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0049 THIRD AVENUE (HYANNIS)
Town of Barnstable _� Building t H'> ,"`•"� :r.�:. yF c, s ';�,'"'F ' ',', i `�`,'yE3 :. •�",,. s k",x``� ...t g ,"h '�, �Post,Th�s Gard So That,rt isVlslble,:From the Street Approved Plans Must beRetamed on Job and this Card Must be Kept F .BARN AByY. �. '.ad &";. a:s• �'. i a ••, • 1639. Posted Unti�I�Final InspectionHas Been Made w �'` .�� �,% �: Permit Where a;Gertificate>of;Qceu ane �s;Re ulred,such;Bwldm shall Not be Occupied untilZa;Final,Inspect�oo;has beenmade rh; �j ijjl� Permit NO. B-19-1951 Applicant Name: Robert Bourque Approvals Date issued: 06/17/2019 Current Use: Structure Permit Type: Building-Sheet Metal-Residential Expiration Date: 12/17/2019 Foundation: Location: 49 THIRD AVENUE(HYANNIS),HYANNIS Map/Lot: 246 103 002 Zoning District: RB Sheathing: Owner on Record: JOHNSON,DAVID W&COAKLEY,SHIELA E Contractor Name: ROBERT G BOURQUE Framing: 1 Address: 1 STRINGERDAM RDa y Contractor.License 6435 2 SHREWSBURY, MA 01545 l' P °` y: rEst Project Cost: $4,500.00 Chimney: Description: INSULATED,GALVANIZED SHEET METAL SUPPLY AND RETURN AIR Permit Fee: $85.00 DISTRIBUTION SYSTEM WITH Insulation: Fee Paid.' $85.00 Project Review Req: D"ate 6/17/2019 Final l Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work auhorized by this permit is commenced within six months after issuan Final Plumbing: All work authorized by this permit shall conform to the approved application and thyeapproved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shalF66 in compliance with the local zoning by laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access str6gorgoad and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. ', ,� Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by�the Bwldmg and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work $ , 1.Foundation or Footing � ,� Service: 2.Sheathing Inspection i' Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lmmg,is installed g 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT ISSUED RECIPIENT Final: } 771 JR, � I' F 1 4 k !i f f- �R `OWN OF BARNSTABLE BUILDING PERMIT ' PARCEL ID 246 103 002 GEOBASE 37307 ADDRESS -� �rL� A—Y;, PHONE (215)593-3361 W. Hyanniaport ZIP - LOT 2 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 18834 DESCRIPTION SCREEN IN EXISTING PORCH PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONV .CONTRACTORS: TYLER, SANFORD Department of Health, Safety ARCHITECTS: _ and Environmental Services TOTAL FEES: $31.00 BOND $.00 Ox CONSTRUCTION COSTS $10,000.00 434 RESID ADD/ALT/CONV 1 PRIVATE P: (:1 * BARNSTABLE, MASS. OWNER ADDICKS, J & C 039. A� ADDRESS 100 WISPERWOOD NUS NEWTOWN, PA BUILD.&G DI+V` S ON DATE ISSUED 10/25/1996 EXPIRATION DA E T r TOWN,OF BARNS 'I'AB.IiE a4 c x � TUN, 'BUILDING PERK�'� i t t. PARCEL ID 246 103- 00 4 l;90BASE ID 373+67 ADDRESS SZ- .. PHONE (216)598-3361 liyanx� t,- . ZIP _ # Y , . ;•,x ; E �,LOT' SIZE LOT C DBA DLV-8LO iGOL D. ST RCry.Hy PERMIT / 16834 DESCRIPTION SCREEN- IN EXISTINORCH PERMIT TYPV. BREMOD. TITLE. RE SIDED" IA AIIT/CONY CONTRA T RS: TYLER, SANFOR� s �=`Department of Health, Safety .ARCHITECTS: { ,andWl✓nvironmentaI Services 71 , TOTAL FEES- $31.00r BOND'S I $_00 CORSTRUCTION, COSTS $10 00+ ..00 434 RESID ADD/ALT/CONY 1 i PRIVATE P.,4.1039. 3HAAIVSTABI.E. •' - OWNER ADDICKS, J & .0 ADDRESS 100 'WISPERWOO;D NEWTOWN, PA BUIL . G D I•'fON BIMP I DATE ISSUEll 10/25/1.996 EXPIRAT,ION ,DAT t4 THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED/ON JOB AND THIS CARD KEPT. UN TIL NTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. ' I POST THIS CARD SO IT IS VISIBLE BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 I I • I 3 1 HEATING INSPECTION AeAOVALS ENGINEERING DEPARTMENT CRs oK � II 2 � RD OF Hj;�LTH OTHER: SITE PLAN REVIEW APPROVAL 2 ' I WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID.IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE.THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 7-7 BUILDING PERMIT Town of Barnstable -Permit# Expires 6 montlrsfronr issue date Regulatory Set Fee a BARN rast.t:, n ®�' Richard V.Scali,Interim Director MASS. ° BuRding D1' APR 19 Z A 5� 1 Tom ferry,CBO,Rui➢ding � 200 Main Street,Hyannis,MA 02601 -vww.town.bamstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERM APPLICATION - SEDENT ONLY 'J Noi Valid without Red X-Press Imprint Map/parcel Number_A 7(o 103 o 0 Z Property`-Address -11q h r/'d c- 7LI y (Residential Value of Work$ //, 35 — Minimum fee of S35.00 for work under$6000.00 Owner's Name&Address aye- I o✓-N Contractor's Name° f rD-T j On W rl Telephone Number` *711- Home Improvement Contractor License=(if applicable) //Z 7��j_ Email: Construction Supervisor's License=(if applicable) 0 5-6©- 9�` orkman's Compensation Insurance dL Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name SU-'Tiz> U�`iOAJ / . Workman's Comp.Policy 9,3 -3 l } Copy of Insurance Compliance Certificate must accompany each p mit. y Permit Req st(check box) [ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to /. , e l-a -,� =, ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of Toof). ❑ Re-side ❑ Replacement-Windows/doors/sliders.U Value (maximum-3 `of windows T of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Whcie required: Lswance ofthis permit does not exempt compliance NNrith other town department regulations,i.e.Historic,Conservation,etc. **-Note: PI ope caner must sign Property Owner Letter of Permission. o y f the Home Improvement Contractors License&Construction Supervisors License is it SIGNATURE: Q:1bVPFILESTORMSIbuildingpeVfq; RESS.doc _ Revised 061313 1 WV-1,3 Home Depot Contractor License