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0026 AURORA AVENUE
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'��.,._..—.. „'-� ,k. - "� x u i , o T_ own of Barnstable a P This Card So That it is Visible From the Street A roved'Plans Must be Reta ned on Job an thi Card Mu t be Kew Shed eAnxsre�t ost PP pt M^ Posted Until FinaL•Inspec'ton Has Been Made.,.' - : • stration where a,Certificate of.Occupancy is Required,such Building shall Not=be Occupied until a,Finat,Inspection has been made Registration i Registration Number: B-20-1179 Applicant Name: Jessica Stoebel Approvals Date Issued: 05/11/2020 - Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 11/11/2020 Foundation: Location: 26 AURORA AVENUE,CENTERVILLE Map/Lot: 251-117 Zoning District: SPLIT Sheathing: Owner on Record: STOEBEL,JESSICA Contractor Name: HOMEOWNER IS APPLICANT _ Framing: 1 Address: 26 AURORA AVENUE Contractor License: EXEMPT 2 CENTERVILLE, MA 02632 .Est. Project Cost: $ 1,600.00 Chimney: Description: Small shed = Permit Fee: $.35.00 Insulation: --Fee Paid:p $ 35.00 Project Review Req: 6'x8'shed located as shown on submitted-plot plant a Final: t Date: r` 5/11/2020 Plumbing/Gas 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 after-issuance: 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'shallbe in compliance with the local zoning by-laws and codes. . � � Final Gas: This permit shall be displayed in a"location clearly visible from access street or, oad and shall be maintained open forpublic inspection for the entire duration of the 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: a`sf 1.Foundation or Footing " Rough: � r 2.Sheathing Inspection Ins 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy tow Voltage Final Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). � -Fire Department Building plans are to be available on site � p Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ,wStf j r 09 2017 11:49AM Tupper Construction Co, 15087785010 page 1 . - TU IPPE R CONSTRUCTION CO:PLC 546A Higgins Crowell Rd,WEST YARMOUTH,MA 02673 PHONE: 5W778-0111 FAX: 508-778-5010 WWIM.TUPPERCO.COM Date: Town of Barnstable Thomas Perry CBO 200 Main Street Hyannis, Ma 02601 (508) 790-6230 fax Re: Insulation Permits Dear Mr. Perry - ®. � • z, M Jz- This affidavit is to certify that all work completed for permit application # �_ ! Issued on has been inspected by'a certified PI � Building Performance Institute (BPI) inspector.' All work performed meets or exceeds Federal and State requirements.- Sincerely, Address: ) rn C _ r Richard Tupper License # CS-69058 1>.i ? TOWN OF BARNSTABLE BUT�:IYI V'ER APPLICATION FEB ®7 �p�l Map Parcel /Z �, Application -10 Health Division OWN OF BARNSTABLE Date Issued 9 Conservation Division Application e Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis ' W1z� Project Stre ttAddressc.Y Village Owner Address Telephone— Permit Request In ' f� C4E�, G offs, l ? twnlae-ed 4'14v_�! /Iau bleclim , Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District �r Flood Plain Groundwater Overlay Project Valuation l l Construction Type Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family Lal"' Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: 0 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: 1-Z existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: Q15as ❑ 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 i(�G/ �� Telephone Number 6N 77 e Addres License # el 10 VA-P111A f'1 Home Improvement Contractor# O Email x� 4v�lo,& Worker's Compensation #���(ggL-C l�Fj I yovq ALL C NSTRUCTI N, EBRIS RESULT G FRO nnT IS PROJECT WILL BE TAKEN TO Al ef a �t lmtxf 119 SIGNATUR DATE l FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. r ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. cT' SOMA of BarnstabXe r Rzc g tocy Sexwices Ricbard`V.Sca6,.Director ' BuR l ug:Division Tom Perry,Binding;Commission r 20a'1Vlaaot�e�Hyamiis,`MA:4260I w�w:tgvva.barnstable ma as: Office: 50878624038 ROL.508-750.-623.0 Po e 0 ►n+er.1V �us_ti. CwWlete.:i?n >S gn This Se ion IfUsfugABuilder ,?S.QWd1eIO id1eS19 JCCLprope1 hexieby: -mA iize to acc va is all mattes.relative:to work authorized by this boding per=i appkation for. 02 Av � o (a AVp cen4-e�) I I fJ A-, M63o tAads o �h) 'Pool-fences and alaFms are tku. zespons y of rlie:applicaint:Pools are-mot:td be filled or uti6ed'liefore fence:is;installed and all:f wspecdo axe:performed and accepted. S e o er $iggatm.pf tlpphcam S� ! x PF=1Name` PAut Nauss Jw - t l .� Date Q:EQRMS.