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0044 SYLVAN DRIVE
�� . Sy (vim.,-� �r , � � - - - -- -___ � �� �.5� - -- - -- - --- ��-�.. Town of Barnstable Building ?. a`y ?" �' .{�z «; .w s'f'�.:: �. ..,,.` .%s£ '� •,x �, ": r r,.. �: is �::. 9 ..., - Post.This;fard SoThatgrt is UisibleFrom;the Street :A ` roved Plans'FMust.beReta�ned on:Job andethis,Card.Nlust beKept DAEA"3!'AIiL&.' � ate. <*°. ,"�`a ",,,� '•T '. .` .� st P,p ,, , a' ;.§ �',:.,, ,„ n ..�';`'.,.; • M"� Whe aenCeit�ficate of Occu anc ><�s.Re uired�such.Buldm shall Not be,Occu ied ant�l a Final Inspection has;been made Permit I Permit No. B-18-955 Applicant Name: Stephen Hunter Approvals Date Issued: 04/04/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/04/2018 Foundation: Location: 44 SYLVAN DRIVE, HYANNIS Map/Lot 289-056 Zoning District: RB Sheathing: Owner on Record: SHAPIRO, MIKHAIL&ROZENBERG,ALINA Contractor Name-.!`�,ALUMINUM PRODUCTS OF CAPE Framing: 1 COD INC. Address: 44 SYLVAN DRIVE Contractor_Licens�e 158424 2 BARNSTABLE, MA 02601 Chimney: Est Pr ect Cost: $2,800.00 Description: Installation of six vinyl replacement double hung windows Insulation: Pe�rnrt Fee: $35.00 Project Review Req: ` Paid:' $35.00 Final: Date 4/4/2018 Plumbing/Gas g Rough Plumbing: Final Plumbing: Building Official Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized b the permit is commenced within sikr 64ths afterissuance. p y p � Final Gas: All work authorized by this permit shall conform to the approved applicatibnyand the approved construction docu men,'for which this permit has been granted. All construction,alterations and changes of use of any building and structures s llha be in compliance with the local zoning by laws an¢d codes. This permit shall be displayed in a location clearly visible from access street oroad and shall be maintained open for,pubhc nspection for the entire duration of the Electrical work until the completion ofthe same.. FI ' p Service: A The Certificate of Occupancy will not be issued until all applicable signatures by the Bwld�g nd FieoE Officials,are ,r�ovided�on`this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work:V141C 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 Barnstable tREc�i�r ` 8AWWABM IT 200 Main Street, Hyannis MA 02601 508-862-4038 t'6 A Application for Building Permit Application No: TB-18-955 Date Recieved: 4/2/2018 Job Location: 44 SYLVAN DRIVE,HYANNIS Permit For: Building-Sidin indows/Roof/Doors Contractor's Name: ALUMINUM PRODUCTS OF CAPE COD, State Lic. No: 158424 INC. Address: 476 MAIN STREET, DENNISPORT, MA Applicant Phone: (508) 398-8546 02639 (Home)Owner's Name: SHAPIRO,MIKHAIL&ROZENBERG, Phone: (978)448-8852 ALINA (Home)Owner's Address: 44 SYLVAN DRIVE, BARNSTABLE,MA 02601 Work Description: Installation of six vinyl replacement double hung windows N a —e3 � Total Value Of Work To Be Performed: $2,800.00 ? W r� r- rn Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Stephen Hunter 4 g p /2/2018 508 398-8546 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $2,800:00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $35.60 4/2/2018 $35.00 XXXX-XXXX-XXXX-, Credit Card 8287 Total Permit Fee Paid: $35.00 - _ y I Ay 1-7.�7y � r�► , The Town of Barnstable V44` Department of Health, Safety and Environmental Services : .,�,�► Building Division NAM 1"9.��e� 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home occupation Registration Date: Name: ��(�l i)i4 �L 4J Phone #• Address: village: l O C,_ Type of Business: ' " ' -F Map/Lat: a (5 � INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwelling,subject to the provisions of Section 4.1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • Tliere are no external alterations to the divelling•which are not customary in residential building,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,elecuical disturbance,heat,glare•humidity or other objectionable effects. '� • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in e.Ycess of normal household quantities. • by such use shall met on the same lot containing the Customary Horne Any need for parking generated Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commmmial vehicles related to the Customary Home Occupation.other than one van or one pickup truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Cmtomaty Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is fisted or advertised as a business,the street address