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HomeMy WebLinkAbout0034 WOLLEY ROAD 3 � w � _ _ - _ _f� Town of Barnstable Buildi g n _ Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept Posted Until Final Inspection Has Been Made. pr 1t __....,. .-rtifi „ is Required,such Building shall Not be Occupied until a Final Inspection has been made. Where a Certificate of Occupancy � Permit No. B-19-1972 Applicant Name: Approvals Date Issued: 06/17/2019 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 12/17/2019 Foundation: Location: 34 WOLLEY ROAD, HYANNIS Map/Lot:_270-168 .� Zoning District: RB Sheathing: Owner on Record: GRANCHAROV,ALEKSANDER B&VANESSA S Contractor Name° 11 Framing: 1 Address: 34 WOLLEY ROAD Contractor License: 2 HYANNIS, MA 02601 Est. Project Cost: $0.00 Chimney: Description: NEW 80 SQ. FT SHED Permit Fee: $35.00 Insulation: Fee Paid: $35.00 Project Review Req: ;� Final: Date:. � 6/17/2019 `,' � 10 Plumbing/Gas y Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months"afterissuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures.shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing x. 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining"is installed R 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. 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: Town of Barnstable Building Department Services Brian Florence,CBO • amx Building Commissioner , 163 ��i� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 �UZ PERMIT#_T - 1 t "- L ! op FEE: III SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less 0—vi IS wo Location of shed(address) Village VSolAr C�CaMIAACOII Property owner's name Telephone number Size of Shed Map/Parcel# / E-Mail Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? You must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:08/6/17 {i M Legend x G Parcels !r� �. '.Town Boundary Railroad Tracks Buildings Approx.Building r-J""- • �2701 6Z r Buildings �,;.;;:;•;: #42 Painted Lines a ; Parking Lots Paved Unpaved 1 270174 Driveways - #1:39 13 Pared M nA �* s f ;:''Unpaved " Roads r © Paved Road * i { Unpaved Road 01 a iyY ®Bridge ■ Paved Median WIA Streams Marsh M Water Bodies 2.7014$ ft�h, N 2,701:73 t� a e 0 JJj o- a f A Y � 270172- 123 Map printed on: 6/11/2019 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 02601 O 21 42 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 508-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale: i inch= 21 feet 0 cartographic errors or omissions. gis@town.barnstable.ma.us � s PE , 01 CA ; INSULATION 2014 A 28 Ah r) REIN" IIYiN GIAyi' ffA MlfSi SP0.AT iGAM SY$PfN4[P 0.AM 4UR60.5 ..*Uf UQH MUNY{ DIVJSJOR! 1.04Vn of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 0260.1 Date: •�/df y �1 i .Dear Building Inspector., l 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 perinit application. All work. has been inspected by a:certified Building Perfonzzance Institute } (I3m) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Villa�e II; 111sUlation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted✓ } Slopes ( ) ( ) ( ) ( ) ( ) i Floors ( ) ( ) ( ) ( ) ( ) l Walls ( ) ( ) ( ) ( ) ( ) i A., � 1 Sincerely ; ; Hery L Cas y Jr, President (:'• e Cod In ulation, Inc: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel plication`# 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 4J2le(z � Village 01Ned AZAZ/mod Owner ,t/c� ss �,� y9T�d �/ Address .� Telephone_ - Permit Request 3/4 Square feet:'1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2 y a Oe OConstruction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Q*/ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes Q No On Old Kings l lighway''7 Yew LI-No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other - Basement Finished Area (sq.ft.) Basement Unfinished Area (sq:ft) -- 9 Number of Baths: Full: existing new Half: existing i new S Number of Bedrooms: existing _new c? Total Room Count (not including baths): existing new First Floor Room Counts `T' Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No' Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) -- Name D /Gf�rJ �/� 6�0 Telephone Number :�� Y Z ! Address 1���r�12�''©.� �j, i License# /6 e�, 9 401 �� Home Improvement Contractor# �� S�� Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING°FROM THIS PROJECTTWW LL BE TAKEN TO SIGNATURE DATE // vv FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAR/PARCEL NO. ADDRESS, VILLAGE 5 OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION +t FIREPLACE s ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING. DATE CLOSED OUT AS-SOCIATION PLAN NO. Massachusetts -Depakm`,wnt of P blic Safety' Board of Building Regula;lansnc! Standards I Construction Supervisor -� t License: CS-100988 HENRY E CASSID ' ' 8 SHED ROW s WEST YARMOLFrH a v. 2 J1 ` 1i �,1 Expiration � � . 