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HomeMy WebLinkAbout0326 CAP'N LIJAH'S ROAD �C� �:C�.�'n l '�j�h sn �:,�� y , .. c 4a. ���. . 4 ., - t�. . � y V .. �c .. � .'' �' �, � � 'tt- t � �, n .. i v � ��. .. - , � ., ,, d' .. -.. -_ � _ - o a �. ,, ( - y - - ,. o .. - S Application Number......6-2-0 -318 <6 SCMNE� ...............I.........4.............................. BAPOWAI&M MASS. Permit Fee.... ...............Zoning District..................:..... 163 TotalFee Paid........................................................ TOWN OF BARNSTABLE Permit Approval by.................................IN..... BUILDING PERMIT .ap.........115....................Parcel....:I - .(.P2 M .............................. APPLICATION Section 1 — Owner's Information and Project Location Project Address L,!,,*1,7 R01 Village V Owners Name. , F— Owners Legal Address State.. zip C;Pg? Owners Cell # 5O,Sr e-1 S' 3 S-7 Fe E-mail 4- &--v w,7 Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet F1 commercial Structure'under 35,000 cubic feet Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction E] Move/Relocate [] Accessory Structure E] Change of use D Demo/(entire structure) ❑ Finish Basement El Family/Amnesty 0 Fire Alarm Rebuild Peck Apartment Sprinkler System ❑ Addition E] Retaining wall ❑ Solar El Renovation El- Pool 0 Foundation Only Other—Specify Section 4 - Work Description Last updated: 1/31/2020 n. r Application Number �.-:..:................................ ' s Section 5—Detail Cost of Proposed Constructio Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 1 10 MPH Wind Zone`Compliance Method ❑ MA Checklist WFCM Checklist ❑ Design Section 6—Project Specifics J P ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas [:],Fire Suppression ❑ m ❑ HeatingSystem ❑ Masonry Chimney' Add/relocate bedroom Y m'Y 4 Water Supply El Public ❑ Private Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane C Yes ® No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8— Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. / e)3 , Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required r Proposed 5azw.-e Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes 2 No 1 Y , Last updated: 1/31/2020 r< Application Number........................................... Section 9—Construction Supervisor 5 ' /�A-L:,a,�.�r � Telephone Number 7 6C� Name1, �Yrr G / p 0 &� Address /� City i�� State I J11 Zip O G ms S 6 License Number 6Y'Y 9,65 License Type P L 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 (2titer 10 l 0 © o'Al r Date Section 10—Home Improvement'Contractor , Name clam! A,i0T�- P Telephone Number 56 -`7 6 3 S s z Address ! 9 1�Xity State Zip �' 3 Registration Number Expiration Date %/z,6 'k= 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 t Date c- Section 11 Home Owners License Exemption Home Owners Name: ` Telephone Number Cell or Work Number 1 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. r; Signature Date APPLICANT SIGNATURE i Signature � � Date':A -�, Print Name ��a e% Telephone Numbers X E-mail permit to: _ ea > Last updated. l/31/2020 • i 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 approval. Section 13 — Owner's Authorization I, �4;- ye-s<-�-i , as Owner of the subject property hereby authorize N1 cl1a r 00.�.��l ?-. to act on my behalf, in all matters relative to work authorized by this building permit application for: A (Address of job) UL Signature of 04ner date Print Name .k Last updated: 1/31/2020 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Invadgadons 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Bulders/Contractors/Electricians/Plumbers Applicant Information Please Print Lealbly Name(Business/Organizatimbdividuai): 1r e, AaW-g6 e—e /�p eau a2J&6&-52LJ C. Address: J�9' 5a7 /&0 0odCity/State/Zip: -Feu a Phone#: 5bg 77 3330 Are you an employer?Check the appropriate box: Type of project(required): 1.O I am a em to er with• 4. ❑ 1 am a general contractor and I P Y �_ 6. Now construction employees(full and/or part-time).* 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 8. ❑Demolition working for me in any capacity. employees and have workers' � 9. ❑Building addition [No workers'comp.insurance comp,msurance.t required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. r�of exemption per MGL 12.