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0075 LONGBOAT DRIVE
rf U410" . tonoq a a t Town of Barnstable w � -- ---- Building tv�tn Post This Card So That it is Visible From:the Street. Approved-Plans Must be Retained on Job and this Card Must be Kept 1 Posted Until Final Inspection Has Been Made Permit Where a Certificate of.Occupancy is Required,such-Building shall Not be Occupied until a Final Inspection has been made. G 1 Permit No. B-19-2259 Applicant Name: MOLINSKI, BRYAN P & KATHERINE R Approvals Date Issued: 07/12/2019 Current Use: Structure Permit Type: Building-Shed- Residential-200 sf and under Expiration Date: 01/12/2020 Foundation: Location: 75 LONGBOAT DRIVE,CENTERVILLE _Map/Lot: 193-162 Zoning District: RC Sheathing: Owner on Record: MOLINSKI, BRYAN P& KATHERINE R Contractor Name: - Framing: 1 Address: 75 LONGBOAT DR Contractor License: 2 _ Est. Project Cost: CENTERVILLE, MA 02632 - j $0.00 Chimney: Permit Fee: 35.00 Description: 12x16 192 sq.ft. i $ i ) Insulation: r Fee Paid:( $35.00 Project Review Req: 12'x16'shed located a minimum 10'from side and back Final: setback ' Date: 7/12/2019 Plumbing/Gas Rough Plumbing: Building Official This permit shall be deemed abandoned and invalid unless the work authorized b this permit is commenced wittiin.six months afte��issuance. Final Plumbing: y 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. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officals are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: r' Service: (-7' 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and.Mechanical Installations.- Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Town of Barnstable �TRErosti Building Department-Services Brian Florence,CBO surxsTl^.R Building Commissioner u�Qa �prE 639. w` 200 Main Street, Hyannis,MA 02601 www.townbarnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 BUIL011VG OEPT PERMTr lq-- FEE: $35.00 jUL." 2 2019 SHED REGISTRATION TOWN RESIDENTIAL ONLY OF BARNSTABLE 200 square feet or less Location of shed(a ess) Village Property-owner's name Telephone number Size of Shed Map/Parml# Signaim a Date Hyannis Main Street Waterfront Historic District? . Old King's Highway Historic District Commission jurisdiction? You must file with Old KinCatareis nw Conservation Commission(sred) Sign off ho'q:rs for Consery 3:304:30 PLEASE NOTE: IF YOU-ARE WITHIN TEE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,TEERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOTPLAN Q-farms-shedreg REV:08/6/17 p(a — J�/ 0 �5 lCo — � /50 aoiarColt ® December 29, 2015 � Town of Barnstable 200 ATrENTION: BULDING DEPARTMENT SOLD Main Street ING Hyannis, MA 02601 KEPT DEC ' RE: 75 Longboat Drive, Centerville Tpw ?415 Permit No.: 201506506&20157534 N 0"8,41 STq Our Job No.: 1B-0261730 eCF NOTICE OF CANCELLATION This letter is to certify our proposal to install Solar(PV)at the above-referenced property has been moved into a cancellation status. r SolarCity Corporation and Bryan Molinski will not be moving forward with the proposed installation at this time. We would greatly appreciate reimbursement for the permitting fees paid, but understand that the town will not refund any fees. If you have any questions or concerns,please don't hesitate to contact me. Thank you for your attention to this matter. Sincerely, CheryCGruenstern Cheryl Gruenstern Permit Coordinator SolarCity Corporation ` cgruenstern@solarcity.com Telephone: (508) 64075397 ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map_ \ 3 Parcel 16-a Application # cX © 5-3 Y Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee I �U N6 Date Definitive Plan Approved by Planning Board Historic - OKH_I__ Preservation/ Hyannis ,( Project Street Address `� v� Village (� �VtA�� C er l A Ownn \ - C R ADI khSk` Address kor\ �D, r U-c Telephone "Abb• J4 1 (-)--3 W4 0_a6 Permit Request L r Square feet: 1 st floor: existing _ proposed 2nd floor: existing proposed — Total newt/-- Zoning District �� Flood Plain . — — Groundwater Overlay Project Valuation Construction Type_ Lot Size ""� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ,- Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes allo On Old King's Highway: ❑Yes �lo 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 He 9 Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: ExistingO�New Existing woodledoal stoves ❑Yes ❑ No e-.. -: Detached garage: ❑ existing ❑ new si Pool: ❑ existing ❑ new size Barn: ❑OAsting OT�ew,7.