Numbers: MA: 107774, 112785 Salesperson Name and Registration Number: Christopher G. Read : R-1-073-13-00024 Home Improvement Agreement Ir Home Depot U.S.A., Inc. ("Home Depot") or Service Provider named below will furnish, install and/or service the equipment listed below at the price, terms and conditions as outlined on this form. Customer Information: dave johnson New England South 10739657 First Name Last Name Branch Name Lead# 9 third ave EST HYANNISPORT MA 02672 Customer Address City State Zip (508) 633-4817 Home Phone# Work Phone# Cell Phone# dwjohnson@townisp.com Customer E-mail Address NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 908 Boston Turnpike Unit 1 Shrewsbury MA 01545 Address City State Zip or Email CustomerCancellationNorthEast@homedepot.com BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A different CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME DEPOT OR PROFESSIONAL, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE CONTRACTOR GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL. Ackno edged by: X �..� 03/31/2018 Customer's Signature Date 1 z Building -rds stl t4A, � ape_ WALSH .� EIn I - `?y 0611412 t` y� 1 th I `�!'i.- if::zv fir.€_•�:.vrr`t,'t�,;�t`�:sd,�yi�s�r�f . ctriiceal Consumer lrs.&9uslner.'a"datwn MOME ti MVEMBIY CONTRACTOR Rcg%sirs vafld 4sr In ;i TYPE:3woi martcad bvfwe the expira m date, lr;aura marts tar, t era OMCD oa consumer Amrs an9 suatne"'3ogulation Qf*AS rbra W ftce-Suite 1301 -S MEET t vaiid bout signs+m tJnd'��crvtary . The Commonwealth of Massachus' Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114 2017 www mass gov1iHa Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): JON D WALSH Address: 1 WASHBURN AVENUE City/State/Zip:- KINGSTON, MA 02364 Phone M 508-962-6942 Are you an employer?Check the appropriate box: Type_Of project(required): L E J I am_a employer with employees(full and/or part-time).' 7. ❑New construction, 2.a I am a sole proprietor or partnership and have no employees working for me in S. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.M I am a homeowner doing all work myself.[No workers'comp.insurance required]t 10 Building addition 4.n I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.[:]Roof repairs These sub-contractors have employees and have workers'comp,insurance.t 6. We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Othe[ 152,§1(4),and we have no employees.[No workers'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 hue outside contractors must submit a new affidavit indicating such. tContractors 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 and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u the pains and nalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official' City or Town: Permit/License#. Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: The Commonwealth of-Massachusetts6 , Department of IndustrialAccidents Office of Investigations 'S h 1 Congress Street,Suite 100 . l Boston,M4 02114-2017 � �X, �� www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers ADMicant Information Please Print Le 'blv Name (Business/Organizatiioporvbdiridual): qolnlel v Ej Address: 9B P�B SRN / City,/Smte/Zip: s� �d /� /sY. ` Phone : / G/ ` ;h an employer?Check the propria e b e; Type of project(required): 4. I am a neral contractor and I am a employer with ge 6. New construction ` employees(full and/or p -time).* ave hired the sub-contractors 2 ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling shipand have no em to ees These sub-contractors have i l P y S. ,J Demolition working for mein any nacity. emoioyees and have workers' f [\Io vvorlcers' comp.insurance comp.km=ce.= 9. [f Building addition required) I 5-0 We are a corporation and its 10.❑Electrical repairs or additions 3.C I am a homeowner doing,all work officers have exercised their 11.❑Plumbing repairs or additions I -myself. L-No workers' cop. fight of exemption per VIGL j 12.E Roof repairs insurance required.]t c. 152,§1(4),and we have no employeeg: [1,4o workers' 131-1 Other i comp. insurance required.] 'Ar..;applicant that checls box ei must.also fill out the section below showing Their workers'compensation ooficy information. 'Homeowners who submitthis 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-conrractors have emplovees,they taut provide their workers'comp.policy number_ I am an employer tizat is providing workers'compezzsation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 647r/fir �QTJ o�ltJ V/�!ow Policy it or Self--ins.Lic.#: l 9 I Expiration Date: Job Site Address: ve__ City/State/Zip: k/es-Y �,� i 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 M-, GL c. 152 can lead to the imposition of criminal penalties of a -fine uv to 51,S00.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a foe of up to 5250.00 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' -urattce coverage verification. I do hereby certify under t aims and p alties otf er'u that the information provided above is true and correct Si°tature: Date: Phone : 577 e- o2 - tp Official use only. Do not write in this area,to be completed by city or town offtciaL City or Tawas: PermitUcense# 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 r: t -_ _ _ Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Type: Supplement Card HOME DEPOT USA INC Registration: 112785 0 2455 PACES FERRY RD C-11 HSC Expiration: D4/22201 ATLAN A.GA 30339 Update Address and return card. Mark reason for chance. ❑ Address ❑ Renewal ❑ Employment.