❑Roof repairs ur insance required.]t ' c. 152,§1(4),and we have no 0_ employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowner;who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating sack. tCont actors that check this box must attached an additional sheet showing the name of the.sub-contractors and spate whether or not those entities have employees. 1f the sub-c:ontractDrs have employees,they must provide their workers'comp.policy number. Y I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: -- Policy#or Self-ins.Lie.#: UCX See S /p 92 —a-dgA4 Expiration Date: Job Site Address: y�r4 a I .14 RA city/Stawzip: (!�eier✓flle 1,A ©o a 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 the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for hu ance coverage verification. I do hereby certify�uunnder the pains and penalties ofperjury that the information provided above is true and correct. Signature: Date: /D/o25-/g6;;,-D Phone#• 4.� Ojfrcial use only. Do not write in this area,to be completed by city or town of)`icia[ 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 ststote,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 occapant 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." MOL drapter 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 buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the hmuiice coverage required." Additionally,MOL 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-contractors)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 time 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 perzaWh mse 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 Department of IndusftW Accidents Otffiee of havestigatim 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 wwwxaaw.gov/dia DATA(MM@DIYYYY) CERTIFICATE OF LIABILITY INSURANCE F1010612020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: tf the ceRlficate holder Is an ADDITIONAL INSURED,the poNcypes)must have ADDITIONAL INSURED provisions or be endorsed. U SUBROGATION IS WAIVED.subject to the terms and conditions of the policy,certain policies may require an endorsemeaL A st ument on this ceMcate dog not confer d his to the certificate holder In Lieu of such endorsor a. PRODUCE mr Sharon Covino McShea insurance Agency,Inc PNON� e0e 20-2011 F sos -MIC 1645 Falmouth Road, Rt 28 BLDG D r�MAIL she vn@;pahoatnurence.com Centerville,MA 02632 INSURE AFFORDING 2EME NAION WStUM A' National Grange Mutual Ins Co. 29232 INSURED Michael Aupperlee INSURERS: NATION NUTUAL DBA:Michael Aupperlee Renovations e` AIM Mutual 169 Sandalwood Dr eNSIRER°` Cotuit,MA 02835-2315 INSURER E. INSURER F: COVERAGES CERTIFICATE NUMBER: OOD00897a7 OS REVISION NUMBER: 22 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 POLIGIES,LIMITS SHO1Id MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR1 LTR TYPa of INSURANCE SUER POLICY OFF Pa.ICY ExP LIMITS A ACOMMERCLAL GENERAL LIABILITY MPJ26304 0210912020 021091202'I EACH OCCURRENCE $ 300.000 CLAIMS4AADE a OCCUR PREMISES IEN OMM011 $ 600,000 MED EXP one R=nj $ 10,000 PERSONAL&AW INJURY $ 000 GM AGGREGATELJMLT APPLIES PM, GENERALAGGREGATE $ 600 POLICY❑ T ❑LOC PRODUCTS-COMPIOP AM $ 6001000 $ HER: B AUTOMOBILELIASILITY MIT4893T 0913012= 0913012021 sl I R $ ANY AUTO BODILY INJURY(Per perm) $ 260,000 OVNED SCHEDULED BODILY INJURY(Pe v=M94 $ 500,000 Au7OSAUTOS HIRED ONLY N IA01EO PROMAGE $ AUTOS ONLY AUTOS ONLY PERTY DA 0 $ Ua VAS OCCUR EACH OCCURRENCE $ EXCESS UAS q AIMSJ IDE AGGREGATE $ DED ON $ C �L OMPWMTON VVCCS005011097-2020A 0SM9/2020 0SM912o2f ANY PROPRIETORNWMERIEXECUTIVE'Y® N 1 A EL.EACH ACCIDENT $ 500,000 OFACERIMEMBER EXCLUDED! E.L.DISEASE-EA EMPLOYE $ 500 000 WWda"In ON) N d9CRi ftPTM� E L.DISEASE-POLICY LIMIT $ 500.000 D MM"ON OF OPERATIONS►LACAnow IvEHIOLES IACORO 101.AQ ftal Rselsrka SaIndule,may bs 4 tohed N nwm spew Is required) CERTIFICATE-HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN TOWN OF BARNSTABLE ACCORDANCE WITH THE POLICY PROVISIONS. BUILDING DEPARTMENT AUTHORIZED EPRESENTATM SSC 01088-2015 ACORD CORPORATION. All rights reserved. ACORD 26(MV03) The ACORD name and logo are registered marks of ACORD Punted by SSC on October 00,2020 at 11:05AM ' I "ei��i�ro2icwcc �a ./���tzyiacfnll•L Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR - TY,.?E:'IndMdual Registriillon, _ Expiration f53440�=. 