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0066 BRALEY JENKINS ROAD
6 G3 � ��tuNs �• �: � o n ., 4. V �� i o � .. n �. .. a .. _, ,. a ., ".. '�' it ,. _ .. ,.. ,. ., ,. �. _ .. .. .. 0�2cl of1HE Town of Barnstable *Permit# Expi 6 martlr oyo Regulatory Services -issFie dale } RARNSTABLE, u 9MASSA. P7 �� Thomas F. Geiler Director �rfp�ya � �F SARNSIA Building Division y1ig/il� ���Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstabl6.ma.us Office. 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY II / iNot Valid without Red X-Press Imprint Map/parcel Number l l o 51 Property Address fV VRResidential Value of Work 3a Minimum fee of 535.00 for work under S6000.00 Owner's Name &Address ln/t d Contractor's Name ,�� ` _ Telephone Number�� Home Improvement Contractor License#(if applicable) Z�, •C� Construction Supervisor's License#(if applicable) Z ❑Workrnan's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I the Homeowner Cave Worker's Compen ation Insurance Insurance Company Name Workman's Comp: Policy# y Copy of Insurance Compliance Certificate must accompany each permit. 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 #of doors Replacement Windows/doors/sliders. U-Value t © (maximum .44)#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,H Im ovement Contractors'License & Construction Supervisors License is r r SIGNATURE: y Q:�WPFII.R51F RMclhuildir" oermil formslfXPRF.SS.dnr.. Client#:33723 CAREF ACOR& CERTIFICATE OF LIABILITY INSURANCE 9/081 0 09108/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Herlihy Insurance Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 51 Pullman Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Worcester,MA 01606 508 756-5159 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Interguard Insurance Company Care Free Homes Inc 239 Huttleston Avenue INSURER B: General Casualty Insurance Companies INSURER C: Fairhaven,MA 02719 INSURERD: 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. POLICY EFFECTIVE POLICY EXPIRATION -- LTR NSR TYPE OF INSURANCE POLICY NUMBE12 DATE MM/DD DATE MM/DD/YY LIMITS GENERAL LIABILITY - EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ PREMISESCLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY E o- LOC B AUTOMOBILE LIABILITY CBA0816810 d 07/01/10 - 07/01/11 COMBINED SINGLE LIMIT $1 OOO ANY AUTO (Ea accident) , ,000 ALL OWNED AUTOS ' BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN 'AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $, OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ A WORKERS COMPENSATION AND CAWC134O97 O9/O1/1 O 09/01/11 X WC STATU-I OTH- EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? _ E.L.DISEASE-EA EMPLOYEE $1 000 000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000. OTHER ' e ti DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS f CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable,Bldg Dept DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30_ DAYS WRITTEN 367 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Barnstable,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #M42357 7PB2 © ACORD CORPORATION 1988 07ze � ✓/laaaac�i -- Officc Of.Consumer Affairs&Business'Regulat:a, i,. License or registration valid for individul use or.[y HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration Office of Consumer Affairs and Business Regulation 100503 Expiration g/19/2012 Type•l 10 Park Plaza=Suite 5170 CAREFREE HOMES INC Supplemen, :rd Boston,MA 02116 I i DANA PICKUP 239 Huttleston ave.