11/11/2015 Commissioner - s '19 - Office of Consumer Affairs and Business Regulation 10 Park Plaza'- Suite 5170 j r Boston, Massachpsetts 02116 a w. Home Improvement Contractor Registration t Registration: 153567 �g Type: Private Corporation Y r f Expiration: 12/15/2014 Tr# 233831 CAPE COD INSULATION INC Y E HENRY CASSIDY 18 REARDON CIRCLE SO. YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. Address Renewal 0,Employment ( Lost Card SCA 1 G 20M-05/11 liearrurirorcruea•CC�i oC/�lcradcrcLuc�r . Office of Consumer Affairs&Business Regulation License or registration valid for individul use only _ OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: —_ gistration: 53,567 Type: xpiration: 12/1°5/2f) 4 Office of Consumer Affairs and Business Regulation I Private Corporation Park Plaza-Suite 5170 '_-- 1, Boston,MA 02116 CAPE COD INSULATION,,I0C U. HENRY CASSIDY t t: fi 18 REARDON CIRCLE SO,YARMOUTH,MA 02664 Undersecretary of val witho t nat re 4 r 4 4.,. 21 The Commonwealth of Massachusetts Department of Industrial Accidents. l' Office of Investigations a _I Congress Street, Suite 100 Boston, MA 02114-2017 www mass.;ov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/]Electricians/Plumbers Applicant Liformation Please Print Legibly Name (Business/Organization/individual): �U� �v, (a Address: G ✓ V, Cif /State/Gip: �61A "v� GUI W1.8`G� ° Phone#: 0� -7�. � c2l . Y A e ou an employer? Check the a propriate box: Type_of project(required): I.-Wl am a employer. with Zr2 ❑ I am a general contractor and 1 6 New construction employees (full and/or part-time).* have hired the sub-contractors listed on the attached sheet. 7. ❑ Remodeling 2.❑ I.am a sole proprietor or'partner- These sub-contractors have ship and have no employees 8. ❑ Demolition employees and have workers' working for me in any capacity. 9.• ❑ Building addition No workers' com insurance comp. insurance.# [ p• 10.❑ Electrical repairsor additions required.] 5• ❑ We are a corporation and its ;.❑ l am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself.homeowner workers' comp: right of exemption per MGL l2.❑ Roof repairs c. 152;§1(4),and we have no l���� insurance required.] t 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 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 inf i�rmution. U¢' t v V��V�{/✓�y�� Insurance Company Name: Policy#or Self-ins. .Lic. #: WC� Q��Zr1 Expiration Date: 1� �6 Job Site Addressa� /fity/State/Zip: l_,t�_ Attach a copy of the workers' compensation policy d laration 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 tine 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. /do hereby cer tfy e.r the pains and penalties of perjury that the information providers above is true and correct Dat e: Simature: Phone# official use City or only. Do not write in this area,to be completed by city or town official. C 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#: CAP.ECOD-27 CVANGELDER DATE(MMIODIYYYYI CERTIFICATE OF LIABILITY INSURANCE F41112014 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 INSURERS AUTHORIZED I Ot REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to tho terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certiticate holdar in lieu of such ondorsement(s). FROOUCEK - CONTACT NAME: Cape Cod Commercial 43 ars 8 Gray Insurance Agency, Inc. 1PMuNE — -- FAX---(877)816 2156 �I34 Rte 134 - - - - AIC No Exti: LA/CyNo1: -._81 —.—_ South Dennis,MA 02660 EMAIL ADDRESS: _ INSURER(S)AFFORDING COVERAGE NAIC0 wsURFRA_Peerless insurance Compan r� NSUREu INSURER e,COMMERCE INSURANCE COMPANY Cape Cod Insulation Inc INSURERC:Evanston Insurance Com_pJ_ariy 10 Reardon Circle _ INSURERo:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth, MA 02664 INSURERE: ..----- --- — INSURERF: ` COVERAGES _ CERTIFICATE NUMBER: REVISION NUMBER: IHIS IS 10 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD iNDICA FED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR,CONDITION OF ANY'CONTRACT,OR,OTHER DOCUMENT WITH:RESPECT TO WHICH THIS U..R I'll-ICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOkotb'BY'THE POLICIES DESCRIBED HEREIN IS SUBJECT 1.0 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.,LIMITS SHOWN MAY HAVE;BEEN REDUCED BY PAID CLAIMS:, t.TN! TYPk OF INSURANCE" A17bL.SOBR <<i-(, , __—___t -POLICY EFF POLICY EXPO POLICY NUMBER -f MM /D yyj MM/DDtyyyyl LIMITS A I X I COMMERCIAL GENERAL LIABILITY �.J } �� i ' I I"z ,:i•. I T ' '' EACH OCCURRENCE r $ 1,000,00 I CLAIMS MAUE' X, OCCUR C76P8263063-` `'L ' 04/01/2014 04/01/2015 PREMISES(Ea occcuErrence� $ 100,00 MED EXP(Ally one person) _ $ 5,000 PERSO_N &_AL ADV INJURY $ _ 1,000,00 7. k'Nl AG(',Rt-_ ;AIE LIMIT APPLIES PER: - I GENERAL AGGREGATE $ 2,000,00 X F'i ucy I l - - ( PRODUCTS-CUMQIOP AGG NI{O $ 2,000,000 JECT l ^a LOC I UlflLR i $ AUTOMOBILE LIABILITY I '..,. COMBINED I LF LIMIT b --- B ANY A010 14MMBCKVMK _' 0,410112014 04/01/2015 BODILY,INJURY(Per peeson). $. ALL OWNEL) 'X SCHEDULED �, 4.: �BODILfY INJURY.(Por accident) '$ ---.