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0084 HERRING RUN DRIVE
r y y'. e I I I I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application# �W u Health Division Conservation Division Permit# Tax Collector -Date Issued Treasurer - Application Fee Planning Dept. Permit Fee ', Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis r Project Street Address tj L4 V` i`nq 'R U h I r file Village �.P,YI v Owner A AIR L AN N Address 'S�f Rerr i 1)!R 0 i7fCr�i��� Telephone 3 1�_ — (I 2-1 Qpr tP1� 45 4 - U$S 0 (03 Permit Request ui I A i nca :Pp r►n k+ F®,r �Pi►1DJA,`�1 c9� i-06 es an71'1 14 ���-C.h Prrn LGLLc v� r ., ►�'1 Square feet: l st floor:existing a3$(p proposed o?3 56 2nd floor:existing proposed; Total new6_ tea CD Zoning District Flood Plain Groundwater Overlay -5 Project Valuation 5-00 Ov O Construction Type Lot Size 0, 3 3 acre5 Grandfathered: ❑Yes ❑ No If yes, attach suppoing docurnentat on. Dwelling Type: Single Family I/ Two Family ❑ Multi-Family(#units) Age of Existing Structure "J`/O r 5" Historic House: ❑Yes �2 o On Old King's Highway: ❑Yes &(No Basement Type: ❑ Full ®Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing f new_ Number of Bedrooms: existing_ new .— Total Room Count(not including baths):existing - new First Floor Room Count Heat Type and Fuel: ❑Gas W/O i I ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing _o2 New Existing wood/coal stove: ❑Yes Flo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Yxisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes GdNo If yes, site plan review# Current Use re5W-FAC-e._ Proposed Use Ge. BUILDER INFORMATION Name Telephone Number 5L 112- Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO &e-r,s ab Ie 1� fen ,av, SIGNATURE DATE 21® -3 F r 1 ' - FOR OFFICIAL USE ONLY F 3 , PERMIT NO. i DATE ISSUED ' MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME b� an ,L7/O7 P ' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 3 PLUMBING: ROUGH FINAL GAS: ROUGH FINAL h FINAL BUILDING I7 ) �f DATE CLOSED OUT ASSOCIATION PLAN NO. w REQUEST FOR BUILDING PERMIT from Dr. Adair P. Lane (homeowner) 84 Herring Run Drive Centerville,MA 02632 Tel: 508-775-1721; 617-437-1857 Email: adair2cfa.harvard.edu SCOPE OF WORK: Renovation of 5 rooms (Family Room, Kitchen,Laundry/Bath, Master Bath, Guest Bath). See attached floor plans. Radiant hydronic floor heating to be installed under the above 5 rooms. Baseboard heating units to be removed in these rooms. (Souza's Heating&Cooling, Orleans). Family Room: Remove carpet and underlayment and install hardwoord floor. (Taber's Hardwood Floors, Marston Mills). Remove old casement window and replace with new 36"x48"Anderson casement window with low-E glass for better insulation. Remove old sliding patio door and replace with new"Narrowline"Anderson sliding glass door of same size, with low-E glass for better insulation. Replace sliding doors in living room and master bedroom to match. (Window contractor TBD) Kitchen: Remove linoleum floor and underlayment and replace with hardwood. (Taber's Hardwood Floors) Remove double casement window and double double-hung windows and replace with four 36"x48"Anderson casement windows with low-E glass. Double 2"x4" studs will be installed between windows. Existing double 2"x8"header over each window will be replaced with LVL(engineered wood) double 2"x8"header over entire span of windows (13'). Cabinets and appliances will be replaced with new ones. (Classic Kitchens,Hyannis) New GFCI outlets near sink and undercabinet lighting will be installed(Wellington Soares, Electrician,Hyannis). Laundry/Bath: See detailed"before" and"after"plans. �r Remove linoleum floor and underlayment and replace with tile floor(Precision Tile, Marston Mills). Remove non-load bearing 2"x4" stud wall between kitchen and laundry and replace with 2"x6" stud wall to accommodate sound insulation. Remove wall and door separating laundry and bath. Remove closets. Remove old double-hung window in half-bath and replace with double 36"x48" Anderson casement window with low-E glass. Remove old awning window on laundry wall and replace with Anderson double 2.4'x2.0' awning window with low-E glass. (Window contractor TBD) Plumbing: Remove washer and dryer from exterior wall; replace with new stackables on interior wall. Remove toilet and replace with wall-hung toilet on interior wall. Remove sink and vanity and replace in new position. Install tub in exterior corner. (Jack O'Connor Plumbing&Heating, Sandwich.) Master Bath and Guest Bath: Detailed"after"plan not shown because fixtures and walls remain in same location. Remove carpet/linoleum and underlayment and replace with tile floor(Precision Tile). Remove fixtures and replace with new ones. Move toilet 3"to the interior in each bathroom to meet code. (Jack O'Connor Plumbing&Heating) Remove fiberglass shower/tubs and replace with custom tiled showers. (Precision