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HomeMy WebLinkAbout0211 SUDBURY LANE Town of Barnstable ��Il��IIl � a Post This Card So That it is Visible From the Street-Approved Plans:Must be Retained on Job and this Card Must be Kept. i Posted Until Final InspectioniHas Been_Made $. °" f" � 'kF; e 63¢`� ccupancy is Required,such Building shall Not be.occupied until a Fnal.lnspection has been made M Permit Where a Certificate of O , Permit No. B-20-1836 Applicant Name: Steve J Spengler Approvals Date Issued: 07/16/2020 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 01/16/2021 Foundation: Location: 211 SUDBURY LANE, HYANNIS Map/Lot: 270-286 Zoning District: RB Sheathing: Owner on Record: BANDEIRA, NADIA T Contractor Narr a�.STEPHEN J SPENGLER Framing: 1 Address: 237 WINTER STREET Contractor License: CS` 1546 2 HYANNIS, MA 02601 Est. Protect Cost: $7,392.00 Chimney: Description: Installation of roof mounted photovoltaic solar systems, 13 panels Permit Fee: $87.70 4.225kW ADD ON SYSTEM Insulation: Fee Paid-) $87.70 Project Review Req: Date: r 7/16/2020 Final �r Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced wittQi six.months after i s a�i icia Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road ar d shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: Ilk . The Certificate of Occupancy will not be issued until all applicable signatures by the Build ing,and.Fire-Officials-are pvided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: F' 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installedd ^°�J. Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final' 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Dw � Eon Ai: 5FN! Town of Barnstable .p °' "-.«...e..............—,.w —.n.,�,.wy--�,,,'� N� .�r,.`^P"•+*.a.,;...a..,.a..�. y...u;-.M er y.W.b., .,...«,;...�w+.w,+...y.-...wwvw,, „.,,�,w.ww.yw.•..�+.r.-� �«;..�.,;�,.. \ {. .� .�... ._ Shed Post This Card So That it is Visible From the Street-Approved Plans Must be.Retained on Job and this Card Must be Kept i • aniudsr,. L a r Posted Until_Final Inspection Has Been Made. Registration }Where a Certificate of Occupancy is Required,'such Building shall Not be Occupied until a Final Inspection has been made Registration Number: B-19-3549 Applicant Name: BANDEIRA, NADIAT Approvals Date issued: 10/23/2019 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under . Expiration Date: 04/23/2020 Foundation: Location: 211 SUDBURY LANE, HYANNIS Map/Lot: 270-286 Zoning District: RB Sheathing: Owner on Record: BANDEIRA, NADIA T i Contractor,Name:! Framing: 1 Address: 237 WINTER STREET Contractor.License 2 HYANNIS, MA 02601 p z Est.,Project Cost: $0.00 Chimney: Permit Fee: $35.00 Description: Shed ti Insulation: 160sgft y Fee Paid:' $35.00 i s 10/23/2019 Project Review Req: 160 sq/ft one story shed located as shown on submitted plot Date Final: plan Plumbing/Gas Rough Plumbing: _ Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. 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. 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 Final Gas: work until the completion of the same. g R ` Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Buildingand Fire Officials are provided,on this permit. Minimum of Five Call Inspections Required for All Construction Work:{ Service: 1.Foundation or Footing 2.Sheathing Inspection M `"~ Rough: 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). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: \ 'C Town of Barnstable THE rqy� Building Department Services Brian Florence,CBO RAFUNSTABM Building Commissioner ��`0� 200 Main Street, Hyannis,MA 02601 www.town.barnstable ma.us Office: 508-862-4038 Fax: 508-790-6230 PERlvHT# ` I Fes• $35.00 0 SE=REGISTRATION RESIDENTIAL ONLY i 200 square feet or less V1 6ov Ln. 0\ 1-1 v) Location of shed(address). Village Property owner's name Telephone number Size of Shed _ � Map/Parcel# LUC/ .�� �0 Wi ignature Date Hyamis Main Street Waterfront Historic District? . Old King's Highway Historic District Commission jmisdiction? You must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30'&-3:30-4,36 PLEASE NOTE: IF YOU ARE WnBIN THE JURISDICTION OF ANY OF TBE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEB. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BF ACCOMPANIED BY A PLOYPLAN ��/� `gc�d��b�c�a (� I writ TRW f 3•- 1 77 t V. f a I � 5 y.4. y:. Tr a c r f ` sz'3 �• y t f r y i,."f a "`• 4 >fi* } v a >e v riv�a7rr w .r D x PLO "PLAN ERTIFIE T • R4�3E RT y� NEW ' CONSTRUCTION ONLYIPMeoes 9 �• TOP OF FOUNDATION IS:_ . FEE ELDR , r I N ABOVE .LOW INT. OF AOJAC!*NT era ' � � � .�+ MA � .,. ROAD. : : Ho'3uQN SCALES /'" g0- DATE GI C =R.aniG I CERTIFY THAT THE: GEE EE N ING u yr��� t�.�.r✓ • -�-- CLIENT, SHOWN ON THI9 PLAN 19 LOCATED. __...e..rsrn..: o.ceLaYCRFe _ �__.._, . 21 5_ __o.u..TmF_a"UMD__A_:_INDICATED AMb 3PRNS:AE' ^,JfL! T hvT - ,ATE fJ v BOT';SIGN/1T!/ RF^U'RE!FOR 2fiMOTT/NG _ t'r tot i i VAI �, ► e; cl JA Yr!—no Barnstable Bldg. Dept. Approved by: 1 . Town of Barnstable Building, �• � � �• � " . •'- -'°� ,'trt �A rovediPfans Must be l�etamed on Job o That at is Uisible�Fiom the Stree pp, ,� � :� �,�:� �� ��; �'�� .�� ,. �, �;� s p � ��' • erI111 639' � � ��`' � ' • " - '=`'� c �_. � e u�red<�such�Build,mg."shall Not�be Occupied unfit a�F�nat�lnspection has been rnade� �► Where�a'�Certlficate�nf Occupancy��a4 :m�. '....r,:: �.�.�� :::', y,v�,��.„.z,., ,�,,.�. .,�.�,.. ..._,,...