>siz�� C5 Attached garage: ❑ existing ❑ new siShed: ❑ existing ❑ new sizOther: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Dvo Commercial ❑Yes J -No If yes, site plan review# m Current Use z"5��'� n `� Proposed Use APPLICANT INFORMATION (BUIL R OR HOMEOWNER) Nam 1 CL P Tele hone Number �'��� Address ?S n �� License # soh 15 6 0 Home Improvement Contractor# Email 5 a4 .C6t4-- Worker's Compensation # ALL CO RUCTION DEBRIS RESULTING AM THZSROJECT WILL BE TAKEN TO SIGNATURE DATEU FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED 71 7 MAP/PARCEL NO. t w y ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION ti FIREPLACE ELECTRICAL: ROUGH FINAL ti PLUMBING: ROUGH FINAL r ` GAS: ROUGH FINAL i i FINAL BUILDING r ' DATE CLOSED OUT :s ASSOCIATION PLAN NO. T i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Zd I CSO&,5D� n r 4 OF """"'T SLEApplication # _ Map I�17J Parcel Health Division f. : i Date Issued Z I Conservation Division Application Fee 50-0 Planning Dept. "r"� ��� -, u, Permit Fee Date Definitive Plan,,A�proved by Planning Board Historic - OKH Preservation/ Hyannis A Project Street Address r k lre- Villagee CC-h v. 1�(� Owner y�`{�-n 9 c � � rc. 1�• ��l�n �L Address �rn o I w cre Telephone 56% C4(,32, Permit Request ar f-00- c 'hr, hYcr. ��E_ its► I o �c. \�`4erCa�n�cc d w� 40-- N11 i Square feet: 1st floor: existing '- propo d _ 2nd floor: existing flap osed Total newZoning District �- Flood Plain — Groundwa er Ov Project Valuation ,l5D(� Construction pe Lot Size Grandf hered: Yes .Zi-N If yes, attach supporting documentation. Dwelling Type: Single Fami ,E� Two Family Iti-Fa ' (# units) Age of Existing Structure Historic H use: ❑Yes SNo On Old King's Highway: ❑Yes ,4No Basement Type: ❑ Full ❑ Crawl ❑ Wa ut 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 sizb&ool: ❑ existing Q.new sizJu Barn: ❑ existing ❑ new size-60- Attached garage: ❑ existing ❑ new sizd\ Shed: ❑ existing ❑ new size 04-0ther: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes *No If yes, site plan review# AA rr Current Use �jc5LAe,0-h µ L Proposed Use Wo ( •n APPLICANT INFORMATION SS (B-UIILDE R HOMEOWNER) Name Gc�R� v�c3rn e Telephone Number ��1Dg- 311 Address License# CS- 120 S 0?1-�G D Home Improvement Contractor# Email AS n P 66 - Ccrn- Worker's Compensation # 1�VCol�o�DIS -d� ALL CO �TRUCTION DEBRIS RESULTI G FROM THIS PROJECT WI �BE AKEN TOEC�. ^oS��� VX SIGNATURE DATE ` FOR OFFICIAL USE ONLY APPLICATION# } ,DATE ISSUED •r MAP/PARCEL NO. — ADDRESS VILLAGE OWNER x , a ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH �f FINAL GAS: ROUGH !. FINAL FINAL BUILDING u. DATE CLOSED OUT ASSOCIATION PLAN NO. ..e l A Soya sty. o OWNER AUTHORIZATION ' Job ID: Location: G0/Vl UaA-r' PR�� GF'1V7-C2 Aq 0 z40 as Owner of the subject property hereby authorize SolarCity Cori)—HIC 168572/ MA Lie 1136 MR to act on my behalf, in all matters relative to work authorized by this building permit application and signed contract. Sig ure of Owner: Date:. 24 St Martin Drive,Building 2 Unit 11 Marlborough,MA 01752 T(888)SOL-CITY IF(508) 460-0318 SOLARCITY.COM AZ ROC 243771,CA CSLB 888104,CO EC 8041,CT HIC 0632778,DC HIC 71101486.DC HIS 71101488,HI CT-29770; ' - - - MA HIC 168672,MD MHIC 128948,NJ I3VH06160600,NY WC-2462441-111.OR CCR 180498,PA 077343,TX TDLR 27006;WA SOLARC191901 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map _ Parcel ; Application # Health Division ` ' Date Issued t t Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic.- OKH Preservation / Hyannis Project Street Address 7. ,���� � V�e Village_ !!kA gnu liil R Owner ,F2 y,44/ 1??�d�/,�1���1 Address AJ- ire 9 Telephone `���� Permit Request f? _Alod ���5 �/D ��i�rho' �2�4�t� ergy Zaj. 114770W f A61 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family e 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 Number of Bedrooms: existing _new =21 Total Room Count (not including baths): existing new First Floor Room Count eat 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 Ale (BUILDER OR HOMEOWNER) Name Telephone Number 63OF 5L Address �r�� y/9/zy�ldu �o� License # /d,4 ry olio Home Improvement Contractor# Worker's Compensation # 4,��W D ALL CONSTRUCTION.DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE / 2 ®Z_// A FOR OFFICIAL USE ONLY APPLICATION# r DATE ISSUED • MAP/PARCEL NO. ADDRESS VILLAGE OWNER f DATE OF INSPECTION: c :. ,FOUNDATION FRAME ' -lNSULATION; E FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: .- ROUGH . ; —: -, FINAL E - _ • *.FINAL BUILDING!F 46.N4 DATE CLOSED OUT ASSOCIATION PLAN NO. E • Th.e Cotntrion)vealth ofMassachus•etts j; Department of Indtcstrial. cctderi.(s Office of blvestiZ;atio) I' = 600 Washington Street Y Roston, MA 02111 Worlce.rs' CoraipansaLion Irtsur-a>>ce Affidavit: Builders/Contr2ctors/Electr-icians/1'lurnbers <�:1�lic.ant ]r>:foz zxt.at.iot7 .,i. Please I'rirlt Le Name (Business/Orgariization,/Indi0dual): 11Q� C►(� r�1���L a � ) (I��l �.�,._____._ A d dy e s City/r;tatc/Z i p Vg, Phone #: �- rice.you art employer? Checic th appropriate box: Type of project(required) 4. I am a general contractor and 1 1.( l atn a employer with i _._�.� �, .� New construction cirtployees`(full and/or part-time).* have hired the sub-contractors _ ._,..,. . l girt n sole pzopnetor.or partner-' hsted on the attached sheet. 7, ❑ Remodeling ship and have no employees These sub-contractors have .8, Demolitiorl employees and have workers' working for me in any capacity. 9. [] Building addition [No workcrs'.cornp. insurance camp. upsurance.$ required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions officers have exercised their 1 LE] Ploirlbing repairs or additions i ❑ 1 arrr a bonlcowner.doing all work I )Myself. [No workers' comp. right of exemption-per MGL. 12Q Roof repairs insurance rec uired. t c. 152, §1(4), and we have no • employees. [No workers' comp.insurance required] ''Any applicant that cheeks box#1 must also fill out the section below showing their workers'compensation policy inforn-lation. t Honicowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. tC.ontraclors that check this box must attached art-additional sheet showing the name of the sub-contractors:and state whether or not arose cn(Itics have anployccs, if the sub-contractors have employees,they.must provide their workers'comp.policy nurnbcr, f ain are ctllployer that is providing workers' compensation insurance for my employees. Below is thcpolr.'cy ararl job site inforinarium Insutan .r, Company Namc;: — r- 3�1 Policy 4 or. Sett-iris. Lic. W. (.t )( J_Z -� O t Expiration - Job Sitr Address: �' O City/Slate/Zip �. �Zd J2 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). lrailurc to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal p("raMlies of a true up to $1„500.00 and/or ot)a-year unprisonment, as well as civil penalties in the fonn of a STOP WORK ORDER and a fine of up to $2 50.00 a day against the violator. Be advised that a copy of this staterneot may be forwarded to the Office.of lnvcstigations of khe DIA for it-tsuramce coverage verification. —!do hereby certify err e pa' attd penalties ofperjury that the information provided above is true. and correct. Date; —,� Official rose only. Do riot write in this area., to be completer)by city or,town official. _ City 0r 'T'own: PermiULicense# _ issuing Authority (circle one), 1. Board of Health 2. Building Department 3, City/Toivn Cleric 4, Etectrical Inspector 5. I'Iurribing Inspector b. Other 'LLo tact 1'ei-son:�.T_ phone #: • _ ._�_ —.