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':,; 5 .+ , ,+ ...-. 1.F 'A'. 1. .'1 a ,. r. ,g�,�,. ..s. r,, •:,<,."€f ,a �,r"„' �, ,�- .,r,t 5 P .a d d ,�yrYF sr ; s S d _ _ y 'S "''6."I �A T k;�, ,P. 6 5 ya4 £ki''Ay�, a r f a r'.d i h' , i y � � ' v 5 T � c ,'" at^ .. ,,. d ., ;` ;n .w ,«, ', TTs�k✓;u a.r sh"p�"r.y4�3£!,: £ .v. ," S„�:` x ;- ^ +•x I , , . ` ,,y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' 60A Map Parcel A lication ( 666^6 pp Health Division Date Issued Conservation Division Application F Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Vut° kPRA Owner o Address j �J ,`Mi1�4-• �Z t i'7 Telephone 6 r Permit Request r 1 nc Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay ' Project Valuation Construction Type - Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family. ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Ys O�zNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �v � 1Uli Telephone Number .�� ` 2Z Address r�c 7/� 1 w 511,1, " g�8� License# _f hiq / V � o� Home Improvement Contractor# Sod 9 t�y� � r /l Z 0 NMI /0 Worker's Compensation # LUC IS-3191 D1-©I►O ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4 L OQ � SIGNATURE DATE r FOR OFFICIAL USE ONLY APPLICATION# 1 - DATE ISSUED n ;r MAP/PARCEL NO. � c � I 4 ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION-if.. FRAME INSULATION 0 Z-7� FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH 'FINAL y { +� GAS: c i, - ROUGH Lff-- ° G-A FINAL FINAL BUILDING'to%`I-2h;ll .DATE CLOSED OUT ASSOCIATION PLAN NO. t . _ I i 0*IME r Town of Barnstable Regulatory Services • r * BARNSTABLE, y MASS. g Thomas F. Geiler,Director lE1639. A Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us - Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION°OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY PNI, Construction Supervisor License # D61 , hereby certify that I have assumed responsibility for the project under construction, as authorized by building:permit# CD_o "bull-sued to (property address) on ,,201 t The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form (if applicable) copy of my Home-Improvement Contractor registration (if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit, Road Bond (if applicable) LICENSE HOLDER DATE 4 q/forms/newcontrb revA 10410 -ZA oFI E ram, Town of Barnstable * Regulatory Services * BARNSrABLE, y MASS. �, Thomas F. Geiler,Director Qjp i6g9• �0 ,� TFnN,A+A _ Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 'Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR I, �T�l �1 d�� , owner of property located at 7b f 1 CX. , hereby`certify that is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# a o I WUD-Ussued on 201 . I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. PR PERTY OWNER DATE q/forms/newcontr reference R-5 780 CMR rev:110410 o - FEB-17-2011 11: 17 From:J.J. DELANEY, INC. 508 420 6856 To:5087906230 P.2/2 �'/lf,1'1GQIL.OI :.A:15 P.N, I?ST (GMI'-01 �ROMs �.nrsl.ne�rccv�.�ion�. om-TO 1a004246C�F l?pr�a: of Z Ac 4101W CERTIFICATE OF'LIABILITY INSURANCE �Aff,lMMlaD/rYYY) THIS CCRTIFICATE 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 AFFORD1:0 BY THE POLICIES BELOW. THIS CERTIFICATE OF,INSURANCE DOES NOT'CON!'Trrvrg A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATC HOLDER, IMPS. ANTI I If the certIfIcals holder In an ADDITIONAL INSURED,the pal cy(loe) must be andoresd. If SUDROCATION IS WAIVED,subject Io the tsrme and condltlorte of the policy,certain pollclntt,mrly require an endorsement, A dintemont on this certificate don not confer rights to the cerlifloate holder In Ileu of euah endorsamanl e. PH011ucnn DOWLING &O'Nl_IL INS AGENCY INC 073 IYANNOUGH RO Jit19N18 te�nu„�u�l:_LG09)1G'i:1,f�20---.�_.__rexlnl.