❑ Lost Card . Y Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:SUDGIe.nent Card before the expiration date, if found return to: Registration Expiration , Office of Consumer Affairs and Business Regulation i2765 04;2Z'2019 10 Park Plaza-Suite 5170 AWE DEPOT USA INC Boston,MA 02116 ANDREW SWEET 2455 PACES FERRY RD C-11 HSC ATLANTA,GA 30339 Undersecretary d ithou signature AC`,��`'�� CERTIFICATE OF LIABILITY INSURANCE DATE(MI01DD/YYYY) 0221/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER_ IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed__ IfSUBROGATION IS WAIVED,subject to the terms and conditions of the this certificate does not confer rights to the certificate holder in lieu of such policy,certainpolicies may require an endorsement. A statement on ement(s). PRODUCER CONTACT MARSH USA,INC. -NAME- TWO ALLIANCE CENTER PHONE FAX 3560 LENOX ROAD.SUITE 2400 AIC No): E-MAIL ATLANTA,GA 30326 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# CN f 01642069�HaneD-GA W-18-19 INSURER A:Old Republic Insurance Co INSURED 24147 THE HOME DEPOT,INC. INSURER e:New Hampshire lns-Co 23841 HOME DEPOT U.S.A..INC. INSURER C:HomeRisk CapWe Insurance Company 2455 PACES FERRY ROAD BUILDING C-20 INSURER D: ATLANTA.GA 30339 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: ATL-004353439-16 REVISION NUMBER: 3 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 INSR BY PAID CLAIMS. ADDLSUBR LTR- TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICYFxP A X COMMERCIAL GENERAL LIABILITY MMIDD LIMITS MWZY 312717 031012018 03101J2019 EACH OCCURRENCE S 9,000.000 CLAIMS-MADE M OCCUR DAMAGE TO RENTED LIMITS OF POLICY XS PREMISES(Ea occurrence) S 1,000.000 MED EXP(Any one person) is EXCLUDED OF SIR:$1 M PER OCC GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL 8 ADV INJURY S 9.000,000 X POLICY❑PRO-ECT LOC GENERAL AGGREGATE 5 9,000,000 PRODUCTS-COMPIOP AGG S 9,000,000 OTHER: , A. S AUTOMOBILE LIABILITY MWTB312718 031012018 03/01/2019 COMBINED SINGLE LIMIT X ANY AUTO Ea accident S 1,000,000 OWNED SCHEDULED BODILY INJURY(Per person) S AUTOS ONLY AUTOS SELF INSURED AUTO PHY DMG HIRED NON-OWNED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE 5 Per accident 5 UMBRELLA LIAR OCCUR EXCESS 1-IAB HEACH OCCURRENCE S CLAIMS-MADE AGGREGATE S DED RETENTION S B WORKERSCOMPENSATION WC014126R(AK.H,NJ,V7) 03I012018 03101/2019 X PER OTH_ S B AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETORMARTNERIEXECUTNE WC 014122578(WI) 03/0112018 0310112019 OFFICER(MEMBEREXCLUDED? a NIA E.L.EACH ACCIDENT S 5,00000 (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE S 5,000,0f� C WDESCRIPTION OF OPERATIONS below Continued on Additional Page E.L.DISEASE-POLICY LIMIT S 5,C00,000 NW 297-1=10011-00.2018 03/012018 03/012019 Limit: 4.00D,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if More space is required) EVIDENCE OF INSURANCE CERTIFICATE HOLDER CANCELLATION HOME DEPOT USA,INC 2455 PACES FERRY ROAD SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE BUILDING C-20 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATLANTA,GA 30339 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. I Manashi Mukher)ee ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo ara registared marks of ACORD AGENCY CUSTOMER ID: CN101642069 LOC#: Atlanta AC OR" ��. ADDITIONAL REMARKS SCHEDULE Page 2 of s AGENCY _ MARSH USA.INC. NAMED INSURED THE HOME DEPOT,INC POLICY NUMBER HOME DEPOT U.S.A.,INC. 2455 PACES FERRY ROAD BUILDING G20 CARRIER ATLANTA,GA 30339 NAIC CODE ADDITIONAL REMARKS EFFEcnvE DATE: r-8N'L� DDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, NUMBER: Z5 FORM TITLE: Certificate of Liabilit Insurance ers Compensation Conbnued: r Indemnity Insurance Company of North America Number WLR C64763191(AL,AR.FL,ID,IA,KS,KY,LA,,iS,MO.NE,Nfi,ND,OK,SC,SD,TN,WV,WY) tive Date:03@11Z018 tion Data:031012019imit:S1,000,000r New Hampshire Insurance Company Number WC 014122576(DC,DE,HI,IN,MD,MN,MT,NY,RI) ve Dale:03/012018tion Date:031012019 (EL)Lim:S1,000,0D0 Carrier:ACE American Insurance Company Policy Number.WCU C64783221(OSI)(AZ.CA,IL,NC.OR,vA,WA) Effective Dale:03/012018 Expiration Date:03/0112019 (EL)Limit:S1,000,000 SIR S 1,00,000 SIR for the states of AZ.CA,IL,NC.OR,VA,WA Carrier.National Union Fire Insurance Company Policy Number.XWC 4595580(OSI)(CO,CT,GA.ME,MI,NV,OH,PA,UT) Effective Date 03/012018 Expiration Dale:03/012019 (EL)Limil:S1,000,000 S1,000,000 SIR for the states of CO,ME,NV,MI,OH.PA,UT S750,000 SIR for the stale of GA S350,000 SIR for The stale of CT Carrier.National Union Fire Insurance Company Policy Number.XWC 4595581(QSI)(MA) Effective Date:031012018 p Fxpiralion Date:031012019 (EL)Limit:S1,000,000 SIR:S500,000 TX Employers XS Indemnity. Carrier-Ainios Union Insurance Comparry Policy Number.TNS C4916693A(TX) Effective Dale:03/012018 Expiration Date:03/012019 (EL)Limit:SIQ000.000 SIR:S1.000,000 ACORD 101 (2008/01) The ACORD name and logo are registered marks off A 008 CORD CORPORATION: All rights reserved. CORD Engineering Dept.(3rd floor) M Parce Ad �, /��, j mit# �3 `� :ouse# g � Date Issued Board of Health(3rd floor)(8:19:30/1:00-4:30) -��/3Li'� Fee Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 1 Admin. Bldg.) oFfHE SEPTIC S : ,S y f ME oard 19 INSTALLS X At TOWN OF BARNSTABIVsRI ®®JE AN® Building Permit Application 'GOWN REGULAMONS 1-?lq7 Project Street Address `; ,<0,(f�j Village , 4� Owner �. C . �} p pl�S Address 100 UJt-s�R',wocJ Cr,.N �w�Wtil h Telephone 2-t S - 5915 — 3 3 (0 1 Permit Request S C AmE.