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0100 ENSIGN ROAD
/�l� �i��r �7 � � � � } . �. ., .: � a o 9 _.� /ol�?/zo SCANNED Commonweaith of ` assachusetts _ a Sheet:Metal Permit Map .._ Farces BUILDING DEPT. Date: io/2wwo Perinitl#.10. 6 �ffq Estmated'`JobYCost; $;.1,000 ` OCT 26 2020 Permit Fee< 4. Plans Submitted: YES NO. _ TOWN OF BAR NSTARM Reviewed:: YES. NO Business Lieense.# 432 Applicant°License Business information:. Properly 0 per/Job Location Information Alec Mitsls Paul Roche 'Name:: . _ _ Name: ... . . _ . ,. . Street',;. . .30 Melissa Dr Street. „ 1on Ensign Rd West Yarmouth Clt�!/TOWZI Clty/,TOWI Centerville Telephone; sosa37-2o01 Telephone:, Photo I.D.requied/Copy of Photo l.D. attached: YES,x NO racr to;tiai J 1.1,M-1-unrestricted license J 2�M-2:restr cted.to c w,44 s,3-sfones;or less;and commercial up.:to 10 000 sq.;ft l 2 stories or less Residential: 1-2 family x Maltz-family: Condo F Townhouses. Other, Coiowmercial: .Office Retail Industrial: FducAilon; ,. Fire Dept,Approval Institutional. other Square Footage: under 10,04.0 sq It X 4ver:10;000 sq Al,_ Nuffiber of Stories: 'Sheet'metal work to'be completeds New Wgrk: Renovation HVAC x Metal WatershedRoafing . Kitchen txhaust System Metal Chimney/Vents= Air Balancing Provide detailed description of work o be done: Install New HVAC system located In the Basement serving the 2 zones.,[Zone#1 First Floor,Zone#2 Rasemant . E } INSURANCE COVERAGE: 1 have arcurren# insurance::policy or its equivalent whic Mdets the eA,Orements,of M.G L.Ch:1'12 Yes Q No. j If'you have checked;Ygg,'indicate the type-of:coverage by checking the'appropriate box.below: i A liability insurance policy xQ Other type of indemnity Q Bond i' OWNER'S INSURANCE WAIVER: am aware that the licensee does not have-the;insurance coverage required by Chapter 11l. the. " Massachusetts General Laws;and that my.signature on'this permit application�jyr&his requirement: Check One. ii Owner Agent;0.. i Signature of Owner or Owner's Agent i .i I i By checiang this bo>�,-"Ihereby certify fat all of the details and iifotmatlon 1 have submitted(or enteredj:regardtng than application are true and accurate.to.tttie ties_of my kriowtedge andithat All sheet nietai wio'k;and installations perfonnad under he perm!_issued far this.appttcadon,wilt be: in campiiance:with ail pertinent pravisfon of the:Massachusetts Building t^,ode and Ghapter'112 ofthe Gerrerat Laym Duct inspection required-prior In it installation Prg�ess rns�ee�ns; Date Comments: Comments 'n11insOgOOn Date Comments, Type of License:. ster. []Masfer• e§tricted pity Town. ... . ; pJoumeyper§on Signature of;lcensee Dennit# QJoyeyperson-Restricted. UcenSe Number., 423 Check at www.mass.aovtdtl nspector_Signature of Pe;mit Approval i w �. The Commo>zwealth.gfMassachusetts . Department of lndustr d Acdden&. Of,f ce of Investigations 600 Wash in Sheet; Bpstony&� Q2I11 _ -. wrvw.ma��gou/&a Workers'Compensaf�on l�surat ce Affidavit:B, tiers/Coll ac>ors] ecfzicaa slPlumbers An13]U=t Inforaamation ]Please Prinf-Let?biy Name'(Busn Org onfindividual}.; .. Alec.Mltsls •AddI• s— 30 Mellssa Dr 91f 3 $rat West Yarmouth,MA.02673 Phope_. 508-737401 Are yott'an employer?Check the appropriate:bow Type of protect(regnired :, 1 ❑ I ari a employer . ❑ I am a general contractor and I la s frill . art time)*s; Dave-:hued the sub-contracttins 6 Q New construction �P yee { and/or P - .: listed hed sheet 7 'Mode 2.❑ I aia a sole proprietor aspaZaerng - on�e'a#ac ❑ ' These sub-enactors.have S. Demolition shzp;and have no employees r . Q wo . or me f is cap employees and have,wad? - y acity:: co instrtance$' Q Bu�idttig addifioa '" jNo:wo�ce� co msursnc:e: mP • 5. :We are a corporation;end.its 10❑Ewtdcal repairs or addffi officers have exeicised their`= 3;❑ I am a homeowner aiomg alI work 11[]Rhmtbu%g repairs or additions `If o workers'ca nght.of exsmgtion per MGL:: gip` { ) i2.❑12oofrepairs. .. insuraiace t c. 152 h 4,_and we:have no req�ared�J• .` employees,.[No workers' goW;`mstuance regmred J 'Any applicant*atchecks box jj=' jA also fill out the sectionbelow showingtheirworlaxc'compensation policy inforaiatton t Homeowners who submit this affidant incating they are doing.all wouk and Bien biiE outside cnntsactars must submit a new affidavit mdcatiag such_. rContractora Oat cheek this box hoist attar3ied addihoffiI`slitet showing the>?uazre of fbe sub contiaators®id state whether dr not those tatitiea have employees ')f the sub ontiactois bavn C[oye ,9iey mnst.p;widt their wotl=I bi number.como p•;P ,03' tarn an employer than isproviding workers'compensation insurance f employees;. Below<ts the policy urcd job sue: ixformadon. Insurance Cempauy Name::: ...: Policy#or:Self ins;Lic.t. Expiration Date: Job Site Address: Gfy/Stata/Zig Attach a copy of tie workers'cotnpensatian.poIcy tiecsratiou:.page(showing:the policy number'and egpirahon date}: Fame to secure coverage;'as required under Section 25A of MGL=c. 152.can lead'to the Mposition of criminal penalties of a: fine up to$2,504:00 and/or one-year rmpriso�eni es.well as civz'1 penalties in the farm of a STOP WORK r6ADER and-a,fine of up I250.04 a day against thq violator.:Be advised dint a copy of this statnmerit may lie forwarded to tine Office of hov" ons.oftiie D e co verification I doherebf':certify:' P f Perjury f lmution:provuted above is true<areil correct thafthe;in o 20 Date. ph= 508-737-2001 OfQ`ic' use oniys Do.xot wrrte in thrs.area;.tb.be completed by city or.town of�ciaL City or.Town:: PermifilLcense _- IssiYiug Authority(circle one): :1 Bbard of Health.Z.$w7d><ng Department 3;City/Town Clerk 4,Electrical Inspector S.Plumbing Inspector 6 Other . Contact Person: Phone#: � QMMONW H ©FaMS�ICHUS ;< ' ,V: �� my OAI�DQ g ate. f� @ �. 'k�,fr � �` 41 DIN fEkTx METALNWORNEI IS t MLO1MNGrLCCENSE e +� w riAASl' R�I�PFF#E,TR�CTE�' a A XANE3ER,E MITS r' ;r Z30MEtMS&O"' WESTf�lIMOUTi;'IVIg1 "t63 r u x' r ANp 4SbQ f •:� .y.., h Ai.L :".e.. .'