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I�,� "' "',�.��,,��,��f�,���,�5,"��'oomt�.1" NO 0 � I. - , . - . ,�: ., -1, I"! I p ��%;,.­,r�, Y -I �1, - I *Iv, ;;�_, ­fA'.,11 � , '� : � , ,11�i­e,! '.V',�,�,,r;,�`, F - 1i `�,;,7­4_,, v­,,� 11 , � - :,, , ,,t,�:,"� .1, �V : �: ��I 1;�� ,� - " �i 1,","i,- ��r;� -­ .1 I I I., 11 �­ , " ""' " , "I I" - , 1 , -A, "' . �: ,�,:"4 ', `1 I ;,,t�,II Y��1. � "''I­Ijo­,,�,,�',,, , . ,. __ , ­�-t, "i � � I�I""I �"","," � ,, 1.I � , , ,:�,- , "-,.,�. 1, .-., ,, - ", l 11­` I I�_' �'�,�," ,, "" � ,,�;!,,g­�'­,:_ ,:.,;,, I :_," ,:" �­ �: ":, "'� ' '_'�'�' , " � I "I'll ' 'I'll, , " , It!" "I .11, "-III �!,..,�,,, , ,__ , ,. ",�,,, r ,�,/*��,,,,.. � '' A��4' �: -1 11"I ,i`,�,,Itfi,��".,.;,­ , , !1, � ,��, ..�",,,I 11,�'.I� I I..I ,r,� ,,, It. I -i 1w .I I.1,'Ij­,',��4i� 1 "."I " ''.. ' ­;' 1 I.� , I :,- I ' " . ' ' ; T.�, I�I - ,r , , � _; I � , '; '!, ,: r,,:,, I ��� , r I I ,I 11 I I ,", _ _ ,, I -I I 111111�1 ",'I,,", f�,j��,�l, , -I '' ­i, . . r �i�, I 1��.11 11 _,, ,11 , ' . ��' ' ,i; . � ,�, , � , 11 11 ,,­ji,,, ,,, I.t,,!,�, tk, c I',,+ , ."". , r ,f,ii,1, �� �,,,;�"!,�;"', `�;"''_�ii."�`t'j' 'i,���,"�;i,!:,,r"��,,�����,,,-�,�",!. L'�,I!il, I ,�,�,��, .",I,�'�,,�,�"",,"i, - , ,," ,, .� ", i",!',�,i�!,�,��,, �tt�r�'"��' �, � �:�,'_,',�,� A; F,� �, .,i_ I TOWN OF BARNSTABLE 114E 201507023 Building BAxNSTABLE Issue Date: 11/03/15 Permit y MASS. �ArFG 3�A�� Applicant: NARCISO ENTERPRISES,INC. Permit Number: B 20153121 Proposed Use: SINGLE FAMILY HOME Expiration Date: 05/02/16 Location 136 GREEN DUNES DRIVE Zoning District RD-1 Permit Type: POOL INGROUND RESIDENTIAL Map Parcel 245019 Permit Fee$ 125.00 Contractor NARCISO ENTERPRISES,INC. Village CENTERVILLE App Fee$ 50.00 License Num 117031 Est Construction Cost$ 50,700 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND INGROUND 20'X40'LINER SWIMMING POOL WITH POOL RATED FENCFribs CARD MUST BE KEPT POSTED UNTIL FINAL GATE .BLACK CHAIN LINK 48" IN HEIGHT T'13/4"LINKS INSPECTION HAS BEEN MADE, WHERE A _ CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: CHAMBERLAIN,WENDELL&PAULINE TRS BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: CHAMBERLAIN,FAMILY RLTY TRUST INSPECTION HAS BEEN MADE. P0 BOX 215_ , `WEST HYANNISPORT,MA 02672 Application Entered by: JL Building Permit Issued By: 44- THIS CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF;EITHER T 0R RILY V E - N .ENCROACHMENTS ON PUBLIC PROPERTY,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY:GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE, :z, OBTAINED FROMTHE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE-APPLICANT FROM:THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED.CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). 011-1 5 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 B Fyn, oK 2 2jljr 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health ilk r� Town of Barnstable *Permit# �61 DI�`'� - Expires 6 mo eths from issue date P)Enallatory Services Fee • snsxsT" • �Ar � JAN 0 7 2016 Richard V.Scali,Director Foy WN OF BARNSTABLPuilding Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us E31J►LDING DEPT Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDEN14ML Map/parcel Number .:-��f0/ Not Valid without Red X--Press Imprint TOWN OF 13 4RNSTASLE r Property Address ✓�i - LeoL w�IC-S© Residential Value of Workt$/'; Cam, ~- Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address /C Lea e!.*2.: Contractor's Name Telephone Number 77 Home Improvement Contractor License#(if applicable) i`7G 7 / Email: Construction Supervisor's License#(if applicable) �-S° C/'7, -�(a c• RlWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor r ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name A- Workman's Comp.Policy# 1 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side c Replacemen indows oors/sliders:U-Value m.;z 57 (maximum.32)#of windows #of doors: ❑, Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this 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. -, x A copy of the Home Improvement Contractors License&Construction Supervisors License is required: SIGNATURE: Q:\WPFILES\FORMS\building permit formS\EXPRESS.doC Revised 040215 . i - 17ie eolr MOrrivealtih of-Vassachusetts Department cr,f ludussh ial Accidents - - fI,Bice of1westigafrons 600 Washington Street ti .Boston,CIA 02111 fl'Fvtn niamg-ovIdia Workers' Campensatian Insurance Affidavit Builders/ nntractarsJEIectdcianslPlumbers Applicant Infannatian Please Print Lezibly Name(Bosi=m orgmi mfiona&vidw _ 6�104�7_ C-Ns Address_ 7Fe t, ' City/State.( _�.���I v le, / c ,t Phone,i'k Are you an employer?Check the appropriate box: Type of project(required).: 1.❑ I am a employer with. 4. 0I am a general contractor and I` 6. ❑New construction employees(full and/or part-time)-* have hired.the sub' -contractors 2.❑ I am a sole proprietor arpartner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees. These sob-cm ractors have g_ ❑Demolition wor3cing for me in any capacity. employees and have wodcers' 9. ❑Building;addition [No vvor�'comp.insurance comp.insurance-I required-] 5. ❑ Mile are a corporation and its 14-❑Electrical repairs or aaditaons 3.❑ I am.a homeowner doing all work officers have exercised their 11-❑Plumbing repairs or'additions myseZ[No workers'c mF- right of exemption per MGL. 12.