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0025 BRIDGET'S PATH
a . 4 d Town of Barnstable ldil w Post:'This Card So That it�sUisible.,From the Street,:A . roved Plans MustbeZRetalned on,Job�and this Card.Must be Kept MAWPosted Until Final Inspection Has°Been Mader az Yg\ ._:. h ,R '}Wherea Certificate of Occupaney<is Required;such Building shall Not be Occupied until a Final?Inspection hasbeen made z� Permit '',.. «-:.� ,......�a�..e..a'. .a ...�..�,,".� en�......a. .m Permit NO. B-20-718 Applicant Name: DESTEFANO,JONATHAN P& HUBBARD, Approvals Date Issued: 03/06/2020 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 09/06/2020 Foundation: Location: 25 BRIDGET'S PATH,CENTERVILLE Map/Lot 169 302 Zoning District: RC Sheathing: s 2 Owner on Record: DESTEFANO,JONATHAN P& HUBBARD,` ` Contractor Name- Framing: 1 �' Contractor°License Address: 25 BRIDGETS PATH 2 CENTERVILLE, MA 02632 Est Protect Cost: $5,000.00 Chimney: Permit Fee: $85.00 Description: expanding bathroom into exisiting closet in bedroom Siding �A� i� Insulation: s. Fee Paid $85.00 Project Review Req: Y Date 3/6/2020 Final: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six monthsafter issuance. All work authorized by this permit shall conform to the approved application and thapproved construction documentsfrhich this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structu e's`shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the final Gas: work until the completion of the same. ` Electrical The Certificate of Occupancy will not be issued until all applicable signatures bythe Buildmg6and,Fire Offiaiils are�provided on this.permit. Minimum of Five Call Inspections Required for All Construction Work: ., y Service: 1.Foundation or Footing 2.Sheathing Inspection {; r Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed ' 4.Wiring&Plumbing Inspections to be completed prior to frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: SHE 2/,f7- Application Number...... C�.............................................. BA M LE, MASS. • Permit Fee...........F.S:..............Zoning District........................ p8S � 039• CEO l�A TotalFee Paid............................................................... ...... a.........................On...l? fm 2.® TOWN OF BARNSTABLE Permit Approval by..... . .................... BUILDING PERMIT Map.'..... .6..�.. ..............Parcel.........../ .................. APPLICATION Section 1 — Owner's Information and Project Location Project Address 22� &-,C.'c,,ets �"Gfi6, Village Cevtttcv%�1, Owners Name TOVICAAa IN :s+el��041w iiSCANNED Owners Legal Address 2 S gr'%J!4-Pe is cat h MAR 9 02 City C e Kf et wM a State M,A Zip CQ-63 a Owners Cell # L50M 7$9- 9loo E-mail Com Section 2 -Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet Commercial Structure under 35,000 cubic feet ` Single/Two Family Dwelling Section 3 -Type'of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Foundation Only Other-Specify Section 4 - Work Description ce v o Cm� � �.• t r v N- , Cry IQg�Q d S�,.,� ert3 t C-(USCt Sr�ik Last updated: 1/31/2020 r Application Number.................................................... - Section 5—Detail Cost of Proposed Construction .S- btu Square Footage of Project Age of-Structure Dig Safe Number # Of Bedrooms Existing Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6— Project Specifics 3 ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply El Public _ , . El Private , ;j Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7— Flood Zone Flood Zone Designation 1 Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8— Zoning Information a Zoning District_ Proposed Use Lot Area Sq. Ft. i Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed 3 Side Yard Required Proposed 9 I Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 1/31/2020 SCANNED MAR 0 6 2020 :dq paeoxddy — - `Bda To aMPIsums 00, .40 L Q) a I or f The Commonwealth of Massachusetts Department of IndustridAccidents Office of Invadgations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Orgmization/lndividual): :Y0" 4 VL D&Sf ek ce t,o Address: 15' Rr 144 05 Q4t1i City/State/Zip: CeK4erv' f,, 1V NO; Phone#: L- act Ird-00 Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with- 4.. I am a general contractor and I * have hired the sub-contractors 6. ❑-New construction employees(full and/or part-time). 2.El am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship,and have no employees These subcontractors have g,.