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0030 SUNNY-WOOD DRIVE
E �_ �_ __ _ _ - �T _� �T Town of Barnstable *Permit# Fxpires 6 months fro r Regulatory Services Fee e r®� A , , Thomas F.Geiler,Director Building Division �Srq Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-7' 0-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL 0N11Y Not Valid without Red X-Press Imprint Map/parcel Number Property Address e3o Sul n v W9064 ols Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �rvlf e—� .1,p 4vle-r1— p Svn/l woavl Or Ccl'q fl-ll� Cori Contractor's Name Pe eKo Gl—di/I j elephone Number 10-?7 Y-5 vo,,X 3V2—f Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) I.f 79 orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑JKn the Homeowner I have Worker's Compensation Insurance ' Insurance Company Name Workman's Comp. Policy# orwtwg'77� Copy of Insurance Compliance Certificate must accompany each permit. -Permit Request(check box). ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors [�Replacement Windows/doors/sliders.U-Value . , 7 (maximum.35)#of window ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required... *Where required: Issuance of this permit does not exempt compliance with other town department regulations;i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. ` A copy of the Home Improvement Contractors License&Construction Supervisors License is r` cmuired. 'SIGNATURE: Q:\WPFTLES\FORMS\building permit forms SS.doc Revised 053012 Office of Consumer Affairs sand Bu siness-Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 ' Home Improvement Contractor Registration Registration: 168616 Type: Supplement Card POWER HOME REMODELING GROUP LLC Expiration'. 3/18/2015 ALLAN COLPITTS 2501 SEAPORT DRIVE STE B110 CHESTER, PA 19013 Update Address and return card. Mark reason for change. scn I Co zoM-os/n Address L^n Renewal ? Employment ;_I Lost Card ''/1r (�r.uri3ir,Hrnr•n�/�r/r't/lrr3,:rrr•�rr3r//,' - . .. -.. Rice of Consumer Affairs& Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date.- If found return to: egistration: 168616 Office of Consumer Affairs and Business Regulation ` Type'Expiration: 3I18/2015 Supplement Card 10 Park Plaza-Suite 5170Boston,MA 02116 POWER HOME REMODELING GROUP LLC. ALLAN COLPITTS 2501 SEAPORT DRIVE STE 8110 CHESTER,PA 19013 _ ._..__.. ._.__.___. .__..,...._....� Undersecretary Not valid w' ut signature Massachusetts - Department of Public Safety Board of Building Regulations and Standards Crin.truction Supen i.ur License: CS-001979 ALLAN K COLPMS ,zL, 3 CHRISTIAN DR NASHUA NH 03063 a ' 'r l J.G.— �i6f�c► ' ,, ' Expiration Commissioner 05/07/2014 f POWER-1 OP ID: EL ACQ- OATS(MMlDDIYYYY) �.� CERTIFICATE OF LIABILITY INSURANCE E(MMID IY 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(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER 215-723.4378IMCT Lacher&Associates Ins Agency NAME: Lacher Insurance Group 215-723-8604 arc° o E • A/C No 632 E Broad St P 0 Box 64398 A Souderton,PA 18964 ADDRESS: Chad Lacher INSURER(S)AFFORDING COVERAGE NAIC e INSURER A:Harleysville26 Worcester Ins Co 182 INSURED Power Home Remodeling Group,I.I.C. INSURER B:Harleysville Preferred Ins.Co 35696 Power Home Remodeling Group, INSURER C:NationWldeMutuallnsCompany 23787 Inc. INSURER D 2501 Seaport Drive Ste B110 Chester,PA 19013 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. ILTR TYPE OF INSURANCE POLICY NUMBER MMIDO M.MIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 B X COMMERCIAL GENERAL LIABILITY MPA00000089793N.1 09/22/12 10/01/13 R� To'1 I.N1 PREMISES(Ee occurronco $ 100,000 CLAIMS-MADE D OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY X PRO- LOC $ AUTOMOBILE LIABILITY CO M Ea acci DAM; L LIMI $ 1,000,00 A X ANY AUTO BA00000089796N 09122/12 10/01/13 BODILY INJURY(Per person) $ ALL OS AUTOS SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNSAUTOS PROPERTY DAMAGE $ Per accident UMBRELLA LIAB X OCCUR EACH OCCURRENCE _ $_ 10,000,000 C X EXCESS LAB CLAIMS-MADE CMB00000089794N 09/22/12 10/01/13 AGGREGATE $ 10,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH• AND EMPLOYERS'LIABILITY X YIN I ER A ANY PROPRIETORIPARTNEIVExEcu-nVE WC00000089795 09/22/12 10/01/13 E.L.EACH ACCIDENT $ 1 000 000 OFFICER/MEMBER EXCLUDED? a NIA , , (Mandatory In NH)If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 