&..nP►a._(5f10)�(A:�21.ti HYANNIS, MA 02601 (NOURt1RU)AFFORAINa COV,RA011 INeuRea V-DELANEY INP 0 RASCALLY RABBIT ROAD UNIT 2 MARSTO.N MILLS MA 02648 COVERAGES CERTI ICATE L! NE f15133- REVISIONNUMBER; THIS 10 TO CERTIFY TI IA r THE POLICIES OF INAURANCC LISTED.BGLOW HAVC ItuN 18UUED TO THL 1NdURED NAMED ADOVG FUI{'1'tll POLICY PERIOD INOICATED, NOTWITHSTANDING ANY REQUIRGNENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI-1101 Tills CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,T1,1E INSURANCE AFFORDED BY THE. POLICIES Or-SCRIBED HEREIN 19 SUBJECT TO-ALL THE TGRM9, EXCLUMNS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INHR 1'YPn aM eIaUNANCB G P y P r. 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I P.L.Dnr*AeiP•r�OucY Mirmacnip-rinNy n !IN CD aEe fftH OF OPERATOR 7 L ATIONB tlNl 511(AiGh ACOKO J01,Addllbnal Runbrb 80IIOd6111,If man opoae In,uLphad + r W Warkans Comprinaallun Insurance. Pwi 0r dor lho pollcy appllae mly to the Workent Compormagen Low or(he 91alo of MA'. 1 s`a u w tmt - SHOULD ANYOPTHE ABOVE DOOCRISED POLICIES BC CANCELLED ENIFORC .TOWN OF BARNSTABLE THO 0XPIRAn0N DATE THERPOP, NOTICE? WILL DE 0116VIJRED IN ATTN: BUILDING DEPARTMENT ACCORDANCS WITHTHI~POLICY PROVISIONS, 200 MAIN STREET HYANNIS MA 02601 AVINalOTL1DHtlPRuBunrA•11Vu �G .fen rand e �� d m 18SSa010 ACORD CORPORATION, All rights rooervacl. QCORD 16(1010100) The ACORD name and logo are registered marks of ACORD Crlw 110.1 0193714 CLI.Ewe Coos, 13157o4 ,Arne Chpn66Oq 8/.6/7011 111.004 AR Peke 1, of L f r NThe Commonwealth of Afassach usetts Department of Industrial Accidents _ ~= Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): IJ , 4,1& 4 . Address: PA&Adm f /c'lJ', /U City/State/Zip:/ffjgk, & l'/l &J,tU y�? Phone #: Are ou an employer?Check the appropriate box: Type of project(required): ]. I am a employer with 4. ❑ I 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. t 7 'Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in.any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.) officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 1 I.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.0 Roof repairs insurance required.] t employees. [No workers' j3.❑ Other . comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I 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 the sub-contractors and their workers'comp.policy information. 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. #: Expiration Date: M 7, 2-01 j Job Site Address: t 0 e `� 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 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 insurance coverage verification. I do hereby cer ify nder the p ins and penalties of perjury that the information provided above is true and correct. Si .atur Date: 4"�t o�o Phone#: L Official 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#: Tr�ti Town of Barnstable Regulatory Services . atRrrsr�sr.E. v ?AAS& �, Thomas F. Geiler,Director En '�� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1 Mkk , 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: f (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION ofir+e t� Town of Barnstable Regulatory Services BARNSTAE Thomas F.Geiler,Director HAS& 1bs¢ Building Division rED � Tom Perry,Building Commissioner 200 Maui-Street,._jyannis,Na 02601. vrww.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOAEEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER!': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervise . DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constrgcts more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that,be- she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section.(Section I D9.