¢... ... sr ..._.. -' y '. �`+^ "A., n f"r...y �R4 ue..4 r:;:SY.'.`%. .r:+xKd{A,' .-a.• ... _.. '. ¢ t F ] L, .^` 30 Mel sso Drive 'Test Yarmouth,MA 02673 508-737-575i A&LHeadn& Coolin &Homelm rovements g 1� { Estimate For pgr103@'gmoil.com Estimate No: 2089 pgr103@gmail.com Date: 09/08/2020 100 ensign rd: Centerville f 617-318-.7395 Description Quantity Rote Amount 1-Carrier 59SC5BOS0 AFUE 96-5%high efficiency,furnace.with cased a/c coil located in the 1 basement serving the home on 2 zones. Zone 1.First Floor Zone 2.basement 1-Carrier 24ABC630 16SEER 410A outdoor condenser with pod,drain&.line Set included. add small return to the 2 bedrooms on the first floor *insulated galvanized sheet meta! *PVC type venting for high efficiency furnace. electrical work included. gas pipe,included. 10 year warranty thermostat included. 1 Subtotal TAX 0% Total Total f - 10/16/2020 62449196538 -ACBEACEO-D9B1-4B96-90AB-9665CO3FB843.jpeg a DCS of Cape Cod Inc Spray Foam of Cape Cod 9 Lodengreen Dr East Falmouth, MA 02536 October 15, 2020 Job Location: 400.Ensign Road; Centerville MA 02632 Job Description: " a Basement Exterior Walls: R21 Closed Cell Spray Foam Insulation 3 inches thick: Material Used Description: . Gaco One Pass Darley Costa Desouza, DCS of Cape Cod Inc. - https:Hmail.google.com/maiVu/O/?tab=rm&ogbi inbox?projector1 1/1 Town of Barnstable _ Building aARVST�IBLE. Post This Card So That..it is Visible From-the Street-Approved-Plans Must be Retained on Job and this Card Must�beKept _ - MASS $ Posted Until Final Inspection Has Been Made. � Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspectioon lias been made er i� _ . Permit No. B-20-1757 Applicant Name: paul roche Approvals Date Issued: 07/31/2020 _ Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Dater 01/31/2021 Foundation: Residential Map/Lot: 147-060 Zoning District: RC Sheathing: Location: 100 ENSIGN ROAD,CENTERVILLE ; Contractor Name:` Framing: 1 Owner on Record: ROCHE,PAUL G&ASSATLY-ROCH E,DIANE M Contractor License: 2 Address: 100 ENSIGN ROAD -- Est.Project Cost: $ 15 000.00 t Chimney: CENTERVILLE, MA 02632 Permit Fee: $ 126.50 Description: remodel basement Fee Paid: $ 126.50 Insulation: _ Dater 7/31/2020 Final: Project Review Req: _ i Plumbing/Gas . i Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. 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. 3 +. 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: 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 Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. 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 p�Si`° Final' (� S Town of Barnstable Building a » �s d �t. m — , auwaecc Post This Card So That rt is`V�sible From the Street Approved'Plans Must be Retairied on Job and this Card Must be Kept M" Posted Until'Final Inspection Has Been Made ' k 163A ea a Where a�Certrficate;of Occu an is Re wired,such Buildm shall Noti be Occu ied until a Final Ins ection has been made ` Permit �� q _. a I; .p.. P ., ._. w . Permit NO. B-20-319 Applicant Name: ALT CONSTRUCTION LLC Approvals Date Issued: 02/03/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 08/03/2020 Foundation: Location: 100,ENSIGN ROAD,CENTERVILLE Map/lot:, 147-060 Zoning District: RC Sheathing: Owner on Record: ROCHE, PAUL G &ASSATLY-ROCH E,DIANE M '~ Contractor.Name:: ALT CONSTRUCTION LLC Framing: 1 _ Address: . 100 ENSIGN ROAD Contractor:License: ;194702 2 CENTERVILLE, MA 02632 fr E ;Est Project Cost: $7,270.00 Chimney: Description: Reroofing Permit Fee; $37.08 Insulation: Project Review Req: s Fee Paid:` $37.08 f Date f = 2/3/2020 Final: Plumbing/Gas k Rough Plumbing: s .,Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six rnonths after issuance. All work authorized by this permit shall conform to the approved application and theyapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structureisTsQI be in compliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for in public spection for the entire duration of the work until the completion of the same. 31 :F g x` Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the 6' ilding and Fire Officals are°provided on this.Permit. Minimum of Five Call Inspections Required for All Construction Work:! Service: 1.Foundation or Footing g > 2.Sheathing Inspection Hn * Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough`. 6.Insulation 7.Final Inspection before Occupancy. ` Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons e�'ir' lmet. With unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department `f Building plans are to be available on site Final: � � All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Application number.......8.�®......�.I.�............ S� TOWN OF BARNSTABLE Fee .3T.0$ 1 R i► s" ' ` 2020 JAII 31 AM 00 Building Inspectors Initials............ ...... Date Issued..................... r Map/Pa rcel............�.:T. .. ..................................... ]VISION TOWN OF BARNSTABLE SCANNED EXPEDITED PERMIT APPLICATION: FEB 0 3 2020 ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: /C® 67 S /"f h /'J. CM&r y pp NUMBER STREET VILLAGE ,/0 Owner's Name: Q w Phone Number Email Address: J�®� w a-i r� ('icy 04 Cell Phone Number Project cost$ 4240. 00 Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize ' -a,,�. r A-ra o to make application for uilding/p'e ordance with 780 CMR Owner Signature: �� Date: G Ze TYPE OF WORK 0 Siding 0 Windows (no header change) # 0 Insulation/Weatherization ❑ Doors(no header change)# Commercial Doors require an inspector's review E�(Roof(not applying more than 1 layer of shingles) Construction Debris will be going to 6_0G 4_o re s_4 r l, Ale S 4 . t LW®u-(� /MN 0,2 6 2 CONTRACTOR'S INFORMATION Contractor's name CM TKUC, 4�i��1.vi/`e C-,4, Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# (attach copy) Email of.Contractor a— ar�Ph ne number 5" 8-36'0-I39 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 ARS OLD OR IF THE SUBJECT PROPERTYES IN A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. r APPLICATION NUMBER............................................................ 