Tile) Install vent fan and recessed lights in ceiling. (Wellington Soares,Electrician) Repair rotted 2'x2' section of exterior wall under windows in guest bath. (F. B. Construction,Marston Mills) All work will be supervised by the homeowner,Adair P. Lane. j 14 HA LrYinoJ Fann�� I Door �UeSt ... G oesf _ Room lorarrt �l, 1 .fit 2 r d ft, F Sal Hey-rin3 Run Dr. 5�hk �VaSlitr dryer J1 � bt4S�� closet K�tChen { j 't'u b L t >tackoal f wASh`r �" is � ' wall - hvn5 -Itdi ►�-� ►'tcl�e aY 1V TTu V1 J-7ialiaP4KA/AV L �" Regulatory Services , Thomas F,Geller,Director Building Division Tom.Perry,Building Commissioner .200 Main Street, Hyannis,MA 02601 WWw.town.barnstabl e.ma.us Fire: 508-862-4038 Fax:'508-190-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW .SUPPLEMENT TO PERMIT APPLICATION MS c, 142Arequires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement;removal, demolition,or construction of an addition to any pre-existing owner-occupied - building containing at least one but not more than four dwelling units.or to structures which'are adj acent to such residence or building be done by registered contractors,with certa+n exceptions,along With eher iequirements- Type of Work; 5 ro0 lTS Estimated Cost ® 1< � Address of Work: -ALt` ��errrnn ��►'� ��' PltVi1�� M / 021n32 . Date of Application I hereby certify that Registratign is not required for the following reason(s); []Work excluded by law ❑Job Under$1,000 Building not owner-occupied �wner pulling own permit Notice is hereby given that: OWNERS PULLING TEEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner; Date Contractor Signature. ReestrationNo. " OR ' 942: 0 � Date Owner's Signature Q;y,,Q��,{crms:horneaffidxv Rev: 060606 Town of Barnstable Regulatory Services uRntsTaeM Thomas F.Geder,Director ' � Building Division ' Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ` _ Please Print DATE:— _V e,6 ; )i_'� �Q®� � j M A JOB LOCATION: J—7 Re► n/ky Rue) ,1/I�• , CQ n 1� V t i� 1 ' ✓ � 02,�3 number streef -7 + village "HOMEOWNER": @-Aa1✓- P, Lane- 50 DQ--3-S (1 G 1 617 - 437-19'S 4 name home phone# work phone# I CURRENT MAILING ADDRESS: 39� 46 r r 1 pia :R o N -Dr. � l�C-o I e.i U t Ile_ ., M A 0 2(a,3 2 city/town 11 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 require nth. , lw� ,a�4 gvalr�_ Si lure o omeowner 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 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that 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:fortns:homeexempt ;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 Lezibly Name(Business/Organization/Individual): A ! A ` R E Address: `3 4 }enrLq Rv!1 JI)r- City/State/Zip: a 043Z Phone k ,S07— �- Are you an employer?Check the appropriate bQx: Type of project(required): 1.❑ I am a employer with 4. Lj6I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 7 [re U If 2.❑ I am a sole proprietor or partner- listed on the attached sheet. x modeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp. insurance. g. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.]t employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penL*esof�d perjury that the information provided above is true and correct Si nature: Date: a Phone#: -��7 ( -4 l Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: slt NEW COMMERC ❑ Letter of Approval from Site Plan Review ❑ If located in OKH or Hyannis Historic Dist .required ❑ If sprinkler system or fire alarm system is requ without prior approval from Fire Department All sign offs ❑ Engineering ❑ Health ❑ Conservation ❑ Tax Collector ❑ Treasurer ❑ Planning ❑ If ZBA relief(Special Permit or Variance is requir ❑ Copy of ZBA Decision ❑ Documentation proving the decision was recor within one year of ZBA decision date. ❑ Correct square footage f t, T oFt ra,, Town of Barnstable Regulatory Services MAW. g, Thomas F. Geiler,Director �APE1639. &�O Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 July 18, 2013 Adair Lane 84 Herring Run Drive Centerville, MA 02601 RE: 84 Herring Run Drive, Centerville, Map 229 Parcel 043 Dear Property Owner, This letter is in response to shed registration application number 201304459. Unfortunately, this office is can not approve the application for the following reasons: - 1) Compliance with setback requirements is not demonstrated. 2) The property currently has an open permit(200700788) which is lacking final building, plumbing, and electric inspections. Please do not hesitate to contact this office with any questions. Respectfully, r a zon Local Inspector 508-,862-4034 jeffrey.lauzon@town.barnstable.ma.us nr=n■ Town Boundary a� �, ��: a ParcelsFY2o12 1234 Address Street Numbers Buildings a Approximate Locations of '' ° New Buildings from Plot Plans Decks/Patios # Above Ground Swimming Pools - � t S Qa In Ground Swimming Pools „ t ' ® Walkways Improved Walkways Unim roved - ' Y P ar A Paths ® Stairways Paved Roads Unpaved Roads 4. Paved Driveways - - Unpaved Driveways -H[if Painted Linesa — 7 Paved Parking Lots ` . .y Unpaved Parking Lots ... Bridges 3 A +� Railroad - ..... �... - 14 Fences #Z4 - — Guardrails yE --<>-- Retaining Walls F cx_ C' Stone Walls - ��'. Sports Areas C� / 224 044 GolfAreas Docks/Pi ers Boardwalks Jetties Streams - :: y - - ' ... Drainage Ditches p. t i Marsh Areas . 