... Zoning District A.12 Fire District ..: .., .... . . .... n Name of Owner ...,.•v ....................... :.................Address. ` �TT�� . .., :.... Name of Builder ..........4�'..w.. ................... ...... .Address °. ..........:. . ........ . ....... ................ . Name of Architect .....................Address'" .................. ............ Numberof Room ...............l................... ...... ..'.......Foundation ..... ..................:.......... ......................................................... Exierior D�oO S //v�,L£S Roofing ..... ..: Sd'' i"�',� _,•�/. .. .v'� ..... ............................ . ............ ... ............. Floors YYW0.7 �O� � �£T Interior ....... �N. ! . (� /97-1 ..... ..Plumbin �J . •�i!?... 3 Heating ........... .. �... .,.. .:.... g :....: ... .......... .... .... .. ... .......... Fireplace .....................✓..D1v..... � Approximate.'Cost .:.: �U v ................................... .... r 60 .. Definitive Plan Approved by Planning Board _ _________ ____19_____.. Area /�` � ..f -.-- - 00 Diagram of Lot and Building with Dimensions Fee .... t....� _ 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: A Ncime a/ .........Q... ..................... ...... 44 Construction Supervisor's License v''"/` . DEMEW, JOSE No 2G862....... ADDITION..... Permit for ............... Sinqle Family Dwelling .............................................................................. Location .129...Straightway .................... ............................... ..............�yannis, .... ......................................................... Owner :..Jose De-Melo ............. ............................. .................... Typeof Construction .......Frame.. , ............ ..I................... .................................................;........................ Plot ............................. Lot . ................................. j Permit Granled 20.................19 84 Date of Inspection /Za-i e 9 ?,5 , , 9, Date Completed .....7......,. 7s LL ti G 4,J4 Y --'v n 4 <' 4 1S Jl QQ t _ O d0()0 I VIi s 0 0 0� / wy' i � � .. � � - --- i}- � � iI � . � � .� , , II � I---__ -__ !-r �j i �� �� III _- ? I f �� I .r t }� r r3 i - l --- i i �� - , ' ; �� i _ - - - t � � Assessor's map and lot number ...........�?...........:..................... ( � y�FTMEtO♦ wage Permit number en"-. +, �� A,---�C' ... �.... ....v ................ .� Z BABd9TSIILE i J� r 7 d douse number f+ �� '�O,s�"6 9. ......................................................................... In 't D MAX a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... u',,.?. '. 6. :........................................................ TYPEOF CONSTRUCTION .........................!!..! ..................................................................................... ....................................191-- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for /a� /permit according to the following inform1ati,(onn: Location .............Z ...... ✓� �(! ....... y�/�/�/,��?.................. ................................... ProposedUse .................. .��^. ......................... .........,..................... ............................................................. Zoning District led Fire District � 1���� ................................................... ......Z......................................................y........... Name of Owner „ J,C7s. �E'RrL �.....................Addres5 `�.rr�/ �i'f7/ � k ��JZ�/��S Name of Builder A2 ............................Address Nameof Architect ...............................................................:..Address .................................................................................... Number of Rooms ..............:...................................................Foundation ........ ................................................. Exterior ...... ......�!.1..� ..................Roofing .....T7•�jl ! J� :� ....�/ „/,l<,. �� .. �>i.............. Floors ......................................................................Interior .................................................................................... Heating ............................... .............................................Plumbing .................................................................................. Fireplace ....................... .........................................................Approximate Cost ..... ..- �. ....01- � ........'::....... ...... 7' Definitive Plan Approved by Planning Board -----------_------_-----------19_______. Area .....J.,/...�......./........... Diagram of Lot and Building with Dimensions ...................6..b O Fee ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH e 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. Name �t... ! :'h ...