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SCANNED
►, �►,per....... ... ?l : ../...........�.............�.
BUILDING DEPT. �ermtt .f.�.< .y�
Fea...,__., s ...............OverFee.. ..................
JUN 11 2020
UwFen pw...........................a........................................
TOWN OF R&5HMELE F ]Z3
ee�tap ..ey....... ............on,.....YlL........Z:.»
BUILDING PERMIT
APPLICATION
Simon 1—Owner's Information and Project Location
Probed Address �dr'
Owners Nam_ P �„
Owners Ligal Address
city ce vrf L y l_��a -- State s,Y/1 zip 045.71
owns cell# 77`f 7c r1�9 y Zr-�il / �I'J Grp-cib� Go,r�Gas
Section 2-Use of Stmeture
Use tlroup - [] Cam umvial Sftctwe over 35,000 cubic feet
❑ Caner W Structure under 35,000 cubic feet
❑—Single/Two Family Dwelling
Section 3 die of Permit.
❑ New Construction ❑ Move I Relocaoe ❑ Amory Strucn+a ❑ ChOP of use
❑ Demo/(mire tee) ❑ Fmish&=mwxt ❑ Family/Amnesty 0 Fire Alarm
Rebuild , ❑ Deck Apartment ❑. Spriwda System
❑ Addition ❑ Retaining wall ❑ SOW
0 ibenovdion ❑ Pool 0 bmaN&A
Section 4-Work Description
J G ea- g
CS Alric
YActurAx l-1111i M1A
Appucation Number...........................................
Section 9_Construction Supervisor
1L)Ek'' al n Number...,
Aar / iL �r - atv,uM—aLaim- zip 02:57/
�License NumberY_7o G`Z U00M �� on Date D
dbntamrs ftnfl G. - Cell# Z 2! ~ X4 2,9345
Ho / aL 'C f';Irl
ImyA Old
� � LiceasedCansia7so
Cbdtt fhe Massechumm Sfine BWl ft coda. inspecd=md.
d eau req*ed by 780 CMR and the Town of Bwodd&Attach a Copy of your license.
Signature Date /
Section 10—Home improvement Contractor
Name Telephone Number ??74�6, `' -32 2.
Addle l Crtyc� �'�r9- State Ak.-..zip. o9=45 '7 J.
R*&a w Numbea2- .32 Expiration Date
I me&Istand my tees uadw the tins MdnpWj0W flat How hVfflveont CaCmama in accordance with 780
CMR the MassaChtels Stara BaUft Code. I madetstaud fire comumfia®inspuft pwoedures,specific inspections and
d�3'?80�m�flte�'�ofBarmosblaAttaCh a Dopy of your I•LLC.- _ ;5`r1�� �
Signatue Date ,
Section 11—Home Owners License Exemption
Home this Nmne:
Telephone Number Cell or Wank Number
I tm my rospombili n uWw flee rake and nzguMons fr Licensed Ca na SWwAm iu acoouflwAe with 780
CMR the Mamohusetts State Building code. I=dWsMd fhe 0000da bspecdwpvceftlM specific m and
dean required by 780 CMR nd*9 Town cfBetfebk:
Sigasdfre Date
"PLICANT SIGNATURE
Si DateNumber ZZ
E-Inail permit to: J Pre—
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pre r m en emph"I Cbs the appnVAWQ I em a geuaral caamractor amd I TM of pnjed(�:
i.❑lam gmpIoyer With•_ r a bswe��� 6. ❑New omobuwm
amp (fa and/or pest time). oa Ors edema 7• C�
2.❑I am a mIo paopdeto;akr peiba� Had mum�
Ship amlbsaemploryrces 8. ❑Dmnolition
' .fiwmolnenY '• wnp wdm ! 4. [3-Bmldlng .
