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HomeMy WebLinkAbout0022 DEEPWOOD CIRCLE o� a eure�� Le�c-�� i Town of Barnstable B�Illl�l°Il�9. _ t Post This Card.So;That it_is,Visible from the Street A roved'Plans,Must be Retained on Job and his,Card Must.be,Kept e ♦ .a a t rra �,, r-,,F" .A:1"�` "'i; �t0504, � .PP w,.,';wa, ytL a' k+yraw .x o Posted Until Final ln'spection Has Been Made 0 a63A :, ..P raa.' s.i.: j s' Where a Certificate'of Occupancy`is'Regaired;such Building shall Not"`be'Occupied*`until a Flnal'Inspection has been made" LL Permit Permit No. B-20-2034 Applicant Name: JEFFREY CONNORS Approvals Date Issued: 07/31/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/31/2021 Foundation: Location: 22 DEEPWOOD CIRCLE,CENTERVILLE _ ,Map/Lot: 169-013-003 �Zoning District: RC Sheathing: Owner on Record: GALIOTO,RICHARD W&NANCY J Contractor:Name-.--NEWPRO OPERATING LLC. Framing: 1 Address: 22 DEEPWOOD CIRCLE Contractor license: 14689 2 CENTERVILLE, MA 02632 Est. Project Cost: $ 10,973.00 Chimney: Description: INSTALL(9)SQUARES VINYLSIDING Permit Fee: $55.96 NO STRUCTURAL Insulation: Fee Paid:) $55.96 Project Review Req: Date = 7/31/2020 Final: V � Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized'by this permtt-is commenced within six months a i�y%p itia Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road.and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. i Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Build ing-and_Fire-Officials-ar r e provided on this;pemit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspectioflue, ,Y Rough: 3.All Fireplaces must be inspected at the throat level before firest fluelinmg is installedT g 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: •Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: a Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: ONLy�E Town of Barnstable a� Building pe ? Post This Card"So That it-is Visible From the Street-Approved Plans Must be Retained.on Job and this Card Must be Kept: anFL.srnet e v K , Posted Until Final Inspection Has Been Made: lWheieziCertificat' e of Occupancy is Required,such Building shall Not be Occupied until aFFinal Inspection has been made. �e�'n�l Permit NO. B-20-1274 Applicant Name: JEFFREY CONNORS Approvals Date Issued: 05/26/2020 Current Use: Structure. Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/26/2020 Foundation: Location: 22 DEEPWOOD CIRCLE,CENTERVILLE Map/Lot: 169-013-003 Zoning District: RC Sheathing: Owner on Record: GALIOTO, RICHARD W&NANCY J Contractor Name'•,NEWPRO OPERATING LLC. Framing: 1 Address: 22 DEEPWOOD CIRCLE y Contractor License- 146589 2 } CENTERVILLE, MA 02632 Est. Project Cost: $4,874.00 Chimney: Description: INSTALL( 1 ) REPLACEMENT ENTRY DOOR Permit Fee: $35.00 NO STRUCTURAL Insulation: Fee Paid: $35.00 Project Review Req: Date: . 5/26/2020 Final Plumbing/Gas Rough Plumbing: - 1 This permit shall be deemed abandoned and invalid unless the work authorized by this permit7is commen-ced within six months I�afte� &We.Official Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas:. The Certificate.of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work:t 1.foundation or Footing ' Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed_ Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department . All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT P9<I- Final: oF��tT Town ofBa�nstable 0 (00�1� Perrnit# Expires 6 month ran isQie ilate ,. Regulatory Services Fee JBAItvsr�etX, y ttss. 5' - j6j9 Thomas F. Geiler, Director Building Division Tom Perry, CBO, Building Commissioner: 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us. Office: 508,-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION • RESIDENTIAL ONLY Vo!Valid withorr!Red X-Press 71r1prinl Map/parcel Number I �CJ� �. 0� j i Zential Address UVO C ���e Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name & Address Contractor's iVarne p I\m Cp Tei phone Number Ed 9 Home Improvement Contractor License#(if applicable) kWo r ctionSupervsor'sLicense#(ifapplicable)< ,rkman's Compensation,Insurance Check one: g I ❑ I m a sole proprietor am the Homeowner . I have Worker's Compensation Insurance = Insurance Company Nam r®WN fJ BARN-STABLE Workman Comp: Pol icy# LG Copy of Insurance Compliance Certificate must accompany each permit: Permit Request (check box) ` Re-roof(hut-Heane'nailed)_(stripping old shingles) All-construction debris will be taken to ❑ Re-roof(hurricane.nailed) (not stripping.,Going over : - existing layers of roof) ❑ 'R ide. . M ' `.; `,y. L`:• 7.CC_ # of doors Replacement Windows/doors/sliders. U Value > J "(maximum .35)# of windows *Where required: Issuance ofthis"permit does not exempt compliance with other town department regulations,i.e Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission, A copy of the Home Improvement Contractors License & Construction Supervisors License is re SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 072110 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street t - Boston,JV14 02111 wwiv,ma:ss.govhlia Workers' Compensation Insurance Affidavit: Haailders/Contractors/Electricians/Plumb-,rs Please Print Legibly Applicant Information Name(Business/Organization/Individual): L ✓w Address: �%'r City/State/Zip: Phone#: �'� ✓ �'� a° ' '-�� ` Are You an employer?Check the a propriate Type of project(required): 1. am a employer with 4. I am a general contractor and I 6 ❑N construction have hired the sub-contractors employees(full and/or part-time).