-`_; Fairhaven, MA 02719 Undersecretary A — f ! -• Not valid wit out signa 1 - Nl&'Nachusetts_.Dell tr-tment of Public sa et Board of Buil(lin'r Re; Yul;ttions and Standards g Cdnstruction Supervisor License License: CS 95228 Restricted to: bo DANA PICKUP 19 HAMLET STREET I FAIRHAVEN, MA 02719 , Expiration: :3/22/2012 �,:' ('ummissiuner -- - — — Tr#: 18680 — .:e f' The Com' it eallry f Massachusetts Department of Industrial Accidents • t Office of Investigations ' .600 Washington Street Boston;MA 02111 ; i www.massgov/dia ' Workers' Compensation Insurance Affidavit: Builders/Con tractorsAEleetricians/Plumbers Applicant information Please Print Legibly Name(Business/Organizatioft4n4dividual): Address: City/Sta /Zip: Phone# Are y an employer?Check the appropriate box: Type of project(required): `. 1. I am a em toyer with 4. [] I am a general contractor and I employ (full and/or part-time).* have hired the sub-contractors 6. ❑Ne construction 2.❑ I am a sol proprietor or partner- listed on the attached sheet. 7. odeling " These sub-contractors have,F ship and have no employees 8: []Demolition working for me in any capacity. employees and have workers' coin insurances 9 0 Building addition [No workers'comp.insurance p ' required.] .5: 0 We are a corporation and its 10.E Electrical repairs or additions 3.❑ I am a homeowner doing all work . officjers have exercised their 11:❑Plumbing repairs or additions myself.[No workers'comp. tight of exemption per MGL 12.0 Roof repairs `I. insurance required.]t c. 152,§1(4),and we have no D employees. [No workers' 13. Other comp insurance required.] 'Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they am 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 subcontractors have employees,they must provide their workers'comp.policy number. 4i I am an employer that is providing orkers'compensation insurance for my employees. Below is the policy and job site information: s Insurance Company Name: ; . 3 Policy#or Self-ins.Lic. Expiration Date. i Job Site Address:_ Ci /State/Zi - ' Attach a copy of the workers'compensa on 'cy..declaration page(showing the policy number and expiration date).. Failure to secure coverage as required under S on 25A of N1GL c: 152 tin lead to the imposition of criminal penalties of a 5 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 ' Ihvestigatio f the DIA for insurance coverage verification. f r do here 7.3 uiedef thepaicried p alti f per' that the dnforniatiori provided above is true and cotrect. " .. 01 7t Signature:1ate: 2-. 't OKicial use only. Do not write in this area,to be completed by city or toipn official City or Town: . Permit/License# I(: Issuing Authority(circle one): 1:Board of Health 2.Budding Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#' i q OFFICE: (508)997-1111 ;; MA. Builders Lic. #021330 FAX: (508)997-1297 IlWomesinc. RE FREE Home Improvement ' TOLL FREE: 1-800-407-1111 Contractor's License WEBSITE: #100503 MA. www.carefreehomescompany.com 239 HUTTLESTON AVE. (FIT 6)e FAIRHAVEN, MA 02719 #15179 R.I. W I(ice rio� CA e- DATE NAME / i ADDRESS G EC W "- 1 � [.� Av ZIP CODE 6a6�� ADDRESS OF JOB K TEL `ib e6 f f. JOB DESCRIPTION s iTC,olo�cc a►,� �� �1 � �s-{-�t.vl titer CL,� r-►^. �lU� 9 Er cl Tti54cuQ A,44_ .tar. em vV of ctl T Scheduled Start �— �^� Y`� Scheduled Completion da A. Replacement of missing or rotted lumber is not included unless specified. j. B.All start&completion dates are approximate and could change due to weather conditions: C.Stripping of roof includes removal of up to two(2)layers of shingles, h additional layer to be charged @ ft2. D.Replacement of rotted roof boards/plywood to be charged Q e ft2. E. Exisiting chimnet(lashings will be reused; replacement, if necessa , is not included. F.Care Free Homes, Inc. is not responsible for mold/mildew conditions that are pre-existing or result from leaks not brought to the attention of C.FH., Inc. promptly. The Company hereby proposes to furnish labor and material to complete the above work for the amount herein. Fulfillment of this , P Y YP P P order is contingent,however,upon the want of strikes,fires,and any natural disasters,the ability to obtain materials,or any other conditions beyond the control of tf e Company. Cost of Project$ _"li 175 PA MENT TERMS Date 1. You,the Owner may cancel transaction at any time prior to midnight of the third business day after the date of this transaction. 