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0102 LIAM LANE
N/ elf 6 f. Ff�di �f 1 � ..ry �rr ep ••2 fb,�y d"err °�wr 1 1 F 4 a - +1 I i j 1 f 7 f i i n I - - - _ - ..yam _ y r - _..' �' •s .. a _ �E • - - r - - ine zF s To ti -e _y . a _ 0 7� 1' .s„�_r `J -P. e� 6� 7 < `� 'r�� ``y .4'- `� =,T4� .>•y<.� g3ti``a��.' p cJ� '_ ` �' _� a� _. .,S f _ �,� G4�q �..� `,.'tip ''`:sy�. 'y`.C 9.�" �;- � a �:• 3 .. 4. .� a'b cn � a y � �.� �-— §�+ a 7�' rp �� c � 'jy' •.,C.a �' 4 a c - •'G s •'b ay S c i - Town of Barnstable it 'n s rwaivrn> LWhe This Card So.That rt is Visible�From`the Street-Approved'Plans Must be°Retained on Job antl this Card Mustbe Kept ed Until Final Inspection Has Been Made. Permit' e a Certificate of Occupancy is Required,such Building shall NotaEbe Occupied until a`Fnal Inspection has been made Permit No. B-19-2968 Applicant Name: JOHN S RYLEY Approvals Date Issued: 10/04/2019 Current Use: Structure Permit Type: Building- Deck Expiration Date: 04/04/2020 foundation: Location: 102tIAM LANE,CENTERVILLE Map/Lot: 167-016-011 Zoning District: RD-1 Sheathing: Owner on Record: CARR,_IAN&KELLY,ANNE MARIE Contractor Name' :JOHN S RYLEY framing: 1 Address: 102 LIAM LANE Contractor License: CS=108005 2 CENTERVILLE, MA 02632 ..3,¢ Est,P roi 6ct Cost: $60,000.00 Chimney: Description: DEMO EXISTING DECK AND REPLACE IN SAME LOCATION W./A Permit Fee, $110.00 10'X6'ADDITION OF DECK SPACE Insulation: Fee Paid:. $ 110.00 Project Review Req: MAX SPACING BETWEEN SUPPORTS FW(2) 2X10 BEAM IS Date: 10/4/2019 Final: EIGHT FEET. Plumbing/Gas " '- Rough Plumbing: w ` Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized byAhis permit is commenced within six months after`issuance. All work authorized by this permit shall conform to the approved application and the"approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same.' Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this;permit. Minimum of Five Call Inspections Required for All Construction Work:) ✓ Service: 1.Foundation or Footing �n Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed .Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 4 5 fib CPS c� to to Q loll 011 �o a � � i Cb 7R �- S- tHE 9 Application Numb .................. er.JZ J.4q'.._.C.7 EARNWABLE, MASS. Permit Fee. .Other Fee: ............... Total Fee Paid ...................:........................ XA STABLE TOWN OP IA Permit Approval by....... ...................... ...On........................... BUILDING PERMIT- { ,..... .�.............. ..........Pa=l.......GI ....... ..�........0.. APPLICATION Section I 'Owner's Information and Project Location Project Address gJM Village Ile V, I Owneri Name Owners Legal Address State zip Owners Cell # E-mail Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑F-1 Commercial Structure under 35,000 cubic feet Single Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate E] Accessory Stru8iuie ❑ Change of use ❑ Demo/(entire structure) E] Finish Basement 0 Family/Amnesty ❑ 'Fire Alarm Rebuild Deck Apartment Sprinkler System ❑ Addition Retainifig wall E] Solar ❑ Renovation ❑ Pool El bsulation Other—Specify Section 4 - Work Desc;iption ttg n�r N� K T+A.+.A- i i/ic nni o Y Application Number.................................................... Section 5—Detail Cost of Proposed Construction Square Footage of Project. lV Age of Structure v Dig Safe Number . # Of Bedrooms Existing Total#Of Bedrooms (proposed) 411 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ 'Masonry Chimney ❑ Add/relocate bedroom Water Supply % Public El.Private k ; Sewage Disposal ❑ Municipal On Site Historic District ❑ yannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 The Commonwealth of Massachuseta Department of IndustridAccidents Offwe of Investigations .600 Washington Street Boston,MA 02111 www mass gov/dia - Workers' Compensation Insurance_ Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lgdbh Name(Business/Organimflon/Individual): 111 CXJ�LJ N/U Address: ( 141T City/State/Zip: [,/ Phone#• • oy/�� Are you an employer?Check the appropriate box: Type of project(required): I.[$ lam a employer with 64 4. ❑ I am a general contractor and I. . employees(full and/or part-time).* have hired the sub-contractors 6. (]New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity.acit3'• employees and have workers' _ 9. El Building addition [No workers' comp.iromince comp.insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers right of exemption per MGL comp. - 12.