4" *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. %K Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 201bs. or> Yes No ,if yes, a gas permit is required. Natural Gas Yes No , if yes, a gas permit is required. If food is being served at.your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side ' ~HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number C� / s ���� y(� or Work number S� 2 I understand my responsibilities under the rules and egula ns for Licensed Construction Supervisor in accordance with 780 CMR the Mass husetts Sta Building Code. I understand the construction inspection procedures, specific ' spections and documentation required by 780 CMR and the Town arnstable. Signature - Date APPLICANT'S SIGNATURE Signature Date �Lo All permit applicatiVsare subject to a building official's approval prior to issuance. Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration 1 i Type: LLC 12 Registration: 194702 ALT CONSTRUCTION LLC - r Expiration: 02/28/2021 22 HORSE POND RD W.YARMOUTH,MA 02673 f a IV 4 r SCA 1 20M-OS/17 Update Address and Return Card. ie ' V�sze (pa�mm..o�zusea�,(�a�C/vGciGdae/iueelt6 - Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE;_LLC before the expiration date. If found return to: Registration" _ Expiration Office of Consumer Affairs and Business Regulation 194702 02/28/2021 1000 Washington Street-Suite 710 ALT CONSTRUCTIONOMI Llhi Boston,MA 02118 ALIAKSANDR TUROCU--==-w Vo C 22 HORSE POND RDa+'� U 1 W.YARMOUTH,MA 02673 Undersecretary Ot valid out signature Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations.and Standards ConstructiC-+% or Specialty CSSL-106160e' �- gpires:04/14/2023 ALIAKSANDFJG TUyRA ' 20 HORSE POYD A + n WEST YARMOjJTFI '. ?j 3� ,Commissioner f r 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 9 Applicant Information J�/ /� Please Print Legibly Name(Business/Organization/Individual): <Jt L / l�C n Address: City/State/Zip: k/ r'.cty o /bf(226-Phone#: SO� �- Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with d, 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 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 tY• 9. ❑Building addition [No workers'comp.insurance comp. insurance.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: right of exemption per MGL 12.6Roof repairs insurance required.]t c. 152,§1(4),and we have no .. . employees. [No workers' 13.[1 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: �'s�I&rtl 1n� �fjvd/� lam• Policy#or Self-ins.Lic.#: '�G D��/ .�i�i'/a Expiration Date: (2- /D � Job Site Address: 7�[� �- �� r �2 jl��l'/1e�l��� City/State/Zip: 1�4P��!G IX 0;6 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 under airs and penalties of perjury that the information provided above is true and correct: Signature: Date: O Phone Off 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#: n Information and Instructions Y 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-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 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 bum 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 Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia I Construction Supervisor Specialty Restricted to: CSSL-RF-Roofing Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call(617)7273200 or visit www.mass.gov/dpi �1� Y 3 � ? Y " � dv:e i x Fy .L j `WORKERS'�COIWPENSA714N#AND EMPLE?YERS aA$IL#TY,IN�URANGE POL#CYO. ' , . � ,t Information°Page w :_ Atlantic Charter Insurance Company VDAC NCCI Co. No. 29211 Policy Number WCV01420401 1. INSURED: Prior Policy Number WCV01420400 ALT CONSTRUCTION, LLC Producer: Eastern Insurance Group, LLC 22 HORSE POND ROAD PO Box 79398 WEST YARMOUTH, MA 02673 North Dartmouth, MA 02747 Federal ID Number 832032890 Business Type: Limited Liability Risk Id Number:' SIC 1521 236118 Residential Remodelers Other Named Insured: Other Work Places 2. POLICY PERIOD: The Policy Period Is From: 12/04/2019 To 12/04/2020 12:01 A.M.Standard Time at The Insured Mailing Address i 3. COVERAGES: i A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here:MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 1,000,000 each accident Bodily Injury by Disease $ 1,000,000 policy limit Bodily Injury by Disease $ 1,000,000 each employee C. Other States Insured: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B D. This policy includes these endorsements and schedules: See WCE105 4. COVERAGES: The premium for this policy will be determined by our Manual of Rules, Classifications, Rates& Rating Plans.All information required below is subject to verification and change by audit. Code Premium Basis Total Rate Per Estimated Classifications No Estimated Annual $100 of Annual Remuneration Remuneration Premium See WC 00 00 01 r Minimum Premium: Deposit Premium: $575 $7,409 Total Estimated Premium $7,175 Interim Adjustment: Annually Surcharge(s) 234 Servicing Office:. Total Premium'and Surcharge(s) $7,409 25 New Chardon Street Boston, MA 02114-4721 Issue Date 11/26/2019 Countersigned By: -_ - ----- -_ - --Date - - - p— ------------------------------- -- — ----------- --- -- -- ---------- ---- - ------.. Copyright 1987 National Council on Compensation Insurance - Form:100mvnt4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map _Parcel 44n ' Permit# Health Division 0XP Date Issued 0 qlbq Conservation Division A o� � P' 5 4 Application Fee Tax Collector Permit Fee ) 2_1 le Treasurer � ' ?V I S101N C$Y3TENI Mfg- Planning jNSTALLEID.IN_COMPLIAN Dept. WITH