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0084 WINTER STREET
1�� _ �;� a �I Ii�I. i �� V � 1 n ,, Ir�\ I (. a r r �. a j ,— { �. f. t CAPE CODTOWS! F SANS TA INSULATION 2013 AN 24 A , f0: '3 i1RER DLASi NAM GUTTEOTTI* I SPRAT iDAM 9YSYENDED ' RS INSYIATiON [fI1IN05 !ram 1-800-696-6611 �I € Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Dater Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization.work at the property listed.below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified.Building Performance Institute (BPI) inspector: All work preformed meets or exceeds Federal & State Requirements.' Property Owner Property Address Village Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ) ( ' ) ( ) X) Slopes ( ) ( ) ( ) ( ) ( ) Floors Walls ( ) ) ( ) ) ) Sincerely He y E Ca ' y Jr, President C. e Cod I ! ulation, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION f `30t � Map Parcel Application # 6 Health Division Date Issu 3 l Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 19— 13 Historic - OKH _ Preservation/ Hyannis Project Street Address U� UJAI Village. dwei �� � Owner yV l L r N1Ir��`�S Address Telephone 0 Permit Request 5 rif-l. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �GJnO. (� Construction Type�� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 0 No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing- new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including bath--,): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wo� oal sto�v�e-: ❑ s ❑ No Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: ; xisting ne\y size_ -ri Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: - Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ;b Commercial ❑Yes J3 mo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) r Name Telephone Number Address k V License # d oqg &AV6 Home Improvement Contractor.# Worker's Compensation # ���ZTI ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT ILL BE TAKEN TO Ad_01, /bypog SIGNATURE DATE J t p FOR OFFICIAL USE ONLY f i z APPLICATION# r DATE ISSUED MAP/PARCEL NO. r ADDRESS VILLAGE .t OWNER - DATE OF INSPECTION: ' FOUNDATION " FRAME INSULATION ; 1. FIREPLACE • 6 ELECTRICAL: ROUGH FINAL R PLUMBING: ROUGH FINAL GAS: ROUGH FINAL - • r FINAL BUILDING DATE CLOSED OUT '' ASSOCIATION PLAN NO. - ��.:,►t �.: �,r d� OWNER AUTHORIZATION FORM (Owner's Name owner of'the property located.at � � er (Pr perty Address) 1r DAD (Pr erty Address) a hereby authorize (S.ubcontract an authorized subcontractor for RISE Engineering, to act on my behalf 10 obtain a building permit and to perform work.on:my property. Owners Signature 36 Date K, '-, Massachusetts - Department of Public Safety Board of Buililin- Regulations and Stantlards ® Construfction Supervisor License Licen f CS 100988 tss HENRY CASSIDY ' ' 41 a-�➢ 8 SHED ROW WEST \JARMOUTH, MA 02673 DI X Expiration: 11/11/2013 ( ununissiiuicr Trii: 7620 1�.�. Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/ b14 Tr# 233831 CAPE COD INSULATION, INC _. HENRY CASSIDY 18 REARDON CIRCLE -------------------._._..._.._.._--__-._ SO. YARMOUTH, MA 02664 Update Address and return card. Nlark reason for change, (� Address [j Renewal Employment .� Lost Card N;_A i f5 zuon-u5;i i Office of Consumer Affairs& Busiiness Regulation License or registration valid for individul use only "V�1� OME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: egistration: 153567 Type: Office of Consumer Affairs and Business Regulation xpiration: 12115/2014 Private Corporation 10 Park Plaza-Suite 5170 ` rji- Boston,MA 02116 CAPE CUD INSULATION,' HENRY CASSIDY - 18 REARDON CIRCLE — SO.YARMOUTH, MA 02664 Undersecretary horitho t notZe The Commonwealth of'Massachusetts Print Form Department of Industrial Accidents IT-" Office o Investigations ns {'f p r � JJ f b ° - 1 Congress Street, Suite 100 Boston, MA 02114-2017 try y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A pplicant Information Please Print Legibly Name (Business/organization/individual): l a Address: PA61c �Y-A City/State/Zip: '�O' _ I/t/4L IMK� Phone #: y✓D�— '17�j - r2 Are you an employer? Check t e appropriate box: Type of project(required): I. I ant it employer with �10 4. ❑ I am a general contractor and 1. employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' (No workers' comp. insurance comp. insurance. $ 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ R ooP re a'rs�insurance required.] .r c. 152, §1(4), and we have no �j e� / employees. [No workers' 1 er.3.� Oth W �f h- D comp. insurance required.] 'Any applicant that checks box#1 must also till out the section below showing their workers'compensation policy information. l lomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contactors 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 cued job site. infi�rrnation. Insurance Company Name: aV t hc, C_-�Uvhv Policy #or Self-ins. Lic. #: WGA L,%),j Z&j Expiration Date: Job-Site Address: fq W 161, City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a tine 01�up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. do hereby certif`^''n�ler the sins end enalties of er'ury that the information provided above is true and correct. Si mature: ' / Date: Phone#: © /, Official use only. Do not write in this area,to be completed by city or town offcciaL 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 5. Other Contact Person: Phone#: i IV It• � UU:I I . I l G}Ielltl 45U7 I:CINaL1L. CERTIFICATE OF LABILITY INSURANCE - _ L1NIl,(M1lf lllllb„,';I 1'Hlr CI'rt l Il ll'.A"I I-:I:>t1.aL(E_L)A i q MAl Tt 11 OF INF(3RMAlION ONLY ANR CONFERS NO RIOHTB Ur ON TIiG C61'.TIFICATE I10LG1?I'l,~I~IIIS'I CLF'rIFICATE'UOL"e) NU'(-APFIiMIATIV[t_Y QRN E(,ATIVELY AIVII.NI:),EXTEND OR AL'TGR TfIE COVLI:ACQ AFFOIIDGp IUY Tlil f'OL.141t:S lt1:L.c)VV. Ihid CLRfIFICAI'L L�F INSURANCE WES NOTGC M uIr F AGUN7RACT(3EtWt,EN'I'HL'IyiyIIIN(a INSU1�1=;I�(SJ,AULNGKIGCLt kFPItE,?&N I A FI VI i [)r1 F'F1C:)01LICVR, ANC Tlik,h:kfil'II=IGATE I ILiLL)L°R: :PiYltrl\N1: It 1ki.1(101ltlr ,tu }1uI lur i rn AbUIIIUNALIN iUl t 1) thrl,u cvcy(Ier)uluS bn endorxeLl II'aUtJhC)G,ATIUN I;;IM/ilvLi:?,allllj.lcl ro _ --- '_.--- — _.. _..'Ic I°III' cu lLl 1 LIlu.l l(luna pl tl)c p0114,L.L rtnln lapllclne may I4,I,.,:„ ,,qII l0fanulnnl.A atu tr.ulent u11 tlu uaftlllL:Nlt'(I I,1R;l IIUI 411111(Vf flUlll•J t.1 li'4 .ulUlc„I,r fluhn!r iil Ilul, ,-,l ,-U4I1 CIl C1U1;1CIIInl11(9}, _---- ........ u:a , t'aay I(c . -.,c). ❑c>ruutt NAME MafEiel yuunCt r. _......__..__ NL No t�l'JO8 760.it(iU2 r`AX .. •r J•{I(ULI(V PHONE 1�•t ..11U1 Nil,.11// UIIi•;��I)ll �--- _ :Im,th Uo111111 , M!\ t)2tii1 U'i liu I IUI) },)i4-i;)i{i) � INGl4i1 tt141)AI I'UWnlNld l.11VCN/lirl". ����_ —__,.__._.—_.._...._.__.................. ...................IJ333 '�(Po. Cucl lw: ulatlun Irlu INS Evanston wsuJ Inca Cqu,l1 my 'I ti'', YdlIYl Ll 11 to }�1_)�ttl INSU(tL;R I..Atltlfl 19 LI(UIICCf W)I:11116:;, 11VIA 02 u01 INJURt'li0:4011111IM0IIIc;UI'(1I1Ce Cunlpany 3;jIS•1 INnutteh e ---- - --- -------_...._..... j t LIMFICAILNUMUER ' ti111 u•t, 1 I IIrIJt)I.ILIr Jr IN I1 — -___._--_— __. ._._ ItGVIciII�N NIIIVIIdG'(t N RHNl4 tl,Il,n uu .1'r1.4)rEBEENISS000 10IN1 INSURED NAMht)AI1OVI_ FOR INk POLICY Pt-MUD U e I I I C,,C NIJIIV(d r\NY ht:i.lulrvr_NII-NI I Cltfvl OR 1,i/Ii1110111 OF ANY Cl1NTRACT OR OTHER 004Uml, ( WI I I I ttl':;Nl(.I I"i) 4VI IIL;r1 uuti nl i I n11. fvlA( LSt I;r'.UI [) 01d NIAI' F'kI�IAIN THE INSURAN(:L- ,U'flA(OEO fl)'Tt(EPOLICILS DESCR10EU HFcftklN IS uUO.IL.GT l'U ALL Ilil' 1lliNl6, v...lr:lint S AIvO t UpIUI l l(]N:i C]l- SUCH POLICIES. LIMITS SHpwN lyl.�y t65Vl�t1GEN REQUGFD BY PAID CLAIMS. Ji.. IYh4 (II 114:0.INANGE ApOLSULiR - '— ----„ POLICY tFF Pul IGY ......_.....__....... ' IP(A 1 YOGIC-rp yuUl( RAhIIUDMYYyL(MAt1L10/YYYVI I.IAII u' f, •iL.r.Li Nl IlNttllil-t - "' C ' 46P826306 410112012 04/01/2U1A GL-IVlrttAl t AkILITY u.(__r tC . __..._....__'_.,_ I-+-U--U_'-' ��iLklls4 PIS. . nuu t•.xr'luny L)tw 4�uil ADV INIUTAY v i 000000 --- C1GyLtujLA(311111.U1114 0_000_0001 -� r.l n- 11 L,A I k I.IIh,I AF h LIL�LI NON' � I'rtUOUCI:i•I.QMI/t.)I''nLrl; y,'�ODD Illlll� �� _.__ ----'— CCJhIHIIJIIJSINGLCllle111 - 12MMUCKVI�in 11U91?U'12 U410'lIL1U1; ;it n,:', �_ AEI I ii.ry uoou_v IrluuNt(r r 1;,: I u) v I I nII,Lu Hu I ua X.. Atl I[?`.J PRONCr"111'LlAblallt,-_. I'1 I X VI�IVIt I.I.LA LIr1l:l ......._ .. _ - Jcr.ur, XONJrtS{S'I 141U'll2U'12 U41U'112U9' L gcrl rua:ufatl r+cr r1 000 OQU I I•,W i;LAlAIa-NIAO6 - - - .. .