&J 1 0 P C++ First Floor Y_ square feet Second Floor square feet Construction Type oo 0 A-AA Estimated Project Cost $ _(� c-, b Zoning District Flood Plain Water Protection Lot Size 10,0 3 Z' 2- Grandfathered Orfes ❑No Dwelling Type: Single Family L7 Two Family ❑ Multi-Family(#units) Age of Existing Structure 11 Rs. Historic House g g y ❑Yes La*1Go On Old King's Highway ❑Yes aKo Basement Type: UdFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) — Basement Unfinished Area(sq.ft) 1 S r3 6 Number of Baths: Full: Existing z- New Half: Existing New No. of Bedrooms: Existing 'I New Total Room Count(not including baths): Existing New First Floor Room Count Z Heat Type and Fuel: 2T15-as ❑Oil ❑Electric ❑Other Central Air ❑Yes 5Ko Fireplaces: Existing A16 New 'yo Existing wood/coal stove ❑Yes pro Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) done LJ Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 1*10 If yes, site plan review# Current Use Proposed Use Builder Information �i `7 �75- _77 Name d C, \ \P(� Telephone Number 60E - i Address an License# o b 0 q ? a�A oj rA-I\Y\ ,Z rx< A A. Home Improvement Contractor# to b k D,(b Cc r'e�,V,-)e tr j VAi 0 F), Worker's Compensation# A. NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE l© BUILDING PERMIT DENIED FOR THE F LLOWING REASON(S) FOR OFFICIAL USE ONLY • t ` PERMIT NO. DATE ISSUED _ MAP/PARCELS 0: ADDRESS ? VILLAGI OWNER ; DATE OF INSPE ION: FOUNDATION FRAME INSULATION FIREPLACE 4 ELECTRICAL: ROUGH FINAL 1 PLUMBING: ROUGH, FINAL GAS: •ROUGH },y FINAL f„ d� FINAL BUILDING DATE CLOSED OUT.:"`: ASSOCIATION PLAN'NO.i'�i r Thc' Commonwealth of 4fassachusetts i ayii Department of Industrial Accidents ' Office of/nFestlgaUnns �t� A �� 600 ri ashhigton Street Boston, Mau. 02111 Workers' Compensation Insurance Affidavit �pPlicant i.formation Please PRINT lebtbl�„� name f lac•tnon c� ctt� L ( o�- phone�+ c� 7 � � I am a homeowner performing all work myself. I am a sole proprietor and have no one worl;in�; in any capacity _ _„ _ ..s..vno...;^.+..-��r�..r.._...__.�s.,..�.S:aeaaw..r�swz74T,[s•.�>`R16:1+�;....?".�"' -. 1T �'�"".�.�.�-•.V���"�,� "�.�.�.^_�..�.�..� i......_.::�:.....:i:.:..1.: _.�.__.:tea.. ,--•_:•r+.�+w _s�_.Lr.`:m�...._ .�.;..c-�:.�..,..cs�..:�.i� ' � I am an employer.providing workers' compensation for my employees working on this job. nm any name address: city phone#• insur•tnce co policy# 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: company name: address: ch nhone#• tncurincc co .� -�-- -- no )c com anv name: •tddress• citw phone#• insurance olic7-7 # Attach additio_nalsheetiftieces_sarX,;-��.�:P-e}. s'�r.fr'�aZi�ir'r—{=a�n��£ ��! :� 7- �• Y s"`•`~'=�`_utrte� "y+" �'� Failure to secure coverage as required under Section 25A of 11GL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one-cars'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a cope of this statement maN be forwarded to the Office of Inycstigations of the DIA for coverage verification. 1 do herehv certift•!order the pains a d et ie at the information provided above is true and correct. Si=nature GLdL Date �� 9-13 I G 6 Print name �°e Phone# s� ' -7-7 S^-7 official use unly do not write in this area to be completed by city or town official cite or town: permit/liccnse# n l3uilding Department OLicensing Hoard M check if immediate response is required C3Selectmen•s Offi cc D11calth Department contact person: phone#; rjOlher )revised 3;n9 PIA) Information and Instructions F � provide workers' compensation for their Massachusetts General Laws chapter l5_ section �5 requires all employers top p •r any employees. As quoted from the "law an einpho ee is defined as ever) person in the service of another undo. . contract of hire, express or implied, oral or written. An empl(�rer is defined as an individual. partnership, association, corporation or other legal entity, or any 1wo or more c 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 dwellin;_ house Navin= 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 section ''S also states that even state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildinNs in the commonwealth for anyr compl iance with the insurance coverage required. produced acceptable evidence of applicant who has not pro p Additionally, 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 ha been presented to the contracting authority. �.-.ram-��.�...�.�—. ��..r.++.w...w—,.. .... ,.•�� — '�f:J '�.' 7 7 777 ti.�.!J' " Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits 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. • --.. -_.....-...,•.•.-err•.. ..—.--. -..- .,yr..;... ...-.....+..�—r .�..wr��.,",.�."'„" ., ; —• _ .. City or To-wns 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. PleaE be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned tc the Department b) mail or FAX unless other arrangements have been made. Tile Office of Investigations would like to thank you in advance for you 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 fax #: (617) 727-7749 hone #: (617) 727-4900 ext. 406, 409 or 375 °F SNE Tp� The Town of Barnstable a astable B"NSTABIZ • .Department of Health Safety and Environmental Services AjE�N►A'�p Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be� g done by registered contractors, with certain exceptions,along with other requirements. Type of Work:Sc,f_,cJE 0 rdeGty Est.Cost 8 oewczl Address of Work:dg) TG► w, 6(y 44,z Owner's Name Date of Permit 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: 10 /a3IgL S , 4(-,� Date Contractor Name Registration No. OR Date Owner's Name 87M4,PLL. Q)Wvy0R BARNSTABLE LOCATION AtV /)L/e SEWAGE # g7- 7'13 VILLAGE ASSESSOR'S MAP & LOT. INSTALLER'S NAME & PHONE NO. JDA " 9, qa/to SEPTIC TANK CAPACITY IYOO LEACHING FACILITY:(type) 2 - � �UU (sh-e) NO. OF BEDROOMS _PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE - COMPLIANCE ISSUED_ VARIANCE GRANTED: les No rs \ I J l3 1 n \ 3Lt. p r r r . �J R O P. R�tS 3q`0 'PRof PRO au�rt�F�c e � �OLE 3, e PROP: v `'" -�• ar. � ,'hlrl�L�,I NCB LtAC+1` �`5 vo GAL L O T 1Y 'S'i .' ."