2. You,the Owners agree to pay any and all expenses incurred by Care Free Homes, Inc. in collecting money due under this contract Y and enforcing the to s of this contract, including but not limited to,reasonable attorney's fees, interest and court costs. DO OT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES -}° CARE FREE H ES, If ,A C T Buyer acknowledges Owner. BY: receipt of fully completed r:. copy of this Areement Owner: a . All contractors and subcontractors shall be registered by the director and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director, Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston, MA 02108 Tel.(617)727-8598 oF� rqy, Town of Barnstable * e&it# Expires 6 onths rom iss dat Regulatory Services Fee ; . !/.{B�- r a ► tARNSfABLE, r , &639. ,0� Thomas F. Geiler,Director v � - Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 0260.1 -www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL'ON_LY Not Valid without Red X-'Press Imprint Map/parcel Number Property Address .. 4[4,esidential. Value of Work S v� +Minimum fee of$35.00 for work under.$6000.00 Owner's Name&Address W I f t L Contractor's Name r � �,�l� ib(/L � Telephone Number Home Improvement.Contractor License#(if applicable). Construction Supervisor's License#(if applicable) 7,Z orkman's Compensation Insurance X-PPERMIT Ch k one: ] I am a sole proprietor 4jU)" 9' L01Q a ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance OF BARNSTABLE Insurance Company Name r� Workman's Comp. Policy# (,J Copy of Insurance Compliance Certificate must accompany each permit Permit Request(check box) 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 #of doors replacement Windows/doors/sliders. U-Value. , 3 v (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 requir SIGNATURE: Q:TWPFILESTF RMSTbuilding permit forms\EXPRESS.doc Revised 072110 The.Conirnorrweralth of Massachusetts — Departrrreut of Irrdustrint Accidents r. Office of Investigations r�. 600 Washington Street Boston .AL4 02111 trnma.rrrnss:go►Idio Workers' Compensation Insurance Affidavit: Buildersl+Contractors L-c-lr c anslPT:umbers Applicant Information Please 11 'iut Legibl Nanie,(Busines'0rg=atioWhxhviduai): Address: �. . s City/State/Zip:- ( Phone 9_ � Are yo}ran employer?Check the appropriate bos v = Type of project(required): 1.u�d/1 any a em to er v ith v 4- ❑ I am a general contractor and I P 3' �. � ❑ employees(fflI and/or part-tinge)* ha-re.hired the sub-contractors b_ New construction, I❑ I am a sole proprietor or partner- listed on the attached sheet 7- ernodeling•,. , ship and have no employees These sub-contractors have S_ ❑:Demolition , Working, for trip tr a capacity- employees and have iv)x cers' any Pa ty- 9. ❑Building addition [N>o tuorlcers' comp,insuu'ance comp.xnsurance.X re Mired. r 5• ❑ We are a corporation.and its 10.0 Electrical repairs or additions' q 3'.❑ :I am a homeowner doing all workofficers have exercised their' 11-❑:Plumbing repairs or additions sel€ No urorkers'co _ right of exemption per MGL ' �' [ mP• 12.❑Roof repairs � .. insurance required.]r c. 152, T1(4)„and we have no employees.IN oworkers' 13.❑Other comp. Insurance.regi ired. ------------- ] •Any applicant that checks bets it 1 must also fill out the:section belaw,showing th6r workers'.compeumbion policy informaiton- t Homeowners who submit this affid.,wit indicating they are doing all work and then hire outside contractors niust submit a nem,affidavit indicating such_ lCantractors That check this bolt inua attacked an additierw street shoe rag the name of ibe' sub-coutwbass and state whether or not those eaut€es have employees. Ifthe sulr-contraciors hate empltryees,they n=.pTovide their Workers'comp.policy number. I am an ellrployer that is prm idng rvar•kers' for lity entp& Paps Below is the po#ct'and job site , infornzatioll. Insurance Company r'��ame:!