[No vvodme camap. � 004' or eddidaaas
l J s. Woma�gad.ift I0.[3RoAdwrape
3.❑I sm a bwneawner doing el!Wcdc o bffn eooa+dsn 1 Ihd r ILO P fairs or additions
wIsdi DqoWows'mmp. d&ofw=vfmpwbm 12.0=J,)�
t c,U%j1%and we lm�ra no I3.p •�-
and yoos. o Wadme'
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t EtOelODiiII01i�i1Q ffiZ��tt�iY$:atd�8�� ��k�d'$��10� '� .A�1 �
9utol�cirth�s baxno�t�t�d®n cdd�mml�eet ebaR�$a�semgsafine amdNaEel�ararLOtiho� b8ve
w�ayea.if6�e1me�7"�.�i►weetpoon►ide�P 1rOdcas`eomp.P�9'�
lam our ad bpno Aft werkers'corrssair�forar� B&w b tlrepvbW mdjoba&@
bmaaceCamponyNmme:
Policy#or Seif bL Lie. y� f I,;?: Expin oa Data v� ,
Joli Site Addtes [YC;sr5 .V _t�lty/ShtelZip: � /�
Attach a Dopy of the wOrbm'compoutbo polk9 dwbratim pap(slm tg the polity TMOM and eaphstion date).
Failure to swm cove age w setpdW umw Swim 25A ofM(3L a.M c®a Lmdto the io m of ctbntoal penalties of a
sae up to$1.500.00 and/or aaao year im risaament,as Well as cM per"ta t g fim of a STOP WORK ORM and a fine
ofup to S250M*day against the viola:•Ho a Wh"that a ccpy oftbu MonatmaybetrMAWtoto 0.MO of
of�eD1A$r cav�o vaifi�on.
DdL
phm A.
f�-l�+oby �e .a�ad��A� , �� F�o�d aboee b arra arrd aorend
a ,
ofJ"use only Do not wr&bi d*am%As beEby d'orfawn ofiidd
City or Town: —
Au&ol*(fie rtment �:Citl►lforwr Cfsrk 4.. 1.Ir, b..PlamidaR.Inspmstot .
LHaardofH:ea[#1r 2. �
6.Other
Contact rerson•
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Appucntio�n Number....................................................
Seetion 5--Detail
Cost of Proposed Caastraw(M `/_.. .Square Footage of Project
Ago of Structure Dig Safe Number -
#Of Bedrooms Existing Tonal#Of Bedrooms(proposed)
110 MPH Wind Zone Compliance Method ❑ MA Cbesrklist❑WFCM Owklist ❑ Design
Section 6--Project Spe oes
❑ ❑ Oil Tank Storage [] Smoke Detectors
❑ Plumbing ❑ Gas ❑ Fire Supgrossion
❑ Hosting System ❑ MWOMY Chimney ❑M&mlocs6e bedrom
Weter Supply ❑ Public ❑ Private
Sewage Disposal ❑ Mtmicw ❑ On Site
' tic District ❑ DM K* Y
Historic 1)istrlct ❑ ._
Debris Disposal Facility: I am Using a caane ❑ Yes !�Na
Section 7—Flood Zone
Flood,Zone Desion
Within or adjacent to a wetland,coastal bank? Yes ❑ No ❑
Sec&n 8_Zoning Information ,
District___ Proposed Use Lot Area Sq.Ft, -
Total Fra fte P of Lot Coverage - -—#of Dwelling Units(on site.)
Setbacks Front Yard Requirod ,. P -----
Rear Yard ReqWmd - Proposed
Side Yard Required__._---Proms
Has this pdope rLy bad relief from the Zoning Board,in the p-* 0 Yes ❑ No
Loa qpdatft I1/I OM
Cornnlonwealth of Massachusdtl5
Division of Professional LicensurC
Board of Building Regulations and Standards
- Gonstr,MCari%tipervisor
CS-070077 _ Eiipires: l2/30l2020
dQSEPH C O J ARTE`•:i�7 _ !