1,000,00 DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ 1,000,000 A Mass Auto Policy BA00000018227P 09/22M 2 10/01/13 Liability .1,000,000 Limit DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Addltlonal Remarks Schedule,Irmore apace Is required) CERTIFICATE HOLDER CANCELLATION BARNSTA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Barnstable 200 Main St AUTHORIZED REPRESENTATIVE Hyannis,MA 02601 e4 O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD I� Home Remodeling Group R DATE: .616113 TO: �T/Z ATTN:Town PermitDivision or Building Official RE: Permit Authorization Letter Dear Sir/Madam: This letter serves as written authorization and notification that Power Home Remodeling Group and its employees and agents have the authority to represent me,the Homeowner, in the procurement of permits and pertinent documentation with respect to the project scheduled at our home that is identified below. This letter or photocopy thereof may be regarded by any building official and/or issuer of permits as its authority to recognize Power Home Remodeling Group as our authorized Agent to, on our behalf,sign applications for permits and any other related documents that may be required by you. We agree that, for all purposes, we and not Power Home Remodeling Group or its employees and agents shall be deemed to be the signer of any such applications and related documents. PROTECT TYPE: )P-6 LOCATION: Date of Work To-be completed: An A0/-7 7 7- AUTHORIZED AGENT: Power Home Remodeling Group Agent Name Very truly yours, Jv tip 57�4 Ho wner signature Printed Name National Headquarters 2501 Seaport Drive s First Floor • Chester, PA 19013 888.REMODEL • PowerHRG.com The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations VJ 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation insurance Affidavit: Builders/Contractors/Electridans/Plumbers Applicant Information C� n ' t n / Please Print Legibly Name(Business/arganizatiocubdividualyf'r--wcrt OM6 I�.Ct'1'1C1)FUN 1�PUi)p Address: 7_r0 j6g8U-T 1. _egE 8110 64.[S E P4 3 City/State/Zip: Phone #: L1t° EW .5-Ct0 Are ypd an employer?Check the appropriate box: Type of project(required): 1.AI am a employer with_- 1.5 4• ❑ I am a general contractor and 1 6. ❑New construction employees(titli and/or part-time).' have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet, ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers'comp.insurance. g. 0 Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL I I.❑Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no S2 . �__. _ _ iii insurance required.]t employees. 2 Roof repair re9 l [No workers' comp.insurance required.). I3. ,"theT U��a10pb✓S -- 'Any applicant that cheeks box 21 mush also Bout tine section below dtowiay their wottets'compensation policy tothttnadoo. t Homeownus who submit this stridavit indicating they ate doing all work and then hire outside contractors must submit a new affidavit indicating such. lCoaocacton that check this bolt must attached an additional sheet showing the wine orthe sub-ooarmaots and their wotkets'comp.policy infotn adon. la an employer that Ls providing workers'compensadon Insurance for my employees: Below is the policy and job site Informadon. Insurance Company Name- 114 A&L_L S V 1 -L-E W 64C:E.Sme— -VIV5 C.0 Policy to or Self-inn.Lic.0! Expiration Date /n 1 Job Site Addres 3 ® GVA n ood Of✓ city/statelZip. Cep t. 0Z1e32 Attach a copy of the workers'compensation ollcy 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 tip to S 1,500.00 and/or one- ear imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.0ntheD ainst a 'olator. Be advised that a copy of this statement may be forwarded to the Office of Investigations ofor cc coverage veriftcatiom I do hereby t: un er he p and penaklet of pert tlr th orrn on provided above Is true and correct Sienaturd S lS 1�3 PhRtige#; Ojjteiitl use only. Do not write in this area,to be completed by city or town o,(JlciaL City or Town: Permit/License 9 Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Towu Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ..NATIONAL HEADOUARTERS robari Hennessy and Julie Stanek. 