- __ ' - .' •':,. 'f•: i::{ .6 u4l,,,yeif'.:,: ito-�g5„3"-r,.. r /r f � Oo M-04G;iWZSAGEa CR N R�bR N15 L. t31 34.E .��i��:� •�._�;, _ ; gyp:. •, �� PvT . 1 • _ _ IN. .�`` Trct�null��IFAP2' t)Y PV;,.)X XC 6�4PTT 9��3z lk vran no1l tt'1'pN P ACE, Rr1 1301 e;a.• yrI ;'. ..'.•'-. 1, BOS'1rONr, rill 02108^16 a!8 CONSTRUCTION SUPERVxSOR LICENSE $ � 2 3 19 ;M Number, Expires: Restricted Tot 00 o' �SANF'ORD R TYLER Dzt�Gh bottom, /_�. . �• 68 THIRD AVE Mold sign on lyctYk, and larainate'license cet.Ld. a; ':,W RT, MA 02672 :�:. HYANNISPa K4pp tep for receipt and chance. '`•;„ �1,'°x ' . of ;address notification. C pp 51 ! P Restricted To: 00. ',�` MARTNCHT of FVALM SAM! 80932 •CONSTRUCTION.SUPERVISOR LICENSE a - None r 7,, �,� , N�ab.�;R,;::'; ;: Ezpicesc 10 • 1 & 2 Paeily Holes k ;;RBstitoteQ;Toc'' 0@ Pa11ure to possess a Current edition of the <.;?;1 '.::';: NassasDusetts State WiWag Caft SWORD R TYSBR is cause for revacation of this iicenae. ;.. 0 THIRD ME 4 HYARRISPORT, HA @ZM 20 4�Y�' 1�+�, � � Z C i(ff : 10 tied Wd2z:TT 966T the 1-00 902S LLZ 6OS 'ON 9NOHd Fr�I-ead alitn6tp-10 WOdj ®f WE The Town of Barnstable MAM antexsrnBi.E, • .-•� 9�A ,6 9. Department of Health Safety and Environmental Services rFD Me+" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner March 4, 1997 Paul Rodman 1820 Briarwood Industrial Park Atlanta,Georgia 30329 Re: 49 Third Avenue,West Hyannisport,MA Dear Mr. Rodman: A recant inspection of your home at,49 Third Avenue in West Hyannisport,has revealed significant recent work without permits. Specifically,we noticed a new rear porch,a new deck,interior remodeling, new windows and new electrical work. You must contact this office immediately to avoid enforcement action. Sincerely, Ralph M. Crossen Building Commissioner RMC/km �akQ lPob. Glil � 41opw� ":'OWN OF BARNSTABLE �--� BUILDING PERMIT PARCEL ID 246 103 002 GEOBASE 37307 ADDRESS 87 MAFLE AVE PHONE (215)598-331 W Hyannisport ZIP LOT, 2 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 18834 DESCRIPTION SCREEN IN EXISTING PORCH PERMIT TYPE BREMOD `TITLE RESIDENTIAL ALT/CONY .CONTRACTORS: TYLER, SANFORDDepartment of Health, Safe ARCHITECTS: and Environmental Services TOTAL FEES: $31.00 BOND $.00 p� CONSTRUCTION COSTS $10,000.00 434 RESID ADD/ALT/CONV 1 PRIVATE P E • A fARNSTABLE, s MASS. OWNER ADDICKS, J & C 039• ♦� ADDRESS 100 WISPERWOOD M1� NEWTOWN, PA BUM G D ON B DATE ISSUED 10/25/1996 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS /]p/ 1 1 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. E ii ', I 1 s. L`_ — — PAR Real Estate System - General Property Inquiry Help Parcel Id: 246 103-002- Account No: 373072 Parent : 150366 Location: 8 ,� > :Y 1GIMP-.- Neighborhood: 58AC Fire Dist : HY Devel Lot : 2 17 ' , , Lot Size : .23 Acres Current Own: ADDICKS, JOHN H JR & State Class : 101 ADDICKS, CAROLYN S No. Bldgs : 1 Area: 2016 100 WHISPER WOOD COURT Year Added: 8 NEWTOWN PA 18940 Deed Date : 090196 Reference : 10409068 January 1st : ADDICKS, JOHN H JR & Deed MMDD: 0996 Deed Ref : 10409068 Comments : Values : Land: 55900 Buildings : 89800 Extra Features : Road System: - Index: 968 (MOROBoWAY i Z% ,� �- ) Frntg: Index: ( ) Frntg: Control Info: Last Auto Upd: 020997 Status : C Last TAGS Update : 102996 Land Reviewed By: Date : 0000 Bldgs Reviewed By: JM Date : 0189 Tax Title : Account : Taken: Account Status : Hold Status : Cancel Press�XMT 'for more data Next screen SPAR,. Action Owners Name " > ms aarm=rwe3xsw � Q � ,p Road Index Parue-�m er 246 103 003 RCV F ..* (G3) 1 rl1'^'GdH.iF.e^`bt` PAR -- Real Estate System - General Property Inquiry Help 5"Z -© A,16 Parce -Id: 246 103-003- Account No: 373081 Parent : 150366 Location: _ E W HYPT Neighborhood: 58AC Fire Dist : HY Devel Lot : Lot Size : . 24 Acres Current Own: R U�L, RODMAN 0 State Class : 101 F8-2.01BR=FARWO- NDUST PK No. Bldgs : Y Area: 2240 Year Added: 8 ATLANTA GA 30329 Deed Date : 110188 Reference : 6519/155 January 1st : PAUL, RODMAN 0 Deed MMDD: 1188 Deed Ref : 6519/155 Comments : Values : Land: 55700 Buildings : 102000 Extra Features : Road System: Index: 1709 (THIRD AVE (HYANNIS) ) Frntg: Index: ( ) Frntg: Control Info: Last Auto Upd: 050695 Status : C Last TACS Update: 071190 Land Reviewed By: Date: 0000 Bldgs Reviewed By: ME Date : 0490 Tax Title : Account : Taken: Account Status : Hold Status : Cancel Rr-es-s. ,X-M—T,.,f or„-_ re, data Next screen PAR Action Owners Name Ro Road Name Pa cel Number 246 104 RCV F (G3) 1 PAR eat Estate System - General Property Inquiry Help Parcel Id __ 46 103- _0 - - Account No: 373063 Parent . 150366 Location: 8 FOURTH AVE W HYPT Neighborhood: 58AC Fire Dist : HY Devel Lot : 1 Lot Size : . 26 Acres Current Own: HARRIS, HELEN M State Class : 10. PO BOX 61 No. Bldgs : 1 Area: 2016 QUERY PROPERTY• QUERY END , -' MAR3 1997 QUERY PROPERTY PENTAMATION----------------------------------------------------------- 02/28/97 PARCEL ID 246 103 MrT-fin 2 GEO ID 37308 LOT/BLOPK 3 DBA PROPERTY ADDRESS OWNER PAUL ` j 6l? THIRD AVE (HYANNIS) RODMAN 0 FIS 3/�/9 7 1820 BRIARWOOD INDUST PK W. Hyannisport ATLANTA GA 30329 PHONE DISTRICT HY DEVELOPMENT STATUS C ASSESSOR'S CODE CAPACITY(NOTES) ZONING DIST/ZOC RF- SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? ' # BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 10454 .4. OPER/MGR NAME WET LANDS MULT ADDRESS USE 101 (N)EXT / (P)REVIOUS / NO(T)ES / PER(M) ITS / (V) IOLATIONS / (G)EOBASE / (E)XIT February 28,1997 FROM R.H.W I have noticed the above property having recently completed a number of renovations. These would include but are not limited to: New porch rear of house (approximatly 14 ft by 16 ft. New deck