TITLES,. Date Definitive Plan Approved by Planning Board 6MOONMENTAL CODE A98 TOWN REGuLA Tops Historic-OKH Preservation/Hyannis Project Street Address I®o Village Cey4erlij i II e_ Owner Ll) r Y I&m �O a, j C Address 180 Cu y-a e + o be A Telephone 781- .3 a ( - 6 S g S Permit Request gewtn ue- l()� i( SclRPe1q e& I hl o rc Ja QA a rnn m (v a -I-k 6 X 1�Neck W s Lo 9 v-s Amigo o N o > L } Square feet: 1 st floor: existing proposed V6 2nd floor: existing proposed Total new h R 9 Zoning District RCS ; Flood Plain No . Groundwater Overlay Project Valuation 3©,©env Construction Type Loon Lot Size ��7 �� lam, Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing StructuresJQ VroLrSHistoric House: ❑Yes C o On Old King's Highway: ❑Yes 943 Basement Type: Ill ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 1 A new Half: existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing .5 new First Floor Room Count Heat Type and Fuel: VG-as ❑Oil ❑ Electric ❑Other Central Air: ❑Yes lKo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:lrleo�isting ❑new sized Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use IqIM. tt BUILDER INFORMATION Name- ReVC.,) �I�fGI� Telephone Number A"®g Pol Address A 6 License# C 15 0 53 Home Improvement Contractor# wt br _ Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO J _F7 l 01.1 SIGNATURE DATE FOR OFFICIAL USE ONLY 1 PEEMIT NO. J DATE ISSUED r r , MAP/PARCEL:NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION its © I lm ,04 FRAME QYK, INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL' PLUMBING: ROUGH- M FINAL M GAS: ROU( I FINAL co m FINAL BUILDING 5 DATE CLOSED OUT _n p O ' }.*w cs "i S ASSOCIATION PLAN NO.M, S ' - J I RESIDENTIAL BUILDING PERMIT FEES f APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 Alterations/Renovations $ 50.00 ` Building Permit Amendment .$25.00. FEE VALUE W.ORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= �fS d x.0041= q 70 plus frombelow(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&.detached) square feet x$32/sR.ft.= x.004.1= ACCESSORY STRUCTURE>120 sq:ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit square feet x$96/sq.foot= x.0041=. STAND ALONE PERMITS Open Porch x$30.00= . (number) . Deck x$30.00 (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost 7VO CMR Appeed8c J Table J521b(continued) Prescriptive Packages for Oae and Two-Family Residential Buildings Heated witb Fossil Fuels MA)dMUM MINIMUM Glazing Glazing Ceiling. Wail Floor I Basesaent Slab HeatinglCooling Area'(%) U-value= R-value' R value4 R value° Wall Perimeter Equipment Efficiency' Package R-value' R-value' 5701 to 6500 Heating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal . R 12% 0.52 30 19 19 10 6 Normal S 121% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 NIA NIA Normal U 15% 0.46 38 19 19 10 6. Normal V 15% 0.44 38 13 25 NIA NIA 85 AFUE W 15% 0.52 30 19• 19 10 6 85 AFUE X 18% 0.32 38 13 25 NIA NIA Normal Y . 18% 0.42 38 19 25 NIA NIA Normal Z 18% OA2 38 13 19 10 6 90 AFUE . AA 18% 0.50 30 19 19 1 10 6 90 AFUE i 1. ADDRESS OF PROPERTY: V\S 1 6 /d R�L Cev�-�e N711 t M CL 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3q�{ 3. SQUARE FOOTAGE OF ALL GLAZING: 0 4. %GLAZING AREA(#3 DIVIDED BY#2): � 5: SELECT PACKAGE(Q—AA-see chart above): �.. NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS. ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table JS.LM a Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to I%.of the total glazing area may be excluded from the U-value requirement. be excluded from a building design with 300 fl of glazing area. For example,3 ft of decorative glass may 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the.National Fenestration Rating Council (NFRC) test procedure; or taken from Table 11.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling.R values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation.thickness over the exterior walls without compression, R-30 insulation may be substituted for R-3 8 insulation and R 38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywall.For example, an R 19 requirement could be met EITHER by R-19 cavity insulation OR R 13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The* floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as .above-grade walls. Windows and sliding glass doors of conditioned d with the other glazing. Basement doors must meet the door U-value requirement basements must be include described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes electric resistance heating use compliance approach 3;4, or.5. If you plan to install more than one puce of heating equipment.or more than one piece.of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. For Heating Degree Day requirements of the closest city or town see.Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R values are minimum acceptable levels. R value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b:If a door contains glass and an aggregate U-value rating for that door is not available,.include the glass area of the door with your windows and use the.opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with insulation levels,the component complies if the area-weighted average R value is greater than or equal to different uns -wei ted.avera a U- comply'if the area gh g _ requirement for that component. Glazing.or door componentsp y the R value requu P value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). AI i .- ._.. ._ ---- ------_ BOARD`OE!BU4�Dl1Mr REGULAI©NS License- CONSTRUCTION SUPERVISOR Number. 053837 Siet, .., 954 �j Tr.no: 715.0 t3 RIC:HARD C LYN It 86 ENW,60RE) CENTERVILLE, MA Comrnussiorier rl ;/fae iJdrx �a� o��opc�u�,C�a t .1I Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR. Reg�sfrefio a ,=112676 Exg1i anon '411,,512005 i Y RICK LYNCH HQME 1MPf�?VEMENTS 'I RICHARD LYNCHti1R 86 ENSIGN RD. 632 Administrator CENTERVILLE,MA 02 Town. of Banistable pegdatoxy Services Getler,vreetor 9� s639• h1� Budding DfY OU '�rFD MAC TomPer* Building Commissioner . 