2501 S6ipon Drive,'Chaw,,PA 19011 WER 3D-76267 t t e+�,ywamuw A ifil 01,2013 8�$-REMODEL�a CUSTOM.REMODELING AND IMPROVEMENT AGREEMENT buyer-e info' abort. Project Number.30-70267 Apricot;2013 robert Hennessy; Jli11 e Stanek (508)776.5646(robar?'s Call) hannossy2172@comcasLnat 3o sunnywood Or (508)790-0953(Nome) e 1 1t I CantOr111o;.tiA 0263? County:Bamstabie' Township: - Buyor(s)listed above:hereby jointly and severally agrees to.purchase the goods and/or services of Power.Hoine Remodoling Group(?Contractor")In accordance with the.prices and terms described on t6ftoritand thefollowing four pages:of this agraemenLand any-spocification,shpets,which-are'incor'porated as part of the Agreement(collectively,this "A.broement").This Agreement represents a cash sale of goods and services.,Buyer(s)'agreosto pay tho.cost of the goods' and'services,purchased as described'herein,regardless of tim,ing,or�approvai'of any financing Buyers)may soekforttieir purchase,Problems and inquiries regarding this Agreemontshould be directedtofho.Contractor at'1-888-736.6335. Purchase PricA: $14,688.79 I.Pre,Installation Inspection,Date: Doym Payment: $0.00 6Ur-Phi Atli oM"oh iAon&6oat.mn0 UO,.and io Wn . Balance Doran S14;88179 Estimated Prbiect;Slart::fi to 7 weeks SubstantialCompletionr Estimated,Project Completion:1:to.2 days - Mcthod&Payment: Other paflrnlb damvrnibn data is net o161+tssupco,o 11 s ooyo,mc Conrraato�4rcbtmt pot ir(d0dad,n cai ulai;n Lt.d frurws,Sou oi,4nhrtoi Gind&r*0'on n'arap. Buyer(s)hereby acknowledges.re eel pt of a-copy of the pamphlet,"The'Lead-Safe_Certified Guide Flo Renovate.Right", informing`13uyer(s)'of-the potential risk of load hazard exposure from renovation activity to•be'per formed'in Buyer's home,- althe a s w Uen'above,euyer(s)receivod this patnphlef an the date of this:Agroemant,before commencement of vroAs.���(Buyer's initials). Itts"agreed and nderstood byand"between.the parties that this Agreement conslitutesthe entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms of this Agreement.Btryer(s) hereby acknowledges that Buyer(s)1)has read the entire Agreementand has received a completed,signed,and dated copy m of this Agreoent,including the two accompanying Notico of Canceliation forms,on the date first written above an'd'2)was orally informed of his/her right to'cancel thli transaction.DO NOT SIGN'THIS AGREEMENT IF THERE AR+EANY BLANK SPACES. Futurospromotion&.'not applicablo. - C / 1 have read and received .each page of this 6 page agreement.. P or, rith a od ling Group' Bu er(s) y u s 1 l09101/J 3" 104l01/13 wuL, 0111,3 fe mo eiing ConsuitAnl Signahi e signature Jesse Holland robert.Hennossy Julie Stanek YOU.THE BUYER(S),MAY CANCEL'THiS TRANSACTION,AT ANYTIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION,. SEE THE NOTICE OF CANCELLATiON FORM FOR AN EXPLANATION OF TFIIS-RIGHY, Apfli bt 261320.24 IIII�IIIuIIIIIIIIIIIIIIIIIIIII�II>ullllul�ll . Page'1•oGti; . NATIONAL H E A D O U A R T E R S robert Hennessy and Julie Stanek 2501 Seaport Drive,Chester,PA 19013 k .- OWER 30-70267 April 01,2013 kE8 MODEL Ar <4 £w MA HIC#168616 Project Specifications Windows: kitchen 1 28.0"x35.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White/White: Grid Pattern: None I Removal Wood I Additional Details None i Windows: sons br 1 28.0"x53.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White/White: Grid Pattern: None I Removal Wood I Additional Details None } Windows: sons room 1 28.0"x53.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White/White: Grid Pattern: None I Removal Wood I Additional Details None i Windows: drews room 1 28.0"x53.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White/White: Grid Pattern: None I Removal Wood I Additional Details None c Windows: drews 1 28.0"x53.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White/White: Grid Pattern: None I Removal Wood I Additional Details None Windows: master 1 28.0"x52.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White/White: Grid Pattern: None I Removal Wood I Additional Details None Ui April 01, 2013 20:24 Page 2 of 3 NATIONAL HEADOUARTERS robert Hennessy and Julie Stanek Q m 2501 Seaport Drive,Chester,PA 19013 � 30-70267 April 01,2013 888-REMODEL MA HIC#168616 Project Specifications Windows: master 1 28.0"x52.