* listed on the attached sheet. 7. Remodeling 2.❑ I am a sole proprietor or partner- These sub-contractors have. g. ❑Demolition ship and have no employees employees and have workers' working for me in any capacity. 9. ❑ addition Building comp.insurance.x [No workers'comp.insurance 10.❑Electrical repairs or additions required.] 5• ❑ We are a corporation and its , officers have exercised their 11.❑Plumbing repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL myself.[No workers' comp. 12.❑ Rook repairs c. 152,��'1(4),and we have no 13:0 Other- insurance required.]t employees. [No workers' comp.insurance required.] so fill out the section below showing their workers'compensation policy information. *Any applicant that checks box#1 must at t Homers who submit this affidavit indicating they are doing all work and.then hire outside contractors must submit a new affidavit indicating such. Homeowners ted an additional sheet showing the name of the sub-contractors and state whether or not those entities have Contractors that check this box must attach comp.policy number. employees. If the sub-contractors have employees,they must provide their workers' 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. _ Insurance Company Name: - a L,� Expiration Date: Policy#or Self-ins.Lic.#: Job Site Add ress: a I UUd l) City/State/Zip: • Attach a copy of the workers' comp sation 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 tine 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 tine 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 Gerd er a pains and penalti erjury that the information provided ove is tru nr�correct Date: Signature: Phone# . 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): I. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone r The Carnnionivenith of Adassachuseits r Deparhnent ofludustr3ai 4ccidents Office o,,fInvestigations 600 Washington Street" - t Boston, M4 021II _i't•'ti'ii'.TrraSS.gOv1(t'la I'Varkers' Compensation Insurance AfficlaNit:.Builders/Canti-uctars/Elechic.hms/Plumbers Appficant Infmmation Please hint Le 'blti yfi Nan1e (Business'Orgauizationdn&vidrial): l O C 17 ` t Address: t��C /State/Zi.P=t5' L �-' Phone 4-.- At CioZ Are you at ployer?Check the ztppropriate boa: Type f project(required): 1_❑ I a employer with 4. I am a general.contractor and I loyees(full and/ot'part-tinge).* have hired the sub-contractors b- Ne onstniction 2 I ant a sole proprietor orpartuer- listed on the 'attached sheet. 7. emodeling shipand have no employees These sub-contractors have� y 8- ❑ Demolition 1working :for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.. z 9. .Building addition retluired.] 5. ❑ We are.a corporation..and its 10.[�Electrical repairs or additions officers have euercised their 3.❑ :I am a horitemimer doing.all- ro;W l l.�Plumbing repairs or additions myself [No workers'comp. right of exemption per NMGL 12. Roof repairs insurance:required.]T c- 152, 1(4)„and.eve have no employees. [No workers' 13..❑ Other comp.insurance required.] •Any applicant ihst checks box#1.must also fill out the section below showing their workers'compensation policy inform3tian. Homeowners who submit this.afhdasgt indicating they are doing all wot4t and then hire outside contractors must submit.a new.affidavit indicating s'uclL tC'antraunrs than check this boot 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,.theymust.provide their workers'comp.policy number. In n i an employer that is providing iivrke.rs'vonrpeiisniion insriran.ce for my eiirployees. Belo is the palicy a adjq,b site inforrara ari Insurance Company Name: Policy#or Self--ins.Lic.#: b 9O /3 5 7 3/ —10 Expiration Date:_ r�s Jab Site Address: ���J 1 Cit3/StateJZip: e/1/ r/a. tfIAI Attach a copy of the tii•o:rkers'compensation policy dt:claration page(showing the policy number and expiration date). /, Failure to secure coverage as required under Section 2.5A of MGL c. 152 can lead to the imposition of tribunal penalties of a V fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP'WORKORDER 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 D.IA for insurance coverage vti ification. I do hereby czar, Under th8 %iS Qr realties Cif pedil ry titat Elie iiiforrrliYtioji proi idid a.boiv.i tJ'ti.e and ca rect., Si trite: Date: Phone O n'al.