-OWNF.1tPM=siONPOOLS 2*e commenwe4ft off asetty �tofl+l�ap�Aeci�denta+ F C°ng> arS t,Stlr�te lOt! B APA OUM-2817 compensi taupeA Wma pV/Wa emlde„vC ,.� i�rl�umberL a 'II�IGAUTHORM. Name(BusiseleawW,,& lv; TUpWWwkmdm Co L1G Addre USA Hl"Irm CMVWt Rd City/ ftaip: West Yarmouth,MA 02073 FiAny" e V*U.cPhon me-77 4111 am9l 10 � 'e of pm fn4 1131 atole Grp adbmao 7• ❑Nwcatrndeon = Piowadom'eoapagengmedl 8. ❑Reig 3❑lam a hOstlOoWW&Wsit W*WmI f I*woaii='Caw.immramac m4abal r 9. ❑Demolition 4.❑l am c>�omeowaxaud,vlpbe ldtirat caatr�tsto oot 10 eun dli t oa c aid&have all wo&oa my ply i Wet ❑;BWdlding additim proptnem Vkhae �mefie. mpsiraoraddidm �gployoea. 11,p ilitmtricel T� 12. Pl SL a�i have t liaued oe t5e acted aft, ❑ �'�S ass or addition 13.QRoof lopWm 6.O We an a colpomteoe and to afhema have��pd;t4ofr dot of 14 I4 0 Other Wee�r>a�pn 11t4h"dwahmenpamployaaa,{NoVorlaeta' ° oayerMl3i.e. aa�+-tmmfox�oqulnaf:l ' l+ dwt cLldn bpx*I cart aba fill out tha,aoIiOab i l i l l, alto"bmh WI a Ad" 'awapemldalt potieY tiam twaabcdcthtsbo:mastdpu 4 Ottwmk=4ihaaW.Maw.aaWilCla�amu�subaritgnearaptdwgi �, • iPtbo.Icamn Rave UVWM&CT t>m ate ofthe,vb-eoa�motoar and Aatr wLeror mrt eto,u a {1/re �ta'avidethefr watoeca'oomp, amnber. fit�oaee;�r mJ' el+� B�+i�a�t+pal�q►�f ad,fee 1ae=eQ WVWNAmrAEIC Policy 0 or SW--im.l.ia.>y! WCC51D055930120leA 10J9N7 E4iradon Date; Job.SiteAddmilm 26 Aurora Ave AB1teh a copy K Me warlm'cangns6atloatldoe cftylst�i Centerville ma 02632 Felu to scn v yatp (0Og dw poft n=Wkr and ePrWn daft).Wmqum .wider MOL e.152,§25A is a mimina violation punidiame by a fib up to$1,30D.� andlor one-year imp dmmzg,.=W0 IS Civil day Wh the violator.A pettalire,in the form ota STOP WORK ORDER Wd,a film of up to snom a MY oft�is oaWai nmy be forwarded to theoffioe of lnveatiplians of the D1A fos ittlmraae coverage vetificatiuo. Ido trey e +ry akardYsi pto�eatebaerftravr8�lcorre� s_ �508.778.0111 Il+waa ea1j► �Rot trr�a bt Aid enay to Lrr avtttp,le�d 8y�y®r ta>�•.�c� caty'otTmm: P Iee1d�AWtt6ority(ctrde��); 1.�ofa�1d, 2.BulldtngDepartt 3.cltyli'owa Clerk 4.El Cat odor L pj=btr�Irtepeeter; Contact Persoa• Phone#: i 0 Office of Consumer Affairs and Business Regulation 10 Park Plaza-.Suite 5170 Boston,Massachusetts 02116 Home improvement Contractor Registration Realsbadon: 178434 Type: Ll-c EVIr TUPPER CONSTRUCTION CO, LLC T _ . ' °niols r4 a1e�I RICHARD TUPPER 546 A HIGGINS CROWALL RD t ?, _ W. YARMOUTH, MA 02673 ^- UP"Address and Ala zw*obnt Mum card.Mark reason for change + ,._ �'Address `] 14eoewal [] Employment Lost Card ~/f , ���ui�ti�ara/�l,rl'^fla:+irrl�ra�Jl� Office ofCoesamerAl$ln 8 8osmeuAe$nlado>, L-h*oseor registration valid forindkidual use only HOME lVPRo1/EMENT CONTRACTOR before the expiration date,lif foaud rebus Reglatrationt .178434 Type: OfIks of Ccasumer AHeln And Business Expiradonc 4 8124/118 LLC 10 -31ite 3]78 R to: egulation UPPER CONSTRUCTION CC,LLC. t :ICHARD TUPPER 46 A HIGGINs CROWELL fiO f.YARMOUTH.MA lf2873 . • _ Unde» y Not wftout s k"ture wmraroweoa:ssswru� *ATM.�� _..— _._,�.._...,,..__.,.. ..,._ _• ,. ..._,... .._, . _..,___ _.�_,�:� ____ - sns�oia �+o t�18R1.9t>fr'Id 13UlLD1Nti PERFORMANCE INS INC -. � creatvtbeaet�atratesroartMo,eM�,� Massachusetts Department of Public Safety ��- �iq►tllle ;` Board 4f Building Regulations and Standards. 3S m0 of License:C84890SB J Construction SuperAsor _ RlC3fARa 8 TtlplR:R ��.p 648 A M=lt4eCR0WELL,' q MT YAIMUM MA€tCd RQ howi q . tbp�� f�RdldtllA tAV 9h�6sltsi�dhl��isaer�taf>II�M�, FW0ftUotpOYlsiametloeMBtt `�.f!cxrc. ':-.st._. Expiration: 'Corsnmlaaioner lslsiRA18 1 • AC RO® CERTIFICATE �- IFICATE OF LIABILITY INSURANCE DATE(bIMIDDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER OD ACT Ashley Paiva - Southeastern Insurance Agency, Inc. PNONfi (g08)997-6061 AI( (SO3)9 439 State Rd, IL 90-2731 P.O. Box 79398 .apaiva@southeasternias.com - INSURE AFFORDING COVERAGE NAIC# North Dartmouth MA 02747 INSURED INIIRERAArbella Protection,Insurance 41360 Tupper Construction Co LLC — WSURER B Boston Insurance Brokers a Inc -INSURER C: 546A Higgins Crowell Road - -- INSURER D: West Yarmouth MA 02673 _ INSURER E:wstIRERP: COVERAGES CERTIFICATE NUMBER:2016-17 REVISION NUMBER: - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 81Y 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. LTTRR TYPE OF INSURANCE N POLICY NUMBERLICY EFF POLI00 CY LIMITS X COMMERCIAL GENERAL LIABILITY - MMID A CLAIMS-MADE OCCUR OCCUR FENCED S 1,000,000 I XJ PRE 5ES(Ea occu c S 100,000 9520045208 11/l/2016 11/1/2017 