200 Main Stree# gyan%MA 02601 •• �,ta�n.barnstable.maus ,-- Fa�cr 508-790-6230 pffice; 508.861-4038 Property owner Must - _ Complete and Sign This SectiO` _.. • if Using ABuilder MD-,4 �..-.�_vt;aassJpwner of the subject property �i A "^ _... . 1 GEC L- to act on mybelialf;` _ hereby authorize Je _ matters relative to work authorized by taus building perrr"•t application for m all -- .. 2 DC P% 7 L v( t tAddress of Sob) AA' Vv� Date. Si nature of Omer W � LC,Ikm c wv ft f — �riat Name The Commonwealth of Massachusetts . — Department of Industrial Accidents' - 660 Washington Street Boston,Mass. 02111'. ' workers, Com ensation.T.nsarance Affidavit-General Businesses �a �InS\t� to .. ••• �` /� ^'t eY eJ I. '� r state Y r i�► zip C� yhone# ���' off�s -R�9 l work site location fall address : }d' fly am.a sole proprietor and have no one Basin 'spec [Retail❑Restaurant/Baz/Sating Establishment working in any capacity. [.Office El Wei(mcluding•Real Estate,Autos etc.) ❑I am an ern toyer with eta to ees(full& art tim ❑ OtheT t t%//////1%%/%/ I am an•C]PIPloyer providing wrkers' compensation for my employees worlang on this job. .r�\t '..ti t'el:tl:s: .. •}• •'�4 p•r'•.t:'S:.:;' •;tt;,'.ri. ti ,;:.,..ii ,7•I:r .�% _i Sri '' „^_(,. .'f �.t.\ r'•1'' rt•:t..� �. 1•-• :ti�,.!'I?' :i• :,;,-ti�}�r;: �.. . •.�t , is :l r. .'(�.::i.; '`'%``�.` ?• , , •..r •, ;f::•fri,•�' '' ' .•1.}::' ��. •':=:�i 5:�:L•f, n•Ti. ''7.:, _f•,;i,. .\, f, •,. •1. t t. 'i.. '�•.. -1' •'t'.i: t ••r:r• .i :L: f •1' t. ',y1� Y^ r�•^ 'L r• .i t� '}• ••ti•in%!:<::k:'.. O11C. •tT� �•'•r }iris ;:a: PER / MUMMEN I am a sole7�07ieTr2/13d hsve hired the independent contractors listed below who have the following workers' .compensation polices: , t'.t: ::S!'•7' - 't4:}-' ;4• :'t 1..'i t!s .F:', .:tv•.�y+::: :,rX']y•n'w..it'.:rti•,. :^.::i: •, C O°mean 'nflIITG: �. ./. •.v ,:}i•! ,1•.a'.�i:.�,,. ::l.r.fr ,'t;.,+� '1: �' ... .rf...!'.' s;.^?��':-'i•,���.:-•.r�•,�s-,•(3+^: .. �' ••rI'L 1 ,fr' :6;t•� 'Ir. ','!' ij:.;�%. .I '1 { {' t•� •j,,•• : :l.• .t. e&ress:. \',t�. .k.'.:�' .tN �7•°L•: AI 'I.. .rt:�::? \:.t•' r�• .1yi• ..,.;, •..t.•r..�.t'•�•f•? :,�: •{~l Cl *;Lt:S"` it::}„ 5::. .g.;a!{.:•• :'. :t.ti^` l:Z ` t :i'•' .1• 'r„•. =l..t;e:'t.•1•,:�• .•+".!. '•.r, t • '-. ,• l,::i° ., rwh'+•�'. '.' 't -:��' •:.y,l�• 7:1.. :'r:• r,.tr'i`"•-D�:• :i`r • •:7'. _+.•,. •.�•t•, ,r,, ce'co. .{% ijYil '{,. a•.�' ' C; •:+,•/ ,ti.n. •.bt•.'• :F�� r-:'•.' Vr.• JSdi. •}Ct• coin eri. rieate� '� t { addf6s:. .;�,yy.. —yM1 ,:r- '�•^.:t:+ ?:'t :i.J• r.St ,: ,1,..;• •-Iri•.':' •:-�' .t:••:' •:�;�.; t . • ,'��'t �;•:,. ::l., '/:: •t . Y .:Y. •,t;..,' it•�•r. ��,.i�t�:t•ie:• ,�'�• t �,:t:.," •f�-. �•� t:'•••t' r.•'• :ri:t •;j!t" {.''� iti..•:S }rt:l,,{� f•` !:t'. in's'urence:& ON a fine up to 51,500.00 and/or Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of one years'iraprtyonment as well as civil penalties In the form of it STOP WORK ORDER and a fine of$100.00 It day against me. I understand that$ COPY of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do here y ce : 'u er ih ins d p n ties of p r u hat the information provided above is true and correct S tare _ . Date So 1 0 Phone# • Print name official use only do not write in this area to be completed by city or town official ph�- city or town: permitlliceme ❑Building Department ❑Licensing Board ❑•check if immediate response is required ❑selectmen's Office DHealthDepartment , contact person• phoney; ❑Other (revved Sept 2003) Inforrriation and Instructions. 1 ers to provide Workers' compensation for*their. Massachusetts Gefleral Laws ch4 Ater 152 section 25.requires all ens. �mployeeS: quoted from the `law", an employee is.defined as every person m.the service•of another under any contract of hire; express or implied; oral or written. : individual,partnersh An em Zoyer is defined as an ip, association, corporation or other legal entify, or any two or more of p d including the legal representatives of a deceased,emp the foregoing engaged in a']oint enf rise, an loyer, or the receiver or to ees. 'However the owner of a trustee of an individual,P��'s�p'• association or other legal entity, employing emP Y dwelling house `�g not more than three apartments and who resides therein, or the.occupant of the dwelling house of another who erriployspersons to do.maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such.enTloyment.be deemed to be:an employer....: MGL chapter 152 section 25 also'staies that'every s-tate'or local licensing agency shall withhold the issuance or renewal of a license or p ernut to operate a business or to construct buildings in the.commonwealth for any applicant who has ' ce'of.comp 6ither the the insh not produced acceptable evidentical subdivisinci a with hall enter into any c htracgfor th performance of public work until commonwealth nor.any.of its political acceptable evidence of compliance with the insurance requirements.of this chapter have been presented to the contracting authority. Applicants dx that Please fill in .the workers' compaplies-to your tttiation.:Please ensation affidavit completely,by checking of insurance as all affidavitslmay be submitted e b supply company name, address and phone numbers along with a certificate to the Departrnent of In 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 regardin 'the"law" or if you are required to obtain a workers'-compensation policy,please call the Department at the number'listedbelow. City or Towns . Pleasebe sure that the affidavit is cbmplete.and printed legibly. he Department has ouse aiding the applicant Please of the affidavit for you to fill out in the event the Office of Investigations. y g be sure to r YP the Perrrnt/iicense number.which will b�e used as a reference number. The.affidavits,rnay.be-returned to the Department bj�,n?