►ise only. Da not write in this inert,to be completed by citti or town officiaL City or To-wn: Permit/License# Issuing authority(circle one): 1.Board of Health 2.Building Department 3. CIty/Fown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#e 6 S, �/ie C�ommwnureo�l� o�✓ oaaac�ruaet�a Office of Consumer Affairs&Business Regulation License or registration valid for individul use only before the expiration date. if found return to: OME IMPROVEMENT CONTRACTOR i - _ Office of Consumer Affairs and Business Regulation Registration'o-126893 Type:. 10 Park Plaza-Suite 5170 i Expiration 87-- 2 2, Supplement Card Boston,MA 02116 I 8 The Home Depot, ervices DARREN DEMERS i 2690 CUMBERLAND.PARKWAY`S GA 30339 '= _ Undersecretary Not valid without signature �`ir Office of Consumer Affairs an. Business Regulation - 10 Park Plaza- Suite 51?0 Boston, Massachusetts 02116 V�b Dome improvement�;�or Registration Registration; 149128 Type: Individual Exp @S/iraUOn: 112011 Trit 2eC244 TIMOTHY HANSCOM TIMOTHY HANSGOM 4 CIRCLE DR. :.. -r i'r..•'ry _ —._... ........_ WARE HAM, MA 02571 update Address and return card.Mark reason for change Address Renewal Employment ! Lost Card ats5-CR: �'� S;,at•ru�:.p�ctr.E '�r case or registration valid for individul use only �^ Offree of Consumer 4sairs&nunness JZ%aboioa before the vxpiration date. If hound ietorn to: "xr HOME IMPROVEMENT CONTRACTOR Office of.Consumer Affairs and Busiaaess RcguJation Reg�strarion: 1R9128 Expiration:-'-• i11.2&'2011 f0 P>Ark Piaaa-Suite 5x78 ak �ej, Ttit 290244 Boston,KA 02116 nGe=.-'�?lndiviitiigl`,,• T tMO i HY HANSG0AII:; >-•' TIMOTHY IiAJ`ISCQN(.; :'; •- ! 4 CIRCLE DR. ,•' _�^ WAF2cii4Ah,1Nr102Si: Undersecretary JNotZ vniit0 tsigniture�...._—.._... �1 .�•uctttp,ett•- I1�n R rtnt,ni r,J I ultlsi <tt r�~�, ,� l�uat-d rrf lttiltli � R<<�t+9,trinn.. :t+t9 yt.rtttl,trtlti " •� � � . Constructicr) Supervisor Specialty i- ► .altl License License: CS SL 99162 ° ReStricted to: WS TIMOTHY HANSON 4 CIRCLE DRIVE WAREHAM, MA 02571 0 1 t ivy � 7 Expiration; 6,4/�011 ( .nmr i"i=n>`•t- Tr-,: 99162 _ y n i ' F f Ts a, ' .. - ,. �, �� a s..:,r n "�'a�Y6'"V"�m,•-`tf.:'.-'sw. 3 rs�,-•..:rr. HOMY.'.IiV[PRbV1E�NT:'CUPY]<'RAC� -- - . FLTASE:READ:f.HIS Sold,Fumishedmand-Installed•by: �'"�'' „•, T-J;D:At-Home-Serviees;Inc. Branch.Name�:BostoD i JRate 1�.k-` - d/bla.The.HomeDepptAt:ElOfuc:Seav�ces< :::. ..' ;:-:, �,• 345AGrreenwoodStteet;Unic2.•WoX. - _ _Toll Free(800).657-5182;jFax{508)756.8823 ID BranchNumber_,3L•.. ..,:.: ....- ...._.... �' ME1.3c#;C• 439sXtl. nt.,l.ctta 27.` -:Federal # S-2b98460; � o �#126$93 'ic 3F 56552 MA Nome Ti+ipmvement Contiac• c6- Insjallation Address: ...:He'Phone ":. Ce11p6oee ' ( W'or Thoae om `) 1 pnrchaser(s): T) �J Home Addr a: Ly �P. (If differencfrom Angtai)ation AddKm) E-mail Address(to recetve project:commtusicationS and Home Depot updates) — v C7 I'DO NOT.v i h to•rcc:ervcaaymarketing•emails from The home Depot prpiect Trifor tfone'LJridcrsigned("Ctistome'r"),the owners of ftpropcity located at the abovcin'stalJBnon addreae;agrees to buy; t a to,fprnisw;aelrvcr and aiiange•fdr the`installation(1*tallatson')of and THD At-1•lome Sen+icec,.Inc.C'�Home Depot'.) grew intA>t}us.Contract:by,-this all meter]a]s.dcticnl�od:on;tha:below.aud.on:the:;eferenced:Spe�,$hcec(s),all of•which ,pc:meorparated. Orders'(colliitively reference.-along.with:any:aJrplicable State.:Supplemcnt and Payme�t_Surrirnarybctacned hereto.and aay Cha>;ge•. A/S L 0 All) „Contract")' .. ,... .- ... . .... ... . , _ /I_'V Socc S s .; PK�' AmoimY Job•#: Oerrr�rtel: r Roofing- ;ding rodoWs ' 'Insulrilion :..+� '$; :;�a;a�a. o coYer� • try r�,�..--�- I t4 ._. . . . ._ ,. ... Siding' VW(lo Instilsttori r[]GutUxs ,Coveis-�fintry.Doo>+©� --�-^-' Roofing Siding. Windows Insulation:. _ $ �Guttca:l,Covcu;. lEntq;Doots Roofing Siding Windows Jnsulauort $ ovcru lntry L))oors i 1' lvlinim®n15`foD dCon>factAmou dnenponcc .this canh-aet `rotalGontractAmoun ' $ COP . MainePru map•nddt t.nwrethaa•ontr-d&dortheCmbadAmount. .: �J Customer agrees.t]'iat,immediately ttpon•aom leaon of the wot 1ai race& C due P,s applicatile cacti Cuatotner under rthie (one for each Product'as.defined by An jlidividual Spec'Sbset) ,P Y y. Contract agrees to:be joinUy;atid severally obligated andliatiie hereunder. ;. rtndividual.Pzotitict(s)included herein,at The Home.DePot:re�GY the right to issue a:Change Order_or.tea?ninatc thno;th tract or.any... . its discretion,if The home Depot or its authamed service provider deteraii. tl�gt, eannpt,perfvrtn itti.obligaaons.due to o asbestos or leas!paint other safety eoneerns..Pricing crros problern,withthe.horne onWonmental.httx lasudr.as prold,, _ ob was riot 4acluded to the/C S.. st:r::•.. work required to complete tlrc j :, # l ! �_ nt-5umn..1. .mcloded as Tart.of thn Contraerzsets forth:the total Payment Sumttta The'Payctre dtsdm3l paymems by.Product(as applicable) Contract amount arid.payrnento'egwtod for