�,�� .. ,._�,��r.,. . ...� w:�� .�..�..., Permit No. B-18-3043 Applicant Name: CARR,SUZANNE Approvals Structure Current Use: Date Issued: 09/26/2018 Foundation: Permit Type: Building-Alteration INTERIOR Work Only Expiration Date: 03/26/2019 Residential Ma /Lot 270 286 Zoning District: RB Sheathing: P Location: 211 SUDBURY LANE,HYANNIS ' Contractor Name Framing: 1 Owner on Record: CARR,SUZANNE Contractor License �� 2 Address: 237 WINTER STREET Est' Project Cost: $5,000.00 a Chimney: Permit Fee: $85.00 HYANNIS, MA 02601 2 x Insulation: Description: finish basement with tv room,.playroom and bathroom Fee Paid $85.00 ` Date " 9/26/2018 Final: " Project Review Req: Add CO detector to basement,no sleeping m basement 4 " Plumbing/Gas .Rough Plumbing: Building Official �F Final Plumbing: f , Rough Gas: This permit shall be deemed abandoned and invalid unless the work author' by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which thls permit'has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning bylaws,and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for5public inspection for the entire duration of the Electrical r work until the completion of the same. r✓ V r z Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and'Fre Officals are provided on this it. Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7:final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of BarnstableBuilding( - PostThis CadSo That�it�sVis�bleFromuthe Street /1 roved.;Plans.Must.be Retamedon,,Job and his,C.ard Must be;Kept •- ABl.6; �? • Posted Until;Final Inspection Has Been Made t =mot� � ��� � ra - i63p ,: yam R Where aCertrfieateof'Occu anc;his Re wired,such.BuildmsNall Notbe Occu ied,until a.:Final`Ins ection has,been made Permit .x..� :«a r Permit No. B-18-3043 Applicant Name: CARR,SUZANNE Approvals Date Issued: 09/26/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 03/26/2019 Foundation: Residential Map/Lot 270-286 Zoning District: RB Sheathing: Location: 211 SUDBURY LANE,HYANNIS re Contractor•NaM Framing: 1 Owner on Record: CARR SUZANNE Contractor Uceiise Address: 237 WINTER STREET AEEstero ect Cost:j $5,000.00 Chimney: HYANNIS, MA 02601 PermjF e: $85.00 Insulation: Description: finish basement with tv room,playroom andpthroom Fee Paid $85.00 ia- Project Review Req: Add CO detector to basement, no sleeping In basement Dat� 9/26/2018 Final: y�=J" ;. Plumbing/Gas n� 4 411 Rough Plumbing: VIAL _, Building Official i Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authonzetl by this permit is commenced within six months afterissuance. g All work authorized by this permit shall conform to the approved application andithe approved construction documerits for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall^be in compliance with the local zoning byaws l `,and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for p6lilicrospect.on for the entire duration of the work until the completion of the same. k Electrical RE v Service: The Certificate of Occupancy will not be issued until all app►icable signatures by the Building and Fire 0„ffi,,ials are provided onfthis permit. Minimum of Five Call Inspections Required for All Construction Work:, Rough: 1.Foundation or Footing ' 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building.plans are to be available on site �- All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �d AppliaationN=ber...... .�./•• .... ,� .._ BUILPI G DEP ' BARNSM= * Peffiit Fee............... ...:............Ofhes Fee.......:.........:...... 208 Total Fee Paid.......... .......................... TOWN OF PAf;,NlSTABLE ';........... '�..... ur' r TOWN OF BARNSTABLE Pe�Appro�by•• ..........oa......... . BUILDING PERMIT Map.... ...............Parma............�F��................ , , = APPLICATION Section I—Owner's Information and Project Location Project Address Village Owners Name M Owners Legal Address � V V �l g .C• �11 riAA StateP /� Tqo Owners Cell# C p® email Section 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet , ❑ Commercial Str6aure under 35,000 cubic feet Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use El Demo/(entire ) -� Finish Basement ElFamily/Amnesty El Fire Alain structure Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ :Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4-Work Description T 5ve nndaLeth 7J9/201 S I l i j Application Number.................................................... �. Section 5—Detail Cost of Proposed Construction COo 4-0 Square Footage of Project ` rio Age of Structure Dig Safe Number # Of Bedrooms Existing Total# Of Bedrooms(proposed) (a.2 110 MPH Wind Zone Compliance Method 0 MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ® Wiring ❑ Oil Tank Storage ❑ Smoke Detectors Plumbing 0 Gas ❑ Fire Suppression ® Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility. I an using a crane ❑ Yes �No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) <Z�.1 Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last=dated.-2/92018 -- ------ - -------------- -- --- u APplicadon Number............................................ Section 9—.Construction Supervisor k: Name Telephone Number Address City State Tip License Number License Type Expiration Date Contractors Email Cell# 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.Attach a,copy of your license. Signature Date Section 10—Home Improvement Contractor Name Telephone Number Address City State Tip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors 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.Attach a copy of your H.I.C... Signature Date Section 11—Home Owners License Exemption Home Owners Name: VO-A Cti . 