shall not be included. • No person shall be employed in.the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned.have read and agtee.wtth the above restrictions for my home occupation I am registe:aug. Applicant: V + +xs z s The, Commonwealth of. Massachusetts ARCHITECTURAL ACCESS BOARD One Ashburton Place Room 1310 Boston, Massachusetts `02108 WILLIAM F. WELD (617) 727-0660 GOVERNOR 1-800-828-7222 DEBORAH A. RYAN Voice and TDD EXECUTIVE DIRECTOR Fax: (617) 727-066: November 6, 1995 Ms. Bettina Brown 65 Louis Street Hyannis,MA 02601 Dear Ms. Brown: The Architectural Access Board has reviewed your letter of November 3, 1995, relative to accessibility at'yourpremises. Based upon your letter, if no work. is being performed or no work has been performed on the building in the last two years, then the regulations of this Board do not apply. You should be aware however, that the Jack of jurisdiction over the facility by this Board does not relieve you from compliance with any federal laws relative to accessibility such as the ADA(Americans with Disabilities Act). mcerely you, Deborah A.Ryan Executive Director . cc: Building Inspector,Hyannis Town of Barnstable *Permit#Zb b Fapires 6 months from issue date Regulatory Service Fee r t L► MASS. m ES s639. � Richard V.Scali,Director DMAr� Building Division OCT Q 7 2015 Tom Perry,CBO,Building Com 200 Main Street,Hyannis,MA 2 MOF B D n'�+ www.town.bamstable.ma.us A n'u J TA Dp L E Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Addressyp/�A/ ]Residential Value of Work$?/3, &s Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address l!�Le y&ce Contractor's Name Telephone Number 7 0 — z .l Home Improvement Contractor License#(if applicable) /7 7 3?3 Email: 1?4?Ve1ZPa l7W Construction Supervisor's License#(if applicable) e: 16 61 P29 2. �Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner MI have Worker's Compensation Insurance. Insurance Company Name /��{Zs' - Workman's Comp.Policy# 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 E�Re-roof(hurricane nailed)(not stripping. Going over J—existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ 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 required. SIGNATURE: / C:\Users\Decollik\Ap, ata\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 T the Commonwealth of Massachusetts Departuaent of ladustrial Acc ider& O,Qice of Investigation. 600 Washington Sirmt Boston,AU 02111 n mv.masxgovhlia Workers' Compensation Insurance Affidavit:Bdilders/Contraetors/Ellectricians/Pbunbers Applicant Information /,/ , / Please Print Leib�y Name - l}: vfJln.�!t�uP / 1 ��� r��`'�tiv �� �rI Addr : l-?7 r 0G&A)(5-4 S` CitylStateJZip: ✓YNrj47' e,Vl)i,i-off Phone Are you an employer?Check the appropriate box: T f 4. am a contractor an Type o project(required): 1.El I am a employer with ❑ I d I . employees(full and/or pert-fame)_* have hired the sub-contractors ❑New canstetrcti�on 2_❑ I am a sole proprietor or partner- . listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-corrractors have S. ❑Demolition wozflring for mole in any capacity. employees and have wod=s' 9. ❑Budding addition [NO workers'comp.insurance ms ranutr l mod] 5_ We are a corporation and its 10.❑Electrical repairs or additions 3_❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers'camp. right of exemption per MGL UP Roof insurance required.]I c.152,§1(4),and we have no repairs employees.(No workers' 13.❑Other comp-msuranoe mp red.] *Any yapplicaot that checks boa N mast also fill out the sectian belaw showing duEk workers'compensanan policy iffinirnatina I Hanmv ners who submit this affidavit indicating dhsy ate doing all waft and rhea hire outside cuntracmrs mast sub=a new affidavit Wicating such kontracmrs Mat check this boa must attached an additinoal sheet showing the name of the sub-canU tors and state whether at not those®cities have emphryei-s. If the sob-contaictors bay employees,they must provide their walkers'comp.policy number. lam an emp r that isproviding workers'cougwasalion insumRce for say en3F1nyeex Below is the policy and job.site inforwaotior� stxanM Company Name: L- in Policy 4 or Self-ims.Lic_ ExpirstionMte: �L / Job Sate Address: i Citv/Stater'ZiP-/- r1W/:r Attach a copy of the war ers'compensation policy declaration page(showing the policy number and expiration dare). Failure to secure coverage as required uglier Section 2.5A of c� 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 