the NOTICE TO CUSTOMER tc note Yoti sire entitled"to`Xte iupletcly rilled-in6pyof the,Contract at the time you si Dorc SheetsyCbefo eCwork[on that.Pa uduct there is one Completion t ert+ffcate for each listed Product as derrned by:indxvidualSpe is complete The Home Dcpot.the coats of materials,labor,expenses In the event of termination of this Contract,Cusomer agrees to pay - and services provided by The Home Depot or Authorized Service Provider through the daft of termination,plus any other amoants set forth in this Agreement or allowed underEpo XT Ple hew. NT OR OTHER PHOmA DEPOT*AYMENTS MADE, WITHOU - OWED TO THE HOME DEPOT FROM TIE: DEPUSYT PAYMENT LIMITING THE HOME DEPOT'S.OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS. des all rior discussions and agreements,either pcce tenet and A,ithorization: Customer s$rces and���°�that this Agreement is the entire agreement between Customer and The Home Depot with regard to the Products and Installation services and supene P a writ; signed oral or written,relating to said Products and Installation.This Agreement cannot be assigned or amended except by' is the by Customer and The home Depot_Customer acknowledges and agrees that Customer has read,understand ,volunteer y ter=of and hat received a copy of this Agreement ii Sub by: Ace t11y*J11� Dato X Date f Sales Co sultant's ignature C St mer'%Signa 7 /t✓ - (� 7! ere / �� �0� _us _ - Customer's Signature Sales Consultant License No. Date - (as srrpHcuble) CANCELLATION_: CUSTOMER MAY CANCEL THIS AGREEMIENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WMTTEN NOTICE TO THE HOME DEPOT. By MIDNIGHT ON,THE THIRD BUSINESS THE DAY AFTER SIGNING ?�S CHED HERETO STATE SIJPPLEM CONTAINS A FORM TO USE BXIF LON IS SPECIFICALLY ERFSCRYBED IN NOTICE::ADDITTONA AW L'rERMS AND COPIDrt'fON5 ARE STATED p1+1 TH REVER`+'E SIDE AHI1 ARE PART OF TIIIS CONTRACT CUSTOMER'S STATE. S V.a_ r.,Kimm�r Pink Sales COMIWnt E l'Z l 01 OZ-ll T-d3S __^ S I NMV kH .LOdStI SW©H ,Town of Barnstable *Permit#_�00 t X ( � - Expires 6 ne nibs front issue date ® egulatory Services Fee S ®�'" . PER '::°Thomas F.Geiler,Director MAR - 5 2008 Building Division1 Tom Perry,CBO, Building Commissioner TOWN OF BARNSTASLEOo Main Street,Hyamtis,MA 02601 " .www.town.barnstable.ma.us - Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Jf l Property Address 'O'CIRL+ P fAt (`Residential Value of Work Minimum fee of$25.00 for work under$6000.00 .Owner's Name&Address R t C 11 C r //D f o e p ie rjej e"i 6-C�F Contractor's NameA e. Yeyue 0eigo J 4 t f o ni e Telephone Number Home Improvement Contractor.License#(if applicable) Id 6 8 9 7 Construction Supervisor's License#.(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name e U-7 ml kn vas 41 I 1 5, C o Workman's Comp.Policy-# 1 9a I C3 o - Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side [Q(� Replacement Windows/doors/sliders. U-Value (maximum.44 *Where required:.Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Property Owner must sign Property Owner Letter of Permissiori:`7"' A copy of the Home Improvement Contractors License is required. SIGNATURE: - - Q:Forms:expmtrg Revisc061306 - ROM MVROVLMENT CONTRACT . Sold,FntoisbadxmdlcsiaIledby: • Brawl Name., Dater "d$ db,%The Name DapdAt-Wom SWAM• MA Gmuwnod Sum%Wm@",MA 016W C�+J 8ranakNmeber. Jabik ToU hee,(800)657-5182;Fm MS-73&M9 � Fehetl M M Lic 4 C OW MUCaob Thai LPN ' - - Ci IleaSaedY;6G 16emeIDgiwweu CbehsrhvR4i tha6t99 - - N • a � J.shlhetemtA,ddrere: �- tXc�Wcs�Ci�.1e.:- ��rutlt�-•�,ti--ozr,3�---- - ..._. ------ _. - _. ..... ---- N Seale - ' 0 Home Ad&VSL SCrtD (If di0eeeot fiom htstalla<Lae<Ad&tsr) G!Y, zkp E•eaU Addre"(to mmaT»peeatet aad ptmaaboat RM Ile Home DCWY praJectle6oraaatieat UWeNon('Aactane�`AtbecnraertofineyroPartyloceaodatffieAwnrimhllssiemsddmsa,oZferto camtrad with THDAt•HtmwSuv6CMI a. 10Audsh,deLveread for the bounadm of au mue:693 _ as doam bed ea the naacbed Spec Sbod A .10-poreiled baraa 0Y 7eracum aid made a past herco£ BOCK DepotreM-M0*ARM TOtMaoedIMSeoobad 1Lnp*0rr"lePetlo.oftheial,BomeDepotde#ONM i►tMatlt O canaot perform Its obllgatlow due to a st mcsartl Vobkm vtttb ebe hOmq pr&b8 amrs or because work regidred to i3 EE r6eopktr Ile Jobtrws aot Mused tstle Epee Sheet or Cteitrsct - . DEBOSJTPAymLNT0p mONS d ^ - (6�edb£mdvatibaeioo erd�raadira,pwd) trJ CONTRACrA_N CUNT a a33�00 0 � 1. Cbedc•�adia.aaaausbn.tsmkesao«s•«s. ' (tradp'parena m ne srotulkpocl. `3 lussDEP04lr a. i remand-A d'ieollmp�-wd"•etmouoeld. � - BALANCE DUE MAN vksh Qws Dbmm AumbRONROF x V\ ; ONCOMPLETION 77p Kmii DOLIMffmv rptesttamtioea rinsl�otpoeacra Cud z • .}] WbWmL5%ofCowadAmmwtdovpo+ .1]!eewdemraal O14da�t w plIIaa,etueCO61LY) • - Cl] �. see deeeftbbematd A.a.i'Mellxda:j%01WJ -O L&"DCC0nV)• '- - fedleate Pgamemt bfethed Pm Aoaea� �—t�T�D� . IL41"CE DUE 0\CO.MM710-M. xsaeuirgp�ltaoertS2irf:ear�st W. Gal�o�o .