'G jo j bct to ,P I Y'W Telephone Number JT0 �11Work 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. e Signature Date µ APPLICANT SIGNATURE Signature C1�0!� C� _ i� l*A cq Date _&�3 Print Name 4, ejf 0, Telephone Number E-mail permit to: *YNctG i a�b v j . 00 141 �( . '- r e..r......7..a�a. tin nni o i Section 12—Department Sign-Offs Health Department © Zoning Board(if require4 . . 1 Historic District ❑ Site Plan Review(if required) ❑ 1 Fire Department ❑ Conservation ❑ For commercial work,please take your plans direedy to the fire department for approval. Section 13—Owner's Authorization L , as Owner of the-subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: 1 (Address of job) Signature of Owner date i Print Name • r Last imdaM&2/92018 The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly IN I Name (Business/Organization/Individual): CSC Address: a S Vd 1v L-.-,. City/State/Zip: M '►i►:S` M A °Q X0Aone#: bcl Are you an employer?Ched the appropriate box: Type of project(required): 1.❑ I am a employer with 4. 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 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, 0 Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. ❑Building addition [No workers'comp.insurance comp.insurance,: required.] 5. We are a corporation and its 10.0 Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions n o exemption MGL myself [No workers comp. right tion per P P 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no f employees.[No workers' 13 Other comp.insurance required.] 0 P q ] htS *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. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic:#: Expiration Date: Job Site Address: City/State/Zip: " Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for.insurance coverage verification. I do hereby certify under the pa' andpenalties�off/perjury that the information provided above is true and correct Si ature: / M('.�! C4 Date: 0 Phone 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to 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 of public 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-contractor(s)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 insurance.- 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-insured companies should enter their self-insurance license number on the appropriate line. 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 permit/license number which will 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 (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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAM Fax#617-727-7749 Revised 4-24-07 www.mass.govfdia , Town of Barnstable Building Post;.This,Card Sq;TFat�t is Uis�ble From.the Street;-A rou d,Plan,'s Must be,Retamed on Job�and,this Cartl Mu�si=be Kept *- MRNlTfABL�, E „�.;a 1 Post d e Until,Final Inspection Has Been Matle � 6 x� Where'aCertificate,of.Qccu anc is Requ►red;such,Builtlmg shall Not,be Occupied unt�I;aFinal Inspectionhas.been;madeE er •�t Permit No. B-19-205 Applicant Name: Lloyd R Smith Vivint Solar Developer LLC Approvals Date Issued: 03/01/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 09/01/2019 Foundation: Location: 211 SUDBURY LANE, HYANNIS Map/Lot 270 286 Zoning District: RB Sheathing: T Owner on Record: BANDEIRA, NADIA T Contractor Name BRIEN LANGILL Framing: 1 Contractor License CSL106675 Address: 237 WINTER STREET z' " 2 . . _. HYANNIS, MA 02601 t Est Project Cost: $9,548.00 Chimney: Description: Installation of roof mounted photovoltaic solar sy§'te 4 34 KW 14 Perrnrt Fee: $98.69 - . , a Insulation: Panels i, Fee�Paid $98.69 -� Final: Project Review Req: DateL 3/1/2019 Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work aut�h,,onzed by this permit is commenced wifficial fhm six months after issuan Final Plumbing: All work authorized by this permit shall conform to the approved appl lobo and the�approved construction documents�for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zonmg;by I" '' nd codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or'65 a d shall be maintained open for public inspection for the entire duration of the work until the completion of the same. 3' Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Bwldingand,Fire Officialsare provitletl on th pe'rmit. Electrical Minimum of Five Call Inspections Required for All Construction Work:` p r ' Service: 1.Foundation or Footing ce 2.Sheathing Inspection ' 3.All Fireplaces must be inspected at the throat level before firest flue I nmg is nsta led r Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to CoveringStructural Members Frame Inspection) Final: ( 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. . Health "Person cting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: c� � r Town of BBarnstable f ','iFz t' sa;i F $ k�i Z ;, ;,'+4s '€ `-Y ,; �., ? z t n,,•z' "... ,�S' `' .t Building �. Post This�Card�So""T.Mat rt;s visible•F>rom the�Street Approved..,Plans Must beRetamed on"Job�andtthis,Card Must be,Ke,t ,.: sA MAM s6sv- Permit Where a C,e`r"tificate-of Occupancy is Requred;sucFi.Bu�ldmg4sha11 Not�be®ccup�ed u,nt�l a;Fnallnspectionrhas�`been'made'���, ,�, Permit No. B-18-808 Applicant Name: INSULATE 2 