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0019 BABBLING BROOK ROAD
Fri , r iW T c' v r e r� r rr r .r n a , ire e r` x : r• i �'--�- �, ,` g ,. a ,. ... r . . , r. <, i . . � � ,_ . . .. : ,. �.� - .. .. - ., o :.. - � ,.. .. J � � ., .. ,.. _ .. n � - .. .. � � .. _ r ' .� ,. .. - � P TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application Health Division Date Issued /Jr Conservation Division Application Fee Planning Dept. Permit Fee •® Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address ) I d Village Owner �`Y. ���. ��..., Address c. r Telephone9 Permit Request 4, c fi i Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation )yam e Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ilK Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No 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 Mire McCarthy Construction Telephone Number P® Box 52 Address west Deg mis, MA 02670 License # Cell (508) 280-6964 ,sl,-SH633 HIC-169393 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO rn SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# r DATE ISSUED MAP PARCEL NO. r - y ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ` INSULATION a FIREPLACE ELECTRICAL: ROUGH FINAL 'y PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Via' Town of Barnstable $ Regulatory Services Richard V.Scab,Director '0'� ►`� Building Division. Tom Perry,Bailding Commissioner 200 Main Strect Ityaimis,MA 02601 www.town.barnstable ma.os Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, `—'' 0� ' ' �GIL �"" ,as Owner of the subject propcity hereby authorime �(., S�'l�t-1C�-r C1n� to as on my behalf, in all matters relative to work authorized by this building permit application for. Q (Address of job) "Pool fences and alarms are the responsiibiliiyof the applicant.Pools are not to be filled or utilired before fence is installed and all final inspections are performed and accepted. ��4-e_ ,Signature of Owner Signature of Appbcant 41 LAJ Print Name Print Narm �/3t Date Q:FOF.AIS'OWT.'>;RPF_�M1SS1oNPW i5 E� Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-058633 MICHAEL J MCCAR - PO BOX 52 s W DENNIS MA i3267r Expiration Commissioner 04/10/2016 Q9 Office of Consumer Affairs and Business Regulation tee,. 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement gn*tor Registration Registration: 169393 w s Type: Individual Expiration: 6/16/20 7 Tr# 264961 MICHAEL MCCARTHY MICHAEL MCCARTHY P.O. BOX 52 Y WEST DENNIS, MA 02670 Update Address and return card.Mark reason for change. Address Renewal L; Employment i1D Lost Card 20M-OS/11 The Commonwealth ofMassachrtsetts Department of InthistrialAccidents I Congress Street, Suite 100 Boston,MA 02114-2017 �y www.mass.gov/tlia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Pllimbers. TO 13E FILED WITH ME, PERKITTING AUTHORITY. Applicant Information 1ku __1,�__ ti&hase Print Legibly Name(Business/Organization/Individual): Pn Box 52 Address: West Dennis, MA 02670 City/State/Zip: CSL-F4: HIC-169393 Are yor an employer?Check the a propriate box: Type Of project(required): 1. l am a employer with employees(full and/or part-time).* 7. New construction 2.0 1 am a sole proprietor or partnership and have no employees working for me in $. Remodeling any capacity.[No workers'comp.insurance required.) 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]r 9. ❑Demolition 10 `Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11. Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5-n I am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. 13.0 ROOF repairs These sub-contractors have employees and have workers'comp.irlsurance.t 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.901her 152,§1(4),and we have no employees.f Ho workers'comp.-insurance required.) *Any applicant that checks box 91 must also fill out theseclion 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. lContractors that check this box must attached Im 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 insitrance for my employees. Belo)pi Is the policy and job site Information. Insurance Company Name: ATM Miti,i —In). Policy#or Self-ins.Lie.#: V W(✓ —100-6Gt 7 C V6—:;�d)l Expiration Date:- )a,lf �/N Job Site Address:- �� IJ����•h, ` City/State/Zip: Attach a copy ofthe workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine no to V,500.00 and/or one-year imprisonment,as well as civil penalties in the form of STOP WORK ORDER-and a fine of up'to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of investigations of the DIA for insurance coverage verification. I do hereby certify IMP purl allies rjtry that the_information provider/ bove is trite and correct. Si nature: Date: �1 1 Phone#: Official iise only. Do not write in this area,to be completer/by city or town official. City or Town: Permit/License Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMPAGE A.I.M. Mutual Insurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 800 876-2765 NCCI NO 26158 POLICY NO. VWC-100-6017656-2014B PRIOR NO. VWC-1 00-6017656-2014A ITEM 1. The Insured: Michael McCarthy Construction Inc DBA: Mailing address: P O Box 52 FEIN:"-"'3862 West Dennis, MA 02670 Legal Entity Type: Corporation Other workplaces riot shown above: See Location, 2. The policy period is from 12/15/2014 to 12/15/2015 