�or FA?X.unless other:arrangements have been made. : The Office of Investigations would ae to thank you in advance for you 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 6f�ce o[�i>fesff�atiens . 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext-. 406 of E bwa. of Barnstable . Regulatory.services Thomas F,Geller,Director v°oA s63g• k,+ Buildfng DIvisian • Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508.862.4038 Fax; 508-790-6230 • Permit no. . Dad AFFmA'YZT . HOME UOROYEMENT CONTRACTOR LAW SUPPLEMENT TO PBPW=AXPLICATZON a.142A requires that the"reconstruction,alteration,,renovation,repair,modernization,conversion, •ioaproYement,removal,demolition,or construction of an additionto any pze-existing owner-occupied biding containing at Least one but not more than four dwelling units or to structures which are adjacent to •• such residence or building b a done by registered contractozs,with certain exceptions,along with other requirements, Or Type of Wank: /Q D 0 M t� 177 n/• r- A-Z)P 177 n&JEsti=ted Cost /15,OD Address of Work: 100 E:AfSI G Al A--P, C C A17-CAVI LLB ✓AIV OZfo�3?i, Owner's Name; ul l L L VII-1-4 M T/L o`I—G'Ali)A Date of Application• �0 ' • - , __. I hereby certffy that: Reotration is not required for the following reason(s): []Work excluded bylaw []lob Under S 1,000 ❑�B ' ding not o•Qvner-occupied ' I?Uwner pulling own permit . Notice is hereby giYen that: • 0yMPS PULLING THEIR OM PERMIT OR DEALING WITH UNREGISTERED CONTPUCTORS FOR A.TPLICAB„d HOME IMPROVEMENT W O1ZK D 0 NOT HAYS ACCESS TO THE ARBITRATION PRO GRANS OR.GUARANTY FUND UNDER MGL c.142A, SIGNED UNDBRPENAUMS OF PLRlURY Ihereby applyfo=apermit as the agep Data C°ntractor IVam Registrationl�Io. OR Owner's I�Iame . ' r MORTGAGE 1 N 6 F L L I 1 UN r L U I r . L Air 14 y � ROAD R• 839.2g+ 6 00 9,p•+ 'r 22.0'+ Rn 12T�.11 � IV 4 . v O * n 3+ �y S�VRY FR'�hFp M o c 33.r 'v% ICY, t� N ,p +1 O N N i L oT 11 24.p3 S c. a I e I S nh .nP _T_ Sipgl . Jr_ A REGISTERED LAND SURVEYOR, 00 HEREBY CERTIFY THAT THE ABOVE MORTGAGE INSPECTION . PLOT PLAN WAS PREPARED" FORD CONNECTION WITH A NEW MORTGAGE AND IS NOT INTENDED OR REPRESENTED TO BE A LAND OR PROPERTY LINE SURVEY-. NO CO�ERS WERE SET. IT CANNOT BE USED FOR ESTABLISHING FENCE, HEDGE OR BUILDING LINES. NO RESPONSIBILITY IS EXTENDED HEREIN TO THE LAND OWNER OR OCCUPANT. IT IS NOT INTENDED TO BE" RECORDED. �61 ` `S e-wl 0 •XISTr � � _ LS2 is SIX t56 i t 7:s 5 to l40 IZ-N5\GR R®, Cev4 pp ®® Owe' I�i' o1/'11tlT /� ` K! (hJ \- 3/u ls� 1 W i rSotst, 11 l ANY CONSTRUCTION THAT INCREASES LIVING SPACE �X Xd f , j� � 5 (a 14 ova 0 -sd�^.0.'TL-) bee P - BEYO�Ip 1200 SQ. FT. PER LEVEL MAY REQUIRE THE �lec.'l�., ^I �G r INSTALLATION OF ADDITIONAL SMOKE 'DETECTORS. a2X IoZ NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE Rove �- 1� �i �.��"('� � I � INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL 3 0-10 c t� a X a K��.,tZ n o PERMIT DOES NOT SATISFY THIS REQUIREMENT. fiw �S`f qx _ S I � v.� , Qerrv�,o 54:e� c�s G 5 � i SMOKE DETECTORS REVIEWED 4 54 ,- 4� BMEBUILDING DEPT. DATE - • k=T6, FIRE DEPARTMENT DATE i BOTH SIGNATURES ARE REQUIRED FOR PERMITTING \\t C K 1��I H r n E �v✓<Q ' 5o0-�aa- 9311 Assessor's-map•and lot number .... .... . . ................... ..`...... . / OV N E T� AwQb �4 Sewage Permit number :�. .......... ..... . d Z EAEHSTLBLE. i House number ..........Al ...............................:............ y0 MA86 p 1639. \e0� o mo a. i TOWN OF BARNST,ABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO N��CU S ,�£ �'/� G!/ S(f/2 E£NS .................. ................................................... .............................................. TYPEOF .CONSTRUCTION .......... .......................... .........................................:........................... 17.....��.... .s�...........19...4... TO THE INSPECTOR OF BUILDINGS: _ The undersigned hereby appliesJGf a permit/ar g to the followi formati a . . Location .- -� .. .......................................... ProposedUse .................................. .............................................................................:..................................... ZoningDistrict ..... .�...�.....................................................Fire District ....... ..�.`-..D:...................................................... Name of Owner k�.c%..(/ rr�O./li...f � 9N. -............Address ......................Sa. �; ........ .... .. . ................................... Name of Builder ...... ............................................ ..........`.............................. .Address .................... ......... ............................................. Nameof Architect ....................................................................Address ...................................................................................... Numberof Rooms ....................................................Foundation ..........................................................................:... Exterior ..................................:.................................................Roofing .......... ...... Floors ......................................................................................Interior .................................................................................... Heating ................................................................................:.Plumbing .............:.................................................................... Fireplace .:...............Approximate Cost ..... Definitive Plan Approved by Planning Board ---------------_---------------19_______. Area .......................................... 