�..1 LIUU UIIU._..... .- cn- .. L_.._.._I......._ .. ......-.__....._.__.__._._ _ A----- --_-__. X nc l r u u,a n I U G U U ---�— - ........ (.llhll l I Alurmurlutilris'IlAnunv WCA0ll52:ilU_' 6/3U12U'12 UGJ3U12U'I' X we 51ruu llu Irl ) )ryl v}I I:i nl i,1J_16ILL IF-I 6Nlnit-r I�L I.t l 'P(.'o IIVk YIN t 'f�QIh` I N1a GL LNri1 Y,.tiulrr�t _._.a_�x00(I�000 ....__._ IS unuula,�u Nrl) i .I;�: ,Io<,.,It��,...a.,, r.L.ntsr_ASL'.h,GtY,1�L.pvGe: •a"I UUU UUU - fli)PI Or )Nl:•.I Af10N;1 I,oluw_.__,.__._—_• __-----------... G.I_L)1 Gn,6•�oui;vl_leur y'I 0U111JU11 :r> 101•I W,ti III Ol t.I'bl l ll)N,'1 LU(J 1IJONS I VL"•ItICL CS(A,i—h ACORL)IU I,Addh1.- � �.4\ayuuly,It P1VIV yPAGJ 14 tUQI1h Vol GUirrlLdis C.unl}d 111forrnutiun `'' „� InClill(V ff 1,)ftlCVl'G PI' PrPpflt�tUfS - � -- - f . i.urunCClh Iiuldur is inglucl" t;"I an additional insuratl ulldul L;unufal Lii oility WhUn regtdrUd by written contract 0f at}p•e�rnent, . _._.. _-- CANCELLATION C iyu GOLt 111L L1I lt1O1 L,lLI[ SHOULD ANY DF THE A60V6 OF$CRIf11<0 POLIG1ki utz 4ANGIt I,Lkl)IJI-J Olt; THE EXPIRATION DATE THEREOF, .NOTICE WILL MV W-11VLktO IN ACCORDANCE WITH THE POLICY FROVIuloN;1. ...__...._.__._.._..... ._..._... AU I ItURIZLD REPRLS L'N I A'I IVE LZI i�1t1t1 2010ACONO GOR1`013AUJON,All 0910 ik>.lwvvll. (:!u mu5) I of`I 1 he ACORL)ti n(a and 1030;1ru rg1,turud marks of ACOR() If�d3J4;1/h1t13U�1(1 MAY TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 Parcel' �� Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/Hyannis Project Street Address Oixl,er 5�., Village 9, n14 Owner Shy Address` S^ �mas TelephoneAe U Permit Request WO)( 7/0 3IV for? ,A re,n1 to helrP, 6_bx�, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �d�Do Construction Type Lot Size Grandfathered: ❑Yes ❑'No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: X Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: a— existing 1 new Total Room Count (not including baths): existing 'T new First Floor Room Count 3 Heat Type and Fuel: 6(Gas 0 Oil ❑ Electric ❑ Other Central Air: ❑Yes KNo Fireplaces: Existing New Existing wood/coal store: ❑=Yes )('No Detached garage: ❑ existing 0 new size—Pool: ❑ existing ❑ new size _ Barn: 0 existing❑ new, size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: v Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Namfe 4r Telephone Number . p Address YeLIASW License# 8$3 Pi✓V► �P� �Z�r3.°t— , Home Improvement Contractor Worker's Compensation # JUC M�R7,?A5 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO &rM c SIGNATURE4rDATE 't - y FOR OFFICIAL USE ONLY APPLICATION# DATt ISSUED MAP/PARCEL NO._ t: r ADDRESS ` VILLAGE OWNER DATE OF INSPECTION: _I FOUNDATION' F FRAME INSULATION FIREPLACE ' .ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: -` ROUGH FINAL If, FINAL BUILDING =-1 t 2�1 f S'. '1 DATE CLOSED OUT ASSOCIATION PLAN NO. l .l i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): / ` - -P;a f S Ae-S S y - . (/I Address: i QWa v i City/State/Zip: e.i,t-r,6 'lip Phone Are you an employer?Check the appropriate box: Type of project(required): 1., I am a employer with__4 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. $ Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.7 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 1 I.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. (' Insurance Company Name: ►2 A fi l T J I Policy#or Self-ins. Lic.#: U 0 (0 S/ Expiration Date: �Q l Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition:"of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA. for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: riev nr // p Date Phone#: /�[�' b S-3 C� 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#: f ti 'ACORDTM CERTIFICATE OF LIABILITY INSURANCE D6/2/ODI0 12/6%2010 PRODUCER Phone: 508-651-7700 Fax: 508-653-8089 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eastern Insurance Group LLC - Commercial ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 233 West Central Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Natick MA 01760 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:Colonv Insurance Company EA Barsness & CO Inc INSURERB:Granite State Insurance Co. 54 Angus Way Centerville MA 02632 INSURERC: INSURER D: - INSURER E: _ COVERAGES 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 ALI, THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID`CLAIMS. INSR DD' POLICYNUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS LTR NS E M/DD DATE MM A GENERAL LIABILITY GL 3 8 5 7119 2/7/2 010 2/7/2 011 EACH OCCURRENCE $1,0 0 0 0 0 0 DAMAX COMMERCIAL GENERAL LIABILITY PREMI ORENTED PREMISES Eaoccurence 1$100 1 000 CLAIMS MADE IX-1 OCCUR MED EXP(Any one person) $5 0 0 0 PERSONAL&ADV INJURY $1 0 0 0' 0 0'0 GENERAL AGGREGATE $2 0 0 0 0 0 0 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2 0 0 0 0 0 0 }; POLICY 7 PRO- LOC ` AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIREDAUTOS BODILY INJURY NON-OWNED AUTOS (Peraccident) $ - PROPERTYDAMAGE $ (Per accident) GARAGELIABILITY - AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHERTHAN EAACC $ AUTOONLY: AGG $ EXCESS/UMBRELLA LIABILITY - EACHOCCURRENCE $ OCCUR 7 CLAIMS MADE AGGREGATE '`$ DEDUCTIBLE $ RETENTION $ $ H. B WORKERS COMPENSATION AND - WC6387325 8/2/2010 8/2/2011 - OOCBY LIMITS O R EMPLOYERS'LIABILITY - ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $__ OFFICERIMEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT ISPECIAL PROVISIONS Workers Compensation certificate will be provided by carrier. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER Town of Branstable WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE 200 Main St. CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO Hyannis MA 02601 SHALL IMPOSE NO OBLIGATION`OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) ©ACORD CORPORATION 1988 Office of Consumer Affairs and fsiness Regulation WX 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Qolitx4ctor Registration i Reqistration: 141078 Type: Private Corporation "• Expiration: 1/6/2012 Tr# 294424 E.A. BARSNESS & CO., INC. - ------------- -- - -- --- ERIC BARSNESS 54 ANGUS WAY --------------- — -- CENTERVILLE, MA 02632 ---- ---- Upolite Address and return card.D1ark reason for change. Address j Renewal __ Employment -! Lost Card DPS-CAI 0 5OM-04104-G101216 Elie- �omLrnaruue¢� o�✓j/la4:uarfru4n,176 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ! before the expiration data. If found return to: HOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation Registration—141078 7 .�� 10 Park Plaza-Suite 5.1,0 ExpiratidIw-,1 2012 Tr# 294424 Boston,MA 02116 Type: . Pnuafe Corporation E.A. BARSNESS&C. °:INC ERIC BARSNESS 54 ANGUS WAY \ U ' CENTERVILLE, MA 02632 ' Undersecretary , C(1 Not valid without signature r Restridedto: 00 Massachusetts - Department of Public Sdfet, � Board of Buildin��J Regulations and standards 00- Unrestricted Construction Supervisor License I-1 2 Family Homes License: CS 79M Restricted to: 00 Failure to possess s current edition of the ERIC A BARSNESSV1fAY G AN 54 US Massachusetts State Building Code 54 AN US E, MA is cause for revocation of this license 02632 As Refer to: WWW-Maas.Gov19PS c— ��_ �- ` Expiration: 8r272011 ( mmisci„r►er Tr#: 20501 °FtHETti Town of Barnstable Regulatory Services BAfWSTASLE y Muss. $, Thomas F.Geiler,Director Fn19. �"��. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town:barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, i L as Owner of the subject property hereby authorize 92-rs n Eby 9t-(,D• s�l1C/ to act on my behalf, in all matters relative to work authorized by this building permit application for W 4e.r . n (Address of Job) Az 14 c ` Signature of Owner ate fir,G -17� 4�G1 TS hesS • Print Name If Property Owner is applying.for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FO RM.S:O WNERPE RM ISS ION Town of Barnstable 1HE Tp�y y�P oT Regulatory Services q Thomas F. Geiler,Director BARNSfABLE, 9 MASS. 0 43A i639. Building Division RFD Tom Perry,Building Commissioner . 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ------- - ---__=_-------------------____= HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwelling of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. e::�•t - c 4 t ~'��', DEFINITION OF HOMEOWNER- ` Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner, Such "homeowner shall submit to the Building Official on,a form.acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section'l09.