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q. Rules&Regirlations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that hdshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/ceRification for use in your corrmrunity. Q:forms:homcexempt ul use only 'd for;ndi"ia to: . do date If found return elation tr%1,1cen a the a Pirate A{fairs and Business Reg " pace of Consa Suite 5110 1�p arkYl A 02116 'Boston,M Not valid vv;thou 1 � fie-�jamronw�n�i a tion f Co .. , nsumer CTOR Affairs&Business Regela I Office o ENT CONTRA HOME IMPRO-XEM t►s' �125529 Tr# 291964 Registratio ! _ iratie+� --I*- /pi Exp t 1 TYp e' �1�rradkwdaak-��>' �� F�� Y t JOHN J.DELANE 1` r - I ANE' JOHN DE Y T 271 PLUM S 17ndersecretai9 j W.BARNSTABLE,Ma Q2668 '`` iti7assuchusctt�- Department of Public Safctv Board of Buildin+j RclaulatiOnS and Standards Construction Supervisor License License: Cs 9961 b Restricted to: 00 * -x JOHN J DELANEY ;k 271 PLUM ST t' W BAR NSt LE, MAv02668 =.. Expiration: 4/14/2012 ('ununisiuncr Tr#: 20469 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map lIJ Parcel '"� V Application # i Health Division Date Issued Conservation Division Application FeS_ Planning Dept. Permit Fee t ' ay Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address 780 Craiasville Reach Road, Centprville., MA y» l Village Owner Seth Latimer Address Telephone Permit Request Ran.n »t; on of 2 � bedroom tnWxlhouse c-riclnminiitm Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay e. C&' Project Valuation 16-0. Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach sup`b; rting d&tjme8tion. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King'g-H ghway: �-9+� Yes'$•❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft)�l Number of Baths: Full: existing new Half: existing neaau m Number of Bedrooms: _ 2 existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas , ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing 0 new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ _Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name B&D Building & R m6d ling Telephone Number 97R-433_6s9O Address 74 Nashua Road License # CS 8T29 Pepperell, MA 01463 Home Improvement Contractor# 159446 Worker's Compensation # 4 6-81 1 4 3 9-01 -01 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Graham Waste vices, 215 Chief Justice Cohasset SIGNATURE DATE .,2t-`—"�f�'� Paul Domenici 'C f. s FOR OFFICIAL USE ONLY • APPLICATION# DATE ISSUED MAP/PARCEL NO. 4 r ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME I INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL "= PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING dlbllD DATE CLOSED OUT � E ASSOCIATION PLAN NO. 1 '• � Print Form The Commonwealth of Massachusetts - - -- Department of Industrial Accidents fn Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Amuiicant Information Please Print Leeibly Name(Business/Organization/Individual): B&D Building and Remodeling,Inc. Address: PO Box,644,74 Nashua Road City/State/Zip: pp Peerell, MA 01463 Phone#: 978.433.6890 Are you an employer?Check the appropriate boa: Type of project(required): l.� I am a employer with 9 4. I am a general contractor and I 6. (]New construction employees(full and/or part-time).* have hued the sub-contractors 2.❑ I ama 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' Building addition [No workers'comp.insurance comp.insurance.- 5. E We are a corporation and its 10.[]Electrical repairs or additions required.] 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 12.0 Roof repairs insurance required.)t_ c. 152,§1(4),and we have no q ] 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. :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 insurance for my employees. Below is the policy and job site information. Insurance Company Name: Continental Indemnity Company Policy#or Self-ins.Lie.