-}ibGG. ••S7myt—Apstdebelaw,U'Weepeeto*Uww Name D"10 - - �° � dteebvrernc�ea�crad��ae�ditaetdtarwo tadlated. . - . -barem8am5DscLed marleearcUme dea-mle -' - Fwd teod;t faom yaar eaMjt or 0 ptaaest de sgaam lie a• - efed:ftmu iaod who,sv to seavea6aa fmm ywt sbad b �.6r BDCC Aothorhattsa Codts make w 2eetaeia 6matear@G fmra sax'be v116—from Ffsab Pn neat - .. . .yem'tacyeia woou4s psyzeaale tead�eed paiam ra4 - . -taesba eovstect belt. - # Z{o 2Z•+ # - - - - - Patebaserageesthakimmedindy i]o+anX ofLbecorkPttrrbaserwillexsarealootplatiaaCp65eeteaadpayegy haiteoedue,pCuclesertrinegettSgbe mdscvetellyabligaendaodtiablrberaiada. ^ 8ottre Asr Tbm epumcct lied it(arsah=% g WY�G°6 agreeaamt,000t9k the orotplete apeetaeut hNR»mathe parties w6 cannot be amecdad Pe MOM"vmlom in'Amft in a uPu!te Wtedemt signed NOTICETOPURC IASSs Do ml et8s lids eaatcaet belhre J as rmd IL Van era entitled to a etemed fa pff f l &W at the ttme you Nap H b protect Four r%blo. Do not fti a Complttlavt C 1a hetire ells L complete. Jew r ptoLt�ts tome��ee��a11rr e0atracears 6romt ry�a�se or ate�+tEug s OompldioaCoHatte dimes by tho,gmea prior to Dte atyal sompladao of the a0rtto he ptsfoamtd wader eeo eoetrxR Yatt May asueltbdtramsedoll Memo prlartomldn&aftbettdrdbusLowdkv40 the date oftll[contract See N6tioa of Ca.ceUttlon for an etplamtiaa of d h rlgbL Tbme will be a ursice charge egowl to 10%od the cmb*d amount If fob ie eae poll to 2s%rot(Wye contests tawmat H J�ecanodted 6y Po but tcltbuu AFTER saterisia are ordered. � be a ser+lee eheege eon+ . BY MY.col.-R SIONATURS RI jow,UR'E UkMERSTAND THAT IIM AORELMENT MAY BE SUBJECT TO REVIEW ,O y Of MY.'XDUR CRBDTr HISTORY AM IWE AUTHORIZE Rua DEPOT TO VERIFY AND UVJfsW my-OM CREDIT RECORD WJTH AN NDbPBNDENT CREDIT REPORT[AGENCY AND RELEASE THEM FROM ALL 0 b LIABILTIYIIiCIIAREUFROMENADVERTIENTOWSSIO\'SOREMRS. O Sy. y M--R SIGNA7L'RP BEWW,YWE AGUE TO BE BOLTID 9Y THE TERM5 OF Tins CONTRACT. UYaFi ACKNOWI.EDGB RECIdYI OF A COPY OF TMS OONTRACT AND T9t'0 ODNeLBTED COPIES OF THE NOMCE T OF CANCELLATION. SUBDITPTED Wi Date: Qoen Dater .2-A4-D$ - r. AMPTED BY• PtsrLea _. r NFRC The Home Depot 6500-Series Double Hung Vinyl Window NationalFenestratian Architectural-grade, Soft Coat Low E and —Rating Argon Gas-filled Insulating Glass Unit ENERGY PERFORMANCE RATINGS U-Factor(USJA Solar Heat Gain Coefficient Visible Transmittance 0.33 01111129 . OA8 Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining Whole product performance.NFRC ratings are determined for a fixed set of environmental conditions and a specific product size.NFRC does not recommend any product and does not warrant the suitability of any product for any specific use. . ENERGY STARc` Qualified in all a States Northern. Soutti/Ceniral Mostly Heating Heating&Cooling North/Central Southern Heating&Cooling Mostly Cooling OP:25 Test Size:48 x 80 Test Number:05-30307.01 �'!:e �om�no.uaealU�./f2aaaac�u�,�Ia' . Board of Building Regulations and Standards License or registration valid for individul use only HOME JMF,,�OVEMENT CONTRACTOR before the expiration date. If found return to: �Z` �' Board of Building Regulations and Standards Registratton> >26893 g g Exptratlon 8/3/2008 One Ashburton Place Rm 11301 Boston,Ma.02108 ;g- ype �u element Card �1(� � (,I THE Home Deo t At HRiOe ervjc DANIEL PELOQUIN �� ` • _ / 3200 COBB GALLERIA.P-MY420 atlantic,GA 30339 . Administrator Not valid without signature � - ` i.cdarsh USA, inc. Ai\JD CONFERS 'NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CE,'"RTIFIcATE DOES NOT medepotrar�r--qiiest(-Dmarsh,com AIMEND, EXTEND OR Atlanta, GA. 30305 Home Deoo S.A. Inc. INSURERA:Steadfast Ins Cc The Home Depot, IL. 16535 COVERAGES INSURERE:New Hampshire Ins co 23841 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR FHE 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. POLICY EFFECTIVE LTR INSR TYPE OF INSURANCE F— rD POLICY EXPIRATION POLICY NUMBER POLIC EFFECTIVE X COMMERCIAL GENERAL LIABILITY LIMITS OF POLICY ARE EXC SS -DAMAG—e—T-0—RE—N—TSD—m CLAIMS MADE Fx-1OCCUR "OF SIR: $1,000,000 PER CC" PREMISES(Ea occurence) 1,000,000 GENI AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE s4,000,000 (Ea accident) SCHEDULEDAUTOS BODILY INJURY HIREDAUTOS (Per accident) $ X SELF INSURED AUTO PHYSICAL DAMAGE PROPERTYDAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHERTHAN EA ACC $ A EXCESS/UMBRELLA LIABILITY IPR 3757 608-02 03/01/08 03/01/09 EACH OCCURRENCE DEDUCTIBLE RETENTION $ ANY PROPRIETOR/PARTNERIEXECUTIVE 1928756 (CA) 03/01/08 03/01/09� E.L.EACH ACCIDENT SPECIAL PROVISIONS below EL 01 OTHER E.L.DISEASE-POLICY LIMIT $1,000,000 F /01: 0 qf occu TX Employers Excess TNS-C45197967 E workers Compensation 1928758 (KY, MO, NY, WI) /01/09 DESCRIPTION OF OPERATIONS LOCATIONS/VEHICL ES EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS *FOR EVIDENCE ONLY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THE HOME DEPOT, INC. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 2455 PACES FERRY RD., N.W. BUILDING C-8 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR ATLANTA, GA 30339 AUTHORIZED REPRESENTATIVE � 8213215 mrEPRESENTATIVES. USA acumo CORPORATION 1yox ^ ' � PRODUCE? Marsh USA, lrx. COMPANY F i Illinois Union ins Co homedepoz.certrequest@marsh.com i COMPANYG 3475 Piedmont Rd NE, Suite 1200 Atlanta, GA 30305 I INSURED COMPANY H Home Depot U.S.A., Inc. The Home Depot, Inc. 2455 Paces Ferry Road ----- — ---— Building C-8 Atlanta, GA 30339 TEXT ***HOME DEPOT INSUREDS*** Home Depot U.S.A., The Home Depot, Inc. Entity List Chem-Dry Chem-Dry Corporate Services, Inc. Harris Research, Inc. HD Direct LLC DBA Home Decorators Collection Home Decorators Collection, Inc. Home Depot Installation Services, Inc. The Home Depot Bath Remodeling, Inc. Home Depot USA, Inc. DBA The Home Depot Jubilee Home Solutions, LLC THD At Fome Services, Inc. DBA The Home Depot At-Home Services THD At-Tome Services, Inc. The Home Depot, Inc. The Home Depot, Inc. Home Depot USA, Inc. The Home Depot, Inc. dba Your Other Warehouse Your Other Warehouse, LLC CERTIFICATE HOLDER: THE HOME DEPOT, INC. 2455 PACES FERRY RD., N.W. BUILDING C-8 ATLANTA. GA 30339 USA MARSH USA INC.BY Page 2 . The Commonwealth of Massachusetts 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): f Jp tM Vc?& / ' Address: a '155 Puc e s rem City/State/Zip: . 7 /a.,f' , (>A -70 3 3 `I Phone #: �UU - S 7- Are you an employer?Check the appropriate box: Type of project(required): 1.(S.I am a employer with/ 4. ❑ I am a general contractor and I employees(full and/or part-time):* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition workingfor me in an capacity. employees and have workers' Y P h'• 9. ❑ Building addition [No workers' comp. insurance • comp. insurance. ' 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. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152,§1(4),and we have no q 13.� Other �3, employees. [No workers' �/et-tl o 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. Me Insurance Company Name: U-1 S Co Policy#or Self-ins.Lic.#: I ! a� 8 7 S Expiration Date: Job Site Address: a O@ e p woo"4 C, fndC' City/State/Zip: 94J,z p /r D�p Al b 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 certify under1k pains and pe ties of perjury that the information provided above is true and correct. Si nature: p / u Date: Phone#• 6 0 b 1 a 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 11-22-06 www.mass.gov/dia THE The Town of Barnstable Department of Health, Safety and Environmental Services • A Building Division 1 10� 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration 7� 31aa(' ,3 - ,2a -49 Date: 3-a a -100 Name: c V (9 A Li c 7-0 Phone#: S0 9- 7 a 3 S Address: ZZ o-eeQ w oo d 'G)t I Village: �o-^ e r ui (I -1 Type of Business: <<-f' b 4S K e f S Map/Lot: A;, 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 is no commercial vehicles related to the Customary Home Occupation,other than one van or one pickup 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 undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: n cv aA r+ ? /J a�1.�Ili Date: 3 Homeoc.doc TO ALL NEW BUSINESS OWNERS Fill in please: APPLICANT'S ® ® ® ®® YOUR NAME: _ C?i��'v;4- � � �`` � t /f��gNe Ll (� A L10T� BUSINESS YOUR HOME ADDRESS: ? 7,. ti /� ti �a k wood (it C 01AP3 Z TELEPHONE � ;' Telephone Number (Home) �OY - 77 I 4-- ... .. .:; NAME OF NEW BUSINESS T;� RS S ITS TYPE OF BUSINESS '/F7 IS THIS A HOME OCCUPATION? �vE.S ADDRESSf OF BUSINESS.", . .. :MAP/PARCEL_ NUMBER 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. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor- Town Hall). 1. GO TO BUILDING INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) This individual has bygeon inform of ny permit requirements that pertain to this type of business. Au orized Signature COMMENTS: `�-�/��/ 7`T/ /�= 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMINISTRATION BUILDING) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature COMMENTS: After obtaining the required signatures you must return to the Town Clerk's Office to obtain your business certificate (cost $20.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you .,Spermission to operate -you must get that through completion of the processes from the various departments involved. Town of Barnstable *IHEr Regulatory Services 1% Thomas F.Geiler,Director Building Division 1ARNSUBM M"K g Tom Perry,Building Commissioner 0.19. �0 j°rEo t 9.t& 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Approved: Pee: Permit#: HOME OCCUPATION REGISTRATION Date: Name: \%cVaLL) W . GA-LLbTb Phone#: •5D8- �?a-'3S1 Address: 2 Z- 't>P-��W oob C-Xdi.n tw- Village: e&wTN"tVi Uo Name of Business: Type of Business: yiV-Q1jK 7.oS�i4ilwTio� + � uie�Map/Iot: ��Ol3oO3 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 prenuses 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 is 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 undersigned,have read and agree ywith �the above restrictions for my home occupation I am registering. Applicant: LOU, LJ /Q,6o Date. Id -0`I'S Homeoc.doc Rev.5/30/03 TO ALL NEW BUSINESS OWNERS DATE: loZ-0q Fill in please: _ N � APPLICANT'S i YOUR NAME: LctE2� W Cra LIc76 BUSINESS r, YOUR HOME ADDRESS: via 'bc=eQubo�,> CIeC.