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HomeMy WebLinkAbout0100 LIAM LANE .. _ _ . . t .. w Q R �'.��. ® ' } E B e �TIM, Town of Barnstable *Permit#zol �Oqq Expires 6 mo ths�m' u e N R .Regulatory Services ' Fee sARNSTAst e, v MASS. Richard V.Scali,Director ADO Mpt a Building Division X-PRESSPERMIT Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 AUG 10 2015 www.town.bamstable.ma.us Office: 508-862-4038 TOWN OF BAER:NoN,79,�01-6E30 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 6 I6 Property Address l 40o LlAlnti L,InIVE; Residential Value of Work$ 5 /OD Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name CA% A SMA47'F.5.:rn L Telephone Number! Z-SS-P*77 D Home Improvement Contractor License#(if applicabled d o/I Email: Construction Supervisor's License#(if applicable) C,5 OS 2-1351- ;ZWorkman's'Compensation Insurance . Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name A9-20iJ i1 a-7k44— Workman's Comp.Policy# f *7(o 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 'Replacement Windows/doors/sliders.U-Value 3 ' (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 ign:Zent.ContractorsLicense rty Owner Letter of Permission. A copy of th a &Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\E RESS.doc Revised 040215 21-e Comrrrorriveakh of Vassachusetts Deparhner;~t of Industrial Accidents - - - Qffi e of r£n►�estigatioTrs - 600 Washington, treel __y... Boston,MA 02111 , t4youniass;gm1dia Workers' Cainpensafian Insurance Affidavit Bu ilder-s/CuntractnrslEIectricians/Plu nbers ApOcant Infarmaf%an Please Print Legibly rr�.e(BusmessflOrganimtionRndividual}__ �P� �155oe1�'�5 .sN� Address: Citylstatr'lzip Phone - - D Afeyou an employer?Check the appropriate box: Type of project(required), 1.Pq I am a with employer 16 4. ❑ I am a general contractor and I — 6_ ❑New construction. employees(full anCVOr part-time)-* have hired the sub-contractors 2.❑ I am a sole proprietor orPa rtner- listed on the attached sheet:. 7. ❑Remodeling Perim ship and have no employees. These sub-contractors have g_ ❑Demolition working forme in any capacity- employees and have worms' 9. Building addition [No workm'comp.insurance COMP-tnstuancl—# rewired-] 5- ❑ We area corporation and its 10-❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their ll_❑plumbing repairs or'additions myself[No workers'comp- right of exemption per MGL 17.❑Roafrepairs insurance required j 6 c.152, §1(41 and we have no employees.[No workers' 13.❑Other comp insurance required.] 'Any applicmt&at checks box#1 mast also fill out the section shavriug their walere compensation policy infbnnzdnn_ Iiameowaers who submit this af5da«t indicating they are doing sll wow and.then hire outside contractors amst submit anew affidavit indicating welt Zc:su radars that ebea this box must attached sir additional sheet showing the name of the sub-coutrsctocs and state whether or not tbase entities have employees.Ifthesub-contractarshave employees,they must prn-ide their workers'comp.policy number. lam art eitiplq er€liat isproniding workers'conrpertsrrgaii ittsrrrance for nry*enrpInj ees Below is t7re poUcy and job rite . information Insurance Company Name: I Vt Policy#or Self-ins.Lic_# /t7 / F-Wiration IDate: 7� Job Site Address- Vu `1p�h 1i1111L�� City/State/Zip- ttk I A D1�31� Bch a copy of the workers'compensationpolicy declaration page(showing the policy number and 'on date). Failure to secure coverage as required under-Section 25A of MGL c. 152 can lead to the imiposition of criminal penalties of a fine up to$1,500 00 andlor one-year imprisonment as well as civil pen.alties.in the form of a STOP WORK ORDER and a one of up to$250-00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for ins ce Ca ge verification. I do heraby CC&A,reel tli pertallies ofpeduiy that the in formiat ou protiried above is brig and correct Siturature: Date: Phone 97 Official use only. Do trot ivrite in Ifd s'area,to be.cormpWad by c4 ar toirn offlciat City or Tvam.: PermitUcense# Issuing Authority(ci r e one): 1.Board of 31,aAth 2.Building Department 3.CatyiFown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone 9: Information and Instructions Massachusetts Geheral Laws chapter 152 requires es all employers to provide workers'compensation for their employees. Pmsaantto this stye,an.eaplvyee is defined as"_.every person in$e service of another under any contract of lane, express