12/10/2020 f MICHAEL AUPP��'F� A D/B/A MICHAELAURREAW!RENOVATIONS NUNN ` I '' MICHAEL J.AUPPEPt MEE 169 SANDALWOOD+D K C1 ^ COTUIT,MA 02635 Undersecretaty j 3 Yam. Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constructio!.SA`Y/il a1 &2 Family CSFA-049205 t m I spires 07/14/2022 MICHAEL J AL PPERLEE 1 = 169 SANDALWOODjDR COTUIT MA 02635 ;' n � a i Commissioner _ 1 t v jh V�- , ^ Jr- re � a _ ! � � s � i I � { � j 1_._ f'�i .� �- I �� —�,..R,��_ _� i,� ram. ��. �r,,,.�e �,.+�3�j. � ' - .� •� _.� I t _ t 1» _ _ � I � I y ' ; view PT c-! G ��._�.w_.,�-h--•,s,�psa.,�----��-,�-�09-��n► P�s�J-_��_-____�_wj- _ _--�__ � �--_ �__ _ _ �_ _.i__ . _ _ _.._. I�. � __._}�._�:... .��._�_»..�._. ._�___.j:_ �i- f I, {{ _. �/Yzr�G'q� I I fro;n ' TeiK•►,� dvi�� �� � I � �_ i � �� � I ; i� a ' I t � � .; r. + I _ it t a j ! i 1 I ► I t f � ' � I C C o' Nark H.sri Z�. mix �ouaziow _ x rvi l /oo.00° '$ Z qory div lfz�r9 23 li lilt �' d�k, lot 20 V new . C.4ta - L5,032 S.F. ref: 25Wo/ ®ois�. wc� ont= G 1 f�r6y ctrti lc�v 64ew.p '' •�.t�o� illy � `lyric,¢ r 5 .sc !�- fk lV(D C' mac► r,ss r a�sh f1 f1. 'h�9e ZYB�Ot�S PAU6. a � , widv aft efect'ifoe.caixe 0-19-85 anoG :CoC i ONVER that VedXS Conftrmtv - s its e gect ar tfit d aw Lf cowtn o.c om wctk My9cr e, a si®naC regi>iirVtirie> cI�7W Prca#-t. s "a. , �,f or es or- ruse ri."ya» e fted 4� ptii , J 6e a� G��t�o a�,. i � SC�►t� l t s ey w ref Cec, rrvi ' uv 40 �iaia-i• � ' �s sfaoioaa. -tvYu. - - c sus SUfZVeYlt2Qr COMPAnY, I . .. s 269 bxwtvvm-a , 1'2z vea,mass. o2359• rje 6i7 roam f ax cwt.826 462,5 o 35 C oF� r Town of Barnstable *Permit# Qom. O 'I=rpires 6 months from issue date Regulatory Services Fee * taRNSUB E, + 9 Mass . , c� 1639. �� Thomas F. Geiler,Director -PRESS Building Division oC� '7115��° ToPERMI m Perry,CBO, Building Commissioner j u l_ - 2010 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: Tot8d8'R!4'Q3BARNSTABLE Fax: 508-790-6230 EXPRESS PERMIT APPLICATION _- RESIDENTIAL ONLY Not Valid without Red.,X-Press Imprint Map/parcel Number o$ . Prop rty Address Residential Value of Work-CP4 lJ '� Minimnm'fee of$2S.00 for work under$6000.00 Owner's Name&Address /,A/ /yl - . s Contractor's Name /✓�� AO-0/i/ Telephone Number ��� � Home Improvement Contractor.License#(if applicable) Cons ction Supervisor's License#".(if applicable) 7`0 Workman's Compensation Insurance Check one: r I 4m a sole proprietor ❑ am the Homeowner El I have Worker's Compensation Insurance Insurance Company Name JV/}' Workman's Comp.Policy.# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑-Re-roof(stripping old shingles) All construction debris will be taken to Re-roof(not stripping: Going over existing layers of roof) r ❑ R ide , - #of doors Replacemen inflow oors/sliders.U-Value.. Q5 (maximum.44)#of windows *Where required: Issuance of this ermit does note.e ' p C mpt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. -A copy of the Rome Improvement Contractors License&Construction Supervisors License is required. rNATURE: ILESTORMSlbuildmg permit forms\EXPRESS.doc ' The Commonwealth of Massachusetts Department of Industrial Accidents W Office of Investigations' 600 Washington Street Boston; MA 02111 www.Mass.gov/dia Workers' Compensation•Insurance Affidavit: Builders/Cdntractors/Electrieians/Plumbers Applicant Information r Please Print Le ibl Name(Business/Organization/Individual): �0J SCYC- Address' City/State/Zip: WON, 0 s Phone#: `��`t� 7/ Are u an employer?Check the appropriate box: Type of project(required): 1. I am a employer with l/ 4. ❑ I am a general contractor and I 6: ❑,Ne onstruction' • employees(full and/or part-time).* have.hired the.sub-contractors ❑ listed on the attached sheet. 7. emodeling 2. I am a sole proprietor or partner- ship and have no employees These sub-contractors liave g, ❑Demolition 4 working for mein any capacity. employees and have workers' [No workers' comp. insurance. comp. insurance.$ 9. 0 Building addition required 5. ❑ We area corporation and its, 10.❑Electrical repair's or additions' officers have exercised their 11. Plumbing repairs or additions 3.