❑Roof repairs. insurance required.]t c. 152,§1(4),and we have no 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. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 1144S , 1--w1n1w, 11 - 'Ali Policy#or Self-ins.Lic.#: 7JW Expiration Dats. r 1 II Job Site Address: �� IUA,D 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. Investigatioi#9f the DIA for insurance coverage verification. 1 do here fy under thep ' and penalties of perjury that the information provided above is true and correct. Si Date: Phone#: Official use only. Do no write in this area,to be completed by city or town oftial City or Town: a Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M. Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised drat this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the mmber listed below. Self-insured companies should enter their self-insurance license number on the appropriate lime. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant, Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwmalth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSA.FE Fax#617-727-7749 Revised 4-24-07 www:maw.gov/dia Commonwealth of MassachusettsDivision of Professional Licensure Board Of Building Regulations and Standards Cons�t c#it�0 rvisor CS-108005 v E5pires: 11/05/2019 JOHN S RYLEY i. V�� 35 QUAIL ROAD a; OSTERVILLE MA,02655 Commissioner Office of Consumer Affairs&Businss Regulation e j HOME IMPROVEMENT CONTRACTOR 1 `W TYPE:LLC Redrstration Expiration ` 182412 06/18/2019 { RYLEY CONSTRUCTION LLJOHN RILEY C 35 QUAIL RD.. OSTERVILLE,MA 02655' UnderS@Cretur' �� �»rirrc�taetc.le a-• a.�aatz��n//�. 1i� Office of Consumer Affairs&Business Regulation i HOME IMPROVEMENT CONTRACTOR <TYPE LLC Registration Expiration y82d12 09/04/2021 RYLEY CONSTRUCTI,ONbLLC'll"; I( N ` JOHN RILEY w 35 QUAIL RD. qG OSTERVILLE,MA 02655 Undersecretary i i IND- 9/5/2019 My Registrations This is an official application of the Commonwealth of Massachusetts _(hftp://www.mass.ggv),Office Office of Consumer Affairs&Business Regulation (http://www.mass.gov/ocabr/). Home-improvement Contractm-Przgra:rn -.. .air .(http:Hmass.gov) My Registrations • Your company Registrations and/or Applications with their statuses are displayed in the list below. I • To manage or view any Registration, click on the appropriate Task button. • To register a new company as a Home Improvement Contractor, click the Start New Application button. i i Start New Application (/HIC/Register/CheckList?contractorld=0&applicationld=0) Contractor HIC Registration Effective Expiration Application Application Create Task Name Number Status Date Date Type Status Date RYLEY Registration CONSTRUCTION 182412 !Active 09/05/2019 09/04/2021 Reapplication 09/05/2019`Manag( LLC. Issued RYLEY Registration Fi CONSTRUCTION 182412 Expired 06/19/2017 06/18/2019 Renewal Issued 07/06/2017 jManag LLC. RYLEY Initial Registration CONSTRUCTION 182412 Expired 06/19/2015 06/18/2017 06/18/2015 Manag( Application Issued LLC. I ©2019 Commonwealth of Massachusetts https://hic.oca.state.ma.us/HIC/Register/RegList 1/1 L Client#: 766801 2RYLEYC01 PATE(MM/DDNYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 08/11/2019 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 have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: The Hilb Group of N.E.dba PHONE 508 775-1620 FAX No: 5087781218 A/c,No,Ext Dowling&O'Neil Insurance Agy E-MAIL ADDRESS: P.O.Box 1990 INSURER(S)AFFORDING COVERAGE NAIC# Hyannis,MA 02601 Penn-America Insurance Company 32859 INSURER A: P Y INSURED INSURER B:Associated Employers Insurance Company 11104 Ryley Construction LLC INSURER C 8 West Bay Road INSURER D Osterville, MA 02655 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. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 NSR WVD ADDLSUBR POLICY NUMBER MM/DDY EFF MM/DDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY PAV0202867 03/29/2019 03/29/2020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE a OCCUR PREMISES Eaoccu ence s50,000 X BI/PD Ded:500 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY ECOT I LOC PRODUCTS-COMP/OPAGG $1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LAB HOCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WCC50050205392019A 05/24/2019 05/24/202 X STA OTH- AND EMPLOYERS'LIABILITY ANFICEWM IETOR EXCLUDED?ECUTIVE� N/A E.L.EACH ACCIDENT $1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) **Workers Comp Information** Proprietors/Partners/Executive Officers/Members Excluded: John Ryley, President Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S240784/M240783 