audlor one-year imprisonment as well as civil penalties in the farm of a STOP WORK ORDER and a fine of up to$250M a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. d do hereby coofy under the INdAs and lties of pedwy that the informationpt oWded move is bare and correct Si Dater Phone#: Officiid rase only. Do not write in this area,to be completed by city or tonm of jic4at City or Town: Permitffixense Issuing Antheriity(circle one): 1.Board of]Health 2.Building Department 3.City/Town Clerk #.Electrical Inspector 5.Plumbing bupector 6.Other Contact Person: Phone#: - -- —J6 L C2�1Q���Q�G�G�G�Ud2 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 2� Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 177383 Type: Corporation Expiration: 12/2/2015 Trll 269244 INVINCIBLE METAL CORP PAUL WELCH 1775 OCEAN ST BAY#4 MARSHFIELD, MA 02050 Update Address and return card.Mark reason for change. SCAT 20'A-0511i Address Renewal Employment Lost Card :.' r.. Office of Consumer Affairs&Business Regulation License or registration valid for individul use only before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR p _-'K. T Office of Consumer Affairs and Business Regulation R istration: I:s e9 177383 YPe� Y Expiration .:12/2/201.5 Corporation 10 Park Plaza-Suite 5170 {- Boston,MA 02116 INVINCIBLE METAL CORD REVERED METAL ROOFING WELCH 1775 OCEAN ST BAY#4 ;'k 1775 MARSHFIELD,MA 02050 Undersecretary Not valid without signature Department of Public Board ofnna6�ir Oegulatlons and Stan Safety Q ds a�1ruclion r*., License: �V.T t'S !j! Y_D&im HA rAft _® s � s 1` caml*ssionw Expiration ` ���b5�•fY24iBf!/ o,�°C •JDIY�d/,/s{Bt$J Offift of Coosa mer Affairs en Re ffaiadoo RAE IMPROVEMENT CONTRACTOR Iotiati®n: V3458 Type.. p1m0o - , B122!2016 DBA MIGUEL BARZOLA CONS•TRUCTi6n MIGUEL bAR OLA 9-11 WEST PARK ST UNIT 1 BROCKTON,MA 02301 HJntiea seen e4ary say�r a �ist8>r flaaaa' 4c1'Eo oo dv-ease i ffie ore a e>ipimtion dates.V-fd-and return to. Oft of Coaaea mer dim and Bmiaew Regwation 0 Park Pisan-Sanite$170 Bftto%HdA 02116 r1_.Tf 0 REVERED METAL ROOFING 3/25/15 To Whom It may concern; This Letter is conformation that Miguel Brarzola(Lic CS-101802)works for Invincible Metal Corp, DBA Revered Metal roofing. Best Regards Paul Welch Owner Rever acfing Miguel Braz'a Supervisor/(#everedd Metal Roofing ACCMIDO CERTIFICATE OF LIABILITY INSURANCE C E DATE(M 7/20YYY) 0872 15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Orr&Associates Insurance Services PHONE Ex : 8882690992 FAX 8889690247 28780 SINGLE OAK DR STE 255 E-MAIL A/C No ADDRESS: customerservice@glquote.com INSURER(S)AFFORDING COVERAGE I NAIC# TEMECULA CA 92590-5534 INSURER A: Preferred Contractors Ins Co RRG LLC 12497 INSURED INSURER B INVINCIBLE METAL CORP DBA REVERED METAL ROOFING INSURERC: PAUL WELCH INSURER D: Liberty Mutual Insurance Company 23035 1775 OCEAN ST STE 4 INSURER E: MARSHFIELD MA 020504974 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. INSR I AD L SUB LTR TYPE OF INSURANCE iNqn POLICY NUMBER POLICY EFF POLICY EXP wvDMM/DD MMLIG LIMITS X.COMMERCIAL GENERAL LIABILITY � EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE V\1 OCCUR DAMAGE TO RENT --- PREMISES Eaoccurrerce) $ 50,000 MED EXP(Any one person) $ 5,000 A PC101617 06/1212015 06/12/2016 PERSONAL&ADVINJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 POLICY PRI JECT F-1 LOC PRODUCTS-COMPiOP AGG $ 1,000,000 OTHER:AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $$ Ea accident ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS AUTOS NED PROPERTY DAMAGE AUTOS Per accident $ $ I UMBRELLA LIAR ! OCCUR EACH OCCURRENCE $ EXCESS LIAR 'CLAIMS-MADE CED RETENTION$ AGGREGATE $ WORKERS COMPENSATION $ AND EMPLOYERS`LIABILITY YIN STATUTE ERANY PROPRIETORIPARTNEPIEX D OFFICERIMEMBER EXCLUDED?ECUTIVE a N/A WC5-31 S-609657-015 02/28/2015 02/28/2016 E.L.EACH ACCIDENT $ 100,000 (Mandatory in NH) 100,000 If yes,describe under E.L.DISEASE-EA EMPLOYE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Proof Of Coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD HOME IMPROVEMENT SALES AGREEMENT HOME IMPROVEMENT CONTRACTOR 1775 Ocean Street REG#MA.177383 Bay #4 REG#RI.37641 Marshfield MA 02050 REVERED FEDERAL ID#46-4167378 1-866-437-8868 R OFN G "Lifetime Roofing Solution" THIS CONTRACT made the day AV 20�etweel e—i'iu4 t L a rehe C (Homeowner) b�t±i (Home Phone) (Cell Phone) (Email) J N of /V Sid) W641, Jbill, J ~ Cl1 ( ddress) J (City) (Slate) (Zip) hereinafter