12:01 a.m.standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA" B. Employers'Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of liability under Part Two are- Bodily Injury by Accident $ 500,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease. $ .500,000 each employee C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules,Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code Estimated Per$100 Estimated No. Total Annual Of Annual Remuneration Remuneration Premium INTEA 0712979 INTER SEE CLASS CODE SCHEDU E Minimum Premium $550 Total Estimated Annual Premium $29,332 GOV GOV Deposit Premium $7,748 STATE CLASS MA 5479 State Assessments/Surcharges $28,601.00 x 5.8000% $1,659 This policy, including all endorsements is hereby countersigned b P Y. 9 Y 9 Y 12/15/2014 Authorized Signature Date Service Office: Bryden &Sullivan Ins Agcy of Dennis Inc 54 Third Avenue PO Box 1497 Burlington MA 01803 So Dennis, MA 02660 WC 00 00 01 A(7-11) Includes copyrighted material of the National Council on Compensation Insurance, \ v� used with its permission. V a �t"E,�w. Town_ of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee �— BMWSTASLE. * F MAC' Thomas F.Geiler,Director 1639. ArED�,t A Building Division COP 111o)1sboo, Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION ' - RESIDENTIAL ONLY C jNot Valid without Red X-Press Imprint Map/parcel Number Property Address Residential Value of Work ,K) Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address J mr, aC �C^ 11Aq brooV Nd Contractor's Name �1�,'b e4„ /St) �e n �. "� n Telephone Number 14b-i — 7/` 6 r J V Home Improvement Contractor License#(if applicable) a yS Construction Supervisor's License#(if applicable) PRARRIT . ❑Workman's Compensation Insurance Check one: JAN --9 2013 ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance TOWN OF BLE , Insurance Company Name 0+qbY\4t4j_' v1s Workman's1 Comp.Policy# PC 4 D�7 6 l 95 Q 3 g q Copy of Insurance Compliance Certificate must accompany each permit: Permit Request(check box)'-,, ��S mo�1 ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to `IJ ODV S tL ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑Fence over 6' - ='-� /� 2 #of doors Replacement. mdow doo sliders.U-Value v'J (maximum.35)#of window_ *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. *"Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required, SIGNAT Q:\WPFILES\FORMS\building permit fbrms\EXPRESS.4oc Revised 051811 Massachusetts'-Department of Public Safety Board of Building Re�-ulations and Standards Construction Supervisor License License: CS 42926 ..;.. - I -i M.,PAUL H tTHIBEAULT .� t - � f j.. , STER ST x �N.SMITMFIELD'fRIi0289,6 44 �, Expiration: 2/16/2013 (:unun,swner.r Tr#: 9563 " ' q J67-4�_ Office o onsumer Affair and Business Regulation Office o 10 Park Plaza— Suite.'5170 y. M Boston, Massachusetts .021,16 Home'Improvement' bntractor.Registration Registration: 113245 Type: Supplement Card . Y lei 1 Expiration: 9/19/2014 . SOUTHERN NEW ENG_LAND WINb01hIS1I_� PAUL THIBEAULT 1137 PARK EAST-DRIVE =� WOONSOCKET, RI 02895` Update Address and return card.Mark reason for.change. Address '0 Renewal Employment Lost Card 3-CA1 rp 50M-04/04-G101216 ,f� fie TDarivrrean�uea�t o�✓�aaa'ac�iuoelta � � .~ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only j OME IMPROVEMENT CONTRACTOR before the expiration'date.'If found return to: Office of Consumer Affairs and Business Regulation Registration173245 Type: + 10 Park Plaza-Suite 5170. ExpiraU Supplement Card Boston,MA 02116' m SOUTHERN NEWggENGtAND_WINDOWS CLC, - RENEWAL BY ANDERSON PAUL THIBEAULTgl 1137 PARK EASVDRIUE�'�, �. WOONSOCKET,Rl 02895 "` Undersecretary' Not valid without signature :, The Cor aoeonweallh of Afassachusetts I Department of Industrial Accidents Office of Investigations 600 Washington,Street Boston.,MA 02111 wwrv.mass gov/diia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/owization/Individtw): Address: /3 ! Par Ci ltate/Zi Wt&NSBcka_ ®, �sPhone#: — � ? Y Are you an employer?Check the appropriate box: Type 1.19 I am a employer with o2D 4• ❑ I am a general contractor and I of project(required): employees(full and/or part-time). have hired the sub-contractors 6• 0 New construction 2.❑ I am a sole proprietor or partner_ listed on the attached sheet, 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity, employees and have workers' [No workers'comp. insurance comp. insurance.E 9. ❑Building addition require&] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised'their 11. Plumbing g repairs or additions myself.[No workers'comp. right of exemption Per MGL 12,[:]Roof repairs insurance required.]t c. 152, §1(4),and we have no 3a.® I am a homeowner acting as a employees. [No workers' 13.a Other ¢' ✓'C fA) yYl�n general contractor(refer to#4) comp.insurance required.] 0 t Any applicant that checks box#1 must also flu out the section below showing their workers'contpensatiod�olicY information. Homeowners who submit this affidavit indicating they are doing all work and then hfre outside contractors mot submit a new afidavit indicating such 1Contractots that check this box must attached an additional sheet showing the name of the sub•coomictors and seta whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. i I am an employer Heat is providing workers compensation insurance injormadon. for MY enrployeex Below is the policy sad job site Insurance Company Name: D (> NS U2Awet`� a Policy#or Self-ins. Lic.