❑Demolition working for mein any capacity. .employees and have workers't 9. El Building addition [No workers'comp.irorrance comp•insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions ] officers have exercised their 1 L Plumb' repairs or additions 3�I am a homeowner doing all work_ � ❑ � P myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs required.]t c. 152,§1(4),and we have no insurance 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. :; I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City/StateMix 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$1,506.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under ihep*p d penalties of perjury that the information provided above is true and correct Si ature• Date: S /5- 135zeD Phone#• 6S s) 7igcf - 9 90 0 Ojiicial 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to constrict bwld ngs in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Degarttnent Gf Industrial Aecidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 446 or 1-877-MASSAM Revised 4-2407 Fax#617-727-7749 WWWw maw.gov/dia Application Number........................................... Section 9—Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date P Section 10—Home Improvement Contractor t r Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your.H.I.C... Signature Date cSection 11 -Home Owners License Ixemption Home Owners Name: 5o Id aAy Vn De Step Ct Kv Telephone Number (bS) 79:'9- WOO Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required b 80 CMR a own of Barnstable. GSignature APPLICANT SIGNATURE 'Signature Date 5lzozd Print Name �o �����k `�eS Telephone Number (50') 10 E-mail permit to: D fie- � 1Xz?S&VKCJ • c-.m Last updated: 1/31/2020 c { Section 12 — Department Sign-Offs Health Department C' Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approvak Section 13 — Owner's Authorization I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name Last updated: 1/31/2020 A0 Town of Barnstable *Permit 0� r issue date SHE• ri. 'res 6 nr n'I ron T 2 7 2016 Regulatory Services Fee r &4mNsrnsrt Richard V.Scali,Director BARNSTABLE Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Fax: 508-790-6230 Office: 508-862-4038 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid rvitliout Red X-Press Imprint Map/parcel Number Z Property Address r d [Residential Value of Work$��4;? Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address hPw / -sre -F 1? 't t +�� r 7ffl" Q3Z' lySVS Contractor's Name W OU2 wDf` JGFF Telephone Number of aysvk) J OzpZg� Email: Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 87 2- ymorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance _ Insurance Company Name g&gTfip'► Workman's Comp.Policy# 22 �1•��-C��Zb `� 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) ❑ e-side 9 Replacement Windows/doors/sliders.U-Value • 2 , (maximum 3##of d windows # doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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 a qred.ei SIGNATURE: vu endows\Temporary Internet FileslContent.0utlook\2P101 DHR\EXPRESS.doc C:\Users\Deco)i t calUicroso Revised 040215 I - "Window World of Boston,LLC MA HIC Registration Offices&Showrooms Number: O 15A Cummings Park 0 295 old oak Street feral I Woburn.MA 01801 Pembroke,AAA 02359 Federal D(781)9324M (7B1)8266281 27-1aa16ss 'Simply fheBest for Less" www.WindowWoddofBoston.corn �f ,! y Customer.�iEO r"c _z yy ) Phone(h)//7—787 InstallIAA^dddrressss:Z,5 ,S �iJ� Phone(w)77y Z -",7 CityC�./Y 4i �LLL� State:MA Tip 2D 63Z Email WINDOW WORLD GLASS OPTIONS _1000 Series Single-hung AtWVeld $189 �SolarZone Elite S99j?YL 20m Series DH MechMetded Sash S195 _Triple Glazed TG21 $175 4000 Series DH AI Wyeid $205 ('Series BOW 04) _6000 Series OH AINNeld $240 WINDOW OPTIONS _2 Lite Slider $334 �Gless Breakage Warranty $15 MCLUDED _31.iteSiider po.,n.ux w-,m -i S525 _1t12Screens S92CLUOfD —Picture/Fixed Lite S334 ,/ am Insulation on Jambs and Head $11 INCLUDED _Awning $26p oubM Strength Glass $151NCLUDED Casement S290 _Double Locks(>26-) $5 INCLUDED _ _2 Lite Casement $575 —Full Screens sn _3LiteCasement nee,-kum wcm,m $860 —Colonial Grids(Contoured/Flat) S45 Basement Hopper �4 —Prairie Grids $51 Diamond Grids _Bay Window-Soffit Mount/INS Seat$2660 — 8 S'vnufated Divided Lite $182 _Bow Window-Soffit Mouth/INS Seat S2785 _Tempered DH Sash(BSO)(TSO) $65 _Garden Window $1880 _Obscure Glass(BSO)(ISO) s35 _Specialty Window $ _Oriel Style(40160 or60/40) S30 _Beige/Almond S40 _foam Enhanced Frame $35 —Wood Grain Interior(Sw;av 4000/6OW cry)$100 PRE 1978 BUILT HOMES(Federal Lead Corrfainment I w1 (Light OaA/Dark Oak/CNM/For Wood _Lead Safe Practices Required Rich Arapfe) MY HOME WAS BUILT IN THE YF1W,?!Fl in'diai� Brown Exterior(Arch Bronze I American T"$100 _Designercot"Exterior S155 MISCELLANEOUS Custom Exterior Aluminum Cladding Window Color ) O Textured$75 O Smooth G.8$75 $ Facing Color inside Orasea _Metal Window Removal $50 NON CUSTOM DOORS Now Construction Vinyl Removal $175 I Vmy,RollingM95g Patio Door 5n.or 6% $ _Specialty Window Exterior Trim $ —Varyl Rolling Patio Door Bt. $toss _Muito Form Multi Unit $30 Add to base price for CratonRo&g Patio Door$11SO— _Install Interfor/ExtenorStops $50 _French Rail Stirang Patio Door 5h.or aft. S1295 _Install Interior Casing Starts At S95 _French Rail Sidng Patio Door aft. $1395 _Insulate Weight Boxes $20 French Rail Slkfing Patio floor 91t. $1495 _Root for Bay)t3ow Windows $500 . Custom ededor Cladding $150� Existing New Const.Ertl.Retro Ft $150 / sotarzone Eate or ETC Glass $M-L Removal of Existing Bay/Bow, $250 —finds Petro Door $12.9 Repair SiO,Jamb or replace sill nosing So O WoedgrWn Interiors � — Pull Sub-Sill (Single)replacement $150= — —Exterior Designer Colo- $395 _Mullion Removal $30 / Interior Casing 212 3t2 $1175 _Say/BowConversion Fad.Retro Fit $350 —Handleset Options $ (New Siding Will Not Match) Buiidmg Permit $15015.9 Door Color /7✓/7/1TE ,, ROUNDUP FOR MMIOW WORLD CARES InsideowsAa V St.Jab cliawsRenam $ Customer declines exterior wrap and understands painting and/or repair may be required Initial Customer declines grids on.,4ZL windows/doors Initial 11=11juMES customer Is rosporeift for an roluwaig In cuoraftl with Bor contract P*M Staudnq.Alarm Syttan 6samixfheoonieu mft Perms fees in excess ofM.00,Homeamer and or Condo Association Approval.Mataric District Approval.city of Boom p ftV&sleety*Parma fees irk connection with Installation. NO EXTRA WORK IF NOT IN WRITING! Customer agrees to the terms of payment asf o follows. Extra labor&Materials $ She Set Up.Disposal&Delivery Fee $ $195•00 _ Total Amount $ Custom Order Deposit 50% $ Ck#'eyL n j7 Balance Paid to Installer upon Completion S Z�IW Y Amount�Financed S VYmdow Wald of Boma anticipates starting uds work an and bang substantially completed kVVtlays.Security Interest Yea No Any deposit reepr6ed to advanco of the slat at the wok SNAIL NOT exceed 33113%of the W al contract price or Me acwal cost of any natedai or equipmem of a special Order or custom made race,which mast be ached in a&wce of lice start of lire work to assure that the project wit proceed an W heoife.No ikul paymen stria be disnaraled until the conract is completed to fee satisfaction of bat Nrdes. An Moe Improvement contractors and subcoroactors shal be regctered and del any inquires abond a contract or sabcoNrzdar rdatng to a registration should be .. direct d to:OfBco of consumer Affabs and Busloen Reguinges.Tan Park Platy.Sub 5110 Boboo,MA 02116.PEA:IBM 973-8740 No work shall beptr prior m 010 SW"of Ike LOOM ahul f IN to OO altrnsr at a Copy m=Cb wrdrad Window World of Bonn hamder provision of CoaW 142A of the Vneral taws is rewired to apply for and tnOMbi all peones.Window VAxtd of Bostoo shah not be deenhed nesponsitie for delays in the work besmilied In ft aFeeoherd caused M moolOon pence Wuft agincim aidwi(b<S orkdvtW&. NotimIt the RWMASER45)abhlasbis own aoostrrutkarentedperm0s for The went describedostlerdisapreemeda dub wall t todraclers, the PURCHASERS)is hereby adwbed Me to Ike e"M of a ilispute j ulp tned and oonpayhnsat.We KWHASER(S)us eta Its Callum Is nalie a claim or ataclba from the gaaredy fall edaWbN by dopar 142A,kLB.L You Me but�m may Canoe (rem at any prior to mi nI of ess r the tra y Nallea of danoeHatoa must be In wrtdng padmaked no later than midnight of the to0awlag tad buslam day. THIS ISACMM ORDER NOT FOR RESALEJ Tthb Wmdmw VbW Rarxtise is' salad am Wmdoa Nkdd ri Rosen.LLC.undarkew from ftdor Wald trio 4 be&i 10114llt O.ewr.tie mt.tgn t ere any Sink Dar° salemam,:on nee emr sues. oW - oea,er:co rot sign u tdere re aw waft specs& Date em,mm•,s write copy-odow YewwCopy•Foe Pin,Cow-C,ata„er ,vrawifgmscer--. f WINDO-2 oP ID:0 DATE tM 1201 Yv1 CERTIFICATE OF LIABILITY INSURANCE 3n1no1 os THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: 9 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 endorseme s. ACT PRODUCER WE: C.Timothy Ward,CPCU,CIC Senn Dunn-GSO PHONE 336-272-7161 Fax No:336-346-1397 3626 N.Elm St Greensboro,NC 27465 206 twarcaserindunn.Com C.Timothy Ward,CPCU,CIC INSURERS AFFORDING COVERAGE NAIC 8 INSURER A:CIf tens Ins Co ar America 31534 