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Home My WebLink About0046 SUNNY-WOOD DRIVE `/lv cS �op' c�r / � _ � � i Efficient Buildings, LLC October 31, 2011 Town of Barnstable Attn: Thomas Perry, CBO 200 Main Street Hyannis, MA 02601 re: 46 Sunnywood Dr., Centerville, MA 02632 Dear Mr. Perry: This affidavit is to certify that all work completed at 46 Sunnywood Dr., Centerville, MA 02632, has been inspected by a certified Building Performance Institute (BPI) inspector. Work included air sealing, weatherstripping, attic hatch and door insulation, 734 sq. ft. R-30 unrestricted cellulose in attic, R-12 cellulose behind kneewalls, 952 sq. ft. dense pack exterior walls, 283 sq. ft. R-5 duct insulation. All work performed meets or exceeds Federal and State requirements. Sincerely, Steve C. White '7 Owner/Managing Member ;'= = Efficient Buildings, LLC N 8 Jan Sebastian Drive, Unit 10, Sandwich, MA 02563 Tel: 508-888-1110 Fax: 508-888-1109 TOWN OF BARNSTABLE.BUILDING PERMIT APPLICATION Map Parcel .,:'Application #c;W 4 V Health Division "Date Issued a l Conservation Division ` Application Fee N S Planning Dept. - Permit Fee' Date Definitive Plan Approved by.Planning Board 01� co Historic - OKH _ Preservation/Hyannis Project Street Address r!o sulwy U- 0o D I)RI VG Village (�►� _C H YAAJ.)\JMI% Owner `1��4��3ArzP G�,e2 Address 4T6 ' SUnrwY -IJDo1:) lkocwq2V� > Telephone Permit Request bE-A1146 LZA J:100 AIJD *1NSYL —Ill Do W?)pm • won, y�usll�Cs Assls-rAaNe�' �� ( �� G� -:37N -fPa L-L ILSO C.C-1_L0.0-S f_-; IN 70 11 /L f rr C6"LOS-�_ /1) WALLAS W 7JE Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �� Construction Type Lot Size Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ 'Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # .Recorded ❑ SEP 1 6 REC'D Commercial ❑Yes ❑ No If yes, site plan review# By Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) NameQ%UJ3E;V-"1W1LDfT-& $ a-bM0DCUW6• Telephone Number Address g `TAN SanS-n Ate !�- 12, *k 10 License# ct 5 D 3 gp S.G N'D W I Gl �"t)C� O a-5 to 3 Home Improvement Contractor# C,H na.7rl S 7T- \tSU12A- C d Worker's Compensation # yv c -74 a 5Lt 05— ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO N/ A SIGNATURE DATE l V . t t` FOR OFFICIAL USE ONLY fv r APPLICATION# ►r rr j` . --DATE ISSUED k:_� �._ i. j.- ; L .,,MAR/PARCEL_NO: ADDRESS.). � — J' � VILLAGE >11 OWNER 14 DATE OF INSPECTION: •` �IuFOUNDATION;+ ;�• FRAME 'INSULATION`. lt N l: 1, -- 5 FIREPLACE ELECTRICAL: ROUGH FINAL _ SL PLUMBING: ROUGH FINALS ` J 4 GAS --t ROUGH t, G,- f FINAL'!" ;FINAL BU'ILDING',YG- G4L' RG. x sDATE CLOS:ED.OUT`.a. . <.�:, �� ASSOCIATION PLAN NO. —� 0 The Commonwealth of Massachusetts _ Department of Industrial Accidents 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 Name(Business/Organization/Individual): CAL!l3 Eli CJ f LD/Al -t- L t e Address: anm St;9a ST R r+J ' 'DA Vt UNI7- City/State/Zip: A° Phone#: 9. 5';4nraW/�� d��.5`�3`� •50� O Are you an employer?Check the appropriate box: Type of project(required): 1.91 I am a employer with . 4. ;0 I am a general contractor and I employees(full and/or part-time).* -have hired the sub-contractors .6. Q New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling' These sub-contractors have ship and have no employees _ ' _ _8. Demolition _ workingfor me in an capacity.- s �' ' employees and have workers' a Y $ 9. � Building addition [No workers' comp.insurance comp.insurance. 10. Electrical repairs or additions required.] 5. [] We are a corporation and its . ❑ P 3.