#: ��7.6 9 g 3�a 3 �tl Expiration Date: Bob Site Address: I Ci cv I► 1 00 K , City/State/Zip: e+1` n rtJ 1 0 a 1,3D. 1 [�c, Attach a copy of the workers'cornpeynsa on 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 a fine up to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and of 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. Ldo herL eerti uada a pains andpenalties of perjury that the infornrallonprovided above is trueand correct� rq ��,� P WDI- (� 7) - (P`5 ) offlcial use only. Do not te►rite in this area;to he completed by city or town opiciai City or'Town: Permit/License N Issuing Authority(circle one): L Board of Health 2.Building Deprrtment 3.City/Town Clerk 4.Electrical Inspector 6.Other S.Plumbing Inspector Contact Person: Phone& Client#: 30124 SOLITNEW ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10102/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Anita Little Willis of Massachusetts,Inc. a/co N o Exe,856 914-4600 FAX ac,Ne: 856-914-1881 100 Huntington Avenue EMAIL SS: anita.littl�. .Illls com ADDRE INSURER(II)AFFORDING COVERAGE NAIC# Boston,MA 02116 INSURER A:Argonaut Insurance Co. 19801 INSURED Southern New England Windows LLC INSURER B:Beacon Mutual Insurance Company 24017 D/B/A Renewal by Andersen INSURER C: 1137 Park East Drive INSURER D: Woonsocket,RI 02895 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ITRR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP IN R WVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY LIMITS GENERAL LIABILITY pEAACCHq�OECCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea RENTED occurrence) $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ PRO- $POLICY JE T LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accdent ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per $ AUTOS AUTOS ( I NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS PeraccidentI $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION AIC927698352394 8/21/2012 08/21/201 X WCSTATU- OTH. AND EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N 68028(RI) E.L.EACH ACCIDENT OOO OFFICER/MEMBEREXCLUDED? ® NIA $1 OOO (Mandatory in NH) E.L.DISEASE-FA EMPLOYEE $1 00O 000 If yes,describe under bESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 'DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Named insured is a Renewal By Andersen Dealer F CERTIFICATE HOLDER CANCELLATION Southern NE LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1137 Park East Drive ACCORDANCE WITH THE POLICY PROVISIONS. Woonsocket,RI 02895 AUTHORIZED REPRESENTATIVE 6— ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S212686/M212684 AXL M Renewal _ x byAndersen� , WINDOW REPLACEMENT nnAml.....,. mpany 4 �! ' strat WoodNinyl Composite IF, _ �, .. • F R9ting`ut�Inrl Dual Argon Low E Double Hung E 100-00390547-005 F ENERGY PERFORMANCE RATINGS " J U-Factor(U.S)/I-P Solar Heat Gain Coefficient A%u . 0 ,1111 3 1 d ADDITIONAL PERFORMANCE RATINGS Visible Transmittance .: On53 '- Manufacturer stipulates that these ratings conform to applicable NFRC procedurae for determining whole product s`¢ pertoonance.NFRC ratings are determined fora fixed set of environmental conditions and a specific product size. ` NFRC does not recommend any product and does not warrant the suitability of any product for any specific use. Consult manufactures literature"for other product performance lnfonnatlon. wtwwArc.org. SE This product meets Gre t..' - f �,,q� Seal's environmental �V a standards governing a _ energy efficiency,heavy t ' G'metals in the frame and 4V sash materials, packaging,and consum r x = cERt� education materials. ` a r DESIGN PRESSURE(PSF) ` H L C 2 5 RbA DB Sloped Sill DH IN f Tmmclto NAYS1J2o[AAMA/WDMA/CSA IOIAS/A40-03. Manufacturer sti ulstrs amfnrmaerr to t6 n licn6le staadnrds. k t v� r ly lz �_. Meets or exceeds M.E.C.,C.E.C,6 I.E.C.C.Alr Innlltration requirements WDMA Hallmark l.vrhooation program. r r 4 cf r •'+t'�"° .neF.K�,t � .,*�„�'`.�y$``,. � .f[n: k S i .k`t,h s+Ka' ,a�-�l - &+`¢, wCn�} s�rStr✓-4w,f' -'{r-b�...,� x., c_ 's its m � � ? s^�a'"lzx�ty'i$�-• '�� �r ii MMI I Dso 21 1212:12a .gym 5W 699 308 PA mtiewal R-ENE%AL BY DERsEN V. byAn xAwa;T„lM" PlotsaoQl�S?i,6161-Fax�Of.b3t.tt3d3 aws.iu �s R�e�i by 4d�a8'�oe�n r , #m!+�drwu4'Ru�iaaaasi'Tp4a0r _ .` Y 141M7�va ";' - Nsisr'iYr F4�n0u Y"T*01vw N.*. .. 7� ds•Boa + y a c� deg iudcrs�n of&Mffi rn�a EaslMd `�f:rewser-ir'�,in amare ra evsdh c�ie mna5tNMs* d.vr;Ex +_hc sego,of afsarrfecatanden the amcbcdp�xi"mi =end TaeA jnbkmoune: I s fiat and of PMO art Q t Caph 'Ek fay w&1ta ax-d(33 tkede Ards are rteepeeri f�depostr metj=rmsm i lt3 of zfie ISdaim at sort a>g. {33t€)_�` } F�oleoc acvc�eaoQs a Ca I Cad oe s 'J 6ys 801rna on rbtaraetct .. 8 on Ski r�rpla ct t*hu&by seed P4v►en aE pL#3336�-�W.,ram - aed and 6e��i �ched�bas'4 dhed�s�tasb, • Mqer l agreesand undessft ft tls"Ais'Agreement eanaftudrs Ike emirs B hrem the Prem%aid*.t: ihinm are rtn.dal amy al the harms of.thk Buy-rof *—j B-1.4$) (1)Las read thin Agre amest, dw terms of this Awmwonoid,and has received a cwnpLft4$vmed,and dxwd copy o£fi Avv;e ,7oaoia wbcnm d(2),ra.e hiGnmed of guyeea rWi to taotd ibLoAgreeme&L DO NoTsiciN TEms oGN7x&cr ipTHmEARE&,4v'uAIS 9. (Jfto&I&daudSed" 1 ce snare(1)Do mist sym thipAgrannawwrif wq of tha 9pages d Ow 1e tee tartest'4 tLm (2)Tun aae m a mly.eef t��l geemm$t an the timr yaeSsig� t.