❑Roofrepairs. insurance required-]F c.152, §1(4X andwe have no employees-[No wodoers' comp.insurance required_] 'Any appticaufthat checks box K nmsi also fillcutihe sectioubelowshmeing tiieirwutexe compeassationpol cyinfornratiori #liomeoarners who sub nit d ds.af#idatdt indicating they are doing all w a}and.Ihea}tire outside contractors mast submit a new affidasst indicating such_ fCaatractors that check,this boar must attached au additional sixeet showing the anion of the sub-conaracwrs said state wheaher or not tbose entities have employees.If the sub-con=cturs have emplayws,they must provide their workers'tomp.policy number- I arts art employer that is prnidhW workers'cot gwisadan Z'Usrirarrce for my eurplayees. Below is the policy cued jots site irrfornzatiorL Insurance Company Nam: Policy 44 cr Self--ins.Lic.4. Expiration Date: k J.2 ev rr ' Job Site Address: 13C <5;�_-ee IL-I 1�yAIle-i City/State/Zip: Attach a copy of the workers'coampensationpolicy declaration page(showing the policy number and respiration date). Failure to secure coverage as required under Section 25A o€D/SGL c- 152 can lead to the imposition of criminal penalties of a fine up to$1,5OD.OD and/or one-year imprisonment,as well as ciW penalties.in the form of a STOP WORK ORDER and a Ene of up to$250-00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I tI0 tfereby c rtardRr the pains acid psrrahfiss ofgedWy that the information prmided abmw is true and correct Suature: " " Date:. Phone ' ;> Y­ VP A)0 Official use only. Do not write in this area,to be campWad by city ortomn official City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CItylTown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions ` Massachusetts General Laws chapf 152 requires all empIoyees`tn provide workers'compensation for their employees. Piasuanttn this sfaft.-te,an.MVlnyee is defined as."_.every person in the service of another under aay contract of hire, express or implied oral or written." An mTIayer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a Joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occapant of the . dweHi ng house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurbenant themto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(S)also states that"every state or local licensing agency shall wifTihold the issuance or renewal of a license or permit to operate a business or to construct bindings in the commonwealth for any applicantwho has notproduce .acceptable evidence ofcdmpliancewn the iasurance.covexagerequ' ed." Additionally,MGL chapter 152,§25C(7)states"Neither the cornmonwealfh nor a'ay of its political subdivisions shall enter mto any contract for the perfo==c;e ofpublic work uatil acceptable evidence of compliance with the fi muran ce._ requirements of this chapter have Been presented to the contracting autho&y_" : ApPlicarrts . - Please fill out the workers'compensation affidavit completely,by ch=ldng the boxes that apply to your sitnation.and,if necessary,supply sub-mritraetor(s)name(s), addresses)and phonenumber(s) along with their cm1ificaf,(s) of ins mce. Limited Liability Companies(LLC)or Limited Liabi-lity-Parinerships(LLP)with no employees other than the members or partners,are not regimed to carry workers'compensation insurance. If an LLC or LLP does have- employees, apolicy is required. Be a.dvisedthatthnis affidaytmaybe 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 ret:ne-d 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 regtdred 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 t Please be sere that the affidavit is complete and primed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office oflnvesfigations has to contact you regarding the applicant Please be sure in fill in the pen�aitllicense 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 ID cations inn (cty 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-Ventre to bum leaves etc. said on is NOT to Iete this affidavit e ado 'cerise or permit v come (L g 11 p , ) P� The Office of Investigations would hke to thank you is advance for your cooperation and should you have any questions, please do not hestafe to give us a call. The Department's address,telephone and fax number. T e CommmWealtbE of Massachusetts , Dapartment cif Industdal Ac oidentg ��4�asbi�tQn � Boston,MA 02111 T(,-L 4 617 727-4900 Qxt 406 or 1-� I�fAS�AF� Fax 9 617`27-7M Revised 4-24--07 ass.govfdia BARNSTABM WE �,0� Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 . Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder - I, 7 U'3r'C' ` N®ss ; as`Owner of the subject property, ` hereby authorize q kiz) S,,�'y'eO to act on my behalf, in all matters relative to work authorized by this building permit application for: /3 G ��-2ec�- Otis (Address of Job) , Signature of 6Zr Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. , Q:\WPHLESTORWbuilding permit forms\EXPRESS.doc Revised 040215 Town of Barnstable Regulatory Services Richard V.Scal'y Director ti i Building Division * RUMSTA11M * Tom Perry,Building Commissioner Mass 1639. ,�� 200 Main Street, Hyannis,MA 02601 �Ev A www.town.barnstable.ma.us Office: 508-862-4038 Fax 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# . CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,.that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable'codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be.exempt from the provisions of this section(Section`109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.157 .This lack of awareness often, a results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Boird`cannot $ proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 V712016 Print Page Print this page n -Owner Information i n - o at o Ma Block/Lot: 245 / 019/ Use Code: 1 1 p 00 Owner Map/Block/Lot GIS MAPS CHAMBERLAIN, SUSAN TR 245 / 019/ Owner Name as 159 UPPER MOUNTAIN AVENUE Property Address of 1/1/15 136 GREEN DUNES DRIVE MONTCLAIR, NJ. 07042 1 Co-Owner Name %NOSSA, ROBERT & ODELL, Village: Centerville JENNIFER K Town Sewer At Address: No GIS Zoning Value: RD-1 • Assessed Values 2016-Map/Block/Lot: 245 /019/- Use Code: 1010 2016 Appraised Value 2016 Assessed Value Past Comparisons Building Value: $ 170,200 $ 170,200 Year Total Assessed Value Extra Features: $ 61,600 $ 61,600 2015 - $ 853,500 ry 2014 - $ 853,500 Outbuildings: $ 1,000', $ 1,000 2013 - $ 8535500 $ 612,000 $ 612,000 2012 - $ 849,500 Land Value: 2011 - $ 854,200 2010 - $ 854,200 µ 2009- $ 821,800 2016 Totals $ 844,800 $ 844,800 2008 - $ 841,500 2007 - $ 962,700 Tax Information 2016-Map/Block/Lot: 245/019/- Use Code: 1010 Taxes C.O.M.M. FD Tax $ (Residential) 1,343.23 # Community Preservation } A $ 235.95 Act Tax Town Tax (Residential) $ Fiscal Year 2016 TAX RATES HERE j = Massachusetts Department of Public�Safety Board of Building Regulations and.Standards. j License: CS-072866 Construction Supervisor ' . DAVID A SAURO 163 TERN LANE,' �.. CENTERVILLE MA 02632a ,..n CA-Expiration: Commissioner ;i)5/0612017 ,p� t�r�w�raaealf�o, -- aa�\ Office of Consumer Affairs&Business Rgulatioo eCz� OME IMPROVEMENT CONTRACTOR Registration:t.,f170471 Type: Expiration.