❑ I am a homeowner doing all work officers have exercised:.their• 11:❑ Plumbing repairs or additions myself. o workers' com right,of:exemption per MGL t Y {N P 12T] Roof repairs ' insurance required] t c. 152, §1(4),and we have no employees. [No workers' 13:� Other 1 NSIJt�it�1, comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below.showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must:submit:a new affidavit indicating such: :Contractors that check this box must attached an additional sheet showing the name of the sub-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 is providing workers'compensation insurance for my employees. Below is the policy add job site information. Insurance Company Name: e H ART Policy#or Self:ins.Lic.#: C.r � Q Expiration Date: Lae 1( Job Site Address: S!>N N Y —GJ 0 01, 2X IV *City/State/Zip: CE1��/Z v/C: PIA 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 pains and penahies ofperjury that the information provided above is true and correct Zz Si mature: Date: Phone#: t. , Official use only. Do not write in this area,to be,com by city or town offieiaL 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 b 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-contractors)name(s),address(es)and phone number(s)along with:their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a 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 of 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass.gov/dia ACORD CERTIFICATE OF LIABILITY INSURANCE DATE""'""") *� 09/15/2010 PRODUCER S08.94S.0393 FAX 508.94S.4048 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eldredge & Lumpki n Ins. Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 697 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Chatham, MA 02633 INSURERS AFFORDING COVERAGE NAIC 0 DmDRw Caliber Building and Remodeling LLC INSURERA National Grange Mutual Ins C0 , 14788 i msuRER Li: Commerce Group C1G001 147 Ridgewood Ave , . wsuRERc: Granite State Ins. Co.-ADX 13102 Hyannis, MA 02601 INSURER Dr. INSURER E: COVERAGES THE POLICIES OF 94SURANCE 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 1S SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE POLICY NUMBER f f POLICY EXPIRATION Lam GENERAL LIABILITY MP027360 09/1S/2010 O9/1S/20.11 OCCURRENCE '3 000,0001 X COMMERCIAL GENERAL LIABILITY 1,a 'S PREMISES Ea 00•„�� ocametee CLAWS MADE X OCCUR MED EIS 8 (AM one P�sw+) IO,O A PERSONAL BAMKJURY $ 1,000, GENERAL AGGREGATE S 2,000, GEM AGGREGATE LWIT APPLIES PER: PRODUCTS-COMPIOP AM S 2,000, POLICY',: EEC LOC AUTOMOBILE LIABRM BBNVCS 02/16/2010 OZ116/2011 COMI NEDSINGLE'UIUT 3 ANY AUTO - accideM) 11000,000 ALL OWNED AUTOS "�• 80DLLYINJURY S B X SCHEDULED AUTOS C• (P-Pam) MREO AUTOS BODILY INJURY NON-OWNED AUTOS (Per aeck" $ P.ROPERTXDAMAGE S IPer amdeM GARAGE UABRJTY AUTO ONLY-EA ACCIDENT E ANY AUTO OTHER THAN EA ACC: E AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR a CLAIMS MADE AGGREGATE E E DEDUCTIBLE E RETENTION S $ WORKERSCOMPENZATION ti1C742S40S 03/02/2010 03/02/2011 AND EMPLOYERS'LIABWTY TDRYLIMITS ER ANY CERNEWER EXCL ERJEXEqnyE YIN EL EACH ACCIDENT S S00'00( C oFFICERANEMBER ExciUDE07 U 110yaens in E.L.DISEASE-EA EMPLOYEE S SOD, If S undw PECUIL PROVISIONS belay FA,OISEASE-.POLICY:LIM17 :S SOD,, OTHER - j DESCRIPTM OF OPERATIONS I LOCATE"I VEHICLES 1 EXCLUSIONS ADDED IN ENDORSEMENT I SPECIAL PROVISIONS Carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MALL -L DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT.BUT FAILURES TO DO SO SHALL Town of Barnstable WPM NO OBLIGATION OR LIABILITY OPMY KIND'UPON THE INSURER,'IT$AGENTS OR Attention: Building :Department IEPRESENTATIVE& 200 Main Street AUTHORMEDAEPRESHNTATIVE Hyannis, NA 02601 Alan R. Long, Presiden ACORD 25(2009M) 01988-2009 ACORD 