1 Water Bodies t p > X Spot Elevations(NAVD88) Topo to ft Contours(NAVD88) xCatchbasins x Monuments i Y Lamp Posts Towers ' , yi Manholes O Utility Satellite Dish s • k s .% Y `„ ', s O � sx. Fuel Tanks Signs Water TanksY- Flagpoles � Utility Boxes s § O Posts100 0 Pilings ;�r Data Source Human-made features, Disclaimer This ma is for planning purposes only. It is 1 inch=20 feet N - Town of Barnstable. P P g P P Y. hydrography,topography,and vegetation were Parcel lines on this map are only graphic not adequate for legal boundary determination -WREMNIMM Feet Conservation Division interpreted from 2oo8 aerial photographs and representations of Assessor's tax parcels.They or regulatory interpretation. P This ma does no http://w .tow .bamstable.ma.us may have been updated from more current are not true property boundaries and do not represent an on-the-ground survey. O g 10 20 30 q0 W Zoo Main Street,Hyannis,MA 026ot sources. Parcel lines were digitized from represent accurate relationships to physical Enlargements beyond a scale of 1"=too'may. c Town of Barnstable K �1"E Regulatory Services 't N'OF RARNST 9LE Thomas F. Geiler,Director ` $"IM "B` Building Division 2013 JU- L - M 8: 5? �prFO �A�� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us (Z"ON Office: 508-862-4038 ax: 50 -790-6230 PERMIT#��/,3 0 VV.5 y F : $ SHED REM GIST RESIDENTIA 200 square t ;�y �4e hdlq TL9n Location of shed(address) V' ge Pro rty owner' ame Telephone number 040 � x a Size f Shed Map/Parcel# A l�►�� r t l 6-, p 'S Signature Date Hyannis Ma' treet Waterfront Historic District? Old King ighway Historic District Commission jurisdiction? ►1 C� If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation:8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:052813 Page 1 of 1 pro ,. k ` 220028 � M 123 a 229042 229041 p-g8 .y 220043 y C• N 84 � 229044 220020 N 131 H6RRlN�t,�gtJNtl�� -7 } 229040 22905 137 D. 9030 / Fee l N 1p t07 229D48 �k 11Da, - t 4 http://66.203.95.236/ArcIMS/output/AppGeoApp_gisweb549251885.JPG 7/5/2613 Town of Barnstable oF�"E Teti Regulatory Services Thomas F. Geiler, Director • BALMS ABBE, MASS. Conservation Division 1619. i0rfn Mai" Robert W. Gatewood, Administrator 200 Main Street, Hyannis, MA 02601 E-mail:conservation(2Jtown.bamstable.ma.us Office: 508-862-4093 Fax: 508-778-2412 Massachusetts Endangered Species Act Regulations Important changes to the MESA regulations took effect on July 1, 2005. Project proponents must now file project plans with the Natural Heritage & Endangered Species Program for proposed work within Priority Habitat regardless of the presence of wetland resource areas. It appears that your project is within Priority Habitat and therefore may require filing with NHESP. For more information please visit www.nhesp.org and click on the Regulatory Review tab. There you will find filing requirements, filing fees, a list of exemptions and other important information. You can speak with'a member of the review staff at(508) 389-6360. To avoid costly delays and the potential for criminal and civil penalties, please determine whether you need to file with NHESP before you begin work. You may view a hard copy of the Priority and Estimated Habitat maps in this office or view them online at www.mass.gov/dfwele/dfw/nhe§p/nhregmqp.htm . You may also submit an Information Request with NHESP for a list.of species associated with the area. This will allow you to design the project to avoid or minimize the impact on rare species. Q:/W PFi l es/Forms/MESA.doo- 1� ate sev W e a t h e r i z a t i o n & InsuIation 410 Grnve Sr.Fall Rivet,Ma 02723 01 Insulate2SM-net August 14,2014 ;Town Of Barnstable ,(� 1 Thomas Perry, CBO i,200 Main Street Hyannis,MA 02601 R.1✓: 84 Herring Run Dr. :Dear Mr. Perry, This Affidavitis to certify that all work completed at 84 Herring Run Dr.has been inspected by a certified BPI :Inspector.All Work Performed Meets.or exceeds Federal and State Requirements. Sincerely, s :Roland Langevin Insulate 2 Save,Inc `.President `CSL 103861 HIC 166311 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION t, i� (U S 2 Map l Parcel Application # ! "l. � C� i 7 l 2' 9 / Health Division i F ' Date Issued -7/1 y Conservation Division Application F Planning Dept. #{� Permit Fee a Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address ` l Village N v Owner Address lk_rrimrl kJ Telephon Permit Request S a6" Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay 4 Project Valuation ; 337 r P�d Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION —(BUILDER OR HOMEOWNER)_ Name( Telephone Numbe p d Address /06 License d103V Home Improvement Contractor# Emaii�ln ismk)� ( U JAka��M_ ftek Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT ILL BE TAKEN TO � dP �s ry j 0alao SIGNATURE �� ��i�—"� DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ' ADDRESS VILLAGE , DINNER F t DATE OF INSPECTION: I FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL } PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING t r - DATE.CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable L Regulatory Services OFf11E Richard V. Scali,Director Building Division MUMSTABLE, Y IBARNSTABLE M 3y. Thomas Perry, CBU MRNSIABL[• 163Y-2L•CUPJR•IIVAYNIS ASS. KtF51�A5!!Iu•GSIERFVILLE•WHi enxN5iA8tf 1(, �� 1639-201a ArED1A°�A Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 June 25, 2014 Roland Langevin 410 Grove St. Fall River, MA. 02720 RE: 84 Herring Run Dr., Centerville, Map: 229 Parcel: 043 Dear Property Owner, This letter is in response to building permit application number 201403587. Unfortunately, the application can not be approved at this time because the property is the subject of open permits. No additional building permits can be issued until the prior have been resolved. Respectfully, Lauzon ocalInspector jeffrey.lauzon@town.barnstable.ma.us (508) 862-4034 bk '?)J 1 l�y `.! lvselazu.5eas --„�f..r t:`�2ef=i l3�jYlflldS�YdU�.rQ�('% • � iffy,•`._, �eEzts, , '+ J Qf hz i' stilt ttt/o".� pla.S;tj,19� a tU;:t.Street " ` "Ost"I IA 0�!17 Workers' COnIpensation Insurance; P`;yva.'"ass_gatiidia licant Inforination Affidavit: B N uildet s;(,ontract ectricia azne(Business/Organiz ors/fl ns/Plumbers arr,,ii r ! Please Addre -!Ji,�iC_ Print Le ibi Ct /. - -....__ __.._:_ t}' State/Li — ., ; . __:.-....... _._......__.....___; _ ! Are you an employer?Check the app,o __-- r-� • : - hone --- t�CJ i am aemployer wit• 1 p aa_box: �_-�� -_7C.6' emplovees (Pali aP. �i i7 a n r df a i L',; - 1 an, pat';-t1f1?C). rn!'it`l ii':d ( Type o ro e a sole pr;;prier°,'I,r rr-rr .i e , , , p J ct(required); I ship and hav o partne- .:::? cr. : ) 6. ._i New co e n err.^.love",• ;c construct 1 working for me it: al; : zj'ub1'c°ntraci 1 u Remodeling y capacir'. t; ors have ! g t' zes _1, have �. i ! S. (- o workers co! :�r'y" p. insurance or�er,;° �l'flemoiition required.] ='�"':� insur JI a.•r.c..; am a.6 d !- We ar'e a c,-r :J Building addition It+ r eowner OrP,`�all wor'' vi;1C .,, : p.,.at.°i:gnu riS i lj v p ySell..Mo w �' aa'V'c,'.,; �lectrtcal re or additions worker Co sed pairs Insurance -; ; t ! regwrec.r '` , ;r•pti°.1 Pel'Jr-Of ! _ - lambing repair - s or additions ar:c .. io t 1_j rtoof repairs "erS ! _ i i3• 7Other lyl *Any aPPlieant that checks Comp• rnsuran• j _Su( C�, Horne box' i nms:also ti;!ou;i,t Sc ce re9'j1red. owners who subinit th;s.at{id Crci::below sit a`;rt;rtdic;aur.e i�...^�.. „• ot�r;t iii•; --' ---_'irOtt[r8C[or,l•„- r_,r\v::r!icrs'_•pip\,,,�t , All, sub Ili i>bCX l711151:I CIaCI:CGr a�i i:•�1,i 1U011 i)UIIC\ i em i �:\��:�and iitcn itir o�!;���. : ut.o.ma[i p oyecs. !f die sub_• r on.,..,.-....r. �Ontraclor ,.7!::%till sltcyi r:I:C',:i;"._@;r� un• CiOT• .. - s itcve e:)tplor'ec,,tl:. .. name u- ,tnu.;t sub+;t:r a new affid } ployer that%s >?.;:o;ic� ; \ltetitc:r or r+.ot those entities have " providilz� t u tuber. rrijorhtalion. "'ern err'r't�ntpe�z�'rfr%u;:%11Sf/rfldlC',. 'f�;m3'enzp/Qt'ees. Below is t/te Insurance Company��ame: p°ltcy and job site Policy or Self-i C Job Site Address: g - ��-��-L. - •--•-----....------•---- t✓xpiration Date: Attach-a co -- .__COPY Of of the workers'co. L - r Failure to sec nsaticat o _--- ity/Siaie;`Zi are co c clad'tteci�tration ea r fine tip to S1,500.00 ''aired undc; c. .:;; pale 'sho :ino'the -Qa aP,d or one-Yeas'rtllpl lj C,:: _:;.:,. .; `�( ` 1`�1C n i �gi,cy number and ex IratlOn of up to S250.00 a day n c rtr,? �c the im �, r p date). 4-atnSt the � i a'civl; penalties ;;, p°s-Lion O, criminal penalties of a Investigations of the D;A = Olator. g= r.i, the torn„ ofa STOP or:r;Surance co\•,ra�:� \,,:. ..+ at a copy O :his;rate:,ent!nay ; f WORK ORDER and a . I do/iereby cerri l ' be •orwarded to the fine fy W der rize office of s«1td Pedz,•r!!,! Sii11a— 'I�Ie�_ - t;re iff<:�:nzari!:ie nr°t%i; !ed above is true u _:. nd correct. Phone 4, offcia!use on!' ----—— _ }• DO ftOi ri%Pii L'711 lit !lrFG. — ---'--'—•�� . «'�e c•omnie;er .h• City or Town: issuing Authorit}'(circle one\ -- l'ermitfi i,, i $oard of _ Health 2. Buildino p}e, � ether 3, t' :..ie.it . .EIC-etrieal inspector 5. p Contact F .