16 FALL ST
WAREHAM MA 02671
Comfttissiarter
Office of Consumer Affairs 3 Business Regulation
HOME IMPROVEMENT CONTRACTOR. Registration valid for individual use only
TYPE:Partnershio before the expiration data. if fopnr d return to-
pe
gistration Exciradon Office of Consumer Affairs and,Ousiness Regulation
192349 01/1012021 1000 Washington Street-Suite 71t►
JOSEPH C.DUARTE Boston,MA Will!
D/B/A J&J REMODELING
JOSEPH C.DUARTE
15 FALL ST.
WAREHAM,MA 02571 t)rdersecreiary of valid without signature
Town of Barnstable
Regulatory Services
°k 'o Richard V.Scali,Director
snxxsrABIA
Building Division
MASS, Tom Perry,Building Commissioner
9� 1639.
'°fin Mo't 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee: _
Permit#:
HOME OCCUPATION REGISTRATION
Name: y�P l l (�U/K J Phone#:-1 74 - -7a a-
Address:� \ C k.K-�V— ( lam �(� ►Y ' Village: C-w 1�i��� I l
Name of Business: e S O Y ;
Type of Business: Pbo=o Map/Lot:
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 are 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 undersignedJaav read and agree wi a ve restrictions for my home occupation I am registering.
Applicant: Date: E� 162,
Homeoc.doc Rev.103113
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is
required by law.
-- DATE:5 (O (4 Fill in please: ,
APPLICANT'S YOUR NAME/S. Kifs he
xa
BUSINESS YOUR HOME ADDRESS: . S51 6 uC%,-,S L L1 � (7
W a TELEPHONE # Home Telephone Number ,AQ
NAME OF CORPORATION
NAME OF NEW BUSINESS P., i L h 0 y ~ TYPE OF BUSINESS 6 M Y
IS THIS A HOME OCCUPATION? ✓ YES NO7.
ADDRESS OF BUSINESS `n i MAP/PARCEL NUMBER l :. ` ` ! (Assessing)
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth
Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING COM SIO ER'S OFFI E
This individu,l ha e'e infor d o an er it requirements that pertain to this type of b&-dildEss�.COMPLY WITH HOME OCCUPATION
RULES AND REGULATIONS. FAILURE TO
Aut orize n tuce * COMPLY MAY RESULT IN FINEO:
OMM NTS.
r
e J
2. BOARD OF HEALTH
This individual has been informed of the permit requirements that pertain to this type of business.
Authorized Signature
COMMENTS:
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature*
COMMENTS:
of
I.
Town of Barnstable
1"E' tio Regulatory Services
Thomas F.Geiler,Director
4 �
* BA LE.ASS M ` Building Division
9 MASS g
16gq.
AIfD MP'�a Tom Perry Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
COMPLAINVINQUIRY REPORT
Dater''- 2 5 D 2 Rec'd by:_. . F iA!i
Complaint Name: C "4-LZ Map/Parcel 19 ( ( ( l,o
Location
Address: �— ' f . v C S
Originator Name: `
Street:
Village: State: Zip:
Telephone:
Complaint Description: >1
C) �Q� S I e4 e c, V-n 2
Ar
q FOR OFFICE USE ONLY l I
Inspector's Action/Comments Date: ! ' 2 S^"(� 2 Inspectorr�0 12 h;t'2 o o y' d
L --- 0-C a -� - - �
"U ►VACl
i
U
Additional Info.Attached rG?c 'C 1 'L Yl� ` �Q ��L)
eV s h Qv
�w yl a(A -e- ; s '( 0 0 V\ cal �2
A S Q_ G� Q_ C
Q:forms:complamt C�
rll\ S0QCuv Q_� UeS�
TOM PERRY. Building
COMMISIONER
DEAR MR. PERRY: THERE IS A
SERIOUS VIOLATION AT 351
BUCKSKIN PATH INCENTERV.ILLE.