�J , y C4 we 9 Z Expiration Date: q Polk #or pelf=nns.Lic.�:- / Job Site Address: � E 14kl ln. Cit}r,`St:ateJZip: Attach a copy of she barkers'eam t rrsa tio>$:pol icy'dectiratioir page(shoo ing the policy numhe.r grid expuri tion d:rtr). Failure to secure,coverage as required under Section.2.5A of NfGL c. 1:52 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 asedfor one-year irtlprisonment,as well as civil penalties in the formof a STOP WORK ORDER and a fine of up to$250-00 a day against the:violator. Be advised that a cope of this statement maybe forwarded to the Office of-' Investigations of the DIA for insurance coverage verification. I do hem ce tip under irls r�nahiies of perjury that the inforrantian prm did a bo►Ye is true and correct a Si tore: Date:Ile / Phone##: Offl,cinl use only. Do not write in this area.,to be evinpleted bye city or,town ofcxal City or Town: PermitrLicense IssuingA.uthmity(circle one): 1.Board of Health 2.Building Department 3.Ctyfron'n Clerk 4..Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone 9: b �JUL-29-2010 10 :02 AM P. 01 ACORD,. CERTIFICATE OF LIABILITY IN5UKlo NIL;C 09102109 M1 PRODuaER THIS CERTIFICATE Is ISSUED As A MATTER OF iNFORMA710N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Herlihy Insurance Group Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 61 Pullman Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Worcester,MA 01808 508 75e-4189 INSURERS AFFORDING COVERAGE NAIC 0 INeuk6D INSURERS: ACadla Insurance Compan Caro Free Homes Inc INSURER e: Intar uard Insurance Company 239 Huttleston AV* INSURER c: Travelers Insurance Company Fairhaven,MA 02719 INSURER D INSURER E! COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES:AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ' F l I - LIMITS 11LTYK OF INSURANCE FOLIC Y NUMBER A OFNERAL LIABILITY CPA028S67411 09101109 09101110 EACH OCCURRENCE- reD 00 PCOM MERCIAL O&NERAL LIABILITY E 250,000 CLAIMS MADE o=UR s MID EXP y ornl anon E 5,000 PERSDNAL a ADV INJURY S1 0O GENERAL AGGREGATE 00 GENL AGGREGATE LIMIT APPLIES PER; PRODUCTS-COMP/OP A00 $2 O OO POLICY P LOC C AUTOMOBILE LIABILITY BA7011 NS4709SEL 07101109 07/01110 fO M�d�SINGLE LIMIT a1,000,000 ANY AUTO ALL OWNED AUTO® BODILY INJURY 8 X SCHEDULED AUTOS (Per per+) X HIREDAUTOS BODILY INJURY X NON•OWNED AUTOS (Per e00denl) PROPERTY DAMAGE (Pereaddtn) 6 GARAGE LIAMIITY AUTO ONLY-ESA ACCIDENT $ ANY AUTO OTHER THAN EA ACC .8 AUTO ONLY: AUG y EXeE"JUMBRELLA WABILm EACH OCCURRENCE rs OCCUR 17 CLAIMS MADE AGOREGATE DEDUCTIBLE RETENTION 6 B WORIeeRB COMPENSATION AND CAWC917429_. 09101/09 09101110, X ETA EMPLOYEIW LIASILRY E.L,EACH ACCIDENT 0,000.000 ANY PROPRIETORIPARTNER/eXECUTIVE OPFICERIMEMBER EXCLUDED? E.L.DISEASE•EA EMPLOYGFI a;1 OOO OOO n d 11 under below E.L.DISEAGE•POUCY LIMIT 161,000,000 OTHER. DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLU I EXCLUSIONS ADDED BY SNOORBEMENT 18ftCIAL PROVISIONS CERTIFICATE R CANCELLATIRN BHoULO ANY Or THE ABOVE OCECRINED POLICIES BE CANCELLED BGFORN THE WMIRATION Town of Barnstable i DATE THOAROF,THE IBBVING INSURER WILL INDEAVOR TO MAIL _3(L— DAYO WRITTEN Building Department NOTION TO THE CERTIFICATE HOLDER NAMED TO THE Lit",BUT FAILURE TO DO 8.0 YNALL 3e7 Main Street $ - IMPOSE NO OBLIGATION OR U"kLITY OF ANY FOND UPON THE INSURRR,RB AGENT$OR Bamstable,MA 02001 AUTHORIZED REMB. ' AUTNOR12IE0 RlpRBSENTATIVE ' M a ACORD CORPORATION 1988 ACORD 25(2001108)1 of 2 gM38934 _ • 1 Office of Consumer Affairs&Business Regulafion License or registration valid for individul use only 8 HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: x ' Registration { 10 0503 Type: Office of Consumer Affairs and Business Regulation ' - 10 Park Plaza-Suite 5170 =r Expiration6/1912012 Supplement Card k- PP Boston,MA 02116 CARE FREE HOMESIC - DANA PICKUP 239 Huttleston ave Fairhaven, MA Undersecretary Not valid wit out sig na —� 08991 #�l iauolsslunuo.