--1,000,000 w ,lll'US _ _ AUTOS - i I :.li t I r t. . - . NON-OWNED PROPERTY DAMAGE X rIiRELtAUIOS X ..r..;,,-a Per accident AUTOS _ i X umeRELLA uAB X OCCUR EACH OCCURRENCE $ T1000,000 C excess LIAU. _ ._. .._ CLAIMS-MADE R/O XONJ453512' T.:t 10410112014 04/01/2015 AGGREGATE —-- § _ I IED 1 X ItE I c". r10N$- — 10,000 R ti ��! . Aggregate,,..:. -$ 1,000,000 WORKERS COMPENSATION U •..- '.'1.:S STATUTE, ERH_ .AND EMPLOYERS'LIABILITY Y!N �� - >< 'i ''� D ANYEnoPMieTORIPARTNERIEXECUTIVE �-��^y�� WCA00525904 06130/2013 06113 /2014' -.L EACHACCIDFNT $ 1,000.00 ;0FI:iCERiMEMHER EXCLUDED? NIA T IJMondatory In NH) 1,000,000*1` .r1. ,''{=+ " I:, ,:c •' ,` E.L.DISEASE-�A EMPLOYEE $ (f1cSCRIF'I'IONOF-01'ERAI'IQNSbelow `E.L.DISEASC-POLICY LIMIT $ 1,000,00 UESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES,(ACORO.101,Additional Remarks Schedule,maybe attached It more space Is required) , ..•., : -_ Wurkers Compensation includes.Officers or Proprietors- " Additional Insured status is provided under the General Liability and Auto Liability when required by written contrau of agreement with the Certificate Holder. CERCIFICATE HOLDER .;CANCELLATION'. j SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EVIDENCE OF INSURANCE THE. EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved ACU D 25(2014/01) `The ACORD name and logo are registered marks of ACORD _ i $0,,tm.ro,INV I W c rn CWAnxs mass save CONMCMR :awnac Nnrnph onnnnNlinrrcv PERMIT AUTHORIZATION FORM r`l U &an&aYo\f , owner'of the property located at: (Owner's Name,printed) at 6 �C u tCnh+S (off (Prop rty Street Address) (Cityfrown) hereby authorize the Mass Save Home Energy:Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to,perform insulation and/or weathenzation work on my property. I Owner's Sign ture Date a FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: R. C�e coA �i�5�t.aZZ c1✓�e �+J(a ���� Participating Contractor. Date Rev.12132011 t 'f .a a T . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- �.� Parcel - Application Health Division Date Issued Conservation Division Application Fee Planning Dept. ~ Permit Fee Date Definitive Plan Approved by Planning Board P Historic - OKH _ Preservation / Hyannis Project Street Address Village 'a�i✓k� lSf M4� Owner I C TC—_ GZ 17 Address Telephone �u Permit Request (2011JVCfZ�_ C A 000 to 1 O CjAnS Y, Kit a �n A rA-N /4-6`+-OK- 74 6--i v�tiny 9C.S r ! Square feet: 1 st floor: existing la&proposed 0 2nd.floor: existing e7 proposed Total new C� Zoning District Flood Plain NO Groundwater Overlay Project Valuation I&(Foo Construction Type WooD EYCAmg Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supposing ddRumer tation. Dwelling Type: Single Family '�S, Two Family ❑ Multi-Family (# units) INJ 4,s'r Age of Existing Structure Historic House: ❑Yes PkNo On Old King's Highway: 'U 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 O new Number of Bedrooms: 3 existing a new Total Room Count (not including baths): existing -5 _new First Floor Room Count Heat Type and Fuel: XGas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes j No Fireplaces: Existing INew C1 Existing wood/coal stove: ❑Yes �kNo 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 ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use -- _ APPLICANT INFORMATION (BUILDER OR-HOMEOWNER) Name D esyG10 = AZ e-86 Telephone Number 312, Address 9L/ ML ie-/e_pi G72 License# �61 0 ✓ Home Improvement Contractor# 1 19t 7b�-S i 1—►4'L--/trio��-1�- %Vl�- G�S c�6 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO —t L D C= L L_ SIGNATURE lip A DATE Y _ !C2 } FOR OFFICIAL USE ONLY E APPLICATION# !, DATE ISSUED f . MAP/PARCEL NO. 't ' ADDRESS VILLAGE OWNER DATE OF INSPECTION: —FOUNDATION ! i r FRAME I _INWULATION: FIREPLACE -,4 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: " c �_- ROUGH FINAL :F.I.NAL RUILDINGrs. _ r _ t DATE CLOSED OUT { ASSOCIATION PLAN NO. The Cornrrwmwealth ofAfassachusetfs DePanmeM of Industrial Accidentr Q)TXe oflnvesfi ,afions 600 Washington Street , f Boston, MA OZIZl ,. wwrt.mass gov%dia Workers' Compensation Tnwrance Affidavit: Builders/Contractors/IIectricians/Plumbers A Ream Information Please Print Le ' I Name (Business/Organizationdndividnal): Address: City/State/Zip: G_7r+S 11— _�-L Phone# Are you an employer? Check the appropriate bar. I.❑ I am a employer with. 4. []I am a general contractor and I Type of project(required): . eulployees(M and/or part-time).* . have hired the sub-contractors. 6 ❑New.construction 12.KI am a sole proprietor or partner- listed on the attached sheet 7 Q Remodeling ship and have no employees These sub-contractors have 8, []Demolition working for me.in any capacity, employees and have workers' [No workers )comp•insurance: coup.msuranceJ 9• ElBu Building addition . requtired] 5. [] We are a corporation and its 10:❑Electrical repass or additions 3. J am a homeowner doing all work officers have exercised their 11.