MED EXp(Any Of1epars.) S 5,000 PERSONALBADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY[]ACT LOC OTHER: PRODUCTS-COMPIOPAGG S• 2,000,000 _ � 8. AUTOMOBILE LIABILITY GLE LIMIT Ea accident $ 1,000;000 ANY AUTO ( person) $ A Per ALL O SC BODILY INJURY HEDULED AUTOS 1020009389 X AUTOS I 12/1/2016 32/1/2017 BODILY INJURY(Par accident) 5 X HIRED AUTOS R NON-OWNED I AUTOS. ad OPEide DAMAGE $ Perac _ Uninsured MWaistat lit limit. S 250,000 UMBRELLA UAB X OCCUR y EACH OCCURRENCE $ 1,000,000 A I EXCESS LIAR CLAIMS MADE AGGREGATE $ I IDED ETENTIONS L058368 ill/l/2016 11/1/2017. $ WORKERS COMPENSATION AND EMPLOYERS'LABIUTY SETATUTE OTH. ANY PROPRIETORIPARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 1,000,000 ER B OFFICERMIEMBEREXCLUDED? N/A HMyeSadescnbeunin ner bw 41CC5005593012016A 10/3/2016 10/3I2037 E.L.DISEASE-EA EMPLOY S 1,000 000 DESCRIPTION OF OPERATIONS be E.L.DISEASE-POLICYIIMIT $ 1000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remark$Schedule,may be attached If more space is requlredl CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Display purposes Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED .IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOFaM REPRESENTATIVE - Ashley Paiva/At4P to 1988-2014 ACORD CORPORATION. All rights reserved.- ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD INS025 r�nlmn Town of Barnstable Permit ® SD Regulatory Services Fee Richard V.Scali,Interim Director t� Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www town.bamstable mi.ns Office: 508-862-4038 Fax:508 790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid wwwutRedX-Press Imprint Ma$/parcel Number -Z 51 / 11 Property Address oZ 4 A.✓ro ra Aar- Ce4l teryi l(e 4Residential Value of work$ vt 0 Minimum fee of$35.00 for work ender$6000.00 --f 4 Owner's Name&Address -Z—e SS�cn T-fo e ba f adoA u r CAn fe r 0.� 302 Contra WfsName TelephoneNumber Home Improvement Contractor License#(if applicable) s�Construction Supervisor's License#(if applicable) 16 Z workmen's Compensation Insurance Check one: 7- `l UC 2 ❑ I am a sole proprietor /O W/N ®F ?015 ❑ I am the Homeowner A Lin I have worker's Compensation Insurance , rl/VS�ASt F Insurance Company Name 'Vex) WR4,8 lA) ' worlunan's comp.Policy it W 6- d L 2-TH -q Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) p ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side , Replacement windows/doorslsliders,.U-Value .30 (maximum 35)#of windo #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required., Separate Electrical&lie Permits required. '"Where=@ te& Lss mw ofthis permit does not exempt compUmmwith other town department regulations,Le`Epic,Consnvstion,etc. ***Note. Property er gn Property Owner Letter of Permission. A copy of H Improvement Contractors License&Construction Supervisors License is required. , SIGNATURE: 11 EVIN Changes RESS.doc Revised 061313 , FROM :)am9ad FAX NO. :5083622271 Jan. 26 2012 12:22PM P8 HOME DIPRO'VEMENT CONTRAf-vr PLEASE READ THIS ]-�� Sold.Furnished and Installed by: Branch Name-.-Boston North&South D.1.7111r5 THD At-Home Services,lac. d/b/a The Home Depot At-Horne Services Branch Number:31 and 33 908 Boston Turnpike,Unit 1,Shrewsbury,MA 01545 Toll Free M-903-3769 Federal its#75-2698460,ME.Lic#C 02439;Ri Cunt.Lie#16427 CT Lic#H _0565522;MA Homc Improvement Coati-actor Reg.#126893 Installation Address: orc nx A ti' ee yl ifAh, 6�b 3 City State Zip PnrCbaser(S): Work Phone: home Phone: CCU Phone: Hum Address: (If diticreat from installation Address) City State Zip E-mail Address(to receive projecd communications and Home Depot updates): ❑I DO NOT wish to receive any marketing cmails lkom'llte Home Depot Project%formation., Undersigned("Customer").the owners of the property located at the above installation address,agrcx..s to buy, and THD.At-Home Services,Inc.