the"HOMEOWNER"or"BUYER"and INVINCIBLE METAL CORP.hereinafter the"CONTRACTOR"or"IMC",with all of the foregoing parties being collectively referre to herein as the"PARTIES".WITNESSETH:Contractorrgr bit agrees that it will,for the considiera"on hereinafter mentioned,furnish all labor and material necessary to instz ,the following described work at premises located ate, �'C�i///•���/y' the"WORK".The word"I","me",and"my"refer to each person who sigr as Homeowner.If more than one person signs be as Ho eo er, ac perso "hall be jointly and severely liable for the promises made in this Agreement.The words"you and"your"refer to the Seller or holder of this agreement. ,� 'AGREEMENT:I agree that it is my decision to purchase the goods and/or services described below at the Total Cash Price of$ 1- 40promise and agree as follows: 29 GLIAGE,THREE FOOT WIDE METAL ROOFING J ,� SPECIFICATIONS OF CONTRACT NOTE:No surfaces will be covered unless specified. v 1. Roofing Color: Total OTHER-DESCRIBE: 2. Yes❑No Ridge Cap Q� / "' o.ot) Cash �, P Price 3.Ayes❑No Drip Edge 4.%Yes❑No Add Ridge Venting Deposit With I�JJ S. �es❑No 2"Exposed Hurricane Hardware Order z 6.x_yes❑No Clean up all job related debris and haul away CJ Additional 7. Yes❑ND Chimney-Number of: ! * 'C Deposit b� 8. AYes❑No Flash Pipes-Number of: Due Date: Ysr 9. ❑Yes Vo Skylights-Number of: EXCLUDED: Balance Due /� 10.❑Yes No Valley G ( (l Substantial 11.Jl Yes❑No Rake Trim P(--EndwallX' Sidewall Completion 12.❑Yes XNo Remove Vents 13.❑YeA No Ridge Closures JOB j SIGN OK 14.Xes❑No. Remove&Dispose Gutters Proposed Start and Completion Schedule: date when Contractor will begin contracted work. ! t 9 date when contracted work will be substantially complete Ic REVERED METAL ROOFING CORP.does not do any painting or staining and is not responsible for conditions or circumstances beyond its control including condensation re- sulting from or due to pre-existing conditions REVERED METAL CORP.is not responsible for stripping any roof material prior to installation.Note:Fascia trim or strapping is not included unless specified XCash ❑ REVERED METAL ROOFING Assisted Financing ❑ Debit/or Credit Card DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACESIH PROMISE TO PAY:I promise to pay REVERED METAL CORP.,the Total Cash Price prior to or on the date of substantial completion as agreed to herein.If payment is made b� credit card,I understand that I may only cancel,reverse,or dispute the credit transactions within 3 days,and thereafter all credit card transactions are valid and enforceable. BINDING NATURE:I understand that this document does not constitute advalid and binding contract for any purpose u til and unless it is signed and accepted by IMC. INLWIESS HEREOF,t parties reto have signed their names this ` AV day of., r 2042 SignM REPRESE A E HOMEOWNER r� ACCEPTED: Signed- OFFICER OF REVERED METAL ROOFING HOMEOWNER Notice:The terms of this agreement are contained on both sides of this page INVINCIBLE METAL CORP.Copyright©2014 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel D J_6�51 Permit#' Health Division Date Issued ` Conservation Division -' Fee . Tax Collector ' ' `�� 000 . Treasurers ZU Planning Dept. ; Date Definitive_Plan Approved by Planning Board Historic-OKH Preservation/Hyannis A Project Street Address &Zlalv' Village Z�,/ g �19Q,,V,v1 S Owner Z,1irevve� Jl�ls� ��O�v.� ; Address Telephone 771 . ' S_O ' Permit Request _5��� �L,'o Lid 1/1--, , res el,d', cA 'OS42 441—Y Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost / 7a Zoning District Flood Plain Groundwater Overlay ' Construction Type Lot Size Grandfathered: Cl Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) r Age of Existing Structure Historic House: ❑Yes 2 No On Old King's Highway: ❑Yes &4o. Basement Type: 0 Full ❑Crawl E(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 f'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 O No Detached garage:0 existing O new size Pool:0 existing ❑new size Barn:O existing Cl new size Attached garage:0 existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes 0 No . If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name /�AAIJd (�11 (G��2i./J�C,�� Telephone Number Address_e/7l 7A4 A ;4" License# Ot<IO a d ?01 /AG_ . 0 Z,6- ICJ Home Improvement Contractor# Worker's Compensation# ?, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOviiiv��Ya.