{ Y may at any"tamee f off the fun"paid bit',.oe due undue tMs Agremlent,and la.to JAiag;yaw"be' to reccire a partial rebate of the Snmaet*Iod aesetaaaet charSes.`4 The aedier'!as so i*p!to aAlav tltlly enter your p re> , r eerm>titit aay breath of the pea"to (S)lk�w wayta"ih6Agveeaae.rt if if Xa Mat bey. as dhr n>sfmt uiRne sera brad&OMM of the self 2e you aotfj*thr teener it 1i oehar awkin' orunc aer breterit atlice seo,.n iM if►d,.A reeomeas*bywelosteted or cerdi"Amfl6wbich simE be pose d sat labs,dweo mkt of the tkirdimk diw day aaerihe day*a the buyer was the Agaeamcae,sacbmfing Saba d igsnd aiY hw6fty-oo'k" Mcalar Ma adweriees am aef rids..Uet dw amnscranyinguotice,of cased ekes fWrIM for sa 4XPIMMMtiOM 4a b=YWZ'z . 1}1 yWj m.Trwc 3:dAC;4miE xw,r c rkx ztiara an;Accu pn^o vW k 1fr-$Iwar,IAeW.vs,Ta6t8c §r3 Rep&mkon Bmu& - ;Isry 14aea!t►f S�eaese >Ed $taps q� � S; or Mawr S*FWIIUM v �'tzni i�m�ae a 6 F'�dext �iagr; Ijaini Ail* YOUS`THE BUYER }, MAY \eHL ' M,%3tANgWn N AT ANY TOM PR30R TO MMMGM OF TM TWRD . ' sumiEss Aff ArrEa THE DATE;oFTwsTRANsAcnox wzTmUT Honcs OlFCANCRUATIOt4 5" f 1_CF—OF_C LC .1i1 UMCEDECANCULAMCM - Date of Trammilin !2- o- "t— _Ybu mq eanoel flame of Tranaaetlusb Z x sas ref tws tra wrditmu nsesdcw% a aray`pemdw or off'aainra.wftbin �Vie%widwut any par+�ty.or rrt�dtin t1wee udness dap fiam the`sham due.ff 1u I these busktm fra m afta awwa dwo,If pees anlr p Y traded Kw'#pain e3nts-malt br ym undler the o P b1/ +tt r i t.:asetra or Sale+:and actin negodaMs Insami.m.t end I t:oeeurapt ar'Sal%md le went*xenteed . - ibla you will ba moaned wf@ft bep budneas:dap ifiAmin I *low,sit$bo rctunsWiftfp+Farb bud1 by the Setter of yarn eancetatloA and a" � ramipt by da SdW of roue cabteftfion tb and fury Interest wt of Ow t as ran +wall be secu ft hib�t are mm out of &a bRatbsa n ,� b:, cxncrlcd.If you anu!%you rn mnim amble to the senor I MMMIed.lfyuu c3iMM1,67M.1toat rreatae ateaikblta to tlto Ssltaer at yaerr,r deoce,lat substantifly a a good condkica a9 wAten I at yaw r deEN:%lee s title as goad oa 4doa as whwi rn delved,any 11a delFnered van you seeder C tt rant gr l veve� gaoels e*d to you under dds Cow or i ar you rrual ad 7—whiN sxtvt Iy wfth if�t ins"Cdam Of ,ry SHS'Or l n7eYtn y�'!b r vetne flan&SWOWUM ` the Seller regard the ruaura smpnlant of aw goods at floe . 00 Sebkr the reW M dpnrent aQ the at tf� cle1A aidF f47 +do it>blpe abh3e Sedle�+i ssrpense and rises If )�t elo n UIM UM vD&&ara?b6e tea,tl SieUler M; ,Seller do" pldr up vdtb% r foe der and t 5 ar: s naC RICk ,tq► ` x t rsq d"s of"dale.of c"Catr6*14 v t reeltla or .l twr sety sd the Baba of OM I� or of the 7witttorrt any flu dmi abllgst B ym # d of the goo&v vc any h vbOSj*M.lF you , f c`1®o tt Oo r goad Wafthfe to'iiibe&M r ar 8t you a7Peg l hi7 to WWJMtbaVM&a�aita6 bo t 5akr.w l! w to net die goads to the Seller and &H ft da s% bo re fta-h the, to t e Seiler and �to da so, pu+re�,'akt liable for peeteon"aaeee of aff s under your nafit&M tors�of ail tarns tfibr.. tstbbe C.dattaz#.To teasel fhls &wnactlat; ,ruff or defter U* C.aettraM To aatboel tFds transaUkwy.mall or deify' a,shpad and dameeil M of"cana Harlan nadea'oar a" l a signed and dMed+copy td dtis cwwelb d*n ImAke cr'aiv Other written.na a-,or send a telegram to PanewW by I r.mitta active,or sand a tadegram tD Rennnd by Soadwa Now at 1132 parts East Or., M Itadt,t11I0298 S L.A'SMTKAN.MIDNIGHTOF 9 1 B elRli02895e,KOTW4'ilMTHA9�1MlVfllGlyfFE ��. ( I{EREST CAM�1M HfS G4ffCL7M ) tt� trntriay� a>w _ rMeicr+a+_ 4�aat - RbJ1.Go}i1:4'Yli�to �y►� t;�r;t ' oq�gq(O oFst r Town of Barnstable Permit# EVIres 6 moat o ' _ •date Regulatory Services Fee BARNSTASLE, y huass. g Thomas F.Geiier,Director 039, preoMA�a QI��Igf°q� Building Division Tom Perry; CBO, Building Commissioner 200 Main'Street, Hyannis, MA 02601 www.town.barnstabie.ma.us Office: 508-862-4038 Fax: 508-790-6236. EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not valid without Red X-Press frnprint Map/parcel Number Property Address�[� BOW , ]Z7(J PC) C�>�/ 10� /1 t e`Rtsidential Value of Wort. � GOO,— , Minimum fee of$25.00 for work under$61000.00 Owner's Name&Address M j%M I A e Contractor's Name IA/Yl ti5 AC104/ Telephone Number Ila/—h a—C` oo I Ionic Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ,j D701 � " ow/orkman's Compensation Insurance Check one: OCT Wani a sole proprietor ,arntfteHomeowner '°"�0W� ' �i' .,..,��CNSTABL have Worker's Compensation Insurance Insurance Company Name WON. /11 lu/'- Workman's Comp. Policy# S 6 Copy of Insurance Complianee 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 RepIaceme indo s/doors/sliders:U-Value (', 5. (maximum.44) kWhere required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation;etc. **mote: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. G—' PtILFMFORMS\building permit formslEXPRESS.doe Revised 100608 ftk �s�flr•,'' -� The Commonwealth of Massachusetts u Department of Industrial Accidents Office of Investigations ' 600=Wash-ington--Street Boston,MA 02111 www.mass.gov/dia Workers Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information A Q Please Print Legibly Name (Business/Organization/Individual): - 't �o!tl S,�Oc. Ci , Address: �% % ✓r �1 F�'rS }' r City/St to/Zip:y{J00N-ecl c_ 0),�?S Phone #: �V a Are u an employer?Check the appropriate box: Type of project(required):, 1. I am a employer with O 4: I am a general contractor and I 6. ❑ employees(full and/or part-time).