SAVE, INC. Approvals Date Issued: 04/13/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 10/13/2018 Foundation: Location: 211SUDBURY LANE, HYANNIS Map/Lot 270-286 Zoning District: RB Sheathing: Ov Owner on Record: CARR,SUZANNE Ccintractor•Name 1t` INSULATE 2 SAVE, INC. Framing: 1 Address: 211 SUDBURY LANE Contractor Ucense�180747 2 HYANNIS, MA 02601ti Es �Pr�ofect Cost: $3,104.94 Chimney: Description: weatherization Permit Fee: $85.00 Insulation: Fee Paid: $85.00 Project Review Req: �\^ Date 4 4/13/2018 Final: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: £. g: v: This permit shall be deemed abandoned and invalid unless the work authorized by`°this permit is commenced within siz months afterssuance. Rough Gas: All work authorized by this permit shall conform to the approved appl cation and the"approved construction documents for�whch this permit has been granted. 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: i' x This permit shall be displayed in a location clearly visible from access street oQoad,and shall be maintained open for public inspection for the entire duration of the � work until the completion of the same. Electrical s n e, Service: The Certificate of Occupancy will not be issued until all applicable signatures by the�Bwlding anted Fire Offiaals are prov ded on this permit. Minimum of Five Call Inspections Required for All Construction Work Rough: 1.Foundation or Footing . 3, �,� .. .? 2.Sheathing Inspection Final 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy 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 s Application Number....a..f Ap .-Z�..r..B .......... . Permit Fee...... .S.......................Other Fee:. . Total Fee Paid . TOWN OF BARNSTABLE l Permit Approval by.... ........................on:...y..�3. 8.....: BUILDING PERMIT APPLICATIONMap.............................. Parcel ....:... ,....... .... e�-r- Section 1 Ownersinformation and Project Location Project Address �(, uc N�r�GI �s iti1,a9 U�rDOfVill e ��f J hur -' bu e- ag Owners Name �(�zec-n.:h P eiay Owners..Legal Address City Gf a-A-04-r - State. l"NA Zip 0. 6 Owners Cell# 7 = �/— '7('S�� E-mail 4:1-4 S 4 U e, l?e,iK Section 2= Structural Upe YSingle/Two Family Dwelling ❑ Commercial;Structure.over 35,000 cubic feet .Commercial Structure under 35,000 cubic feet Section 3—Type of Per it - ❑ :New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Chazige of use Demo/(entire structure) ❑ Finish Basement ❑ Pool j ❑ Fire..Al S er S stem: Rebuild ❑ Deck ❑ lar prukl y Addition ❑ Retaining wall Insulation --a O Renovation ? W z Other-Specify C� n Section 4 Detail z ti Cost of Proposed Construction "D Square Footage.ofjProject Age of Structure Dig Safe Number #Of Bedrooms.Existing Total# Of Bedrooms((proposed) 1.10 MPH Wind Zone Compliance Method .❑ MA Checklist ❑:W-FCM Checklist ❑ Design I,ast.updted: 1 0/3 140 1 7 Section,`5 - Work Description �►1_. f`Il� 2-' D r,60 sS t a a"l CJ .I,Ai.S'u 421-4 e-0 I/ 0-y-1 f 4aSP 9�c �ce�-/i r Uo�yl1 �eiL9� Sd�cC U2at �.. 5�-•`�C-, �11r SP�t-LcYc4 _ b � to G.se-in.�r�t �. 21' i, i Section 6—Project Speci�ics . ❑ Wiring []'Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing as ❑ Fire Suppression E ❑. Heating System; ❑ Masonry y Chimne ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private it Sewage Disposal ❑ Municipal ( ❑ On Site Historic District ❑ Hyannis Historic District ` ❑ Old Kings Highway Debris Disposal Facility-1,4h9A, nbr"g - - /I t I#using a crane ❑ Yes. ® No v Section 7—Flood Zon' Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes;❑ No ❑. Section 8—Zoning lnfor ' tion -Zoning District Proposed Use_ Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units{on site) Setbacks Front Yard Required Proposed f Rear Yard Required Proposed Side Yard Required Propoi ed Has this property had relief from the Zoning.Board in the past? Yes ❑ No Last updated: 10/31/2017 Section 9— Construction. Su `ervisor Name el. e— '/- Telephone.Numbe 0 V, Ci Q 16v eil Stay Zip eD 7 a-© Address In y ty P/.0 r S �Cl License Number /d 3 / License Type U E iration Date �Xd Contractors Email�L`1 YK/ln -�e?un: R S`' Cell,# �7a P d I understand my responsibilities under the rules and regulations for Licensed CNistruption Supervisor in.accordance with 780 CMR the Massachusetts State Building Code. I understand the construction ins on procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a cop of your license. Signature l Date_ / 711 Section 10 —Home Improvemen Contractor Name -vil Telephone Num er �a�-SN 7- d Address Q20 6 ca V& City '7� Iv ed' Sta A Zip d a 7d Registration Numbed D'Z'17 Expiration Date 16 /- I understand my responsibilities under the rules and regulations for Home Imprq ement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction insl ection procedures,specific inspections and _ documentation required by 780 CMR and the Town of Barnstable.Attach a cop of your H.I.C... Signature 1 Date Section 11. Home Owners Lice ASP Exemption Home Owners Name: 5�-20 13 jj e e r V Telephone Number 97F- tl-17f�-3 Cell or Work Numb. r I understand my responsibilities under the rules and regulations.for Licensed Co, struction Supervisor in.accordance with 780 CMR the Massachusetts State Building Code. I understand the construction in ection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable: Signature ee a Date APPLI.CANTSIGMKTURE /� Signature /Z --- Date /7 Print Name IeO 104,-6 e v/ Teleph `ae Number s 66 1"CP 7- 0 E-mail permit to:0& ' Last updated: 10/31/2017, Section 12-De 9i tment Si n-Offs Health Department ❑ Zoning Board(if required) i Historic District ❑ Site Plait Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take yo r plans directly to the fire partment for approvak Section 13 —Owner's Autho'ization I, as Owner of the subject property hereby authorize Rd fa-lk clLi4 e,v,`A to act on my behalf, in all matters relative to work authorized by this building perm application for: (Address of job) eP s—►la Signature of Owner date z Cl- r � Print Name 4 Last updated: 10/31/2017 L w J. nN:lt ...Z. .... .