RPCH1 Application Number........................................... Section 9- Construction Supervisor Name Telephone Number " p L Addr Is ' , City 1 State Zip Vj License Number k �� '� Licens Type Expiration Date Contractors Email v Cell # (/ I understand my esponsibilitie under the rules and regulatio for Licensed Construction Supervisor in accordance with 780 1C the Mass efts State Building Code. I understand construction inspection procedures,specific inspections and documentation q ' ed by 780 CMR d the Town of Barnstable.Attach a copy of your license. ` Sign ee _ Date S n 0—Home Improvement Contractor 6Telephone Number Name �� A - Address4 City State Zip Registration Number Expiration Date I understanQiy responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 Cl: he sa husetts State Buildin Code. I understand the construction inspection procedures, pecific inspections and documen n r uired by 780Md the Town of Barnstable.Attach a copy of your H.I.C... "Signature- —Date-. Sec ti 1 Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date A��0 PLICANT SIGNATURE Signature Date Print Name ` Telephone Number E-mail permi o: v Last undated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation Gig` For commercial work,please take your plans directly to the fire department for approval Section 13—Owner's Authorization I, lf4 1A4 as Owner of the subject property hereby authorize . Q- to act on my behalf, in all I IT matters rel ve o work uthorized by this building permit application for: (Address of j ob) , Signature of Owner . -' date Print Name . z. r f t Last updated: 11/15/2018 Application number .,l ®� q ............ ........ a e ,,++ $►RAi57AB e° . Date Issued............,. ......... . .................. ..... s . Building Inspectors Initials...... ... SUN 2 7 2018 Map/Parcel..... - L E TOWN EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATB ERIZATION PROPF-RTY FORMATION Address of Project: /O-Z lQ„� ���y��./ram NUMBER STREET VILLAGE Owner's Name: Ian �r Phone Number Email Address: !,%vi c a r @ cow cw s-f „e Cell Phone Number j,//o 7t/G- 30 ,7 � Project cost$ Zc� z s' — Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: S e .�-f�4�tn� C�,r�.-�C�-�- Date: TYPE OF WOE �- iding � Windows (no header change)# Insulation/Weatherization u Doors no header chang e)ge)# 3 C® erciat Doors require an inspea®Y9s review = Roof(not applying more than 1 layer of shingles) Construction Debris will be going to 111ri4e-1y)d 1a P,,IP/1 CONTRACTOR'S INFORMATION Contractor's name t;c;a, CWS Home Improvement Contractors Registration(if applicable)# !7 3 Ly_� (attach copy) Construction Supervisor's License# 7 O' (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT KAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT c.4N BE ISSUED. APPLICATION NUMBER F— *For 'dents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X , X X Additional tent dimensions can be attached on a separate piece of paper. Check one:this event is a: for profit non-profit event a Check one:Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent df food is being served at your event please obtain a Health Department approval between the hours of 8o00am-9e30 am or 3.30 pm-4.30pm. Commercial events may require Fire Department approva *WOOD/COAL/P ELL ET STOVES x Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities cinder the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date ELICATT9 S SIGNATURE Signature Date ( -,2 7—/9 toll permit applications are subject to a building official's approval prior to issuance. f c Renewal Agreement Document and Payment Terms Andersen. dba:Renewal B Andersen of Southern New England yIan Carr ' Legal Name:Southern New England Windows,LLC. 102 Liam Lane RI#36079,MA#173245,CT#0634555, Lead Firm#1237" Centerville;MA 02632 wieoow'er �acExear 10 Reservoir Rd I Smithfield,RI 02917 N:(774)361-6869 Phone:866-563-2235 1 Fax:4011-63376602 1 sales®renewalsne.com C(410)746-3096 Buyer(s)Name: Ian Carr. Contract Date: 06/11/18 Buyer(s) Street Address: 102 Liam Lane,Centerville, MA 02632.. Primary Telephone Number: (774)361-6869 Secondary,Telephone Number: (410)746-3096 Primar Email' iandcarr@corncast.net y Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products"and/or services of Southern New England Windows,LLC,d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively, this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. , Total Job Amount. $201250 By signing this Agreement,you acknowledge that the