❑Phmmbin Myself [No workers' co t of ex g repairs or additions rap.. .. ; right emption per MGL IZ. Roof r insurancerequired.]t c. 152, §1(4),and we have no epars employees.INC)woriceis' 13.0 Dther ' Comp.insurance reQunI r_d "Any applicant that checks box#I.must also fill out the section below showing their workers eo eusation oli t a,-=wnors who submit this affidavit indicatingthey are, i P cy infotmatioa tConhactms Ed check this box mast—rbcd an additional sheet all work and then biro outside contiactnrs mast submit a new afidavit indicating such• showing the name of the sub-ront-tors and state whether or not those entities have. e�loyers If�c sub-�ontcactnrs have employees,they amst provide ffi= wod=.caanp,policy number. I ran as employer that is providing workers'courpensufion ALfOrll£¢fZOm insurance for my employee.,» Below is the po&cy and job site , Insurance Company Name: Policy#or Self-ins.Lic.## Expiration lute; Job Site Address, City/State/Zip; Attach a copy of the workers' compensation policy declaration page(showing the policy number and Faila e to secure coverage as required under Section 25A of MOIL c.152 can lead to the imposition of expiration.��) nsommmlt, as well.as civil penalties in the fozm off fine up to$1,500.00 and/or one-year i a STOP WORK ORDER penalties.and o f 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 mourn co coverage verification I do hereby p th airs andP erealti ofPcU7'that the information provided above is true and correct Si _ Date: PhoneL Ul-- i Offzcial use onlp. Do not write:epaeut ompleted by city or town pffzciaL Cite or Town. PermitUcense# Is Authority(cu(circle one): L Board of Health 2.Buildingty/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6. Other Contact Person: Phone#: Nlassachusetts- Department of Public Safeh Board of Building Re"g lations and Standards Construction Supervisor License License: CS 46189 DAVID H WEBB 24 MEADOW VIEW DR E FALMOUTH, MA 02536 Expiration: 10/29/2012 ('ununissiuner Tr#: 5127 �,—�n ,,,� License or registration valid for individul use only I Office of'coumer airs ufi�uess egu,a on before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Type ' Office of Consumer Affairs and Business Regulation j Registration 119766 10 Park Plaza-Suite 5170 ! Expiration: 8/28/2013 DBA ` Boston,MA 02116 FCRAFT DESIGNS DAVID WEBB 25 MEADOW VIEW DR g�i EAST FALMOUTH,MA 02536 ', Undersecretary Not valid without signature t Town of Barnstable Regulatory Services Mg Thomas F.Geiler,Director 1639. Building DMision 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 l' as,Ownet of the subject property hereby authorize ��Y �' - �C�I3/� to act on ray be bal� . in all,matten relative to work authorized by this building permit (Address'of Job) ; Pool fences and alarms are the.responsibility of the;'applicanf; 'Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of � Signature of ApplicantDAv- ' P � - c7 iz not Name Print Name ' Date Q:F0RMS:0VR4MERMMSI0NP00U Town of Barnstable Regulatory Services t >3nxxsrear.E, Thomas F.Geiler,Director amass. _ Building Division AlEp�A 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 dwellings of six units or less and to allow homeowners to engage an individual for hire who.does not:possess a,licensejprovidedthat the owner acts as supervisor. 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 theahui dipg Official,on a form acceptable to'the•Building Official,-tliat he/she shall be responsible for all such work Performed under the build6 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 i,• , w 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. c: HOMEOWNER'S EXEMPTION i The Code states that "Any homeowner performing work for wfii' 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 pnlicensed 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:forms:homee'xempt . rr ri p L77141 f r1 1 Z G-Q° j i ",Jy Yet :3f o'I I 0' l v a � OF1HE Town of Barnstable *Permit# ; 9 Expires months issue date Regulatory Services Fe om i • oZ MAM &639. �0� Thomas F.Geiler,Director Building Division XmPRESS IT Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 S E P 2 4 2004 Office: 508-862-4038 TOWN OF BARNSTABLE Fax: 508-790-6230 EXPRESS PERIMT APPLICATION - RESIDENTIAL ONLY �p Not Valid without Red X-Press Imprint Map/parcel Number Property Address f' ©AN XResidential Value of Work a- e(DO Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address h P r C_ A �}-f 1 7—ET H d L (H:-Y Contractor's Name d2.c�le�P r'"l,Lt)N(m VA9,j L /iJC, Telephone Number r Home Improvement Contractor License#(if applicable) into Construction Supervisor's License# if applicable) aa �- Workman's Compensation InsuranceIV , Check one: ❑ I am a sole proprietor ❑ I am the Homeowner _ va XI have Worker's Compensation Insurance cn co Insurance Company Name o' Workman's Comp.Policy# t �� �f�� '�v't1-0 Copy of Insurance Compliance Certificate'must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. Signature Town of B amstable ' of•cxe roq� y o� Pegdatoxy Serylees Thomas F,Geiler,Director BuUding)DMSfon Tompe2'rYe $uild&g Comn ss.loner • 200 Main Sbcect, gyamsis,NIA 02fi01 . . {a ,�arnstable.maus .