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and,., requirements. �. Signature of Homeowner r ' Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any-homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do,such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would wvith a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, . that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt , < y 1 F �H r y. e e, Sr 6. -e es,e,,,P-:,t i .. ......... _.. _ .,. ,. i f CD f < < } w 1 r £ V� w t f : L r:.. .....,., ... _ _..g..... µ r ' 3 tA i f W i < I..L , IMPORTANT=ut�GRA®E REQUIRED E `sM f�E �E�E�rQ�� r�EVfE1NED �g�oN� STATE `BUILDING CODE REQUIRES THE`UPGRADING;OF I _ _ ss4 g� ��V���:,.. to f _ __ : A q -SMOKE DETECTORS FOR,THE`-ENTIRE,-DWELLING--WHEN ._ _ .. -• BARNSTABLE BUI'DING DEPT.T DATE , Tlge���y`f � F ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. I NOTE_ iA SEPARATE PERMIT IS[REQUIRED FOR THE i - DATE INSTALLATION Of SMOKEDETECTORS-;THE;ELECTRICAL ' . FIRE DEPA idlC(U PERMIT DOES-N�JT SATISFY THIS REQUIREMENT BOTH SIGAIATORES ARE�?T(G'.tRED FOR PERM iNG .. W 4AUy F , + 2eMt)vei € { , € € € € , € t , ^•, f iCL ! 3 1 S cu cu F f e r y y d cu , v - a c� �I UL '- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel l` Application # �� Health Division - Date Issued Conservation Division ^. .Application Fee Planning Dept: Permit Fee a.s'4's- ... .. :a Date Definitive'Plan Approved by Planning Board Historic _ OKH Preservation/ Hyannis Project Street Address $y �► �Cr� i Village `S _ Owner s e I rk5 Address SY cis It/ v Telephone S Permit Request g calai h �ade -` Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation s (? Construction Type vowl-ra, Lot Size Grandfathered: ❑Yes' ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes XNo On Old King's Highway: ❑Yes IdNo Basement Type: )(Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) (06 Basement Unfinished Area(sq.ft) i2 , Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing I new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 14 Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes (),No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing 0 new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing 0 new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# ' Current Use Proposed Use APPLICANT INFORMATION QQ /�',^� . (BUILDER OR HOMEOWNER) Name F. A, kws'?�aW Telephone Number ,of- Address 4 WeAl License# 72M j4 Home Improvement Contractor# Worker's Compensation # �- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO u C SIGNATURE L9 DATE /,O�? FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. '# ADDRESS VILLAGE OWNER } DATE OF INSPECTION: FOUNDATION ` b FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL _ -FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ` The Commonwealth of Massachusetts ,Department of Industrial Accidents z Office of Investigations, 600 Washington Street Boston$ MA 02111 wwwan ass.go v/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Elet ttricians/Plumbers Applicant Information c Please Print Le ibl Name (Business/Organizationllndividual): K r ��f S n �Sr- 7 q' Address: City/State/Zip: L' V b AC),U3,,0>Phonc.#:_ Are you an employer? Check the appropriate box: Type of project(required): _ 4. ❑ I am a general contractor and I 1. I am a employer with 6. ❑New construction employees (full and/or partfim.e).* have hired the,sub-contractors 2.❑ I am a soleproprietor or'parh]er-' listed on the'attached sheet. T. Remodeling ship and have no employees These sub-contractors have g, 'D Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers'-comp.-insurance comp. insurance. 5. F] 10.❑ Electrical repairs or additions required.) We are a corporation and its 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12-❑Roof repairs insurance required.) t c. 152, §1(4), and we have no 13.❑ Other 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 hire outside contractors must submit a new affidavit indicating such. tContractors that chcck 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 employecs,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 inform ation. c Insurance Company Name: ' V cz N S bt �CtM G L� Policy#or Self-ins. Lic.M Expiration Date: d Job Site Address: r City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure io secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crimiial penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the MA for insurance coverage verification. I do hereby cent' under the pains and penalties of perjury that the inforrnatian provided a ave i true and correct Si attire: Date: Phone# a Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Pern-it/License# Issuing Authority(circle one): 1.Board of Health '2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructl®lls Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation'for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver,or trustee of an individual,partnership, association or other legal entity, employing oyees. However the empl owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall . tic work until acceptable evidence of compliance Mrith the insurance enter into any contract for.the performance of pub requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-conkactor(s)name(s),�address(es)and.phone number(s) along with their cerdficate(s)of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town).".A copy of the affidavit.that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone-and fax number: The Commonwealth of Massachwegs Depar4nant of ladustrial Accidents Office of Investigat!Qns- 600 Washington Street Boston, MA 02111 Tel. # 617-727-490.0 ext.406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 11-22-06 www.mass.gov/dia DATE R TM CERTIFICATE OF LIABILITY INSURANCE 002129 PRODucER`'(800)333-7234 FAX THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eastern Insurance Group LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 233 West Central Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Natick, MA 01760 Regina Fernald INSURERS AFFORDING COVERAGE NAIC# INSURED Ea Barsness & Co Inc INSURER A: Berkley Excess 54 Angus Way INSURER B: American International Group Centervi 11 e, MA 02632 INSURER C: INSURER D: INSURER E: COVERAGES 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 P,ND CONDIT!ONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rA DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY NC861738 0210712009 0210712010 EACH OCCURRENCE $ 100000 r COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 10000 CLAIMS MADE �OCCUR MED EXP(Any one person) $ ,500 PERSONAL 6 ADV INJURY $ 100000 GENERAL AGGREGATE $ 200000 5GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 200000 POLICY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) — HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR El CLAIMS MADE AGGREGATE $ $ I DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC2251982 0810212008 0810212009 X WC STATU- OTH- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 10000 B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE $ 10000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 50000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS 08-487-0032 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL TOWN OF PROVINCETOWN 030 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ATT; DARLENE BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY TOWN HALL OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. PROVINCETOWN, MA AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) FAX: (508)487-0032 ©ACORD CORPORATION 1988 A THE, Town of Barnstable Regulatory Services an NABAULE, ` Thomas V. Geiler,Director '°rFn I,�c.�► Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 4 Y� 1� rksl , as Owner of the subject property ,)n e', hereby authorize n to act on my behalf, in all matters relative to work authorized by this building permit application for. x4lf r 61, #vann i5 (Address of Job) ILJA Signature of Owner ate (3 h Print Name If Property Owner is applying for permit please complete the . Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMIS SION Town of Barnstable Regulatory Services Y Y Thomas F. Geiler,Director + =AIWW6T'ABLE, AcM - ��, 0.39. ,m� Building Division pJfo I�� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone t1 CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess'a license,provided that the owner acts as supervisor. DEFINITION OYHOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work'performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Tluee-family dwellings containing 35,000 cubic feet or larger`will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FOR_MS\homeexempt.DOC - --. r r l IL . � Q Ct .� r 1 Board ot Building Regula ons anci Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 _ Home lmvrovemerit Contractor. Registration Registration: 141078 Type: Private Corporation Expiration: 1%6/2010 TO 261850 E.A. BARSNESS & CO., INC. ERIC BARSNESS 54 ANGUS WAY CENTERVILLE, MA 02632 -- Update Address and return card. Mark reason for change. — Address — Renewal — Employment = Lost Card DPS-CA1 0 5OM-07/07-PC84W g registration�iEe o�..'�aaaac/wael7a Board of Building R Iations and Standards License or r tion valid for individul use only. HOME IMPROVEMEN CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards RegistraBon: 141078 One Ashburton Place Rm 1301 Exorafim 1/6/2010 Tr# 261850 Boston,Ma.02108 Type: Private Corporation E.A. BARSNESS 8 CO.,INC. ERIC BARSNESS 54 ANGUS WAY Not valid without signature CENTERVILLE,MA 02632 Administrator a j � s C tg Massachusetts- Department of Public Safetc Restricted to: 00 Board of Building, <Re.julations and Standards 00- Unrestricted Construction Supervisor License 1G-1 2 Family Homes License: cs 79883 Restricted to: 00 of F' Failure to possess a current edition of the ERIC A BARSNESS f 14 Massachusetts State Building Code 54 ANGUS.V1/AY , is cause for revocation of this license. CENTERVIL•LE MA:`:02632 ' Refer to: WWW.Mass.Gov/DPS �- 1.�- Expiration: 8/27/2011 ('ommisi�ner Tr#: 20501 - t r� c r .�BUILDER INFORMATION Name �()�l'�f�) 6, y� l N Telephone Number Address f L,; � �I�J ,� f�(--f�J+ License# (D, 2t2— Home Improvement Contractor# 1 1 k7)9 Worker's Compensation# ALL CONSTRUCTION D RIS RESULTING OM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION p 509 Parcel Permit# Ia Division�� C�'I R—p2 ! O4 _, k z r � u ete Issued ns'ervation Division -600i" ,I . Application Fee 5 0 Tax Collector ® (��C -- I v "Permit Fee P 2 8 �� Treasurer 10;Z Planning Dept PCi APPI,ICANTMUST OBTAIN ASEWER CONNECTION PERMIT FROM THE Date Definitive Plan Approved by Planning Board ENGINEERING DIVISION PRIOR TO CONSTRUCTION, Historic-OKH Preservation/Hyannis Projed Street Address 8 Ll W 11T(.P- Village A-A n P Owner Raj R05.5 (RAOULSS Address IL/O fbjc}cwvol) Dowr_ Telephone 75— 70 a32. Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new ` y Zoning District Flood Plain Groundwater Overlay Project Valuation _®©Z. (?Cx) Construction Type wovc-f F110 m Lot Size - 7 AC RLP Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure a Historic House: ❑Yes WNo On Old King's Highway: ❑Yes d =No Basement Type: OFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) S;Ff 51 co Number of Baths: Full: existing new Half:existing `R new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count 1 Heat Type and Fuel: $Gas ❑Oil ❑Electric ❑Other r Central Air: ❑Yes 0 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ---- 0ommercial-0—Yes---D No---If yes;bite plan review Current Use Proposed Use J '" _WOM FOR OFFICIAL USE ONLY u z• PERMIT NO. DATE ISSUED r K' MAP/PARCEL NO. ', N i ADDRESS,, -- ' VILLAGE I I OWNER DATE OF INSPECTION: . t FOUNDATION ',�.gip Q Q/-c /2,�/7 Ij,2- FRAME s17'D h INSULATION a/NS v Lc FIREPLACE �> r r ELECTRICAL: ROUGH FINAL 1 f PLUMBING: ROUGH FINAL 1 GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Cr to s +a 1 _IP 21 r" IZA r �L7 PA6�p quo IYrq�r ter;a is =_--, FRO Flo�E�. E.�Isrlr�� �ulr..Urnlr� hG>DrTi�'c, 22' . IZ'x 22.' f7eo POSc n . ..............-- ;r e�lvo� Cl.�c�v G -even �rNDo1 ��r.t:,i:.. / 31 f?.T.IDE�KIuv: (� .3 Zu �r 46 J' 2 x all hT. re4.4ir. M ---__-` - - HANPpm 2X 4"'PT_ Pa2T wHI"IE GE 5N1NC=. I) li Ell `. FOP,rFQ�1n IlI II�IY IGIiT i �v �2.' 12.x 4'"i'E C316 FoOT / \ RAMP-Pi GONCRt FILLED SAUNA TuiS r 11 rr, ZZXB ! 41Q.3.�odo�d i� -- -- - - ! Pl . a Zj kA OKI VI Ld Ln i I! a i .. ..._.__. ..............—__..._—....... !� S ,! e ---- . ..E. ... ..:._.._.._ _..__..._._._...fro_ � - ID .. .. __. .._._._. ... a `•v. ..0 _ . ... Z{ vij �� .. ..w. .. i I Jq cy- Cs CG odd.. cal. 'Z. �•� ��_ _ x ;: OL .ao I 4 oa _ a V i z I c—t _ eJ..� � .�u �. � . �,,, �� i .. V O . b ._.._ _........z.... o�.......taut LIZ In :. <. -CO c. - �_...._. 10 cc 4 3:. X. 0. .. _ .9u 1. r► l 1; , L � ,2 f RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 �� U Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE - !square feet x$96/sq.foot= 3 �' x.0031= 7 ! 'f 57 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x .0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 4 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x .0031= STAND ALONE PERMI TS Open Porch x$30.00= (number) Deck �_x$30,00= a (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost °pTHE T°y, Town of Barnstable Regulatory Services BABKSTABLE. ' Thomas F.Geiler,Director HAss. 9�prED MA'S A � Building Division Tom Perry,Building Commissioner '200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 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:—A 0 0 i� ( D ` _Estimated Cost Address of Work: e , Owner's Name: 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: 0 Q� II11SG Date Contractor Name Registratio No. OR Date Owner's Name Q:forms:homeafftdav The Commonwealth of Massachusetts - Department of Industrial Accidents == 01flce ollasestigatioos 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name T 1Z 1 ?m �L1A L Jy location ci hone#�D 5S ❑ a homeowner performing all work myself. am a sole rcrprietor and have no one worlds in ca acity I em am an :com an .:nam >:x gt�d~Ct X. ? `t <'X. '' '%y »:;>p h Cl �ttsuran %/ ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have n workers' co ensation olices; the folio � ....�?............................:::.. ..................:.:.::.�:::.....:.....:.....::...........:....................................::::.�::::::.:::........ g .. .................................... ...:::................... N. :com an �°name:: ............. .... :::.:..:.......... :. .......................... :.�. ::.................. ...:..:...............::....:...:.....................:.:::.... yhon .z :.:......:.:....:::.::::::.:::................: .:: .:........ MOM:, N::* nm sin ..............::�.;:.:;.;,,4::.;::•;:::>;<:»::::> on ........................... ">. l; ........... X. t l ..... ::., : < Fahare to secure coverage as required wider Section 25A of MGL 152 can lead to the imposition of crmunal penalties o[a fine up to$1,500.00 sad/or one years'imprhonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby c t p p of perjury that the information provided above is true and correct Date sign 2/� Print name C 9 ✓) t'^ --�( �L C � Phone# 0 official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; — ❑Other (Fmud 9195 PJA �l Information and Instructions ' 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 contract of hire, express or implied, oral or written. ' An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants i Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company1 ' names address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of insuzan_ce 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 compensa' tioa 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 returned t0o the Department by mail or FAX unless other arrangements have been made. The 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 Invesduadons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 i ISPRI lid _ �\ a ;4 i'.'ORMegEi sIfMraR��Rlo4rV f'etg9u5l6a9tiioms IRIS of BuiCd►ng R Rt Q 'MiENC© pGtT TE .. FT RE IMAM W Y BOARD. */2aG F BUIL'DINd REGULATIONS 'icena, CO RUCK ION SOR 1.Nu i mbe 0591`82 ' ' Exe�r� 06l03�Rely -� _ b4 Tr.no: 25952 stric � LAUREN F STAP 1'&PApNOMETT MASHPEE MA 02649 Administr ator E' Tibia.iiZ-1h( � �rosssI Fn� p�cripitre Yse3actt+farm aad Tfr*.�'ss��1'Raidss�. ' MS]24S � W� r Floor S Yt r �a �.�� Rrvyt� , Ar=l ON lg SD N Q 123 0.4.0 33 {9 19- ' SD iS AFZ1E R•c. 12% 05Z 1] 19 31 1]19 19 1D 6 VAFts 11 T 1s Z3 !3 AFUE. •1 S'h D.4.5 . 