of large area did not measure remodeling of interior including new plumbing fixtures, as the old fixtures are on the rear deck New wiring on the deck and appearing to also be in the interior The possibility of new windows? New fence along Maple Street or Maple Lane Concreate cast front door step. Records show of no permits or work done at the address. Refer to Ralph: I have taken several photos of the above items r L TOWN OF BARNSTABLE WIRING PERMIT •- PARCEL ID 246 103 GEOBASE ID 37308 ADDRESS 49 THIRD AVE (HYANNIS) PHONE W. Hyannisport ZIP - LOT 3 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 21418 DESCRIPTION NO PERMITS FOR DECK-PORCH-PLUMBING -WIRING ET PERMIT TYPE BESAFE TITLE ELECTRICAL SAFETY INSPECT CONTRACTORS: PROPERTY OWNER ARCHITECTS: TOTAL FEES: BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE OWNER PAUL, RODMAN 0 ADDRESS 1820 BRIARWOOD INDUST PK ATLANTA GA DATE ISSUED 02/28/1997 EXPIRATION DATE Department of Heaith, Safety and EnvironinOnW Services �r • .tea. BUILDING DIVISION BY y r ►.. 13m j r g Fjti ; �? LOTS 16 teA 9 V � �,.. ��Pk C 1 S t' a144 „ � �w y Q�• 1 ��! tl., D21 � r L�r/IO-•'' �� i'v b' yet1�.. ' ViAmil® o ,27ACAC . tx" :� : 1 °ti 42'9 "' s;lit 'r'` t 1J 134o,uy zFP 3z 21l' g ax 1063 AC. r o i 8 PAU .27AaC,k,r ti ,IQQ toot, , 1 '7t••i c- ti sa A 'i.e10 ri >. 12 Ml✓W � i, 0. A� 91 100 ,18!At {'4� �- IVv -; !< eT:.e.,,t ez''r ;,,,,:�}7 'h�+t'.r• 1 '� _rCm�a'•ii:. ' ;'°"�P`� 136 0iaO � -.a•� :8 ACt i,7 `.s ;-I /- i ` '�^ �,�n.1«/+ ' ", , >�0. ''y•4C t,r•a ':t dr•'�I� Qy,{M7y� ' .r•' r: _ �''4�0+'"� .�,,+ ut ^Y'>:�t ,�.�;1C" ,`kt,I tN+.. ,'.A"`w"' -•_y. -�`� "�l'�A �r'y` t v' "# S ,y. _ o ' .` . 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PO Sewage Permit number .......................... � L 9AaaszsDLa, t ' Engineering Department (3rd floor): -,of� C� r oo 0 9• 3 House number `e APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR U-1—�CSC S, `00 w E�C.i,tJ C--Cs"/,V 6 APPLICATIONFOR PERMIT TO ..............................:............................................................................................ .. TYPE OF CONSTRUCTION `'�°0 � — . ..................................................................................................................................... A .......Q�7 ---.......--".........19. 7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: .6T . z R �r� Location "................f ProposedUse ............................................................................................................................................... ' Fire District ...... 4.�fJAJE.�Zoning District 4................................... Name of Owner t ' �pL,� f ................I.......�`.--�t`�'`�................Address .�?..'�..•...�iticrrti`.: s ....`..�.°J' 'U'... A � C.... Name of Builder .,. N. ..�.......y/..��...?. ..Address ...............�i��.y►......................................................... // � • Name of Architect .................................... .......................... .•�, ,� ,,� ram., ,r r ('') f Nutuber o'f Rooms ...........: Foundation ft " d �...... .................. Exterior ...... '.�' ......""`� ....... ............ Ro ofi n `? g ....... .. ..........:.. . ..���................................................ Floors � . (` t a `��tc G � "�"� � � ......................................�..............),..............Interior ................... ............................................................ Heating ..................................... ................................Plumbing ..........r ....!. tt U�. ... ................�............ .'Fireplace ....... .... ...... . .. .... . .:...... ... ...... _. :Approximate Cost ................�P(...hC7C�C� .....$................... Definitive Plan Approved by Planning Board __ .2 lu - - 19 ) Area ............................. ............ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH �l F 0- "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. Nam . l / f� e ... . ...............� . ...... . ................... � ........ � ,Construction Supervisor's License ................. . ................ v SPEIGEL, WALTER A=246-103 2 Na .32391 Permit for .4 .....�9...Y.............. I j! St r ,0 Sing.le..Familv Dwellin . ... .....................................q........... Likation ...... .........49...Th.ir.d...Av.en.ue .....................W.,...Hy4ARiSP.q)M..................... ... . ... ..... Owner ....Walter......Speig.gj........................ Type of Construction .......Fr RIQ...................... ............................................................................... rPlot ............................ Lot ................................ Permit Granted ....October....3.1 , 88+ d .............................. . 19 Date of Inspection ....................................19 Date Completed ......................................19 A, NR ,�}-�P�eDv Ass-ss—r'z offioer,(lst floor): ,/ o`�NEto Assessor's map and lot number ..... ....02I�..1./G3 Board of Health (3rd floor): Sewage Permit number ............�� �F/1L1.rI... 1.91........ I l � ` STEM 9T11DLE, Engineering Department (3rd floor): Housenumber ..............................................9...................,. COUP TITLE 5 APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only 4r.4 IAL CODE W." TOWN OF BARNSTABLIE \3`� BUILDING INSPECTOR - S, 0 w EL L.,Al C—Cs//ZJG APPLICATION FOR PERMIT TO ............................................................................................................................. TYPE OF CONSTRUCTION .............. ................................................................................ ..........©G.�.