*. have hired the sub-contractors Ne constriction 2.❑ I am a sole proprietor or partner listed on the attached sheet. 7. emodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y P n'• 9. ❑Building addition [No workers' comp. insurance comp. insurance. required.] 5: ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have-exercised their l 1.❑Plumbing repairs or additions ' myself. [No workers' comp. right of exemption per.MGL 12.❑Roof repairs insurance required.]t c. L52, §1(4),and we have no employees. [No workers' 13.❑.Other 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have -employees.-Ifthesubconrractors have emp oy eT"th-eymust-prov-idu-th-ir;workers'c7smp p-ati-eynumber- -, - - - - -- - — -- - - - - I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. `. Insurance Company Name: " e-CaN XA.(+1 ^ CO- . Policy#or Self-ins.Lic.#: L Expiration Date: J) tY p: , ; Job Site Address: k/U, 6 City/State/Zip: ! 8 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 Iimprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.�.Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Date Phone#. 4io) �, © Official use only: Do,not write in this area,to be completed by city or town official' City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5..Plumbing Inspector 6.Other Contact Person: Phone#: J i . ..lice �ari�ta�ulseor�d o� a�ui�P.� Lknm s ., .. ,tF s°ard. ml�v �nsumre Afrs.& usin �gcxiatio erg the=pkmdm date,Ufa ream toy # ME IMPROVEMENT:GC NTRACTOR . 198wd€f BuNftg ROPhOM and 8b m* � = f)t wee rIli :' QISttHtit�it: low 01 Tr# :286438 Type- -r- cation i>_, ,.'mow , MOON WOONSOCKET, F s,=��� Undersecretary ' t ts;lrff Alf Builifi»- RtI iafatiistt•�13��°� t�lar41• Graa�nYr<u�sdarra�a�3r4i:�3ta€�8ca i,. � �� License, CS St. 90m RV. Rat Comiq -Restrictoo as: p. ' VvIodbm am Sift sand pw- JAMES N CUMBERLAND,RI r rmmrm nsf ftowe� �• litt�lt�ilrfSM - - V. t F t From:Shaunna Robinson,Hunter Insurance At:Hunter Insurance,Inc. Faxb.. To:Denise Glode Date:9123109 09:45 AM Page:2 of: z ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID S DATE(MM/DD/YYYY) MOON.? 09/23/09 PRODUCER ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hunter Insurance, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 389 Old River Road, P.O. Box 1 . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Manville Ri 02838-0001 Phone: 401-769-9500 Fax:401-769-9502 INSURERS AFFORDING COVERAGE NAIL4 INSURED. Moon Associates Inc. INSURER A: DBA Gutter Helmet - Nationalorange Insurance co 14788 DBA Renewal by Andersen of RI INSURERS: Beacon Mutual insurance co. DBA Gutter Helmet Roofing vsuRERc: DBA Moon Works 1137 Park East Drive ilvsuRERo: Woonsocket RI 02895 INSURER E: - COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH - POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - - 114�K AUU L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRE TYPE OF INSURANCE - POLICY NUMBER- DATE(MM/DD/YY) DATE(MM/DD/YY) - - LIMITS - GENERAL LIABILITY - - - EACH OCCURRENCE - $ 1000000 A X COMMERCIAL GENERAL LIABILITY MPS26619 - - 09/16/09 09/16/20 PREMISES(Eaoccurence) $ 500000 CLAIMS MADE �OCCUR - MED EXP(Any one person) $ 10000 PERSONAL&ADV INJURY $ 1000000 - : -- GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: - -" PRODUCTS-COMP/OP AGG $2 0 0 0 0 0 0 POLICY PRO- JECT LOC . AUTOMOBILE LIABILITY _ '.': - - _ COMBINED SINGLE LIMIT- $ 10 0 0 0 0 0 " A X ANY ALTO B1526619•,_. 09/16/.09 09/16/10 (Ea accident)' _.� ._. 0 ALL OWNED AUTOS. - BODILY INJURY - $ SCHEDULED AUTOS - - (Per person) - HIREDAUTOS - - - BODILY INJURY - $ NON-OWNED AUTOS - (Per accident) , - - PROPERTY DAMAGE - $ (Per accident) GARAGE LIABILITY _ _ . AUTO ONLY-EA ACCIDENT $ ANY AUTO .. . OTHER THAN - EAACC $- - . AUTO ONLY: AGG- $ EXCESS/UMBRELLA LIABILITY- - - EACH OCCURRENCE $ 1000000 - A X OCCUR EICLAIMS MADE CUS26619 09 16 O 9 !--O 9 AGGREGATE 0DEDUCTIBLE 'X .RETENTION $10000 WORKERS-COMPENSATION AND .. .. - X TWCORY L IMITS ER EMPLOYERS'LIABILITY ` B ANY PROPRIETOR/PARTNER/EXECUTIVE �. 28586- - - 10/01/09 10/01/10 EL EACH ACCIDENT $500000�. OFFICERIMEMBER EXCLUDED? - E.L.DISEASE-EA EMPLOYEE $5 0 0 0 0 0 If yes,describe under - x - _ SPECIAL PROVISIONS below : E.L.DISEASE-POLICYLIMIT $500000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION BUILDIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION - DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10- DAYS WRITTEN Building Cont. Reg. Board NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Dept. Of A lS trati0I1 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR One Capitoll Hi Hill • Providence RI 02908 REPRESENTATIVES. AUT D REPRESENTATIVE ACORD 25(2001108) ©ACORD CORPORATION 1988 f � • r `..J (:a�mc Name V i A� ClN1 b I T.a4 Rma.,�6t A'�s of R"4�ec lowmvv w tea.; i diLtL 8�..