Balance Due,and the Amount' Financed.must be made by personal check,bank check,credit card,or cash. Deposit Received: $10,125 Balance Due: $10,125 Estimated Start: - Estimated Completion: 7-8 weeks 7-8 weeks Amount Financed: $20,250 „ Method of Payment: Financing We schedule installations based on the date of the signed contract and secondarily on the date in which.we complete the technical measurements.The installation date that we:are providing at this time is only an estimate.We will communicate an official date and time at a later date.Rain and extreme:weather are the most common causes for ` delay: Notes: 50% deposit by bank,balance on-completion by bank " Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the.terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s)and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement, understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the dale first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER:Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 06/14/2018 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT; Legal Name:Southern New England Windows,LLC._ ' dba:Rene'" I y . dersen of Southern New England Buyer(s) • U' Signature of Sales Person Signature,;h. Signature Paul Sandrey Ian Carr Print Name of Sales Person Print Name Print Name UPDATED:.06/11/18 Page 2 / 10 i U-11—e Oil Consumer Affairs and & siness P.e,:,ulation 10 Park Plaza - Sprite 517® Boston, Massachusetts 02116 Hone Improvement Contractor Registration Registration: 173245 Type: Supplement Card SvUTHERN NEW ENGLAND WINDOWS LL Expiration: 9%19/2018 BRIAN DENNISON 26 ALBION RD -. LINCOLN, RI 02665 Update Address and return card.Mark-reason for change. Address _ Renewal _ )Employment = Lost Card -OMce of Consumer.Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: Office of Consumer Affairs and]Business Regulation Registration: 1 T ype: IG]Park Plaza-Suite 4170 Expiration: 9,79;20�8 Supplement Card Boston.MA 014I6 )UTHERN NEW ENGLAND WINDOWS LLC. :NEWAL BY ANDER.SON IIAN DENNISON �- ALBION RC JCOLN, RI 02865 `"dersecreiary Not valid without signature ea V:` 1 v G i a BR--AN D DENNISON LAMBS POND CIRCLE HARL T ON t4A 01607 The Commonwealth of Massachusetts Department of Industrial Accidents 0 1 Congress Street,Suite 100 Boston,MA 02114-2017 www-mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contraeters/Electricians/Plumbers. TO BE FLED WITH THE PETTING AUTHORITY. A licant Information - Name (Business/orgmnwion/lndividual): Please Print Legibly e .� Awl Address: ,R& ALISR2 City/State/Zip: p Phone 4': It/ Q W Are you an employer?Check the appropriate box: iI am a em ]Dyer with ZO�" 77_ yNew ject(required): P employe�.(full and/or Z.D I am a sole proprietor or partnership and have no employees worldn_ for me in constructionany capacity.(No workers'comp.-insurance required.) deling I am a homeowner doing all work myself INe workers'comp.insurance requi.*ed.j lition -O I am a homeowner and will be hiring contractors to conduct all work on my proper,. I v ill 10❑Building addition ensure that all contractors either have workers-compensation insurance or are sole proprietors with no employees. 11.0 Electrical repairs or additions 5.Q t ctors am a general contractor and I have hired the sub-contra listed on the attached sheet 12. Plumbing repairs or additions r I nest sub-contractors have employees and have worker'comp.insurance.; 11 FIRoof repain_c 6.❑Wt are a corporator and its officers have exercised their right of exempbor:per 2%dGL c. I 14.rDOther^f' �O O(' 251 F1(4),and we have no employees.[No worker'tromp.insurance required. 'Any applicant that checks box g1 must also fill otr the section below showing thec worker'compensation policy uiformanon'Homeowners who submit this affidavit indicating the,are doing alrwork and then hire outside contactors must submit a new a5davit indicating such. iContactor 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. Ythe sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers"compensation insurance for my employees. Below is the informat ion police and job site Insurance Company Name: Ire p1 e n S f j Policy*'or Self=-ins.Lic.*': T, ' ` Z _ Z w � 7 Expiration Date: � / 1 Job Site Address: 10 Z J-4 i Lq�P City/State./Zi P�� // AA Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152.