----- ............ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: o`t - 2 V W 4NnJ 5 7�r�T Location .....J...........................`:".. .............................:.................................................... ................................` �. 7 +4 Proposed Use ........JC..tnn q.....................!! .....................................................,1......�..................................................................... Zoning District ..............R.`.8...............................................Fire District ..... `Cy Nl�l Name of Owner .t?a'4. -,.................Address .. VI............. ................................ .... S'. .�► �. Name of Builder ... ... ...........�.. >........ .L.G:. ..Address ......f......................... ............................................. . . Nameof Architect ..................................................................Address .................................................................................... r. r! Number of Rooms ..................`-'...........................................Foundation P. ,•�, n Exterior ......... .I.. ..Roofin 1 .Qg4e 55 .... o 't. 6 .5L-.... g .. .5�� �..i I .......................................... Floors '5/ 4 '" '� T .. .t.` .. (.Interior '` '�� ............................. HeatingoT g I �- i�c,.�1.� Cet, /eUL r7 �— t' ' Fireplace ............... ................ ...Approximate Cost ...............q. 0C.BCC®......I ...................... Definitive Plan Approved by Planning Board -_ - ----�S_-_._--_---I9 6'57 Area L. a ....................... . Diagram of Lot and Building with Dimensions Fee S ' SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Na .. .4'�� � ..... ...... ..../.. .... ....... Construction Supervisor's License .0.:3.08©� SPEIGEL, WALTER ' ff 32391. i .. Permit fog .j.1...StorY.............. 'v* ....... ....... /. - Sin le Famil Dellin .... ...... ....... Y.........w..............q............. - ' Lot #2 49 Third Avenue Location .................... ........................................... , West H am,nis ort ` Y.....: .. L?........................... Owner ..Walte.....SPe el............... - L1 Type of Construction ..Frame . ~ `= ............ ..................... ............. ......................................................... . - Pof ............................ Lot ................................ 1 � f n Permit Granted ....October 31^.....1 19 38 - t T Date of Inspection ..... Date Completed ..... ...:. .........i.`..............r19 ti ����,�;'r.- . .-�j..fa,t4..~,,�`i�.t..•:fir°:'��;�P: r� '��`j�f�a`I�as�;, ?J y -� . ��yrl�r�.l��,l+�;�+ �y^�`I. �, .i�": TOWN'& BARNSTABLE Permit No.32P' BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash �� rr HYANNIS.MASS.02601. Bond .....X. F CERTIFICATE OF USE AND OCCUPANCY Issued to Walter Speigel Address Lot #2, 49 Third Avenue West Hyannisport, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD 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. March 27, 19'"'.............89 '��� Building Inspector r'` t i °�. TOWN OF BARNSTABLE BUILDING DEPARTMENT _ MAN& TOWN OFFICE BUILDING t639.h.�� 4 HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been Cissued for the building authorized by BuildingPermit $k.. ....!.../ .................... .......................................................................................Az2 issuedto Z �! !/�1,, lG ............................................................. ......... .. .. _.... Please release the performance bond. s`faµ{• ( " � .i.i�f:t 1 :C M ;'' !' '. 1 ��t:li ;'_ i '. / (.:� 4�..,�i I1R 4'�f.,.; � " T6 N�'OFAARNSTABLE, MASSACHUSETTS �N ; A=246-103` DATE ' October 31 , 19 88 PERMIT. N0.��� i-D��1• �` �4� tr�� APPLICANT L C Builders ADDRESSC:/o Old Hyanni8,port Realty lk03880?-T (NO.) (STREET) ICONTR,S-iL;f•CENS;EI- 1= 5: PERMIT TO B11i l d DPR'� 1 ,,,u (�) STORY Sin '? Fami 7 V nW�I I j Ilg NUMBER OF lr t err (TYPE OF IMPROVEMENT) NO. � �"—"—''-DWELLING UNITS n (PROPOSED-US E) - ly. AT (LOCATION) __Lot #2, 49 Third Avollue, W. Hyannisport zoNING f FRB Y (NO.) (STREET) DISTRICT BETWEEN AND n ' (CROSS STREET) (CROSS STREET). s ,a t 4 1 :5UBD'IV.ISION LOT LOT BLOCK Irt y SIZE BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRI1CT,fY TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TY,PE) REMARKS: Sewage #87-743 ` o11(`7�"B VOLUAREAME' (1 lOOH sq. ft. ESTIMATED COST y� JO 1 OOO- MIT 80 •JC r (CUBIC/SQUARE FEET) FEE gWNER Waiter S C':igel ADDRESS' Rpbbin �tOc�C1 Canton14A- BUILDING DEPT. BY tt sTT-s 'Eizlar-f`Y'roY'ardT`R' 'it5t-' F�"E``d'P>y'CTC _tv'r"F"RYSFi`Y`FYEC`t�'f7[f5'i-fir OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. _ 'MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE- APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR a 1. FOUNDATIONS OR FOOTINGS. ELECTRICAL, PLUMBING AND. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL FINAL INSPECTION TI TO BEFORE FINAL INSPECTION HAS BEEN MADE. I 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION 1 APPROVALS ELECTRICAL INSPECTION APPROVALS }) 1 I I 1I 2 , I 2 2� 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT OTHER D 9 FOCI BOARD OF HEALTH / i WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN CONSTRUCTION. 