� CaranelLT►: CrptCJ I weemem.byAndftseml G�42> 6 (-) P¢1•d L v. W 7' 1..e pi.M."w-1225g w+- F.rwdk 11"35cr Y—MI 01 1 $ PhQ F 3 3r w�or W«..aP.rMsw�w�+lmb*.R«4K�•« qwIMF r�i7wW6iwa11.u.a°i sO�•r�s.aia� ,eo..r+r�,.rs.e.r�.w�a�re'�'"n `�°'..r �®e.�.`.`k...i AIP+.. 11ti.rd�11�M." '� . C �� ••�- i�ert6WaWwa �K . a ��4►Pwr �.C�a a.wOb,Mar.w•Mi•�'ai•• gap�l�gi�l �Ita �Y� � '�� 9MareV,LaMIr�wN6,w.il��lm Mlle U�" ,Y ����/"..� .w� .r..+.wrM..+..�moi.•awA � i. w.r�..ram•.........+.....-r......r.w-.-.w+�c.......,..�...�.....rn *Permit# �OFTHE r� Town of Barnstable Expires 6-n+a ljkjfront i r me « Regulatory Services Fee f + BARNSTABLE. « - v� MAss. Thomas F. Geiler, Director 1 19. I ArEDMA,M 1 uilding Division J�C Q Perry,CBO, Building Commissioner 200 Main'Street, Hyannis, MA 02601 7bW/V Z009 www.town.barnstable.ma.us Office: 508-86-rofoRIVLqr Fax: 508-790-6230 EXPRE�,ftjkMIT APPLICATION - RESIDENTIAL ONLY x / e Not Valid without Red X-Press Imprint Map/parcel Number � U_ Z y Addressidential Value of Wort. 40 Minimum fee of$25.00 for work under$6000:00 Owner's Name & Address L.) MC C (i/ t A 1'n Ai ,_t001 1 A j ti y Contractor's NameC7 - Telephone Number 1 tome Improvement Contractor License# (if applicable)__/ Construction Supervisor's License # (if applicable) � r ❑Workman's Compensation Insurance Check one: ❑ 1 a a sole proprietor ❑ am the Homeowner I have Worker's Compensation Insurance Insurance Company Name BelaceN � ' Workman's Comp. Policy# 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-s' e . h r Replacement Windows/doors/sliders.: U-ValueoP -5 (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. A copy of the Home Improvement Contractors License is required: SIGNATURE: t -' I'1 11.LS%F01ZMS\hui1ding permit forms\EXPRESS.doc Revised 100608 The Commonwealth of Massachusetts - - - - Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information pp � Please Print Le2ibiy Name (Business/Organization/Individual): Address: City/State/Zip: WoONS 6CA?,L� .o do Phone#: 1�0/ ` 6 7/ y00 Are you an employer? Check the appropriate box: Type of project(required): am a genera contractor and I 1.9I am a employer with 0-04. ❑ I l 6. ❑Ne onstruction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. M<emodeling , ship and have no employees These sub-contractors have 8" ❑ Demolition working for mein any capacity, employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs � O insurance required.] 152, 1 ,and we have no ' c. employees. [No workers' 13.❑ Other 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. " $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. #: S !O Expiration Date: Job Site Address: 6.6'r Pa City/State/Zip: N Attach a copy of the workers'co ensation 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 io the Office of Investications of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and co ect. Signature: Date: Phone M Official use only. Do not write in this area,to be completed by ehq?or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: + Phone#• t License or registration vaitdTor individul rase only ' Donrd of Building fteiiulattoms and Standards before the expiration date.x If found return to: NL�M IMPROVEMENT CONTRACTOR Board of Building Regulations and Standards One Ashburton Ptsace Rm 1301 iRegtstration: l iq53 Boston,INTO.02108 t ypit°atltatt: 7t20200q T'r#. 130185 Type., Priveate(:t poratinn MOON ASSOC INC JAM ES MOON 1137 PARK EAST OR, Not v ttitt itttont signature V OONSOCKET,RI 0289 Administrator staa��sa Itsa� tt� �';rat`tiat�°�l[of t'ia�a� a �vai"z�i� Restricted tot RF,WS: �UP? on x r ,;r pr ca isgt r€ IA- Nasonry,only It » Roof C'nverin Leer r �, a L 09840 'lr »�Vtndos and Siding a o try torte f,} S fiId Fuel Burning Devices l��-�+rtraotttion orals: JAMES MOOS 48 PAINE ROAD Paitt)re to possess a current edition of ttte CUMBE LANO, 1 02.864. ;"'assuchusetts estate Building Code is cause for revocation of this iica:tts . „ .. -'gm�at�<aa Refer to: r4t?l°,41ass. ovli l� Fr"'Ohaunna RoWnsom Hunter Issurenco At Q'StiJ&w If'� td9"'tx Tt�i�;,�it«'".. aax,10. Tm,} 1w'n1se Glode r OP ID spax ��a s�tfY�^�t 'E TIFICATE OF LIABILITY, INSURANCE , MONA— vWxtor Insurance, Inc.309 old River Itoad, P.C, sox I Pianvillie RX 02038--0 0 01 ,'V : 401-769-9500 rax: Q1—'7 ~9 0 t t1 I A £�ib 4 �1 I A P AtC vielluot DVA-non y der e> az He- �, 7 �' East D + P t RX 0 COVEAG TPA PM Ice VM-0 mow KAW DEMN ISSLED TO 7W I[ tv-Po PA&W AWV6 F44 11448 pmtcy Pz 'oa 1fo1 AMo1 M AM REGUMMN04,T 7 09 COMMON r-AW C t7FAR.Ct OR M 'VM"$C- To"UCH t M CfWnM 1 MAY BE IMM OR XjrAaS.Anon-t&AJJZ Lojn at"fiqM4 WAY PfAV'F OWN RWXM OY PAQ WM tAT�y 4 TR .h€S tE [?d£31.EC1S�J;C POUC F7�£ttAM p Y9i R 410000 PEUMMS ADV WARY ;10000 3 �x 42000000 rat. Te t,�ara*i Mtt P M-CO !00000 Loc RIM 41000000 µ ALL OV49D AUM 3 AJU t. � A�ba�is€dtY stadd� .Efate 3:y�111ff o cYYtR % 00tUMG DAELLA i fad WY EACH Deaf, 1000000 .� /1 /0 SAT Ix lwwwq %100001 AND 00000 c itNJTti p a [-t f r ixcE ti at % t" RUT Building cont. Reg. TXenTo^CVMMATUn0j: Rs LEFT.DVT MUM TO0000 LL � Dept, of Administration tr t n C�ST"t�:��No�€°MJGx 0f4 OR t ?Ci Of ANY 04V UPON P40 MRM 4T AGSWIS DR one Capitol Hall O;k-7. JOAIJ /VIc IACH 1AN C4-,�Q.yr€ C� lI�Yt Cun craer Nam= ft e Renewal by Andersen of RI&Cape Cod r Drift 3 ' 0295�� evat Sales Agreement dreP V .padkFRI ° d^ „ phone-Home: 157-�15 wrowr rrt<t+ucarart mnae.,,encaos�r $oenae+RRI 12259-MA 119353- Phone-Wwk Pag 1 of Dace: d CT0562725 Fail: UMS 6Rlll e4 . fit � _ a kk s �� i �A Vol 21 sMCEs orsaip # & a i is I g$a s3 � �� � t Is4 a i 34 k,# s Ia. � A v sormm rw S P:opoest: w o[tLp e6oeo mL+ac..ead soon m be paoddod sa du eonl ammmeeaadm du me ,gti p`LC 1 Pty"nt Med�od n71p sm�io wNd far }c.ed le�rbJuro�mspCma b/bahCutana�dE�raevd bfaeAmsn .o E Subladod"ftpd C&CA 1y Qk s r1. 