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0006 MANNI CIRCLE
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' ' . __Town of Barnstable Biilldl�lg rrnsie Post This Card So That it is V�sib'le From the Street-Approved Plans Must be Reta'ined'on Job and'this Card Must be'Kept Posted UntiFinal§Inspection'Has'Been Made. ` yam Where a Certificate of`Occupancy is Required,such Building'shall Not be``Occupied until a Finallnspection Fias been made.• I ei jlll l Permit No. B-20-217 Applicant Name: HOME DEPOT USA INC Approvals Date Issued: 01/24/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 07/24/2020 Foundation: Location: 6 MANNI CIRCLE,CENTERVILLE Map/Lot: 169-118 Zoning District: RC Sheathing: Owner on Record: DRISCOLL, BRUCE P&KATHLEEN E Contractor Name HOME DEPOT USA INC Framing: 1 Address: 6 MANNI CIRCLE . „ Contractor License . 112785 2 CENTERVILLE, MA 02632 „�., T Est Project Cost: $796.00 Chimney: Description: replace 1 window Permit Fee: $35.00 Insulation:. Project Review Req: ,f Fee Paid $35.00 Date-" 1/24/2020 Final: Plumbing/Gas r Rough Plumbing: `\Building Official I � Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this 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 an building and structures shaIlb eincompliancewi h the local z n-ot b =aws a c cl s: ' Final Gas:This permit shall be displayed in a location clear) visible from access street or road and shall bemain oined open for-public inspection forthe entire duration ofthe , 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: I.Foundation or Footing 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 u Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT A � '� f w. ~ wok , Application number... 4J ...„ Date Issued.............A. 7-.. MASS. �p�s4gg. t0� o1�Cj OEp� Building Inspectors Initials......... Is"" p,N ti 3 2p24 Map/Parcel.._.. ... ...................... .......... TOWN. A STABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: Mann I Ca'� . r ell`J I Ie. NUMBER STREET VILLAGE Owner's Name: rt.t� b�iA A o I'� Phone Numb 7 7ti) 3/3 -- 903S_ Email Address: Cell Phone Number Project cost$ 7 Q6 Check one Residential Commercial As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: See Alad,4.oQ Lnr(_Clc Date: TYPE OF WORK ❑ Siding XWindows (no header char e)# Insulation/Weatherization ❑ Doors (no header change)# Commercial Doors require an inspector-s review El Roof(not applying more than 1 layer of shingles) Construction Debris will be going to W a,s4 �,�.,Q ram,`-�'-4)�,r„o fib, MA [77 CONTRACTOR'S INFORMATION Contractor's name � ie�% �k✓Pe� oa• e l uS Home Improvement Contractors Registration(if applicable)# /!Z 7$S (attach copy ) Construction Supervisor's License# 070077 (attach copy) Email of Contractor Swe �/ S�� a c5m Phone number °6 /- 7/V- 6 3'f:i ALL PROPERTIES THAT HAVE STRUCTURES OVER TS YEARS OLD OR IF THE SUBJECT PROPERTY IS IIV A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUE®. L APPLICATION NUMBER............................................................ *For Tents 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 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 If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire.Department approval *W®®D/C®AL/PELLE.JI STOVES " Manufacturer# Model/LD. Fuel Type Testing Lab Offsets from combustibles:front back left side right side HOMEOWNER'S LICENSE EX NTTI®N Homeowner's 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 Clot and the Town of Barnstable. Signature Date /APPLICANT'S SIGNATURE Signature Date Z� All permit applications are subject to a building official's approval prior to issuance. Home1mprovement Agreement: Paget Finance Charges: *Any.interest payments or other finance charges will be determined by Customer's separate cardholder -. or loan agreement, to which The Home Depot is NOT a party, and will be in addition to-Customer's payment under this Agreement. Customer is subject to the,terms and conditions of the cardholder or loan agreement, as applicable. No funds should be made.payable to Service Provider; however, Seivice Provider may collect