INSURED Window World of Boston,LLC INSURER S:Anme ue Financial Benefit 118 Shaver Street 19682 North Wilkesboro,NC 28659 INSURER C: �Ftrc Ursurance Co. � INSURER D 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 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF POLICY EXP I LIMITS�L R TYPE OF INSURANCE,- POLICY NUMBER MMI M 04 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,0 CLAIMS MADE OCCUR OB6790252707 i 04/0112016 04/0112017 PREMISES a occ urence LU = 500,0 Business Owners MED EXP(Arty one person) $ 5,00 P ONAL&ADV INJURY S 1,000,00 ERS GEN'L AGGREGATE LIMB APPLIES PER: GENERAL AGGREGATE S 2,000,00 POLICY❑JECT LOC PRODUCTS-COMPIOP AGG $ 2,000,00 S OTHER: AUTOMO&LE LIABILITY COMBINED acci SINGLE LIMB S 1,000,0 00 B X ANY AUTO AW68757615 06/16/2015 06IJ 612016 BODILY INJURY(Per person) s ALL OWNED SCHEDULED BODILY INJURY(Per accident) 5 AUTOS AUTOS PROPERTY DAMAGE NON-OWNED erPERTnt S HIRED AUTOS AUTOS S X UMBRELLA LIAR X OCCUR I EACH OCCURRENCE I$ 1,000,00 A EXCESS UAB CLAIMS-MADE OB6790262707 - 04/0112016 0410'112017 AGGREGATE $ DED RETENTIONS I- H- $ WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY Y r N 22WECU2636 01/2712016 01M712017 E.L.EACH ACCIDENT 500,0 C O CERIMEM ER EXXANY C UDERD?EC G N I A (Mandatory In NH) E L DISEASE-EA EMPLOYEE $ 500,00 It yes descnbe under E-L DISEASE-POLICY LIMIT $ 500,0 DESCRIPTION OF OPERATIONS below DESCR IPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attacired 9 more space is regt fired) i - CERTIFICATE HOLDER - CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS AUTHORIZED REPRESENTATIVE s ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD The Commonwealth ofmassachuseas 2q: _ Department of Indus l�flc idents _t Office of I nvesfagaadons IX E--- I Congress stree4 suite 100 Boston,MA 02114-2017 w4m ma8ss g'ovldial Workers' Compensation Insurance davit:Bllllgders/collate actoirs/lElec cians/Plumbers A22licaflt Information Rease Print Le����n� Dame (Business/Organization/Individual): WINDOW WORLD.OF BOSTON LLC Address:24 CUMMINGS PARK SUITE 15-A City/State/Zip:WOBURN, MA 01801 Phone#:781-932-4805 Are yoss an employer? Check the appropriate box: Type of-project(required): 1.Q I am a employer with 20+ 4. -0 1 am a general contractor and I 6. ❑New construction 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. ❑Remodeling ship and have no employees These,sub-contractors have g_ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance 9. O Building addition required.] 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 repairs or additions myself. [No workers"comp. right of exemption per MGL 12.❑ of r�- . insurance required j f c. 152, §1(4),and we have no 13.�Other employees. [No workers' 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 are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers compensation insurance for my employees. Below as the policy and,job site information. Insurance Company Blame:HARTFORD FIRE INSURANCE COMPANY Policy#or Self-ins. Lie.#:22WECLJ2635 Expiration Date:01/27/2017 Job Site Address: City/State/Zip: (11ry-We- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of-MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP.WORK ORDER and a fine of up to$250.00 a day against a violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for a covers erification. , I do hereby cerldfy sander t pa` s andp a 'es Of* that the information provided above is true and correct. Signature, Date: 4— -z 6 Phone#: 781-932 Official use only. Do riot wr&in this area,to be completed by city or town official. T City or Town. Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Chy/Towrra Clerk 4.Electric.-d Inspector S.Plumbing Inspector 6.Other Contact person: Phone#: -Massachusetts Department of Public Safety Board of Building Regulations and Standards License:CS-072772 Construcien� ervisa i?y , JEFFCSTEELE^4 , r , 24 SHERWOOD AVE '_ " DANVERS MA 01923 t cxpiratior:: , Commissioner 04/07/2018 -OMee of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR ` Registration: 166025 Type: Expiration: 4/12/2018 LLC WINDOW WORLD OF BOSTON,LLC. JEFF STEELE j 24 CUMMINGS PARK SUITE 15-A �,c•:_, ,- -- WOBURN,MA 01801 Undersecretary 1 i License or registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 - Not valid without signature 1 k, Jown of Barnstable ernut:",P�Cv/ d� Regulatory Services ate: 2 J9l1s- - FtHE 1p�� Richard V. Scali, Director Building Division vsnare M Tom Perry, Building Commissioner �ArEo 39. p 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: Phone: �tr Install at: �' Village: Map/Parcel: `�-I��_�� Date: Stove - A. New B. Type: Radiant C. Manufacturer: s p� ' Lab. No. D. Model No.: Chimney A. New/ istA (If existing,please note date of last cleaning) 6�1 4,didiziq B. Flue Size '' kn C" 'S )on0- " 'i , C. Are other appliances attached to Flue? J�1 + D. Pre-fab Type and Manufacturer E. aso Unlined i Hearth --4 A. Materials: B. Sub Floor Construction: Installer �� � �,�i� - Name: w' Address: P Q (5�C Phone: Location of Installation: H.I.0 Registration# 'I 7X213 1 Construction Supervisor'# 0-S'r la -Us S OR check_Homeowner Installing,no license required LICENSED INSTALLERS-SIG ATURE� AP-P-LICANTS-SIG t -URE-? APPROVED BY: ` Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev 11/4/13 S s* - �•>� The C nimonwealth of Massachusetts :J Department of Industrial Accidents Office of Investigations l ' 1 Congress Street, Suite 100 ' Boston,MA 021.14-2017 wwm inass gov/dia 1 Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers , Applicant Information \\ /Please Print Legibly Name(Business/Organization/ladividiral): Address: Y , ?)N,90 City/State/Zip: `\OA %Y� Phone Are yo n employer?Check the appropriate hox: Type of project(required): 1. I am a employer with 4. 1 am a general contractor and I 6 ``lest`construction employees(full and/or part-tune). * have hired the sub-contractors ❑ 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have $• E3 Demolition workingfor in an capacity. employees and have workers' Y p ry• 4. ❑Building addition [No workers'comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions 3.❑ t am a homeowner doing all work ❑ myself. t-o workers'comp. right of exemption per MGL 2 y [v p lam.❑ of repairs insurance required.]t c. 152,31(4),and we have no employees.[No workers' 13. `ether -5, comp.insurance required.] i nfbmtation. *Any applicant that checks box#1 must also till out the section below showing their workers cum etts8uon policy Y PP g ' P P .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 die 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 providi►:g workers'compensation insurance for my employees. Below is the policy and job site information. /y Insurance Company Name: Policy#or Self-ins.Lic.#: _ L(}(t���}} ); Expiration Date: Job Site Address: `1a&L-5 V6. 1 City/State/Zip:�� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required tinder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of f a -fine up to$1,500.Q0 andlor one-year imprisonment,as well as civil penalties in die form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. ' t I do hereby certify U446 ifibains and penalties o er'u i that the itt orl►cation provided above is true and correct Signature: Date. ® 1� ; Phone#• Official use only. Do not write in this area,to be completed by city or town.officiar+ City or Town: PermitlLicense ft Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M i ,1P.K;. 14. 2'115 2 1",5 i1 RIA.RT INSURANCE N0. til t� DATE(MMIDDftTM �c CERTIFICATE OF LIABILITY INSURANCE 01/1412015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UP N THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVE GE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT GONSTITUTE.A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZi=D REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLD5P IMPORTANT: if the ccrtificats holder is an ADDITIONAL INSURED,the POlicy(ies)must be endorsed. If UBRQGATION IS WAIVED,9IU 0et to the terms and condition$Of the Policy,certain Policies may require an endorsement. A Statement On this 1 ortificate does not confer rights to the certificate holder in lieu of such endomament(s)• T Laura J Murphy �A 19 506 759-7366 :ocucER HART INSURANCE AGENCY,INC. I'M E 508.759-7326 Y-107 1 FAICC No r 243 MAIN STREET EdAAIL - PO BOX 700 oREss 8VZ7ARDS BAY,NFA 025320700 INSVI;ER s AFFO NG`GOVIERA11F NAlc A INSURERA. ESSEX INSURANCE CO 1 39020 SURED Sandwich Chimney Sweep rNsuR�Rt, ATLANTIC CHARTS INSURANCE COMPANY 4432E PO Box 9D 14SUREA C. Sandwich,MA 02563 INSURER 0-r INsuRER E c - 6d5URERF.• I OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED qAMED 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 IPISURANCE AFFORDED SY THE POLICIES DESCRIBED ERE1N IS SU2JECT TO ALL THE TERMS, EXGLU,=IONS AND CONDIMCINS Of SUCH POLICIES.LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. 3R - R { POLICY BFF I POLICY t:kP _ LIMITS -- _ TYPE OF INSURAN� POLIO'NUMBER I MA9PO - reaa nvrf q I GGRE-RAL LIABIUrf ) 3DWO379 10/09/2014 110/09l-015 EACH OCCIERENCE 1,000,000 COMMERCIAL G=.NERAL LIAEIUTY. Ir•C .