• - '----- - Plu mbing tubing Inspector Tws cERnFrcAT>: Is IssUCERTIFICATE OF fE%ER71FICq►F As A MATTER OF INFpRMAT10 oNA B I L. 1`Y LI B PRMEN7�S�S NICATE O► NS�ELY OR NE AND — INSURANCE REP CERTIFICATE GATIVELy CONFERS Np M?E(AM/0p SPORT 71VEORPROD � DOES NOT Cpry�nND EXTEND QR RIGHTS the Ate: If the� �� ER''4Np T1IE CERTIFICATE A CONT ALTER THE UPON 1HE CERTtFlC; 12 `11/I3 terftu and conditipns ofthehotder is an HOLDER. RACT BETWEEN��ERAGE AFFQR ATE F►Q Cute holder CER in lieu of s Policy,certaliDrnOl'IAI INSURED, the ISS UING IN'URER(S TI l, a. Anthonysuch endorsemen Policies rrray require an endorse nee mQa��dorsed, If SUBROG s1 _D nY F• Cordeiro Ins R1e"E on this ATION IS W 171 Pleasant urance certificate does notc ,ZiiV CONTACT Fall River, � 02721 NA {�.. PHONE ..........,_..� ..• ,#1@ EMAIL ' (508) 677-0407 ADDRESS: 1 br1 z l d0 INSURE @ cordeiroi ` No (500)k�? Q9 ns $_. Insulate INSURErj(SIAFFORDING COV_ERAG ura INSURF„R_, nce CO$1 410, 2 Save, Inc. Atlantic Casualty Grove St �NSURERa Toni, s_ _ IAs� Co _7 tt Fall River NsuRER c Grea Special tY. Ins. Co I MA 02720 _Amer INsu_ER o.Guard can Ins_ COVERAGES THIS IS TO CERT HAT Tf IE P CERTIFIC +` -- ATE N __._--- --'----- INSURER F; -.........._..---- INDICAT UMBER: i�• NO T OLICIES OF IN CERTIFICgTEY IBE THSTAND)NG SURANCE CJSTED BELOW HAVE BEEN ISSUED TO THE EXCLUSIO ANY REQUIREMENT.T NS AND CON p�o°RSMAY PERTAIN, THE INRM OR CONDITION OF: REVISION NUMBER: SURANCE ANY CONTRACT OR OTHER DOCUMENT WffH 7YPE,OFINSU CH POLICIES.LIMITS SHO AFFORDED BY T INSURED NAMED gEIDVE FOR THE C'eyRANGE AOp�s0 WN MAY t-E POLICIES DES ''OL;Cy PBiIQD A ALL, BILITY I eRl HAVE BEEN REDUCED BY P GRIMED HEREIN IS SUBJECTP phi Y POUCYNUMBER ..pOL1CYEFF aOCLAIMS, X COt pZClAtGENERALLWSILITY Y M081000174-1 I MM�D MII/DUCYexp I I CLAIMSlv1A0E [j OCCUR 6112/13 6/12 UTATS J /i4�EACH OE GE T URRENCE _ $. _..._._._ I-pR�,K RENTED .•p GEN'L Al "- -_ I I I_ME D EXP GREGATELMITgppL�S PER ! (A—�O^e aPr�cr� $ 0 X POLICY 'PRO. I PERSONAL,ADV INJURY g•. LOC IAGGRE-...._. $ ] O AllOMOBILE UgBIUTy GENE Q GATE •-- $ Z 0_ O ANYAUIO PRODU_C_TS_�qMP=OP qC,C, ALLAVVPED 0. AUTOS SCHEDULED IT ULED CoIV@Iryt�SIN L L $ �.(Ea accident? HIREDAUTOS NON-OWNED1 Y INJ BODILURY(Per $ AU70S I --won) a B• X UMBRELLA LIAR I `BODILY I'N��RY(Per accident) $ X OCCUR I PROP IRT 0AMA EXCIESS 64D13 LIAS I7821 �- $ CCLgIMS-MADE 6/12/13 6/12/141 - DED X RETENTION$ - $ D I IhORKER$O�ENSATION 10'Q'QQ l EACH OCCURRENCE i I -.. _--is 2DOQ 0 D ANII ERS LIABILITY AGGREGgrE AN1 PROPRA-, KjPARTNER/EXECUTIVE Y/N I II`�TC311431 ' 12 — S 210Q� 0 OarlddaMBEHR)EXCLl0E07 /10/13 12 10 N/A j / /14 i X WC STATU- $Ryyeess, . ibe under I —.- �P=!1M T��. 0� DE3BRIPIION OF OPERATIONS t�ebw .I I_F.L,c"ACH AC CJ DEg 50�O C E�tuipment Floater Ii ,I I I_E L DISEASE EA EMPLOYEE $ 50Q Q .IMP 375-99-7 EL DISEASE- I 6-01 6/12/13j 6/12/14 POLICYUMR Shop Storage OESCRIPTfONOFOP � • ERA►10NS/LOCATIONS/VEHICLES Veh Storage Proof of InsuranCe• Iq'ta�h Acol:o 101,Additional Rene l G ReSldentlal rksSchedule,lfmores I 76 Insulation - �Ce I$`equred) •' / Contractor. CER TIFICATE.HOLDER CANCELLATION SHOULD ANY OF T}1E ABOVE DESCRIBED POLICIES BE CA THE _ THE EXPIRATION DATE THEREOF, NOTICE WILL BE ACCORDANCE WITH THE POLICY PROVISIONS. ORE DELIVERED `. AUTHORIZEO RE PRESEN.Y •. I / /R�' '.CORD 25(2010/05) rone: The ACORD name' logo are registered mOarks 8- 010 ACORD CORPORATION. All rights a, e Fax: E-Mail: :•r+ d, 7 vi I �"� -_ ,-� l�' (.!/'Q�1'1'li1'!'l.�i!'1•7..J � l�I" �n�,i Office of Consumer Affairs G��� � f fairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 166311 Type: DBA INSULATE 2 SAVE Expiration: 5/11/2016 Trk 251248 ROLAND LANGEVIN 410 GROVE STREET FALL.RIVER, MA 02720 _- Update Address and r SCA 1 201 eturn card Mark reason for change. io d-OS/11 �-�•� • Address 7 Renewal enewa E mplovment Lost Card y 5j Office of Consumer Affairs&Business Regulation License or registration valid for individul use.onl ME IMPROVEMENT CONTRACTOR before the expiration date.'If found return to: Y egistration: 1'66311 xpiration: Type: Office of Consumer Affairs and Business Regulation 5/-;1'1[20.16 DBA 10 Park Plaza-Suite 5170 INSULATE 2 SAVE Boston,MA 02116 , ROLAND LANGEVIN 536 EASTERN AVE. 4 � FALL RIVER,MA 02723 _ Undersecretary — ---------— ____ _ Not valid without signature Massac ❑yens a �. 3oara 0: 3 ti:rg Reg...❑. aa,es Construction Super isor ce.r.se CS-103861 ROLAND LANGEVIN 536 EASTERN AVE ' Fall River MA M1723 08/24J2015 r7 OWNER AUTHORIZATION OZAT'I FORM (Owner's Name) owner of the property located at �.9 ( operty Address) Qo7 3 - (Property Address) e� hereby authorize (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signature Date gm'Am RISE Engineering Federal ID#05-W5629 I RI Contractor Registration No 8186 A division of 1'hicisch EngineeringMA Contractor Registration No 120979 CT Contractor Registration No 626120 25 Mid-Tech!)rive,Suite H,West Yarmouth, 508-568-1926 X-6197 FAX 508-56P,1933 CONTRACT I S E Page 1 PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING CLC-RCS ENGINEERING AND THE CUSTOMER FOR WORK A$ DESCRIBED BELOW i I„ ' t CUSTOMER ....... _____......._. ..__._._.....__._.._.... PHONE DATE CLIENT WORK ORDER Adair P Lane (508)367-1866 04/16/2014 157907 00002' __ _...,. SERVICE STREET ...