#: 46-811439-01-01 Expiration Date: 03/09/2010 Job Site Address: 780 Craigsville Beach Rd City/State/Zip: Centerville, MA 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 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 der t pa ns a d penalties of perjury that the information provided above is true and correct. Si a Date• Phone#: 978.433.6890 Official use only. Do not write in this area,to be completed by city or town official. Cite 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 b.Other Contact Person: Phone#: - - .. _ ............... ..... .... . _...... _ _. .. ., .. - ....... _..-._..- DATE .ACOR CERTIFICATE OF LIABILITY INSURANCE 03/24/2009Y, PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Applied Risk Insurance Services, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 10825 O 1 d Mill Rd CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Omaha, NE 68154-0646 (8 7 7) 2 3 4-4 4 2 0 INSURERS AFFORDING COVERAGE NAIC# Continental Indemnity Co'. 28258 INSURED -- — - -- INSURER B. B&D Building and Remodeling, Inc. -- — --- PO Box 644 INSURER C_ _ Pepperell, MA 01463-0644 INSURERD: CTL 1273 448885 1 INSURERE: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADD'L _ POLICY EFECTIVE POLICY EXPIRATION LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE MIIDD YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY . PREMISES(Ea occurrence $ CLAIMS MADE❑OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY S. GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-CONIP/OP AGG $ PRO- -- --- — POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) _ $ HIRED AUTOS s BODILYJNJURY NON-OWNED AUTOS (Per accident) — S iA PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ( AUTO ONLY-EA ACCIDENT S ANY AUTO Y OTHER THAN EA ACC r AUTO ONLY: AGO S EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE y AGGREGATE __ $ $ DEDUCTIBLE S_ RETENTION $ $ WORKERS COMPENSATION AND g WGSTIMITAT U IO^TH- EMPLOYERS'LIABILITY _TORY LIM4ITS _� cR ANY PROPRIETORIPARTNERIEXECUTIVE 46-811439-01-01 03/0 9/09 03/09/10 E.L.EACH ACCIDENT $ 100, 000 OFFICER/MEMBER EXCLUDED? 100,000 E.L.DISEASE.-EA EMPLOYEE S It yes,describe under ' SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ .500, 000 OTHER \ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE B&D Building and R emo d e 1 i n g, Inc. EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 p_ PO Box 644 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON Pepperell, MA 0 1 4 6 3-0 6 4 4 THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRES IVE Attn: project - Manager - �- 1783118 ACORD 25(2001/08) ' ryf 0 ACORD CORPORATION 1988 t VEr ti Fawn of B arn-stahle Regulatory Services T3A3t1�tSCAi3L.1; �. - 5 Thomas R Geiler,Director €o � Building Division_ Tord perry,Building Commissioner 200.Main Strcct,.Hyannis,.MA 02601 `view:town;b a-rns tab.l e-.ma.us Office: 508-862-40 9 Fax: -508-79( Property� �Rme r Must t Complete. and Sign This Sectioa If Using ABuilder Seth Latimer as Owner of the subject.propeg7 herebyauthonze B&D Building and='.Remodeling to act;onrzrybel a. ,. in all matters relative to work autlio4Wd..by this building permit application for. 7.80 Craigsvi lle Beach Road,.C-entervi,lle `(Address of job) ------ Jl �40 Signature o Owner Date_ Seth Latimer Print Name Zf Pro f ty Owner s-applying foi-pernmit please complete the Homeowners License Exemption Form o.n'f:he reverse-side. ,NE,RGY CONSERVATION APPLICATION FORM FOR ENERGY EFVICICIENCY FOR ONE- AND TWO-FlYZ-)FAMILY DETACITED RESIDENTIAL'CONSTR�UCTION (780 CM. 61.00) Applicant Name_ B&D Building- and Remodelincr Site Address:780 craicts,ville Bea pr;nr Town: Centerville, MA Applicant Phone: o: 978-433-6890 : 61 - -2748 Applicant Signature: Date of Application: NEW CONSTRUCTION: choose ONE of the following two'o tioas 780 CKR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE-AND 'TWO-FAMILY BUILDINGS N AXQMUM MIS M Ceiling or Slab El option I Fenestration exposed s; Wall Floor : Wall$asement Perimeter AFUE HSPF U-factor .x floors R-Value R=Value R-Value R Value R.