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Home My WebLink About0067 BREZNER LANE y u.- r a f; 4 . * k" J,� , t r.': yK Niue. f '(v.. .t„ it '{` .'_r a v'I �'�. fir,, H r i .:5 li - y el.z' q a. 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I y v r j r F _ f y t - _ t t' '.I ztt� t:1i `y t. ,I y, U ,x. - . , Y, (4 1.+, h° f r ��.' , - �.- ", i W r.. �. ,.: ,. i ,t.. S6 r V f• f +s i' = M i l ,.r 'l 3- _ R i I S p ,Se 'y Y f �J,I } 0 ". ,h, y: . .$ 1, i { 'b t - Y * 1 1 d - �.1 t i .i a , i. _ e.O t t-,Y 8 4 �R p P .. ' 1 9 I `: :.:� .r O' pe )-7)Jqf Town of Barnstable Final Inspection Affidavit Date: Thomas Perry, CBO Building Division 200 Main Street Hyannis; MA 02601 RE: Insulation Permits Dear Mr. Perry, r This affid vit is certify that all work completed at: Village:. has been inspected by a certified Building Performance Institute (BPI) Inspector. All work performed meets or exceeds federal and state requirements. Permit applicatio nu ber: `ZJ 140 61 �-� Issue date: q Sincerely, 22 - Francis Sheehan President - Frontier Energy Solutions, Inc. 502 Harwich Road Brewster, MA 02631 Office:.774-237-0410 Email: fssfrontierenergy@gmail.com TOWN OF BARNSI=BUILDING PERMIT APPLICATION s 23® AFRN TA P-t Map 1 Parcel lP 1 of Application # Health Division Date Issued Conservation Division Application Fee' (k YL Planning Dept. VISI ` "" Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address �� Sre.-Lne,r L-aw Village C_e_A _kr11-1A,L9 Owner C.t A 1Lj Ca&'�,_A- Addressl V7@- Telephone "L �In� �� 1:,� --�wed►��i�Giv 6 f©2t� Permit Request lksu: .alit, .. �--[Lk eAVL65e +0 L4"Ze-4- GZL-kn%�- k-60 c Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation$ q4&0_Construction Type Lot Size / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family C/ 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 Appeal:ZNo thorization ❑ Appeal # Recorded ❑ Commercial ❑Yes If yes, site plan review# Current Use �ZS `D�L�t Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name JU ^ C•Telephone Number 6 H (C) Address License #1 051 l Scc,W Q, e NyA O ZG. t Home Improvement Contractor# Email -COYlUorker's Compensation #Ll ylf�`��(f'l��b�C� �� `�'(� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 15111t aws.,6L A/VVQ- 19 SIGNATURE DATE �'C 0 -C FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP]PARCEL NO. S ADDRESS VILLAGE r 1 OWNER t _ ' DATE OF INSPECTION: W FOUNDATION FRAME INSULATION FIREPLACE iF r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL c GAS: ROUGH FINAL 4 FINAL BUILDING DA_TE CLOSED OUT ASSOCIATION PLAN NO. F The Commonwealth co,f assach iseft :�ep�rlrn��`o,;f'�t�dra�frie�d.rlccrlen#� Office of Invesdgadons 600 lEYsasiaafra Sheet Boston,AM 02111 www mamgovhUa Workers'Compensation Insurance Affidavit B derslContrartors/EIectric ans/Plumbers Anpticant InformL§gk , �.o. ...o. ., Please Xmtkedbll Name{Rotmis)igauimfioN7i diirldW) f�'' 9 -i - f r-- tAtitiress' 0 1 V City/State/z i r ' : Phone Aree you an employer?Check the appropriate boz, TYpe project of (r 4 I am.a eterai cantractar snit.I. e9 )� 1.[ I am a employer�vitlt g , employees(fiili.ancl/or p }* have.bired me sub-contractors. 6_ [�Ne�cons€m'im f Z..Q I am a sole proprie�r partner- listed on the attached:sh=t. . 7...{�Remodeling_ slug.and have no.employees These sub-costractorsWe. ..- Demolition working for me in any capacity. employees and have workers'. 9. (']Building addition [No workers'camp.inmuance comp,iztsvr= l .:. S.0Vi are a coYparatton audits 1Q 0 Electrical repairs or additions. 3.0 I am a homeowner doing:ail.work. nth.cers have etercrsect thezr l l (�Plumbing repairs or.adci;tions t . - n t of ex trt3ai MOL: myself [No wforkers'camp: FeT. 12 oof repairs s; C t 15Z§l(4},,and we liave.no . insurance re ] I3 ltherC 7e 3a.O lam a horraeowaer acrtng ass etnployt:es.