§25A is a criminal violation ptinishable by a fine up to S1,500.00 and/or one-year imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of up tc$250.00 a day against the violator_A copy of this statement may be forwarded to the Office of Investigations of the D1A for insurance coverage verification. I do hereby cerAfy under th ains and penalties ofperjury that the information provided above hr true and correct Phone P: O r1- ZZ 9nD Official use only. Do not write in this area,to be completed by cif:or town official City or Town: Permit/License Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector. 5.Plumbing inspector 6.Other 11L0_13t2_CtPers on: Pbone . i A�R ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDfr"y) FERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CON CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pOlicy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain Policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 3RODUCER CONTACT CoBiz Insurance, Inc.-CO NAME: 1401 Lawrence St, Ste. 1200 PHONE 303-988-0446 Denver CO 80202 E-MAIL No:303-988-0804 -A-DDEIESS, COMail cobizinsurance.com INSURERIS1 AFFORDING COVERAGE NAIC 9 INSURE NSURED ESLERCO-01 R A:Acadia Insurance CornDanv 31325 Southern New England Windows, LLC. INsuReR B:Firemens Insurance Company of WA,D.C. 21784 dba Renewal by Andersen of Southern New England INsuRER c:Homeland Insurance Company of New York 34452 10 Reservior Rd Smithfield RI 02917 INSURER D: INSURER E: COVERAGES INSURER F: I' CERTIFICATE NUMBER: 1252851165 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDL SUBR ' _TR TYPE OF INSURANCE ePMOLLIICCY EFF PAD EXP LIMITS A. )( COMMERCIAL GENERAL LIABILITY POLICY NUMBER CPA3158728 1111201E 111201E EACH OCCURRENCE $%000,D00 CLAIMS-MADE OCCUR DAMAGET RENTED PREMISES ME occurrence) I$300,D00 MED EXP(An one person_ ) $10_ODO iI PERSONAL INJURY 3I.OD0,000 �N'L AGGREGATE LIMB APPLIES PER: � i GENERAL AGGREGATE �$2.000.000 POLICY C JPECT LOC _ I I PRODUCTS•COMP/OP AGG I$-.000,D00 OTHER: I I $ A i AUTOMOBILE LIABILITY N CPA-115872E 111201E I 111201c COMBINEC SINGLE LIMn Ea acctlent $•000 000 ANY AUTO ALL OWNED BODILY INJURY(Per person) $ SCHEDULED I�AUTOS AUTOS I BODILY INJURY(Per acdtlent) $ I HIREC AUTOS X AU705EC i I PROPERTY DAMAGE �— Per acciderd $ I I $ A X UMBRELLA LIAR X OCCUR CPA315872E 111201E V1201f EACH OCCURRENCE $1D.oD0.000 EXCESS LIAB C L A I M S -M A D E I AGGREGATE $10.0m.000 DIED I X I RETENTION$ l? ANDWORKERS COMPENSATION - •N WCA3158729-20 AND V1201E 1110ME X ST 4T-- Y, EFL EM ANY PROPRIETORIPARTNERIDMCUTIVE OFFICER/MEMBER EXCLUDED? ❑ N;A EL EACH ACCIDENT $1.000,DOC (Mandatory in NH) N yes desrn'be under EL DISEASE-EA EMPLOYEE $1,000,D00 DESCRIPTION OF OPERATIONS beloav EL DISEASE-POLICY LIMB J$1,00D.000 C Pollution Liability 7MO733400DO 1/1/2018 111201E Each Occunence $1,000.000 Claims-Made Policy I Aggregate $1,D00,000 Retroactive Date 06202013 Deductible $10,D00 )ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attaehed'd more space Is required) :ERTIFICATE 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. For Informational Purposes AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. 4CORD 25(2014/01) The ACORD name and logo are registered marks of ACORD r i4(k ct Town of BarnstableRECE�;PT garaet�, 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-17-4222 Date Recieved: 12/6/2017 Job Location: 102 LIAM LANE,CENTERVILLE Permit For: Building-Insulation-Residential Contractor's Name: Elwell H Perry,Jr. State Lic. No: CS-104088 Address: Acushnet, MA 02743 Applicant Phone: (508) 992-5770 (Home)Owner's Name: CARR, IAN& KELLY,ANNE MARIE Phone: (410)746-2983 (Home)Owner's Address: 102 LIAM LANE, CENTERVILLE,MA 02632 Work Description: Air Sealing. Install 10" Celulose to 1300' open attic. Install 8" Cellulose to 400' open attic. Install R-19 fiberglass and 2" rigid ins board to 360' kneewall slope. Install 2" rigid ins board to kneewall hatch. Install 2" rigid ins board to 92' kneewall areas. Install 12" Cellulose to 120' kneewall floor. Make 3 new hatches to attic. Install 104 prop-r-vents. Install R-13 fiberglass to 24' common wall area: -4 Total Value Of Work To Be Performed: $7,477.00 Structure Size: 0.00 0.00 '0:00 Width Depth Tofal Area" I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Elwell Perry 12/6/2017 (508)992-5770 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $7,477.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $88.13 _ 12/6/2017 $38.13 XXXX-X)M-XXXX- Credit Card _ 1 _ 4419 Total Permit Fee Paid: $88.13 12i6i2017 $50.00 )CM-XXXX-XXXX-„ Credit Card Y F 4419 THE Town of Barnstable �OF Tp�� o� Regulatory Services snaxsrnB�. Thomas F.Geiler,Director 9�A1639. ,+� Building Division rfD MP'�A Peter F.DiMatteo. Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 March 13, 2002 Richard Cathie 102 Liam Lane Centerville, MA 02632 RE: Map 167 Parcel 016 011 Illegal Apartment—Not Interested in Amnesty Dear Mr. Cathie: Our records indicate that your house at 102 Liam Ln., Centerville is currently being used as a two-family home contrary to Barnstable Zoning.Ordinances. You must contact this office as soon as possible to either: 1) apply for a building permit to restore the property to a single-family home 2) apply to the Zoning Board of Appeals for a variance 3) prove that this is a legal two-family. You.must contact this office immediately to tell us what direction you wish to take. Sincerely, Gloria M. Urenas Zoning Enforcement Officer GMU/aw Q021502 �FTHE„ Town of Barnstable Office of Community 9 S.BAMST and Economic Development 1639. 367 Main Street,Hyannis,Massachusetts 02601 (508)862-4683 or(508)862-4695 Fax(508)862-4725 January 26, 2001 Rick Cathie 102 Liam Lane Centerville, MA 02632 Dear Mr. Cathie: Thank you for your interest in participating in the Housing Amnesty Program(HAP) in the Town of Barnstable. We are currently designing the application process. Once the final draft has been completed on the application, we will send it to you. We will also call to schedule an interview with you so we can help walk you through the process. Should you have any questions in the meantime regarding the Housing Amnesty Program, please do not hesitate to give me a call. I can be reached during the day at (508) 862-4683. We are looking forward to the possibility of working with you in the program. Sincerely, Paulette Theresa McAuliffe, HAP Representative goD - "Slap rni-nR`.-f�.At J�.hnra�p-1."`��'.s+���9Y' "'. c.'€`�'?�'G. .yP^•°'iTw7M`TN� �'�7+1."f�'i'�•�.,.. ''�A9f'yK� '�'",Jx "9+.'!'_"_"�ITF'�9fa"tm'v�"'yti�,�y�`�•,i7'"'`�f-�"�^^d4'[a4.,+Y�Ni6r'Rey',I11SYjy.pc69r'`•4��'!n`��'�a•� Assessor's office(1st,Floor): Assessor's map and;lot number � 1� `f��� o�THE t0 Board of Health 3rd floor): Sewage Permit number �'' Engineering Department(3rd floor) Z D rua Lc House.number _ °o" '6j9 Definitive Plan,Approved by'Planrnng Board 19 e,r►r d' p APPLICATIONS PROCESSED 8:30 9:30 A.M.and 1;00-2:00 P.M.only T 0 W N .,..'� OF, BARNSTABLE . M BTUIL`0[N'Gf INSPECTOR 1 1 / ,V APPLICATION FOR PERMIT TO V TYPE OF CONSTRUCTION C AR. A 9 q/ G/ 1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: a .All Location I O Z L L wF k:&W I VI K I c Proposed Use Zoning District: ( Fire District " Name of.Owner 0 �� � Address r 7lder LT1// O(�f LT 1) Address �`� �7 e�4 1 Name of Builder . << Name of Architect Address Number of Rooms Foundation r° `. Exterior Roofing ~ - Floors Interior Heating Plumbing Fireplace t __"Approximate Costt � 066 Area -7 0 o Fr Diagram of Lot and Buildip with Dimensions Y"' Fees j k, it I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS a I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r �p Name Construction Supervisor's.License o 3? -S -g ENGLERT, CHARLES >F A=167-4716-011 No 34519 Permit For Build Pool Accessory to Dwelling Location 102 Liam Lane Centerville Owner. -'Charles Englert r _ Type of Construction Frame a Plot Lot i Permit.Granted August 12, 19 9:1 Date of Inspection 19 Date Completed 19 PERMIT COMPLETED J Assessor's office 1 st Floor)* )/ Assessor's map and'lot number /(� �(� `©�./ yoi tw c ro` Board of Health(3rd,floor): Sewage Permit number/, 3 �• 6 Engineering Department(3rd floor): Barnstab1c �` , � �ons J v® r�ODtL House number Definitive Plan Approved by,Planning Board 19 0�T" �b 9 APPLICATIONS PROCESSED 8:30-9:30 A.M.-and 1:00-2:00 P.M.only SigAe TOWN . OF BARNST - to BUILDING 'INSPECTO APPLICATION FOR PERMIT TO L- (/►V'1 7C-' - TYPE OF CONSTRUCTION �Q VGP6251' + 19 - r TO THE INSPECTOR OF BUILDINGS: 1 The undersigned hereby applies for a permit according to the following information: Location Z L A-e' '� ��7VTi 1/l L L L All Proposed Use Nctc- *,741L. y Zoning District I D— Fire District L�n Name of Owner dl 0•�« Clt/o � Address Name of Builder It rec(/7`1zt�_ P06z f Address Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost 6 Area ^7 `_/ Diagram of Lot and Building with Dimensions Fe O� i i I 3 sue/ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License 0 3 7 —S °/S " 7 tA, ENGLERT, CHARLES No 3 19 •Permit For Build Pool i Accessory to Dwelling Location 102 Liam Lane Centerville. OwperZ•Charles Englert Type of Construction Frame Plot Lot Permit-06ranted Aucrus•t -12, 19 91 Date of lnspection /s-2� 1_ 19 -Date Comple_.toid 19 14 44 //1qqA a/yy i I kip t At ,1 Assessor's office (1st floor): THE Assessor's map and lot number ... �.. ... ..'