("The Hone Depot")agrees to furnish,deliver and arrange for the installation('Installation!)of all materials described on the below and on the referenced Spec Sheet(s), all of which are incorporated into this Contract by this .reference,along with any applicable State Supplement and Payment Summary attached hereto and any Change:Orders(collectively, "Contract"): .lob#: pMm�rn�nn.) P uct5 Sheet(s)4; Prp ect Amount +� Reurfrng Sidinn indows Insulation gal$ ❑outoets/co— ❑E,t y IN xs ❑_... $ Roofing Siding ❑Windows LJ Insulation ❑Gutters/Covers ❑Entry floors ❑ $ Roe>fing Siding Windowx insulation ❑Gutters/Covers DErury Doors rl $ Roofing 08iding C1 Windows LJ Insulation [30utim/Covers ❑ er ElEnrry Dos $ Minim m25%Deposit of Contract Amount due upon eamo>ation atth la cow. Total Contract Amount $ Maine lhurztsm may mt depo wt more than me-third of the Cantiact Amumt Customer agrees that, immediately upon completion of the work for each Product,Customer will execute a CQeapleiion Certificate (une for each Product as defined by an individual Spa;Sb=t)and pay any balance due. As applicable,each Customer under this Con(racl agrees to be jointly and severally obligated and liable hereunder. The Home Depot rc�xxvcs the right to issue a Change Order or terminate this Contract or any,individual Proxluct(s)included hurcin,at its discredim,if The Home Depot or its authorized service provider determines that it cannot perform its obligations due to a Structural Problem with the home,onyironmental hazards such as mold,asbestos or lead paint,other safety concerns,pricing errors or because work required to complete the job was not included in the Contract. Payment Summary: The Payment Summary it , included as part of this Contract, sets forth the toad Contract amount and payments required For the deposits and final payments by Product(as applicable). NOTICE TO CUSTOMER You arc entitled to a completely filled-in copy of the Contract at the rime you sign. Do not sign a Completion Certificate(note: there is one Completion Cer Mcate for each listed Product as defined by judividuai Spec Sheets)before work on that Product is complete. In the event of termination of this Contract,Customer agrees to pay The Home Depot the costs of materials,labor,expenses and services provided by The Home Depot or Authorized Service Provider through the date of terminatiom plus any other amotmts set forth in this Agreement or allowed under applicable law. THE HOME DEPOT MAY WITHHOLD AMOUNTS OWED TO THE HOME DEPOT FROM THE DEPOSIT PAYMENT OR OTHER PAYMENTS MADE, WITHOUT LIMITING THE.HOME DEPOT'S OTHER REMEDIES FOR REWVERY OF SUCH AMOUNTS. Acceptance and Authorization: Customer agrees and understands that this,Agreement is the entire agreement between Customer and The Home Depot with regard to the Products and Installatioxn services and supersedes all prior discussions and agreements,either oral or written,relating to said Products and Installation.This Agreement cannot be assigned or amended except by a writing signed by Customer and The Home Depot.Customer acknowledges and agrees that Customer has read,understands,voluntarily accepts the terms(if and has received a erpy of this Agreement. At• d y: Submi by: ' •lam X 5" C.astnmer s Signature tc Sales tant's Signer.tare Date X Telephone No.. � � Customer's Signature: Date Sates Consultant License No. CANCELLATION: CUSTOMER MAY CANCEL THIS (as applicablC) AGRF.FMENT WITHOUT PFNAI.TY OR oinTGATION BY DELIVERING WRTITEN NOTICE TO THE HOME. DEPOT BY MIDNIGHT ON THF, THIRD BUSINESS DAY AFTER SIGNING THIS AGREEMENT. THE STATE SUPPLEMENT ATTACHED HERKI70 CONTAINS A FORM TO USE IF ONE IS Slbh'('1N'ICAI.i.Y PRESCRIBED BY LAW IN CUSTOMFR'S STATE. NOTICE.:ADDMONAl.t'CxvtS AND C0NDJT1UNS ARE STATED ON THE REVERSE SIDE AND ARE PART Of`'1W CONTRACT 05-14-15 Mate-granchRie Yellow-Customer --- --- cy . ; Off 6e of ConsuTner A fifairs and Business'Regulation. = 10 Parr.Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improv ernent Conti actor Registration _ Registration: 126893 _, - Type: Supplement Card THD AT HOME SERVICES, INC. _ - - Expiration: 8/3/2016 ANDREW SWEET - -- 2690 CUMBERLAND PARKWAY SUITE 300. ATLANTA, GA 30339 = Update address and return card.illark reason for change- , =c.I _. Zoaa-0sn� Address i-) Renewal I:; Employment i j Lost Card �J/e t/ariur�zarzcaecc�f�a�C�/flrcdarcr.��r.:;eCCS — --Office of Consumer Affairs&Business Regulation License or registration valid for individul use only 40 ra—� before the expiration�iOME IMPROVEMENT CONTRACTOR- date. If found return toc �Re istration Office of Consumer Affairs and Business Regulation 9 126893 Type: 10 Park Plaza-Suite 5170 Expiration g/3/2016-; Supplement Card PP Boston,MA 02116 THD AT HOME SERUICES,,IN.G, THE HOME DEPOT�AT HOME SERVICES ANDREW SWEET 2690 CUMBERLAND PARKWAY S GA 30339 Undersecretar y No v � with ut signature 4 I 1 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Uuiis-`eiuCui►�� C,=:�Ciui% ' License: CSSL-OM`%0' . TIMOTHYPHAN* , 4 CIRCLE DRIW-' Wareham MA 02571 S `�..�....