�a- DATE SIGNATURE i' �` b `f FOR OFFICIAL USE ONLY " P&MIT NO. _ DATE ISSUED f s MAP/PARCEL NO. i t , Yi ADDRESS ' VILLAGE r r _ • r s� OWNER • . _ +: i c DATE OF INSPECTIO .4s, ; FOUNDATION ' FRAME INSULATION FIREPLACE K•; r r _ ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL _ GAS: ROUGH e FINAL FINAL BUILDING 4' =r � . 1 DATE CLOSED OUT r ASSOCIATION PLAN NO. e commonweaun ._� al Accidents a j--. Department of Indtistri amen otlaresaffat/oas -' 600 Washington Street Boston,Mass. 02111 Workers) Compensation Iasnrance Afridavit �/ / //����//�, a name "" 1L4� S Qi 1 I n /� J location W 7 �"ytovCL 7 z3 city A/41- phone ❑ I a homeowner performing all work myself [ m a sole 3ro=��and have no one worlds in any achy ,�. %%:%A M//:M ✓OG // �i7 'r//�O////la/////%O//, on this job. I am workers ensauon for my employees:worlang>:.;:::.:{.:{:<:{.:.: :::;:{{.>:.;:.;:.:{:{<:.::,«>::;; an em lover ding Co ..:::::::: .>.�.::..:.�;::;.,:>.::{:.:;::;:.�::; v name: en . ...:-:.- .:..:..............}:::::.;>:;::»::sic::::::'•'.:>;>;<::;>::»:<: >::::>;>:::;:>:.;:;:�::.. . ad d �,.: .. •iron ct insurance co: ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors fisted below w tio have ' ensation liras: :..::::x:.,•::::«}:{.}:4;.}:;:.>:«;.:.;.::.:.::;<,},::.;:4:.:;;:.;;.},::: Yx::>:::;>;:>::,,.,>;:{:...,•,,, >:;`::;::: owls workers comp Po the following Srne. .:...:4x?2•T:::?•S::}}}:�;•?nr:}>}}:{-;:::ti.�}:}r;:}::t:::x>:isf:S:;;;}:;:::5�>•"::::;:;;:i:::-t;.::::::;:::::. com any n ... ::.:. {:,,..}:{...................,...............:.,.:..::.....:...:::..};:..:....,:.:...:-:.:::::-:::--::.;-::.. mum dress. •..: ... .......:{T::::.::..•:::::.::::.:}•:::::::::..::,?.::::::.?.::::::.;�::{:::.-::::.:. ...:.r......,..:.r..::.:...... :::•:::........::.: ......:: ... ... .,.... 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' .................::w:::::•:::::::..........•:.......... i::{y}:•iiT:{i:-i:^i:::::v}:•:+:v::::::::::::nv:•}:4T:vT:4:•i}:{;j:;.:...::.;T:':`i:::.v:...... ::r.:w.:.•::w::::.v:::::::"-.:.v... ...................................................................... :::::::::::....................... nv.., ..... ..... ..:•::::::::nv:.v::w::::.v': ..:vv::.. ........::.............. ......................................... ..:................... ...... .......•.v:::^{:•TT:4::::;.4:•Y Tw?O'}:iiikii:}::'r.:$ii::::•::v:::::•... ::•::..,:..:::..:::•......:•.::::.:.......::::::::::.........................:.:...:.....{{:.:.;..::..:.{}.:::::•::::::::.;• .. Olive#...::,:•:::::;:....,.:::.::..:,:.,::.. ;:,:,{,.,..�.�..:, Failure to secure coverage as required ender Section 25A of MGL 152 an lead to the impasitl°a of airmaai penalties o[a fine up to 51.500.00 and/or one years,imprisonment as wen as civa penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I mderstmd thst a copy of this statement msy be forwarded to the OIDce of Investigations of the DU for coverage verlBcation. I do hereby certify wider the pains and penalties of,p'edury that the infonnadon provided above is&w.and corned Date YA/0 signature ��z � Print name ������ official use only do not write in this area to be completed by city or town official city or town: permitilicense f# (]BWlding Department QLrceavag Board ❑Sdectmea's Orrice ❑check if immediate response is required C3ge4th Department contact person: phone#; ❑Other (tamed 9/95 PIA) z'• •r• • •■ 7 r r ••r •rl\ I • G• 1 • ti • •It �• I 1 �•. 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I 1 • •'11•. 1•I• • ✓• • •�11 •I Y•1111• 1 Y ' 111 11 11 11 .11 Y �/ 111 -w11 ti11►. •1 111 MI .Ir I:i 1 1 mow/ • �•111�/ is 11 - •.•111• f// 1 • 1 :r: III 1 11 •••II• "/ •••11I1r.0 Y:1• •II i• 1 1 ♦•1111• :U 1 • M/ � All • 1/ - I •✓ 11 .1 .Ir 1 • • • 11 Ytt1 .tr •11 .11 • • • 11 • •1111• .11 I •111 - 1 •1 .� .11 1 • 1 611 II/111 •�1 •il • ' III IrH •1• M:11- •1 II II .11 V i •I r IA /1 - • • It111 i• • 1• - , - • •11�./1 •1 1 /11 •• M 1 wIJA 1•I Y•I1111.11 .1• •II 11 11 11�:1/ �' ••• • •� / 1 '. 1 /1 Y 'JI 1 • aw 1 1 1 1 .II• / • 1 'll • 1 1 ► w1/1.1 �• f• 11 MIv •t 1• •' 1 11 .1 11 .1• 1 Y:11 •11 111 11 r-+r 1111 •1 r�.1 • 11 • �•• 1 :•� �• 1 1 1/ 1 • .1 r11 �•11 /1 1 111 •• - M •M/IA 11 • 1 1 ' • 1 1✓• .11 • 1 1 .� r •11 ..•Y.1 1111 • 11 �• 1 1 -• • • 1 Y.111 •1•.1-/- •••1111•�•1 Y:11 •11 1 • 1 1 ✓• I it / �.rrl 111 �-•11 .1 i.7. 111111 ••-1 1�/ I • ' 1 �: • 1/ /t •1 II •• / - • 1 Y•1111• .�/- .11 / oil / 1 / •1•I • II • /y • • III • 11 11 It wll •1 , I• Y- • 1 1 .� r •Y•1■ •II t 1• v•I11 Y. M • 1 �.