-• 508-790-6230 C feces 508.862-403 8 vfop.er. r O ae Must - _ ' This Section ��n�I.ete a�.d Sign . ._.. • . if using .A.Builaer as Owner of the subject property - hereby authorize o work authorized by this building pemvt application f or, N _— utters relative t _.. (Address of sob) - 4 44 _ � - .Date. Signature of Owner . STYt 1 �' �rsntl�Tame _ . z k 251 Crescent St. �a. Brockton, MA 02302 Poe (508) 588 3499 Capeway aluminum & vinyl, inc. 1 800 698 3499 ^CS �4 RESIDENTIAL CONTRACTING AGREEMENT All�me improtferrtent contractors and subcontractors engaged in home improvement contracting,unless specifically exempt from registration by provisions of Chapter 142A of the general laws, must be registered with the Commonwealth of Massachusetts.Inquiries about registration-and status should be made to the Director, Home Improvement Contract Registration,One Ashburton Place, Room 1301, Boston, MA 02108. This agreement is made on f_ / between CAPEWAY ALUMINUM &VINYL. INC. (Dated) n r(Co t actor) of 251 Crescent Street Brockton MA 02302 (508)588-3499 (Address) 5 t I � / (Phone Number) hereinafter called"Contractor"and (mod A �-�.�d�r�� (Owner) 0 0 77/ 7,3 (Address) (Phone Nu m er) hereinafter called"Owner." O z F,OI 1 Iq S S. We hereby submit specifications and estimates for work to be performed and materials to be used: �— S -- e� 1 sC g F W s- = b 1 J j Q „� �, � E•..� �� �9 !�� 1 t�u cry, fss on ctlon-Related Permits 4GL- JJ 11 � LA ir I 5 1Z COMMENCEMENT AN CO M LETION OF WORK jd Contractor will begin the work or order the materials before the third day following the signing of this greeme�.nlssipofi, rein writing.Contractor will begin the work on or about (date). Barring delay caused by circumstances beyond Contractor's control,the work will be completed by_(date).The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall not be considered as violations of the Agreement.However,Where the Contractor deems him self to be insecure,he may require,as a prerequisite to continuing the work described herein,that the balance of the payments under this contract that are in the control of the Owner,shall be placed in a joint escrow account that require the signature of both t Contractor nd'jhe Owner for withdrawal. ( (� WARRANTIES I� , _I,�Zc - - The Contractor warra is that the work,14rinished hereunder shall be free from defects in materials and vlorkmanship for a period of following completion and shall comply with the requirements of this Agreement.In the event any defect in workmanship or materials,or damage caused by the Contractor,his subcontractors,employees or agents,is discovered within one year after completion of any job,including cleanup,the Contractor shall,at his own expense,forthwith remedy,repair,correct,replace,or cause to be remedied,repaired,or replaced,such damage or such defect in materials or workmanship.The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. Cctor om agrees to do a work described- fetZ�lW w above s ecific io for the total price of: g p ri U 0 dollars ($ ). Payment will be made as follows_: r1b,950 �;GG�'�L�vv % ($500)upon signed Contract; ��u � ! esignated Registrant's Name: Y ($ )upon completion of Registration Number: d ($ )upon com I ti n f.d Salesperson's Name:. x- ( e() c_> and the remaining %($ )upon verific tide work by Owner and Contractor as having been satisfactorily completed,which verification shall take place promptly after completion1 -1�1 I,, q Notice:No agreement for home Improvement contracting work shall require a down payment(advance deposit)of more than one-third of the total contract price or the total amount of all deposits or payments which the contractor must make,in advance,to order and/or otherwise obtain delivery of special order materials and equipment,whichever amount is greater: Acceptance of Contract-Read this agreement and make sure you understand it before signing it.This agreement has legal force and effect and binds those who sign it. O OT IF HERE ARE ANY BLANK /� Homeowner's Signatur Tate: �r;4 Contractor's Signature.5 Date: ` MPORTANT INFORMAT N, Jtr, Lj. LUU4 4: ILrivl ua(eiy. wiorgan. bi iioyie, Insurance 1ay. ytV r. ACORN ATL' OF LIABILITY INSURANCE E DATE(IVWDDNYYY) . SEP 2304 L Gately Morgan& GilfOyle THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ADTIFICATE Risk Strategies Company HOLD RNS TH NFERS O CERTIFICATE DOES NOT AMENRIGHTS UPON THE D, EXTEND OR 400 North Main Street ALTER THE COVERAGE AFFORDED IDY THE POLICIES BELOW. Randolph MA 02368 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: HARLEYSVILLE INS CO CAPEWAY ALUMINUM&VINYL,INC INSURERS: American Home Assurance C/O TERRI INSURER C; _ 251 CRESENT STREET BROCKTON MA 02302 INSURER Dl _ INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN 186UED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REOUIREMENT, 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 18 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AOO TYPE OF