- .... RISiE' COT` AT PRi?GItAi3 . .. ....-' nas con>•aAcr is ....atro:sian�► CLC-� a;a+� ci�rtuw�r�tt.wp�tAs mo aArE ctaarrs v+ciecctneFx SFJZAI�t1`t CARFt: (91&.'J4241153 f 3 8)94. 1 4fl . 2'11 Satdblay Lane: 21' Sudbury'Lane Ct�Y�S6TI4�T�.2iP HY'i ttS=UAN 02661. .... !l)AT_7li&S 4 f'TY: Hate ycwr oYER tested u�and reDested fo he$us Yhat the t'ue•aasses:dfl not';Xwd 100 gaits peiin�litcm:(irpm) jai tnouoxtde WeWJwrnaion'workcmmot,pr0eeedttttttl'€I►ists.fixed:., l4 .AltIl�e R VVa hake idetttt#led ttiat there'are temessed resent i a p your bottle;tutless the•retessed Iighls are cr�3tficd as 1C: rated(fnsula#t4rt Contact Rated]we wtwil7 create a 3"cltatatt�space arauiiit the ftacUutrby usttig fiberglass bdsmlet::IOU as tt #far iming.rrt raF no znsulat�ttr cvtll he it�stailed across the top and dosed cavtEies wbtclt autam trcessed Itgitts� trot be:�tilaEecif , STORAGrE SARapk fomeowneris eespons�ble furtherematial oftheswted ttetns tal tut t#r nsialiatwr� work uribe basetttent )removal mtt oxttr ' (ratriais) grsor to the sctieduteti work stair d DAMM%'Cr:.Prtrotde Talitx and r eial5 tt+insta.. :!? bluer of R- $ttnfaced ftbe ass"hafts to . {i31:54uare.fEeC.lor damn;i�Pam• .. T —O A7 i iC t[tlf:Provtde,t�bor and:titalermis.tv tnstiit!a T!"layer of R-40;: lass l CeUul�se adGed XEf( 8l}j siWare.teei ofrapi:attict $99 50 A JG wsorc fieacae[;aAogfe p EywoodPr.yovtvlli dbee.abor and materi.as to tn Wl( y e o fodiCGE S tas fir, Fmet a: creW aoud rn he Che � ing.w imstrtct VE#�f'I'R:.4T�OT�I:ProvidelabOr.and m to Install xentiiatiiln chin{62)ra3�er 6a�s tr?rnett►taui aK ilo�ir:� '.11stfiLr�TTOI PrPvidetaboc dmateriatstat tact l):iiuulatedexfiatzsth4sewiflagoofmozut[ed.... m' futwl c t;towi st.:, baths fmt(g). x BATEI EXi#AU3T 1 AAXS Tn older to matMM ttealttsy utclaor air quaittp:and remove extxss:mmstun'every fwl.'l �C'•{Trt►trats) ;tisthto$nt sdmtild have an e�dtaust fart xCtttel'to rite outd�ts to povtde lt least 30 ctibtq,feet pa tatnute(CFM)o€ ? ventilation Ytiiur home does s►ot curreatty have every.full batizfac>an vented;arut:t is ow strorigr�osit�bdation � .. �r,: you conssdrr iitsla):,Mg.the�rt3a tkie ue$t i stse.. :Ibistsbein bmtl g tt tU,your auentton Lo idettrify tt as a lyre-exis4tag c�tdittgn to:tt�weathai�tton.tirnrk ptaaned for yourhtttae-.Y'oursigaatureu:vaisraci_oavTed_nentofthmoE tdifionsand agrowknttp;ptac liEAl,fFt&SAFTS' $n order to rnstntat>k heattlty uidoot atrgsiahty and remove exexsstnotsittte eveiy Ititchelt should trove ara exhaust fart mwd:to the oatdoars to ?tavtQe 8F least lU0 cultte feet: {ttuitsis) per rautute`(C P I ivf e)f venti►atton,Ygbr home's ittte�nett exhaust fan:is not gently vented to the:outside'aci it is,znu sirang , recommendaia4n you raivader venting thts irt.:tlie near future r 17tis',is 6etrtg tsiotr�tt to}our atttxttion to:idenitfy ii.ss'a pre�existiag citron;m ate tive�ieiizattoit work: planned foiyeur.borttc:'lYduO s is is '1$natu ytnu ard:nan'3encnt of ifiese cattditions and gr=mnt to pt ; NPlir11 Ff3N Fmvtde labor and:nysteiisls to im.W.f 914",X b"nxtarigvlat aluiiiinum so€3rt:v«ns to;iii�ease acatilappgt ut attic pecrfy;color vVl►ite�trGray.. MR..SEKi TNG T'tpxtde labor and materEatstnseai areas aFyour home against wasoef t!,excess atr to l3ns work will.8e iiertomied $41 d to conseRp tit the use of spectral toots mtd.disgttost c.tc is ut assure that your borne uil be:le#*tti A hetfihfu3 tee!of mr exchanv end aedoor atr geahby-A�afettais�'he tsead Da seal'your battle can tnefirde'eaul3,s foams,weail�r�ppi�!g attrt ci�terproducts; i�try;: areasfor seating tncttide air lecage.to attic, bascrnents.atEaeiteii garags•aiui other unframed areas f vrtptnus arc riot gettetaIly mitts. tL reductrAtt in cnlstc feet per tninule(cft).of' mfil4ratton ati It occur the acDAal tam of xftn ts: ....::..:. e. Tows of Barnstable atory ra sl, Paul Roma. 141 ea 260 MAW Street :Hyagais;MA:0260i .........:...:.:::......... Propel 01o,er. k :: Complete aid SIgn Th b Sep o SUZAN cAkk as Owner of the subject groper f: i all:zna#ers relat�ue to wor.,aq,or ze�i by t�s building permit applreation for.. 211zdbtiiy.Latle I- ys,hrlA 460:i ......_ Signa of Owner Date Print Name .—._.....__ . ...... . rf.Pt6perty Q�vner�s'aPE wig.for.perat4 Plean:;compW the.:Home€►wacrs.Litton--Exempfion Farm, C 1�tsersldecflIl lc AP'PA..tLiieatlIvi asoMlWindov�sUl,i.c. e�£ n erit:f7uflo �i,7U65�L>"2T.X Q1f251.1:7 .:: ... ...... RISE,:E eeri : EPd.GiNEEftlhiG .: S Dup�ut Aeeuue,Sauth Yarmoutl3,MX AZGfi4� 3@$S58-E�k.7i:fi245 �1X 2433 Page 2: £�£�E5 . : .. rtus caat>�T��s'�rarro RAPE �1cTReai�TraRAff:;.. ., eusTebtot GATE SUZr�NNE CARR a.En'S. wvanc (978).124,1153 It23t2Ql8 3a$1:9a '5442: � . 2 t:1 S dbtuy t ane 211 �bury Lane - .. .. :. 