1tZ5 .� 17 � ' J s�e�r woo- G S Fj Vi I aademee Repnnmati- MbeeredbofEapaun $-a4 ❑ wAltcard obetomer 'You,cc bed,awmoamdariraouwo.6as.aaaemns mgom�piam aye .mac Evr�hicL eopq dce—Sneed i.thb Mmeae and a agto ebe ammo hnmoi. fits) El rmnow sec never se 91de fsc 77ern:a aid Coiddons of Sale.Y the bays.may Caned this tzotuaacdoi at aiy time to midnight of the th4 bnue day attar salesTu area.ee+.�+r edbkc daft�i see attached twtice a[c c n£or am Tonls�eCd6oeauGeediaorEspe� --' / M<rem Crft dwcb#A MWW _ ,p (may acec mm1 m ma.r.aedit t s+pmee aoluma a Age WqR Mu!!OaA .Ardstl ee ow u A➢Pm"V SpeeworderNoom 'rtdganouMaiJl�aseret .SL Meaer srw.W i—P�p7 � �� (r7 Dam 1leo dby Mdt«n---905°- Dapork Nilg4tAd 'ko *od/gcG1mWw N +Ohicta Reneed r7aele>e. �naplaadnfrnJl�im r6rermadWwaeceonNebtddoo npeYtg �WsaG DI�trlQrap �otddcarr memtqqu�et��c�seEa orrYid9vcme�c�be nb�a.bep.XoeeseNnD'uarandeoerr to b.aeededbaRlModed Rlagbraedaa mYi Nr6Yai oelos itltalan...armw+� PctoeMrl+uleet�oc meodiwtlr[laocon. a) i.ax crdea oorcYpeRer oewvib heaabme'mku D tr qM% rarepprwd. r6oea reieulramM° ".'ee adsdwr�`Hl�o�„acr 'cro.wda..a recaovaL aae el�al of pcadum Rshaed• e fffiiirrrttt�o�me��/� acebsfikaac nea. Ygipe•ieebcwri4l+MMten Ytlaw•Icaaiarim Pink-Noawearcr 0 IoNa M18e1C •p..rw,c„e,,.crde.wr.d4+Asa..swn..«a�.dsa.a..e�,wea.ottoe,c.�r +►w.�.�.ve ewa�swlmra N y AsAessor's (map and lot number ..�0.8...'.x.�C?�. ` ... � 3 THE Sewage Permit number ?......... .......................: +�� '. IWO U .e J M I 1! I $� 6f COW n Sf. `Z'BARNSTABLE, House number .........,!.. ..:..................................................... , s rose TOWN ' OF BARNSTARLE BUILDING INSPECTOR a s� APPLICATION'FOR PERMIT TO ,��...�'(•�r�....��Gl.�.:'�:............................................................... ..........:......... TYPE OF CONSTRUCTION .........11l..00V.............................................................................................................. J.19.Q4Cs3.►�.'.1...... ...........19..IF 5 y . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... .a. .. .L........ Q. ,l.h� ...... .RK....�Z�:.......C�-?-t?" ut�,�� .. MraSs....................... -- Proposed Use .... ... .......................... . .. . . . .. . . . .. .. ... ZoningDistrict ......!!. ...4_........................................... .........Fire District .... ....S.J............................................................... Name of Ownert'Lg:! MIZ$.. Address g9..NPr(;l`Zg!�...S.T; Met_. U pAa2 Name of Builder � U1.QRf .. ��a...C��.f....................Address o7 .WARA....N.f.l2...,2r:....504TAl.....VaR. ?P':t`P$) Name of Architect NGf��..............................................Address .................... .................................................................................... Number of Rooms ............. .................................................Foundation ... . ...... ..... a.......t��4R.... i'1�11�= Exlerior ( :�' .. �11� .�.� .,. � Qp. �f'R" >Roofing f/1�117~/..�J/3.�i?. C .......................................... ' r� r cetwa&§ '(� sheet Q -c Floors ��K,.. I.i7!?�5= �'1!l'..�S.S1. .�4�Pr✓�.� .1!-.�e..........Interior iNH. .....[ ...5 e�� ictG 1P.i1dI7�.. ... Heating d.22 0...&r.y8!-.t' ii9S,....... ..............Plumbing WA Ate. ` .0 Fireplace )�.........� f....s�/�7! ...........................................Approximate. Cost J. .oC��.................... 49 Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area ....................... ' Diagram of Lot and Building with Dimensions Fee /�... SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . .. ...0"..P '............................ Construction Supervisor's License d.AqW!. ................ ..CL5UNAN, JOSEPH C. Mr. & Mrs. J � F ..27573.... Permit for V2 StOrY Sin le Famtl Dwellin ..........9................. '................. ........................ ; Location .....19 Babblin Brook.Road .................... Centerville - Owner ....Joseph C.••••.Cullinari Type of Construction ......Frame.......••,;♦•••••••••• ............................................................................... Plot t .............................. Lot ............................. Permit Granted ....:l�ch::4,: 19 85 Date of Inspection .....19 Date Completed ..f/�.. ....... .............19 p r • A .. �` .. _ ., _ ♦ , .. ; .. � III Assessor's map and lot-_number ...+ ............. ... rl s OK P�pF7NEtp�I Sewage .Permit number ............ .5.... ........................ a 1i SAR35TADLE, i House number ........f�.. ......................................................... 900 "639 0 YPY a\ TOWN OF BARNSTABLE BUILDING INSPECTOR _ APPLICATION FOR PERMIT TO /aa"! -F... •. © k/ TYPEOF CONSTRUCTION .........r f/[> ? .............................................................................................................. ...... ...........19.. TO THE INSPECTOR OF BUILDINGS:1 r The undersigned hereby applies for a permit according to the following information: ( � � Ia ~F'Gb( t?: Location ............ ..,. ....$ .,.........•........,.. / . ..._.......'.:�......................................!T.......:.........,.................:............................ Proposed Use ... �... . ... f�a..t.�_ ... !r?r.:{: . ......................... /............ ......................... Zoning District .......'.j � : .........................................../j..... Fire District I.... ................... ........................................ F Name of Owner na±d it25„jJv„5., eh.. :.. U11 i Af.....Address ..................... Name of Builder t - ' .. ........Address c,�g Akl. A �1^: o ..*?t?ti?? Name of Architect ..................Address Number of Rooms ...............Foundation .....f/A....... � A'F:. ' Exterior ��+':'......� �'���f'.f .........:.......... ...,. �0.=....��Roofing A A5'&7....... i�..!"?�`.-�.�rs;�.. .................................... r 'tLiN 'A�a7 She—CT k,1G�c/c� Floors �...1%0f 0�L� X" / Wt 7..k�VA�z S?k.!Y........ Interior"�tRldr�.....tt .. �� � f 1C �r91rtT'� -� .. . Heatin ' a � ..................:...................Plumbing HO „(_�hJ-5.... ............... Fireplace �� '..........Ic?.... fk ?. ...........................................Approximate Cost ...... .�..?..'..............:, .....``�................ Definitive Plan Approved by Planning Board ____________________w---------19.___-___-. AreaL�� !/........................ Diagram of Lot and Building with Dimensions yh' rl 9 9 Fee ...... .. ...:...... s-------'' SUBJECT TO APPROVAL OF BOARD OF HEALTH t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above - construction. Name.. ..... ............................... Construction Supervisor's License CULLINAN, JOSEPH C. Mr. & Mrs. A=188-153 i9= lee- No ..27573.... Permit for ..1�,„Story Single Fami1X Dwelling ...... Location Lot 21 19 Babblin ,Brpp Road r..................... Centerville Owner ....Joseph C. C illinan ................................. Type of Construction ..Fri................ .......... ............................................................................... Plot ............................ Lot ................................ March Permit Granted ............. 4.....................19 85 Date of Inspection ....................................19 Date Completed ......................................19 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) A , 1- I m / LI DATA 2-- r-'fi;e)1)-. 7 )VA 7 74�7 '7 7 L`,_��_7 t01r I C 'o Olt 0 /_7 /., Cows.fo„ I 1 1 llrug7t l h 14 06�`J\ 41 v —O'C;A—e j VL 01 CO A ry 0 1 Am r�) r� R ��� -� p.fi ►I= ISco N 1 1lo tv 5111 t AT 00 p— Z7.t 07- 2 OF p 45-1 ALB�RT, I /0 P171 1 4 ' 7-A -MORSE No 10951 Fel-vfj rC cz-, V; )i TO LEGEND I-S/0 t A L'9 P-1)LZ 6F C6 tJ:,I T7,9!-1 EXISTING SPOT ELEVATION Ox CERTIFIED PLOT PLAN EXISTING CONTOUR -- - O -- - 1, L07 JSA88L1 Al 0 0 p" 2 . FINISHED SPOT ELEVATION ;y T FINISHED CONTOUR — 0 — V17 ROBERT W U E ELDRED IN APPROVED , BOARD OF HEALTH f' Iz S A it A S TA.0 la 2 ASS. Aq? SIJ DATE V AGENT SCALE$ / "7 DATE _tN 'tW1NG CO. /N - d5 C L L. IVA. G—WE __ CLIENT I CERTIFY THAT THE PROPOSED r f i-E-IG_1S TE_R'Ed REGISTERED JOB NO. 601 BUILDING SHOWN ON THIS PLAN CIVIL I LAND CONFORMS TO THE ZONING LAWS LEN9_INEER!5r SURVEY DR.BY I A,,"4, /1 k R!&i- a C OF BARNSTABLE , MASS. 712 MAIN STREET CH- BY, . , /0 SHEET OF �ATE 7 HYANNIS, 1AA5S. I FG . "11HVEYOR VC E: b 1 r S O 273.' 4<0 13 jl 90 art y2 t Web cJ C r , -/�000 SmF' CERTIFIED PLOT PLAN �``NOFAr�go Ira RriS HOBER7 s . `NE1N CONSTRUCTION ONLY & B. n ELDRED'GE y TOP'-OV FOUN-DATION IS FEET � No. �9367 � IN X A®ONE .•CONY POINT. OF ADJACENT MST[MST[ s@�� � � RQAp. r . SCALE,/"' DATE, GE E G/NEE 1Ne C . ec �cz/�rA�ir i CERTIFY THAT THE,-Qe&"neN CLIEALT,. ,.._.,_. SHOWN ON THIS PLAN 19 LOCATED .901STERED REGISTERED ' CIVIL LARD JOB IdQ °O ON THE GROUND AS INDICATED Alto- ENGINEER SURVEYOR , DR,BY, CONFORMS TO THE ZONING LI11IIt9 'f .:OF BARNSTABLE., MASS. CH.Sys 712 MAIN STREET : ;3 S"�'� HYANtIIS, `MASS. SHEET..L,QF ,,, 0 TE RE®, LAND SURVEYOR - .... a :,�... ��(.Y �'".MGY ,k tl,�G: C- J 7a>•vJ SaF ..-}'t+. K �`} Z o� TOWN OF BARNSTABLE Permit No. ___27573 Balding Inspector cash ------__—_-- A ' p - 's'�pY�'• V A OCCUPANCY PERMIT Bond Issued to Joseph C. Cullinan Address Lot 21, 19 Babbling Brook Road, Centerville Wiring Inspector � ��. ..ys�-.'"� Inspection date Plumbing Inspector / _1 .. Inspection date Gas Inspector '� Inspection date XEn ineering De artment / �y g P ' '. ' " '`�_�.�*�.- Inspection date+ Board of Health `' ^� f�1 Inspection date r THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ................7. ..................... 19...__ ................................................... � ._.._ Building Inspector ��..� �•.e* TOWN OF BARNSTABLE BUILDING DEPARTMENT aARNaT = TOWN OFFICE BUILDING rua i6J9' �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by c� J Building Permit #..�...,...._...:........�./.�....��.,...�..../...�Y_... ...................................A.:...................................................._........................................._. issued to ............_........ _� 4f..!......t:,,,,�,_ �a:.��.::zt � .._............. _. ...._._.........._......... . . .. Please release the performance bond. i