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White/White: Grid Pattern: None I Removal Wood I Additional Details None i Windows: master bath 1 28.0"x36.0" i WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White/White: Grid Pattern: None I Removal Wood I Additional Details None j 1l� Windows: living room 1 94.0"x52.0" WINDOWS: Models SL 2700 Styles Bay Types None Configs Casement Ends OPTIONS: Color White/White: Grid Pattern: None I Removal Wood I Additional Details None Windows: den 1 21.5"x53.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None ? OPTIONS: Color White/White: Grid Pattern: None I Removal Wood I Additional Details None Windows: den 1 21.5"x53.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White/White: Grid Pattern: None I Removal Wood I Additional Details None i Windows: den 1 43.0"x53.0" WINDOWS: Models SL 2700 Styles Picture Types None Configs None OPTIONS: Color White/White: Grid Pattern: None I Removal Wood Additional Details None April 01, 2013 20:24 IIIIIIIIII I IIII(IIII IIII)IIII IIII Page 3of3 q• aaa .� °' •=ems �CERi1F1Ctx� � � � Py�� • r. ` • l S 1�r1 t r f5 yPtlt Mutt �r. , t"'��'''►a +ry�a4 �"'*�+i` }�.��rw�;7`' w".�+F.0 { eq 91 r� a:4 C"AiJ �' t'"��� �r���tj� 'isa��.,4y'�" -� �.r.�'""'"6.�ti�•t�'.sy. r'-�-. x i---- < ') .J-+ .t� '.31'II1"a ��f%'Y�7�i,,,+.J'�'°'''s�wt.i41�e�1a. .I�a4�J4;1��"Nt1� �%tT`h • .'F..uv1 � /�'tti [ jt ti•, 51�1�,r•.jq it`:•���SGS► �4r�jV f �: c 1 ~3= - ,�Tt�}•�•�1..+�1�a.��.:IWP+�.si� x ri�.::�t. ��L�.,� t i �.✓�"'`�,r, l w �,"'�t?,•adtiila : '�' •QR u 1' ,oito ip Town of Barnstable *Permit r Expires 6 mon hs from issue date Regulatory Services Fe -PRESS PERMIT has . lDirector SEp 2 8 2006 Building Division Tom Perry,CBO, Building Commissioner TOWN OF BARNSTABLE 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X Press Imprint lap/parcel Number 2 7 3 21 7 L o r Z8 JJ ,, nniS roperty Address *esidential Value of Work r®00 Minimum fee of$25.00 for work under$6000.00 twner's Name&Address /�;70iA S cj®®,�> 'Oe/✓,c / 2 .ontractor's Name elephone Number [ome Improvement Contractor License#(if applicable) 'ons _. Supervisor's License ]Wokkman's Compensation Insurance Check one: ❑ I am a sole proprietor 59 I am the Homeowner ❑ I have Worker's Compensation Insurance isurance Company Name Vorkman's Comp.Policy# :opy of Insurance Compliance Certificate must be on file. emit Request(check box) >�,Re-roof(stripping old shingles) All construction debris will be taken to V/11 AlNilos Yze ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pr erty Owner mqA sign Property Owner Letter of Permission. c y of the o e Improvement Co actors License is required. SIGNATURE: kForms:expmtrg .evise061306 g vepartment of lnaustriat licciaents Office.of Investigations ' 600 Washington Street t Boston, AL4 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers �pplicant Information Please Print Le ibl ,Z ame (Business/Organization/Individual): 'lddress: �c��✓.«'�Gc�dd�' _�. ittiG i /State/Zi - Phone#: re you an employer? Check the'appropriate box:. . _- Type of project(required): I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).` have hired the sub-contractors ❑ I am a sole proprietor or purer- listed on the attached sheet t 7. ❑ Remodeling "These. ub=contractors have 8..._E] Demolition ship and have no employees - ": - working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance... _. 5. El We area corporation and its Electrical repairs or additions required.] . officers have.exercised their 10.� right of exe rion per MGL' 11. Plumbin repairs or additions I am a homeowner doing all work. . _-- mP p ❑ g ep c...152, 1 4 , and we have no myself. [No workers' comp. §.,,O 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] ;y applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: 't )meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ntractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. m an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site 6rmation. urance Company Name: .icy#or Self-ins.Lic. #: Expiration Date: i Site Address: - City/State/Zip: :ach a copy of the workers' compensation policy declaration page.