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. Name .9:.... ...x .....r-C Construction Supervisor's License .................................... tiLEBLAC, J. VICTOR, 25004 REEN PORCH No .....;a.......... Permit for ................... Single Family Dwelling ........... ................................................................. Location .....10.0...E.n.s.i.qn...Road Centerville Owner.. Victor.. J.:...LeBlac .................................................................. Frame Type 6f Con�struction .......................................... ................................................................................ r4 Plot .......................... Lot ................................. 'Permit Granle .Ap.ri 1...2 6......... 83 + d ..... .... .. .......'19 Date of Inspection .......................................19 Dcite Completed Ai. 1�......... 19 Assessor's map and lot number ..............�!.. . THE r0� Sew:be Permit number ............. ..... .: ...........:........... ./ �� d�' � y� BABBSTABLE. i House number ........../.............................................. ._. .... y MA$& TOWN OF BAR .STABLE .4 BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ..................................................................... ,...::::...::...............................:......:.. i��L ,� , �Jr� ';1U6. TYPE OF CONSTRUCTION .............................................................. ...............................................:.................. ' :....a. ..........19..�� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies or a permit acc^rc ng to the followi g-informati ' Location ... � ............i...../v XW..... .. .. ...... .......(. ....:. .. r... .................................. X ProposedUse .................................j............................:............................................................................................................. Zoning District ... .R..r....................................................Fire District .......C... 0.............. 1! .................................:', Name of Owner .. r..!!`C7U ...f1.fiBMAIC................Address ...................... .....1. ... ....................................... Name of Builder .Address ` Nameof Architect ..................................................................Address .... ......................................:......'......:........................... Numberof Rooms ..................................................................Foundation ...................................................:.......................... Exterior ::...:......:.................................................Roofings �/ . ............. ............................................. ...... ............. Floors ...................................Interior ........... r� Heating ..................................................................................Plumbing ......................................:.:......................................... ........................................Approximate Cost Fireplace ...........:.............................. pp ............�;,r .:.:� i Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area .......................................... Diagram of Lot and Building with Dimensions Fee, .!... SUBJECT TO APPROVAL OF BOARD OF HEALTH A 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 LEBLAC, J. VICTOR A=147-60 No 25a004 Permit for .SCREEN PORCH S4 ncf1e Family Dwelling �K i Location .100 Ensig n Road ..................... ........................................ Centerville Owner ..Victor J. LeBlac .................................................... Type of Construction ..Fr,4mP........................... Y Plot ............................ Lot ................................ ` April 26 , 83 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 E TOWN OF BARNSTABLE . Permit No.• -------------- - 1 ���� Building Inspector cash ___-- riva OCCUPANCY PERMIT Bond _ No building nor structure shall be erected, and no land, building or structure shall be J used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Greenbrier Corp. Address Box 510, Centerville f lot #11 1 10Q_Ensii=n Road. Ceatervi.l le \\6 Wiring Inspector �-,�', /f� Inspection date Plumbing Inspector/r ,-' � �-s... Inspection date Gas Inspector( � �_ ! Inspection date -.7 d A 9 r A,/ Engineering Department ]� Inspection date�� �jf ' " fi THIS PERMIT WILL NOT BE VALID,SAND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. xr-49,1,11/I r ......... .........-----------------....11..�---------...._.._...._._..__ Building Inspector a r1^ p , T N _ �, , O�� 9. '4s ca,00 0 Z.9 793 SF , + o N _ ,F 7c�EC F. F S: I'rk( � tNOF��ss CERTIFIED PLOT PLAN NEW CONSTRUCTION ONLY �. s yrV/�L�. 29874 Q TOP OF FOUNDATION ' FEE Fc�sr��,�o� IN ABOVE "LOW POINT OF ADJACENT Nn suRs�y �AAA TAAg:4NASS* ROAD. r •SCALE: / '^Zpi -DATE: LD EDGE ENGINEERING COIN I •CERTIFY THAT THE �uNDNT/D\J' CLIEN ST SHOWN ON THIS PLAN IS. LOCATED E D EGIST REGISTERED JOB NO. ON 'THE GROUND AS INDICATED AND CIVIL I LAND `3 ENGINEER SURVEYOR DR.BYEM CONFORMS TO THE ZONING LAWS ---- '-- OF .BARNSTAQLE MA CH.<SYs _....R ,. 71.2 MAIN "STREET .02.0482 H YA N R I S, :M AS S. SHEET_L OR' DATE R AND SURVEYOR, � U _ Assessor's map and lot number ....1�.,..r,/..,.....40......... ' n/< f?NET t 3/3 o 0 Sewage Permit number SYSTEM.�..�. SEPTIC MUST 9 t BiaasTanrE,.' House number .... �Q.. ................................................... e. I 11 ���,EI k_ m r NAB IL INSTALLED pi I���� M WITH TITLE °°Ai�aMAYa�e� , ENVI TOW OF BAIL. O � � D:UILDI ' INSPECTOR APPLICATION FOR PERMIT TO �'0 ( �`,.................................... .... .... . .................. .......... ...... ................................... TYPE OF CONSTRUCTION ............................I................4 ®........::..... '''.. `.................................... ........... .. 