+rE6 n cD nQ1 s 100,000 I CLARd�MADE OCCUR MED EXP Pd1 Qne ere3n I g 51000 +PERSONAL L ADV IDIJ'JRY i s 1,000,000 I GENERALAGGRWAT= TS 2,000,000 1 GENL AC6RfGRTE LIPAI'APPLI 7ER:ES f i PRODUCTS-COMPicr AGG 3 1.,DOD,DDD . I S 1 PO%P�Y PRO: LOC + _. - -� N Itl DSIN L IMlI ALITOMOPILE LIWUTY ( q nt I ANY AUTO ; BODILY INJURY(For pa w 15 A 0YINJURY i?or ueld9nq , N hJ _ AUTOS 5'U70S � } I PROPERTY DA:.ti GE NON-OWNED I Porn nn S ii HIRED AUTOS AUTOS f i UoMED3 RELLi. I I` _ EACH=CUR R OCCUR EXCESS LIAO CLAIMS-MADE AGGREOATE Rar � 'noK s =.NCB (f — }6 I WORKERSgor,IPEn1SATION VVCVO1153100 051131201419 05/13/201 ( w��Tat'1- OGrH i ANO EMPLOYERS uAMLITY y yN �ANY PPICEOPRIE OFtEAKCLUDED?�UTY� �i NIR E:L- E.4CHr+OC10�NT -. S SOD O00 OFFICETON m NNi t'f E.L DISEASE EA EMPLOYEE _ 500,000 (MandI`ye s,deeCltbe unC^r + I. E L DLSE SE•POLICY LIMIT. S $00,00D DESCRIPTION OF OPERATIONS c-12+v i i 7E5cRIPTION OF oPgFATIOFlS r LOCATIoNS 1 vgxleLES(AtMch ACORD9o7,ACdldcnal-RemaM SChadulo;V Mors 3pua Is:requirid) )perahons as performd by Terms&Condihons in the policy CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF YHE ABOVE I ESCFJBED POLICIES BE CANCELLF0 BEFORE TOWN 07-PARNsTABLE THE EXPIRATION DATE TH REOF, NOTICE WILL OF OF-LIVERED 1N ACCORDANCE WITH THE POLI Y PROVISIONS. BARNSTABLE,MA AUn+oRIzEDaEw:ESENTATrvE __f I (D 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACOR — Office ul CbI)SLIm r.ULtirs a Business Regulation �! N uMOME9MPROVEM ENT CONTRACTOR ►h 120859 Type: Cltnarit.unn jutt!;;•i t ♦ ' ,ntP,? Registration: !Expiration: 8/12/2016 Private Corporatit CSFA 058557 ti SANDWICH CHIMNEY SWEEP,INC. KElTH A CLIFF PO BOX 90 KEITH CLIFF SANDWICH NIA 02.563 28 EMERALD WAY FORESTDALE,MA 02644 ! l.tliticrscci•cG3•y 02/27/2015 -CfyMMONWEA 9 s 1 Or—Y11IAS8ACH SETT S- SHEET METALWORKERS 666 AS A.MASTER-UNRESTRICTED f 0.15tIfIFD 7 ��//y• ISSUES THE ABOVL LICENSE TO: " "#p 1C" ITH .A' CLIFF '� _.. Valid T1'I111 28 EPIE:RALD WAY S u j June ' $1 ; ` 0 FDRESTA:LE tth 02644- 15301-� << 110�88�. 02/28/15 330094 i I I dri•�a�A[ex 4.�� a}�h:� s � 4Y-i� � `��\�� ' .ems;:ntivvidl Citttlincy Sw—L' :Ia Sawivvlcit, NIA Restrictc Une-Arid nro411111ily dwelfitIOS Of WIN, • lccessory l tlildmo t1 :,reto, llres of'size. t,tccTisc or i tbtitr;iumt vt fitl for individul'use 6111y iTclbrc the capu'aumt dais: 11,fuund return to: office of'('ansuiiiei Affairs and Business kekulkion i IU P:ul.1'Iaz:i-S'uite 5170 13os1i111,.N1A 021.16 Failure to po>.ie ,;currenr edition of the(vlassachusetts I r 1 State$u I sn CU7P.is cause for rcvticatiiin of this lceni For GaS 1.icun>.m6,ciicrnrit on visit'; !WWAIas .�uv/DPS tNw F tli 3• a;ni bout tbn.lture CSIA Code of Ethicstr aNty In 1 :I; t ca- 6i im it e3p a N.1! 3�rn7 crHvau ni nfcrr ll fnoFJu ii tifi15 -. - to atit�il�r Ala:tna!7 of perfonnanlc aa.l p.,;i�3,l:rat rr f;.o-, I'�sti.01'clot;tft•3;_C, t.vitrt your �.licF - ucha 1v( nJHpiilatic latY 3',(JIc95t F_y`Jtah�il3 t'T� t 'X� i .tea in i �. <,' I p7cdaz ' 1 lc I=artA,,rlJ:rttlt a7t�hntt:c',n ':»ting aaict�` � ,,4 ..lv. I:fav'trCci]nC[crnrtiy::cf pr0itl�!ca Cr\:�tri 3nl annol 31 WI Ini ,n5r iT+'i7lG I it-':e J t (P;; �I in to ! it !1 J Jn�t•loll J tcPl:e IV fii�' IY tt]a cl ri ititfjr-ow.l C l-oi p: 1 3 J I1.lal td a ll 1 t.+t(J J c pli liati' tJt '•1 i f .r,t tl ITUr Tv tit tl Jl tl l l t rltitl l I u A31n tl In<d-t:t not ircea to In eg ro to naa - 1 't ilunl 1-[: It.tt. F31u•+ to „:1 } l ,t uln C U.Inge fv.1 pt.F,lt :' fltfit ti To xnrry in,Afi 1+tllc pFf uP y i-rn aCl-3 Ihl3 lie ti t# a. aS I S tit I n to ut.Fl. 1 3!31 dauon r'J L.1� Ti tc p•rUl m ItCni iv! I al is It im[t Ir tt[ 1!1 r t. tt p.-� t71pi au(t ct17t ' t I:ii-b l)x �Ai E I li TI#;= Tt r.,17i Kz.ec) "!l'I� i.t.v.T..c` JY i yta.2r r c'nhlln! bi t0 2t1.c IU C3ni l taP 4ilaf�Y 1- tJ:Ic v- -:i!'3, ano Ie rnt;u_i vllh rap,ip to c.;r;.cnt acc.—p:-, ChUnntIy aro'eentr,Safety praCt(.c3 . It In a a.@cnl,r r_^.'tl:d.a.j INalci Slc•nai rCaiP7 t,.yi=tl 3c`r,-IN,•mp Caratal of a 1h1t11n[T 3'::cc'y`.Gr::lien al:cY:7:n•a F.:nc;ran . zr_.ein ut si atyani:a!ieti in Me cnptb,e;a•IteSdn irvaus:i•ti inr7u31c, lnepm:I)tresageorp;c - ii - t!