-Value and De th National Applianco•Encr 3 5 R-3 8 R-19 R 19 R-10 R-10' ConsuYaiion Act(NAE( 4 - 1997 as amended,minim calcr as a plipabld Note: This form is not required if you choose either of the two Versions of REScheck as listed below. ❑ Option 2: REScheck Version 4.1.2 or later variant software analysis must be completed 780 C&a 6107.3.2 REScheck—Web which can be accessed at http--Hwww tncrgycodes.goy/rescheck/ A� zT o�vs:0 T)ikXTiONS Q MaSTING BMDING's,:o V i S EAx s OLD* *)3uildings under 5 years old must use option#1 or#2 in New Construction section above. Complete the following formula to determine the %n of glazing: (a) Gross Wall & Ceiling Area equals Fo>n-lula: (100 x b a)a ; SF 100 x - _ % of glazing a (b) Glazing area equals SF b If glazing j.s<-'40%.use the chart below. If glazing is> 40 % rgceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMTONENT CRITERIAADDITIONS TO EXISTING. LOVE'-RISE RESIDENTIAL-BUIDINGS MAXIMUM h9TT1MUM Ceiling and Slab Perir Exposed floors ❑ l+enestration -wall Floor Basement Wall R-Vah U-factor R-Value R-Value R-value R-Value and De .3� R-37 a R-13 • R-19 R-10 R-10, 4 a R-30 ceiling insulation may be used in place of R-37 if the insulation acbievn the full R-value over the entire ceiling area i,e,not Compressed over exterior walls, and including any access o enin s . ' SUNROOM—An addition or alteration to an existing building/dwelling unit where the tot ❑ glazing area of said addition exceeds 40% of the co mbined gross wall and ceiling area of t additiou. Note: Owner to fill out Consumer Information Form found in Appendix 120,P V i _--- �ias�a(hueetts Department of Public Safety Brrtrd of Ruildirl.1 Re-ultion, Stnd lards Construction Supervisor License License: CS. 812.9 Restricted to: 00 PAUL P DOMENICI1 ? ,PO BOX 644 PEPPERELL, MA 01463 � r J Expiration: 9/4/2011 ( nemis.i mcr Tr#: 2990 �1/t1P, -t.4'09j7/tL04Lf./.u'..2L�9t Of�!!!!a'JCC(.iLGld2�6 r - _ x<<\ Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:, Board of Building Regulations and Standards-. Registration: 159946 Expiration: 6/11/2010 'Tr# 269559 One Ashburton Place Rm 1301 Boston,Ma.02108 Type: Private Corporation B&D BUILDING AND REMODELING,INC. , PAUL DOMENICI 74 NASHUA RD. aa PEPPERELL,MA 01463 Administrator Not valid without ignature - t Town of Barnstable Y. Building Department - 200 Main Street � . Hyan nis,nnis, MA 02601 9�A 1679. A�� (508) 862-4038 rFo� y Certificate of Occupancy Tem orar a y Application 201000675 CO Number: 20100089 Parcel ID:' . 22614000A CO Issue Date: 06114/10 . Location: 780 CRAIGVILLE BEACH ROAD E-1 ` Zoning Classification: - Owner: TRADE WINDS RESIDENCES LLC Pro osed.Use: CONDOMINIUM— C/O PATRIOT GROUP LLC 1120 POST RD., 2ND FLOOR; Villager - CENTERVIL'LE` DARIEN, CT 06820 Gen Contractor: DOMENICI, PAUL P a Permit Type: RTCD ¢ - ` RES TEMP CERT OF OCCUPANCY Comments: TEMPERED SASHES REQ`D TEMP CO EXPIRES ON 7/29/10 71 07/29/1y0 B di apartment Signature Date Signed Expiration Date THE FOLLOWI NG IS/ARE TPEBEST IMAGES FROM. POOR QUALITY, ORIGINALS) iME DATA . �IHEt TOWN OF BARNSTABLE g , Application Ref: 201000675 (y'—! BARNSTAs>�, * Issue Date: 03/04/10 y MASS �Al s639• a�' Applicant: DOMENICI,PAUL P Perms Proposed Use: CONDOMINIUM - Expir Location 780 CRAIGVILLE BEACH ROAMEAg District. Permit Type: SP PROJ RES ADD/ALT Map Parcel 22614000A Permit Fee$; 816.00 °Contractor DOMENICI,PAUL P Village CENTERVILLE App Fee$ 50.00 License Num 8129 Est Construction Cost$ 160,000 Remarks ^. ' APPROVED PLANS MUST:BE