(&- So8 `�2n-�103 � � � �� �T�t/�l l�� m A y243.� TELEPHONE � sse 4� Telephone Number Home 5 ?90 NAME OF NEW BUSINESS t-:- VAz_vt>►'vt TYPE OF BUSINESS�5uj Al(-ETiori IS THIS A HOME OCCUPATION? YES NO 1h40_v VW5 Have you been given approval from the building division? YES NO L ADDRESS OF BUSINESS 2_2- >AIEot 000'�> CkyLL1 L -MAP/PARCEL NUMBER /(0 9 O 13 poi 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. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. —(corner of Yarmouth Rd. & Main Street) and you will find the following offices: 1. BUILDING COMMISSIONER'S OFFICE This individual ha een info d of any permit requirements that pertain to this type of business. uthorized Signature" COMMENTS: < Aj ��oc,cJ ��----e.. ,ram r'o c,�D�-7- �o 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: Business certificates(cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. "SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. QACONSUMER\Lois\CA Forms\newbusfrm.doc �' oiTME>o TOWN OF BARNSTABLE Permit No. © . ....... m BUILDING DEPARTMENT ' " t i Cash ...M.Q M 1 ' TOWN OFFICE BUILDING t ''Foal HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to David Rental Trust Address Lot #3, . 22 Deepwood Circle Centerville,, Massachusetts USE GROUP FIRE GRADING OCCUPANCY LOAD 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. April 2, 87 y L� 19................. Building Inspector THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A- I DATA 1'0)-N OE'BARNSTABLE, MASSA:HUSET,•5 1LDING PERMIT � DATE 19 PERMIT i..0 APPLICANT •' ' � ADDRESS (NO.) ' (STREET) IC0141 R'5 I1 CF 1151'1 ` J I` PERMIT TO IJ`1` 'y` '' STORY NUMBER OF (_) -� t'': DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED U5E1)' AT (LOCATION) t '1 � 1-� 1 '1 _V_ ! DI51 ONIN CI IN0.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: AREA OR }� 1,�!;.� '(.).Cl.•`• .i_... FEE VOLUME IJ.LO :i`G. i.L. ESTIMATED COST .� (•Ii„ fli PERMIT (CUBIC/SQUARE FEET) OWNER BUILDING DEPT. ADDRESS Li ��!E,`` ""�' 1, BY •/ /(,'� /.. 1 ® THIS PERMIT CONVEYS NO RIGHT TO, OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE . IN-SPECTIONS,REQUIRED.FOR I I PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: CARD KE.P POSTED UNTIL FINAL INSPECTION-HAS-BEEN ELECTRICAL, PLUMBING AND IMGDE. WHERE ?. CERT!FICAT.F.OF OCCUPANCY IS R_E-(.MECHANICAL IN-STALLATIONS. 2. PRIOR TO COVERING STRUCTURALl QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. - POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDIN CTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ell Q 7 Z 'Z 2 ik CC6_1� 2J 5 HEATING INSPECTIO APPRO ALS ENGINEERING DEPARTMENT i OTHER / U - iPL Cr- BOARD OF HEALTH 7 % - -s% Zs WORK SHALL NOT PROCEED UNTIL THE INSPEC PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SI,'. MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTIOr PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. •,AID (v�jN I ... a. kl oq2 ate � •fie- �T4 � z ; AIM ; PEC 1'vJ o v W1LL1AMC. yG GI!Q �riYE : �G ` p No. 19334 O �'STECEI4 T/FI E D PLOT PLAN � v zv�� s° I CERTIFY THAT THE FovODA-no1`1 LOCATION CC►.JTCC�.ViI.�.0 N( SS : SHOWN HEREON COMPLYS WITH SCALE 4- 0 DATE ;LZ=1 = g THE SIDELINE AND SETBACK REQUIREMENTS C!F THE TOWN OF PLAN REFERENCE F3HCu�sT,yg AND IS LOCATED WI�HIN. THE FLOODPLAIN, p(. •g1� 3S-� PG ��jj� ' '' " �"w DATE ! BAX R a THIS PLAN IS SNOT ®ABED ON AN TE � NYE, INC., REGISTERED LAND SURVEYORS INSTRUMENT SURVEY AND THE OSTERVILLE, MASS. OFFSETS SHOWN SHOULD NOT BE <. USED TO DETERMINE LOT LINES, APPLICANT I 041 Asse ffioe '(1st floor): ,c j SEPTIC SYSTEM MUST BE q� ��2/fl/ D N Assessors map and lot number ....... /�1.... ..... INSTALLED IN COMPLIANC Q�oF T E T°`♦ Bo a of e Pealth mit(3rd numberr• ........... ......1..��-..-...�.�... :. �� WITH TITLE 5 Sewage ��oIRONfwAENTAL CODE A BA]USTADLE, MAOEngineering Department (3rd' floor): 1+�1AIN REGULATIONS 'oo 39. kHouse number ......................................L :.Z Z `�o�aY a• APPLICATIONS PROCESSED 8:30 9:30 A.M. and 1:00%2:00 P.M. only TOWN OF . BARNSTABLE i BUILDING` 'I•NSPECTOR - APPLICATION FOR PERMIT TO .... Z) e o !Go C'i?�� /� iv��L� .......... ..... ...................... TYPE OF CONSTRUCTION Y... !n .... � in ............ ... .... ........ .............................................. r .......... ......?Z........................19......6 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location LO7..-3.... ...... /.. ..........