(showing the policy number and expiration date). lure to secure coverage as required under-Section 25A of MGL c.,152 can lead to,the imposition of criminal penalties of a up to$1,500.00 and/or one-year imprisonment. as-Well as-civil penalties in the formofa STOP WORK ORDER and a fine .rp to$250.00 a.day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of estigations of the DIA for insurance coverage verification. hereby certi u r the p and penalties of perjury that the information provided abo a is tru and correct nature: Date: #: fficial 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#.: IME� Town of Barnstable Regulatory Services RN 3ASTAB LE, v MASS. Thomas F.Geiler,Director i639. �ArED MA'S Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: -30 (Ad (ss of Job) 1';�6 Le /ignature of Ow er ate Offer � S Print Narne Q:FORM&OWNERPERMISSION 7, 3 T -4 0 H Y 15 5 I C) YR*'.185 PA R E'f-%i T-1 I841.4-'.';*-.l L N Lj U R P)L 1:1.1""4 E' W E-A 1: M TIG]C T. v; SP:3] C'E i"E IR V 1. E. 1"',P'I C. (`a Y H E!5 E Y B 3 .1 -`:E 5 Cl.BS'l 0 cl s J,1 6 X) 4 7":.i 91 1 MP 1 10 0 CIT H ER I P.T.1 C "FIR'LIE" MK"' '6 6 Ll L. C-j A L '-.,Cj REA L -ASS I F: I E $1 L NO 47., 100 1)!30 Uml-1 'I m P ASEI OTH sLEIG s —C*f'-'IRD--.'l'. :L 0 1, C) C E-!iH C:Rl F"I"10 N -l"f'-)x YR f.-A-IRREN'T EX F.---P11 Fl T TAXABLE TAX 1-.*:Xk:':.'MPT RE .. I 15 0 P' '...J.-INNY Wi-DI"'If"i CiF.'. �--,'Y F, D EN T`L 1.5 1L.6 Cl 15 4.:,S 0 o Ai f-. 1. 4'2 JoSFPH D. DALU2 TELBPHONEt 775-1120 Building Comminiontr EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 June 9, 1989 Ms. Geraldine P. White 30 Sunny Wood Drive Centerville, MA 02632 RE: A-273-217 30 Sunny Wood Drive, Hyannis Building Permit #32531 - Swimming Pool Dear Ms. White: This letter is to advise you of ARTICLE XI SWIMMING POOLS of the General By-laws of the Town of Barnstable. Section 1. . requires that private swimming pools shall be suitably fenced to a minimum height of four (4) feet. Such fence shall be constructed so as to prohibit un- authorized access. Your swimming pool located at 30 Sunny Wood Drive, Hyannis, is not fenced. A fence must be erected immediately. Please contact this office re the above matter. Peace, Joseph D. Dal ua' Building Commissioner c V- JDD/gr � y Assessor's office (1st floor): THE Assessor's map and lot number .R...,�7..3.-_-x' .[:.?.. m MUs �� T Board_of Health (3rd floor): � r °� Sewage Permit number ... '27;?:: 3P t. ....................... Z BlHd9TSDLE. i Engineering Department (3rd floor): moo OAS& House number, ....................................... Definitive Plan-Approved .by Planning Board ---------------------------------fVjWg REGULATIOUS APPLICATIONS PROCESSED 8:30-9:30. A.M. "and 1:00.2:00 P.M. only =TOWN OF BARNSTABLE BUILDING "INSPECTOR APPLICATION FOR PERMIT TO .... ........ .. ............... • TYPE OF CONSTRUCTION ..........................: ..../. ..5.....19... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 7 Location .3...............J 5. ...... k".d✓r. ! ....................................:G Vie;! /.. e .G... 1: ............ L ProposedUse ... ` ......................:......:................................. ...............................: ................................................... Zoning District .....':.:!....r-__......................................................Fire District J Name of Owner ... °�t/`.eE:l 'U./11�'.` ........W.... .1.?` ....Address .3p..0........ Name of Builder -'�.........1.F oW..njI ...............Address .�•�..��i�fd��.�!x.1��.�...11�t��?.��..��d..lV<.�/�Vv�fU� Name of Architect ........:.......................... .Address . Number of Rooms ..................................................................Foundation ......................................... Exierior ............................................................................."......Roofing ....... ............................................................................ Floors ......................................................................................Interior • Heating ..........................................*.......................................Plumbing ........................ . .............. Fireplace ..................................................................................Approximate Cost ......... ��4, .......... Area ...�J/.Ql.. ..j.'�................. Diagram of Lot and Building with Dimensions Fee ......C-5.0e.......................... w 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: Namea,r!��`. '.................................. Construction Supervisor's License U.. .7.... '.7.