RETAINED ON JOB AND RENOVATION OF 2 BEDROOM TOW,NHOUsE CONDO UNIT E-1 I THIS CARD MUST BE KEPT POSTED UNTIL FINAL, INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH . Owner on Record: TRADE WINDS RESIDENCES`LLC BUILDING SHALL NOT,BE OCCUPIED UNTIL A FINAL Address: C/O PATRIOT GROUP LLC INSPECTION HAS BEEN MADE. 1120 POST RD., 2ND FLOOR.: DARIEN, CT 06820 Application Entered by` JL Building Permit Issued By +r THIS PERMIT CONVEYS NO RIGHT;TO OCCUPY AN:Y;STREET,ALLY OR SIDEWALK;OR ANY:PART THERETO HE EN41?0RARILY ORPERMANENTLY. , ENCROACHEMENTS ON PUBLIC,PROPERTY;NOT.SPECIFICALLY PERMITTED UNDER THE BUILDING.CODE;'.MUST BE APPROVED BY THE'JURISDICTION. STREET.OR ALLY GRADES AS WELL AS DEPTH AND LOCATI.ON•OF PUBLIC"SEWERS MAY?BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORK,S. THE ISSUANCE.OF"THIS PERMIT DOES NOT>RELEASE THE,APPLICANT:FROMTHE_CONDITIONS.OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK r 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE-LINING IS INSTALLED:._ 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION: 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH); ' 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. 21 WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE.VARIOUS STAGES-OF.CONSTRUCTION: PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF. DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MG a142A). BUILDING INSPyE.CTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1001/ ... I / 0� • 21. 2- r L '' , , 2 3 OX 1 61L 7E"P 1 Heating nspection Approvals Engineering Dept t Fire Dept 2 �� ealth�l pia � L/ PROJECT NAME: 'eM")4l ", - z' 6r1 O ADDRESS: -79D PERMIT# Zn 'n 110 CEza- PERMIT DATE: 3 jq I to M/P: HQ 0QA- .LARGE ROLLED PLANS. ARE IN: B O X5 SLOT Data entered in MAPS program on: 3)41,0 BY: g4pfiles/archive TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 226 Parcel' 140-00A Unit 780-E i - Application # 0'2 00SbD-CX)' Health Division Date Issued d Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address 780 Craigville Beach Road Village Centerville Owner Trade Winds Residences LLC Address One State Street, 14th Floor Telephone 617-861-2055 ' Boston, MA . 02109 Permit Request Tenant Fitout A - 9 Square feet: 1 st floor: existing proposed 1732 2nd floor:existing proposed Total new 1732 Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type New Lot Size 1 Acre Grandfathered: ❑Yes M No If yes, attach supporting documentation. Dwelling Type: Single Family . M Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes 99 No On Old King's Highway: ❑Yes ID No Basement Type: ❑ Full ❑ Crawl ❑Walkout M Other Garage Basement Finished Area(sq.ft.) N/A Basement Unfinished Area(sq.ft) N/A Number of Baths: Full: existing new 2 Half: existing new 1 Number of Bedrooms: 2 existing _new Total Room Count (not including baths): existing new 5 First Floor Room Count 5 Heat Type and Fuel: M Gas ❑Oil ❑ Electric ❑ Other Central Air: M Yes ❑ No Fireplaces: Existing New 1 Existing wood/coal stove: ❑Yes M No Detached garage: ❑ existing 0 new size_Pool: ❑ existing M new size _ Barn: ❑ existing ❑ new size_ Attached garage: M existing 0 new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Mo Commercial ❑Yes M No If yes, site plan review# T Current Use Proposed Use Residence APPLICANT INFORMATION Cn (BUILDER OR HOMEOWNER) Name John Scanlan Telephone Number 508-540-6226 Address 15 Fernwood Road License# CS O40692 N. Falmouth, MA 02556 Home Improvement Contractor# Worker's Compensation # WC6-111-258096-037 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# J DATE ISSUED t MAP/PARCEL N0. ~ ADDRESS VILLAGE ii OWNER f DATE OF INSPECTION: ''f s FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL t FINAL BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. } C i