❑ I am a homeowner doing all work g P myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs required.] t c. 152, §1(4), and we have no insurance re , q J employees. [No workers' 13.0 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 anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.: I am an employer that is providing workers'compensation insuran e for my employees Below is the policy and job site'' information. Insurance Company Name: �'/td✓v. T71/� LL Expiration Date: Policy#or Self-ins.Lic.#: �J ® ` Job Site Address: b f L! • City/State/Zip:CeX t t/�e '3 Attach a copy of the workers' compensation policy declaration page(showing the.policy number and expiration date). Failure to secure coverage as required under Section25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided ve is true and correct. Signature: s �► Date: . _ Phone#: C71 Official use only. Do not write in this area, lobe completed by -city-or town official City or Town: Permit/License# Issuing Authority(.circle one); 1.Board of Health Z:Building Department 3.City/Town Clerk 4:Electrical inspector 5.Plumbing Inspector .6. Other Contact Person: Phone#: ff ptMOOO ME - NT-C o t1` 6 :M w RNTo AT? � t - JAM �� gg UP Q OOK T,F r i°`' uz rsecr aIry qa qg�;,'H apj F',E,-'&�:.`. EO% jAME S MOO ` CUB ERLAND, F�f 028,64 a�a.s,�a.• L r-111 IrItdA 1 M.VI- LIAZIL I I T IINIZ t,11'KAINIkor— OIwi00P JV 1A 05/07/10 =.RaDucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hunter Insurance, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 389 Old River Road, _P.O. Box 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.-' Manville RI 02838-0001 Phone: 401-769-9500 Fax.401-769-9502- INSURERS AFFORDING COVERAGE NAIC INSURED Moon Associates Inc. ,.; DBA Gutter @�}ti@t SURER . National Grange Insurance Co 14:'t8$ DBA Renewal byp Andersen of RI INSURER 8: Beacon Hutual insurance Co, DBA Gutter Helmet Roofing DBA Moon Works INSURER C: a 1137 Park East Drive INSURERD: Woonsocket RI 02895 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED:NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCLUENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR NWe PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSION_S AND COND!T•IONS OF SUCH° POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRG TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIYYYY) DATE(MhUDDJYffY) LIMITS GENERAL LIABILITY - - EACHQCCURRENCE $-1000000 A I X COMMERCIAL GENERAL LIABILITY UPS26619.. '' 09/16/09 09116110 PMSES(Eaoccurence) $500000 RE CLAAAS MADE a OCCUR tv9E.D FXP(Any one person) $.10 0 0 0 j PERSONAL&ADV INJURY $.1000000 GENERALAGGREGATE . $2000000 �GEN`L AGGREGATE LIMIT APPLIES PER:" PP:ODUCTS-CuipiQPAGG s2000000, I POLICY FRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE UM(T � 1000000 A ;X, ANYAIrro B1S26619 09/:16/09 09/16/10 (Eeacc;dent) I ALL OWNED AUTOS BODILY INJURY i SCHEDULED AUTOS (Per person) $ I HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per acc dent) ! a PROPERTY DAMAGE $ (Per accident). GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ - OTHER THAN . AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $1000000 A X OCCUR FI CLAIMS MADE CUS26619 09/16/09 09/16/10 AGGREGATE $ DEDUCTIBLE $ jX I RETENTION. $10000 $ WORKERS COMPENSATIONX TORY LEM'U_ i l AND EMPLOYERS, LIABILITY Y I t4 IITSB ANY PROPMETowAP.TNEREXECUTIVE a 28586 '10/01./09 10/01/10' E.L.EACH ACCIDENT. $500000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EAEMPL.OYEE s500000 It yes,describe under SPECIAL PROVISIONS Glow E I.DIScASE-POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT(SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION RENEWAL DATE THEREOF,THE ISSUING U4SURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO$0 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Renewal. By Anderson REPRESENTATIVES. 1137 Park. East Drive Woonsocket. RI 02895 AUTHORI D REPRESENTATIVE ACORD 25(2009101) O 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ce.,-mov;tice"A-.-4 oxG3 L � _ m i V s Sales Agreennent "�` aroma tn�: f�3� For Ddw Ill Gq.Sum.zip. Oada Numbs: VpooasaeM,N g289S .,.n. uss..oam,r .�io.,c,A..,� ��--,1.� [�oae-E4am« ,�tl,Q^'y2�"If►n'7 ------�."' urns aknobw ` _ a -� f e lit, gr r ft1 �a x 4 4 L I wwo Had iaHr tN �p AbON PP�d�,' .�wwK�`�i+b]od0, • u yws"Crsr.naA«wdb� rla.�aa �4►� asI r .�!"'c.'� l ir/AplrrtAr .. am l 4Z Peia.f 1�AW oft* J �"�° WM PIP araimd b��.