or inrplled,oral or wEftbm.." An mwroym-is defined as an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a Jomt enterprise,and jar-hiding the legal representatives of a deceased employer,or the receiver or trustee of a a individual,parInership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than thr=apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do rmzim man ce,construction or repair work on such dwelling house or on the grounds or building appurctenanttheretu shall not be canse of such employment be deemed to be an employer." MGL cbapt$r 152,§25C(6)also sfafs 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,MCH,chaptta 152, §25C(7)states Neither the c rnmcmwealth nor any ofi#s political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the fimmari ce._ requirements of this chapter have Been presented to the contracting aunhozity." Applicamts Please fill out the workers'compensation affidavit completely,by checlong the boxes mat apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone nuunbes(s)along with their cert icate(s)of his-oralnc.e. 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,apolicy is required. Be advised that this affidayit maybe submitted to the Department of Industrial Accidents for confirmation of msarance coverage. Also be sure to sign and date-he affidavit. The affidavit should be retzmmed to!he city or town that the application for the permit or license is being requested,not tare Department:of In.du stri ai Accidents. Should you have any questions regarding the law or if you are requdred to obtain a workers' compensation policy,please call the Department at the number listen below. Self-irisared comlianies should enter their self-in cry ce license number on the appropriate line. City or Town Officials . f Please be sure that the affidavit is complete and printed legibly. 'lhe Department has provided a space at the bottom of the- affida-vit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure ID fill in the permit/licrose number which will be used as a reference number. In addition,am.applicant at must submit multiple penni-t/license applications in aay given year,need only submit one affidavit indicating current th p olicy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)-"A copy of the-affidavit that has been officially stamped or marked by the city or town may be provided to the - . applicant as proofthat 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 relat!d to any business or commercial ventnse (ie. a dog license or permit to bum leaves etc.)said person is NOT requmed to complete this affidavit The Office of Investigations would like to thank you is 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_ T`1 e Ca�anWeea a of Massachusf--tfs Department of lii(l s dal Agents Office of Javestintio-- 600•washivan Stz T(,-I.#617-727-4900 cxt 4-06 or I--a77-MAS&kFR Fax 9 617-727-7M Revised 4-24-07 iaasF,govf dia -1 _ Page 1 of 2 Pages PROPOSAL '!I 1wtLoeta ���n�� ,Cape Associates,1{I1u' All home improvement contractors and subcontractors engaged 1 . PaoPEFrN MANAGaNENr II smvACES 0 PAfM1NG - in home improvement contracting,unless specifically exempt MA LICENSE 4 100 110 from registration by Provisions of Chapter 142A of the general P.O.Box 1858,N.Eastham,MA 02651 laws,must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Submitted To: Lynn Cordery Director,Home Improvement Contract Registration,One Ashburton 100 Liam Lane - Place,Room 1301,Boston,MA 02108(617)727-8598 Centerville,Ma JOB NAMEINO. replacement windows PHONE 413-834-2167 JDATE 6/1/15 JOB LOCATION 100 Liam Lane,Centerville ARCHITECT DATE OF PLANS n/a n/a We hereby submit specifications and estimates for work to be performed and materials to be used: All new windows to be Harvey Industries Classic Series insert,white vinyl inside and out,grills between the glass,1/2 screen, grill pattern 6 over 6. Seven at 28"x 51.75" Three at 28"x 35.75" One mulled unit 54.75"x 51.75" All debris to be removed by builder Windows take 2-3 weeks from ordering. Construction related permits: by builder if required WORK SCHEDULE Contractor will not begin the work or order the materials before the third day following the signing of this,Agreement,unless specified here in writing. Contractor will begin the work on or about 06/15/15 7/10/2015 Barring delay caused by circumstances beyond Contractor's control,the work will be