�J •'�"t. Expiration Commissioner 06104=17 Ike Conownweahk®,f Afi ssackwef Ilqaar"ent of Ind=&W Acciad 7W Offwe of IrvesfigotWas 600 Waskhgton Street Boston,Aft 02I11 W»e.anff=gov11ffa Workers' Compensation Inset nee AfS&vib Boulders!Cantrado lec#r'icians/Ple mbers ARRlicant Information Please Pirint Le�'bIl� Name(Business/organization/Individual): O.'e, Addtmss. 0-9 6 o 5-49lJ 11t`1V City/State/Zip: ,e" 9s v 0/syY' Phone#: e ou an employer?Check the appropriate box: Type'of project(requirreft I I am a employer with 4. "1 am a general contractor add 1 6- ®New construction employees(full and/or part-time)-* have hued the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet t 7. ❑Remodeling ship and have no employees these have g- ❑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.[(Electrical repairs or additions 3.® I am a homeowner doing all work right of exemption per MGL 11.Q.Plumbing repairs or additions myself(No workers'comp. - c. 152,§1(4),and we have no 12.❑Roof re insurance required.]t employees.[No workers' 13. Other LApairs to comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'coff►Pensation policy t Homeowners who submit this affidavit iudicsting they are doing all work and then hire outsi davit bficating such. �Contractots that check this box must attached an additional sheet showing the mom of the sub-contractors and their waitms'comp.policy irdboWtion. I am are wVloyer drat is provi worken'compensafton w=rw ee far my mWJoyem Below&the policy and job ske irafora. Insurance Company Name: Policy#or Self-ins.Lic.#: C, l 3 Expiration Bate: 3 Job site Address: d(a A Jf o 1'A A✓e City/State/zip: Ce f r I.e 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 forwcl to the Office of Investigations of the D for' ce coverage verification. I do hereby cam431 iw o.fPCIRry that me iae,f � paw a�ve�s base correctS' ature: p. f Date: -�F- d 1 57 Phone#: � ' 6 OBkh l use only. Do not wyke in thk to be completed by city or grown!offk" City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r , The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit:-Builders/Contractors/Electricians/Plumbers A hn Iicant In ' • o PIease Print Legibly Name(Business/organization/Individual): / //Y)C> P Li6 l —/1 s Cop M Address: Iq City/State/Zi : n'2h ojy� 0_ 0- u67_ I Phone#: sa K- We'?- 6, Are you an employer?Check the appropriate box: 4. gen Type of project(required): 1. eral contractor and I 1,am a employer with ❑ I am a employees(full and/or part-time)'* have hired the sub-contractors . 6. ❑New construction 2. I am a sole proprietor or partner-- meted on the attached sheet. 7. ❑Remodeling slip and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity, employees and have workers' [No workers'comp,insurance comp.incnranCe.1 9. ❑Building addition required:] 5. ❑ We area corporation and its I0.❑Electrical repairs or additions 3.❑ I 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 insurance required.]t c. 152, §1(4),and we have no 12.C1 Roof repairs 3a.❑ I am a homeowner acting as a employees.[No workers' 13•❑Other general contractor(refer to#4) comp,insurance requiredJ 'Any aPP"cant that checb box#1 must also fill out the section below showing their workers'compensatiotc` ,licy 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. IContractom that check this box must attached an additional sheet showing the name of the sub-contactors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'com p.policy number. d am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information, /1 Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date): Failure to secure coverage as required under 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 eend under th pains and enal es of perjury that the information provided above is true and correct Si afore: Date: Phone#: - O,(j`icial use only. Do not write in this area, to be completed by city or town offciaL City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person. Phone#: ,*TMETO�y� - TO� ♦1 N OF BARNSTABLE BAR3STeBLE, i 039.a BUILDING INSPECTOR i°rfo yar • i APPLICATION FOR PERMIT TO /� z✓ C :. � �1�.. �?C, ... ....... . . ..... . . . .. ................................. TYPEOF 'CONSTRUCTION ......................................P�.1:srf:.......................................,....................:....................... � ............19� . TO THE INSPECTOR OF BUILDINGS: ` The undersigned hereby applies for a permit according to the following information: Location .......... .F!� . �"-C............... .. �j/:f2�!? .... � !?.rc�. ................................... Proposed Use .F 1? ........../....?.c .........n!?v�....