7I.l4:�IG C}TY eS,TAT$,ZlP . y`8rutrs,<MA 026..a7' Fiyart�its-:MA 026Rt J61R 3ES.CRIMON _.... ^ ' • C0l4tOt3"WALLS.,E'ratnde tabor and maeenals to u}scafl 2"z3gid'bard u�th the:egiritetl:ltie ra€uistp(t:53}square fit of comttot v¢a1t area, B ASE T CE»G i'ea+r3tte:labor aad::matenals to tttstall'.(Sfi}lmt feet of R-19..unfacEd fibergiau msuiaklan to the meter of ttt :2sa5etnetrt::ceiltng at.lbe ttom Al. �a$8.34 :YOUR L'V EErTiuEEXPLAINED, RISE E>ignng twill aDpl all agpabi eltgble inctrves'aad will 6e bailed oa}�te;q#saxsuit Ctmesti for etigblc measumsf the:�pe I.igfEt Cooipaet offers a 75V�nSul aon sac to went no ttmii;on I artior�nt east tz+cernive aF t009e,ftu the:Au'"Seal9n�ineasra+es., ;';. Totai C[Stomer TO I... ` $67— 3 1( Ai3tEElSUZEBYTO,fiJi�11$H,SSRYICES:=:EOIAP.LETEIAElkCmRQ7Sl�G'E;1 TO-A8WESPEt IX* :FOQ'EK;SWM.4F' aM $$76.2 YPONftd6ifttSPECWOPl/Uri.ifpPf�YJIfLBYNfSEE#IHiF�FltPipjC�pT..p :��iULC y�,�"��yp�e�.pdNt91E"lCNA4{Y itI�DBRtAItC�Af�R.4RDA1[&BEE:.ZFpR @�Oidi'AD3T ttfJi1�3,ON CiIJRRAK`(T�B.AIOi,Y!'B�P .- .: :.71CS'CQ?47RAC3AIAYBENIXNDRAHA98Yg5 .+....�......�.., .VAM :RCCBPrAA6eE¢PCpNntACT 7Yt2J�YEWRICEb,;9fE�tC.Ati�At��ppE:. - BAT,RiA�Y7GU8{4atD'lrREtYA��2#D°1fWlABE�FOGD `112K' +� 4.t�AY3�7�tC.idfp�¢E:i�ttlStlkO�f.NbfiV1°'" The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston, MA 62114- 017 www mass.g ov/dia Workers'Compensation Insurance Affidavit:Builders/Con.tractorstElectricians/Pl�m6ers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please.Erint Legibly Name(Business/Orpnization/individua): Insulate2Saye Inc. Address: 410 Grove Street City/State/Zip: Fall River MA 02720 Phone# 508-567-6706 Are you an employer?Check the appropriate boa:.. Type of project(required): l.Q tam a employer with 20 employees(full and/or part-time).» 7. n New construction 213 T am a sole proprietor or.partnersh'tp and have no employees working for me in 8. Remode ling any capacity.(No workers'eomp-insurance required.l 0I am:a homeowner doing all work myself.[�lo workers'comp,insurance rcquired.i i 4. (�Demolition. 4.[]]am a 10 Q.Building addition homeowner.and will.be hiring contractors to conduct all work Mmy property, t witl ensure that all contractors either have workers'compensation insurance or are sole l LE).Eleetrical repairs or additions proprietors with no employees. 12.Q:Plumbing,repairs or additions 5.01 ant a general contractor and 1 have hired the subcontractors listedoa the attached sheet; 0.�Roof repairs These sub-contractors have employees and have workeis':comp.insurances lJ b. we are a corporation and its officers have exercised their r`tght.of exemption per MGL c. 14.�x Other insulation 152,61(4),.and we have no employees.[No workers'comp;insurance required.] 'Any applicant that checks box#t must also fill out the section below showing their workers'compensation:policy information. t Homeowners who submirthis affidavit indicating they am_doing all work And then hire outside contractors must submit n.new af'iidavir indicatiog:such. 'Contractors that check.this:box.must aitached.an additionat.shect showing the name of the sub-contractors and:slate whether or not those.entities have cmployees If the.sub-contractors have employees,they must provide their workers'comp.:policy number. I am:an employer that is providing workers'compensation insurance fror my employees. Below is the policy and jab site information. Insurance Con marry Name;: Liberty Mutual Insurance Policy#or Self-ins.Laic.#: XWS 56418741 Expiration Date:. 12/10/2018. o. Job Site Address: !�Ct� C - City/Stage/Zip:. " Ci"Ll-If ))l ©9 4,� f .Attach a copy of the workers rompers flan policy declaration page(showing the policy nupi er and expiration date).. Failure to secure coverage as required'under MGL c. 1:52,§25A is a criminal violation punishable by a fine up to j,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$250.00 a day against the violator.A copy of this statement:may be forwarded to the Office of Investigations of the DIA for insurance coverage:verification, I do hereby certify under the '' s.an ,.,e hies of perjriry that the nformadon•provlded above is frue and eorreri. Signature: .. Date Phone M 508-567-6706 Ofrlal use.only. Do not write in this area,to be completed by city or town official City or,Town: PermitlLicense.#. . Issuing Authority(eircle one): I.Board of Health'2;:'Building:Department:1 C►ty/Town.Clerk 4.Electr cal_Iaspe.ctor. 5.Plumbing Inspector 6,Other Contact Person: Phone#: xsk$ . \ .Ir� �����1 f V I:Y:V V" V.[.�'4/fsi,r '1)".���\.✓ } S ��/�fy' i Office of Consumer:Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Ma. ' husetts 02116 Nome Irrlprovem tractor Registration Tye CoMoraton Registra 180747 INSULATE 2 SAVE , INC. Expiration: ` 12/28/2018 410 Grove StIlk Fallriver, MA 02720 r Vpdato Address and return"card;:Mark reason for change. 3CA1 0 20M-M11 0A�. Q:Rp 0 oyinp t ©Lost Card C:.;alte�CaTYt3)7.f>7LLCJ#,tXG/�Fl f,�..�✓l�LfdC�btf�E%�2 I V�L\; Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for indfviduai use owy TYPE;Corpaalion bsiore the explratlon date. If found rewrh'to: office of ConsumerAttairs andBusinese Regulation is pirat[cn 10 Park Plaza-Suite 5170 12J2812018 Boston;MA 0211$ 47 Roland Lang ev 410 GrOVe St FaiirSw,PEA 027� x x K-: Underafretary Not v0lid witho4t signature R Oaaw""vre h of Massachusetts. g l3ivision at Pretess4onat Licensure , Board of Building fte oWoas and Standards E<' Constr ,rVisor i. CS-103t#6 t �' r M 19 E _ RUt J 3 a, 56 I FALL ssrrO r i V.. Ali v 0 CERTIFICATE OF LIABILITY INSURANCE DATE 3107D/YYYY, 3/07/18 THIS CERTIFICATE IS.ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER:;THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED, REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such.endorsement(s). PRODUCER GUN 1A-I NAME: Anthony F.Cordeiro Insurance AICN . 508-677-0407 AIC No): 508-677-0409 171 Pleasant Street ADDS: hsouza@cordeiroinsurance.com Fall River,MA 02721 INSURER(S)AFFORDING COVERAGE NAIC f!. INSURERA: Liberty Mutual Insurance INSURED INSURER B: Insulate 2 Save,Inc. INSURER C: 410 Grove St INSURER D: Fall River,MA 02720 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT•TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. VTR TYPE OF INSURANCE INSD yyyp POLICY NUMBER D KI PO D F MM/D EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ 3000000: MED EXP(Any one person) $ 5A00 A Y Y BKS 56418741 12/10/17 12/10118 PERSONAL&ADV INJURY $ 1"W 000: GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000QOO' X POLICY D JPE,C,T LOC PRODUCTS-COMP/OP AGG $ 2000i000 OTHER: .AUTOMOBILE LIABILITY COMBINED NGM L $ 1,000;000 ANY AUTO BODILY INJURY;(Per person) $ OWNED SCHEDULED BODILY INJURY(Per.acddent) $ A X AUTOS ONLY .AUTOS Y Y BAA 56418741 12/10/17 12/10H8 HIRED NON-OWNED PROPERTY'DAMAGE $ X AUTOS ONLY X AUTOS ONLY er acddent $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LLAS CLAIMS-MADE Y Y USO 56418741 12110/17 12/10/18 AGGREGATE $ 10,000, DED RETENTION$ $. WORKERS COMPENSATION X1 PPE UTE ER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L EACH ACCIDENT $ SO0,00.0 A OFFICER/MEMBEREXCLUDED? N/A XWS56418741 12M0/17 12/10/18 (Mandatory in NH) E.L.DISEASE•EA EMPLOYE $ 500,000: If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELJVERED,IN Proof of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESEN ©19 '2015 ACORD CORPORATION -All:nghts.reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Assessor's office(1st Floor): Assessor's map and lot number o F'°\ � o�THE t0 Conservation {3;t�`�� Board of Health(3rd floor): TO TOWN SEWER • Sewage'Permit number � �.. .__.. . = seassrsnt ; �o rua Engineering Department(3rd floorj: r o oe39. House number �oYSY�' Definitive Plan Approved by'Planning Board 1g APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE f BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 13 19 — TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �i w Proposed Usezr Zoning District Fire District Name of Owner G,/ CFt���� Address L Name of Builder Address Name of Architect .lam Address Number of Rooms Foundation Exterior RoofingOE Floors fl/ l� Interior Heating CX4- Plumbing Fireplace Approximate Cost 00 Area / Diagram of Lot and Building with Dimensions Fee 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 COOK.E, `BILL No' � Permit For ADDITION Single Family Dwelling _ =. _ ..• 211 SudburY Lane Location # ' ' Hya`nnis". Owner Bill• Cooke Type of Construction Frametr Plot Lot �'` ", ` '"� ,/ %j..f ✓ , ! " + JanuarY 13 19 9 2 _r ' j 1 Permit Granted � � � � '_ • • . ' 4 y ,�'L�• y r j 1 , � Date of Inspection �� �" '' 19 Date Completed +✓; 19 4 " b f � ..�'.. .. ' I p i i '• 1 I ( 'ter 'p. A. Assessor's map and lot MU GbONN �Y t0 TOWN. THE of ro Sewage Permit number t Q 33U33TAM House umber ....................... ., ......�(� .................... :... µ c o� 1639• j r � a� TOWN OF- BARNSTABLE -BUILDING ' INSPECTOR APPLICATION FOR PERMIT TO .••„ Construct Single Family Dwelling.................................... TYPE OF CONSTRUCTION ........... �Wood..:Frame ... ..t December 1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following information: Location .Lot..#Q...........SudburY....Lane.:............................................... yann s.�...MA.. '- .................... :.... ProposedUse ................................ .......................................... ...... ................................... ........................................... Zoning District ............................................................... y .......... .............................................................Fire District � .AX}XU,5.i....14A••,,,,,••,....................................... Name of Owner Capricorn Rea Trust : Address 765„Falmouth Road, Hyannis,, MA .................. .... Name of BuilderFranco Real Estate Dev. Co Address 765 Falmouth Road, Hyannis,,,••MA ............. ..... ...................... • � Inc . Name of Architect ............................................................:.......Address ............................ .... ....................................................... Number of Rooms S1x ..Foundation P. C........ ............................. Exterior Clapboard and/or shinq.les•••. ..Roofing ...Asphalt shingles ...................... Floors Caret........................ ...........Interior ..........sbae�1=.9.00................................................... ..........:........................ Heating Gas — F.W.A. :.Plumbing ...Two...- Col� ez......:........................................ ..................................................................... ...... None Fireplace ................................................................,••;••,,,•,,,,,,,,A roximate Cost $40,000. 00 PP Definitive Plan Approved by Planning Board _______________________________19________ . Area 1 sq. ft. Diagram of Lot and. Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . �... ............Fre s . Construction Supervisor's License .......90U 2 CORN REALTY No Permit forJ]'2... ... ......... RUST ...S.t�o-n j(j Single Family ...................................... .........