` .'. !f�. Q°f rO�y Board of Health (3rd floor): � � � Sewage Permit number .............. ...:���.............. ............ 2 BASH3T11I1LE, 2 Engineering Department (3rd floor): rasa 0s,ib}q House number 0� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only _ t TOWN OF BARNSTABLE BUILDING INSPECTOR y� �: � _T APPLICATION FOR PERMIT TO .....VW..... !. ...............................:.............. ................................. A TYPE OF CONSTRUCTION ....I.,l T .. . .................. ............................................................... ................................................ .i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ................................................................................... ...................................J...................................... f Proposed Use .�2 ( ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ..°:... ��- ... j....................Address U �. � JS� l� Name of Builder � 1 ir.G.fGc, �! T7ttcic� ' ....................................--.... �f......................Address ......... ........ 1 r Name of Architect ...- ) � .L ........Address .......... ' .............................................Foundation ...�0 OV1 &&yv r f� Number of Rooms ..................... ................................................................ Exterior . � ...: .L�Jd- ;IY` :...LGRoofing ...... � .. ^ v Floorsp............... ........................Interior ...................,................................................ Heating ft 14 6 1`�� Plumbirig ........... � t g ....................�.............. :�. ........... _ ... ....................................................:......... Fireplace r ...............Approximate Cost ......... ..t. .:.............................. Definitive Plan Approved by Planning Board ------------- ------19_ __ . Area ..I.. .s .. T-. ........ t 5-7Jo 7C Diagram of Lot and Building with Dimensions Fee ........'W.-. !.... . . SUBJECT TO APPROVAL OF BOARD OF HEALTH ' �, � t r�M w n h . 1. t t .. ate.._..._-�......-y ..m.�.-.... C (,N o 2 C, 2� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... ......... ............. .......................... Construction Supervisor's License .................................... NEN-DEB TRUST, P. NELSON TRUST";E A=167-016-011 No 30377 Permit for ..Two Story.................................. Single_ Family Dwelling ............................................................................... Location ....Lot #17 , 102 Liam Lane ....................................................... Centerville .....................................................................I......... Owner De b eb Trust, P. Nelson T*Y.ustee ................................................................. Type of Construction .......F.r a... ..me...................... .. .... . ................................................................................ Plot ............................ Lot ................................ I Permit Granted ...January 14 ,.....................................19 87 Date of Inspection ....................................19 rn Date Completed .......................................19 S�pTIC SV C Assessor's office.(1st floor): •Tp►1, � LrI,E®® o- HE rod Assessor's map and lot number ...l.�A•• •r.•%l�•'••414 + 1�� Board of Health (3rd floor): i �� �� f ®%tale tA � °ri�F Sewage Permit number ............... �.........�,�........... ; ;>:;ar�?9t1` � ������ Z BARISTADLE• 1 � W 6 Engineering Department (3rd floor): 039. House number ..........................................1•. .....??'1... o�nYa• APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only, i = TOWN ;OF -, BARNSTABLE BUILDING INSPECTOR 11��1 ems.... ...................... .... . . APPLICATION FOR PERMIT TO ... AV.. ..... ........................ TYPEOF CONSTRUCTION. .-12-At O.......................................................................................... ................1..10 4, t ............ TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit according to the following information: Location .............................. .................