�......... ...................... ,.C. Zoning District �1 �.............................................`.............Fire District .... . . . . . .. ....................................... A Name of Owne �! . ............................Address c �G .... . �.... Name of Builder . .. ...Address . .. 11/:�:......................................................... Nameof Architect ................. ...........................................Address ........................................................ ........................ Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .............. .................................................................... • FloorsCT .. ..............................- ` Interior ........................ ... ................................... Heating ....... ./-, .. `.. ...............................................Plumbing ...........:............. ..3.... ............................... Fireplace ..................................................................................Approximate Cost ........ .G.0.0.. .... . .. Definitive Plan Approved by Planning Board -----------_______-----------19 . <- AM) X)a `�� C e— ... D v Diagram of Lot and Building with Dimensions e a�f SUBJECT TO APPROVAL OF BOARD OF HEALTH Y .e U- W a a w 1 ooW CY � • . o o a- LLJ U) t-- W 27 (� 0 go +o Z Lu NJ ,- I hereby agree toconform to all the Rules and Regulations of the Tow of Barnstable regarding the above _construction. NameF !��C/..... ... .. ..3. .. .. .. .............. Auger, Mark ' 15452 remodel garage to No ................. Permit for .................................... ~ lmadromm & bath ........................ . aG Aurora Avenue ' Location --.--..--^-------------- Cerdx*zviIIe ^^`--------^^--'`^^---^—^---'-- 11ark Auger Owner ----_____.........__._.______. frame Type of Construction .......................................... ' —^'~~—~—^^^'^^'—'—~—'---'`---'---- Pkot ............................ Lot ................................ . � � Permit Granted --.`tg2��t. 7I.............lg 72 � Date of Inspection ....................................19 � --- Completed— --'-7'-- � ~ . PERMIT REFUSED ^ � ^—^^—'~~---.—.—....—..--.--,. lR � � -^---.—.—...~.---...----.----,.-- - ^—~--..;.~.^.—'--....'..—.—.—....,.—.--.—.' .......................................... .................................... ............................................................................... . ' ' Approved ............................................... lA _ ^ —`---------^----^^~^~—'^---^`— � , ----.--`--~-----.----......~.., . * r _ oFIMEr� Town of Barnstable 3 (.9 pExpires 6 months from issue date Regulatory Services Fee ERLAARIM ' ` ESs PER Pbmas F. Geiler, Director ; rfDr�at" JUL 2 6 2010 Building Division 7�z2hadl. TOWNTom Perry,CBO, Building Commissioner .. ®F BARNSTAgL2fto Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us,, Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not valid without Red X-Press Imprint Map/parcel Number Property Address ,;L6 ALJ a`2 A ❑ Residential Value of Work 0,Od Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address :! 7AZ Contractor's Name Telephone Number, Home Improvement Contractor License#(if applicable) lei �� Construction Supervisor's License#(if applicable) / �, • z-- ❑Workman's Compensation Insurance Check one: Rl'arn a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# , Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) e-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum.35)#of windows ' *where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is equir SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 072110 1 The Corr morrivenitlt of Massachusetts -_ Department of Irrrlristrial Accidents `— Office of Investigations 600.Washingtorr(Street Boston, MA 02111 "Vorlcers' Compensation Insurance Mfidav t: Builders/Conti-actor•s,1Ele.ctrici-,inslP'liu mbers .Appcant Information Please Print Legibly Name,(Bus nev)Orgau-7ationtlndividual),_ City/StatelZip: — Phone Are you an employer?theik the appropriate boa: Type of project(required) I_❑ I am a employer unth 4- ❑ I am a general contractor.and I -. 3'�eu c employees(full an-ilt'or part-time).* have hired the sub-contractors 6: � onstraxctsot I. I anz a sole ptroprie_tor arpartue7 listed on the attached sheet. ?_ .