00RPOFrION. All rights mseroed. The ACORD nam and logo are reghftr+ed nudm of ACORD f - C�V- T , as owner(s) of the subject property at: U,Q— T hereby authorize Steve White of Caliber Building And Remodeling, LLC (contractor)to act on my behalf in all matters relative to the building permit application. signature of owner date signature of owner date ` Massachusetts- Department of Public 5afm Board of Buildin!, Regulations and Standards Construction Supervisor License License: CS 95038 Restricted to: 00 STEVEN WHITE 147 RIDGEWOOD AVENUE HYANNIS, MA 02601 Expiration: Z28/2012 (' mmi��i ncr Tr--: 19311 -- �lae TOo�am�o-�aufealD� a� �adoac�u�6eQ'a Board of BuMag Regatationb and Standards HOME NPROVEMENT CONTRACTOR . 154359 =2€a'8/2011 . Trtt 280764 ttd liability.Corporation CALIBER WILDf1OG 30EUNG,LLC. STEVEN VIMiTE 147 RIDGEWOOD HYANNIS,MA 02601 Administrator I.iaease orregistrabon vam for kwityll"use only before the expiration date. N found return to: Board of hWans and Standards One Ais<bburte alface Rm 1301 Boston,Ma.0220 Not °witlrout signature Town of Barnstable *Permit# 030361, Expires 6 months frorn issue date 0 ]regulatory Services Fee'_ 6 Thomas F.Geiler,Director Building Division 0 • Tom Perry,CBO, Building Commissioner cpA11�'` 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 JUL `F&A— 790-6223 EXPRESS PERMIT APPLICATION - R]ESIDEN'I $ARNSTpgL Not Valid without Red X--Press Imprint Map/parcel Number Q`[!) \,n a Property Address °�- 'Residential Value of Work ® Minimum fee of$25.00 for wor under$6000.00 Owner's Name&Address - AQ—A \ a.. Contractor's Name \ -e Telephone Number SO�R"�`�g' � -�N i Home Improvement Contractor License#(if applicable) V a Construction Supervisor's License#(if applicable) —1 Sc24'�, ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compe lion InsVrance Insurance Company Name gs Workman's Comp.Policy# yL12 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to Re-roof(not stripping, Going over--\—existing layers of roof) ❑ Re-side ❑ Replacement Windows. 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: rope Owner s gn Property Owner Letter of Permission. me Improv ent ontra ors License is required. SIGNATURE: Q:Fomu:expmtrg Revise071405 1 ne L ommonweacrn uJ lnussucnu�ecw i Department of Industrial Accidents ^ Office of Investigations 600 Washington Street Boston, MA 02111 y' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluinbers Applicant Information Please Print lLe 'bl Name (Business/Organization/Individual): Address: 5 • City/State/Zip: b S %I. \,C Phone#: 5 6 Z- ;, Are you an employer? Check the*appropriate bog: Type of project(required): 1 am a employer with 4. ❑ I am a general contractor and I 6. New construction employees (M and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ 7• ® Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. D Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.0 Electicalrepairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new a$dsvit indicating such. tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy inforrnation. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. #: `7 p A `I�� —Ca ` p iration Date: �' Job Site Address: \-Q a d City/State/Zip: ,y\i CIO 1 Attach a copy of the workers' compensatio olicy declaration page(showing the policy numbeLAnd 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 e ;fy under ai and ehalties o perjury that the information prov abo is true and corre� Siature Date: o 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 Iverson: 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-contractors)name(s),address(es) and phone numbers)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 permittlicense applications m 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 obtaininglicense or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a 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. T 617-727-4900 ext 406 0r 1-877-MA SSAFE ra7A 617-727-7749 Revised 5-26-05 wwv.mass.gov/dha of N��ry Town of Barnstable Regulatory Services I WJQWMqLA Thomas F.Geller,Director �'°FFD►nA��,� wilding Division. �l Torn Perry, Building Commissioner 200 Main Street, $yannis,MA b2601 wpvw.