[No wczrieeas t� general cam(refer to'94) co Insurance. A apglicaat*t-ch=b box#2 mast aho fill out-the secaon.hclow shawsMg d1eirworke-W COMPMM.164001ky mf*M*dD- - . catatg they are doing ail work and:h hire vanW*mtractora must aubmtt anew affidavit Wdtc'aunsuch.. l ZC,muscmrs that check thus beer znst attached arr.addueonai.sheet showing the of the zu&c Victors sod state wheib=or not those endfieshave. : ... i eu�tQyers-ff t sIIaetors.issvenptoyees,.they met_ptuvide:their:-w '-cc�mP•FQY I an an a mrpkd w that�r pravh ng tyorkers'eonwermsadon imwuncefor ivy enwloye" Beiow is the palas� j®fi sate fnformadorm. Insurance CompanyWarne, v lkyez. Policy#or Self-ins;I:ic,#: f't (C3 a Expiration Date; Jet,Site Address la 1 . V� E`LA Ili A S� Qty/State Zip. CP V �- 1 61VI 2 Attach a eopy of the workers'compensatf;aat.poliey declaration.page(shovbing tie geAcy.number and exprro6 a.clate). . Failure to secure coverage as re.gwred under Setrtion.25A,of MOL c. 152 can lead.to the imposition of criminal penalties.of a fine up to S1,500,00 and/or one--year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to SZ50.00 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 ci'rtify under and penafties,4perjury that the informaOoff provided ahove is-trine wf d rorz%tc Simaturr Date, 040 ©,0`leid we only. Do not write in this area,to be.commpletod by city or town o{jicial. City or Town- Pt rrnitiLicerae# Issuing Authority(circle one). 1. rrl of health L Building Department 3,City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person J Phone#- , 3/18/2014 1 : 10 : 10 PM 8740 - 3 03/0,6 CERTIFICATE OF-LIABILITY INSURANCE' DA03111 } , 110114 �f THIS CERTIFICATE IS ISSUED AS A mhTIER OF"mFORMA'IIDN ONLY AND CONFERS NO AMTS UPON THE CERTIFICATE HOLDE3: THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY APtIEND,EXTEND,OR ALTER.THE COWRAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE.DOES"NOT CONSTITUTE A CONTRACT BEMEEK THE ISSUING INSURER(3�.AUTHDREZED REPRESENTATIVE OR PRODUCER,AND TffECERTIFICATE HOLDEI WORTANT:B the certificate holder is an ADDITIONAL INSURED;the Policy Les).must he endorsed. If SUBROGATION IS WANED,Subject to the tenns.and conditions otthe policy.certain pplims may require an eadtorsement.A sWemmt mthis cer6Hcate does not corner.rights to the certificate holder In lieu of such endorsernerrt(sy PRODUCER 005M-00t .co Aar Jefty:Ford . Rogers'&Gray Insurance Agency , ; (800)653 1609 F NO." (608)3S&.0248 434 Route 134 South Dennis,MA 02600 SASS: A.trk mutuatfmmarrce Company 33758. 6'�4UttED 1 R F=rohfmT Energy Sokabns Inc 602 Harwich Road INSURE?0: Brewster.MA 02S31 E- COVERAGES CERTIFICATE NUMBER:* REVISION NUMBER: IRIS IS.TO CERTIFY THAT THE POLICIES OF INSURANCE.FISTED SELOWN HAVE BEEN"ISSUED TO THE INSURED NAMW.ABOVE FOR THE'POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQt1IR9ME14T,TERM OR CQUTEON OF ANY CONTRACT OR OTHER"DQCUMF ' WITH RESPECT TO WHICH TM CERTIFICATE MAY BE 1SMED OR MAY PERTAIN,THE INSURANCE AFFORDED BY'THE P L[CIES SCRIBED HEREIN IS SUBJECT TO ALL THE TEfWS,- EXCLUSIONS AND CONDITION$OTSUCH POLICIES.''MITS SHOYiN MAY HAVE BEM REDUCED.13Y PAID cxAIM NSR LTR TYPEOMSURANCE I PouCYNUhmiEt FOLK EXP LtClfr$ .GEdERALLIARI TY .EACHC ZURRarCE S 03MMCIAL GENERAL MASKM "$ CL.AIMS*iADE OCCUR MED7(P.(AaraMe'pason) _._...._ i PERSONa9ADVt=RY ...$" GENSMAGGREGATE. "$�ZKLAGGREGATELWTAPPLIMPM PRODUCTS"-COMP.'OPAGG. S T AUTOMOBILE LIABUM cOMBNED&WMEP- - W S ANY AUTO BODILY INJURY(Pea 0iwn) S ALLOMINED AUTOS �pILYtPUdURY(perartidad) S AUTOSNOIOVUQ�IED Y DAMAGE H1RFl�AUTOSHSCHEDULED AUTOS Pmc $ UNBRa.LA LIAS OCCUR EACH OCCURRENCE $ 'EXCmi," CLAIMS MAM AGGREMCE S Dw Rew oE1 S 7W ffi . 'm MIA 1f Wt:�1D1I 0153I5-2094A 371612014 3314/2016 E.L.EACH ACCIDIWT" S 1;OAD,OtiO$tt tN�ndatorytaNH1 Fi D1S[Asc->AtAtPIAY S 1,000,000.08 - ONVFOPERATIONs ?*.LDJSfIS�-POLICYLtidffr ,$ 1,000,009i00: e :. DEBCFiPnONGFOPERA7Wt4Sfr:=TIOUSIVEMMES(&ttnhACMDIOU,Adffmr&RwmmnSchedWe, 1,mpimd) COMFICATE.HOLDER CANCELLATION Town of.Sandwich 130 Win Street r SHOULD ANY"OF INE ABOVE t)ESCBIBED PQEJpESBE CAHCfLLM BEFORE Sandwich,MA 0Y863 TM. EXPIRATION !BATE THMEW...NOTICE IMLL BE D DELRgW IN ACCOMIANEE 7NIIN THEPOLICY MOMS=&. AUDIORUIMREPRE,SMAME e��. &ga @ 1988-2010 ACORD CORPORATION.All rights-resemed. ACORD 23(201810S). The ACORD name and logo are registered marks of ACORD 3201 t die �nrwecszti+err/.lh�a � ��:;crt trJeles ` for iodividet�'� Office of Caasumer Affairs&Bssia Regulation i.it�m oT FCgiShaaOQSfa#td R W E.ftiffPROYE@�Et�tT CQUtfRAC FOR before flee aspiration dam. Ifdnm return to- 16Q8�4 Type- Office,orC ii mer Airs and Busiuem Regulaftn 1:4ParkPlzm-Snite517H Boston,MA 02116 FRf)NnER Ef+tERGY SGLk17tt)f S= FRANCt3 SHEEHAN. `= BREWS rFA.MA 02831 tTaderseeretaig t va' with ut signatam i i I i f ' i i R.llfassachcise#Y� .i eiat of;Ptibl=Szfet . Restricted To:.