147. 9. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies rr for a permit according to the following informati n: / 't, Location .......................:. ..1. (........ .4c-::to-9 1 G..�.........(.�.....�.�!� � '.���.....(!{'✓�... .`` .. .. .. .... ProposedUse .............................. .��y .(:.�........ e ............................................................................... Zoning District ...........�1... .................:...........................Fire District .....:...j .. ... ..r- ...............................`..... Name of Owner ........��' wS6: .....`.`����..Address ...:....... .0 ...... �.. ..... `.-vt�4�e�r�. Nameof Builder• ..................... .. ..:!;:: .....................Address ....................... .........`./......................................... Nameof Architect ..................................................................Address .................:........:.............................:........................... Numberof Rooms ................jl!:�...........................................Foundation ............................... .. ........................................... Exterior ................... ............Roofing .............../.....5,�...... . ..... .. ...........: ...t(� "�'► . �. Interior .5.. ,+.�..(! v !............... Floors ............. ........ ................................. ......�.... ...................... Heating .X...... ...................................Plumbing . `.! ,........... Fireplace ................................�...........................................Approximate Cost .............. r .v..................... Definitive Plan Approved by Planning Board __________ _ ---------- 19 Area ....�` ��1 / .............................. Diagram of Lot and Building with Dimensions [ vD� 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 Bar regarding the ab construction. Name ...............�.............................. ... ........................ GREENBRIER CORP. 23847 One S o?�y 0 ................. Permit for ......... ... Bingle Family Dwelling................................................ 4 Lot #11 100 Ensign...+`�99,d Location ................................................ . .................Centerville.............................................................. Owner ....Gre.enb.rie. ...Co��p .................... ....... ....... ........ Type of Cor�struction ......... ..FrA.....me......................... ................................................................................... Plot ............................ Lot ................................ Permit Granted ...Marc Z....3............. ......19 82 ..... .. .... Date of Inspection ....................................19 Date Completed/...... .............. 19 Assessor's ma and lot number ... 22 p ......:....................::............ f THE Tp� Sewage Permit number �� `� ' Z BAUSTADLE, i House number ..... '! i../t) ........................ 90 MU& i639 9� �FG YPY A TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ..............................................�.................. ............t..............................:...'...... TYPE OF CONSTRUCTION ..............................................0...... ..............t'f ..^....`.............................................. ..............`-!r" ......:'............ .....19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according tof the following information: r Location .......................... f ..f ......... - !. .: . .. '......... .`.� ......C. �: t�+lt�1...-c.....?..:" ... ProposedUse ...............................5..'..... ........ .'` '....:....`.t ............................................................................... Zoning District ............ Fire District ............ .....~... ... .� r� �l ?t`r'�, 3l tr t tti 0 k 5-I � Nameof Owner ................................ . ..................'..t....Address ......................................................... E c"+ Name of Builder' "r-.....................Address ....................... ................... Nameof Architect ..................................................................Address ............... ...................................................................-;;, Numberof Rooms .................,..::............................................Foundation ...............................:...........AU................................... r Exterior ...................(....... %... ... . ' Z ! .............Roofing <. ,r� i Floors �-(... }?Z a � -f t� frCi �1 ...............................�_.. �.........Interior .................................................... r .. ....................... Heating .................. 1 .. ... ...... ..................................................................Plumbing .................... ' 't Fireplace Approximate Cost "" Definitive Plan Approved by Planning Board _________ __ ______19__ Area .......................................... 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. '' r Name ..........���/............................................................. GREENBRIER CORP. A=147-60 , No 2.18,43 One Story Permit for .................................... S.xn .. le Famil Dwellin............... . .......................................... ............... Location L. ....ot #11. ......100. . ....Ensign. . . . ...R.Road .. .... .. .... .. . .. .... .. . .. .. .... Centerville ............................................................................... Owner G.reenbrier. . . . . ...Corp. . ....................... .... .. .... .. .... .. .. .. .... . Type of Construction Frame ............................. Plot ............................ Lot ................................ March 3, 82 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19