completed by The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall not be considered as violations of this Agreement. WARRANTY The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of one year following completion and shall comply with the requirements of this Agreement. In the event any defects in workmanship or materials,or damage caused by the Contractor,his subcontractors,employees,or agents,is discovered within one year after completion of any job,including cleanup,the Contractor shall,at his own expense,forthwith remedy,repair,correct,replace, or cause to be remedied,repaired,or replaced,such damage or defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. We Propose hereby to furnish material and labor-complete in accordance with the above specifications,for the sum of: Five thousand seven hundred dollars ( $5,700.00 ) Payment to be made as follows: Cape Associates,Inc. 30 % ($1,710.00 )upon Signing Contract Name of Contractor/Designated Registrant 50 %.($2,850.00 )upon completion of delivery of windows,start 345 Massasoit Road % ($ )upon completion of Eastham,MA 02642 20 % ($1,140.00 )shall be made forewith upon 100100 04-2476237 completion of work under this contract Registration No. Federal Tax ID Notice:No agreement for home improvement contracting work shall require a down-payment Bradford K.Haven (advance deposit)of more than one-third of the total contract price or the total amount of all Nano of Salesman _ ✓ l/ deposits or payments which the contractor must make,in advance,to order and/or otherwise obtain - 2Q•G�'i /1 y r delivery of special order materials and equipment,whichever amount is greater.Payments due 14 Amborized Signature days after invoice received.Late payment interest at 1%per month. Note:This proposal may be withdrawn by us if not accepted within 15 days Acceptance of Proposal -I have read all pages of this document and accept the prices,specifications and conditions stated. I understand that upon signing,this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You,the Buyer,may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Cancellation must be d e in writing. NOT SIGN TH O T THERE ARE ANY BLAN C .SPACE Signature Signature �/� lJ Date _62 Office of Consumer Affai;i end Business Regulation it 10 Park Plaza - Suite 5170. Boston, Massachusetts 02116 Home Improve ment'::Contractor Registration Registration: 100110 + 1 ~ Type: Supplement Card Expiration: 6/9/2016 CAPE ASSOCIATES, INC. RICHARD BRYANT - 345 Massasoit Rd N. Eastham, MA 02651 . - reason or chan ge. e.0 date Address and retur card Mark ""CPS-CAI as 50M-04l04-G101216 Address [:] Renewal Employment Lost Card i i i ✓fir. �omm�rcwecr,�� a�r�.naaacl ccee�Zd i _ Office of Consumer Affairs&Business Regulation -License or registration valid for individul use only �'MME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration:'Ao iio Type: r, 10 Park Plaza-Suite 70 Ex piraton:.;6%9/20.16.,, Supplement Card Boston,MA 02116 CAPE ASSOCIATES-'INC:t:': ;.;' RICHARD PO Box 1858 N.Eastham,MA 0265 ? -'.`' Undersecretary N t v id ithout signature U —--- ------ --- VMassachusetts -Department of Public 5aiety Board of Building Regulations and Standards Construction Supervisor -` si. Lice nse:`CS-082435 RICHARD M BRYANT:zg.- 125 KETTLE BOLE RN "" EASTRAM MA 62641 „•19 Expiration �,�....—a�.� os/oatzo�s Commissioner . CAPEASS-01 THORNE ACORO' .CERTIFICATE OF LIABILITY INSURANCE °A'116120 5 �•-� vsrzol5 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 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 temp 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 endorsement(s). PRODUCER CONTACT NAME: Rogers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 %C No Ext: A/C No:($77)$16-2156 South Dennis,MA 02660 E-MAIL ADDRESS: INSURERS)AFFORDING COVERAGE NAIC 3 INSURER A:NGM Insurance Company INSURED INSURER B:ARROW MUTUAL. Cape Associates,Inc. INSURER C: P.O.BOX 1858 INSURER D`. North Eastham,MA 02651 INSURER E: INSURER 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. NOTIMTHSTANDING 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. LTR TYPE OF INSURANCE ADa � POLICY NUMBER MMIDD EFF MPOLICY D YY LIMITS, A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE - $ 1,000,00 CLAIMS-MADE a OCCUR MSO41163 - 01/01/2015 01/01/2016 p AGE ToRENTED REMISEs Ea occurrence 1 $ 50,00 MED EXP(Any one person) $_ 10,00 PERSONAL&ADV INJURY $ - 1;000,00 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 X POLICY PRO ❑ JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT .$' 1,000,000 Ea accident A ANY AUTO M9041163 OV0112015 01101120% BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS _ BODILY INJURY(Per accident) $ X HIREDAUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,00 A EXCESS LUIB CLAIMS-MADE CU041163 01/01/2015 01/01/2016 AGGREGATE $ 5,000,00 DED I X I RETENTION$ 10,000 $ - - WORKERS COMPENSATION - X PER OTH- - AND EMPLOYERS'LIABILITY STATUTE fR B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 1767A 08/24/2014 08/24/2015 E.L.EACH ACCIDENT- $ 500,00 OFFICER/MEMBER EXCLUDED? pilN/A . (Mandato in NH) E.L.DISEASE-EA EMPLOYE $ 500,0 ry 00 If yes,describe under - DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) t CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE - ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ri, ',�'NOF8 Map Parcel I; AR�STA�L� Application #�o Health Division E " ? h y j : �i Date Issued 2- Conservation Division Application F89 �.0 Planning Dept. gym,, Permit Fee DIVISION Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 0 1. Village .6I , //�� //,,�,, � � Owner Address JCU4n��. ( /���1 �,1[�l� Telephone 94 �21 (0 7 -7 Permit Request r l� 7, G%f4m (, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 'EMP Construction Type::L2( ta_t�oyi 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 i n Telephone Number Address 41 D G ae- License ,fit.J Home Improvement Contractor# Email Worker's Compensation # WA ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ` t1~ S e- FOR OFFICIAL USE ONLY APPLICATION# n a J` ` DATE ISSUED I MAP/PARCEL NO. a4 ADDRESS VILLAGE OWNER DATE OF INSPECTION: '} FOUNDATION t FRAME INSULATION . FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r n The Commonwealth of Massachusetts Department of Industrial Accidents u Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 C e www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Insulate 2 Save, Inc Address:410 Grove Street City/State/Zip:Fall River, MA 02720 Phone #:508-567-6706 Are you an employer? Check the appropriate box: Type of project(required): ' 1.FEW;I am a employer with 20 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑.Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.1 9. ❑ Building addition required.] 5..❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.El.I am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no' 13.❑■ Otherinsulation employees. [No workers comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have. employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site inforrhation. Insurance Company Name:Liberty Mutual Insurance Policy#or Self-ins. Lic. #:XWS 56418741 Expiration Date.:12/10/2015 Job Site Address:-no �� City/State/Zip: &P— UO2)2 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 nd na ies of perjury that the information provided above is true and correct. Si nature: Date: Phone;#: 508-567-6706 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#: DATE(MM/DDFYYYY) ACC>R CERTIFICATE OF- LIABILITY INSURANCE 12/9/14 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 INSURER(S), AUTHORIZED REPREStNTATIVE 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 rightsAo the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Anthony F. Cordeiro Insurance PHONE (508) 677-0407 a/X Na; (508) 677-0409 171 Pleasant Street E-MAIL ADDRESs: hsouza@cordeiroinsurance.com j Fall River, MA 02721 INSURERS)AFFORDINGCOVERAGE NAIC# INSURER A:Liberty Mutual Insurance INSURED INSURER B: _ Insulate 2 Save, Inc. INSURERC: _ 410 Grove St. INsuRERD: _ Fall River, MA 02720 1NSURERE: I INSURER 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 AN_D_CONDITIO_NS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'I _ADDLSUER P-OLIC- POUCYEXP INSR LTR I_ 7YPE OF INSURANCE II SR WVD�^... ...Ty._.P000Y NUNIBER MIDDY MMfDIYYYYY LIMITS. A cENERALLIABILITY Y Y BKS 56418741 12/10/14 12/l0/is EACH OCCURRENCE $ 14,000,000 DAMAGE TO RENTED X 15ES1Fa_ ttrans�l(Ct'}MMERCIALGEtdERALLIABILITY I � � S . . 