`1-0/27/2017 Private Corporation = f� CAPE COD CONSTRUCTION SERVICES, INC. DAVID SAURO 163 TERN LANE I '�r CENTERVILLE,MA 02632^�-�' -- ' Undersecretary A��R- CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) THIS CERTIFICATE IS ISSUED AS 2015 A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER CONTACT Larry Conran Cowan Insurance Agency,Inc. PHONE 978 372.1451 FAX 978 521-4669 Ha Main Street E-MAIL la collraninsurance.com Haverhill MA 01830 INSURERISI AFFORDING COVERAGE N/uc u INSURED INSURER A•Associated Employers Insurance Company IN R Insurance Com n Cape Cod Construction Services Inc. IN RER c: 163 Tern Lane INSURERD• Centerville MA 02632 INSURER E: INS RER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSR I TYPE OF INSURANCE ADDL UB POLICY EFF GENERAL LIABILITY �LICY EXP POLICY NUMBER LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE TO RENTED CLAIMS-MADE 0 OCCUR MED EXP(Any one PERSONAL&ADV INJURY GENERAL AGGREGATE. GEN'L AGGREGATE LIMIT APPLIES PER: PRO PRODUCTS-COMP/OP AGG i POLICY LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ B ANY AUTO 1 0011000 ALL OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS x AUTOS 6232834 0312412015 0312412016 BODILY INJURY(Per accident) $ x HIRED AUTOS L NA UTOS PROPERTY DAMAGE(Per accident) $ UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LU18 HCLAIMS-MADE AGGREGATE D RETENTION WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITYY Y/N X WC STATU OTH- ANY PROPRIETO /PAREA OFFICERIME BER EXCLUDED?ECUTIVEE] NIA E.L.EACH ACCIDENT S1,000,000 (Mandatory in NH) WCC5011292012014 0812512015 0812512016 Ifyes,do—be under E.L.DISEASE-EA EMPLOYEE $1000 000 ES IPT NOFP TI below E.L.DISEASE-POLICY LIMIT j1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,N more space is required) Residential construction management CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 Main Street - THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPREWATIVE Fax: 508 362-9001 ©7988-2010 ACORD CORPORATION. All rightsjreserved. Sub Contractor Workers Comp List Insured Workers Com Ex iration Date Policy number A1A Steel LLC 5/1/2016 4531059 Ace Arborculture 12/29/2015 WC 00447-6237 Advantage Electric Inc 2/1/2016 4258X6812 Airtech Energy System&Copper Design Inc 3/27/2016 WCS2197G All Cape Garage Door Co.,Inc 6/1/2015 WCC500258601 Associated Alarm Systems,Inc . 4/8/2016 WCC1198277 Belanger,Steven 2/4/2016 WC8746778 Bortolotti Construction Inc 3f7/2016 WCA020952415 Brennick Building Systems LLC 1/112016 701586301 Brian Bolton 2/23/2015 UB-0171N847 Brothers Enterprises 5/2/2016 WCC500824301 Paul Buckmiller' Buckmiller Construction LLC 5/12/2016 71PJUB-7430A7-08 Colony Insulation Inc 8/18/2016 TWC3233572 Creswell Construction Co.,Inc 4/19/2016 WC2-31S 342421-022 Hickey Construction Company,_Inc: 1/13/2015 TW03231453 Kevin McBride Plumbing&Heating Inc L&M Glass Co.,Inc .5/1/2016 WC8661279 Miguel Tatara Neto 4/1/2016 NOWC 109484 .3/4/2016 WC002011850 Tanguay,Martin 11/19/2015 WC417869978 Confidential 8/12/2015 Page 1 . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r Map Parcel . Application # Health Division Date Issued (113)(� . Conservation Division A PrkP Application F Planning Dept. Permit Fee ZS Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address .3 �- v' V S Village 2 S �- \4 N� ,,� Owner ? -Q --"� UOSSA Address/5*)p l�,p� n�T� "V AW�t�� Telephone (50a)-104 -S7221 Permit Request d,- 'A ° A -�- i �+ 1 L�L/i A- \A PoQ L 4-- lacl C614 Square feet: 1 st floor: existing proposed 2nd.floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation � Construction Typ� 0 " (AL4Ast--f j z'L�L Pc D �-- Lot Size �� ► G 50 Sit. � Grandfathered: ❑Yes ❑ No If yes, .attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway:-i Yes,':❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)l Number of Baths: Full: existing new Half: existing new' Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing Xnew size Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 1\)e'"'-k-CkS O SAAfA!�hS•e.5 Telephone Number 02 4)3 1A 050->7 Address �� o'a ((Co License#- 110 j ) �`��� �/ • �'D�'�.� I'M4 G0,1-7 Home Improvement Contractor# I L Email Worker's Compensation # WC sf 3 101 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO OQMPLS;4�. G4 i�:�➢ SIGNATURE r 1 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED It MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION `k FRAME lS _ INSULATION c FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. c ' ill S 18°52'57"W 175.07' X � N x x 40' 25. '+ O PROPOSED N POOL i POOL RATED N i FENCE AND GATE m x x N LEACHING PIT t °} S SEPTIC TANK (FROM B.O.H. DATA w Ln N STOCKADE FNC. Ln m �' STOCKADE FNC. o v N c6 0 1 o _ N Z PATIO /No; 136 30.01_ 1 STY. WD. FR. Qs 37.9'_ r ai r 175.00' N 17°1 5'53"E - w w w w EDGE OF PAVEMENT GREEN DUNES DRIVE I HEREBY,CERTIFY THAT,TO THE BEST OF MY KNOWLEDGE— AND AND IN MY PKOFES5IONAL OPINION., THE LOCATION OF THE PROPOSED SWIMMING POOL, AS SHOWN HEREON, CONFORMS WITH l THE HORIZONTAL SETBACK REQUIREMENTS OF THE ZONING BY-LAW OF THE TOWN Of BARNSTABLE SITE PLAN, JOB No.: 15144 I N- DATE: 150CT 15 BA INN STABLE, MA SCALE: ►" = 30' PREPARED FOR STEVEN SENNA rlchard j. hood, pis land surveyors - engineers 12 Settlers path sandwich - ma 025G3 ' Ph: 506.633.7100 Email: rikhood@gmail.com. ` 1 -�- 1 .... M.ac w...a.<��. a........,.xac..w,;_Ya,... :.:m.,'na-.nw,.n,,..«•. �w+ *. .c.x,.+w-e�:..m;,.re .,rr.. . ..: "'aa�a -.�'.