IT IS THE SECOND COLONIAL ON�
THE RIGHT COMING DOWN FROM
OLD STAGE ROAD. THE OWNER IS A
FIREMAN WITH THE TOWN AND
SHAME, SHAME, SHAME ON M[M AS
HE IS RENTING AND SELLING
MOON ROCKETS FROM HIS
RESIDENCE AND HAVING THIS
MASSIVE RUBBER TOY IN
YOURWAY?VE TOY I N FRONT OF
YOU.? HEAVY PLASTIC IN THE
MIDDLE OF FOUR ROAD?
CONSIDER THEELDERLY IN.THIS
AREA AND REDS OF KIDS IN
THIS MOON ROCK? TERRIBLE AND
HAS TO BE CORRECTED BEFORE
TAS IS A RESIDENTL&L AREA AND
IF THIS',FIREMAN WANTS TO BE IN,
BUSINESS, LET HIM DO SO IN AN
AREA DESIGNATED FOR BUSINESS.
_��G�
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Map 4 Parcel Permit#
"Conservation Office(4th floor)(8:30- 9:30/1:00- 2:00) Date Issued �i '029—9
Board of Health(3rd floor)(8:15 -9:30/1:00-4: Fee &K .d_�)
Engineering Dept. (3rd floor) House# 1.3s
�iME
n,p+_(1 ct flnnr/Cnh...,l A Amin Rlria,) $
RARNWARLE.
rd 19 MASS.
pa Plan A ppia-,
+ jf0 MA'S a
TOWN OF BARNSTABLE y'
--z Building Perini pplication
Project Street Address ,f,5 ;
Village
Owner Address
Telephone
Permit Request
61
.First Floor square feet
Second Floor square feet
Estimated Project Cost $ , 07n) -�
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ?
Zoning Board of Appeals Authorization Recorded
Current Use Proposed Use
Construction Type
Commercial Residential
Dwelling Type: Single Family Two Family Multi-Family
Age of Existing Structure Basement Type: Finished
Historic House ,yv Unfinished
Old King's Highway AM
Number of Baths 07 No.of Bedrooms
Total Room Count(not including baths) First Floor
Heat Type and Fuel Central Air Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builde Information
Name liec ' Telephone Number 398 - 7a�
Address W:: License#
Home Improvement Contractor# /6 3 9�
0 c;)- 6, Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
01
SIGNATURE mvDAT
BUILDING PER ENIED FOR THE FO NG REASON(S)
FOR OFFICIAL USE ONLY
PE ,MIT NO. -
r
D ISSUED `
M. /PARCEL NO.
ADDRESS ` VILLAGE + t
OWNER r
DATE OF INSPECTION:
FOUNDATION
FRAME.
INSULATION '
FIREPLACE f -
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL - -
FINAL BUILDING rt
DATE CLOS D OUT
ASSOCIATIbN PLAN NO. E s
i
° Town of Barnstablehe •yes
Tmental Sera
= • ' Department of Health Safety and Environ
Building Division
367 Main Street,HYannis MA 02601
rr;
n
Ralph Cros=
oM= 508-790-6227
Building Comm
F= 5os-775-3344
For office use an1Y
Permit no.
Date AFFIDAVIT
HOME WROVEMEHT CONTRACtORIAW
SUPPLEMENT TO PF.RIVIIT Arpu CATION
MGL a 142A requires that the"rCCCnL =don,altezations;roaovation,s Leo wner �
improvement..=o%%L demolition, or Oms=cti of an �� Bch are Aacmt
building containing at least one but not more than four dwelling ores, along with other
to such ttsidence or building be done by registe=d contractors.with certain
cWC0Type of Work: .�R
Address of Work:
Oaner.Name:
Date of Permit Ticatiow
I hereby certify that:
Registration is not required for the following rcason(s):
Wank ccduded.by law
Job under SLOW
Building not owner.occupied
Owner VWMng own
Notice is hereby gn'=that: CONTRACTORS
OWNERS p�NG'tHEiR OWN PERMIT OR DEALINGORK �NO�T �CF�S TO ME
FOR APPLICABLE HOME D�'ROVF3+�"Nr' iJI�IDF�MGL c I4?A
ARBrrRATION PROGRAM OR GUARANTY FUND
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
6 on No.