•Y.1 •111 • 11 - ,11 1 K111 1 I 1 • III V. 11 •�1.1111 ••�•/ 11/111 •:.1 ' 1 1 1 1 1 ��/ .+1�1 �.1 V 111111 / .• 11 . •• • IA 11 Y. ' r •11./�• 11 � , • rt1.111 • ' 1/ /1 11 • 11�/ .1• .11 • w11.+IIA 1 •��•/ IIG / / , iI • 1 �+ • •J:1• •It '• 1 1 • 11 .11 • 11 1 • .11 Y •I • I Y•• •�1 .11 011 .11 1 1 • 1 • r I 1 •11 • 1 • •• • �: •• 1 • I:.v1Y.1 •J ' ✓. I �j���j�j�/�jj�/j�j�j��j��jj 1 � - •. IN�/U • 1 .� 1 • 1 •11 - .0 1 Y.•' Illllt •�/ 1I uI1 I II I 1I I I I I I I I I 1 1 I I 1 . 1 III 1 ' II � I1 1 ' 1 �TMe rq� The Town of Barnstable • a�snsres�. • ' �,� Department of Health Safety and Environmental Services 59. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which. are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: rU 0 Estimated Cost Address of Work: L� S1 I ua,\J ,�l r 6 U&AIA11 I Owner's Name: I J Nt U,�Uw✓✓ Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM.OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR Date Owner's Name q:fbmis:Affidav � .�,of-}}^r �,,• ,. OME; D OVEMENT 'CO TRACtOR tegis r iOM98199 ,_ s- ape INOIVID.UAL 0", "0 7251.00-. ��ypy M ONALD `ENP�I,I," 1 f1 ��1/419 �UTNAM AVE Y�� ADMINISTRATOR ��tf Engineering Dept.(3rd floor) Map V Parcel 'rj Permit House# Date Iss O& >, --� {� Board of Health Ord floor)(8:15 -9:30/1:00- Fee �74 cr?) Conservation Office(4th floor)(8:30-9:30/1:00 2:00) - (� 4�� C E S A�� Cl m L r mt Planning Dept.(1st floor/School Admin. Bldg.) THE rq Definitive Plan Approved by Planning Board 19 ' - - • BARN STABLE. MASS. A t6 d� TOWN OF BARNSTABLE "` � ��- Building Permit Application Project Street Address 6fqV Village ��,1�/�w�L S Owner IM.- ( 2,,2.v C P Address Telephone 7 7/ 5`0 3�� Permit Request r / First Floor e square feet Second Floor square feet Construction Type V Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family p/ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑,No On Old King's Highway ❑Yes p,Ko Basement Type: ❑Full ❑Crawl p'Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information �/ 7 3 Name -9eA l Pv G3.,,c Telephone Number �-� Address__--11 7 f �!�?; .Gt� ,i('i��Q License# o. o / 7 �� Home Improvement Contractor# J'Q 7 6 ZC o Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE . 6 DATE ��� LDING PERMIT DENIED FOR TH OLLOWING REASON(S) "r ti FOR OFFICIAL USE ONLY _ Fa, PERMIT NO. �� DATE`1SSUED MAP/PARCEL NO. - -� i i • } t ADDRESS VILLAGE 0 , OWNER e ' DATE OF-INSPECTION: = c FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL, PLUMBING: ROUGH FINAL' GAS:, ROUGH " FINAL FINAL BUILDING `T l� per_ DATE CLOSED OUT _ ASSOCIATION PLAN NO. The ,Town ofBarnstable Department of ealth Safety and EnviroamentaI Services Building Division 367 Main Street,Hyannis MA C601 Office: 3OS-790-0= �h = Building Camraissic-: Fax: SOS-790-6230 For oflue use only Permit as Dau AFFIDAVIT ROME n"ROVEMF.IIIT CONTRACTOR LAW SUPPLEMENT TO PERNSIT APPLICATION IKGL c. 147A requires that the Irmnstrucdon, alterations, renovation. repair, modernization. conversion. improvement, removal, demolition, or coustrnction of an addition to any pre-eelstintog owner occupied building containing at lest one but not more than four dwelling units or structures which are adjaceut to such residence or building be done by registered contractors, with certain czccptiom along with other requirements GG p- Type of Worst: " //`- ��( -- Est.Cost •� r Address of Wont:_ Owner's Name Date of Permit Appikation• I hereby certify that: Registration is not required for the following renson(s): __Work ezciuded by taw _Job under SI.000. Building not owner-occupied —Owner puiling own permit Notice is here by given that:OWNERS .PULLING THE OWN PERMIT OR DEALING wrm QNREGisTERED CONTRACTORS FOR APPLICABLE HOME MIPROVEMENT WORK DO NOT HAVE ACCESS TO I=ARB MA170N PROG",Wi OR GUARAIM FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PEVJURY I hereby affiy{bra permit as the agent of the owner. ,5r- C11-c-, Dam Contractor Name Registration Na OR Date Ownees Name ;-__�. � The Commonwealth of Massachusetts P �i O ` � Department of Industrial Accidents - Office OtIMOS f9alfens ' 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit Mattt:sir"�i,///////////�//%�//////��� %///�! '� name: All' ���JUy✓✓ location- city &L d J41 N1( phone it —7- !',o " ❑��am a htuaeotvner performing all work myself. t7d' 1 am a soleroprictor and have no one working to any a acity % /%////////� i! p ❑ I am an employer providing workers' compensation for my employees working on this job. com nnv name: address: dh,, phone#� insurance cn. niicv# ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: .... .. com anv name,. address: dtw phone insurance cn. •• lieu# com anv name- address: dtv phone#r .: _.