-- ^ .. au.a art. . '1 ... ...... a . q w•+ a+ ...r utY#: r74' t.ur.Iwr:s s cray".Lrts. Lage: ��_ Client4: 4597 CCINSUL ,aco rn., CERTIFICATE OF LIABILITY INSUfZANCE L1AIL lVIlYN01YYY1l PHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLQFR.'I•HIS CERTIFICATE DUES 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(&),AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTAN If the certificate a holder la an App(IZONAL INSURED,the policy(iesl I11USlUL'e11d01SHCI,,:orl If SUBR(](iA ION I5 WAIVCIj,subject to uin tcrnl�Und diCu,Jns of thr polic y, r ar will pclicies may require an a 'ndo "Inent.A statement on this certificate cloaS Ilat conger r'iahts to tha ccrUhcut Ilulrlcr'ut lieu of such endonarnent(sj. rm;tlUCCrt�— CONTACT Mart .. itLy� ;>S Gi�ly Ina. -5ii. Ut�rinix •: NAML Garet Young -- -- 508-760-A602 •.:1 r(�lute: 'I 17 Marc NykaJ - L rve N� 5U8 'Sil ?102 box IbUI AUDIiEsa: Youngnlaatrogersg ray.coIll PRODDCER - auutn Uclinl�. MA 0266U"-1I3U l cus-rDMkRloa INSURER c . Ir:• K-cq -_..._.__._._..____:._._.,---_____, L+)AFFUROINti CI�VL,IU\(iC _ NAIC B t•.:I l�ct r..4i.l,If1S LIldfll')I'l I(1c INSURER A•.Peerless InSUranGe 1a33•I" INsunER 5 0hi0 Caaualry Insurant c� C p(II ul i 4S5 `r;trinuuth Rog d p� y w-- -- - Hy,tnnls, IVIA 02f>01 wsuReRc•Atlantic Charterinsurance NsuREr.n:Commerce Insurance Coflipany 3475.1 InSunER E: ` IN�URL-R F: ...—_ CERTIFICATE NUMBER: REVISION NUMBER: I r I I rl IL ES itr=IN�IJI \IVCE LISIED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THI-r'OLI rlc 1 VvullvG µlVy"Rt_QUIRL:I'JI NT. rFRM bR CONDITION OF,\NY CONTRACTOR O'I'Ht R UOCUh1EIV1'VVrI'FI R6 SPECT TO WFIICI I THIti HE SI IFG OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUDJECT TO ALL.TFIE'I'ERlni " "'•-I',;i,,ti' AND CONDITIONS OF SUCH POLICIES"LIM NO SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I IH ; rrrk ur INaulwlvct Duct'EFF POLICY C•XP S12 VVO rrinlrDUlYYYY nUN/UDfrYYY L.IIVIItS vGhk1G11 I.Ua1LIrY ^•�•�^ __._ A POLICY NUM13ER I . ( BP8263063 04I0112011 QAIQ1(ZQ1 Enal oL Ur r«Nl t: $1 UOUrUUU I ,,�„�,U/rtl.,,�vt:rvLl Vu.LIr',t1't.l 11 DAN1AGrl-�hENTEI�,..�, ....y�..I PRCIvIISI°JI'8 a"�trrP�lraf__ AIUI)UUQ - . nitCrxr(relyw'apulconl GSODU <l,1\0 INJURY $1,000 000 ceNERu wcrecnrE 112IQQ0tQQU PPooucrs .:unu rvr n<9ti a 2,000,OQU I) �ulurn uulLl uABu.rrr 11MMBCKVMK 0410112011 041011201 COM3INED:iIIVLLL LINIII , � � . ,I • : lEa auaoonl) _ �1 0U0 QUO (. ta)r,u p•i I BODILY INJURY - i .: _. ;._A '••'Imu�-1i rtulryg BODILY INJURY(Pur ac+aq"Ii >, . PROPL-R I Y fJAMACL- (Pug u II l L11'df11l LLLA LIAt1 UU01254514645 4101/2011 04,10112012 EACII OCCUr.ru Nt c v1 000 000 tIr s rowDr A� l.ra�rr ?-1L000,000 .. 1 n, �runllm:. 1000D W i )"W6 CUNIFLNSAT ION . AI n emrLUYrRS'LIAaILn Y WCA00525902. 0613012011 06/30I201 X 4YC Lt `Y AT J- OTH - I I ;rr,t IL1vl'?JdI'IVLIJLi (�"" " d7 t n;nit nit Ch FXI I UIIL.D�" IV I NIA N L.EACH fu t;IL1rNt i 5QU 0UQ . aulwy In Nlit E.L.CmiEA5E•EA EAIPL.OYG?@ 000,000 ---- ------IN -- -....._..._.. i't UPi-Fi;t l I( 5 nelnw r . �T .l_.DISEASE Pou ICY un+rr s500,000 u:xn,rllvr+ n'tn'LItAIIUWJILUCAI'IUN,Ir VEHICLES(AttaCnACORO101,Additional RemamsScneCYW,unrorospacnl$rr)uYCq) 4vorhars COrnp Information InClUdod Offic4rs or Proprietors (sac Ar.tached Gascripfons) . CeR TIFICATE HOLDER CANCELLATION 10 Da for Non-Pal nlent s 1 SHOULD ANY OF THE ABOVE DESCRIRFD POLICIES IBF.CANCFL.LED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ` - - AUTIIOR4'.ED REPRF.5ENTATIVI _ n (01988-2009 ACQRD CORPORATION.All rights lesorved. k(:0RD,'3 pouilog) 1 'of 2 The ACQRD narne and logo are registered marks Nf ACQRD �1568576/IVW8179 MEY i — lc � �� � 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Cp.,tractor Registration y Registration: 153567 Type: Private Corporation Expiration: 1 211 5/2 0 1 2 Tr# 206433 a li f 1 CAPE COD INSULATION, INC �� ` t. f HENRY CASSIDY 455 YARMOUTH RD. ;., E5 --- ---- -HYAN N 1 S, MA 