300 OOO ? CLAIMS-MADE OCCUR ME EXP(Anyone person) s 5:0OO PERSONAL&ADV INJURY S 1,000,000 L—�._...._.. _ GENERAL AGGRE— GATE is 2 00..0 000 GEN'L AGGREGATE LIMIT APP LIES PER I PRODUCTS-COMPIOPAGG s 2,000 ,000 }{ POLICY P CT ! LOC (( S CO INED SINGLE LIMIT A AUTOMOBILE LIABILITY �BAA 56418741 12/10/14I 12/10/15 Eaaccide y $ 1,000,000 ANY AUTO BODILY INJURY(Per person) S A4LOWNED X SCHEDULED 1 BODILY INJURY(Per accident) S I AUTOS AUTOS AUTOSHIRED If - UTOS X NON-OWNED PROPERTY DAMAGE NOTOS $ Peraccrdent S A - I u?uIBRELLALIAB X OCCUR Y Y USO 56418741 12/10/14 12/10/15 EACH OCCURRENCE S 2,000,000 HX_x EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1.0,000 I QED RETENTION$ S A WORKERS COMPENSATION XWS 56418741 12/10/14 '12/10/15 X WC MIT oTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Y� NIA E.L.EACH ACCIDENT . $ 500.,000 I DEED RIME MBER EXCLUDED? (Mandptory in NH) ( E.L.DISEASE-EA EMPLOYEE!s 500,000 If yyes,describe under OESCRIPTIONOF OPERATIONS below ( I E.L.DISEASE-POLICY LIMIT S 50O 000 f I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach�ACORD 101,Additional Remarks Schedule,if more space is requi red) Proof of Insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED.BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 AC/ORD CORPORATION. All rights reserved. ACORD 25(201010.5) The ACORD.name and logo are registered marks of ACORD Phnna• Fax: E-Mail: A r � 1" G1I 'l flCGCIIGI 'Ca ft , fiGGI f/�'liGllJ t Office of Consumes Affairs and Business Regulation 10 Parr Plaza - Suite 5170 Boston, Massachusetts 02.116 1=lone Cmprovement Contractor Registration Registration- 166311 ,-M _ i \ Type: DBA } a f Expiration: 5/11/2016 Tr# 251248 INSULATE 2 SAVE r s ROLAND LANGEVIN : ; a _ 410 GROVE STREET FALL RIVER, MA 02720 -.� � r y3'''Update Address and return card.Mark reason for change. Address Renewal ;-I-Employment ( 1,ostCard SCASLJ < aar�•o,Pii �,�/ix,�r nrrralz (!Ur>rr/f�t�":?�1�r38r`rr•�rc6r1!'.i . Office of Consumer Affairs&13asiness Re;ulation License or registration valid for individul use only :_- {:OME IMPROVEMENT CONTRACTOR before the expiration nafe. If found return to: ? jegistration: 166311 Type: Office of Consumer Affairs and Business Regulation xpiratwn 5111/2016. DBA 10 Park Plaza-Suite 5170 Boston,NIA 02116 INSULATE 2 SAVE /J ROLAND LANGEVIN 536 EASTERN AVE. FALL RNER,MA 02723 Undersecretary Not valid without signature 1 Mass �c use t1s -Jep srte:3$at? 1: t1 t` �anfr� �a�t.i6ciis�g �ea.�ia"t°car+s �r^e�Str,�c7�6r�s t:`trn9irl1CUi1.n-Supervi or License. CS-103861 ROLAND LANGEVIN 536 EASTERN AVE � Fall River MA 0?�,23 r 7 08124/2015 • C�rrwen:s yignr'�` LA PAIR PERMIT AUTHORIZATION FORM I, LYNNE CORDERY ,owner of the property located at: (Owner's Name,printed) 100 Liam Ln CENTERVILLE (Property street Address) (may) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization. work on my property. Owner's Signatu Date FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: Participating Contractor Date • afro !Fa Office the Daly Rev.12132011 i i YOU WISH TO OPEN A BUSINESS? For.Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.- it does hot give you permission to operate.) You must first obtain the necessary signatures on.this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. i DATE:` /� J �pn Fill in please: �APPLICANT'S YOUR NAME/S: Yl �I� �raaf !' f BUSINESS YOUR HOME ADDRESS: DLA V`ate TELEPHONE # Home Telephone Number / / NAME'OF CORPORATION. NAME OF NEWBUSINESS ZL TYPE OF BUSINESS IS THISA HOME OCEUPATION� (Assessing NUMBERESS OFBUSIESSADD PARCEL ] , I When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.' ' 1. BUILDING COMMIS so FFn4n This individua.'1 had ee i f ry r i r quire tints t bt pertain to this type of f691sOMPLY lNITH HOME OCCUPATION AuWhr g tuP * RULES AND REGULATIONS: FAILURE T O O ENT t COMPLY MAY RESULT IN FINES, 1 . 2. BOARD OF H LTH This individual has been informed of the permit requirements that pertain to this type of business.: Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been.informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: i i Town of Barnstable �IIE r Regulatory Services Thomas F.Geiler,Director • Building Division t saxxsT"LF. Tom Perry,Building Commissioner s6;q. ♦� �'ptFn Mpg a 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 0-6230 Approved: )CA Fee:• -O Permit#: > D O �p HOME OCCUPATION REGISTRATION Date: ! �� NamPs: /,l n Co hG� -r Phone#s 7 �3 D 3 `l 16'Y' Addr [/ tl'd9� /_i kl`C— Vill V71 e_r V1 l Name of Business: �l✓� r/ i� /1(�7�` �} Type of Business: l/h r " / Map/Lot: & / /00— INTENT: It is the intent of this section to allow the residents of the To«zi of Banistable to operate a home occupation a«thin single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: 'there shall be no increase in noise or odor;no usual alteration to the premises which-would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or gromnda pater pollution. After registration with die Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling umt. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling N•vinich are not customary in residential buildiigs,and there is no outside evidence of such use. • No traffic will be generated un excess of normal residential volunnes. • The use floes not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,beat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,iin excess of normal household quantities. t • Any need for parking generated by such use shall be met on the same lot containing the Customary.•Home Occupation,and not wdthui the required fi-ont yard. • There is no exterior storage or display of materials or equipment. • There are no,commercial vehicles related to the Customary Home Occupation,other-than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet u1 length and not to exceed 4 tires,parked on the sane lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is Iisted or advertised as a business,the.street address sh111 not be included. . • No person shall be employed ii the Customary Home Occupation avhno is not a permanent resident of the dwelling unit. I,the undersigned, e read aid agree i6th the above restrictions for my home occupation I am registering,. Applicant: Date: V -0 LZ Honneoc.doc Rev.01/3/08 • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel v Application,# Health Division Date Issued -7 t Conservation Division Application Fe f-ea�__ Planning Dept. Permit Fee 4 �� Date Definitive Plan Approved by Planning Board QE) 7IIg1'i Historic - OKH _ Preservation/Hyannis Project Street Address C.i rE L XW1 ZJ - Village C E r 11t ell,6 2_( r U� Owner � UA _0 1,0 td ss 100 - Telephone Z Z O 71 Permit Request s1heL 2dooru it it.,Jll . . Square feet: 1 st floor: existing prop edj2n( floor: existing proposed Total new Zoning District Flood PlaiGroundwater Overlay Project Valuation Construction Typed L Lot Size 6 AK- Grandfathered: ❑Yes Flo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 2s Historic House: ❑Yes 4Ao On Old King�§,Highway:=0 Ye:: 6,No Basement Type: k'Full ❑ Crawl ❑Walkout ❑ Other a' 0 Basement Finished Area(sq.ft.) Basement Unfinished Area (sgft)Y Number of Baths: Full: existing new Half: existing neva _ w � Number of Bedrooms: existing _new rn Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: lamas ❑ Oil ❑ Electric -❑/Other Central Air: ❑Yes �lo Fireplaces: Existing C/ New Existing wood/coal stove: �Ke's ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: xisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of AppealsjAutth rization ❑ Appeal # Recorded ❑ Commercial ❑Yes C9�IVo If yes, site plan review # Current Use LZ.� roposed Use APPLICANT INFORMATION `/-?Lf - (BUILDER OR HOMEOWNER) C6-pk Uo1-a- Na?ne d c2 ��yto 6 ME Telephone Number Address (Oo L� `-� License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO a'v- SIGNATURE DATE S�� "5)4 xY FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. t , ADDRESS VILLAGE , OWNER ^ DATE OF INSPECTION: FOUNDATION - . FRAME INSULATION y FIREPLACE 1 ELECTRICAL: ROUGH m FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL f FINAL BUILDING T DATE CLOSED^OU � ASSOCIATION PLAN NO. i � 3S f 3 3�`�1 w �tNE TOWN OF BARNSTABLE BuiW 201103532 * - ing BARNSTABLE, * Issue Date: 07/19/11 Permit MASS. 9�a 1639• Applicant: BOULOGNE,EMMANUEL P A Permit Number: B 20111494 Proposed Use: SINGLE FAMILY HOME Expiration Date: 01/16/12 Location 100 LIAM LANE Zoning District RD-1 Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 167016012 Permit Fee$ 35.00 Contractor PROPERTY OWNER e \ Village CENTERVILLE App Fee$ 50.00 License Num OWNER ��// Est Construction Cost$ 500 v Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ENCLOSE A BREEZEWAY 2 DOORS 1 WINDOW THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BOULOGNE,EMMANUEL P BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 100 LIAM LN INSPECTION HAS BEEN MADE. CENTERVILLE,MA 02632 Application Entered by: JL Building Permit Issued By: THIS PERMIT CONVEYS.NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY,PART THEREOF,EITHER TJAPORARILY V.E Y,.