�..... WHITE, JERALDNE 4 > >�No 32531 •, `permit for Build Swimming Pool.. , x ._Accessory to Dwelling � f l Location 30 •Sunny Wood Drive, , Centerville �, ......^........Jer�aldne White........................... �1 �, ..--f r } � • .:. r' . Owner ................... .......................................... Type of~'Co6struction .....:Concrete _ a ✓ - . ...............:................ P /- Y Plot ......` .. ...... ...... Lot ... .......................... n Permit Granted' January 3 , 8 9 ...................... ....19 s a., Date of Inspection f�.... :°.......19 Dat4Completed ........ �.% . .....or .....K 19 } Jy� ,x' `. , f 7 ' . ..�V-3a.. :..:�. .r•..�.�-�_• .,•'.�:tsy... A::�.,t.+a':e.;i3` ,.,�...... �.a�5+. "+.�r,� •'xb..'�-?i��r,d:4.TG�.rs�a'���. r x,E's.` ., - C ;s'. t Assessor's office (1st floor); oFTNETo Assessor's map and lot number .. ... 7. ....4?..I.... Board of Health (3rd floor): Sewage Permit number ... ". .a� .................... Z BARASTABU. Engineering Department (3rd floor): 'tea K & House number 3 `e '�e rar Definitive Plan Approved by, Planning Board _ _____________________--_--_19-------- . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... .w.4l. .1..!v`�,........��� • ............................................................. TYPE OF CONSTRUCTION .... .� //r4%.� :.�' �.:.r .-..................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �.U.!!fi!!V t/ /Cr('! .......��.1�'.?..!�!�2-...................................G�2 Lt/ � 1! v C ............. Q...... t ProposedUse ....�� .!s .. ............................................................................................................................................... Zoning District ... ... .....................................................Fire District ................ ... ......1.:.' Name of Owner ...! V'.4./C��'.`i'........�f?1.l��....Address .�C� S l/l!V�1i(/(�(�C�C�C/......��1��.r�''%e ,. ...........r..`... J; Name of Builder ......... t..............Address ..��?.�.. A..� 4!!..)l�Vf�rU� wName of Architect ..................................................................Address ............::...................................................................... Numberof Rooms ..............................................................:...Foundation .............................................................................. Exlerior ....................................................................................Roofing y Floors ......................................................................................Interior Heatin t. g ........................ ................�.....................................Plumbing ...........................1. - . .................. ............................... .. / 7-��� Fireplace ..................................................................................Approximate Cost ................�r.............:f............. .. ................. Area �.�1.y��l,........................ 1 Diagram of Lot and Building with Dimensions 9 9 Fee ................ 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. f Name.�'�i,.�,%rt / T( e!,.[, r-......................... Construction Supervisor's License .�>.Z�. ..... ��..... WHITE, JERALDNE A=273-217 h� No 3.253.1 .. Permit for ...Build Swimming Pool ....................... Accessory ....................................... ..... Location ..3.0.._Sunny Wood Drive ........ .......................................... i Centerville . ............................................................................... Owner ....Jeraldne White .........................I......................... Type of Construction ..,.Concrete ............................................................................... Plot ............................ Lot ................................ Permit Granted ..,January 3 , 19 89 Date of Inspection ....................................19 Date Completed ................: ...................19 � P l a TOWN OF BARNSTABLE Permit No. __283©Q_______________ . . = Building`Inspector cash FF— - OCCUPANCY PERMIT Bond ---_---__ _ _ } Issued to Capricorn Realty Trust Address — Lot 28, 30 SunnVyWood Drive, Hvannis Wiring Inspector �"`— — ' Inspection date 4L - / err-- ��-- _. •. � E~ v � Plumbing Inspector,��, J�, f __ ,sue Inspection date Gas Inspector LiaL �� "lam Inspection date S �� xEngineering Department 71, �� ; Inspection dated Board of Health }�� s� f�/L- 1 7"/yi Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. �y / .. .:.. Building Inspector. �v TOWN OF BARNSTABLE BUILDING DEPARTMENT 2 suaa�r TOWN OFFICE BUILDING rwa erg' i639' �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by Building Permit �d issued Zz- ...... Gd ............