•�dd oae./ewol. �/ ❑O��Yo«d lr. 1 � L1 form t � a de ft�ial� rIm11 L ❑ of a!C OadR+of i for as imam �Aobli.w . d�or j/gyp 70d MradSa.000 CKa.«F�ess m t" loaf«eeades.be.n.aa�eyarr�i..«.�0 tM�/MndtAa ..--►—� wrwe+MrrwNrer � ohm lawt4w �r V ou.eltfe�+o+ �}j COSMOIL °u w.�s•, '.1& q�grw_ r�aaw�iY.a'.� '""a""''"° *NR•wlbif w�ow•feEmm 16t.pa,a.,.,,, ,eaa.l.addappro(o,nd„cu,ep{md T f /lN�o4 V- Town of Barnstable *Permit# 7 7SGy yOFIHP TOK� Expires 6 ruouths front issue date Regulatory Services Pee suuvsreaw� buss. $ Thomas F.Geiler,Director 3�8`d1SN2J`d8 30 (\lMOl Eo;p �� Building Division Tom Perry, Building Commissioner 'l N n r 200 Main Street, Hyannis,MA 02601 - Office: 508-862-403s y 1103d S3 d® Fax: 508-790-6230 N EXPRESS PERNIIT APPLICATION -= RESIDENTIAL ONLY Not Valid without Red X-Press.Ln rint P - Map/parcel Number Property Address010. f Value of Work ® na esidential • _. Owner's Name&Address 0 Telephone Number Contractor's Name Home Improvement- Contractor License#(if applicable) - ®�3 or sLicense#(if applicable)Construction Supertns �•_. - ", - "'" ensation Insurance - Workman 's Comp Check one: Lam a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name_A�S-� '� Workman's Comp-Policy s t e on f Copy of Insurance Compliance Certificate e. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to Re-roof(not stripping. Going over existing layers of roof) C] Re-side r . . . (] Replacement Windows. U-Value maximum.44 *Where required: issuance of this permit does not exempt compliance with other to Board of Building Regulations and Standards ***Note- Property a ust sign Property Owner Lett HOME IMPRQVEMENT CONTRACTOR �irrr On ac s...requir Registrations 1.32149 Ezpirat�on: 11/28/2004 Types Individual Signature DEAN F.STANLEY, DEAN STANLEY Q:Forms:expmtrg 359 CAPT.LIJAH RD , Revise053003 ( l G CENTERVILLE,MA 02632 Administrator Town of Barnstable pFKK6 Tpk� o� Regulatory Services Thomas F.Geller,Director q� s639• p1a Building)XVISi0n ArFD � Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 . wwm,town,b arnstable.ma,us Fax: 508-790-6230 office: 509-962-4038 Property Owner Must complete and Sign Tl-lis Section If Using A Builder „as owner of the subject property to act on my behalf;' hereby authorize all matters relative to work authorized by building permit application for: in (Address fjob) MSS Date Signature of 7=e print Name Assessor's map and lot number ............ ........................ . zz_ 11 Sewage Permit number ................................. ...... "If IN E TOWN� OF BARNSTABLE t 339RNSTA13LE, NABIL 1639. 0 M BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... .. ... .. ............................................................... ... .... ................ TYPE OF CONSTRUCTION ............... .......& a"'VIL ....................................................................................... ....6A .................. .......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .........4.nt... ......2,..g........ ........... ............................................... Proposed Use ......... ... ........................................................................................................................................................... Zoning District .......P-C .................................... ................................................................Fire District ...... .... .. ............Address ...�,:�....... //zt Name of Owner ........;.............. ;�( ....... ............................... Name of Builder ... ...............................................................Address ........................ ...........�J(L....................... ... .. . ...... .............. Nameof Architect ....................................... ..........................Address .................................................................................... I /, E Numberof Rooms .... .......................Foundation ............./0 5..... C,�,C ,.Q............................................................ All Exterior ............ ........... .........................................................................Roofing ................................................................ IZ� �. /I, ....... .... . -.)...1.-U... . 'Y - Interior . .. f-/ ...U...