02601 - --W—_ ----- --- ;Update Address and return card. Mark reason for change. r❑. Address Renewal (� Employment L Lost Card PS-CA1 0 50M-04/04-G101216 Office o `caner AtTairs Bus nc;,Regulation License or registration valid for is divitlu! use e^!, HOME I F�f� tflf fl` �O�f AC P�LOZ before the expiration date. If found return to: _ = Registration: 153567 Type: Office of Consumer Affairs and Business Regulation . '= Expiration: 12/15/2012 Private Corporation 10 Park Plaza-Suite 5170 ' - — Boston MA 02116 OD INSULATION INC HENRY CASSIDY ', :> t 455 YARMOUTH RD, HYANNIS,MA 02601 < Undersecretary Ata ith t si ture Nlassachusetts - Department of Puhlic Safety Board of Building RetuLttions and Standards Construction Supervisor License License: CS 100988 HENRY CASSIDY€ 8 SHED ROW. WEST YARMOUTH, MA 02673 Expiration: 11/11/2013 ('onimissiuner' Tr#: 7620 y ,: OWNER AUTHORIZATION FORM , (Owner's Name) A owner of the property located at ` (Property Address) (Property Address) PP hereby authorize 'G1G�O't y' (Subcontra tor)'° an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signature A Date k r0kNIN OFBARNSTABLE CAPE COS INSULAT1ON 012'JAH20 PH1 6 • KEN"' LASES DIA38 SIAMSISS SPRAY DAM SUSPENDED BATTS au' ON 1-800-E69E6-�661105 DIVISIfNiAll Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: January 19, 2012 Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc.performed& completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village Bryan Molinski 75'Longboat Dr Centerville Insulation Installed: Fiberglass .Cellulose R-Value Restricted Unrestricted Ceilings ( ) `(X) (R-35) ( ) (X) Slopes Floors ( ; ) (. ) ( ) ( . ) ( ) Walls ( X) ( ) (R-10) ( ) (X) Sincerely H y*assiresidentCape Inc. /rat Town of Barnstable *Permit# X-PRESS PERM' apires6monthsfr'm®e ate egulatory Services Fee MAR 2 3 2006 Thomas F.Geiler,Director - TOWN OF BARNST4,BLF Building Division— - -- - — om erry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number �IC4 Property Address LQ M.t hr A�i>✓�V� � -2������ � fa ��lg��. Residential Value of WorA Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address G� Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor Tam the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to �e-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. H ctors License is required. SIGNATURE: Q:Forms:expTntrg Revise071405 I The Commonwealth oj*Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, M4 02111 \ ,V '°+M ,.•� wwv.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):— � K_ Address: r=) "XX4 IQc)P,� City/State/Zip: c'l ��P��,��e �c `(�P� Phone#: r=�r7Q, Are you an employer? Check the appropriate boa: Type of project(required): 1.❑ I am a employer with 4. ❑ I,am a general contractor and I 6 ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ El Remodeling ship and have no employees These sub-contractors have 8m. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition ;Iamira o orkers' comp. insurance 5. ❑ We are a corporation and its q �] officers have exercised their 10.❑ Electrical repairs or additions 3. homeowner doing all work right of exemption per MGL 11.❑ P Obing repairs or additions myself.[No workers' comp. c. 152, §1(4),and we have no 12. //oof repairs insurance required.] t employees. (No workers' comp.insurance required.] 13.❑ Other *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 anew affidavit indicating such lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy#or Self-ins.Lie. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50Q.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 pains and penalties of peryaary that the information provided above is true and corm Si ature.- Date: �J Phone#: FZy�R —L�Q O — `-'� ` 03. 