INSURANCE POUCY NUM®ER POLICYEFFECTwe POLICYCXpl"In N LIMITS cm INBR DATE MWP GATE NMI ORNERAL LIABILITY BINDER SEP 18 04 SEP 18 05 EACH OCCURRENCE f 2,000,000 X COMMERCIAL GENERAL LIABILI DAMAM M RENTED s , CLAIMS MADE OCCUR MED.EXP(Any om person) E 10,000 A PERSONAL 8 AOV INJURY f 2,000,000 GENERAL AGGREGATE 6 4,000,000 GEN'L AGGREGATE LIMB APPLIES PER � PRODUCT$:.COMP/OP AGG. f q,Q00,000 POLICY P LOCI — AUTOMOBILE LIABILITY BINDER SEP 18.04 SEP 1$05 COMBINED 81NtiLELIMIT ANYAUTo (Eaaecidw) s 1,000,000 ALL OWNED AUTOS BODILY INJURY A X SCHEDULED AUTOS (Per pe svn) t X HIRED AUTOS BODILY INJURY X NOWOWNED AUTOS ' (Per eoddent) s PROPERTY DAMAGE i - - Pee loddenl) GARAGE LIABILITY AUTO ONLY-EAaCCIOENT f ANY AUTO OTHERTHAN EAACC S AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY BINDER SEP IS O4 SEP 18 05 EACH OCCURRENCE 1 - 1,000.000 X OCCUR CLAIMS MADE AGGREGATE i� s 1.000,000 A $ DEDUCTIBLE S RETENTION S 0 - s WORKERS COMPENSATION AND BINDER SEP 1904 SEP 18OS veceT.TU. 07 k EMPLOYERS'LIABILITY ANYPROPRI01IONPARTMERAIMCUMVE 8 _ - EL.EACH ACCIDENT S 500,000 0/ RIMEMB FICEER EXCLUDED? - E.L.DISEASE-EA EMPLOYEE S 500.000 If No.desuloe undw spmAL PROVISION&bww - E.L.DISEASEPOUCYLIMIT s - 600,000 OTHER: DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMEM I SPECIAL PROVISIONS JOB:SHEILA WHITEHOUSE 34 WOLLEY ROAD HYANNIS MA 02601 CERTIFICATE HOLDER _ CANCELLA11ON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT TOWN OF HYANNIS FAILURE TO DO$O SMALL IMPOSE NO OBLIGATION OR LIABILtIY OF ANY 19NO UPON THE TOWN HALL INSURER,ITS AGENTS OR REPRESENTATWS. HYANNIS.MA AUTHORIZED REPRESENTATIVE Attention: J.ar Gately;Jr.,President �j(Jf�►,e ACORD 26(2001108) Certificate# 4819 0 ACORD CORPORATION 1908 I f WWV Capeway Aluminum & Vnyt, Inc. 4 � GI 251 Crescent Street • Route 27 • Brockton, MA 02302 .508-588-3499 • 1-8b0-698-3499 • Fax 508-587-1476 =t "'A Web site: http://www.capewayaluminum.com 67, -/ze �aniizaiauealCli a�✓�/�aaaac�auaP.11 �. .- _� '.- ---�` .. . Board of Building Regulations and Standards . ancirca7rurPai 1u i BOARD OF BUILDING REGULATIONS HOME IMPROVEMENT CONTRACTOR U9 , I I.. License: CONSTRUCTION SUPERVISOR Registration¢.-101085 Number: CS 022913 Expiration: 6/25/2606 Birthdate; 07/04/1950 TYPO: Private Corporation Expires:`07/04/2005 Tr.no: 13607 CAPEWAY ALUMINUM. VINYL INC. Steven Fishman i Restricted: 00 251 Crescent St STEVEN M FISHMAN Brockton,MA 02403 -- •✓ 21 HARLAN CIR ( —4 mi BROCKTON, MA 02301 Administrator Adnistrator - - r •e . AAMA CERTIFIED INSTALLER - LEVEL: RLC-f INSTA # 034401077 EXPIRES: 12/01/07 FISMMAN, STEveH SPONSORED BY: - - 41'.HARLAN CIRCLE HARVEY INDUSTRIES,INC. ' _ BROCKTON,MASSACNUSETTS 02301 Residential Commercial I Complete EXterior Remodeling ,4 Specializing in 3 Season Porches Screen Enclosures _ he Town of Barnstable : T IM& e$ Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6n7 Ralph QUM Far~ 508 775-3344 Building Commis For office use only Permit no. Date AFPIDAVIT _ HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the-reconstruction,alterations,renovation,repair,modaniza ion,eotn+10n, improvement, removal, demolition, or construction of an addition to any pre-cdsdng owner oc rspied building containing at least one but not more than four dwelling units or to structures which art adjacent to such residence or building be done by registered contractors,with eatain exceptions, along with other requirements. Type of Work: /G ���•� '�� Est.Cost L� � Address of Work: 3d�4'w� Owner.Name• Date of Permit Application: i' I hereby certify that: Registration is not required for the follm►ing reasons) Work excluded by raw ' Job under SI,000 Building not owner-oowpied • Owner palling own permit Notice is hereby'ghren 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 j I hereby apply for a permit as the agent of the owner: ' Date _ � Contractor name Registration No. r OR Date Owner's name 11:02'94 IT:02 '&6-1T?27T122 DEPT IND ACCID C01)unojzwPa[9L 0/ Ma�.J�C/zudeffJ ra ' ��7RrfIliBliL o�✓'IiRRdLf'��C6iQYIlLi 600 UU im stm James J.Campbell &Ion, M machwslfe 021 f 1 Commissioner Workers' Compensation Insurance Affidavit 244 (aoea�pam�ee) . with a principal place of business at: ee7vx- 14-'61z6 3T (crcrisnwzi� do hereby certify under the pains and penalties of perjury, that: 0-/- 1 am an employer providing workers compensation coverage for my employees workin this job. Insurance Company Policy Number O 1 am a sole proprietor and have no one wonting for mein any capacity. () 1 am a sole proprietor, general contractor or homeowner (drde one) and have Iuced tf contractors listed bellow who have the following workers, compensation pokier. Contractor , Insurance Companyipoficy Kum „ Contractor Insurance Company/Policy Num. Contractor Insurance Company/Policy Num. O l am a homeowner performing alI the work myself: I udG:rst:nG>~ai a cop- of dzis s�te;nent w7ft be forwarded to the Office of imesdptxans of the 01�A for a nwage verification and that failure cc a 3ce AS rer—,:red under Section 25A of MGL 152 can lead to the lmpmon of criminal penalm com hdne of a fine of up to S 1-500.00 years' impriorraem as well as civil panaiti thefors of a STOP WORK ORDER:ttd 2 flne of S100.00 a day apinst me. Signed this i<� - �Y of Ucensee/Permittee Building Department Licensing Board Selectmen Office f Health Department DAU CRY) ADM 04 19 95. PRIMMER TM CERIM AN U E� AS A NATTIER OF ATION NORCROSS LEIGHTON INC ONLY AM COINOW NO INGMS UPON THE CERTMATE MOLDER. MIAs CERINVATE DOES NOT ANUM EXTEND OR ALTER THE COVERAGE AFFORD® BY THE POLICES BELOW. 