-JFloors ......... ................... ........ . ............... ............... ..... ................................ Heating ... .. . .. e o .......��.A . . .... . . .... n...........Plumbing . ........................................... Fireplace ......../......................................................................Approximate Cost ........ ................................. Definitive Plan Approved by Planning Board --------------------------------19--------- Area .......................................... 4 Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ............................................. .................................. ... -- C. ' No . —. Permit for Jt2.. --_-- � , . . ...................... , . . Location Wt..22......]3�..C�o`t. �_I�xad � ............... ........................................ Owner ..... ----------- � � Typo of Construction ...rr�m---------. � , -----~--^—^----------------' Plot ............................ Lot ................................ - � ' � � � Permit Granted ....DIa/..I5C----'__lq 84 ' Date of Inspection ------------lQ ' � Date ' Completed ...................................... � ' PERMIT- REFUSED ~�~ -_ - �� �� ''=+�--'--------........-- 19 -----.-------.------.------.. —_--. � -----~.—...---.------..— � / � . . '`~---^^~----'^^—^^~--^'--^^---' ----------.-----.—.----......--. ` Approved ................................................ lg ' ' ^ ---------------....------~--- � , -------`-----------.—.---.—.. ' | . �� TOWN OF BARNSTABLE Permit No- ---------------- ------------- Building Inspector VARRITAIL Cash ------------- OC%'--U PAN CY PERMUT Bond ----------------- Issued to Address T ? I- T., 1 Wiring Inspector Inspection date Z PItimbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ....................................................- 19............ .................................................................................................................. Building Inspector FROM TOWN 4F BARNSTABLE' " . Francis Iahteine BUILDING DEPARTMENT •367 MAIN STREET HYANNIS, &lA OMI Toga Clerk „A a >. Phone: 775-1120 SUBJECT: r FOLDHERE - 'DATE - - - - - Sep1. r 6 _ 1984.. __• _ S S.A G_E_ _ T,_. _ _ .. Work ha.-vbem ompieted.under�Permi.t #26420. 1C. F. stance } . Please:release.;-Bond � . 't�►MN r.T'MYw s.ifA xwn.i4s •_ .. t. SIGNED i DATE - ro .REPLY' N87-RMI - - } RECIPIENT: RETAIN WHITE.COPY,RETURN PINK COPY PRINTED IN U:S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE-AND'PINK COPIES WITH CARBON INTACT. / law U3 Z h 4r- o G jVk OF TH®� E. LL olsTelw CERTIFIED PLOT PLAN T HOMAS E. KELLEY CO. LDCATI®IVL ENGINEERS SURVEYORS DRIVESCALE DATE I -�� .� Z�� 346 LONG POND DRIVE ATE SOUTH x.,�RMOUTH,,MAS& PLAN nREFERENCE ✓. :. . I CERTIFY THAT THE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON �•��T L,�.T�i,1 S�� DATE PETITIONER: �G� REGISTERED LAND SURVEY R �. Assessor's map and lot.number :.®..�. ......... INS 4ALLED IN COW, `. }Sewage Permit number ................. . WITW TITLE ` yOFTHETO� _ TOWN OF 'BARNS ABrLE Z 33A"STABLE, •"b 9 BUILDI�NG INSPECTOR APPLICATION FOR PERMIT TO .�. - �......�..^�. ...... .... ............ ....:...................... .... .... . .. ..... ..... c�a �r--� TYPE OF CONSTRUCTION ...............W.........�......R.... F` ................... ..........19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: r OC Location ......:..4.ct..46..... Cop.J6.. .... ::W o.. . ............................................. ProposedUse ........1.(.:1 ...........................:................................................................................................. 0014Zoning District ........................................................................Fire District. ............ ................................ ..,/ Name of Owner .. 7 %....)..1.0 t........................Address ...�..... ...�a ..... �`�.� `�...�..:....I Nameof Builder .............................:......................................Address ......................... ....................................................... Nameof Architect ...............:..................................................Address ............ .......:...................................................,...... Numberof Rooms ........ ............................................. Foundation .............................................................................. e. Exterior :..........(.t�C .6.... /CfG i � T"`�.:........................Roofing -d; lc_ Floors ........J4� 1U1a..... / Interior ......� ...":.��C_.:.(.I.J.G..a.......,... _ ._ y Heating ...Plumbing ....... ... /c�C'. .................................:................ d Fireplace ........°........................................................................Approximate Cost ............. 0 ..0...-....... `..................../7... Definitive Plan Approved by Planning Board_ ________________________________19________, Area ` Diagram of Lot and Building with Dimensions = fee SUBJECT TO APPROVAL OF BOARD OF HEALTH // Q * t� hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. y Name �...... ... .................. ...................... �q�j 'STANLEY � Sto � �_. ��• - No 26429..... Permit for'•. l..2.........ry Single Family Dwelling ............................... ......... ...... Location .Lot..22.., 326 Cap't Lijah's Rd. r Centerville r .... ..................:..................................................... r owner, ...C.'............................................................-. Stanley " Type of Construction ,Frame ; Plot Lot ...................... ` t Permit Granted .... � 15' ....19 84 p bate eof Inspection ....................................19 i 1Date ompleted ... �.... .19� PERMIT REFUSED .�•".......................... ........................ 19 _ ............................................................................... ` .... ............................ Approved ................................................ 19 ........................................................................... ; ` o . .................... .......................................................... Assessor's off`oe (1st floor): / 10 ,f�� OFTME TO _�SAssessor s map and lot number .............•................... .......... .. �f Board of Health (3rd floor)-,. WQ o h. Sewage Permit°number ............�...!'L. ��.:! ...................... Z BAWS'TODLE. : r Engineering Department(3rd floor): �o YA°a j House number / 0 ypV * APPLICATIONS PROCESSED 8:3 t-9:30 A.M. and 1:00-2:00 P.M. only TOWN `OE BARNSTAB'LE BUILDING A-SPECTOR 01 4PPLICATION FOR PERMIT TO •..�T..17�,.!.� /..4.!!�.......*n �'�� �� 1,.. . ..... :... TYPE OF CONSTRUCTION ....4 0 rJ-D �f�»`F . ............... ......................................................;. .................. .. ....... ....19. 7 TO THE INSPECTOR OF BUILDINGS: The undersigned /hereby ^^applies for a permit according to,the f�following information: l / Location 3 Y 4- /�/' L�„(,I S ''r....................C�-w��/t tL�L c.............. .......... .� .l ......................._.� �1 �A✓Q, Proposed Use ....5l.!� f.......... �!.L ...........................f........................ . j r Zoning District y� L - I/ / .................. ... ....�........................................Fire Distract ....C....�... ......�.. .....�.`S. Y! Name of Owner ... ..... .. ........ AI�...............Address S � Name of Builder ....... ......:................................x..Address ............................................. Nameof Architect ..............................................:....................Address ....................................-.....�.......................................... Number of Rooms ..............7................................................Foundation ....L� /V. `=.f...`'......................................... . Exterior .....�- ........ ...../.1�./.C. .f. .f�...........Roofing .........../.(.5��'. ` .1...........................................:. Floors &/�-� / / ......Interior ......5 �" .--�J C� ................. ....... ............................f .................... ... ....................... 1• Heating ... SEO .A......... :.Plumbing `y..... ...........,' ......! ........................ g ,�.(, ............. g .............. . Fireplace ........... � ...................................Approximate�Cost ........� �. ... .,,..'^.;,. ! , .. Definitive Plan Approved by Planning Board ---------------------------------19-------- . Area s....../7D.�.....�1A., - f Lot and Building with Dimensions ' r s Diagram o o g Fee ...