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 a.Electrical inspector 5.Plumbing Inspector jI 6. Other Contact Person: Phone#: 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 6r other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the . receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed.below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to BE out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Offke of Investigations 600 Washington Street Boston, MA 02111 `fel. 471-4 617-727-4900 ext 406 or 1-877-MASSAFE Fax t 617-727-7749 Revised 5-26-05 w-ww.mass.crov/cia i TOWN OF BARNSTABLE -__-----_--- `� a Permit No. ___________ 1 ��n..� Building Inspector ,A Cash --------------------- ■"a —- sO'lBVA16. t/l � OCCUPANCY PERMIT Bona __ , ____--_-______ - _ No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Suffolk Realty Trust Address Box 308, Centerville, HA 'ot #61 75 Longboat Drive, Centerville Wiring Inspector Inspection datef/�si R � Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ...................................................... 19...... ..................................... ........................_.__..................._.............._._ Building Inspector � || -A wua~Assessor's � and lot'number -. '/3. -- ^ ` \ ' ��5 ON ��" �� z ``~ � �� !W THE - "ere number�........ � BE �� r"`. - House number ------. ��- ''���—..�---'-.��_` � `~-' /~` �- ^� ����_- ^ ' | BLE r���lu��Tl�T ����� NAM 039 .. ' TOWN�� p�� . BARNSTA . ^ . . . / BVIAING I'SPECTQ. . . So��ol��B APPLICATION FOR PERMIT TO ...----.-.---- TYPE OF fam� l�� ' --'�---�---- ------ '-'-^—~~'—�'~~~-~�~^.J~-~--'--`-''-'--^--,--'---''' ` . ' October ll 1978 . . --_-----..'�-----...��-.~ TO .THE INSPECTOR OF BUILDINGS:. The undersigned hereby 000iem for o permit according to the following information: Location .....:�ot..#_6l.. ^Dr�.n��_.. l�.�..y�A__..82O32_...______________ -~ -- . ' Use ........oi l a ..�. zniIy_�es� . �l��t.i��l_______.,______'_________.'______�_' ' Zoning District -- -faznil ..��e�ic���t.i��l�»e D�h�� �_Oot ��____.. ` ~ 'Name of Ovvne, ....So.f f.olk..Il���lty_'�.����t____.A6J,eo _.�,:.O._Bo��..308.. ll��^..]�&_.. � �a�e Nome of Builder -------------------.--.'A66�so ----§�g!�-.-...----..---.---.--... .Nome of Architect ------.----------^----'A66nsu ........ Number of Rooms -----�-e�--en--------------Foun6ohon .........P.QW�9d ------_-__ G«eho, ....... .........................................Roofing --��!Pha ..5.bj ................................... ) Floors ����.�������'�\r��'����.. .-----|nterior ....5.Xim.-QQat;... llastel�................................... Heating 'bot-»«at��...by'��il-------F1um�ng .---..J�JC..-----------.,_----~-.. Fireplace .—loKick...�n.d...blg�]�.--.---------/\pproximote [os --�25+0O�°�}�---__~____,~ - Definitive Mon Approved by Planning Board 19----. Area . ........ 3�j0... �q~- ft. � =, - Diagram of Lot and Building with Dimensions ' Fee ____ Q.g� _ ____.. _ | SUBJECT TO APPROVAL OF BOARD Of HEALTH � I hereby agree to conform t all the Rules and ~ ' ^ - . ` ` {] ' , � ` � Regulation sof the Town of Barnstable regarding the above ~ . Nome ��x ......... _~ ' � -� U Suffolk Realty Trust 1 ' No 20719' ,Permit for ....: one story .. ............................... r 6ingle family dwelling Location 75 Longboat Drive ..................................................... Centerville ' O Suffolk Realty Trust Owner ..... Type of Construction frame...•••..• " Plot ..........................•. Lot ............ ............. October 23 78 r Permit Granted 19" Date of Inspection 'Date Completed .....z 7�� ...........19 PERMIT REFUSED - i .......:................... 19 ./.�: ..Qi�'. ...... ...........1.................................................................... " { •..• •...l. •••....................................................... ' ' !t • ,r • •t. •......• ...• •........• •......•..............................• • ' + -++�, • •� . • �. . Approved ............................. 19 r .......................................................................... ..... ....... ......................................................... _ 7 Assessor's map and lot number ..... 