_.. - „� »y Please release the performance bond. A'ssessor's map and lot number. .....±?� ....... /. �` t� � OF THETO� SEPTICSY Qp qq aa Sewage' Permit number Il ��'.4�D.....v. , •;' N ! + + i- . .� IT TITLE number - L.Z B AHB9T ABLE, .�..:..1 ................... tS�g � r NAB 39• i 0� N TOWN OF IBARNSTABL:E F: BUILDING 1SPECTO11.1 APPLICATION :FOR PERMIT TOConstruCt Single,.Family Dwe �,� „•, Wood Frame TYPE OF CONSTRUCTION ..... .... ......... .......... :...,... .................................................. t 1 _ • TO THE INSPECTOR OF BUILDINGS:. The undersigned hereby applies:for a permit according to the. following information: Lot # 28, Surmy. Wood � , Hyannis Location .. ... .............. ......................., ...... .... ....... ........ ... ...... .. ..... ...... .................. Proposed Use .................. .. .. ........................... R, B. f .Fire District ....Hya 1.J.8:. Zoning .District .. a Name of OwneQ41?X'1rP.Q.r ,..Rea1V. ...Truat................Address7b5...Falmouth..Ro•ad, Jiyarm- ej...Mae' co Real Est.D A . Name of BuiFd�i�:..............................:...eY.r.CQ.�..i.zS7i.C:r::Address'...........SPM@:..:...:.,...:....:....:.....:..:..:.::::...:.................: Name of .Architect :...:....::. Address. ......... .............. .' Number of Rooms ..S'�.-.X.......... ::.......:.....`:....... ....,Fou,ndation- :...P•::C. ............................................................... Exterior C1apbOard...a Q '... ,h E3.8.....,. Roofin ............................... *`g ..........Asphalt...Shingle.g Floors. ,Cckrp.q:�........................ ............. ..... .......... ......Interior ..........,Shee-trpok......... ................ t I Heating GRB........ F,.W A.,................................................Plumbing ........'T.W4D .............(,'p�P@�s....:.. ..... Fireplace'9?l! ............:...............:: .0:: .................. .. .:Approximate,Cost ..����.QoO..UQ , � �.�' y Definitive Plan Approved by Planning`Board __________________________19________, ` Area 1-0-.5�(;'//sq,.....f.•t.o....... ..... :Diagram of Lot and Building with Dimensions Fee V � t....... ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTHv — 3 OCCUPANCY :PERMITS REQUIRED.,FOR NEW DWELLINGS i I hereby agree to conform to all the,Rules and Regulations of the Town of Barnstable regarding the above construction. ' Name`. ......... .... CB.�. .. Construction Supervisor's License QQ.Q9.. .................... CAI)RICORN REALTY TRUST . r w 28300�* One Story 41 = s. No .. Permit for .................................... r • , Singe Family Dwelling �y ... ....................................................................... �_ ,. ` - _ _4 , Sunny Wood Drive . .. .... Location ..... -Lot.............28.........30. .. .......•................... . " Hyannis ` ................... ':.......... _ r Owner Capricorn Realty Trust ..................................................... - i Type of Construction. Frame c la t YP • •.• •........ .Plot ................ ..........`. Lot ................................ r r .Permit Granted .............., 19 85 . t Date of Inspection ...................................19 . ;. Date Co plet �� z - - C - - _ Assessor's`map and lot number . ........... ]....... i cF THE to Sewage Permit number ....0.re . . .. ..% .................... . BARNST�LE, i House number ... ..j' { o........:.. ............... ...,...., '�� NASL 1639 TOWN OF BARNSTABLE BUILDING INSPECTOR Construct Single Family Dwelling APPLICATION FOR PERMIT TO ................. ......................... Wood Frame TYPE OF CONSTRUCTION ............................................................................................................ Ve TO THE INSPECTOR OF BUILDINGS: .The undersigned hereby applies for a permit according to the following information: Lot ,#28' Sunny Wood Maxi ; Hyannis \ Location ................ ... ProposedUse ................................................................................. ...................................................................... ..... Zoning District R.....8..............................................................Fire District .....Hyanni8........... Capricorn Realty 765 Falmouth Road H Name of Owner p Trust Address �......ya l U.�...Mass. Franco Real Est.Dev.Co. ,Ine. Same Nameof Builder. ....................................................................Address .......................................................... ................... ......................................Address ......................................................................... Name of Architect- ....................:...... ••••••••••• Six Number of Rooms ..................................................................Foundation ...... .l.C.+...............................: I ................. Clapboard and/or Shingles As ha Exterior ........................................... ....................................Roofing ....;...........p...... .fir...��?�1�,2 �.e.8................. ..� Carpet ��. .... � Floors ..........................................: ........................................Interior ...........S4'. :k................................................. Gas •F.W.A. Heating .............,................Plumbing ...............................%0. ? ?@tX'..:................................ ., i. None. ............................... ...r... �j�,0 00 Fireplace ....................................... .. ......................................Approximate Cosp... f.: �..•. ................................. Definitive Plan Approved by Planning Board ---------------_---------------19________. Are a.19,6r.6..�SG1;►. 'f .............. / CCJ / .� eY Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH v��s I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the-Rules and Regulations of the Town-of Barnstable regard+g the above construction. M / Name ............................. ....... .... ......... .Pr.6.g...... Construction Supervisor's license OOG9$9�..................... CAPRICORN REALTY TRUST A=273-217 28300 One Story No �................ Permit for .................................... Single Family Dwelling ............................................................................... Location Lot 28, 30...Sunny. . ... ... Wood Drive. ............... . . ...... ........ ........ . , Hyannis ............................................................................... _ Owner Cap.ricor. .n...Realty. . . ...Trust. . ............. ...... . ........ . ...... . . .. . . ...... Type of Construction Frame ................................................................................ Plot ..... Lot ................................ Permit Granted ....Aug_ust••7•,••-,•-•••••-•••..19 85 Date of Inspection ...... .............................19 Date Completed ......................................19 t .v .3 ,r r� I 77 a 2-4o"A 30 r7T p =27,,c¢ W �o (� 4 Z Q G /G r 31,4 to Zcp apat b 1� a � 0 o loo, oc - N 77 o 2 -`lp by OF Mgss C. 9`yG PLOT PLAN o FRANK THE STRUCTURES SHOWN WERE U G y 9 No . 298 zssss � � IN OCATED ON THE GROUND MASS. 7H/S SKETCH /S FOR PLOT PLAN "URPOSES ONLr AND SHOULDC/�, NOT BE USED FOR ANY OTHER P POS -zs-gam CAPE COD SURVEY 40FESS/ONAL LAND URVEYOR CONSULTANTS 3261 MAIN ST,'ROUTE 6A JRO✓ECT NO 03 - BARNSTABLE VILLAGE, MA 02630 (617) 362-8133 'v V go d `JzzDD N o 3W � � aW� 0 ON 3 It /_•tea,-/T Z0 a`a�H OF „ygss 9,. FRANK PLOT P!APB HE STRUCTURES SHOWN WERE Ib w NO. 28. 2-03G69 a'x- //Y OCA TED ON THE GROUND \s, "-^:,TEF`���QJ``o 7// MA SS. -HIS SKE TCH /S FOR PL 0 r PL AN 'URPOSES ONLY AND SHOULD ��G, �� /g �g _ 40, vo 7' BE USED .FOR ANY 7THER P POS 7-a3 - CAPE COD SURVEY TGFESS/ONAL LAND .5t/RVEYOR CONSULTANTS 3261 MAIN ST.;ROUTE 6.A °Ro✓Ec r No 03 - BARNSTABLE VILLAGE, MA 02f 0 --• mmm MI INN i i i i k � 44� s � i , .00 E r k i k I' 1 3 < i i i 1 C _ — _... . ........ ._ _.a .-. _........ .._..............._Y --- .......... :.._.. _._.....+ f p�- 4 - • k -- i 3 j ............. 1 — J .._ , +1 _t7 I—E KEITH CHAPMAN ♦ �► a 5 Architectural Representative 5 `a`Og°o?�o21�eo+°�G��OO�oPd0� O8oa��`000��9 �OOwS�'�Ogoo`Q25`� OO�seN0�32 (61,7) 823-9090 ��0 ?'a,""O" 0 �03\292.Oa e`aoeaog`9p2. S�a2\,63. Se al16�• Qa`„6�2. Syf�\A3�• his �6 \2 �2 \Z.. �90 Pd-123