���........r..................... .4! SUBJECT TO APPROVAL OF BOARD OF HEALTH u ` A ` 0 n/ Ic OF 5� b �Y 'r OCCUPANCY PERMITS REQUIRED FOR NEW 'DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. s ra Name ....................... ? Construction Supervisor's License .. t ...... HEINE, ROBERT A=193-108 No A.11.3.6.. Permit for .tidd... o.,Garage .....:aS. ;ng'1.......... ` Location ...326„,Cap �z Li j ah.' s Road i Centerville Owner .....Robert•.Heine.............................. '� ' `� � 1 • �` F ; Type of Construction ..Frame........................... t 7 Plot ............................ Lot ................................ Permit Granted ......... �y .8, 19 87 _ Date of Inspection 19......................... .;.j; 'r Date Completed ...........................:..........19 rl / ao Assessor's offioe (1st floor): / /3 �� �y t , !r—rc SYSTEM AUST j Assessor's map and lot number / d `, LED ®� COMPLIANCE aa © p g� of?NE TO Board of Health Ord floor): INITH TITLE 5. 14 Sewage Permit number .......... ... .r...3.1.`(j...................... i Baaa9TsnLE, Engineering Department (3rd floor): ? 10 10MIMENTAL CO A�"?� rb79 House number S '�� c�nY APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR a . APPLICATION FOR PERMIT TO .. i�! '�Da/ . .... ..r � ....... ............................................... . ... ........ ........ TYPE OF CONSTRUCTION ...!^ �.�'.4........F -' C.................................................................................. �� 19 -.--7 TO THE INSPECTOR OF BUILDINGS: The undersigned //hereby applies for a permit according to then following information: } Location ... ' .Srr......... .. ,..... -% .�� .. ....... -�J....................�= 1✓, �I���L`:. ............................. t / / Proposed Use ; (_o�. �Pl (.,( fot/ ................................... ...........................�1...... ............... i.............. ............ Zoning District ................. .. .......................................Fire District ....�—�..�e !` y.�11'.. ....!�'�.`Cl/la . t Nameof Owner ... ..... .. ........... I?IC...........Address ... ........... ....�.................................................. Nameof Builder ...... r✓..,c...........................................Address .................................................................................... Nameof Architect ..................................................................Address .......................................... .......................................... Number of Rooms ............ .. ......................................... .... �J �-,`.. ............ ................................................ Exterior ..... �t�. ........sl�L 17��.`.`�!f"�C...........Roofing .......... -S ` `-'e ........................................ o Floors fl...L`.. .......Interior ..... : a-s:�:36wc'.�:......../L......................... Heating /. Plumbing .............................r?.. ................ �............ .. ...... Fireplace ...........v ......................... ............ Approximate Cost .. � ....... .......... U .10—� ............. ......... Definitive Plan Approved by Planning Board ________________________________19________ . Area !...D ..� T Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH -/ IC /}"V Y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and .Regulations of the Town of Barnstable rego ding the above construction. Name ........................ .............................e............ Construction Supervisor's License �'`�r`��� p ...................... .......... HEINE, ROBERT Y No 31136 Permit for ..ADD TO...GARAGE. ... .. ....... .... ( Sin le.. Y Famil Dwellin t ................. ...... ............. .....................5....... ' Loc Lic h' s Road 1 Centerville ......................................... ..................................... 1 -- - Owner Robert He.ine.......... .................... ..... ....... . f Type of Construction Frame............................. raj `y. ........................................................ Plot . ..................... Lot ............... — ............ _ X- .... -7 Permit Granted ........,;.o.)~dtemb.ex...8.,.19 87 a !T f Date of Inspection ......................... ................................19 Date Completed ........................... ..... .19 N 47 f 57 61 L,