Da e
Contractor Regtstrau
OR '
r ,
TI�c• CllntInllnH•cut uf'?Itassacbusctts
Department of Induad
strial
Accident
Nee
600 111 ashine. Street
'o Boston.Alas's. 02111
e�k
�--" Workers' Compensation Insuranee Affidavit
AF•--I—• --..—'—..- 1'lestse 1'RI1VT'T ably• _ . .
location-
city nhone P
❑ 1 am a homeowner performing all work myself.
❑ 1 am a sole proprietor and have no one working in any capacity
❑ 1 am an emplover providing workers' compensation for my employees working on this job.
ep-m-pany
—
- 7a
sur�npolicy o
..�.-..:.--ram..
❑ 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who
the following workers' compensation polices:
CDMDlnv n
addrem!
cih nhone#t
-eu n neiitw It
177
- .. -�. wesran�. a�e�'vr�'+„S•-�+ra-�s^�t"4 .." �+ '7! � � T -
m lnv ngrnp.
r
cin nhone#t
nailer#
.Attach addltlonai•she[t friii Sr�r ira �'��s•+-f �'r���^��::•: :•rtrr..+ . .•n« �..
Failure io secnre covcrngc as required under Section 3A of DIGL 152 can lad to the imposition of criminal penalties of a line up to S1.500.00 au�
une VMS'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a line of S100.00 a day agaion mes I understand thr
copy of this statement may be forwarded to the Once of investigations of the DIA for coverage verification.
1 d bereht•certif}}•and• /r pains and penalties of pe ' that the information pro►7ded above is true and correct
-nature s
Print name
oiJiciai use oniv do not write is this area to be completed by city or town official
city or town: permit/llecuse tt riBuilding Department
DUeensing hoard
check if immediate response is required O t n
(�11exi tmee's;alth Deparr tm e ent
contact person:
phone tYt nOther__
r
Information and Instructions .,
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for
employees. As quoted from.the "law",an emplityce is defined as every person in the service ofanother under an
contract of hire, express or implied. oral or,%witten.
An enrpinrer is defined as an individual. partnership, association. corporation or other legal entity, or any two or rr
tltc fore.-oh enga�acd in a joint enterprise, and including the legal representati�•cs of a deceased employer, or the
receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However
owner of a dweiling 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 wort: on such dwellin--
or on.the ,rounds or building appurtenant thereto shall not because of such employment be deemed to be an empio
MGL chapter 152 section 25 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 construct buildings in the commonwealth for any
applicant who fins not produced acceptable evidence of compliance with the insurance coverage required.
Additionalh•. 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 chaps--
been presented to the contracting authority.
r , ...r...w.+r�. .. .. >.,i � •+.••: ..• ..y....i.Hr:IN..`J.q.�7�...%." IU. .aY�',r Y�."�,.1�'.7r. •a_•a•'.... I
Applicants
Please 11 in the workers' compensation affidavit completely, by checking the box that applies to your situation an
supplying company names. address and phone numbers as all affidavits may be submitted to the Department of
Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. Tire
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 requii
to obtain a workers' compensation policy, please call the Department at the number listed below.
City or-Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottorr
the affidavit for you to fill out in the event the Office of Investigations has to contact you,regarding the applicant. P
be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be rettrrne
the Department by mail or FAX unless other arrangements have been made.
Tire Office of Investigations would like to thank you in advance for you cooperation and should you have any quest:
please do not hesitate to ;,give us a call.
-r
The Department's address. telephone and fax number. .