11 PERMIT iS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITT NOTIFICATION. I 1 i ' ii ti=246-103 y� I.. DATE October 31 , 19 PERMIT NO. ��( ' P .7 �'.. APPLICANT L C Builders ... ADDRESS(.:IN OldH(STREET)nni sp ort RaaIIt\7 IC#0388O2E)::.: . NUMBER OF , PERMIT TO Build I)WE:a..;t1.nu —(Li-) STORY '>> ll i i' k�C-fflj �S7 nW>> I1 i1CS DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) �,. ZONING {, AT (LOCATION) Trot If2 49 Third t-yir,l'il iu W.. t1�v'< Y11 i1 i1 urt DISTRICT— RB (NO.) (STREET) c, BETWEEN AND . (CROSS STREET) (CROSS STREET) I'__ LOT SUBDIVISION I LOT BLOCK SIZE I� BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. M HEIGHT AND SHALL CONFORM IN CONSTRUCTION �y TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) S�`aa #87-743 fp REMARKS: � f. �ilillC.t ftt -i_ PER MI T. 30 ' 75 AREA ORVOLUME �Os � . ' �� ESTIMATED COST $ 9`)7 FEE F;. (CUBIC/SOUARE FEET) -� t _ l vaalter S i FBI OWNER BUILDING DEPT. t. ADDRESS 6 Robbin Road, Canton �; BY . r ...--•-•.-��w�-�-rr��,�t-Ari-�-I�,-c,v-rvt-rvav--��-.,'o;i.;cs. -rY,e i�5tririv'cEvf--fr+�s.�E�'rroir'r�o>="5'rn�'i..:HeL'ta5ti"i'KE'-d�P>'tTCA"fJY'F'17C�1v(`t'1_=YE'C`6fY1�7Y127-K1"' OF ANY APPLICABLE 5UDDIV1510N RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO ( ATH). FINAL INSPECTION HAS BEEN MADE. '( 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 Z �. HEATING INSPELlION APPROVALS L=NGINEERING DEPARTMENT --- . lC. 3-z 3-8 9 S U L)]I 7- -t Pl/A I /CC C OTHER BOARD OF HEALTH WORK SHALL NOT PROCEED UNTIL THE INSPEC PERMIT 'ry!L L BECOME NULL a N D `�01 D I F CONSTRUCT ION NSPEr;IIONS INDICATED ON THIS CARD CAr TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE AR;A.NGED FOR BY TELEPHONE OR WRIi CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION- ;. /t:��032 . . . . . . . . . zF i _ �oy� f M4S ! RICNARD -� - ---- - UCL 24048 @ . ....... . ..._ ; 9FCIST EaE� LAO CE,27/11=/E4P G4.4T T,U,4T y,4 Th'� ✓ram-��a.✓ -�oc,ac,,/,��- -r/,✓ J �z S,yDWiu yE,eEO.C/Cow-!OL YS Gt//Ti`� -5CA L G— /�� , O.g T� Z -Tat-s�iV aF •�,L,�,�t/ •e E•c��E�t/CE- 4OGA?-Erg lyiry/.c/ T.�/E .�.CoaDPG4/y, jep 9A X V/ /NC ON A,V !/rS�� 74 OET�,�ii�/•C/� .�-UT�/it/�S A��,L/C,4iyT Wes'-r�� ��/!=-_=�,' f BRADLEY, BARRY & TARLOW, P.C. 100 SUMMER STREET BOSTON, MASSACHUSETTS 02110 TELEPHONE (617) 338-6100 JOHN E. BRADLEY OF COUNSEL EDWARD D.TARLOW EDWARD F. BARRY,JR. WALTER C.SPIEGEL BRUCE G. MCNEILL ROBERT J. BAUM EARLE T.SPEAR RICHARD P. BREED III JEFFREY P. HART ALSO ADMITTED IN NEW YORK tALSO ADMITTED IN NEW JERSEY RICHARD H. MURPHY,JR. EDWARD R.WIEST*t FAX(617)423-4391 WILLIAM R. RODGERS* CATHERINE M.VACCA ANDREW M.CURTIS* October 23, 1987 ALBERT A. DE NAPOLI SCOTT A.COOK SUSAN T. UNDERHILL ROBERTA Y. MARTIGNETTI JAMES O.CASEY Building inspector Town of Barnstable 367 Main Street Hyannis, , MA 02601 Re: Lot 2 , , Maple and Third Avenue West hyarinisport, MA Dear Sir: This letter is being provided to you in ccrinection with your issuance of a building permit with respect to the above. lot as shown on a plan entitled "Plari of Land in Barnstable (West Hyan-nisport) , Mays. For Martin Traywick Tr. " Scale 1"=40 ' dated February 19 , 1985 by Baxter & Nye, iric. (the "Plari" ) a copy of which is attached to this letter. The above lot contairis 10, 032 square feet of land. The current zoning by-law provides, however, for a lot size of ore acre. You have therefore requested evidence that the above lot is grandfathered from the 1 acre zoning requirement. The second sentence of the fourth paragraph of M.G.L. c. 40A, Section 6 provides the relevant exemption from changes in zoning requiremerits . This provision reads in relevant part as follows : "Any increase in area, frontage, width, yard or depth requirement of a zoning ordinance or by-law shall riot apply for a period of five years from its effective date or for five years after January 1, 1976, which ever is later, to a lot for single ar.d two-farnily residential use, provided the plan for such lot was recorded or endorsed and such lot was held in common ownership with ary adjoining land and coriformed BRA.DLEY, BARRY & TARLOw, P. C. Building inspectcr October 23, 1987 Page Two to the existing zoning requirements as of January 1, 1976 , and had less area, frontage, width, yard or depth requirements than the riewly effective zoning requirements but contairied at least 7 , 500 square feet of area and 75 feet of frontage, and . . . provided further that the provisions ' of this sentence shall not. apply to .more than three of such adjoining lots held in common ownership.. . . . " Based upon our research at the Barnstable Registry of Deeds, all of the requirements of the foregoing provision have been met. The current by-law permits the lot to be used for a single family dwelling. The "Plan was endorsed by the Barnstable Planning Board on February 25, 1985, which occurred before the zoning change was adopted on February 28 , 1987 by the Barnstable Town: Meeting. Based upon our research at the Registry of Deeds, Lot 2 was held in common ownership with Lots l and 3 as shown on. the Plan as of the date .of the zone charige Lot 2 conformed with the zoning requirements as of January 1, 1976 aril contains at least 7 ,5OO square feet and has at least 75 feet of frontage. Further, based on our research at the Barnstable Registry of Deeds , at the time of the zone change, the lots designated on the Plan as "Charles F. Converse" and "Peter A. Bella, et ali" were riot owned by the same person that owned Lots 1, 2 and 3 as shown on the Plan and therefore no'-more than three adjacent lots as shown on the Plan were held iri ,common ownership. Based upon the foregoing, we are of the opinion that the change in zoning increasing the size of .the lot does riot apply to Lot 2 and that Lot 2 is a valid riori-coriformirig lot. Very truly yours, Bradley, Bar y & Tarlow, P.C. /ricw r S LW"r l�s N 6.ows AAAP MAP -: �Ft IoSL 88Zou 0 V 3 o ,4ss Ta.W L o. 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L zx� � vIfj t Z I N SLeTsi7-PI 30 6IT �a/o-T j aL ✓2octc) Pf SCZEF- fNE-(�s If jet CA C3 -- ,, w Y Pe tit j-Y n1� Lit s r I veld