• a �`''••::.•, .•:...:fix.• insurance to. ,:,.• .: •: ::a.;;>;>,.•:.... �:,..;;:::• . ..::�<:... oliev# •.. '•:, >'t '>�:<.'•':`,�'";:<•;:.w Failure to secure coverage as required under section 2SA of MGL 152 can lead to the imposition of erimind penalties of a ate up to s130o.0o and/or one yes,Imprisonment as well as civil penalties in the form of a STOP♦VORK ORDER and a am of 3100.00 a day against me. I understand that a copy of this statememt may be forwarded to the OMce of Investigations of the DIA for coverage verincatlon. I do hereby cadA under the pains and penalties of perjury that the information provided above is true and correct si�latut+e ao/ �O� Date l Print name dw # 612a- -79 2 Ldtyortawn: do not write in this am to be completed by city or town olitdai penuitAicense 0 Mudding Department QLicensing Board te response is required ❑S ealt Dep Omer ❑Health DeQaetmmt phone tl• ❑Other (teruea 9/93 P]A) Information and Instructions A' Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any coat—- 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 sore of die foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver . rustee of as 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 ...s.e...a...,...,.!ovs„ersaniss to do maintenance , construction or repair work on such dwelling house or an the grounds o: building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commomveaith nor anv 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 cor==ng authority. ..Applicants Please fill in the workers' compensation affidavit completely, by checking the box.that applies to yoursrtuation and supplving company names, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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. The affidavits may be rc=mcd io the Department by mail or FAX unless Other atraagemeats have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please. .4.3 not hesitate to give us a call. /% , The Depwraneat,S address,telephone and fax nurnber. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invesduadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 eat. 406, 409 or 375 r HOM IMPROftENTzCONTRAC 0'{ r �z - deg st anon 1�0 799 , w � ,r'TYP� INQ�VIDUAI� �� EzPnat'iont 08/25%981 ' tDONACQ C`ANPBELL� ' . ' y QMM'.6.Campbell Et�dl Putman A emu Hov,Wrlllh a� U1. •;MA:02�3b� 4< tc_ ,�s"� i - ��.,TT pp �ZczJllxCfutQe ,per ,.✓fie toanvi���!����✓ DEPARTMENT,OF PUBLIC SAFETY. CONSTRUCTION SUPERVISOR_LICENSE ' Number:. Expires, . Restricted los 00 -=DOAALD G CEPBELL .�e- _ 419 PUTHAN AVE/PO BOX 1311 {t ; COTUIT, MA 02635 ti t:: yc 6 PT ^`` 2�`6 PT l6 Q,C• �IIG.Iv�J` G'tic,(Lp� r1� \r4.�C�i.`� �� \>'IrC�.Qd' i �• . crit), (a5 W TS I t u yx 6 PT Past. 1 Spacd C � 1 . CA I'j .j W� R _ i i 0r i z a 0 LoT 0// M E7z�sri�vG M DW�ZG,r�IC'• 4Z,s 'a V1=7 A1 4 I certify that this property is located in Flood Hazard Zone C (out- side the 500 year flood) as identified by the Department of Housing and Urban Development (HUD) . Date IR97 �\N of CERTIFIED PLOT .PLAN P '�I,('4 �y LOCATION f3!q NsTABGE , ys�,✓MIS)- �� ED SCALE . . ��_ .3'c��.... DATE . .uG !/ 19' Reg. dioS?a PLAN REFERENCE er�s�9fcis TEa�� As ew 44-avD. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. . . . . . . . . I certify to Cape Cod Bank&Tr.Co.and its title ins.Co. THE LOCATION OF THE ORIGINAL DWELLING that there are no visible encroachments SHOWN HEREON , EITHER WAS IN COMPLIANCE or easements except as shown and that; this WITH THE LOCAL APPLICABLE ZONING BYLAWS plan was prepared under my immediate IN EFFECT WHEN CONSTRUCTED (WITH RESPECT TO HORIZONTAL DIMENSIONAL supervision, • REQUIREMENTS ONLY),OR EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER M.G.L. tg it/ � _ P�� TITLE VI I , CHAPTER 40A, SECTION 7,UNLESS �,86X c'C % �' e,-77 X, ' k/it/ OTHERWISE NOTED OR SHOWN HEREON. eo- PT .rcfxa'l..___. { • { � �� ' � b_�PT,._�, .I ; IDS p �f -- r ; 1 , role. ! r � '.. � Y. F If '� �. !` '� I ti I I .. +TI \ i` , 1 )• 1 � 1 ��' � r ! k � 1 � ,'� 1'! �'r F -Tj .. � � 1, .� ii •111t -�I 1{. ��� tt} � �� F � j ��, � ! � ,k � 'Fill . 