Customer's.payment(s) made payable to The.Home Depot. Insurance proceeds will will not be used4o, pay some or all of the total amount of sale:' Description of Work to be Performed: Installation of lWindoM A more detailed description of t evork to beperformed- is included In the section entit a .Scope o Work which appears on page of this Agreement. Anticipated Delivery Date/Installation Schedule Approximate Start Dater oz/15/202o Approximate Finish'Date: 03/14/zo2o All dates are approximate and subject to change based onunforeseen events including inclement weather, permitting delays, and delays in confirming insurance coverage of Your claim for:any,repair, if applicable. Electronic Records Authorization:: You are entitled to a paper copy of this Agreement if.you choose. If you'consent to an e-mailed copy, your consent applies to this Agreement and all subsequent documents and written'communications related to this agreement. By contacting your Service Provider, you,may update your email address,,withdraw your consent, or obtain a.paper copy of the Agreement or related documents at no charge. By providing your consent and verifying your email address above, you confirm that you have access to a computer that can receive and open emails and PDF documents. . . Inialing this paragraph, Itonsent to'receive only electronic records related to this transaction. Initial Acceptance and Authorization: By signing below, you authorize Home Depot to (a) arrange-for Service Provider to perform Installation and/or (b) order and arrange for the delivery of special order merchandise,'including special order merchandise that may be custom made, as specified in this Agreement. Do not sign if blank or incomplete. (Service.Provider's/permitting information may need to be provided to You later.) By signing, you acknowledge that yo a read-,.understand, and accept.this Agreement in its entirety, including the General Terms and and ions and State Supplement, if any. You further.acknowledge receiving a comple c py oft is Ag"eeent. Keep it to protect your legal rights. ZV X 12/21/2019 The Home Depot i Gust mer's Signature Date Service Provider Name X 1 19 908 Boston Turnpike Unit 1 Co-Signer (if applicable Date Service Provider Address 12/21/2019 Shrewsbury MA 01545 Si natu O ehalf o me'De of Date CityState Zip R-1-073-13-00016 Service Provider Phone N mber Service Provider License Number The Home Depot-2455 Paces Ferry Road,N.W. Bldg.B-3,Atlanta;Georgia 30339-Customer.Care:1-800-466-3337 4601`1 HDE Customer Agreement(24 Jul.18). v 0 1 8 t Caonea.lth aP Massachusetts Mvisibn of Progesstonai Lit:enstire' ward Of 8tuldin9 Regulations and Sfandariis Constair `tecvisor CS-074077R, pires fZI3Q12U20 , MSEF"C DIMTf z T 15 FAl.!ST71 WAREFfAm MA VS7# a r r COfTlflitS510fi@r •!"" ryp ' k�, �"" °*�1 - :.z kl -ter ��� G'tiU/G��il+riL�J 11 .✓� �XllaL'll� - , - �` 2 r '` ,�,+w rt-r• ,:L - f. CO— Office of Consumer Affairs&Business Regulation 7 s Ftvff ' tiQME IltiIfPROVEMt:hIT GONTRAGTOR Registration valfi for mMrinduai use Doty r TYPE Parttterstun „ ;: before the expiration date: tf found refum to ;: x: Rectrstratiort Expiration Office of Consumer'Affans and Business Reguhationf; 132349 R 04140/2024 4tip0, fimgton Street Sufte 790 k JOSEPH C DUATE tr ` Boston MA DIB/A 181 J REMODELMG JOSEPH C DUARTE of valid without signature WAREfiAM AAA 02574 Undersecretary' *c ; r f: r _ F The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations F a 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): `.! fs , ILUARM Address: City/State/Zip': OM-7 l Phone#: ,7`t 746, - Are you an employer?Check the appropriate box: - Type of project(required): 1.0 I am a employer with 4. I am a general contractor and I employees(full and/or part-time). have hired the sub-contractors 6. ❑New construction 2. 1 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. employees and have workers' [No workers' comp.insurance comp.insurance.# 9. Building addition required.] 5. [+ We are a corporation and its 10.[] Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 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 employees.