< .._ ... %imperial IlkMN _ , .T R G Int �l M 'U'441-t tt/�J;!rL1t �,rt r '1'u M, FRoM A To: January 2013 !"I?vM B ro: flrvM Ir: IIrr�M l I ttr��jt�tlt!L �,;tlGlky3. �m''' ;28* 13/4" 3/4 lA H G 314" Radius D " Ll '2II0''•I1I,J1 10 ' X4 0 ' .,11II 1�I/444" -" , , •1 I�I 1II S'It PART DESCRIPTION PART# Z CENTER LIGHT 40' 8'PLAIN PANEL .05102 7 5 8 PANEL OPTION 8'SKIMMER PANEL 05104 2 2 2 R J, 8' 2 1 8 8 8 fl q RETURN PANEL 05108 3 3 3 J �C! 4'PLAIN PANEL 04110 2 4 2 2R - J 214 2'RADIUS CORNER PANEL 04116 4 4 4 4' ADJUSTABLE A-FRAME 05188 10 11 11 8'STEP-N-REST 07418SNR 1 1 4 NUT&BOLT PAK-75 pcs PAK-75 121 2 2 1 1 1 1 NUT&BOLT PAK-100 pcs PAK-100 1 1 1 8 ll 8'LIGHT PANEL 05109 8' LIGHT 20' 12' - PANEL - 41'44" 8 8 4' 10' 14 12' a K 4,, 2R L 2R 2R 1 8 B 8 8 4 IQ T--A-FRAME BRACE DIVING PERMITTED ONLY FROM 40' 20' 33"-1 DESIGNATED DIVING AREA. Pour 2500 P.S.I.concrete footingaround entire r'i 2'MINIMUM perimeter,minimum B" L�►J PREPARED 3'-4a1=1 deep' i *Locatbn of po nt®on BOTTOM Back fill with clean earth,free of roots and debris. $ me weterenvelope per 3'Wide concrete deck is to be poured at least 3"thickness and a slope i ANSaAPSP4CC52011 of Ye"to 1'away from the pool. standards. All Inside pool dimensions are to be finished dimensions. _ Finished bottom Is to be 2"minimum of suitable material or undisturbed earth. q' I 10' I 14' 12' A safely line,with buoys,Is to be permanently attached l'0"to the BACK BOTTOM SLOPE SHALLOW SIDE BOTTOM SIDE shallow side of the point of first slope change. WALL PAD END WALL PAD WALL -onstruclion Drawing: Different methods and precautions may be a the cl byrep various ground conditions. This is to be determined by and ALL DIMENSIONS ARE FINISH DIMENSIONS s the responsibility of the contractor who Is not an agent of the manufacturer of the component parts. nstallation is to be done In accordance with all federal,slate and local lullding codes,as well as A.N.S.IJA.P.S.P.suggested standards. 1e oottam configuration shown conforms with current NSPI/ANSI suggested minimum lards far pools approved for use with manufactured diving equipment.Bdivlrg equipment installed.fol:dw the e;uipmentmanafaatarera instalbtan•use and sarety lrewettem. Volume: 27900 gal 105600 L Perimeter: 116'-7" 35.53 m Surface Area: 796.57 ft 2 73.99 m2 Liner Sq. II 0., it1 _ 8'PLASTIC SIDE STEP OPTION 321'4' FROM B TO: FROM C TO: FROM D TO: (RIGHT SIDE SHOWN) C 44'-8 3/4" B 44'-8 3/4" A 44'-8 3/4" �i u I H 26'-3 3/4" H 21'�' H 30'-6 114" I`I _ J 12' J 34'S" J 23'4" n to K 30'-6 1/4" K 14'6 3!4" K 26'-3 3/4" 4 L 23'-4" L 28' L 12' 11 I la 213 L 13. CENTER LIGHT 40' 8'PLASTIC I PANEL OPTION STEP OPTION 2R A 8 8 8 8 4 2R t. 4 2 __ 2R 2R I 4 4 _ q' 0 al -!-I- 2 l4 H 7 1 1 8 8 LIGHT 20' 12' . PANEL 41'-24" 8 14' 12' 8 L,L4' 10,_ 4a 4• .. J2R 2R � L --- I 2R 8 8 8 8 4 I" T-A-FRAME BRACE 'FROM 33' 1 40' �-----zo' —� REA. rAim" 2"MINIMUM n II:IIOr,II11111111Un1 6" L„J PREPARED 3'—`r' 3'4" T BOTTOM r Localbn of IwNI IL I�on i L WeleromelopB per r 8' .11w,t,tend R slope..- j ANSVAPSP/ICCL 2011 - 1 6ten&rds. - 11111. flriIorundIslur6od 4' I 10, I 14' 12' ud 1W,toll to BACK BOTTOM SLOPE SHALLOW SIDE BOTTOM SIDE tinnu nuly bo WALL PAD END WALL PAD WALL "ol ofIholillo by and ALL DIMENSIONS ARE FINISH DIMENSIONS fill)ul d,Illnln Illld knad J nou uliodo. mu0.1!u�iA uJnlnunn ".0.1y 1min Awun,11 Volume: 27900 gal 105600 L Perimeter: 116'-711 35.53 m Surface Area: 796.57 ft 2 73.99 rn2 Liner Sq. Ft.: 800.0000 30 J (a i 0W S THE CONSTRUCTION METHODS ILLUSTRATED APPLY )RNER BRACKET ONLY TO NORMAL GROUND CONDITIONS. IF UNUSUAL c7 j SOIL CONDITIONS ARE ENCOUNTERED (I.E. HIGH ORGANIC MATERIAL, HIGH WATER LEVEL) ADDITIONAL A z o r — — — MEASURES MUST BE TAKEN TO PROVIDE SUBSURFACE u CONDITIONS WITHIN THE STRUCTURAL CAPABILITIES �u Q OF THE PANEL. ANY ADDITIONAL PRECAUTIONS OR o METHODS OF CONSTRUCTION ARE THE RESPONSIBILITY w OF THE CONTRACTOR. (NOTE: DECK SUPPORTS ARE o ° a OPTIONAL.) ° ' BIG VEEul .4 6" RAD. INSERT POOL DECK A u A wo O ww m RADIUS CORNER o = o H w COPING o W F UQ CORNER DETAIL = - °c .1 {k �Ho3 it ANGULAR O tiA �d O LAR POOLS) j --- o �w w, p � I ° _ u. �I �7 O o O ° u� u l o ° w � z o t�U QC4� s MIN. 6" THICK CONCRETE COLLAR L� _` - - w d A o U� REQ'D. AT BASE OF WALL PANELSZO o z z I, DRIVE RODS THROUGH o Q wdo a HOLES IN PANELS a a O w a w Qco T INTO UNDISTURBED EARTH. ° O u�&0 w z¢ 2" SAND OR VERM. CONCo w Q � a CURVED CORNER ° COPING iv UNDISTRRBED EARTH l BACKFILL SHALL BE FREE—DRAINING CLEAR GRANDULAR MATERIAL SUCH AS SAND, TRACE CLAY OR TRACE SILT. TYP. LINER INSTALLATION DET. 3/8" x 2" BENT BOLT W/NUT & 2 WASHERS (7 PER JOINT) RNER DETAIL s J POOLS) ES: I m )OL AT RIGHT ANGLES TO SLOPE '� en M ON OF DECK TO BE 1'00" ABOVE GRADE 4ROUND UP-HILL' SIDE OF DRAIN. 3 AWAY FROM POOL. H ULD SLOPE MIN. 1 Q d S 4" PER FOOT 0 / 10L. to IISHED BY OWNER TO SHOW POOL o w� ENCLOSURE. MBING AND FENCING TO CONFORM TO CARDINAL SYSTEMS 250. RT. 61 S. (570) 365-4733 IF REQ'D. BY SITE CONDITIONS OR SCHUYLx4L HAVEN, PA. (570) 365-1318 FAX. :D BY OWNER. oATE: 4 7 11 T'TLICONSTR. DET. SHT. IEANS OF EGRESS SHALL BE PROVIDED. SCALE: NONE UNG LINER STL. POOL RS OR LADDER ORAwrc SED PILE NAME: CONSTDET P 3/8" x 1" BOLT WITH NUT & 2 WASHERS (TYP. 14 EA. CORNER) r 3/8" x 1" BOLT WITH I NUT & 2 WASHERS (7 PER JOINT REO'D.) I ° ° ° ° WALL - STEEL 14 GA. TY P I C W/2oz. (G235)GALVANIZING (RE Oli t ° ° ° 3/8" x 2 1/2" BOLT W REINF. ROD SUPPORT SUPPORT MAY BE BRACE TIE BOLTED TO THE ANGLE \ POST IN ANY OF THE PRE- \ PUNCHED HOLES. \ \ j TYPICAL, WALL BRACE ASSEMBLY CORNER BRACKET 0 CONCRETE DECK REO'D. I TYPICAL RIM-LOK COPING (GRE( #12-14 x 1" SELF DRILLING EXTRUDED ALUMINUM PLANNING I FASTENER (18" O.C.) SET WIDTH 01 FINISHED ELE SURROUNDI VYNYL LINER PROVIDE SWA (HUNG) SURFACE W CONCRETE DE o AWAY FROM o ' . PLOT PLAN F POOL WALL PANEL LOCATION F RIM-LO K COPING DETAIL ELECTRICAL, I ALL cooEs OPTIONS- EXTI WHEN SPEC AT LEAST ON OPTIONAL `. 1Y1V1 V1G411�1J Lll�.v�— 1 av,.auvw — --— Home History Testimonials Products How to order Contact Our Products Mordf er ztoonnu Solar Blankets Below is a list of all the products ' avaiiable from Morelands. Superior Quality -Motherm 400mu 4 year guarantee -::otherm SOomu 8 60omu Save over 27% if you order by mail -Neat Retention Covers ® Call us on 01937 520540 for an instant auoi ation -Lending Edae Towing Systems -S^eciai Edgy Finishes The Mortherm 400mu was introduced in 1979.It is still our best selling blanket to this Inteorated Storage Reels day. -;Lutomatic storage Reels r � -Morstrona%Ninter Covers . gaiety Covers ` r s' 4 m �a -Nard To.