}ycOiaM tt>z G:iitiure noe::in_ni3 ne:ni2G �:t t7 Town of Barnstable ` Regulator Se vices °o aeRgyRAjj,E, s` HAM Thomas F.Geiler,Director 59— Building Division Tom Perry,Building Commissioner 200 Main Street,,Hyannis,M 02601 vrww.town.barnstable.maxs Office: 508-8 62-403 8 Fax: 508-790-623 0 Property Owner Dust Complete and Sign This Section if Usin A Builder I, k as Owner of the subject.property hereby authorize `� - R 1 to act on my behalf, in all matters relative to work authorized by this building permit. - kNA Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filed before fence is installed and pools are not to be utilized un all final inspections are performed and accepted. l f Signature of Owner SV ture o �A '.cant d�►e Print Name Print Dame 2- of 6 Is Date Q:FORMS:OWNrERPEIZMISSIOUP00LS I � T The Town of Barnstable Department of Health, Safety and Environmental Services Building Division t1��e� 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Cmssen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: _— Name: die- �. �/G�c ,L-c,�� Phone i#: 70 Address: 3 �S Village: Type of Business: U �s Map/Lot• ��� 4 — //�' 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 aiteration 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 f-(=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 Muck not to exceed one ton capacity,and one sailer not to exceed 20 feet m length and not to exceed 4 tires,parked on the same lot containing the Customary Home O«upatioa. • No sign shall be displayed indicating the CusuY 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 owwation I am registering Applicant Q Date• . a r • TOWN OF.BARNSTABLE permit No. _:__RO944 Building,,<Inspector t nv>r.,r . Cash — �`°"" -` OCCUPANCY PERMIT Bond _ ;K No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged -use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to John T)P1 PrPy Address Wiring Inspector � Ir p ` _e.. 7�-,.� _ Inspection date Plumbing Inspector � '� Inspection date Gas Inspector Inspection date Engineering Department ;��j Inspection date -'��ri Z7 THIS PERMIT WILL NOT BE VALID, AND THE BUILD G SHALL NOT BE OCCUPIED 'UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. 2 19 `'� ..... .......... ....... . . ..... ; �,.. I. ..jBuilding�Inspector _.... _ ._...__ PAS. �• 0 ti x o l d . f :C) 0Q `� Z- O ""' Z- A VC AIL-E6OY CZk?r1FY'. .;uA.7' 7;4� ZXfs7- 6 R JEX O�S 771 , r �1 .cs°`5 CJF TNf ;'Gll�l//L` CIF �•` '. : �?.., Zev Sj ssor's map and lot num a ................................ /0 - / Sewage Permit number ........ `y.......................................... SEPTIC SYSTEM MUST , � �� INSTALLED IN COP ��� EA rasa B 9T/IDLE, i "� House number ......................................................................... WITH ARTICLE 11 STAT { °° a 39a��`� M SAN1,1165"'), CnnE AND TO TOWN *OF BARNSTXBr� NE, BUILDING . INSPECTORra APPLICATION FOR PERMIT TO �fV fib gee %✓2 r� !n a�u ..r .. .......................................................................................................................... TYPE OF CONSTRUCTION ..........:.I .��...l�2 :lY! ..............................:........:................................. .......�Z/�.....7 ....................... TO THE.INSPECTOR OF BUILDINGS: The undersigned hereby ap lies for a permit according to the following information:'14 1 Location ......................... ....... ....... ............................/......... , ... ......... .......................................................................... ProposedUse ........ G� � ... .!�)..... I,Ctl�.f...7......................... . ..............................I..................:...... Zoning District .......1�..L-�.................................................... Fire District ......alz /..�.s Name of Owner ..... r '.... / r`7....................Address ... .�..'.fft� !l .................................... f.................��Name of Builder ............. ....................................Address ...............................................:.................................... It Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ......... ...................................................Foundation l.Q.......... �� '.................................................. Exierior ... Od................. ..........................Roofing ........ .. I� ...................... .. .... .................................................................... �o Floors . � ...................Interior .......�/ /v'^'�� ................................................................... ...... ............................................................. Heating .......(�.�. ...../. .ic1 v�fi�lL_ .......Plumbing ........... ..................................................................... ....... ................................... Fireplace .................I..............................................................Approximate Cost ........Z.. ?. ...................................... Definitive Plan Approved by Planning Board __ ft _-----------197i Area FO .............. Diagram of Lot and Building with Dimensions Fee ......... 