The Commonwealth Of Massachusetts
Department of Industrial Accidents Y`
Office of investigations `
600 Washington Street r
Boston,Ma. 02111
fax #: (617) 727-7749
nhone #: (617) 727-4900 ext. 406. 409 or 375
"--tPY 28 '96 14:'6 THEF�MCO INC. S YARf'OJTH
,l (• ..R �y+r e T ,�w � ;" •...Y ."4s; ir, •Y . •., ,7i; DATE(MMR�fY1)
.'V�ii,.\.i.,Ii;••IVI'A,.i::4r ��.++ �!! �r ff AwArr v
PRoouceR ;<.:;�:.. •...... »• , •q<';::�, ;,r; 3;THERM-.�a t:;iP:?. /03/95
r...,,.. .:•,>:.;,,•. ,..HIS CERTIFICATE IB I$SUE a AS A MATTER INFORMATION
Drake,Swan S Crocker Insurance ONLY AND CONFERS fM RIGHTS UPON THE CERTIFICATE
Agency, Xnc. HOLDER.THIS CERTFICA7E DOES NOT AMEND,EXTEND OR.
114 Lo t's Hollow Rd. ,V0 Hex 429 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Orleans HA 02653-0429 COMPANIES AFFORORM COVERAGE
Pete255-3212 A G Walther 508- Western World Insurances Co.
508
COMPANY
B General Star Indemnity CONV^Ay
Thermco Inc COMPANY
Wm J HcCluskey C American States,Insurance Co
7-D Run l iLngton Ave COMPANY
S Yarmouth MA 02664 D Aetna Casualty t Surety
.O VE►Z4GES
<:
=7
: tit;pia
THIS IS TO CERTIFY THAT THE POLICIES Of INSURANCE LISTED BELOW HAVE GREN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOTWITHSTANDING ANY RECUIREMENT,TERMOF4 CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR NAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES 00CRIBEO HEREIN LS SUBJECT TO All THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CV.M.
c0 TYPE OF INSURANCE POLICY NUMBER POLICV EFFECTIVE POLICY EXPIRATION LIMITS
OR DATE(MMIOOIYY) DATEIMMMWY)
GENERAL LIABILITY �uERAL AOOREOA/I f 2,000 000
A X COMMFRe1ALelENpRAI llnellrn NGL708125 07/19/95 0?/19/96 PROMWO.COMP/pPAGO f 1,000 000
CLANS MADE [Xx OCCUR PERSONAL t AOV INJURY !1,0.001000
01MNFR'S S CONtRACTOR 9 PRbT EACH OOCURRU CC S J 0 0 0 r OQQT
__,._._......w-�....__ FwG OAMAae f 50 000
'
' MW TIXP(Any•AP POW) f 1,000
AVIOMOIIILE LIABILITY
C Al+rnura 2484762E 10/14/95 10/14/96 COMONSOGNGLELIMIT f1,000,000
ALL", NFOAVIOS BOOILYR+JURY f
X %I,IE0ULE0AUT0S (Pa F•IMII)
�( I0REOAV108
eoDILrIN,XAIY �
X NOMOWNED AUTOS (P•I•CCId•I D
PROPERTY DAMA09 S
GARAGE LIABILITY AUTOCHLY•EAACCWENT f
IANYAUTO
11 OTHFA THAN AUTO ONLY;�
_ -•-,_ —___ _ EACHACCIOENT f
AOORQOAfE f ��
EXCE93LIABIUTY EAGHOCCURRENCI 111000,000
JB X UMGR1;4AFORM IOG324702A 07/19/95 07/19/96 AGGREGATE
WHER THAN UMBRELLA FORM f.
D WORKERS CO+<IPENSATION ANO STAMORrUMITi _
EMPLOYERS'LIAIILITY
IEA4TIACCIDENT f 500,Q00
WE PROPRIETOR/ --
PARTNER&EXECUTroE ML 006CO024996032CAA 09/12/95 09/12/96 omAES-PoUcytimir f 500,000�
OFFICERb ARE; EXCL OW-AN-EACH EMPLOYEE $50O 000
OTI IER
OLIZIPTICN W OPERATIONSiLOCAT!ONSNEN10LE515P5CIAL ITEMS
CERTIFICATE HOLE ER
'GANG T ELLA ION •:I:„"
DHCSERi SROULO ANY OF YNE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE T►18
L19PIRATION*Aft THEREOF,THE ISSUING COMPANY WILL INCEAVOII TO MAIL
lO DAYS WRiTYEN NOTICE TO THE CERTIFICATE NOLOIR NAMEO TO TN!LEFy,
BVY FAILURE TO MAIL SUCH NOTICE SHALL IMPOST NO COLIGAT10N OR LIABILITY
w, • OF ANY RIND VPON THE COMPANY,RS A09NTS OR REPRESENTATIVES•
- ,« UYIIt t OR11;E0 R W I I•ie>;epTATNE
:......f,,;.. ..;;..