__ 0 5°a C°v_ers -5viimmin PoolLiners -POOI gin_pool ProdLICt Main,Menu First in duality•rich in choice Mortherm Solar Blankets are made from a very special blend of the highest grade polyethylene fabric.Without doubt they are tremendous value for money and include a unique 4 year guarantee' only the finest quality polyethylene,the blanket will lay Because Mortherm is made from fiat as possible on your pools That is essential to transmit maximum solar energy. Oil F � wlothern_ _ 4- 10/8/2013 a:rAf-t nr,mfuroduct.php?producttl=e=solarblanket ;,i ds,Direct Products I U.L So how does Moithe work? Mortherm Solar blankets are no secret,they have been saving money for our customers for years.if you use your Mortherm solar blanket whenever your pool is not in use-on outdoor pools,it will collect heat from the sun's rays and pass this heat directly through the specially formed air cells into your pool. Making the water warmer right from the first tirne you use it? On cloudy days or at night your Mortherm solar blanket will act as a vapour barrier trapping the transmitted heat inside your pool thus reducing heat loss considerably. Reduce Heat Loss Reduce Evaporation Save on Pool Chemicals Save Money Atl Mortherm Solar Blankets include a Special Reinforced Edge absoiuteiy EPEE" We know from experience that the most vulnerable part of your blanket is at the edge,that's why we include our special reinforced edge on all our blankets. .-777777777 ems' il^i¢ `�' •� - Moreiands5-pecialRe!n'°rce Edae We will be delighted to send you a sample of Mortherm 400mu so that you can feel the quality for yourself. Ho-'AT to order Morelands products are so easy to order,either complete our special order form(download&print)or just give us a call on 01937 520540.We will be n without obligation,and if you wish we will delighted to give you a quotatio take your order over the phone. Our advice is always free.Cali now on 01937 520540 Or send for our 20 page Colour broenure. >i Copyright©2006 Morelands Direct-All Rights Reserved I site designed by PAW Yninrnduet.nhp?pioductname=solarblanket 10/8/2013 Office of Consumer,Affairs and Business:-Regulation .0.Park Plaza,-:Suite 5170 Boston,lViassachusetts 021116 Home Improvemment``Contractor Registration Registration: 11703`9 TVPei: Priwate'Corporation t Expiwation: 8f17t2f}1,t3 7r# 255683. r NARCISO ENTERPRISES;; .INC` ' , ,; •; CARLOS NARCISO w P.O. BOx 680 EAST FREETOWN, MA 02717 te<Addressend reto*rmcard:`Mark reason for ehange Addres ".Reuewai E�Employment ,Lost Gard Scn 20MA) I ti �:. �i,�aric/r�x �icert&e or r stratiot�valid fOr iadividul'useonty: Office of Consumer Affairs&Busihci9 Regnfaboa OME"IMPROVEMENT CONTRACTOR before the expiration date. If Tond return.to. egWtration' 117031 Type*; ofrtce ofConsnmer ABairs and Business Regutation Iratfon 8/1712016. Private-corparat on 1tt Park Plaza Suite 5170 Boston..MA 02.1, NARCISO ENTERPRml5,si NG CARLOS NARCISO a 9 EONA CIR FREETOWPI,MA Q2717 - Unders"retary Not valid tt out signature i A"Conwwnwealth of Mdwachuse& D.eparinentoflndustriarrAcc etift Oj�F.ce oOvil esatgat ons 6011 �Wasfai>x�ton Street AM ON MI 02111 a►immam gov/d a` Workers' Compensation Insurance Affidavit: BuRdern/Contmetors/Electr cisu lPltYmbers Applicant Information please Print , ` 'bly Name(eusinesdorpn zacion4ndividual):. �jr I C r_ address: f�l. C : City/StatefZi : rCc __ 1 phone*. Are you an employer?Cheek th approp te bar. Ty"' of t►ro`eet . J I.C9 I;am a employer with d. ❑ I am nera a gel contractor and 1 6; [�Nzyv consbltction emptoyees'(full and/or pan tune)' have hired the sub=cont►sciors 2.❑ t arn.a sot @'proprietor or partner:: listed on the at�dted sheet. 71. ❑Rei tardeling' shipand have no employees. These mb-contractors have 8 [�Demolition.' worlcittg far;me in arty cVack. employees and`ttave workers` 9, ❑Building addztion: (No workers comp.insurance comp.:nsurapca. required.} 5: ❑' We are a cotPc►ration aad Its- 10:Q.Efectrical repaims or'sdditiorrs, officer,have exercised their' 1't. Plumbin to or additions. I El !am a homeowner doing air work'. ❑ g repot myself:[No workere comp: right of axomption per tviGG 12:[]Roof.repeirs. insuranca:requir�.]T e.lS2,.§l(4),and wn have ao employees.[No worim? I icj Other. catnP.i6wu ants requireti.j �. `Aap cppiicartt dint ehC boi:41 mwn 3tF 01l 44j A;�showit,U�eir wurBeers'corrtpotr oa policy"iAformjtioa . t Horncoivmus who ssbtait dti9 of vit indicatii thp}ore Oft all work IM6 thcn't►iro outside contt dws>a"sabmd a new noidsvit 6w,6tittg suck. rCotmswais th4r cissdc this box mu3t sttactrad an oddito-mal sibct showing the name ortbe subeaneactois aa6 smft.rhethaor not ttwse oittt`tiq hev+c emptoyaes. 'ltUte sob cootra�ors have waptayecs,(hey must provieft tho's warkcta'comp PoKy a r I urn an employer that is provldirig wonders coperrstrliQrr lrtsttrance ft7 my eniptoyees 8etow Is thepollcy.andJob site LrJormalo)t insurance Company Name: f( Policy#orSaif-ns.Lic. p �? �()`kaprtgtiontttI .1d Job Site Address: - City/Statia0p: Attach a copy of the workers'camper ti'ta pylicy deel8rutioo forge(sho�viog"tLo policy nambrrr atul'exptm*0 dato}. Falure"to secure ccverage;as required under Section 25A ofMt3t,c.152 can lead to the.kupositrnn`of c m penafues of a. fine up to$1 yS00:t>0 and/or one.year."ircpriscntne as well as civil`penatt es to tba form of a STOP WORK ORDER and a-fie>: of wp to 5250.00 g-day ads rtst this violator: 11e ddrrised t3dt a copy.ofthisstateraeh stay`be forwarded to the Office of Investigations of the DIAL for insurancd coverage'verifitxtion. _ I'da hereby certify the pules pe►t alde4 it:ry rhea tie do orr7tna'ion pavlrfed abotre sirrue urtd cvn Si to Date e �b -0 . 51 O01,041 use on Do not write:tn thls dui6,lore complderlby`city or tcriva o,�iclat j C4,or Town: PerastlLicense ti_ _ lseuing Autbority(eircfe ones t.Board orflealth 2.Building Department I'Citylrowq Clerk 4 Electrical fospector 5.Plumbing inspector 6..OEher Contact Person- Phone#: s- CERTIFICATE OF LIARILITy INSURANCE.:,.. D3i3(r�DnYyry THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE.HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES' BELOW..THIS CERTIFICATE OF.INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS) AUTHORIZED. REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER: IMPORTANT:If the certificate holder is an ADDITIONAL INSURED;the policyjies)must be endorsed. 0 SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A'statement on this"certificate does not confer rights to the certificate holder in lieu of-such endomemen s. PRODUCER - CONTACT Payehex Insuranos.AgEncy Inc e PAYCHEX INSURANCE AGENCY:INC: 150 SAWGRASS DRIVE `PHONE 877-266-6i850 I FAX 585 3$37428 1 _ND.EJt71 r.. ..tin1;:_. ROCHESTER,:NY 94620 E-tAaIL ����� 1 Cert4paychex.coin . . INSURER(S)AFFORDING.COVERAGE INSURED " — � INSURER A: WeSCO Insurance Company NARCISO ENTERPRISES.INC. P060X680 I lA15URERB: EAST FREETOWN.MA 02717 lNSURERC J:-- -,_ �INSURERD tNSURER E — _ j I INSURER F£- _ COVERAGES CERTIFICATE'NUMBER.. REVISION NUMBER: } THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN.ISSUED'1"0THE.INSURED NAMED ABOVE FORTHE POLICY PERIOD' . 