437 STATION AVE COMPAN N S AFFORONG COVERAGE S YARMOUTH MA 02664 Gown" A MARYLAND HOMEBUILDERS MNANMTn COWART CAPIZZI HOME IMPROVEMENT INC ITT HARTFORD COWART 1645 NEWTOWN .RD c COTUIT MA 02635 COWANY D ..................................... k:� ;..a��xa,�a�,J:.uV.w.,,,,\,,,a Mmml :THIS MS TO CERTIFY THAT THE POLICIES OF NBURANCE LJBTED BELOW HAVE BEEN ISSUED TO THE NSIJAED NAMED ABOVE FOR THE POUJCY PERIOD VWCATED,NOTWRHSTANDM ANY REOUmEMEHT,TERM OR OONDRION OF ANY OONTRACT OR OT/ER DOCUMENT Wr H RESPECT TO WHO4 TIES EXCLUSIONS AND OONDRIONS OF SUCH POLICES LMLfTS BROWN MAY BEEN REDUCED BY��D PAW p NEFIEN6 B CT ALL THE TERMS, CO TYK OF 88UPANCE tfOLJCY■NNEl POLICT� POLICT LTR MTE rUD m �s soon"umm m E PA1318 8 0 5 8 4 0 l 9 5 4 01 9 6 seETUL AOGREGA'M $1 0 00,000 X CommERa& PRODUCTS-COMlrO►AM 81 000,000 aalMs MADE X OCCUR /ERSCIMAt A ADV PLRMRY 81 0008000 owwws a OONTRACTOWs TROT EAON OOCURRs+cE s l 0 00, 000 PIRE DAMAGE WV sr 0.) S 50,000 MIEO EW Wd we o..o i s 5, 000 AvroNoul` Ana'm COMBINED YMGtE LarT s ANY Aura All OWNED AUTOS SOOLY 9LIURY s SCHEDULED Auras a.►r..oN HIRED AUTOS BODLY INJURY $ NCK-0"ED AS UTO rROPEWY DAMAGE s GARAGE UMASAJm AUTO ONLY-EA ACCMDEW s W,AUTO Orrm TH M AUTO ONLY: EAa+ACCDEW s AGGREQA'M s EXCESS LIARLITY EACH OocuRRe+cE s ];ZTHMMRELLA AGGREGATE s FORM s woRlmn COENSATION AID ON ORDER 0 4 01 9 5 04 O 1 9 6 X rTATLRORY tams MP EMPLOYERS'LMBLlm EACH ACCIDENT 8100, 000 THE PWMETOR/ Dom asEASE.PoucY uwT ls500, 000 P DISEASE.EACH s 10 0 0 0 0 OPRCERS ARE E ax OTHER DEBCRFTMON OF OPERATIOIMTAL OG► MME�Mt :.::. ::._::: ....... son slMW ANY OF THE ADOVE DESCnomm POI CSB E CANCELLED FOIE THE ININLATICN DATE TIETSOF, WE MUM COWART WILL BiOEAVOR TO M1AL • 0ATs wRm m NOTCE To THE comFCATE gDLDEII m"m To TIE uFT, M ur FALLm To NAL Kcm ROTCE IN"OR=00 ONLIQATION OR LV=JTY OF MY MOO WIN WE % Lgh"WK MInoO I&PREBENTATWE 1<5 7i�( ROBE RTHL E I GFW i N q iy �y v S} s�o - - O 3.5 0 X � o �oT 20 1n � _ BOLZ 5 � y � i PREPARED FOR .Syc/� Cur�i7��a v sc— CERTIF/ED PL 0 T PL AN LOCATION SCALEVL 3Q.IDATE ? REFERENCE: L oOT F OF pa 2Z P. L.C. P. FLOOD ZONE n 1 I HEREBY CERTIFY THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT Oo c-5 CONFORM TO THE ZONING BY-LAWS OF THE TOWN OFF-95�,� WHEN CONSTRUCTED. WEL L£R A ASSOCIATES 714 MAIN STREET _� �_� -9S YARMOUTH, MASS. DA TE Assessor's Office(lst floor) Map- ;Lot �: b :, %C Permit# t �,2, Conservation Office(4th floor) �I"L:101 Date Issued pr,:_Board of Health:(3rd floor)(8:30-'9:30/1:00-2:00) Fee' JA Engineering Dept.(3rd floor) House#1 "�3�4 t„E .Planning Dept.'(1st floor/School Admin.Bldg.) = ML . - BARN STABLE, Definitive Plan A d b Planning Board 19 :a Y g sa�. '�EDM1d —"+f1[ { TOWN OF BARNST ABLE` oat B ilding Permit Application CONtiUffiX to Project Street ress f .1/O-s Village ,��Tr'1/s✓BS , ' Owner Address 3 d `.Telephone 4 ,d P .Permit Request s . -Total 1 Story Area(include 1 story,garages&decks) Q Y L7 square feet ; Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size N1�j(°Z 4 Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type i✓vv l Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished >� Historic House Unfinished Old King's Highway Al > Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name 4Telephone Number �/ef Address 1 G y<— .� .a�� / License# D2—(a" Home Improvement Contractor# 7y6O Worker's Compensation# �l 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 7,57 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) i ,s a FOR OFFICIAL USE ONLY PERMIT NO. 9372 - DATE ISSUED 7/2 6/9 5 ; a t_ MAP[PARCEL NO. , 27,0 1-68 34 Wolley Road - .`Hyannis ADDRESS VILLAGE r Sheila Whitehouse 1 OWNER - DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL F GAS: ROUGH INAL ' �W'N FINAL BUILDING - DATE CLOSED OUT i s ' ASSOCIATION PLAN NO.�p� � , 1 y i • f 3 w �y�oFIKE T� Town of Barnstable *Permit# ® 0 Expires 6 months from issue date BARN6rABL6, : Regulatory Services Fee 00 9 sb;q. Thomas F.Geiler,Director pTED"'Ar A Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601w X-PRESS PERMIT Office: 508-862-403 8 Fax: 508-790-6230 APR 17 2002 EXPRESS PERMIT APPLICATIO Not Valid without Red X-Press Imprint OWN OF BARN ABLE Map/parcel Number 4?70 Jb Y Property Address p / 40(-- 40 Dilesidential OR ❑Commercial Value of Work Owner's Name&Address v r 7�� �a fq i\ Contractor's Name �-y".