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and $i n This Section. P .g -If Using ABuilder as.Owner of the subject property hereby authorize" to act on my behalf, in all natters relative to work authorized by this bunding per=' application for. 1 p l e• . U V4 Vk �^'dd (Address o ) QL3L Sigmatvre of Owner Date Print Name Q:F0RMs:0WNERPERMI5s10N T ICE NOTICE A TO TO MP � L �d The commonwealthof Massachusetts DEPARTMEW�OF INDUSTRIAL, ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-7274900 — http:// ,.mass.gcv/dis required by Massachimetty General Law,Chapter 1.52, Sections 21. 22& 30, this wit )c I (we;i have provided tot payment to our injured errlpir-)yees under the atm,..e ment0oncd chartcr k. - insuring with, THE TRAVELERS INSURANCE COWANIES NAME OF INSUiZ N-,E CC MPA:NY ONE-TfD R.-SOUARE ADDRESS OF INSURANCE COMP kNy 08-31 1 a113 -7699614-2-05 Y. ". �_ .__ I AW TH INS A"Cy 14 LOTS HOLLOW RD ORLEANS - KA. 02653 s, g ANIF Oy.-IN J RANCf AGENT ADDRESS 859 CAPTAIN livA4� RQAC $TANLE Y. DEAN CE NTE R�lI L.LE MA 02632 A+IPI�OYER ADDRESS ,, .. aIPL ?YETI' � K RS COMPENSA'T O?' ()FETCkR(it A?N`Y) MEDICAL TREATMENT °The above horned Insurcr is rcquired in cases of personal injuries arisirsg out of and ;mPioymcnt U0 furnish adequate and reasonable hospital and mediT�l 5e;rvic.e� o� milst �ca0 q k ;prtivisic�:�a of the. Worker Cximp+ensation Act. A_ccepy of the First 1 4: c;rt �f I: }+ ;Y ,l�sc s��•e�s �„ aljt�red erlplr ec. The employee may scicct hts or lt�r ovyr2 physitlan. 'I he rcasc3r,at�lc cos, ,oa ;he s�.r:�f 9 provided hs titc trey+F'ig pk°ysic.ian wlil be paid by the insurz.r, if` the trcatn�cnr cs ri c:ass�st.! -tF� , rcac. wri-nected to Lh�: work relayed. Injury. In cases re uirrttg itc�splral attention, crnj,�ovr,cs :}tc raer�:�v Iha.t the ;nsuvoT has arranges' ir+r such attention at the "NAME OF HOSPIT1.' TO BE POSTED MPLO f r P �le 0'n4nonwea" 0/'Aaoaccllu�aelta7� Board of Building Reg!- and Standards HOME UMPR,OVEMENT CONTRACTOR Rc istratirofi� 132149 jiQrd t l G28/2006 ulXpe-=kdridual DEAN F.STAND" DEAN STANLEY F j 359 CAPT. LIJAH RD % _� � ICENTERVILLE,MA 02632 Administrator i i - i I ` j '.'3' -�'��S.v:,y -'^.t„.'":t}�>ell:Y.;vn'":.`�.�.:.�,ay.e!F'�j,t3'�>aLi:.t's:+3'tF ..Ay.:''!S!�fi.t a's�h�s ;v,�'S�.c�r+.a.d�,"in.'gdF ,�JN�..;,5`ba..;��.^4,:��k{i+�'��*s+.K.;..:tip.: .�},�,e�n,a4��+�-.;•ur 8i'r„� �'.1.<,.`-t��" d r: . •Tnr> '. TOWN OF BARNSTABLE 28501e Buildings Inspector UMITAm, t - — Cash' NAGIL ,era OCCUPANCY. PERMIT -Bond Issued,to Capricorn Realty Trust Address~ { Lot #299 41 Sunr god give, Hyannis Wiring Inspector Inspection date Plumbing Inspectors Inspection fdate" Gas Inspector Inspection date. { x g g partment p En ineerin De Inspection date .. '7�'.JliLrl..f" �-.•�"1.f;.�i.iit9/%�'//� .. :.. Board' of Health t �r ..,. inspection,date QQ/ THIS,PERMIT WILL NOT BE VALID, AND THE BUILDING' SHALL,NOT,.BE OCCUPIED UNTIL SIGNED•BY. THE BUILDING INSPECTOR. UPON1-SATISFACTORY COMPLIANCE WITH TOWN, REQUIREMENTS AND IN'ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ; f! Building Inspector R TOWN OF BARNSTABLE °05��°" BUILDING DEPARTMENT 1 sABasr = TOWN OFFICE BUILDING rua t639• HYANNIS, MASS. 02601 e � r MEMO TO: Town Clerk FROM: Building Department DATE: . An Occupancy Permit has been/ issued for the building authorized ;by BuildingPermit 2 ...