(�fC-Insulation Cantmetor A. oarc3 or #;jrrzg;�-g�.aticsr3sr S.arrara� ` Con-*am-thm perm, S cams':. r I, License CSSL 909�47 ,,mot rS 51 .z FB1l�IC7S 5 �� - Bne�sterAt}Z631 Endurete possess acupen oftheAdassachmefts T' ? StaL MdinC+odeisaa formvocattmofVdstw rase- , �•�a••+ i3f' i:`aira`tsor For lllurfaretionvu vuovlLtl i �asrsscazier �47Y2f�1�_ . I - I _ . AUTHORIZATIONOWNER co-vi Ct o fj {Owner's Ndme) owner of the property located at (Property Address) (Property Address) hereby authorize ' (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work,on my property. Owner's Signatu€ Date r° AW -£. i F: X TOWN Of BARNSTABLE 1639- BUILDING INSPECTOR 11 NO APPLICATION FOR PERMIT TO ................4�0..... C....t$7TM x... ..:r..................... TYPEOF CONSTRUCTION ..................................................................................................................................... .......................... .....................19 TO THE INSPECTOR OF BUILDINGS: 4 The undersigned hereby applies- for a permit according to the following information: , Location ...... ...... ........C ............ ......... ProposedUse ....... ..................... ....................................................................................................................... ..............................................Fire District ....Co -7;— Zoning District ............1....... vt I I ................................................................ er,W'V.7 el'j Q Name of Owner .../6nyx�gT ......H�.Y?.x. . .....................Address .5�...................... ...... Nameof Builder ............. ......................................................Address ..................................................................................... Nameof Architect ......... ........................................................Address .................................................................................... 6 10 W -DO-4 y e j — Number of Rooms. Foundation ..............I.................to e y e7 .......... ........ ............. Exterior ....!��.t T�...... ...... .....................................Roof�ng ........................................................ Floors ........... ..........................................................................Interior ........la?.... Heating ....T.. ....... ........ ..........Plumbing ..........I... ..... ......................................................... sue- Fireplace ......�.?>............I......................................................Approximatf, Cost .......... ............................................S . Difinitive Plan Approved by Planning Board --------------------------------19--------- Diagram of Lot and Building with Dimensions 0 LLJ (D LL 0 (10 Cr) LLJ LL1 LLI > 0 (D C) K— 13 LL� o 0 '0 LL LU 15z F- cn (n A L 0 0 F� rn � U7 LLJ 01 �4 1� 9A. d V < F- t0Q U) U) 46-� IT a �L<-Li (D 4-0 — 'z6 -10 0 Z LIJ Z 0, P. >- k Lo F- LU 1-z I hereby agree to conform to all the Rules and Regulations of the Town of. Barnstable regarding the above construction. Name ......................... .............................. 0. Henry, Kenneth ®EC 3 1970 12636... Permit for ,., one story, No ........... ..... ........ t single family dwelling—garage ................................................................... ' Location 1 Brezner Lane s ... ........................................................... Centerville ' ............................................................................... I Owner Kenneth Henry.......................... Type of Construction frame YP .......................................... ! _ ................................................................................ I Plot .. Lot ....#58..................... Permit Granted ......S®ptembex„23,;.,,.,i q 69 �/- / .. Date of Inspection .. .........................19 Date Completed lt �eClP20............19 f 1 ' �4 PERMIT REFUSED 1 T ! ................................................................ 19 3 ................................................................................ fY c`s tl Approved ................................................ 19 {� i 1 ' ............................................................................... j 1 i y�FTHFT��♦ TOWN OF BARNSTABLE MARNSTAXE, ,639. a M BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ .........Odd.11/. ................................................ TYPEOF CONSTRUCTION ...................................................................................................................................... . ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... ................... ............ ...........Te.V..U.q..jJe........................................................ c� . ................................................................... ......................... Proposed Use ......L�M.1111................ ....... .. Zoning District ... .......................................................Fire District ........C .......................................................... Name of Owner ... zmn Ret, Ued ..................Address ...... ADIC......................................... Name of Builder t.,.................Address . .. ......................... A........ Nameof Architect ..................................................................Address .......................................................... ........... ............ Numberof Room .........).......................................................Foundation ............................................. .................... . .............. Exterior ... ....... ...........................................Roofing ..... .. Floors .................R..................................................................Interior ....... ............... Uj 0 Heating ...... .........................................................................Plumbing ...777777:777..:...................................................... Fireplace ..................................................................................Approximate Cost ....... 0 0 .. .......................... .................. Definitive Plan Approved by Planning Board ------------------------------- opy Diagram of Lot and Building with Dimensions SUB.iECT TO APPROVAL OF BOARD OF HEALTH too 0 00 CL co ir— U) 16 z < LLj < 0 (D ;�; X M M LL, 0 % 1 0 r,a- U- C) L4-- OJ: >- 0 CL La :D Ld co -r re (n LU 0 Z \j < �j Uj i-- < z I hereby agree to conform to all the Rules and Regulations of the Town of. Barnstable regarding the above construction. Name . .......... ........................... r "- hy,=Charles l x No ..1� � -... Permit for ....add to single ' family awallin ................. 1 Locatio L....�:ezner Lane .................................................... Centerville Owner .......Charles .�z?"�?hY............................ Type of Construction fXA19P................. { ................................................................................ Plot ............................ Lot ...............tm.......... Permit Granted .......un....20.........................19 72 - " 6 3119�./�; 5iI•�T Date of Inspection ....................................19 Date Completed .....i... ...... L.......19 tt fPERMIT REFUSED .......... 19 ............................................................................... 07 ...................................................... .................... .............................................................................. ....................................... a Approved .......................................... 19 ............................................................................... ...............................................................................