�i.g. ............ Location ... ...... dqy.. Lane u ........ Hyannis ............Hyannis ... . .. I Owner ..q�pKi.corn Rea �ty Trust ...t.......RF Type of. Construction Frame................ .......... .................. .......................................... Plcx ............................ Lot ................................ 0 84 .. .. .... ....PeVait.Gronted ....January.....� . . .�. ..... 9 ...................19, Date Completed ......12...q�7........19 t .01 Assessor's map and lot number ..... .�.®".a.a.�....... . ....�., ypF THE TO p �♦ Sewage Permit number ............................................... a - Z MARNSTABLE, i QQ MAO& House Amber ......................o�:.,�./......� ...................... 9°o i6}q. ♦� YP-f a` TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....EConstruct Single Family Dwelling TYPE OF CONSTRUCTION ..............Wood Frame ............................... ........................................................ December 13.9.................19.$. . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the .follows g information: ✓� Location Lot. 23 -..... SudburY...Lane.R. n�. ...... Hyannis., ......................................... jProposed Use ..... ...........,.. ............. ....................................... k Zoning District ..R.Fj.t............................................................Fire District Iiy,kp)5.r...�................................................. Name of Owner Capricorn Realty Trust Address 765...Falmouth Road r,,,.Hvannis� MA .................. .... .. ..... Name of BuilderFrancoRReal Estate Dev. Cos4ddress 7 5 Falmouth Road, H nnis, 1A .... ......................................•............................... Inc. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ....S.iX......................................................Foundation P.r.Cr.................... Exierior Clapboard and/or shingles....................Roofing ...Asphalt shingles Floors Carpet......................................................................Interior Heating Gas ....F:.W.A....�................ ...... ........Plumbing ....'1w0........Copy?er............................................... Fireplace None..............................................................Approximate. Cost $40,000. 00 ...................................................... Definitive Plan Approved by Planning Board -------------------_-----------19________. Area .l'056 sq.ft. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH `s. a v wi i 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 ..�..... ............... .........A�,................ res. Construction Supervisor's License `.o0098g. . . . ............. .. .... .. .. .. CAPRICORN REALTY TRUST A=270-229 259.98 ....... .....No ... Permit for .............. Sing-ti Family... ...................................... ... .............. Location .....Lot 23j...... Sqdj?q-ry...Lan(� Hyannis .............................................................................. Owner .......Capricorn...R .. ... .. .... .. Type 'of Construction XKAMe............................ ................................................................................ Plot ............................. Lot ................................ Permit Granted ...January......2.3........19 84 .. .... .. .... .. Date of Inspection ....................................19 Date Completed .......................................19 ` TOWN OF BARNSTABLE Permit No. 25998 -------------------------------- � Building Inspector cash -------_- 7_ ---- -- • ,WO ` OCCUPANCY PERMIT Bond X. _ _ __ Issued to Capricorfi Realty .Wt Address Lot 23, 211 Stx )Lxy ILane, Hymmis Wiring Inspector l .r, f� E'; Inspection date - f Plumbing Inspector � ���� r.. � Inspection date Gas Inspector Inspection date Engineering Department Inspection date 'L Rif Board-off-Health ?r1 93 Inspection date 8�Z jlr4 THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIItEMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. �) ....�.../........... 19 .... �... F Building Inspector „ FROM OWN OF BARNSTABLE BU.1L DING DEPARTMENT Mrs. Francis Laht� t-I A ffie 367 MAIN STREET NNtS, VA 02MI Clerk .�. . . SUBJECT: ` FOLD HERE ; DATE :� `f AUgr]St 24s 1984. _ 0ESSAG a” Work -gas 5998 e+?+�+. bx+F n...+�4a.•nue.O.•pQ Ysy r..sir _: p�+e + e.a` mW'���,"�/;��. ------ 1T.m rF it f6 Ple ease .. rRlP.cYs 14'•Rnw 4'w-x•H•.�+R Tkyk 3e wi.`jA 6:`lR - • SIGNED DATE REPLY SIGNED - N87-RMf RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY • PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. I I h - - ; X a t t t k 2 71 TdI Zt r t f. r. h { ra s ' "• 1 4 •' Y'4h r5 eF f.2i 4. 1 L , ' .. •' .••w�m•'°"'"aa+'�TP b a+�irrr�`1nNa• k .YMu,^' � :. G 0e .ae,) ka 1 CERTIFIED PLOT PLAID ROULRT NEW CONSTRUCTION ONLY sRuc� r----..— -- t a ELDRE _.,TOP :OF FOUNDATION LS'_.:_.�, . FEfd y �EI IN ABOVE : LOW POINT OF r ADJACENT `, �' .� � VA ID Ir MASS * ` ` ROAD. . , ti SCALES _ . �� DATES /18,13.4 ILQMGE ENG/NEERINO CO.INC) /-r�'�n/�;c I CERTIFY THAT THE �yri �,vr✓ '�"'—'"'• CLIENT M SHOWINI ON THIS PLAN 13 LOCATIED E®ISTERED� REGISTER ED Job aO.M 2 4 Old THE GROUND AS INDICATED dNO CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR { _ DR.By!. `..,. ,•� OF ,DARNSTABLE MASS. 712 MAIN S T R E ET CH'®Y� N YA N R 15, M.AS S. `.� SHEET�OF t DATE REG. LAND SURVEY0di