0............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH Vv Or� SfZ� /r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .. .................. .. ................................... ................ ^ Delaney, John tA 20944 Permit for --- ---'^ ° -----, —_~.-------.. . - , single family dwelling � ---------~—.—~--~—.-----.--.. ` . ^ ' 25 Bridg et'o P atb Location ---.------------------ . + ' - , Centerville --------.------------------ ~ ' . ^ ' - John � ^ Owner -----_---.���.�..��----'--- frame ` ^ Type of Construction -------------- ` - -�----^----.---------------- / . ^ ' ~ � . #Il Plot ---------. Lot .----------� p ' . it Granted ............................................J�uuary4lg T8 | Dota of Inspection ....---..lg ' - � Dote Completed .'.��.���'.���----]A . . ' PERMIT REFUSED .................... r ' � ........... .............. � . ~ - ------~..—.---..—.--.—.—..---.�— . ~ . . . ' Approved ---------------- lg -------..—.-------.—.—.—.—..—.—�. .^ . ............. ' �\~���~ *� ^ Assessors map and lot number Sewage Permit number .....................J................................. w Z EAUSTADLE, i House number ... ............................... SOD M6 9 3 �0 6 ON a' TOWN OF BARNSTABLE } BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPE OF CONSTRUCTION ............� ,Jt1?3Cz....................�*,O.q/�L I ............................:............................................ ...... "7.......................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a ,permits according to the following information: Location ........................................../ l ........................................... `;;... /.....'U///......................... .......................... ProposedUse .................`�.............................., , ....1'✓f c� /„�� .......................................................................................... Zoning District ........2-....G.�.................................................Fire District ..... .�� ..U.�� Name of Owner Elj`-"` '...................Address .f/q,5 .................................. ............. ..............,...................................................................... ! Nameof Builder ............................r ....................................Address .................................................................................... Nameof Architect ...................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation A0........... 1......................................................... Exterior ..................................................................Roofing ........d'0?.Iq A-t..�............................................... Floors ......«. .?�. .. .......................................... .........r..7-...1�.....,4t:�::�.�.�.................................................. Heating '(')r / "�' W fk2 Plumbing f ................................................................... .................................................................................. Fireplace ...............................................................Approximate Cost ........�4 U71� .................... ......A.................................................. Definitive Plan Approved by Planning Board L12� -----------197 Area ...... ......................... Diagram of Lot and Building with Dimensions Fee ........ ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH t,, pq 4)L,- C71 I� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................................................................. Delaney, John, A=169-i-2- ,: " (not plotted) No 20944Permit for ..........onQ...StQrY..... single family.,dweling..................... Location .........25..Bridget. 4..P.ath................. Centeryille............................ Owner „John``Delaney ........... ................ . .. .. Type of Construction ............ .fr.arne................. ........................................ . !................................. r Plot ............................ Lot ..... ...... /........ Permit GranteJ 4 1 anuary ..... ...4........ 9 78 Date of Inection ....................................19 Date Completed ......................................19 PERMIT REFUSED .......... . .. 9 .......... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ...............................................................................