� �f....�........................................................................................................................»............................ issued t%._..• ....... ._ .. ....... ..... ��............... ... — //!� lY Please release the performance bond. / tape- 1�13�VFIV Asses-,or's map and lot. number ... FYHE f(.�9� e S wage P.drmit number .................... ................................. BAUSTAXLE, i House,.number' 1 / % g 16 a a .. .Q..................!�. ...................... uiSrr 5: is MA �. 3 D MO TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT T000218 tY l�q.t... j}gsle... ;>�.A1ily.,j)we,,�,•]„i2lg TYPE OF CONSTRUCTION ......WQ.0.4..FMMA.. ............................ :..... .. ........... NNo:yembe 29 .1.9.84 .. - TO THE INSPECTOR OF BUILDINGS: ! '� The undersigned hereby applies for a permit according to the following information:' H i • Location I!Q.tr..1...29.2...Sunny...Wh.R.d ... �I a.nxiis.............. .....................:...:......�... .....:............ . .............. Prop64edUse ................................................................... .......................... ................ . .................................................... Zonis District R.!...R... a2'�21,� a..................:g ................................................... ....Fire District ... .jet ................................................ , Name of OwneCapr.j.GAr: --Realty...'Tr-,st..............Add ress76.5.•Pal:moutfi.•Ro•ad j...Hy.am.Ls-,.•.•Mass'. Name of Bui2rP=0....R.e.al..E'.Bt.DavD.Ca Inc.,.Address ...........,S+£iCl@.....................::........::<..............::............. Name of Architect ..........................Address ............: Number of Rooms ...eSix..................................................:....Foundation . Exterior Clapboard..and/Or...St1ingleo..................Roofing ..........Asphalt...Shingles......................... ...... Floors ..Carpat...............................................:......................Interior ...........SDI@'@"�r'OC�C............................... i = � Heating Ga,@......-......F...W..A...... .:.........................................Plumbing ........Two..........:...Copper.................................... FireplaceNQ21.�D..........................................................................Approximate Cost 44G.4)011,00........................................ Definitive Plan Approved by Planning Board --------------------- --- - - -=---�9--------. Area ; Diagram of Lot and Building with Dimensions .,.•• ... ...._•... Fee .... .. .... ' SUBJECT TO APPROVAL OF BOARD OF HEALTH �/ i I 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 .... ... ..... ......... Construction Supervisor's LicenseouagB ...................... r � GA?RICORN REALTY TRUST " ..4 ..:. Permit for .....1.z..S.t.ar. . y.............. v . ..................... Location ...Lot,..Z9.......Aer.Sujmy- -aod..Dr•1ve HyAF}]5............................ ................. r Owner .....CApri orn.. e.aIty...'IrLL&t............ , Type of Construction .Frame.............................. t PI-ot ............................ Lot ................................ :Permit Granted ......October...8.............19 85 s -D6te of Inspection ...................................:19 Date Compl ed .: ..... -:..........1 CIO W s c�.-:'.?• 'y'a:,..n�,r�'1d%tf, � ..,.w..�°Y,.r �:..,�w.. .. .: Assessor's map and lot number ..o `.��.... ...