13 NIA WA a.4; 19 SD NHS( 16Y, CJZ 30 19 VA 1ilA X 0.3Z 13 w •1E.• 0.41. '3t. 19 u �A , a � . y 1El. 3j 13 19 10 gO AFtrB y SE'/. CAI1� j9 SC M IEY. QJO 3D •1'. A )DRES%OF PROPERTY: 2, SQUARE FOOTAGE OF ALL FOR WALLS' 3, SQUARE FOOTAGE OF ALL GLAZ'llG• 4. o/q GLAZING AREA( : CT PACKAGE (Q- AA-scc chat a�iaYc):' • S;'SELF . ' • ' G EN'ER.GY'REQCTIFZEMENI'S ' ' OTHER MORE TNVOLVEI)METHODS OF D ETERNMCN NOTE: ARE AVAILABLE.•ASK VS FOR'IHI5 WORMp,'nON. gUILDIr4r INSPECTOR APPROVAL: YES: ` NO: q�forms-�8o307a , Footnoie's to Tsble*J5.2.1b; Glazing area is the iatio of the area of the glazing as.Sca:blies (including sliding-class doors, skyligh�gopzque doors) to the ts,waldi basra3 cnt windows if located in walls that enclose conditioned space, bum�xelvded from ttie U-value requirement. aria, expressed as a percentage. Up-to I/a of the total glazing m=a tray area. exampl Far e;3 ft= gf•deccrative glass rhay be excluded from a building design with.30Q fls of glazing i After January I, 1999, glazing U-values'must be tested and docuaieated by the manufacturer in accordance with the National' Fenestration Rating Council (NFRC) test pracc&re, or'taken:from Table 11.5.39. U-values are for whole unirs:'center-of-glass U-values cannot be rued. .11 The ceiling R-values do riot assume a raised or oversized fetus cbastr'uetloa. the Insulation Ss-dru�Ied four R-3 g insulation thickness• over the exterior walls without compression, R 30 insulation may insulation and ME insulation maybe substitute'd'for R=49 insulation.� 8 k ing he p!a d between sum ofcavir Insulation plus insulating sheathing (if.used). For.ventilated ceilings,. . the conditioned space and-the ventilated portion of the.=f. c ping (if used), Do not include Wall R-values mpresent the sum pf the wall eavity.kWalation plus inst at ng me(i could be tact EITHER exterior siding, Structural sheathing, and intcriar'drytivall.Far example, sa R-19 nqu'uz. by R.I9 cavity insulation'OR R-13'caviry insulation plus R-6 insulating sheathing. Wall requirements 'apply to woad�fc #e or mass (concrete,masonry, log)wall.eonstrucddns,but do mat apply to metal=firama construction. barn. 'The floor•'requiremenis apply to floors•aver unconditla:ied spaces (such as unconditioned crawlspaces,basements, or garages). Floors over outside air must meet the tailing roquir=c=- `The entire opaque portion of any individual basement wall with an average depth less than 5deotse of ca�ndditioned rnc_t the same R-value requirement•is above-grade walls. Vrmdows and sliding gl u o ad bc.,emants must be Included with the other glazing. Hasetneat doors must meet the door U-value req d-scribed in Note b. The R-value requirements ar:for unheated slabs,Add an additional R?for heated slabs. to ' more If the building utilizes electric resistance heating use compliance apgruarh 3; rthe 1. Ifwith the lowest than one piece.of heating equipment or.mare'than piece Of pie of coaling equipment, equipment efficiency must meet or exceed the efficiency required by the seI=tC:d.Fzc`kage- 'For'Heating-Degree Day requirements of the closest city or town see Table J53.1a t~iOTES: a) Glazing areas and U-values are maximum acceptable.leveis.Insulation R values are minimum acceptable levels. p,-value requirements are for insulation only and do not include stet t= l eataponeati. b) Opaque doors in the building envelope must have a U-value no �than 0.35.Door U-values must be tested and documented by the manufacturer in.accordance with the NFRC test Fro°� °1 taken iiom the door U-Value in Table 11.5.3b. If a d'oar contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door.' U_valuj greater than t))ne door may 6e 1, floor, or,basemhis ent walllslab-edge,or crawl space WaU component )two or more areas with c) if a ceiling,wall, floor, different insulation levels, the component complies if the arrx-weighted average R value is greater than or equal to - th e R-vfilue requirement for that component. Glazing or door components complY if y fare �a-weia,�.hted,average U- value of all windows or doors is less than or equal to the U-value rt"quinment(6.3 : 43 AS LOT 185 N8736'00"E 75.64' LOT 3 28 AS LOT 13 /0 LOT 2 � W , m O AS LOT 193=1 S88 50 30"E 74, 98' — �0 ' WA Y (TO WINTER STREET) RES, ZONE.- "RB This ' MORTGAGE INSPECTION 'Plan is For FLOOD ZONE. "C" Bank Use Only TOWN: _TI- Y V I _ REGISTRY OWNER: -CYST R GAS7 DEED REF J1U_6/ZQ� _� —BUYER: _BA&_1L DROSS, _S& DATE: 10 5198 — PLAN REF: 62 3� _ SCALE: 1"= 20___Fl` I HEREBY CERTIFY TO AfE_C0_D_$AAVK&_T&ST_(2Q_ r " YANKEE, SURVEY _ITS'_SUCCESSORS_A_N_D10R A_S_SIC_N_S___THAT THE BUILDING '�, �{ , SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS ' PA�s4 cy`^ ' CONSULTANTS SHOWN AND THAT ITS POSITION DOES ____ CONFORM A y` .awn i.::. „� TO THE ZONING LAW SETBACK REQUIREMENTS OF THE '''-' P:bt�i'r�II4"� 40B (SUITE 1) TOWN OF _ RARNSTA&_,_____________AND THAT �,:R., I� •�Wv INDUSTRY ROAD IT DOES_ NOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD ''„��F ;;q<<<`t�\y�" MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED_6/�9/�f`_ r.`!A` s;�y > TEL: 428-0055 Co unit. —Pa 1 250001 0005 C FAX: 420-5553 Lv ,ti THIS PLAN NOT MADE FROM AN INSTRUMENT 25066 CB PIYl1L A. MERITHEW PLS SURVEY NOT TO BE USED FOR FENCES ETC. dry The Town of Barnstable Department of Health Safety and Environmental Services At- Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner March 22, 1996 Tent'Welker 1470 Route 132 Hyannis, MA Re: Site Plan Review Number 29-96 Avel Laundry of Cape Cod 84 Winter Street Hyannis, MA 02601 Dear Mr.Welker, The above referenced site plan has been approved at the March 21, 1996 meeting of Site Plan Review Committee. The condition(s) is(are) as follows: • When applying for a Building Permit, please separate the residential use from the commercial uses by a drop ceiling, and • submit all subcontractors permits. Please be informed that a building permit is necessary prior to any construction. Upon completion of all work the letter of certification required by Section 4-7.8 (7) of the Town of Barnstable Zoning ordinances must be submitted. Should you have any questions, please feel free to call. Respectfully, Ralph Crossen APPROVED FOR PIPIT. Building Commissioner ,�. E P.o. it RMC/ab BY .� DATE REC'0 The Cum111011wealtlt of Massachusetts Deparrntew of Industrial Accidents s ` i Office 0�/Oi/eSl/9Sl/OJJS 6110 11 asltin,;tutr Street Boston,Altus. 02111 Workers' Compensation Insurance,Afftdavit B.Rnitcant tnforma*:^.., . Please PRiNT;lertblL_�.�_ , �✓a�Snhoneo8 7 -`/90 V 1 am a homeowner performi g all work myself. F ) 1 am a sole proprietor and have no one working in any capacity a l am an emplover providing workers' compensation foamy employees working on this job. cnmpnnt•name! LaL— A41 Y-) insurance Co. RACY# 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• idre city- 45 an ah ne 0, d �'2l- 'L119a 7& insurance co Jk Jyi"� /�7 ,S policy # 1" L+.�u...- •' -'!' -.. = i.srr✓.-..�..-sajwrs-?•*�!'�7.';�'! ,^f+,-r,'�.+e„�� - -_-- "rJCFaf�7'f�'*�-rt;"w;T�S4F._`;ti.��*{r�•q,!+.g,-�R!r.r�.�•.-.�! cmml]am•name: address- 3 S-Z-) its: • �: 7 satyr c d uc� ' Ilolicy# LID .Attach additional'sheet if 6cessarx�� : .::: V:s-+ f;'K..t! +prerf...