{�f.. 'yl..: ................................... Construction Supervisor's License ......... F DeMELO, JOSE A=268-215 No „25495 permit for Build Garage ........... ...................... Accessory to Dwelling ............................................................................... Location ....1.29....5.trAi.9JAtWAY.................... ...................... .ya air q....................................... Owner ......J.aae...De al.o............................... Type of Construction ...F.name.......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ...Sept. 1; 83 Date of Inspection ...........................:........19 Date Completed ......................................19 too G 8 � s J �� Adsessdi's' maps and lot number ....�fl�. ,1 ..:.. - CF THE T��.... .Sewage Permit number ' ;. A✓ SEPTIC S1°S7 �ygy MUST ppppp qq {.1 E iNSTALLE0 IN COoMfIP L � BaSa9Ta LB i p Q �/I7 Ik1Il 36k House number ... 1 a.�........�1/�' .....r y; H 1639. ENVIRONMENTAL � o�a �� �eIEI� 'AL ODE �ls . �TOWN O F BAR '�'��B��- 10 BUILDING INSPECTOR F APPLICATION FOR PERMIT TO ...:...... .. .(�1:1�. /...... ff.. . ................ ....................................... TYPE OF CONSTRUCTION ...........: ........... ... .................... ............................... .V107...1.. ..............., TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies f r a permit according. to.the follo ing!information., Location ....... . .....1... ,1 .. ..:. / 7.d �7.��1J .:... .. ..1.. ...................................................... Proposed 'Use .................... . . ..... ..... . ............... ............ ... .............. .............. Zoning District .........................................................,.... .........Fire District ... :.... .. � .......................... Name of.Owner � . ....::... ........Address W .... I..l � �rl%f! .. .. j/l' iVlillf Nameof Builder ............... ............................... ......... ,........Address ......... .......,........... .............................. ............... ------------- Name of Architect ..................... ................ . .....:........Address .............. ............... .................... Numberof Rooms .............:....... ......... ........ . ......... ....... ..Foundgtion .........,. l.v ..................................................... Exterior ............Q. ..... �.f4... ........ .........Roofing ...... t'"�Ff7��, .... 11V ..0.... Floors ...............co /y, %1 ..............................:Interior ................. ... Heating ..................................................................................Plumbing ...................................................... ................... .......v Fireplace ...................s-.............................................Approximate Cost ..: .. ..U.:*!!Gl... ....... Definitive Plan Approved by Planning Board ---------------_ _.________ J .... ..J. . ._19______. 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. Name .. ..................................... Construction Supervisor's License.e ..::.......... DeMELO, JOSS 25495 Build Garage No ............... Permit for .................................... a Ft Accessory to Dwelling.. :. - Location 129 Straightway. - .. .� Hyannis ,- .......: .... ...... ;Owners Jose: De.Ielo Type of Construction .....Frame....................................... s.. -, , Plot . `.... Lot J :.:........ ..... .. . .. Sept 1, 83 Permit.Granted .... .............. .. .19 - P Date of. Inspection ...... .. ... "`�' l9 Date,Completecl ..... ya,i'!.. plh }�,• ,�.. �,�+� a e�4. M .. � - - � ' y',� w 4• � i `ram �� Pax - R!c^` _ _ M �,,p+: �x ll ✓ " F - max.a •� '"�.�""� � � ,1 may, y b , n �F i•� �r G s�y 5 b , :. .•. ... .. �' � � �- s, .4 is ., -:'.Y'. .w ..;. #.� r , :., .. �.., �..3� ".... r. ,�. , :, '• a ,4, j i.,.,. ,4 r�.� { 1< , r { ' � J • , 4 x 66, is •,< c t { f., 4 { , rt { 3 �r , t 1 v 4! 4 u} { { i l £. r'• 7 =S E t S< i A •1 •� r...+,fir, ....,�w; ;;....r � .. <' .. ;w , .. � la :p, ! j r { 4 w .. q i i „ 4 n ,. .;, .,,.t �. l'. :.- ) � a'. :, '.a .F � rr. � .::.:.b.. 3• , � _y X, • V +f }} a - f i � 1 J. tT - 1 r 3 V ,• -,.. �...5... ,.,,,i .•.a,..,..' .. ( .. a ., :�. ?e.. F F hh 3 k y L , A , k f j r a #, F ` 1 S .1- s'S' 4- is�-• 1 (r 4 .6 1tR s ,• F r �b f P . h , J: t ' I y a: t 4 i i{ {t ♦ t ' a i S�. .�r , 1• ✓ r ,r �� s Engineering Dept. (3rd floor) Map cY16 Y__ Parcel Permit# 02 sI apti�4 House# / f Date Issued Board of Health(3rd floor)-(8:15 -930/1:00-4:30) Y T ^Z Fee l�'(3 '7, a.C� Conservation Office(4th floor)(8:30-9:30/1:00-2:00) �1 Planning Dept.