-y�-''''( 0 ,,9�,�dP` Telephone Number_ zz.Z k-& F r Home Improvement Contractor License#(if applicable) A 202 7-50 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I`am a sole'proprietor ❑ I,am the Homeowner ` ❑, ave Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy#—OA a?457 r� Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roofl ❑ Re-side 3 3 1plot y-<_ Zvi�� Replacement Windows. U-Value (maximum.44) Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature expmtrg Assessor's map and lot numb er /. %.lh. ......................... C,LQ oD SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE . SecW-"age Permit number .........1--71 % .....:................:...... = WITH ARTICLE II STATE o -: SANITARY CODE AND TOWN T"ET° TOWN OF BARNS -AIRLE Ci E9HHSTADL& "A ` �ft y. BU [LDING INSPECTOR' y Gt OD 163q. c _7 'F� APPLICATION FOR�PERMIT TO `.-j'Z..S�?.LG'� �i �,. .°�-?C. ..' . ............:..............:. TYPE OF CONSTRUCTION ... l`.c1 SL4 c?'... ..... ............ ............................... ... �. ,. T_O_,THE INSPECTOR OF BUILDINGS: a y M1 The undersigned hereby applies for a permit according to the following information: Location .......... C ... 4:. -...... ..... ....Gf................ ....................... ProposedUse ............................................................................................................................... .......................................... Zoning District ................1.4... .........o I . .....C-�:......................Fire District ............ /. _ , ��oe�4Mo ...................................................... Name of Owner ......t..01-f.4"o*".ti/1.N.a.Address 11.1 7 .. .i✓` '.....1.:�. �G. .......G f"//i� Name of Builder��� I✓ ..5' / �cllf.!�?�!.!1�€l/ ......Address ...... .... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing ..........................................................................:......... Floors ............Interior ................. ......................................:.................................... .................:................................................. Heating ..................................................................................Plumbing ................. ...................................................... 0 Fireplace ..................................................................................Approximate Cost ....A./.C/p.......... ................................ Definitive Plan Approved by Planning Board -----------_------------------19_______. Area .........� t?...,................... Diagram of Lot and Building with Dimensions Fee � SUBJECT TO APPROVAL OF BOARD OF HEALTH fl I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ... ... ...... .. ..��........ ..... ' ..... ............ DiGiomlamm», Robert F. � . L-~ 199l7 mmzclmme porch No . .�. Permit for .................................... ' - + ............................:.................................................. ` � Location .............j4..W.o����..I�»a.d--.`---- _ ' . ' - --------.m���p�����._---------.- Owner -.---��9jkq�i�.F�. --. Type of Construction ............f.l;.@%mq.----.-' ----.----.-.-..-----..�-.--.-.-. ~ . 'Plot -.----..-_ Lot ----'-----. P�rn`� �ro � � � lV 78 . _-� ..~~ ---~�~~.�.~-- --. ^ ,. ^ Dot�of |n -.--'.----�.-..]q . ` ""'e. Completed ----'--°`��~="~"-' ^ . ^ ` PERMIT REFUSED | ^ "-^-'' l9 ^-^'-^''-------^^~-^~''' — .-..�---�.��i.-�...---.�_-.---.-----~, , - | -,'�/~"--'._ ..................................................... . .---.~---~..-~.....^.^........~.-.-+, ' ^ -...----.�-----.�-._.---.�.'..---..' - _ . . / .-------------.--. lQ Approved � ----------'--.----.~--..---.-' ' --------------------~....—`.. ' . ` ^ Assessors ma , and 'lot numbe -s Sewage Fermlt number t t THE ST AL OF ARa -,ram �,BASB9TODL� i � +rr 9� b 9,�.:� S U IL I I HAS P E T'Oy • o upr APPLICATION FORF`:PERMIT, "TO '/ rl ..a9 ..r' � . ✓ ...+S......t s.F��! � - TYPE <OF CONSTRUCTION .... .s. .�..!...".�� 19:!' ^'f TO' THE. INSPECTOR OF BUICR'INGS _ - s The und'ersigned•.hereby plies; for a'7permit, according to` the following information;; F ' _f Location .....: Proposed Use .... .................................. _ �. h� . r '60 . � '. Zoning ,District � .. _ ' .. - ---. . _.. w _ .. .:Fire Distncf Name of Owner1 I .. 7a'r • ,tsrv' c�...... � r . Name of' ;Builder {�If,(71 Sj ./L/LIllt�lR///,Q/ Address, Y�v K /OAT yr { Yy Name of Architect ' ......Address' Number of Rooms :.. Founda'tionf Exterior ... .Roofing'- .. .. _ ... ... �1. �• 1 f 4� IF, r ... . .. _.. _ ,; w Heafi'ng Rlumbin"g , - Flrepl'ace .-, ......... Approximate Cost ...............................................{� .... t. DefinitiverPlan fApproyed-by Planning Board ,__ ___ _ - - -.19 - vArea -= D . g iagram of Lotand Bu ee ! SU_BJ,ECT TO APPROVAL,.OF BOARD,�QF HEALTH ' Vt ol jl Relatiofw ','re agreefo`. conform to o e oa gard ng the above' Name. . .... ............ D Gir'61 , Robert F., :.,,pea - . 27:0 '168 .! • , ra; c ,,, - . 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