—:.:.; :etyt4 Failure io secure coverage as required under Section 25A of AiGL 152 can lead to the imposition of criminal penalties of it fine up to S1.500.00 and/or one •cars'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Ofrice of Investigations of the DIA for coverage verification.. !do hereby certi •« let-/hey Pains a, pcttalties ojperjurt•that the information provided above is true and correct: Si_nature L Date y/Z Print name 12 - (� 2 Phone t ® 6) 7 7�— G T official use oniv do not%4itc in this area to be completed by city or town official city or towns permit/license# rnBuilding Department (3Licensing Board o check if immediate response is required QScleetmen's Once �I11eallh Department contact person: phone#;, nOther r r Irmsed 1,19!PJA) ISSUE DATE M/DD/Y (M Y) 0 3/2 9/9 6 ::::::::::::.::: .....::::::........... :::::::::::::::::::::::::: PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF IIVFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE HERBERT GOLDMAN & ASSOC. INS. DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 933 FALMOUTH ROAD HYANNI S, MA 02601 COMPANIES AFFORDING COVERAGE CODE SUB-CODE COMPAN LETTERY A EASTERN CASUALTY INSURANCE CO COMPANY B INSURED _ _ LETTER WALTER RODIN SR. COMPANY C. LETTER DBA DYER ELECTRICAL COMPA 325 STEVENS STREET COMPANY D LETTER HYANN I S , MA 02601 COMPANY E LETTER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LI�� ���W V.... STED BELOW HA EBEEN.ISSUEDTO.THE.INSURED.NAMED�ABOVE.FOR�THE.POLICY.PERIOD �.. INDICATED,NOT'WITHSTAND!NG ANIY REQL'IPEMEN;T,TEPUNI OR CONDITION OF ANY CONIT.ACT OR OTHER DOCL'i+.ENT WITK RESPECT 16 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. CO POLICY EFFECTIVE POLICY EXPIRATIO LTR TYPE OF INSURANCE POLICY NUMBER LIMITS DATE(MM/DD/YY). DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GEN.LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE ❑OCCUR. PERSONAL&ADV.INJURY $ OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per Accident) $ GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATER $ ......:.................................. ............................................... ...................................... OTHER THAN UMBRELLA FORM STATUTORY L7Ri'TS WORKER'S COMPENSATION WC P O 014 9 6 3 0 H—2 4—9 5 0 5—2 7—9 9 EACH ACCIDENT $ 100, 0 0 AND EMPLOYERS'LIABILITY DISEASE-POLICY LIMIT $ 5 0 0, O O DISEASE-EACH EMPLOYEE $ 100, 0 O OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ELECTRICAL CONTRACTING AI k I k ......... .... :.....;:.;.;;;:..;;:.;:: #E SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE QUALITY INN EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO E MAILl 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE ROUTE 132 LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. HYANN I S, MA 02601 :## AUTHORIZED REP TIVE #739-2* ><<«< >':.[?[«<> `>?<[« `` ..............'.,:>::::> :::<«<<< ?<>`< .... :< ' .... .:> z......... IIPOItA'fION.L I?t3 A3RC!Lt> .fh .. .. 1 r} �,` +''' r' ° / At tr 13,m t I.R.....,:�1,45t F3,it ax..: _e_.,.G(-:'_ 13 r...,•,_ .I a:.i,. .H.. r l-t Y'' _ _: rtl rvlt ` Sa ,+ / •t ',t'' r,.im�.r:.` _ ... � ,,.}.-,_t.) A, r I LT TTT- : IN IT T A.i. 0 MAIN 4 - •' +' t '-+ �Y T. t L r+ f s t! � 7.Jr It ti ft rI tr r,,�7 v } T J 1 r [ „}.� f ro y q - r ' -. . . .,.. .ti'.,, .."+•.. �sT,< `.1..1} ,s. tri. .. ,.rn;,s. r;. ..,. c +u.ti l�:.,in",4 _ t - o .. ,, T - r3•Y a -'�`.'�.._'"! .. ' 4 t.t:..".�.,,a.?.tl.. { 1 4 3'T+ f ..y-7.'•° #^^ . � � t' .J.t i,d I ,,.i w to t • 4 ... a r I 1 A r.r•..�;I.`3'ty to:, ,Tf .:,47, 1„L3:a^' -_,.,7,.,,, I _ rt'5�; 2,IX" - 1 1 , `• a�kU 6} �� W ! fc-._: (� Parcel 1,8 7 Permit o ) Date Issued 7 ✓o��/' / ) r�-ef-I4+ Ittj(3rd floor)(8:15 -.9:30%1:00-4:45) 0'-2 R ( r--JS. Fee •� Engineering Dept.(3rd floor) House# "t' ew t„E rq retAddrc BARNSTABLE. A19T OWN OF BARNSTABLE Building Permit Application ; V �-a r 30C Projecss. Village Q-vt tq S t Owner ,46o4nl z55iNJ 4 -t4 Address T, Telephone —7 '7 - i 00 Permit Request �.i Ce i ' t , t i e x First Floor ®® square feet Second Floor square feet Estimated Project Cost $ 00 Zoning District Flood Plain 1! r/yt/� Water Protection Lot Size 3 6 D � 0Urandfathered ? Zoning Board of App is Authorization Recorded Current Use Proposed Use Construction Type \� ` Commercial T, Residential , Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure �),Q 444 lY Basement Type: Finished Historic House 066`49 Unfinished Old King's Highway Number of Baths ®/V e, No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel �,d Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None X Sheds Other Builder Information 1 Name L � Telephone Number 5-09— 7-7 l Address - License# e ®0 Home Improvement Contractor# Worker's Compensation# WC_ 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 s� BUILDING PERMIT DE IED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. l0 DATE ISSUED MAP/PARCEL NO. t ADRESS ' VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME, f INSULATION FIREPLACE' t t..s ELECTRICAL: ROUGH FINAL r ; PLUMBING: ROUGH r FINAL t ' • _ - _ i GAS: f ROUGH , FINAL c- F f # FINAL BUILDING `_,� DATE CLOSED OUT ASSOCIATION PLAN NO. I 1 + i R f ok� '"R''AfABiE' MABB. The Town of Barnstable 059. Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner March 22, 1996 Terry Welker 1470 Route 132 Hyannis, MA Re: Site Plan Review Number 29-96 Avel Laundry of Cape Cod 84 Winter Street Hyannis, MA 02601 Dear Mr.Welker, The above referenced site plan has been approved at the March 21, 1996 meeting of Site Plan Review Committee. The condition(s) is(are) as follows: • When applying for a Building Permit, please separate the residential use from the commercial uses by a drop ceiling, and • submit all subcontractors permits. Please be informed that a building permit is necessary prior to any construction. Upon completion of all work the letter of certification required by Section 4-7.8 (7) of the Town of Barnstable Zoning ardinances must be submitted. Should you have any questions, please feel free to call. Respectfully, Ralph Crossen Building Commissioner RMC/ab `OFiHE ip�� The Town of Barnstable BARNSTABLE.g Department of Health Safety and Environmental Services MASS. t659. �0 prEoy Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice ID Type of Inspection Location 1 k� �,—Permit Number Owner ' , LU.,1 Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: r � h w V ac 0.,(An- NQv) j TWO �A Q- Please call: 508-790-6227 for reeinspection. Inspected by Date � (p NAM . = The Town of Barnstable 59. Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Far: 508-790-6230 Building Commissioner March 22, 1996 Terry Welker 1470 Route 132 Hyannis, MA Re: Site Plan Review Number 29-96 Avel Laundry of Cape Cod 84 Winter Street Hyannis, MA 02601 Dear Mr.Welker, The above referenced site plan has been approved at the March 21, 1996 meeting of Site Plan Review Committee. The condition(s) is(are) as follows: • When applying for a Building Permit, please separate the residential use from the commercial uses by a drop ceiling, and • submit all subcontractors permits. Please be informed that a building permit is necessary prior to any construction. Upon completion of all work the letter of certification required by Section 4-7.8 (7) of the Town of Barnstable Zoning ordinances must be submitted. Should you have any questions, please feel free to call. Respectfully, Ralph Crossen Building Commissioner RMC/ab TOWN OF BARNSTABLE REPORT SUPPLEMENTARY/CONTINUATION REPORT NAME (LAST, FIRST, MIDDLE) ( DIVISION /DHPT NOTE DETAILS & OBSERVATIONS',ITE M ZE EVIDENCE, SERIAL AS ETC. 7r/f—P �Ji/ �i'11.E . `-:.,/` �?.t f.,!✓ C�t_,c'�� \____,� .�.x> ✓ ,,�2i�_..-� _��P'.fI' ?f �iT�/ l /f/7.. s_a,/ ..�..�f /l �-^�...a�� ...� ,✓!-���.C._�^�--,F%r/�.. � .� lf.��_�-9!�'�_ Z" 1 SUBMITTED BY //° J_ PAGE Y 1 TOWN OF BARNSTABLE 4 REPORT SUPPLEMENTARY/CONTINUATION REPORT NAME (LAST, FIRST, MIDDLE) f4 - f / DIVISION /DBPT - NOTE DETAILS 6 OBSERVATIONS-ITEMIZE-EVIDENCE, SERIAL @S ETC. �7? j` /t`..} f1l of ,r' �f A' /i' t! rc•t_ti`- d,/`''� �%�!` � --'`�r'` � / fir �.r_r f t' r ..r ! ' -tic -..��•�:.:r �, d SUBMITTED BY / PAGE k TOWN OF BARNSTABLE REPORT SUPPLEMENTARY/CONTINUATION REPORT NAME (LAST, FIRST, MIDDLE) / ! r DIVISION /DBPT ,r NOTE DETAILS 6 OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL RS ETC. 4 dj r SUBMITTEDBY % PAGE f R . L,iQI rli,Lc11./1+. • v.•�.�. a+Grlu1 LI11�.1I1 Pg 4pxf- e� Of OFFICER'S REPORT Incident No. G DATE REPORTED TIME REPORTED LOCATION OFFENSE(1) DATE OCCURRED TIME OCCUR ED REP CWFICER ID DOMESTIC ABUSE OFFENSE(2) Y or TYPE CODE: AR Arrest 'CO Complainant MP Missing Person OW Owner IN Injured Person RP Reporting Person SU Suspect VI Victim WI Witness TYPE LAST NAME FIRST NAME MI SEX RAC TELEPHONE ADDRESS IV P - Allow a 7 Z _ _ $. t TYPE CODE: AB Abandoned, BI Bicycle EV Evidence FN Found LO Lost PR Property RP Recovered SG Seized Guns ST Stolen TW Towed MV Vehicle TYPE OTY STATE REGISTRATION YR MAKE MODEL COLOR DESCRIPTION—SERIAL OR VIN EST.VALUE DISPOSITION ma a eti t INCIDENT DETAILS:(USE SUPPLEMENTAUCONTINUATION REPORT FORM IF NECESSARY)WARNING:This is an intradepartmental report.Itis a summery and does not NECESSARILY contain all the facts or information known to the officer. F3 a [/ ,rrn6m4f,&;; Z7 .4-.✓y7 ��� i��1u�s �C �° '� y'�� sip S ?�ln-cC S j!,r<�� G✓�-S al�����!/.—�-� P^1 �i�� GG��r.