(1st floor/School Admin. Bldg.) BIKE Defi ' ' Plan Approved by Planning Board 19 BARNSTABLE. E16 TOWN OF BARNSTABLE Building Permit Application Project Street AddressT Village i T�r✓t _51 i Owner �'"�� G /�/ ��j 2 Address 1Z Telephone 771 Permit Request jZ ��/�?� i?Gt �`�t.�G��vl� -s�,s'r o�)A-1-75ZL522,V-6 2)&7,4;f 101 First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family [a"" Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes 2_110 On Old King's Highway ❑Yes dNo 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 No. 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 ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) r ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes U<O If yes, site plan review# - Current Use Zw4i /4 Proposed Use `n> 1pdl2_41w Builder Information Name 1e1217 Telephone Number Address/6�/S— u/ev ;�� ,, License# Q S'7®-5 2— 92v�/grt�t Home Improvement Contractor# /D0 7017 Worker's Compensation# 6*g&), 3Z. -;&Z e,' NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE _ DATE BU i✓RMIT DENIED FOR THE FOLLOOWING REASON(S) + FOR OFFICIAL USE ONLY r PERMIT NO. _ DATE ISSUED MAP/PARCEL NO. - i ADDRESS VILLAGE OWNER DATE OF INSPECTION: ; FOUNDATION FRAME + _ INSULATION -- f FIREPLACE ELECTRICAL: ROUGH : FINAL -, PLUMBING: ROUGH FINAL GAS: - ROUGH FINAL + FINAL BUILDING r DATE CLOSED OUT } ASSOCIATION PLAN NO. .trj ✓ . _ I I -at:E .Zr,FP.Ov�r 3 CON►g,ACTOP F=C_rSTP,ATZO i '� r Et �.cLr L1 atio= and Standards j:Ica;c{ a► sL-c�rtarFE=ace '" •Fcccc 1301 r' . j �O a A Basta r,, t;.assachtsetts OZOS _ . i - i c r 1.00740 F- V' CDE?pQF i ICON C' -_7T_ F,Q?J, �.•,cq •, 1NC. i E'er=:IC C=-' `!`• i hcrr,as Cap==i , 5 1.-S4-5 Nec t to�� F. - C:c, , r-Y� c:�Y�s�•;j, j-_ CC- i DEPARTMENT OF PUSL - ONC ASHBURTON PLA ' BOSTON$ MA 0:1 CONSTRUCTION SUPERVISOR LICENSE Numbet : Expires: Rest_rfxted IQ: u0 - f - •- _, • �` : = - THOMA5 X CAPIIZI jR :CO rcRCIVAL DR W BARNSTAOLC, MA 0 66C - .: F The Commonwealth ofMassachuseVs Department of Industrial Accidents -- - offlcg oflwyestlgatloas. 600 Washin;on Street Boston,Mass 02111 -`--�- Workers' Compensation Insurance Affidavit - ZZ ca i /li �Z n G ohee L 6Z2—9 S/9 I am a homeowner performing all work myself. I am a sole proprietor and have no one woeking in any capacity I am an employer providing workers' compensation for my employees working on this job. m any nam 2ddress- ne _L tnsurartc co I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who nay,. the `o[lowing workers' eomoensacion polices: moaRv name: addre - iri: :. phone MCV- in ur-ance Co. mnanV name: address: itv' honz insurano co. ?Atdch add_icionsl-shed if aec_e _�. - . .. r. .. :a..� r _.._.:."•-: �.�- _� -'-a .� Failure to secure eoreragc as required under Section ZSA of:.MGL 152 can lead to the imposition oC erininal penalties of a fine up to 51580.00 andlar one pears'imprisonment as+�ell as Civil penalties in the form of a STOP WORK ORDER and 2 line of 5100.00 a day aa3inSt me- i understand t 22t a cop;-of this statement may be ror-2rded.to the Once of Invcstigatians of the DU far coverage verification- 1 do heretic certify u p"aims a per:airies ojperlury that the inforn•tation provided above is trse and corrc= . Si_2natu, Date Print name Phcns of<cia1 use oniv do not write in this area to be completed by city or town of ici21 city or town: permitilieense t-tBuil:Dep2rCMCntD [jLiee check if immediate response is required [Sele - [tHealhone ' r10thcontact person p M tNE er • : °: The Town of Barn stable astable i nistwSTAZ_r_ s � Department of Health Safety and Environmental Services Eo r Building Division. 367 Main Street,Hyannis MA 02661 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only 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: ;l,✓I-, -j'>&--Z/c Est. Cost_ %2�eV40 Address of Work: ,/29 , cL97G/ l�ly�r✓s✓/s Owner's Name Date of Permit Application: 161--/1— 9 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply,for a permit as the agent of the owner: o Z g Date ontractor Dfame y �,Y Registration No. Ie OR Date , Owner's Name ji pC,2C.ti_ zl� 54x4 P7 Vo'T ATOP / LSTTjA)(I nECr F2A 6AI—A) LA ovT cock PLAn1 ` I 5 u y L4 — MAW HCC 6,E .17 axy / C k W xP° a/b'of. 07. 4 Pa `DST qx(,13EAAA - --- ---I ', I y _ 1 kz , 4x4 PT.`Poy7 ATOP IOJA TV(SE� i LXi STl ti c nor t; r_3m�. y. AgP0A 2o0F wji.S ELT 11 ouv-� COY COO �ctTrf U� 'T .lx:� Ix3 RACE -Awnn GvTT•Ln5 Y 5fo 0 Ix-7 %c.1A -r el ,o axy OT6 Exi�T Ixh� \Ji Vr�y4 3EaTi �WAL j �/ E ,yr a dxY 7Ve PLA.7E 5Gy42D .CLb�� I` (pN7�!$GV5 d•dk� � { ' X4 ..P055) - .-f21i� Ix 4 ... { � • �a� �.yq PT.5+1C C—j r' . rxb Pi D'LY/a(y .. W�L��•7-T.GPI.SiDitiG 4xb'23eAM u1 T(Ut<. 500Js _EoeAM NO � cue(J _ CacR pLAiJ. _ 6 SUE' [ib H7 1 .. SAS. 'g>•f.C4K. ..G_,oA.QIF v.. :.. .. ...... . .: DONo-r 60. 7D a Y'-Dt-t*P .r DATE' NAa o x) :Mt o a EltA� � 32b 7219 cG 02