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Date .T Ty /G /997 N o CERTI FI ED PLOT .PLAN LOCATION -j!9!fr'/�/STABGE, N�/.g�✓!v!s,� g ED "" ' SCALE . . ��= .3c'�.... DATE , uG /L �? a ,, . .r Reg. dio$41M PLAN REFERENCE !�PI!. . . . 7r-70.,/Z. , S � � /aS 4t?Lv�v Dot! 447WD. . . . . . I certify to Cape Cod Bank&Tr.Co.and its title ins.Co. THE LOCATION OF THE ORIGINAL DWELLING that there are no visible encroachments SHOWN HEREON , EITHER WAS IN COMPLIANCE r easements except as shown and that this WITH THE LOCAL APPLICABLE ZONING BYLAWS 0 s s p S IN EFFECT WHEN CONSTRUCTED (WITH plan was prepared under my immediate RESPECT TO HORIZONTAL DIMENSIONAL supervision, - REQUIREMENTS ONLY) ,OR EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER M.G.L. i�E'Et /�% '8C�'lT�.vfl 'S , ''�iic/'��7 OTHERWISE CNOTED OR SHOWN C HEREON. NLESS CD PTIC SYSTEM MUST, BE SE COMPLIANCE INSTALLED IN e� WITH ARTICLE Il STATE c.P,;rITARY CODE AND TOWN �QyOFINE?��y0 TOWN OF BARN STAB SS i BAMU TAHLB, i 039. DUO*'a' BUILDING ' INSPECTOR � :', r APPLICATION FOR PERMIT TO, .. . ...s ic ..........!........!...+7.....!..�` .............4.ct�.c.................. TYPEOF CONSTRUCTION ..............t.06h;J..�................................................................................................ ..........................19..1 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a e/rmitraccordingg to the following information: Location ......j.c. ........� .............::?J..7 .!!. .'1�........ `_1 I U� ProposedUse .2 �1Q ....,..:a.�`!!,l` ............ .©M. .......................................................................................................... Zoning District ......... ..... �?...'............................................Fire District ? ..�t:. .... -_ / t 1�/ .......... Name of Owner �+�� 1 ^��j SO . .�.A a�l S 2�... ....... .:............................................................Address ....... op . Name of Builders` `�E. �`�� .,,.Address ) O • O 1 y {.. i .. i S �`'�(�S S ................. . .... '...�............................ Name of Architect ..:�.�.`?!.`�.Qr........................................Address /7 ..................................................................................:. Numberof Rooms .......J..........................................................Foundation .. .. ?.�C. ..t.t.............................................. . Exterior ...�' .� .... ?.Y.`...?. .. .............................................Roofing S U\� \� .... . ................................................................... Floors .... Q... ......... . .�............................................Interior ... rt....:..................................................... Heating5............. ......................................................Plumbing ..4 0 ....................................................... Fireplace ...... ...Approximate Cost d b` . Difinitive Plan Approved by Planning Board -----------_------____-------19 Diagram of Lot and Building with Dimensions 0 � /oo I )LpT ! 00 /cC \J y I hereby agree to conform to all the Rules and Regulations of-the Town of Barnstable regardin the above construction. Name .......`: ..................................... ...... Atkinson, Jack .164.53 1 1/2 story No ................. Permit for .................................... single family dwelling r ............................................................ ..... Locatio n Sylvan )rive 4 .. ................j................................... ...... I r S..........k .............. ........................................... Owner .........Jack Atldnson........................... ....... .................. Type of Construction ..............rrme.......... .. ...................................................................... Plot ............................ Lot .........Au................ Permit Granted .........JU:LY .30................19 73 Date of Inspection . . . .. ... 0..13 Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 .......................e....................................................... ............................................................................. ............................................................................... ............................................................................... Approved .................................................. 19 ............................................................................... .............. . ............................................................