- .__. ....._-_-.. ....__.-___.. BILLING STREET - --------- 84 Herrin,.Run Drive P.O. Box 1414 __-._...____.__.. , SERVICE CITY,STATE,ZIP Centerville,MA 02632 ......._.... ...„,,......, ..-BILLING CITY,STATE,ZIP _ . __.._._..._.. _.�._. .._..-_:..._ West Dennis, MA 02676 JOB DESCRIPTION Provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your borne can include caulks,foams,weatherstripping and other products. Primary areas for scaling include air leakage to attics,basements,attached garages and other unheated areas(windows are not generally addressed.) (22)working hours. At the completion of the weatheriration work,and at no additional cost to the homeowner,a final blower door.and/or combustion safety analysis will be conducted by the sub-contractor to ensure the safety of the indoor air quality. S1,694.00 ATTIC FLAT:Provide labor and materials to install a 10"layer of R-35 Class 1 Cellulose added to(2000)square feet of open attic space. $2,680.00 Provide labor and materials to install ventilation chutes in(120)rafter bays to maintain air flow. S418.80 Provide labor and materials to install(20)4"X 16"rectangular aluminum soffit vents to increase ventilation in attic areas.Specify color:White S578.20 Total: ¢5,371.00 Program Incentive: $4,451,7,5 Customer Total: $919.25 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Nine Hundred Nineteen&25/100 Dollars, $919,25 UPON FINAL INSPECTION AND APPROVJ�J BY RISE ENGINEERING.CUSTOMER AGREES TO REMR AMOUNT DUE IN FULL INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY - UNPAID BALANCE AFTER 70 DAYS- BY is FOR IMPORTANT INFORMATION ON GUARANTEES RIGHTS OF RECISION.SCHEDULING,AND CONTRACTOR REGISTRATION. s' DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES _ r ALIT OR Sid RE-RISE ENGINEERING CUSTOMER ACCEPT li GTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE ................-_:.---- ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE ( lj DAYS. SATISFACTORY TO US AND ARE HEREBY ACCEPTED,YOU ARE AUTHORIZED TO DO THE WORK _ AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE t Town of Barnstable oFt�E Regulatory Services Richard V. Scali,Director .AMSTABLE. ; Building Division BARNSTABLE MASS. - �55i0 SB1E iYMFF[VIDE mSrtTMFN5TA0L[ 1639. Thomas Perry, CBO 1639-2014 ArF�"A0�A Building Commissioner3D 200 Main Street, Hyannis, MA 02601 www.town.barnstabie.maxs Office: 508-862-4038 Fax: 508-790-6230 June 25, 2014 Adair Lane 84 Herring Run Dr Centerville, MA. 02632 RE: 84 Herring Run Dr., Centerville, Map: 229 Parcel: 043 Dear Property Owner, This letter is to inquire on the status of building permit application number 200700788. To date,this office has not been contacted by you in regards to a final inspection and there is no record of final electric or plumbing inspections. Please contact this office immediately with an explanation and/or arrange for inspection Thank you for your anticipated cooperation in this matter and be advised that no further building permits can be issued until this matter is resolved. Respectfully, y L. Lauzon Local Inspector e� ffre. .lauzon ,town.barnstable.ma.us (508) 862-4034 3 C 1 '/A flh ��./ Town of Barnstable *Permit# Expires 6 months from issue date l �ti r Regulatory Services Fee 455�'l s--•CD Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street;Hyannis,MA 02601 _ IT www.town.barnstable.ma.uspp�``ll Office: 508-862-4038 Fax: 508` -Al 2006 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLITOWN OF BARNSTABLE Not Valid without Red X-Press Imprint ✓lap/parcel Number ;Residential p Address Value of4Wort<_ 'L7 Minimum fee of$25.00 for work under$6000.00 lwner's Name&Address Z. [ f - ontractor's Name Telephone Number ome Improvement Contractor License#(if applicable) onstruction Supervisor's License#(if applicable) ��� :q; f y J, Korkman's Compensatinnce Check one: E] I am a sole proprietor am the Homeowner Wr I have Worker's Compensation Insurance surance Company Name orkman's Comp.Policy ►py of Insurance Compliance Certificate must be on file. rmit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side [Replacement Windows. U-Value (maximum.44) *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. Home Improvement Contractors License is required. 'NATURE: )nns:expmtrg se071405 1 The Commonwealth of Massachusetts Department of Industrial Accidents e "lira; f� Office of Investigations a 600 Washington Street Boston, MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): et\�,Cozlgi Address:^ LC � Mg-3 City/State/Zip: A 15 Phone #: Are y an employer? Check the appropriate box: Type of project(required): 1. I am a employer with ZL 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. $ ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its officers have exercised their 10.[]Electrical repairs or additions required.] 3.