� ZIOZ(LZ/£ :uol;endx3 ��� a , 6UtO'VA 'IV3AVH211V:J 1332�1S,13-1iNVH 61, f dfl>I�Id VNVa � r H �z BZZ96 SO :asuaol� asu901-1 JoslnaadnS uoi;anl}suq� F sp.jr.pur.1S Pur. suo!1r"ln z)H "ulpl!n8 .lo P TT�bg :_ ,- � :»inc innn� IO]u:TWLlIt(1.7CT -S11�SnlIJT.SSl'IN ,� j OFFICE: (508) 997-1111 ®® MA. Builders Lic. #021330 UX: (508) 997-1297 Home Improvement TOLL FREE: 1-800-407-1111 CARE FREE WEBSITE; ® �� IBC. Contractor's License #100503 MA. www.carefreehomescoMpany.com 239 HUTTLESTON AVE. (RT 6) FAIRHAVEN, MA 02719 #15179 R.I. NAME ` TT� DATE ADDRESS_ �LCOD l�rlD �Z ADDRESS OF JOB TEL q/ -Q 30 JOB DESCRIPTION C&4STiC .L GcS' Gar A-6y7st) Z_ Scheduled Start Scheduled Completion i] A. Replacement of missing or rotted lumber is not included unless specified. B.All start&completion dates are approximate and could change due to weather conditions. C. Stripping of roof includes removal of up to two(2) layers of shi es, each Idjf* nal layer to be charged @ {t2, D. Replacement of rotted roof boards/plywood to be charged ft2.. E. Exisiting chimnet flashings will be reused; replacement; if necessary, is not included. F. Care Free Homes, Inc. is not responsible for mold/mildew conditions that are pre-existing or result from leaks not brought"to the attention of C.F.H., Inc. promptly. The Company hereby proposes to furnish labor and material to complete the above work for the amount herein. Fulfillment of this order is contingent, however, upon the want of strikes,fires, a d an atur en ther conditions beyond the control of the CO pany. Cost of Project$ _ . ,� o PAYMENT TERMS OY,491 Date Z/0 1. You,the Owner may cancel transaction at any time prior to midnight of the third business day after the date of this transaction. .2. You, the Owners agree to pay any and all expenses incurred by Care Free Homes, Inca in collecting money due under this contract and enforcing the terms of this contract,"including but'not limited to, reasonable attorney's fees, interest and court costs. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES CARE FREEI HOMES, INC. rAC Buyeracknowled es Owner. - c By: s receipt of fully completed copy of this Areement Owner: All contractors and subcontractors shall be registered by the director and any inquiries about a contractor or subcontractor relating to a registration should be directed to: �O rs� Director, Home Improvement Contractor Registration (( One Ashburton Place, Room 1301 3jo-7 Boston, MA 02108 l s - Tel. (617)727-8598 Town of Barnstable oFt„EA Regulatory Services Thomas F.Geiler,Director Y ,,,�,,,ST AB, Building Division 9� 1MASS. 9 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5 8-790-6230 Approved: Fee: -Q Permit#: HOME OCCUPATION REGISTRATION Date:- 41t7/6 Name:�t It�G1 W1 1(Q l'12y Phone#: SaF Lao-3 066 Address: r06-B0m.'�Lt-J—e(1 5 Village: Name of Business: CO A' L)S;V)255 USYY�S U - Type of Business: d 1 42U CO 11 c5-L)I (4 Map/Lot: -7 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not-be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity;and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: Date:4W(—) � Homeoc.doc Rev.5/30/03 TO ALL NEW BUSINESS OWNERS j DATE: *, f Fill in please: a� YOUR NAME: awl APPLICANT'S 5 RJ- BUSINESS YOUR HOME ADDRESS: a a ' 1 a Tale hone Number Home TELEPHONE TYPE OF BUSINESS- NAME OF NEW BUSINESS Z>00 IS THIS A HOME OCCUPATION? _Y O ES di Have you been,given approval m the build 'iris ES NO MAP/PARCEL jpgRCEL NUMBER ADDRESS OF BUSINESSt be When star tin a new business there ar several things you must do in order you may compliance with the rules and reg you have obtained the required signatures,u wn of listed o to 9 Barnstable.