�./ O�l� �9-��2�y�� �5 cc 1T' L Au.c%�2� ,�J ez,%4 o e,-c;- GAgr/ S L f SUPERIOR REVIEW SPECIAL ATTENTION TO INVESTIGATINQ OFFICERrSXNUFIE FURTHER ACTION CONCUR ❑ .. INCOMPLETE(RETURN TO OFFICER) ❑ INCOMPLETE(HOLD) ❑ REVIEWING OFFICER IN STIGATING OFFIC R'S PRINTED NAME DATA 8 g� ❑ NO CONTINUATION REPORT ( t . Barnstable Police Department CASE# c)-6i27 OFFICER'S REPORT PAGE# 2 07, Q 2 SUPPLEMENTARY REPORT.( ) - /!' N S _ �GlIG�Y use t L 177,011 WARNING: This is an intradepartmental report. It islii summary and d-64 not NECESSARILY contain all the fads or information kno n to the officer. SUPERVISOR REVIEW SPECIAL ATTENTION TO IN V TLG NG OF SI TURE FURTHER ACTION CONCUR ❑ —7—d—ri-k-K 07'= INCOMPLETE(RETURN TO OFFICER) ❑ ���5�� REVIEWING O FICER ❑ NO INCOMPLETE(HOLD) ❑ L CEMENT BLK. WALLS COMPO. BOARD TOILET RM.. FL. & WAINS. S. F. I.BRICK WALLS ACOUSTICAL BATH ROOM FLR. S. F STONE WALLS �v4jl TOILET ROOM FLR. S. F. 1 ERIOR FINISH — -- S. F— — BASEMENT AREA LATH & PLASTER MISCELLANEOUS S. F. FULL DRYWALL FIREPROOF CONSTR. S. F. EXTERIOR WALLS WALLBOARD MILL CONSTRUCTION S. F SOLID COM. BRICK UNFIN. INT. FIRE RESISTING COM. BR. ON C. B. STEEL FRAME FACE BR. ON COM. BR. PARTITIONS STEEL BEAMS & COLS. FACE BR. ON C. B. LATH AND PLASTER TIMBER BEAMS & COLS. FACE BR. VEN. DRYWALL STEEL TRUSSES ------- --- -- --------------------- ---- --------- CEMENT OR CINDER BLK BRICK REIN. CONCRETE C. BLK. SPRINKLER SYST — -- ------- -- /�^/� C11T STONE FACING PASSENGER ELEV. STONE OR T. C. TRIM HEATING FREIGHT ELEV. STUCCO ON STEAM INCINERATOR Z S4BFNe-OR SHINGLES L" HOT WATER FIREPLACES PARTY WALLS HOT AIR CHIMNEYS PLATE GLASS FRONT GAS OIL BURNER STEEL FRAME SASH ROOFING COAL STOKER WOOD FRAME SASH REPLACEMENT VALUE COMPOSITION OR-4--Z-G. NO HEATING RENTAL CAPITALIZATION _, LQCATION METAL AIR COND.—REFRIG. LAND GOOD FAIR POOR WOOD DECK AIR COND.—WATER VACANCY LISTER DATE METAL DECK /L�� - b G HEATING -- WIRING WATER FLOORS FLEXLUME OR EQUAL ELECTRICITY OCCUPANCY DETAIL & INCOME B 1ST 2N 3RD PIPE CONDUIT JANITOR CONCRETE MANAGEMENT _- f 7 EARTH PLUMBING PINE BATH ROOMS FG ;`, $N,, TOTAL FLAT EXPENSES HARDWOOD TOILET ROOMS SINGLE FL. WATER CLOSET EXTRA GROSS ANNUAL INCOME — — ASPH. TILE LAVATORY EXTRA LESS FLAT EXPENSES TERRAZZO SINK EXTRA BALANCE FOR CAP WOOD JOIST URINALS CAP. RATE STEEL JOIST NO PLUMBING REFLECTED CAP. VALUE --- — REIN. CONC. -- ---------- ---------- --- OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. 3 -.._. 5 TOTAL =ROPERTY ADDRESS b ZONING I DISTRICT CODE SP-OISTS.I DATE PRINTED I STATE CLASS I PCS I NBHD I PA EL IDENTIFICATION NUMBER KEY NO.. 0084 WINTER STREET 07 WB 400 07HY 07/09/95 3221 00 HY15 R309 187. 224590 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T Lane By/Dale S¢e Dimension Y UNIT ADJ'D.UNIT ACRES/UNITS VALUE Description F I ND L E Y. AL A N C $ S A N D R A M MA P— LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE v ion / CO FED¢ Ih/Acres E #LAN.D 3 34,000 CARDS IN ACCOUNT — 30 3SITE 1 X .1 J= 8 347 i 71999.9 199871.9 .17 34000 #BLOG(S)—CARD-1 3 20.100 01 OF 01 A #PL 84 WINTER STREET HY ILUST 5WTU0— N BATHS 1 .0 U X D= 100 2700.00 2700.00� 1.00 2700 9 #DL LOT 3 !MARKET 68200 I I II #S1 08/79 24 .$00070000 I II NCOME A i ! I I I #RR 1866 (USE r l j I I i I I !APPRAISED VALUE 7 j i I IA 540100 A U I I I I ;PARCEL SUMMARY T I (LAND 34000 A T j I IBLDGS 20101) a� 10•-IMPS TOTAL 54iGO E I I I IN CNS7 E N � i I (PRIOR YEAR VALUE ENCE I DEED REFER Tr DATE Recwustl I T A Book Page Inst. i Mo. Yr Di Sales Pro AND 3 4 O 0 C T Si 6083/326TEI12/87 11500? IBLDGS 2010'i 4438/015! V:03/85 N 120000 !TOTAL 54100 2968/238 ;00/00 I BEAUTY SALON BUILDING PERMIT Number DaI¢ Type Amoant IL N D ADJ—REAR L•^.C 34000 LAAND LAND—ADJ I INCIME i SE SF—BLDS FEATURE BLD—ADJSI UNITS FULL UNF BSMT. 2700 1"' Co.^.s:. Total Base- I Bfiq No — aj Class e Rate Atll.Rate Aye i.i CD Loc tor°A R.G Fepl Cost New Atll Rep] Value Sies Height Rooms Rma BYma /fix. Partywall Fac Units U^ns A ! I Dapr_rm Contl. I30D 000 100 100 49.05 49.05 76 76 18 81 80 61 32915 20100 1.0 1.0 4.0 1.00 / 1/01.00 Descripli Rate Square Feet Re I.Cost MKT.IND X: IMP.BY/DATE: SCALE: ELEMENTS CODE CONSTRJCTItDN DETAIL BAS 1+�0 49.05 616 0215 _ *-------- 28-----------* STYLE 03 ANCH 0.0 r ! DESIGN-A�JMTT -00 -----------U.O ! ! "XTFR�WA—L"S-- -1-1 WWD-SNINGLFS---- =O J ! I EAT/AC-TYPE -03 LFCTRTC---------U.O NT-ER_FTNISH- -04 RYWALL----------- T E! ! NTR�LATOUT -t2 VE_R:IWORMA_L----U:O 22 BASE 22 1 NT-ER.DIIICLTY_ -02 -AWE"-AT-EXTFK:--U:O ! ! FLD-aR-Sl`R-UCT- -02 ti-J03-STIBE_1fI----U-O 4 W ! ! E LOUR-CDVER-- -07 ZNYL-TLOORTNG--U=O - E Total Areas Base 61.6 ! ! OOF F'-TYE---- -01 A-SLE_WSPH-FH---U:O Au = = BUILDING E DIMENSIONS ! ! ELETRI-C-KL JO -U 0 T HAS W N2 E28 A OUNDATT-ON- - -01 WRED-_CO NC-----9-9.9 I *-------------28-----------X -----CON4MERCIA --N liD -IN HYAN7fIS-HYtS L LAND -TOTAL MARKET PARCEL 34000 54100 AREA VARIANCE +0 +0 STANDARD 50 COMMERCIAL. PROPERTY �. MAP NO. LOT NO. Y FIRE DISTRICT SUMMARY STREET 84 Winter Street Hyannis H 2 HND i 309 187 --- ----- — 7 « �OWNER LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: Lot 3 - � BLDGS. TOTAL T....iqn {73°ZL � -----------'—'--•------- ��—/ --—_-1-88 ---40 C-t-f-r-- - LAND -.8716779 - -$-- .17aC m BLDGS. -- -- Solari , Shirley G. 8-17-79 2968 238 $70,0 0-,W7 - TOTAL --- - ----- -- — -- --— ---- LAND ��� ---- 0) BLDGS. J F —T — — -- --- --- --- TOTAL ------ --- ------ - — --- LAND —' BLDGS. m i TOTAL -- - — _ LAND -- BLDGS. Ol --- —---- --- -- -- TOTAL -- -- --- LAND BLDGS. -- -- -- — m TOTAL LAND BLDGS. INTERIOR INSPECTED: 0) TOTAL DATE: LAND ACREAGE COMPUTATIONS BLDGS. - LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT '/2�G r /7 y0000 /�pcS s( Q C) LAND CLEARED FRONT BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR — — - -- --- � BLDGS. WASTE FRONT TOTAL REAR LAN D ----- ----- --- --- BLDGS. m ---------- - -------- TOTAL --------- ------- ----- — LAND -- - ------------- ----------- --- ----- BLDGS. O) LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH % FRONT FT. PRICE TOTAL- DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL _LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. —— --- -- --- TOTAL i Nk R309 187 . A P P R A I S' A L D A T A KEY 224590 FINDLEY, ALAN C & SANDRA M LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=WB 34,000 20, 100 1 A-COST 54, 100 B-MKT 68,200 BY 00/ BY /00 C-INCOME PCA=3221 PCS=00 SIZE= 616 JUST-VAL 54, 100 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA HY15 ----------------------------- COMMERCIAL NBHD IN HYANNIS HY15 PARCEL CONTROL AREA TREND STANDARD 30] 30 LAND-TYPE 340001 LAND-MEAN +0% 54100] IMPROVED-MEAN +0% 50% ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 80%] LOCATION-ADJ APPLY-VAL-STAT 1 LNR]LAND LFT/IMP]ADJS/SB/FEAT STR]STRUCTURE ARR]AREA-MEASUREMENTS NOR]NOTES COM]MARKET INC]INCOME PMR]PERMITS GRR]GRAPHIC FUNCTION-[ ] STRUCTURE-CARD NO-[000] DATA-[ ] XMT[?] Cr t R309 187 . P E R M I T [PMT] ACTION[R] CARD[000] KEY 224590 00000000] PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT [ ] [ ] [ ] [ ] ] [ ] [ ] [ ] [ ] [ ] [ ] [?] [ ] [R309 187 . ] LOC]0084 WINTER STREET CTY]07 TDS] 400 HY KEY] 224590 ----MAILING ADDRESS------- PCA13221 PCS]00 YR]00 PARENT] 0 FINDLEY, ALAN C & SANDRA M MAP] AREA]HY15 JV] MTG]0000 115 BISHOPS TERR SP1] SP2] SP3] UT1] UT2] . 17 SQ FT] 616 HYANNIS MA 02601 AYB] 1976 EYB] 1976 OBS] CONST] 0000 LAND 34000 IMP 20100 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 54100 REA CLASSIFIED #LAND 3 34,000 ASD LND 34000 ASD IMP 20100 ASD OTH #BLDG(S)-CARD-1 3 20, 100 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 84 WINTER STREET HY TAX EXEMPT #DL LOT 3 RESIDENT'L #S1 08/79 24 $00070000 I OPEN SPACE #RR 1866 COMMERCIAL 54100 54100 54100 INDUSTRIAL EXEMPTIONS SALE] 12/87 PRICE] 115000 ORB]6083/326 AFD] I TE LAST ACTIVITY]01/29/88 PCR]Y a'yo ,N c Toy w ... z ; The Town of Barnstable O- tM. `,0 Inspection Department fa Uhl h. 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner TO: Walter Jacobsen Department of Public Works FROM: Joseph D. DaLuz, Building Commissioner SUBJECT: A 30 187 84 Winter Street, Hyannis DATE: February 8, 1993 The building located at 84 Winter Street, Hyannis, is in a Business District and has been used for business purposes. It is my understanding that two (2) employees will work an eight (8) hour day doing laundry for the Hampton Inn. The use of the site should be restricted to four (4) trips per day, two (2) in the morning and two (2) in the afternoon as they have agreed. In addition, large trucks are PROHIBITED. 