0.......... ` " � F THE Sewage Permit number ........................................................ • r-y Z BAHB3 ABLE, i House number f 9 MAHa ..................... 0�................... 0 i639 \00 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Su olk zealty rust ,.4 ............................................................................................................................. TYPE OF CONSTRUCTION ..........S xicrl_ .'a m i 7_v r Pc J.A an} a 1 October 11 , 197Q 19........ ..... .................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....Lp?t r 61 Longboat Drive, �enterviXle, MA 026?2 ...................................................... �.................... ........................................... .......................... Proposed Use ........s.incf1e.....ainily..resid.ntsial........... t ................................................................................... .. ... .... ...... ,Zoning District ......single `. amlly i esldentia.lFire District Centerv........d? e.. ..,Ustervi.1.I.C., ........... ....................................................... ........ .. ... Su.: folk Realty Tr�1 � , ��c 3.0P CenterY;i7.7_P t;TA Name of Owner ......... . .......................... ...........St.............Address Name of Builder same ....Address same ...................................................... ........................................................................ Nameof Architect ..................................................................Address .................................................................................... Number of Rooms seven ....Foundation ................................ ..... ..........poured conrrPta .................. . ............................. Exierior cedar ,hinaleS anr)halt .......................................................................... Roofng ...... .........,...h...i..n...r.7..l...a...s..................................... Floors over underlavment................Interior ....` ............................................. m—.rn.....a...t.....z..�..l....a..c...t..A...r..- ................................... Heating ^c ry rrt• -water by oil......................Plumbing n�rr-............................................................. .................................................. ..................... Fireplace .....a:.1 :......Inc... ...,uek.....................................Approximate Cost ........:.?.5...nCl(1:n ................................... Definitive Plan Approved by Planning Board ________________________________19________. Area 1 240 scx. t a ....................... .................. Diagram of Lot and Building with Dimensions Fee ............................ ................ SUBJECT TO APPROVAL OF BOARD OF HEALTH cx s U 0 t 1 � 1 � A", r'+ 1 f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .......... .......................................'............................. r Suffolk Real ty ust, a' A--193-162 20719 one stogy _ No ................. Permit for .........Vi�in�g .......... ....... t single family dwe .................................................. ............. Location 75 Longboat Centerville ............................................................................... Suffolk Realty Trust Owner .................................................................. Type of Construction ...... frame . ........................ ............................................ ............. ...... ... . . Plot ........ t ......... ....:.................... ........... October 23 Permit Granted 7$ Date of Inspect' n ....................................19 Date Complet ......I..............................19 PE MIT REFUSED ....................... .................................... 19 ........: ..... J... ..... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... tg -77• �y - �.. �] � �! 4 r7`•� ,4� -= t,'�.•. �s.' `�. i`'r-• �'� 'f" to+�a,'�. °' !. 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