❑Remodeling. . ship and have no employees These sub-contractors have �_ ❑ Demolition working for mee in any capacity. employees and have workers' 9. Building.addition [No workers' comp.insurance comp_insurance,, re ed.. 5. ❑ We are a corporation and its - 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all vffork officers have exercised their 11 .Plumbing repairs or additions myself. [No workers'camp. _ right afexemptio-n per 1vTGL 12. Roof re t c. 1.52, 1 4,and,we have no - repairs inst ante required.] . ( } employees.[No workers' I3.❑Other coutp.insurance:required.] *Any applicant that:checks box#1 must also fill oud the section belmA.sbowing their markers'compensationpolicy in€orrmetioa t�/H-.omeowners who submit this affidavit indicating they are.doing all work and then hire outside contractors must submit a new affidavit indicating such. . ic(mtractors that checl this boa]natst anachetd an additional sheet shomag the nuts of the&iib-cont=txs and State whether or not those entities have eaVlowes. Ifthe sub-contractors have empl'oyeQs,they�l7rust.provide their workers'comp.policy number. lain an errtptoy� r tTrrr[is prorrid rig�tbrkers'd oorrperrs°rrtivrl.irrsrrmrrce for rrx� errrpfa}�ees. 13etos is 1�Fte pvl2cy and job site information. Insurance Company Nsuae: Policy 9 or Self-ins Lic.#: Exliitation Date: Job Site Address: .. .. city/State/zip. Attach a copy of the workers'compensation policy declaration'page(showing the.policy number and expiration date). Failure to secure coverage.as required under Section.25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S1.,500.00 andi'or tine-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to MOM a day against the:violator_'Be advised that a copy of this statement may be forurarded to the Office of Investigations of the DIA for insauhiice.coverage veri-fication. I do hereby certi: ' r er in d a dWe's of ry t e information provided above is.true and correct. Signature Date: f Phone#: Offiiriarl•llse orliy. Do not sprite in this area.,to be aoinpletedi by city or town officiaL City or Toriim: PermitlUcense Issuing Authority(circle:one): 1.Board of Health 2.Building Department 3.Cit}IToxim Clerk 4..Electrical Inspector 5.Plumbing Inspector d.Other Contact Person: Phone#: • pF THE Tp�� . BARNSCABLE, • - "SS.1639. Town of Barnstable ATfDMAra Regulatory Services , Thomas F. Geiler, Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street,"`Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 50.8-790-6230 Property-Owner Must Complete and Sign'This Section If Using A Builder ' I, LL 1�h Z ??A L 1 , as Owner of the'subject property hereby authorize fit} j7 LE'abfu' ' , to act on my,behalf, in all matters relative to work authorized by this building permit application for: s (Address of Job) x 7 to ; ign re o w r Date : Print.Name , " If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side.. Ili Q:\WPFILESTORMS\building permit forms\EXPRESS.doc Revised 070110 07/26/2010 10:54 ITOWN OF BARNSTABLE JPG 1 callahaj ITax Title Find larbilinq TITLE UNPD BAL 11672.37 TITLE INT DUE 6499.47 TITLE DUE NOW _ 18171.84 TITLE PER DIEM - 4.64 YEAR CAT BILL NSC ORIG BILLED ACTIVITY UNPAID BAL DUE NOW 2003 TL-R 61 N 1644.69 0.00 3328.15 3328.15 2004 TL-R 63 N 2070.75 -451.25 2419.59 2419.59 2005 TL-R 47 N 2743.66 0.00 3485.72 3485.72 2006 TL-R 53 N. 2062.89 0.00 2420.99 2420.99 2001 TL-R 315 N 882.17 76.00 1993.77 1993.77 2001 TL-R 340 N 0.90 990.00 990.00 990.00 2002 TL-R 88 N 1466.44 187.02 3533.62 3533.62 ** END OF REPORT - Generated by Callahan JOAnna'** Tub �3 1® jo dale Edit Tools_Help Etf�amin aipt�un Refier�eace Ila#e r#lald �` s 3 A yb Unpaid Bill REAL ESTATE 2066 23 ONGO{}53 SZO 3 06/26/200 'Unpaid Bill REAL ESTATE 2605 23 s3W00047 S2,744 ` 01:r8/2095 t. Unpaid Bill RES L ESTATE 261014 23 4MMIG3 S1,620 06.26/2997 'Unpaid BillREAL ESTATE 203 23 00900061': Sl.645 03.1951A204 ;. n Unpaid Bill R E kL ESTATE 202 23 00009088 S 1,653 ' M 20/2€153 �.§ Unpaid Bill REA ESTATE 20123€lW0315 S858 01`2 ./2003 ':Unpaid Bill REAL ESTATE 200123 9 340' SS3o .. 03/27MG3 • .� , � _ Detail .a .. - 4 ... ..w.. .... ew+++ ...M1m:.. -...0 ..• .w'.A- «.w. ..«.c._w. un.,:.,.:. .++ww.-M ...+.• .. ..-,,.. <... w ... an'M1 a HIC Registration Lookup Page 1 of 1 r The Official Website of the Office of Consumer Affairs&Business.Regulation(OCABR) Mass.Gov Consumer Affairs and Business Regulation Home> Consumer> Home Improvement Contracting> . ,....,. . Home Improvement Contractor Registration Lookup The list is current as of Thursday, July 29, 2010, a You can search/filter the registration list by any of the criteria below. RELATED LINKS Search by Registration Number 112516 _ Horne Improvement Contractor _. w�. .._.. Registration Home Page Search Registration Number m t i . Search by Registrant Name 7 yrvw� m Search by City Zi t p ..,.