❑ I am a homeowner doing all work - . right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑R,9of repairs insurance required.] t employees. [No workers' 13. • ther 01,J�2)LaS 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below:is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: t/�l f 2--2_ ®b Expiration Date: Ing ��:� � Job Site Address: ��,� `?t� o r,City/State/Zip. T /' Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration dale). G�1 � 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 the pains and Zaies f perjury that the information provided above is tr a and correct Si ature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: JU -07-2006 09:04 M M ASSURANCE 603 356 9290 P.01 TE AeORQ. CERTIFICATE OF LIABILITY INSURANCE 07/07/2006' PRODUCER (781)447-S531 FAX (781)447-7230 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Mason & Mason Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE -A'R South Ave. ALTER THE COVERAGE AFFORDED DOES BY NOT THE AMEND, BELOW. �tman, MA 02382 Craven Vosburgh INSURERS AFFORDING COVERAGE NAIC# mumen Encore Construction Co., Inc. s IWRERAI Aspen Specialty-Insurance 103 Main Street INSURERS; Star Insurance 000204 Denni sport, MA 02639 INSURER C! INSURER b; INSURER E, COVEBAggs - THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDMON rOF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. rA D TYPE OF INSURANCE POLICY NUMBER POLICY EFFEYN CE POLICY EXPIRATION GENERAL LIABILITY PK001026-1 11/13/2005 11/23/2006 EACH OCCURRENCE s 1 000' X COMMERCIAL GENERAL LIABILITY D AMAG RENTED E TO S SO t CLAIMS MADE D OCCUR _ LIED I:XP(Any one person) S 1 O PERSONAL 6 AM INJURY ; Low : GENERAL AGGREGATE S Z OOO 00 GENL AGGREGATE LIMIT APPLIES PER; PRODUCTS-COMP/OP AGQ S 1 ON riPOLICY JEC LOC AUTOMOBILE LIABILITY COMBINED SINGLE OMIT ANY AUTO (Ea eccldent) S ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per won) S HIRED AUTOS BODILY INJURY NON.OWNED AUTOS (Per eaddenl) $ PROPERTY DAMAGE 5 (Per euJdeM) GARAGE IJASH TY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC S AUTO ONLY, AGO S EXCESSIUMSRELL►LIMILITY EACH OCCURRENCE S OCCUR r—jCLAIMS MADE AGGREGATE S S DEDUCTIBLE S RETENTION $ / $ WORKERS COMPENBAT"AND WCO220651 07/01/2006 07/01/2007 we STATU- I IOTH• . EMPLOYERIV LIABILITY E.L EACH ACCIDENT i SOO OO B ANY PROPRIETORIPARTNEWEXECUnVE OFFICERIMEMBER EXCLUDED? E,L,DISEASE-EA EMPLOYEE $ 5001.0 If yes descrlbe under SPECIAL PROVISIONS Wow E.t,DISEASE•POLICY uMlr S 500 OO OT14PR DESCRIPTION OF OPERATIONS C TION6I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT f$PECIAL PROVISIONS operations: remodeling r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL Encore Construction Company, Inc. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAND TO THE LEFT,, ATTN. Lee BUY PAu LIRE TO MAIL SUCH NOTICE SMALL IMPOSE NO OSLtGAT10N OR LiAY1L1iY 103 Main Street OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Dennisport, MA 02639 AWKORMDREPRESENTATIVE ' • ACORD 25(2001106) OACORD CORPORATION 19$8 •�` �/r (`�[,,�iE»�c.zr[r�.Yx�l� r ' .•�lr:::r�clbAi'?fiv� BOARt7OFBUILDIN�REGULATlONS License: CONSTRUCTION SUPERVISOR Number. CS O48044 Birlhdate: 09f 16.r1958 Expiros:0S11W%'%7 Tr.no: 3776.0 Restrictod: .00 DALE R NIKULA 103 DENN SPORT. MA 02039 7k Board of Building Regulations and StandarI HOME IMFiROVEMENT CONTRACTOR Registra�'ton- 126781 pirafr--off 2008 !/�I _Type _:me Corporation 1" a�j .ENCORE COW.. C 1Q�l EO ANY,INC. DALE NIKULA _ del 103 MAIN ST. \ -DENNISPORT,MA 02639 Deputy Administr 9/29/06 To Whom It May Concern: RE 84 Herring Run Drive, Centerville ' I, Adair Lane, as OWNER of the subject property, hereby authorize Encore Construction Company, Inc.to act in my behalf in matters regarding the obtaining of building permits and construction work on the property. OWNER: ;<1 Date: 4 oFtMME iTown. of Barnstable Regulatory Services BA MASS. Thomas F. Geiler, Director Y A38. � . 0.19. Building Division Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 November 15, 2010 Adair Lane 84 Herring Run Drive Centerville, MA 02601 Dear Ms. Lane, RE: 84 Herring Run Drive, permit number 200700788 It has come to our attention that there have not been any inspections for several years on the above referenced permit you hold. All inspections are required prior to obtaining a final inspection. This project requires a final plumbing and electrical inspection. Please arrange all required inspections.. If you have.do not intend to complete this project you must contact this office. By order, YL z n au o Building Inspector 508-862-4034 Q:\WPFILES\LAUZONAherringrundrive84.doc �_ �� i I � � � � �� � �.�.�� -� � ��a Iq!� � 4 ' ��,�� t Y { 5{ 1 S J - i � .. _ -�.... _.. -. ... .. a. 11 • u ,. E a `i. 1�JIIt. i •rl .`, ..s- i, a'x �, k' s h1y. File Edit Tools 'Help lia De , Detail icatiorx 2I1 7€}4Y788 �." � ..Prt�pltcant � OVVN-PROPERTY OWNER .:. .... ..... . " AP 71 Status t ACTIVE i 0+ _21 I Collect . �. er 2 D' ar,meat. `6360-BUILDING DEPA:RTME:NT jg a, ject%Act�,v-"^,434 'RESIDENTiALADD,iTlONiALTERATIOCo » �Descrl n.l �RENOVi'T N OF 5 R001v1S',FAMILY�ROOM,KITCHE': -LAUNDRY R©0���',B�S' t tt'�aiilow s pt. Business_ ..