` .............. F r � THE C I S y Pefmit number ::.....::.... ........................ ........ t � Z BAHBSTSDLE House number ................,........................................................ � 9OO M6 9 TOWN OF BARNSTABLE BUILDING ANSPECTOR APPLICATION FOR PERMIT TO Construct. . . ...Single. . .....Family. . ...Dwe. h. .in :.......:. ................................... .... ....... .. ..... ....... .. .. .......... .. ..... .... .. ..... . TYPE OF CONSTRUCTION ......wood Frame.................................................................................................... ........ TO.THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a per it according to the following information: LocationLOt..# A . .i. ...... . ........... .... .. .................................................... Proposed Use .. ... .. ........V"..............'..............` p R. B. Hyannis ZoningDistrict ........................................................................Fire District ........ .....................................::.............................. Name of Owne apricOrn Real ty Trust Address765..Fa:lmouth Rq,ac ,,..XYA41n1s Maas.. I .............. ..... .. . . . .Franco Real Est.Dev.Co. j!!9.••Address ..........Same ... Name of Bui de.r .........:........................ ................... .........................'..f.........:............................. Name of Architect .:...............................................................Address .........I.........:............... Number of Rooms SAX .Foundation ....P.V. :i............. I .... Clapboard and/or Shingles Exierior ...................................................................................Roofing .........:.A 01141t.-ShIngle.8....:............................ Carpet ` Floors ..............................Interior .......... . ........................................................ ohs.etronk............................................... ...... Plum Gas ... bin ' .r�t A- . Heating .. g ..........i. Q.. G,opp@r.................. None $40QOQ0�00 Fireplace .................................................................................Approximate Cost Definitive Plan_Approved by Planning Board ________________________________19--------. Area :Q ...sq....f..t.q............. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 i i ; y r 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 ... ...... -/.�.. .!�!r� .�'.. :�.�',!?!• iP�'�et�.. ... �i i Construction Supervisor's LicenseeG0g&q...................... j CAPRICORN REALTY TRUST A=273-218 28 01 One Story No ......... Permit for .................................... `Single..Family..DW@.7.�7 Ag..................... Location ...Lot... .�O. u ...Tood..IIrive .................... ............................................ Owner .......�aPr., oxx�..Realty..T.ruSt........... Type of Construction .....Erame.......................... ................................................................................ Plot ............................ Lot ................................ I Permit Granted October 8r.........19 85 r Date of Inspection ....................................19 f Date Completed ......................................19 its F f„N r a !I 1 , r i i 1 ' 7710 Doc �I 77 o O 2' o'� OF Mgss PLOT PLAN 9 THE STRUCTURES SHO WN WER t�� C. Sys I- FRANK �N LOCATED ON THE GROUND WHITING y ON No. 29869 e 4 �Fss J ,CrSTERES�Q� , .� MA SS. ,; THIS SKETCH /S FOR PLOT PLAN PURPOSES ONLY AND SHOULD I' NOT BE USED ZFOR -ANY 1OTHER P POS - -Z3 j CAPE COD SURVEY PROFESSIONAL L A ND UR VE YO R C O N S U LTA N TS 3261 MAIN ST.:ROUTE 6A PRO✓Ecr No 03 - Zoe BARNSTABLE VILLAGE, MA 02630