1NDICATED.NOPNITHSTANDINC ANY REQUIREMENT'.TERM OR CONDITION OF ANY.CONTI RAC+OR OTHER.DOCUMENT:WITH RESPECT TOWHICHTFiI$ LIERTIFICATEMAYBE ISSUED OR MAY PERTAIN•.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL•THE.TERM. S, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE.BEEN REDUCED BY:PAIO CLAIMS.. R, 'PO! UCY 6T POLICY EXP . TP{ TYPE iLDDL UBR POL6CYNUM9ER 1 I' LIMITS : INSR D i(w&DOrr" -MWDD+YYYY)I ... i GENERAL.LIABILITY � - - EACH 4000RI;;NCE:. 5 ... :.i sCO aMERGAt GENERA .-4=91LiTY .� DAMAGETO RENTED :e JUM,�'.13,Fly OCCUR f MED E#P(AnyOM, pj n) S- } PERSONAL B AOV IWURY. 5 - 1C KL NGGp.EGtTE LVftIT APFtiFSPER: _ GE N ERN.:"AGGREGATE (..A..3 cat.rCv - .-'Moger.._.i tac I. PRODUCTS CGA1P/O? AUTOMOBILE LtABIIm .i S .I COMBINED SINGLE LIMB S t 11�&�J_nt SODILYINJURY- i�a.t.cr� _ii=-;MnEB .. (Pry parsoni .i S 4.... V%QS _-J.AM= �6-w— i BODILY INJUP.Y1 i I PROPERTY DAMAGE #5 f isr 1 flrmveu uAa i-.-.-.!p,.CLP. -j. E - .I. EACH"Oc:CURREPIL'E- `.5... ~_ t 4 [L-;cCEss tus C.n"esJfaLE j - - I AGGREGATE a....S } i s, W01CffAS COYPERSA n AM X 'T. C�ATU ! - IbTls• I .. EUPLPYERS'tLt9il.ti! j } i 1 4 tut [__j.ER �,,um �rcFaAR, xrr n+vr i i WWC3085711 04/15/2015 �04/15/2016 I E.L. ACCIDENT 5 1001000.00 i I LFRCF a�vS cc Rom. YtEL ji (F.L DISEJ�SE-EA Ft�f LOYE'E IS 100, } 00 �N 11 N/A 1 E-1 DISEASE POLICY L.lnttT. 'j S 500.(HN3.00 - DESCRIPTION OF 7PERATIOHS I LOCATIONS I VENICL_S iAttach'ACORD IGI.AddAionai Remarks Schedulq If mue Space is - - 'tequi'ed). i . i. CERTIFICATE HOLDER: . CANCELLATION. SHOULD ANY OF THE.ABOVE DESCRIBED POLICIES BE CANCELLED BEFOR'e THEEXPiRATION r DATE THEREOF.NOTICELNILL BE DELIVERED IN ACCORDANCE Wmi THE POLICY PROVISIONS,BUT FAILURE TO MAIL SUCH NOTICE SHALL INGO3E NO OBLIGATION OR !: ? LIABILITY OF ANY KIND UPON THE COWPANY.-ITS AGENTS OR REPRESENTATIVES-. - f... AUTHORIZED REPRESENTATIVE ACORD 25(2010/05) (91988-2070 ACORD CORPORATION_:All rights tesetvec.L The:ACORD name Andfego Are registered marks of ACORD i. Town of Barnstable Regulatory Services MAES Richard V.Scali,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.townbarnstable.ma.us Office: 508-862-4038 ` Fax: 508-790-6230 Property Otivner Must Complete and Sign This Section If=g A Builder I, Sew as Owne r of the subject property hereby authorize o,J`C• i S p rey+g- 0r o to act on my behalf, in all matters relative to work authorized by this building permit application for. � 3 � �r� h �n e s w•�yew, �S pdf� n•�. . (Address of Job) 'Tool fences and alarms are the d res onsib' ' of the app hc�t' Pools are not to be filled or utilized before fence i i s nstalled and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Ro(oe-k4- Ca-re-i 0s Nto"G t-so Print Name Print Name iO ' 9 i Date . Q:FORMS:OwNERPERMISSIONpooL4 f i Gates There are two kinds of gates which might be found on a residential property: pedestrian gates and vehicle or other types of gates. Both can play a part in the design of a swimming pool barrier. All gates should be designed with a locking device. 4N r z. �X' r e zi b r, 'IZ Pedestrian Gates These are the gates people walk through. Swimming pool barriers should be equipped with a gate or gates which restrict access to the pool. Gates should open out from the pool and should,be self-closing and self-latching. If a gate is prop- erly designed and not completely , latched, a.young child pushing on the gate in order to enter the ` pool area will at least close the gate and may actually engage the latch. Figure 12 Safety Barrier Guidelines for Residential Pools 11 The weak link in the strongest and highest fence is a gate that fails to close and latch completely. For a gate to close completely every time, it must be in proper working order. 3" When the release mechanism of the '/z self-latching device on the gate is less than 54 inches from the bottom of the gate,the release mechanism for the gate should be at least 3 inches below the top of the gate on the side facing the pool. Placing the release mechanism at this height prevents a young child from reaching over the top _✓ of a gate and releasing the latch. Also,the gate and barrier should have Figure 13 no opening greater than 1/2.inch " within 18 inches of the latch release mechanism.This prevents a young child from reaching through the gate and releasing the latch. All Other Gates (Vehicle Entrances, Etc.) Other gates should be equipped with self-latching devices.The self-latching devices should be installed as described for pedestrian gates. lit- Jt-, .1 s I ,l � . Lo fe fig{ fp � 4 9, 3� A n 12 Safety Barrier Guidelines for Residential Pools r For a Chain Link Fence The mesh size should not exceed 1'/a inches square unless slats, fastened at the top or bottom of the fence, are used to reduce mesh openings to no more than 13/a inches. n I 10 oo 1� • �— b Y A "- r Figure 5 Figure 6 For a Fence Made Up of Diagonal Members or Latticework t � I The maximum opening in the lattice should not exceed 13/a inches. 17 �— i WO 0 Figure 7 Safety Barrier Guidelines for Residential Pools 7 2- Z•3 fs (i i I � 1 515*52'57 W 3G 1 EXISTING i POOL 29.2'- I ' I 1 4 o PATIO / /j�� / / / z I No. 13G 30.0'! i / ! STY. WD. FR. r 37.9'- I . Q-4 APN 2.45 G I 35,219+5F (CALL) LOT COVERAGE _ , .5`'Io / 1 75.00 N 17°1 5'53"E I GREEN oI..INE� �!�J�', /F i I HEREBY CERTIFY THAT, TO THE BEST OF MY KNOWLEDGE, AND IN MY PROFESSIONAL OPINION, THE LOCATION OF THE EXISTING SWIMMING POOL, AS SHOWN HEREON, CONFORMS WITH I THE HORIZONTAL SETBACK REQUIREMENTS OF THE ZONING BY-LAW OF THE TOWN OF BAP.N5TA13LE AE5-BUILT PLAN Or POOL I .i05 No.: 15144 I DATE: 1 ! DEC! 5 BA IZN STAR L� j V i /� I SCALE: III = 30' PREPARED FOR 5TEVEN SIENNA j ��P��N �gss9�yG 11 o RICHARD s I I J. " �rl chard �. hood, pis HGGGNo. 