� _ .' Descraian° H '?+ASTERBxTHMGUESTBATH g , . .Parkinf�lisc g Fees eifec ve. q 9 , ASSi ned Propertyr " -1;v: -s Fu7ast zP sperkgr�Use� N- on Cad __.. _Datesx.rM un c L`lrF`r S rin erraiits Loa E. zistrng use 11 SNG Reacte LE`Fa'PLY30ME - ivat �_•�.�I3 Street , , NER:RING RUN DR]VE awning R D-1 R E5lD 1 , djut Parcel3 A s Fees r <. i r i rnems a i n a Escrow :Mullin fty-: CENT -CENTER z.` flooi ozone , . Subd� Sion , _ t, LtSetivnr`Phase _ - , - ( Prapose ie 11 �� SING.:LE FP� +IdLY 3IO1IEf _ u F Hisao Eiu,een. zo �ng RD-1 °R.ESID € aymt. 9 _ T :and' " 4 memo n _ L cation desc i III x p> Suryim Pemui flood zone #; Copj App� :t Femirt Alerts [, Prerequisites _( Hard,Rests flames _ I .Bands �Su>a Addrs �Text I �Flan Review p Link Ihs s 'rl nor History' "E3lnspections. V'iolatio s J Reviev�s ( Open(terns Mlgarnings r Find Related , r ;I N fl€ s —✓j ► f Pl irk R_ Maintain projectlactivity detail for the current application. 0YR l °fT"Er°�� TOWN OF BARNSTABLE BABB9TABLL i 9�0 r6 9 �0r BUILDING INSPECTOR APPLICATION FOR PERMIT TO build..a..residential..hause..................................................................... TYPE OF CONSTRUCTION .w.9.9-and-bx'ick................................................................................I..................... August......24,..........1972... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..LQt..#..8....11errLW.12W.. 3.Xr,,...Cent me.................................................:................................................... ProposedUse .S t1g �..reis dwws...................................................... ......................:............................I......................... ZoningDistrict .... .....................................................Fire District .............................................................................. Name of Owner ......Address ...Z7... ................................... Name of Builder Porald..G......Forte...................................Address Ya1mQuth..Rid...Hy.allnis....................................... Name of Architect aahard.][,a ►....................................Address Xain..5t...Eya=is................................................ Numberof Rooms ....7...........................................................Foundation ...P...C................................................................... Exterior NUtS...Cedar..sh3.g7.e..=ei..b2d.tlk...................Roofing ...asphalt................................................................... FloorsN.T41-0a vet............................................................Interior ...sheet..roak........................................................... Heating h.:..$;:. ;....) 11......................................................Plumbing .Coppter..&.Mastle.............................................. Fireplace ...two..lax`isk...........................................................Approximate Cost ....$...6Q.AQQ..OA........................................ Definitive Plan Approved by Planning Board -----------____---------------19--------. C�3 7 �t Diagram of Lot and Building with Dimensions tie SUBJECT TO APPROVAL OF BOARD OF HEALTH THE PROPOSED METHOD OF PROVIDING Fb- SANITARY WATER SUPPLY, SEWAGE DISPOSAL°4 AND DRAINA E TS. HER BY Pi'ROVED ` C TOWN OF BARNSTABL�', BOARD OF HEALTH A LICENSE D INSTALLER MUST 013TAIN SEWAGE. pED�p;i'.T :AND INSTALL SYSTEM. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. :. .. . .. . .......... Nesbit, Russell W. & Susan E. No ......1544...6. Permit for ......one...story.......... ........ ...... ........... I single family dwelling 1AJ ......................................................................... '�:q Herring Run Drive Location Centerville ............................................................................... Russell W. & Susan E..Nesbit 7 Owner .............................................frame.......... ................................................ Type of Construction f rame .......................................... ................................................................................ 18 Plot ............................ Lot ................................. Permit Granted .......August. ....28....... .....19 72 ... . Date of Inspection Date Completed ...... ... .. ..... PERMIT REFUSED ........ ............................................ i 4�) ............................................................................... ................................................................................ ............................................................................... ............................................................................... 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