-This form is intended to assist you in obtaining the information( y a apply for a business certificate at the Town Clerk's Office [Ist floor-Town Hall) or if you get the business certificate first you MU g below,you may pp Y the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. - (cornpf Yarmouth Rd. Main Street) and you will find the following offices: 1. BUILDING C MI SION R S OF This individual s b enfor ad of requir ments that pertain to this type of business.. ,ori ed Signature COMMENTS: 2. BOARD OF HEALTH This individual has be inform d of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUM ER AFFAIRS (LICENSING AUTHORITY) this t e of business. This individual has been informed of the licensing requirements that pertain to yp Authorized Signature** . COMMENTS: E in he town (which you must do by M. Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NeAM from the various departm nts invo ved. G.L. •it does not give.you permission to operate•you must get that through completion of the process �JGIUIFlESA PRO VAL FORA BUSINESS ORTIFIGAr�OnY yO�TNE�` TOWN OF BARNSTABLE Permit N- 30820 o. ................ BUILDING DEPARTMENT { B°g;a TOWN OFFICE BUILDING Cash .........4. HYANNIS,MASS.02601 Bond T x. CERTIFICATE OF USE AND OCCUPANCY Issued to Lebel Sollows Trust Address Lot #151, 66 Braley Jenkins Road Centerville, Klass. USE GROUP• FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND'IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. August 27 , 19...87.......... Building Inspector ^lam TOWN OF BARNSTABLE BUILDING DEPARTMENT Z �saaaT : TOWN OFFICE BUILDING rua HYANNIS, MASS. 02601 �a�V'6 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued fort the building authorized by Building Permi #.....30���................... »..................................... issuedto ........................................................................................................................................................................._......._............................ _ Please release the performance bond. i TOWN OF BARNSTABLE, MASSACHUSETTS BUILDIN- � G" � PERMr DATE 19 PERMIT XQi _ W Lc:bi�l __r�w.: . . 31 01<I �itr>Tt<<. 1. .', i':v) r11ccL i 006LZ1 APPLICANT ADDRESS IND.) PSTREET) (CONTR'S LICENSEE T ; i, i7.., E NUMBER OF q PERMIT TOUliC�l diJt:.1.11+1 (_) STORY :-E>�- , ;SSS!....�', Citd�::.t-.1.7.Ci,t, DWELLING UNITS 1 ! (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) i r - i ZONING AT (LOCATION) qU t5:"NA.r-j .JL''ii.i�.J.�:f .'..)'.:.CLy Lii:ii�:c.L-V ;� DISTRICT (NO.) (STREET) BETWEEN - AND } (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE v BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION } TO TYPE USE GROUP ) BASEMENT WALLS OR FOUNDATION o - (TYPE) REMARKS: i t e.01",li AREA OR 1'204 61)yl)oU PERMIT s 96.2) VOLUME ESTIMATED COST $ FEE I (CUBIC/SQUARE FEET) - - L 4 OWNER Tit 0tc Nonce. �j t'y'._'. ..Fi�>.y i`'i.9 BUILDING DEPT. �:/� � '•� ':..:,/f ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE; MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS S OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. 4 MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 1 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL - ) MEMBERS(REAOY TO LATH).3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. i OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS �:,7e "�4� 2 2 --- — z It 7 �. �+-c �0`1 a,< 3 HEATING INSPEC ON AP OVALS ENGINEERING DEPARTMENT • 1 I f. t OTHER Z� '�'[uJ�Q„ _t_ ,, -- BOLD 0;HEALIH I { E F F Q WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AND VOID IF C 0 KS T R U C T I ON INSPECTIONS INDICATED ON THIS CARD CAN BE ! TOR HAS APPROVED THE VARIODUS STAGES OF I WORK- IS NOT STARTED.WI jHINtSI° MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE ORQNRITTEN CONSTRUCTION, PERMIT IS ISSUED AS NOT9D bBOVE. NOTIFICATION. i r a. ' i r 1� �4�a' wroE� /oo •oc:) F910 1 3DL 33� - _ 9�v2 30 n o op a& �N Q 53 CERTIFIED PLOT PLAN L 0 C A TI 0 N: c,�, 7-a4ey� F 0 R: GlE13t:L =SOGL.OGrJS .0.