� ProposedUse .:........................................................................:.......................................................................... Zoning District ......................................Fire District .....eE?iT-QsT Name of Owner v�. ....R��'Y. L......T.�c�ST....Address .........�A.! �Y.C�....................... Name of Builder G.....................Address . D Name of Architect .'............................................._..................Address Number of Rooms ..S'efi�'!�--....:...............................:.....Foundation �Gi.f!� ?'...>C�r% �.` ..:.....w�.=GS Exterior ���'$�.:.�.........!: .....?-S -� ... .....:.... ......f Roofing ...............�'f�dG ............................................ Floors ..... � ? T?.'��l ..............Interior ...... Heatingy.... Plumbing a/ .... -S........... ..!FF. ��C.C' BGGr� ..................Approximate Cost ...SGi•�00.:-.................:.:....... Fireplace ... ............................................................ .... . ........ � � Definitive Plan Approved by Planning Board _, _s ----------19 Area ....l. .�I�......x/......... . Diagram of Lot and Building with Dimensions �� Fee r..d. . .................... 8�SUBJECT TO APPROVAL, OF BOARD OF HEALTH -=- 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. Name ........... .. ................................. ....... Construction Supervisor's License �� � DAVID RENTAL. TURST W Yub318 11 Story , rmit for,Pe ................................... o1rigle Family DWelling Location ......Lot #3 , 2.2 Deepwood CJ-."-Cle ......................................................... Centerville .............. ..........I.................................... ......... Davi.d. Rent'al Truc,,,-'L-. Owner .................................................................. Type of Construction ......Frme.a ............................ ....... ............ ........................ ..................... Plot ............................ Lot'................................ -1 I Permit Granted .....Decei-Libe.....................r........2..,....19 S6 Date of Inspection ...... 1�1............19 a 07 orril6letecl ...... go Date C .............1 7. tJ Assessor's offioe Ust floor): I ETo` Assessor's map and lot number ............ ....../�.�....... ..... Q ` Boald of Health (3rd floor): �� o Sewage Permit number ........... ........................... .. i BARBSTSDLE, ! Engineering Department (3rd floor): ` °o M I Muse number ......................................6�... Z. b ... . :........... .....� APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... .......:>'!fo4�/Oeze?)........ .(/11, TYPE OF CONSTRUCTION ..........5e^47... '9 �G S/ h/ "_ �� ,�irli'� 4 ......................................................................................... ...._a.........................19.. 6 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location dCG7" ....�Pe?ecc✓ cad.... .i '..:...... ........ Proposed Use ..... .57-.. ...If.:......................................... Zoning District ........................................................................Fire District �EvT_ OS T Name of Owner .........6f5X!.�<v�C Name of Builder .v�� S'`.v�.G...................Address G..���d rc wivT�ivi? 41 ...................... .................................................................... Nameof Architect ................................................................ eAddress .................................................................................... Number of Rooms ... ..........................................Foundation ... .u� ... Gtil- .>.I— -.....cr!'s'!G_S Exterior ..e.0 ......Sfl�'v� loS.....................................Roofing ........ —` !fr9.�........................... Floors ....n � .PTi. .9..................................................Interior ...... C rieatin )f! - % .! ...��'°�`=J �.!. .....E3~'�r"` g .............................. °''� � �...............................Plumbing ........... ............................................... Fireplace .......���'� ............ !........... .. ............................................................Approximate Cost 8"G AGO..— I f P Definitive Plan Approved by Planning Board ____�.rl.. _A ___________19__�__i__ . Area. .......................................... h Diagram of Lot and Building with Dimensions Fee. ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 Name .................................................................................. Construction Supervisor's License DAVID RENTAh ]CDDS]C 8=169-i3 x St No .3Y��l8_ Permit for _.l �___o�l' ___ Siog�e �omiIv Dwelling .............§.incj ...L.ot...#3x^_.22_De od Cirole ` --------------------------' � ��m� --'D��nid 'Reot'aI Trust .` --' ___ Frame Type of Construction .......................................... , --------------------------. ^ ' P|c* ............................ Lot ----------' � . . Deoember 23, 86 ' Permit Granted ------------—]V Date of Inspection ------------lg Do*» Completed ------------'l9 / ` " ` ° \J �