35031 land surveyors - engineers 12 settlers Path - 5andwich - ma 025G3 LAND S Ph: '508'833.7100 Email: rikhood@gmail.com I Town of Barnstable *Permit# �6 0`7 6-'�S75 Expires 6 months from issue date Regulatory Services Feed Thomas F. Geiler,Director / Building Division Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us 04,fice: 508-862-4038 ax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTL4L ONL Not Valid without Red X-Press Imprint ap/parcel Number S // operty Address f � ���e�. line f 4jo Residential Value of Work l t Minimum fee of S25.00 for work under $6000.00 xmer's Name&Address 13� 6 re G/1 /u^e S DT )ntractor's Name !r Trail r`^ r Telephone Numbei l a oc( — ome Improvement Contractor License#(if applicable) n 5 `ry ror's LicErss ( PP�icable) ]Workman's Compensation Lnsurance Check one: X&PIRESS PERMIT ❑ I a=a sole proprietor ❑ I am the Homeoumer APR 2 7 2007 I have Worker's Compensation Insurance TOWN OWN OF BARNSTABLE ss �e-anceCompanyName '�"'" �� I-C/ orkman's Co=..Policy# spy of Insurance Compliance Certificate must be on file. =m t Request(check box) Re-roof(stripping old shingles) AL construction debris will be taken to ao$S 0. ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doo-rs/sliders. U-Value (maxim=m.44) 'Where required: Issuance of this permit does rot exertpt compliance with o:'ner town cepz�.. g a ,i istoric,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. co of the home Improvement Contractors Licer*gs;rp d.� ;GNATURE: Forms:expmtrg nacG613G6 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/Organintionadividual): Mo Nt e— 6UD h n Address 1 a ror�S r �n City/State/Zip: 2e,36 v Phonet S-obe vt8q, 36M Are you an employerT theck the appropriate bog: :Type of project(required):, 1 izI am a employer with�_.Io er .4. ❑ I am a general contractor and I 5. ❑New construction . employees (full and/or part-time).* • have hired the sub contractors listed on the'attached sheet. 7. ❑Remodeling 2,❑ I am a'sole proprietor or partner- These sub-contractors have ship and have no employees 8. ❑Demolition employees and have workers' working for me in any capacity. $. 9. ❑Building addition. [No workers' comp.insurance 5 ❑ comp,We p,insurance, and its 10.❑Electrical repairs or additions required.] officers have exercised their 11.❑Plumbing repairs or additions ' 3.❑ I am a homeowner doing ill-work . myself.[No workers'comp. right of exemption per MGL 12, Roof repairs insurance.required.]t c. 152, §1(4),and we have no 13.❑ Other employees, [No workers' comp,insurance required.] *Any applicant that checks box K must also fill out the section below showing their workers'compensation policy information. t Homeowners,who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. tContractom 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. lam an employer that isproviding workers'compensafinn insurance for my employees. Below is.thepolicy and job site' information. Insurance Company Name: e 4 r Policy#or Self-ins.Lic,#: Expiration Date: O Jot:Site Address: /�O 6regn `✓y neS )rc&tP City/State/Zip: # 44i i- _ 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 civilpenalties 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I•do hereby ce ur d e pains•and penalties of perjury that the information provided above is true and correct Si tare: Date: 4/9 Phone Official use only. Do not write in this area, tb,be completed by city ar 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 ana 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 evvideaee-af•complJ:G.fltiO with:tlie insurance- requirements of this chapter have been presentedto 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-confractor(s)name(s),address(es)and phone numbers)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-instmr=er license number on the appropriate'line. City or Towp 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"lob Sire 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 fo 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 iu 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 Cozy€wwWth of Max%ac&usotts Dtpartmont of lmdustrial Accidents CDC of Invesifgatiolas 60()waa ngton Stet Basta 02111 • . TeJ.#617-727-000 ext 406 or 1- - ASSA.FE Fax#617-727-7749 Revised 11-22.06 WWW.M .&QV/di0 b�.p1HE'°�ti Town of Barnstable Regulatory Services a BnxxsrA ' : Thomas F.Geiler,Director asnss Building Division Tom Perry, Building Commissioner 200 Main Street Hyannis,MA 02601 www-town.b arnstable.ma.us Office: 508-862-403 8 Fax: 5 08-790-62 3 0 Property Owner Must Complete and Sign This Section If Using A Builder I, !�{ L.IN ✓�<< ��,�I���R /�1 , as Owner of the subject property hereb authorize 11 y �oM� �vdf y`f"c�,� lriG to act on my behalf, in all matters relative to work authorized by this buRding permit application for; , tc 3 Co n � I, (Address of Job) v'7 . Signature of Owner Date _4AULInig- I-AIAl Print 11Tame . 0•rGRL5:0�i,�.�RPi:?✓.NIS5IO2d Apr 24 2007 1 :•11PM HP LRSERJET FAX 617-796--8968 p. 1 Ilk iis;:a;•;:s:s>:>.. .:....,. •: �. f..:�:� S. ....... ...:.... ..... ..... ..............� ....... r <3 �Ra ER THIS CERTIFICATE IB ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Professional Rime Management DOES NOT ANENDI EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 1172 Washington St �®LICIE^� ®�I.oTx. ... West Newton, HA 02165 COMPANIES AFFORDING COVERAGE I , _................... _..._ .... LETTER Y A Essex Insurance Company . ...................... .... COMPANY g HB�� �YC� Ins. l®. ............:..................._.............................. .............................................INSURED LETTER Home, Evolution, Inc. COMPANY C r' 12 Foresail Lame LETTER Plymouth, MA 02360 COMPANY C LETTER ....__.........__ ................ ......... E CGTr1PANY E _ErM I THIS IS TO CEMIF THAT THE POLICIES 0 INSURANCE -ISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE FCLICY PERIOD j INDICATED, NCT,NITHSTANDUVG ANY REQUIREMENT, TERN OR CONDITION 0=ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE NAY BE ISSUED OR MAY PERTAIN,T-4E INSURANCE A-FORTED BY THE POLICIES DESCRIBED HEREIN iS SUBJECT TO ALL THE TERMS. E%CLUSIONS Ati7 CONOITION3 OF SUCH POUCIES,I LIMITS SHOWN MAY HAVE BEEN REDU'GED @Y PAID CLAIMS CO TYPE,OF!6!lSURANC! POSlCY'NUM9ER POLICY EFFECTIVE •POLICY ERPIRATIOPI UNR$ LTR: DATE (MhIrOD,n DATE(MW1DDNY) GENMAL LiAN$1YT GENERA. 499REOATE S 2, 0®O, ®®% .._.........................................._,............ .................... �..!OMMERCAAL GENERAL LIABILITY Polley'#: 3CKS358 i PRODUCM-COMPF-1P AGO:..... :S. 1 i 000, 000 X CLAI.M VADE :OCCUR. .03/20/07 1 03/20/08• pEPSGIu s ADv INJURY S 1,000, 000 OWN ffiS S CONTRACT 0M PRAT. EACH GCCIJIRRENCE S 1,000, 000 FIRE GARAGE(Arc,one r,re) tS 5 0, 0 0..0 :...................... ...................................................... .. I64_C.E*ENSE(Any ore pxrwn):S ..r................................................. ................ . _ ....... ....................................................................,;...........__.._.......... ............................................ ..................... ...... !AUTOAAO®LE LIABILITY - ,OMBINED`:INGLE ......ANY AUTO ;UMIT S .......i ALL O MrED.AUTOS - BODILY!0.lJURY i S S.'lEDULED AU" ` ! (Per pprepni .................. ... .........__ ..... .......................... NFED AUTOS i BODILY INJURY NON-OWNED AUTOS i(Per ACCideno S ............... GARA GE AGE LIABILITY -PACP51W DAMAGE IS ..._.................._................. ..... .;........--.............. ....................... i ME$$LWLTPY EACH OCCURRENCE S :..................................... UMERE LA FORM AGGREGATE 5 OTHER THAN UMBRELLA FCrW .................... .. ......... .... .. .....,.,.. .... .,, ........ .. ...,... .. YdORKER'N CONPCIRSATION X.,. STATU CRY LM�TS. 13 AND Palley #7 615601.19726 :0 3/11/0 7 0 3/11/0 S,EACH ACCIDENT $ i 6 0 a 0 0 0 )I8J3F.•POLICY LIMITff ......500, 000 " P1PLOYM, LUINuPY ................................... ........ DISEASE•EACH EMF_OrIEE 5 100, 000 _............... .................................. .......:..,.....,.................................................... ........._.................. ................... ......... ............. i OTNkT1 i '. ..`._.............................................................'........................._.. ... ... ......_....... ..-....................................................._................,............ .... �" ,. Town of Barns3table, MA to be named "aa additional insured. cw a a (2Ef�hIIPTION of dP�ATaNs�wcalno�sr�rlfcl.�a�sreclAL rt�a$ r - . 508 790.6230 SHOULD ANY OF THE ABOVE OFECR.ISEO POLICIES BE CANCELLED BEFOAr:TINE, EXPIRATION DATE THEREOF, THE ISSUING COMPANY MILLNDEAYOR'TO MAIL 10 DAYS WRITTEN NOTICE TO THr-CERTIFICATE 'HOLDER NAMED X1 THE Town of Barnstable, MA <>? LEFT, BUT FAILURE TO FAIL SUCF NOTICE SHALL IMPOSE•NO OBLIGATION OR 200 Main Street LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. Hyannis, MA 02601 : ?ALmsOalr�HBPRHB �,' yp rye{ �}[yy�,��. q� r S!: I }}?.E f �; 5...S:..L✓..G.S Y. r i ..L. .� ;fksT9t,!S 2EC(SPR y i m Y. 0'7e iJorynm�oncuea`isL ✓lGaOdacftuQee6 - Board of Building Regulatiods and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registrations 136222 Board of Building Regulations and Standards Ex iration One Ashburton Place Rm 1301 p 6/26/2008 Boston Ma.02108 Type Pnv,?,te Corporation ' HOME EVOLUTIONS NC 4� CHRISTIAN LANNING: - 12 FORESAIL LN. \ a -�- ------- ------- PLYMQUTH, MA 02360"£ Deputy Administrator Not ►d without signature i e�QyoFtMero�y� TOWN OF BAR.NSTABLE Z SAUST"LE, S M° BUILDING INSPECTOR �0 MPY a' �% APPLICATION FOR PERMIT TO .. ..........e./� y ............................................ TYPE OF CONSTRUCTION ........ ...... ///.. ...................... .....................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... -,. ......2 J......1,1.,1� �E'x....✓ . f2.eS..............................................................•.............................................. Proposed Use ..!7gwx-tF.!°?......1 L?.... r'.�I:lCll��"i?................ G G.I......./..o.... a-0cy..e....... ZoningDistrict .:......................................................................Fire District .............................................................................. Name of OwnerPi�L�C'��.. 4:17�s//9�' .A/ ..................Address .................................................................................... Name of Builder K v,a.CG`,:W.'...................Address .........����y[J.l....�!✓..��Fr�1.Cl��.................. Nameof Architect .............11..<r�.. .......................................Address .................................................................................... Number of Rooms ..(.. .. ......................................................Foundation ,>,4u Exterior ........ :('l✓.. ..` ..................................................:Roofing ...../ m.l /'r .o� .................................................... Floors ....... !'711...!''1. 60e.5 ....AP,:x" r?11?.+..Interior ........... �' . ....................................... ....................... Heating .:............Plumbing Fireplace j....... ..... ( � ..............................................Approximate Cost ......��(.��) '��C... .i Difinitive Plan Approved by Planning Board ________________________________19-------- . Diagram of Lot and Building 'with Dimensions S - L �y 7 C.. hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. N Chamberlain, Wendell P. No ....g86�.... Permit for add to single ................................... family dwelling , ............................................................................... Location Green Dunes ................................................................ West Hyannisport ............................................................................... Owner .....Wendell P. Chamberlain .............................. .............. ....... Type of Construction .....frame ..................................... ................................................................................ Plot ............................ Lot .......f�3................. Permit Granted ..........Kay..13................196-5 Date of Inspection ....................................19 L Date Completed ...../. '...' .. .!�. 19 6- i PERMIT REFUSED ................................................................ 19 f ............................................................................... ................................................................................ ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... r _v � - I I - , V / F 4 _ � it• � � ' I ' I I , f _ f 1 t 1