�(/�GOA'YJ4 '�/%��O/�/o• SCALE_ /''= .3v DATE: R E F E R E N C E: l�G �-- o�✓ ,�,G-/J�✓ .G�:C�2��o /JT L-3�2-'v.57'r0 E I CERTIFY TO THE BEST OF MY KNOW EDV R G. LAND S V00FVEY0R AND BELIEF FROLA INFORMATION ACQ EDP � THAT THE��'�'O'oT/o�✓ SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. � OF � JOSEPH v MON MAN,At � No. 1 J. M . MONAHAN, JR. & ASSOCIATES tq��'crstE�o� _PROFTE_SSIO:NA_L_ LAND SURVEYORS_ .& ENGIN„EE.RS L SUM �D T.OWNE PLAZA - 900 ROUTE I34•- SOUTH D ENNI_.S., MASS. VG Assessor's office (1st floor): Assessors ma and lot number • WQ ward of Health (3rd floor): �p �/ SEPTIC SYSTEM MUSS' :�� Engineering Department number .......:... `� 6 ST sewage P ............. ........ $�� d ALLE® 9N C®��L�Ai �� a LB. ; Department (3rd•floor): � omMAS ob WITH TITLE number ...... Y'a�e APPLICATIONS PROCESSED 8:30 9:30 A.M. and 1:00-2:00 P.M. only ,,p FJ7nq fakF TOWN �OF BAR•NSTABLE BUILDING INSPECTOR � � �- - l APPLICATION FOR PERMIT TO .......Bu..ld..a...house...............`.1. ........................ TYPE OF CONSTRUCTION ............... ood Fraine ............................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Lot /,0 Braley Jenkins Road Centerville .................. . ........ ............................................................................................................................ ..............Dwel lin Proposed Use .................... ................51...................................................................................................................... RC ....Fire- District C and 0 Zoning District ................................................................ Name of Owner .........Lebel Sollows Trust Address ...131 Old Route 132 Hyannis,._.MA 02601 Name of Builder Lebel Sollows Deve1omentAddress ....131 Old ROute 132 Ha2ais,,,..M .P2601p . „ y Name of Architect Northside Design Address .Rt,,,6A,,,Yarmouthoort.,,,,MA Number of Rooms Five................... .. ................... Foundation ...Concrete .... .................................................................... Exterior .......Clap.§...and...Shingles q.............. ...Asphalt.................... ......................................... Floors .........Plywood...........................................................Interior ....I.TyW4Ll.l.............................................................. Heating ........................Plumbing ....F.W/C.IJ......2...bate}.�i...................................... Fireplace ...........Ye.S................................................................Approximate Cost .........$.6 Q.,..QQ.Q.:.Q .............. Definitive Plan Approved by Planning Board _____Jul�t___16_________19_____$_4 Area ..............................I....... Diagram of Lot and Building with Dimensions- Fee ........7V^'............................ 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 t e T rnstabl rega g t ove construction. 6 Na ..................................... . ............................ ............. �e5)CPa/ Construction Supervisor's License—�-"`'-' 434 . ... LEBEL SOLLOWS TRUST N 30820 11 Story No ................. Permit for .................................... Single' Family Dwelling ............................................................................ ' Lot #151 , 66 Braley Jenking Rd. Location ................................................................ Centerville ............................................................................... Lebel Sollows Trust .'Owner .................................................................. Type of Construction .......Frame................................... ......................... ..................................................... Plot....,.. Lot .......................... ....... Permit Granted .........Ju.rqe...5',i..........19 87 Date of Inspectionk. ............. Date. ...............19 Assessor's office (1st floor): !j`/� OF THE TO Assessor's map and lot number ............................................. Board of Health (3rd floor): /� Sewage Permit number ( •••••••.•• 1; BA"STADLE, Engineering Department (3rd floor): rb q. �O 3 90 ,'louse number .................I............... .....f..?........... ... 0 YPY a\ APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ uild .. ..... .. . .. a... . . .house............... ..........44. ....................................................... TYPEOF CONSTRUCTION Wood Frame............................................................................................ ........... .I....'.. ............ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location L / 1Brale� Jenkins Road Centerville ............. ..................................... ................................................................................... Proposed Use Dwelling ............................................................................................................................................................................. ZoningDistrict ................RC...................................................Fire District .............C..and.. .............................................. Name of Owner Lebel Sollows TRust Address ...13.1„ Old Route l32 Hyannis,, .,MA 02601 Name of Builder Lebel Sollows Development gddress ...13,1,,, 1d„Route 13,2..,I3�rann .... , ,..02601 .............s....................... ...... ... Name of Architect .,NOrthslde. DeSi.gn......................Address Rt...6A.,Y.a, r �uthxaoxt.� F�...................... .. Number of Rooms Five .............Foundation ...Concrete ........................................... .................................................................... Exierio. Claps. and...Shingles..............................Roofing ...Aspha,lt........:..................................................... r ............ .._. r Floors P1y4700d Interior ...I)X; 11 YWr, .............................................................. ..................................................... Heating Gas Plumbing ....k?W /c 1.a...... ...ba,ths...................................... M Fireplace Ye5................................................................Approximate Cost $60.nAoja.Oa............. Definitive Plan Approved by Planning Board ------- ullu---l6---------19-----8_4. Area '`....................... Diagram of Lot and Building with Dimensions Fee .......,!.«.!.. ............ SUBJECT TO APPROVAL OF BOARD OF HEALTH r ,r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of th°e Town.of B��rnstable(_ regarding the above.. construction. < `� Name ................... ......... . ..�.�..... �.. .,. ........ Construction Supervisor's License—`04.4 �.......... LEBEL SOLLOWS TRUST ^ ' ��'I�l 23O _ m ' � No .�382 O �0� � ' l Story Permit for _ �.. ____ . ` n.g ___S ' l.e.. �a�il��..DwelIioS[___._ � ` Location .......�ot_#l5lx......66..J�������...Jenkins RD. � ` .................. .. lI�.............................. ^ ' Ovvne, _I^ebel_-SoIlovvo_'�rust ____ ' Type of Construction --..]�r.dMQ—.----- ' — / . -------------.—.'----------' . ^ � Plot ............................ Lot '-...-------- ' � ` June 5� O7 � Permit Granted —`-----��!-----lg ~ � Date of Inspection _----------.... - [ate Completed ---._—'�_----.]g � ' - � . ° . ' ' ' . , ' . - . . ' ^ ` - � ' - ' ' . . ' ^ � ~ ^ . � � � � .