0 Al t '*THE poi TOWN OF BARNSTABLE - • OFFICE OF 1B WSTAM s BOARD OF HEALTH s CiA68. 0 04 i639, �® 397 MAIN STREET HYANNIS, MASS. 02601 i To : Building Inspector From: Health Department Subject Test hole and Percolation Test examination f o the soil at (Lot) f address) ( Village) was made on 7 and found to be suitable for sub-surface seT,,7age4 at site of test hole. Building Permit will not be approved or se%.7age permit issued until Health Department receives two copies of Dlan t � showing building, sewage systems and all ocher details -l...s�ec. . in Board of Health instructions to .sewage applicants . This approval does not constitute a final decision concerning the installation of a sewage system. All State and local Health regulations apply to final approval. Signature) ' lV / -►2_4 / l/LTC) x. 6/20/75 + 4 !cTY-�—n�fs� - �i 4 •. �r Park Nor-P�, --'� � ���€.'.'� �+ �` ��;� rr �.�', ��.r '� - �s+ fir .♦�,��d, ' y, 'yam E N } 99 p+Y�. J+P'�"' .M af'7' ,^'� Its •'{ ('� ... ' . rt-1,2—i'319 7� " i �N elf" 9r O.a� ti \ N .. k f S Fx N8'8-/y-VS-5 ao ; y r }{ O N�; 21�/� i3 U,S!YES S 1 HEREBY CERTIFY THAT THE # 4 '4jSTRUCTURE SHOWN HEREON WAS LOCATED PLAN OF LAND & STRUCTURE . AN ACTUAL FIELD SURVEY ON ON 197 G . AND CONFORMS TO THE r >ZONINO6Y-LAW -0F THE TOWN OF Z © WAY ©FF YN ovF&Z ST�` !< , W 'a" IRA ST/ 6L , MASSACHUSETTS. ` !� IN BA 2A/STA P LC MASS. REGISTERED LA URVEYOR r ,5 7 ; I' SCALE I"= �o MAY ,197h t �t��F 414 C- -/8 CAPE COD SURVEY /CONSULTANTS . Y Ak} P A. - t EDY fIN + A DIVISION OF 'BOSTON SURVEY CONSULTANTS,INC. r�u , F .� sNG 0ss 0 ROUTE 132 � �1 t � ' , • @�Bt.EP�� ' HYANNIS, MASS. Assess r s map and, lot number SEPTIC S Sewage Permit number ... .`............... o `. INSTq(`E®ST MU$T EM IQ l�EtATP-� gRT1C!� COMPL!gNCr QyoFTHEro�y TOWN OF BARNS ,�T�r ANDSTA TOWIV S. TE EARisTA33U. i { s o 9-A, � " , K� B;UILDIHG ' IH:SPECTOR 4 rJ t.7IC *S APPLICATION FOR PERMIT TO .... /. :..... ......4�! ...a..'P . .......�.W...vb. TYPE OF CONSTRUCTION ..........I'. ' .*... .....10............................. .................. ............ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......F-^. ... .. .........0.� .........w-T..�'1...( .1.'�w.......!*�.(...L . '� .. .q .. ........:.. Proposed Use ...6,0 ........ .:.....�.1�......�......1�:.. .. .._. . .. . . ........ .. �....... .......I R.71, .. ...V.K. Zoning District ... .�Ap3.....................................Fire District ... ../9./.��?.............................................. Name of Owner ..... � A. .!..............Address ..... ....... � ..?''� Pt.9. / Name of Builder / ./. ...d .. .14.!1. .��.I.).....Address ...1..��.f?MA. ....... Name of Architect .....: � .......Address ...are. .JFA.A� S ......A/1..�t.�r.�. . ..a.�.So!�� j•L� � Number of Rooms .....L.7.................................................:'.....Foundation ......P..-p4n?.9.d..... e Exterior r e h..c'!....6.7. 1 !�:.. ,�! +.. ..S�.!h.. J,.eRoofing .:.' . ...:I!I!1 Floors .00. V o?.j.... ! .��...... .A./�.......Interior � . W.A.)�. . Heating . . ...... ..................................Plumbing �? ....A„ L++ f.. . ..... ....... ;Or fz� Fireplace .........!.. -.. .1?..F_ ...................................................Approximate Cost �. �d.d....... T 1 �Definitive Plan Approved by Planning Board ________________________________19________ . Area ........6�i....... ......................... Diagram of Lot and Building with Dimensions Fee / .. SUBJECT TO APPROVAL OF BOARD OF HEALTH OF 9 >13 .I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. j ` Name �G� %L`:........ :. :: �L.. . ....................«.F . . k Granat, Joann 18368 one story, ., No� ................ Permit for .................................... single family dwelling „ .� ...................................inter Street................. Location ........................Hyannis....................................... n w Joann Granat Owner . ................ .. - Type of Construction .......frame........................ ,.._ ............'........................................... . ................. a #84 r .-Plot ............................ Lot ................................ - 1 Permit , ..........May. 6 ..... .........19 76 Granted •� . ��- _Date of Inspection Date Completed ` 1`..........:...:...........:...........19 r PERMIT REFUSED fr f �......................................................... 19 r- ........... ...... ............ .............. ............. ... ............ .......... ........ ......................... � ' r vyr t ......... .R.......... ...................... . .... ... .: Approved .............................. 19 . r ............ .... ................. ... .......... .................... Y......................................�....... .... 'D` wY •,c+;' mr. r.�_ ; .. ,. ... .. �. 4 .,,. .. - . IAssessor's map and lot number .... . ,... Sewage Permit number ........................................................... �Py�FTNE,T��o TOWN OF BRNSTABL.L i BARNSTABLE. 1 16 BUILDING INSPECTOR ° E Jul a' , c ( APPLICATION FOR PERMIT TO .... .. ... ....�...... E... 4. M TYPE OF CONSTRUCTION ........... d........ .0 °? ... a .. ...... ...t!.Y yi i'F ......................:./. ............19. .t? r 1-r TO THE INSPECTOR OF BUILDINGS: - �t~-� The undersigned hereby applies for a permit according to the following-,information: Location .....�.& ...ZIFAP. .........M!.�, .........Kl./. ..fit�:�a�a ..... (...jet.��.� .. • r Proposed Use ...rloje .. 1 l...ti � . ' ..,...bi t ll.:t�4 f'. ...: � :� a�.. '. AY` `. . Zoning District ... ,t .kJ.%.. . .......................... ....:........ :..Fire District . .Y1.l ........................ ..... Name of Owner ti.J�.. .}'� ..... ` .�. ..........Address ..is. �7.,a..... .. 1'� ,r`�;"oli.f.. 1 " �V Name of Builder .p�f.�..�...1 .�.�5.� . �..�.....Address !`.�'^�':{::l tas Name of Architect ..... 4,444%'" .......Address Number of Rooms •......& ....................................................Foundation ...:..P.0.A?kA.d.....!��?.i��1. .��,.1.......... �1/f Exierior �p..t ..../.. ;/./4�.... i+r.�• .. �.t.t)." Roofing .: Floors � i,? .... t.��... .. ........Interior .... ,j!.....#d` ..aA)j� Heating :»• .17 ..........................................:.Plumbing .�rl.l .! ' ... i�d�:�!''�.......�'a�. . . . ✓' ........ ...... f Fireplace ......... �. ..:.............................................Approximate Cost . ./.� .��....... .... ........................... DefinfifW&Plan Approved by Planning Board -- -----------____-----____19--------- . >t Area ................ ......................... Diagram of-Lot and •Buildi•ng with :Dimensions •Fee .f :�• ...................... SUBJECT TO APPROVAL,OF BOARD OF HEALTH yy •c N V +r. ' 1 4 I -"'.HW�+•'*++www�.w:n•.�vp.:Mw•aww.nsx�emcaenrr.rsY r 1'�n f -k� .• ,. p I hereb a ree toyconform to all the Rules and Regulation's of the Town of Barnstable regarding the above Y 9 - -- construction. Name ... ....... . ........ ram.. ........................ Granat, Joann A=309-18 No Permit ,for ..... p......... ..q.i1Rgzle mly .. ........fai ........... ............................. Location .........aft- Winter Street ...................................................... ........................ .................. ..................... Owner Joann G.r alp t...... ............................ ..................... • Type of Construction ............frame...................... ............................... ................................................ #84 Plot ............................ Lot ................................ Ma 16 76 Permit Granted ............ .. ....................19 Date of Inspection ........ .. ...................19 Date Completed .............. ...................19 PERMIT REFUSED ................................................................. 19 . ............................................................................... ............... ... ....... ............................................. ........... .... 7.. ................................................... ........ ..... . .. .. .. . . . ... ....................................... J A J� -Approved........ ........................................ 19 ............................................................................... ............... .......... .................................................. I I I ii i : � r } r:1 • To 14 'i -- F-I . - -- l -m-- : _ V' o p _ r ON ION Ja tn i Ali LIN to