oil
er G <wa.
(3/97 ...::' :..; Pe
ACORD 254 W
! eJ.ACORDP.ATiO
N jq'
R��— .
w: MAY 28 '96 14:35 THERMCO INC. S YARMOUTH ! P.2/3
�� �a�7nna�acuea� o����a�utaetta
Boar's 0 BUS ding Regulations and Standards,,
One Ashburton Place - Room 1301
Boston, Massachusetts 02108 i
HOME IMPROVEMENT CONTRACTOR
Registration 103926 Expiration 07/10/98
Type - PRIVATE CORPORATION j
THERMCO, INC.
William J. McCluskey
7D Huntington Ave .
So. Yarmouth MA 02664
46
' f
tt
TOWN OF BARNSTABLE
8ARNSTADLE, i
"b 9 BUILDING INSPECTOR
M a'
APPLICATIONFOR PERMIT TO ....... . ..................................................................................................................
TYPEOF CONSTRUCTION ...... ., .�"�. . ............................................................ ...................................................
. ..a.................19... .
TO THE INSPECTOR OF BUILDINGS:
The undersig ed hereby applies for a permit according to the following infor`-
.. ori:
Location . ........... ... .� . ...0:-...� ..............................................
..... .per. . .... .... .. ..... ........ .
. e
LID
Proosed Use ..........................................................................................................
Zoning
District ....... ............... ...................................Fire District .. .�+�''.�. ............ ...........................................
... . ......
Name of Owner "y" "`e'..' r.............Address ......... ...............:. . ;,. ...............
Name of Builder Address
......................................................... ....................................................................................
Nameof Architect ' ...........Address....................................................... ....................................................................................
CEO
Number of Rooms ..................................................................Foundation .......... ..............................
Exterior .,�-:1.4............ �i
•V V. ..........................................................
Floors .... .�.,d. . . ..............................Interior ................ ..�. .................
Heating ...................... ..................................................Plumbing /..ev.../;; ............................
Fireplace .... ,.. ..............................A roximatP Cost
Difinitive Plan Approved by Cann,i/ngBoar,d --------------------------------19--------. qsb
Diagram of Lot and Building with Dimensions /14
36
c,
Vi
A LICENSED MS "L L.I R: MUST aBTAl- SEWAGE
;PERMIT,AND INSTALL SYSTEM,,
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardi g the above
construction.
-
Sina]l° Alan
- 8��� �� � ��-��
0�&�� "� ~ '- ' ' _
No — .. Permit for .........tVP...APUs..... �
^
'
......................
Buckskin Path �
Location --.--''.'.-....------------..
Centerville
----------.----.—.-----.----...
Alan Small
Owner ---------..........---------'
frameType of Construction ..........................................
-----`--^—^---'---------^'--''
#8 '
Plot ............................. Lot ----.....--. --. '
. /
|
,~~ /
Permit Granted ....... ..8---.lg ��
------� ' .
`
Dote of Inspection —. ---l9 `
��, �
Dote Completed ..������.����—/m.:,--lA
.
~
`
/
PERMIT REFUSED
. '.
-----`-----...—.-------.. lg
'
.—.------...'. ..............................................
—.~----..--........--~.----.-----.— '
..._--..,---.--.^......--~...—..---..
--.—.----.---------..-------..
Approved
~ '
/
~--------------- 1A
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^
�
---------------.....--..---.—...
.................
. � --