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 P,UBLIC'SEWERS;MAY BE - OBTAINED FROM THE DEPARTMENT-OF PUBLIC WORKS. THE ISSUANCE OF THIS'PERMIT DOES NOTRELEASE-THE APPLICANT FROM:THE CONDITIONS OF ANYAPPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. 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). r � ,p%, a �,r.r:F a >' „s,:i: • :... .. c3„ ', r 'w ti'k f. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health TOWN OF BARNSTABLE " 2&�7 1 P ermit No. - - ------- -- Building Inspector f arenas t 7 'Cash -- ans « 4. n+ OCCUPANCY- PERMIT Bond ----------- (- Issued to 1 Greenbrier Corp. Address Lot 16, ]a(3 Ualn LaHe," Centerville Wiring Inspector Inspection date •' � = _ Plumbing Inspector £� Inspection date Gas Inspector Y,� r ��f� �r ( �y; ` Inspection date d NO V 03 7- "'Engineering.Department. /_^ q � i In date - `� oil' " `;� ,���• E �•; Board of Health - - `� Inspection date THIS PERMIT WILL 'NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR tUPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. & f � Building Inspector � Assessors ma and lot'-number � � F - ,� ....... � Sewage Permit number .29.7- y.................................. SYSTEM E t E sTl►D S House number .............:............`'.. .°................ ......... ...: lfyST.ALL+ED IN ����� 7 ASL c T � � yae COMPLIANCE o0 639. 0� �= A� WITH TITLE 5 '�oMaYa� TOWN OF MBAR : , °� � � � NIS BUI.LDIHG; IN, PECTOR . + -APPLICATION FOR PERMIT TO S1I����'.11: mil. ... `. � TYPE OF CONSTRUCTION ............................�0 p. ......... ........................................................ ...... � 3 t ................ ........ 19.Gt.� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a —pgerrmit according to the following information: Location ...........................................—..Q.l..:. ...(... ..................... .1.!9 ......... ........................................ ProposedUse ........ .............................I'.R/ ......... " `'.'1.... ..................................................................... ZoningDistrict ................... .. .........................................Fire District ..................................... ................... Name of Owner .......... ..Address ................. .© ....�1.0....:��C�•- WIlle • Name of Builder. ..................... .�.........................Address �•fi .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ....................6........................................Foundation ...........1.....Q�`Pd'( ...�.®l!�. f Exierior ..........:...1/Y.. ... .j �.<y��ff.. ..C!✓� .....Roofing ..............��;? ��......L......................................... Floors .............1. q,. .. ...... ...(1..1. �y1./.......Interior ...............:.......�� .L..(... ...A.C�.C. ............... t. Heating ........................(.....v":�.:1 ...`.4 ." .........:...Plumbing ................:........4s...7�'. ..�/� ......... '"' Fireplace .........................:.......� .:01� .............Approximate Cost ......................�`�. 10......... . Definitive Plan Approved by Planning Board -----19-iel� Area .........:.2.... ... s ....... Diagram of Lot and Building with Dimensions Fee 7 �/ ............ .. . ............ SUBJECT TO APPROVAL OF BOARD OF HEALTH / T/oar. 13,4 aj—=zTY E F DWELLINGS OCCUPANCY PERMITS REQUIRED OR NEW WELLI GS I hereby agree to conform to all the Rules and Regulations of the Town of of s le reg di g e e construction. j Name ....... . .. .. .. . .... ............... ..... ................................ J GREENBRIER CORP. y " 2471 Permit for 1 z Story Jo ................. ................... .............. .. Single„FamY....Atn1�i.J..i.ng.............. ` Location ..Lot...#.�.6�......1QA..z.iam...>�arae• .................................. t, Greenbrier Corp.....................Owner' Type 'of Construction ...Frame......................... _ r �6 s .... :..... s f i Aot ............................ Lot ................................. s .. `h •'� ' y •: Permit Granted .......October 18........................ ......19 82 =i Date of Inspecti e. /.. .. ......1.9�� J Date Completed ....... ...........19 xg `i �1 - t t p y Lam_ S 73 ' v �A s: ?a s 0 X ' F �l i a 125' w oM G h i o s "OFA' CERTIFIED PLOT PLAN a Lvt- I Co L-i A M LAB.!E 0 g H 1 /1 L j=— NEW CONSTRUCTION ONLY = 74 a TOP OF FOUNDATIO14 IS 1_�5 FEET o�����o� IN ABOVE LOW POINT OF ADJACENT Ho su ��y AJ1AS AS-11a, Massa ROAD. ' SCALES 1 /' = �' DATE , 9 j lCo�B LD RED6E E'IVO EE' 1 I� CO.lti I CERTIFY THAT THE Cl1EldTe?