•.............7.......... ......................................./.......................................... ProposedUse .................................................................................................................................. ZoningDistrict .............................................................. ........Fire District .............................................................................. `���el5rn•, Twstee �7�t1�8 _...DC',��..._.�C72.e)S.T "�o�,� .D Nameof Owner .................. ................Address ..................... ........... ... ...t......... .... YM Name of Builder Jor ni '� ' ?��'j�' ' -.`'..................................4 ........................Address .... .......................... Nameof Architect ........ `.... .......[... •. ......Address .................................................................................,.. Number of Rooms �j ..............Foundation ...�a" ���`'v''0............................... ................ Exierior ...........5.01 i. - C G �L.�li - � ........... oofin ...... ................................................ g Floors ............0. ..../....C.f 4.;.k !..yp ............................Interior ....... J.............................................................. Heating :'...Plumbing .................... ............................................. g ...... t .......... . .. . Fireplace ....... ..................................................Approximate Cost .......... .�....�� ................................ Definitive Plan Approved by Planning Board _____________ ______19_ I__ . Area ....... ..S. r. ....... t . s-7.6 ��C. Diagram of Lot and Building with Dimensions Fee ..........a33 r. .,,, t...�5 .:.�.,....... SUBJECT TO, APPROVAL OF BOARD OF HEALTH nl 44, LIAR OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations ofi•the Town of Barnstable regarding the above construction. Name ......a� .... IU .................. Construction Supervisor's License ....................................Z Z —1 .j NEN-DEB TRUST, P. NELSON TRUSTEE 30377 Two Story No ...........:..... Permit for .................................... -Single Family Dwelling ............................................................................... Location Lot #17 , 102 Liam Lane ................................................................. t 'Centerville ............................. ........ Nen Deb Trust, F. Owner .............................................P......N.e.l.s.on Trustee Type of Construction .......Frame................................... . ................ ........................................... Plot ............................ Lot ............................... - Permit Granted ... January 1,4 ,.. ................................... 19 87, Date of Inspection ........... ...19 ♦ Date Completed ........................I .............. .9 A r IA 4-F 4PLo-AC W f ER`fiFiEO__ �E QT1C SYS-(Et'\ DE51C�1.� P6Ec. Lo-r" 1'T l,1NM I<NaS C7—WTEQI i LL S 1A DIS7\E� 5.25 .82 ��QLICptS7 ' Poi,jL. W, yL. o►A t,! . p- I FDA ram_...•:__ 'D �.,.i4,_ITZ. 4 . ZNTE •. 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FLoo� PLw i�..l NORTHERN ASSOCIATES, INC. 11 BALLARD WAY - LAWRENCE MA.. 0104.3 ITEL, 975 7114 "t W1 awl 4� 50 � ;N 1 49 #a1 16T— W11667 56 6 �. / -AV-_ C 4 42_ 6wigp aAPI --- Wig 2 #66 W2 ) /749 #,5 :. 7668 4i , #� n _ / 1J 6 / 6P1 48 6 c� Ia #n #r G NG wig - 1s 14 j 211wig , r 171 �C IMP 167 _ 18 47 I— WIG #11 r 16-7 awls _1 / # t 9 - I = W167 WIG #97 ---.-. #117 -`,- o _ ttao2 1P t� a1679 116 AV- / •\ \� 167 —�� \ / 161 161 + \ - -AV-1 AL -AV-- AV- \ aw 167 \ \ \ 54 \ WIG \ \� 20 / _-- �G— 1 � AL ODDER _ -AL -AL BAY - _ 'k I' MAP 167 PARCEL 016-011 N r CATH I E R. "` E s SCALE: V=200' 102 Liam lane,Centerville *NOTE: Plammefiq�pography,and **NOTE: The parcel lines are only graphic representations DATA SOURGS: Planimefics(man-made features)were interpreted from 1995 aerial photographs by The.James- Nation wen:mapped to meet National of property boundaries. They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD Map Accuracy Stan arty at a scale of do not represent actual relationships to physical objects Corporation. Planimetriq topography,and vegetation were mapped to meet National Map Accuracy Standards on the map. at a scale of 1"=100'. Parcel lines were digitized from 2000 Town of Barnstable Assessors tax maps ...\aff housing\167-016-01 Ugn 02/12/2001 08:10:25 AM .,:�'. �•. •::e/v. �! _e•.usx. a _.. `v r,-„t: �x .a q�„_::, k .,.,,... ...�•., .S"ft _..-. z ,xr*;. �;,.,t;k,. e>c 3 .^,y 2 ,mac r.''� ,St`X:::�x"+d«t�':#Y e,, mnvA+s}..,'a k.i.- � x m ., t� ,,..,,��✓r.•rr ,<n�.,'� P -.v 1, e.;...r..a„Y E��a ygn.,,.: *. 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