-...,._.-�..,... _ _p, Code ..._ , Search Registrants g complaint history.You can also view arbitration and Guaranty Fund-history.Click on the registration number to view ain w.., •, _- _ v !Search Results , w,.. _.. REGISTRANT RESPONSIBLE REGISTRATION EXPIRATION STATUS NAME INDIVIDUAL NUMBER �ADDRESS DATE t - 20 Bacon Road Richard E.LeBaeuf LeBoeuf,Richard 142516 i 4/7/2012 Current 7 Hyannis,MA 02601 ©2010 Commonwealth of Massachusetts s J http://db.state.ma.us/homeimprovement/licenseelist.asp 7/29/2010 i Find a Licensee Page 1 of 1 The Official Website of the Executive Office of Public Safety,and Security(EOPS) C Mass.Gov Home Public Safety Department of Public Safety.Licensee Lookup The list is current as of Thursday,July 22,2010. You can search/filter the licensee list by any of the criteria below, a License Businesses Individuals Select a License Type Construction Supervisor #' .,.._ ..._.. „�,.„,,.., . .,•mow.., -..... ._._�. _ ....... / Search by License Number 18096 � . Selecf One 'Select a License Type Search by Business Name Search by Contact Last Name Firs[ Search by City Zip Code �.,_,.•. .Y w�..� - ' Select a License Type Construction Supervisor Search by Last Name `First Search by City=Sear Zip Code ch a_ a,-... __' • Search Results N�yMy _ . . _ w .. _.. LICENSE TYPE BUSINESS NAME CONTACT NAME LICENSE RESTRICTION ADDRESS Vw 'STATUS t l , I Construction Supervisor N/A E Leboeuf,Richard E;18096 00 M t„Hyannis MA 02601 Current • c t Q http://db.state.ma.us/dps/licenseelist.asp 7/29/2010 THE TOWN OF BARNSTABLE I 33AUSTMLE, 1 :0 639. 0 MAYAr, BUILDING INSPECTOR APPLICATION FOR PERMIT TO 4........ X 19 0. TYPE OF CONSTRUCTION ............ ............... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ................4t....... Proposed Use ........ 4 Zoning District ............. ..................................................Fire District .....0-ji,..... Name of Owner ...... . ...'TJL444-t ...Address Name of Builder -,2. ..............Acldir�e` Nameof Architect ..................................................................Address..................................................................................... Number of Rooms ......... .....................................................Foundation ..... &I -elvV- 0.............................. 4 Exterior ..... - . ............................................Roofing ........... . . ............................................ ...... Floors ......... .4-t .............Interior .............. .. . . .................................................... Heating 4- 4 . . ................................. ............. Plumbing ..... .......... . Fireplace .................. Difinitive Plan ApprovedCost ........ ............................M76 by Planning Board --------------------------------19--------- OwildiRS wish Dimaprions 60 rri CD Z >--i rri z < 0 > ril z 0 G) > rr, U) Cn -j j-- r rn 00 rrI -U Ln x > a) r- < :< Az -< '0 0 > co 0 0 -ri 0 rri < -,XV Z X1. rl?. LO LO 0 k-D G) -------------------------- I hereby agree to conform --.to"a'V1�the urfe-sand egulations of the Town of Barnstable regarding the above,. construction. Name ..hy..... Rencliff Realty Trust DEC /J R ly f No ...1275z... Permit for ......onP...Story......... ..............single farm ly...�lWea J.i ng................ Location 3!(:..Aurora Avenue *-V- � - ................................... Centerville ............................................................................... l Owner ............. Rencliff. . ...... Realt Trust f .... .......... ...............Y............... < Type of Construction .................. ............................................................................. Plot .... .Y...vy..?'....... Lot ..........�12................ A Ave, Permit Granted ..._.November 18 19 69 Date of Inspection .° ......19 , Date Completed ......................................19 i gb l X PERMIT REFUSED .............................................................................. W vr-�m ................................................... ........................ ............................................................................... i ............................................................................... Approved ...... .............. 19 ................................................................................ ...............................................................................