- SHOWN ON THIS PLAN IS LOCATED EGISTERED :REGISTERED) JOB No.'�:.'._ ON THE GROUND AS INDICATED .AND CIVIL LAND CONFORMS TO THE ONINO LAWS ENGINEER SUid01EYOR DR.BY,, J OF BARNSTA E , ASS. 712 M A I N 'S'.T R E.E.T Chi.mYz_ ._. . H YA N N 1 S, MASS,, SHEET.,!OF 1 DATE G. LAND SURVEYOR _ a✓r. �?.-.e�i +92^�i#!'-�0's'n�"^""". ....,.:....: .r.-... __.- ..�.:.,........ --esran r {,,. � w >•. , .� _ .. , ! _,�..r� ,§�.;,4 q to •' Of ddfgs�G r n G a�pg y 'V Zl � Vo 11 Q' �S � i ]M e,tr t d" J_S n �. ! S '�y bl �,/;,« au..r•�k r� -" � .p.:» "�. 31E n 4 o K' t (-,{I. ���b F # � ��'Ai, A�i�,..E�" ,j• x t C� (1� �, a ;' `s �+ c a«5 2'e '1p a a� a 'A ,4;aw. x •t , r / �{"�t1 '�;�a'' �' JC p .I \t ` a t yy, ^^ t.Y / Fy ��� ✓K{ Off' t a� °'T&1.. ' pp L//G]].��Q�Q J pyyS ,pT(`k'= � ft y� d• {�, ',J ZW• °:. "�'t� ., « ��-ems/ r GJ. .- _-- •y S x\ � r �p Sa-Q. � LEGEND EXISTING � a , y � TV-9ED ' PLOT PLAN EXIST MMISK $POT L TI o °' � FINIS . o CONTOUR �70Rs iq AMI, 44, � tt_ S-o SATE coA lIg--Z" ertas pg�?_;its pf��$,�goD ( /��y®'(�' /�_._.... �qq,�y ty� �..�•, � `C�-Wt � .,,.r ..� .. , ,lam l I. CERTIFY FRAY THE PROP OM BUILDINGp SHOWN 00 MIS PL m �4 AN, CONFOR T THE ZO MMell L AMNST� $• -`HYANNIS,, M A.S S.. - ----- - — - -- - ,- --- -- h Assessors map and lot number . �.Y.4 t.. /'e.. r..... Sbwage Permit number ...t4 .-:. BAHa9TAHLB ..................................... ..House number �....................... �a � � . ......Dices'............................... ��O b9 39• • . �DYf►y0r�9 TOWN OF BARNSTABLE BUILDING I',NSPECTOR 0 6 r APPLICATION FOR PERMIT TO .......................... 1�.7�i��, •r��' ................. ..... .... ....... ........ .... ........................... TYPE OF CONSTRUCTION .............................,/:,'00.0........ ............................ ....................... ................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......................................... ....f.... ..................... .P..* ..... �� ..................................... .: Proposed Use �'°.I.. ! r�! "f �,• ..................................................... ..................................................................... ZoningDistrict ................. . � ..: .........................................Fire District .......................... ....... .................................. Name of Owner .......... .:�.....C...( /4 .Address .................. �-�.��. � ... � !:.��....� t `v:.......•'l.l�� l rName of Builder' ....................Gr', �.�`..........................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .................... .,.,�.........................................Foundation ...........,.... Exterior ..............Z<......... ... Roofing .................—d "` : ....................... t �......... g �.. �-�-- Floors . f/.1 ......"1 `. . �. `-,1/.......Interior .......................��G? sr :T... ,a!t�...�?.!,..C.�................. Heating .......................? ..Y...... ..: .....................Plumbing ................. � ..... . : }. "'�'t .......... Fireplace ................................... 1! : .�:%!' ..........Approximate Cost ..................... `� .��..��. }............... .p; ... Definitive Plan Approved by Planning Board -------- ------19_ ___':- Area. .......................................... Diagram of Lot and Building with Dimensions Fee 34 SUBJECT TO APPROVAL OF BOARD OF HEALTH aA OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree•to conform to`.all`the Rules and Regulations of.the Town of Barrisfable rega.rdi°ngithe a�i`dve construction. Name ........... ....�:.. ................ 4 GREENBRIER CORP. A=167-16 O/Z 24471 12 Story a No ................. Permit for .................................... ........:a .zlgla...FAMi.ly...i?wa].liug........... Location ...Lot #16, 10 0 Liam Lane Centerville .. :...:.......................................................................... Owner .....Greenbrier Cork . .................................... Type of Construction Frame , . , ......................................'.................................. Plot ......................... .. Lot ............................... k Permit Granted ......October 18 , 19 82 Date of Inspection ....................................19 Date Completed ......................................19 k