[No workers' 13.Q 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 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 thepolicy and job 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$1,500.00 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 cer 'y unde the painscWnd penalties of perjury that the information provided abo a is true and correct. Sianature: �\ Date- t Zy Z O Phone#- Oj�cial 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 it: �t The Commonwealth,ofillassachusetts r DepartmentofIndustrialAecidenn y 1 Congress Street, Suite 100 Boston,`M 02114-2017 www.mass:gov/daa Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. ` TO BE F LE.D WITH ME PERMITTINIG AIT.HORiTY. , Applicant Information Please Print Le6ibiy Name(Business/Organization/Iudividual):, H n r+-j Address: �I Turn i Ke_� City/State/Zip: s w/' MA OIS4 S- Phone# 7-7 Li -7 5 - 2- Are yw`n employer?Check the appropriate box: Type Of project(required)! 1 t I- i am a employer with o�0 D"_K-ployees(full and/or part-time). J, NeRr COILSIT IICtIOII 2.❑I am a sole proprietor or partnership and have no employees working for me - $, ❑Remodeling, - any capacity.[No workers'comp.insurance required] fi 3.0 I am a homeowner doing all work myself(No workers'comp.'.urance required.]t 9. ❑Demolition 10 Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. �• 0,12. Plumbing repairs or additions 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet These sub-contractors have employees and have workers'comp.insurance.k h. Roof repairs ��11 6. We are a corporation and its officers have exercised their.right of exemption per MGL c." 14. ther llt�o 152,§1(4),and we have no employees.[No workers'comp.insurance required.] VA(mein x Any applicant that checks box 01 must also fill out the section below showing their workers'compensation policy information i 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 21 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: N�//b�7GL/ (/Yli(�1 `�lle �n�draitC�_ �ic/l✓ Policy#or Self-iris.Lic.#: X !(— 5 4 &.5 5 1 7 Elcpuafion Date: Job Site Address: ZP Mani) 1 64-11 R City/State/Zip: I 64"L) 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 punishable by a fine up to$1,500.00 and/or one-year imprisonm as ell as civil penalties in the form of a STOP WORK ORDER.and a fine of up to$250.00 a day against the violator. py this,statement may be,forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un an enalties o information provided ab.ve is ue and correct 0 Si ature 4 Date: 1. ZZ Phone#: Of lcial use only. Do not write in this area,to be completed by city or town official MCity orTown: Permit/License Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improveme t Contractor Registration - Type: Supplement Card Registration: 112785 HOME DEPOT USA INC - ___ `. Expiration: 04/22/2021 P O BOX 105451 ATTN: LICENSE MGMT TEAM ATLANTA, GA 30348 = - Update Address and Return Card. SCA 1 0 20M-0507 - - r Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:$uPr)lement Card before the expiration date. If found return to: Reaisk&M Expiration Office of Consumer Affairs and Business Regulation e 04/22/2021 1000 Washington Streete Su' 10 HOME DEPOT YaI_, =—^---_—_- Boston,MA 02118 ANDREW SWEET 2455 PACES FERRY FCC-t1 HSC %/ a. ATLANTA,GA 30339 Undersecretary No al id It Ut sl nature ,' � DATE(MM100IY`!Y'!) AC CERTIFICATE OF LIABILITY INSURANCE ' l210fi2c19 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH IJSA,INC. NAME: : FAX PHONE TWO ALLIANCE CENTER c oExtil A/C No): 3560 LENOX ROAD,SUITE 2400 =.MAIL ATLANTA.GA 30326 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC S GN101642069-HomeD-GAW-19-20 INSURER A:Old Republic InsufanCe Co 24147 INSURED THE HOME DEPOT,INC. INSURER 9:New Hampshire Ins Co '23841 HOME DEPOT U.S.A.,INC. INSURER c:HomeRisk Captive Insurance Company 2455 PACES FERRY ROAD INSURER o: ,BUILDING C-20 ATLANTA,GA 30339 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: - ATL-004353439-28 REVISION NUMBER: 21 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. IN SR TYPE OF INSURANCE .4DDliSUBR - - POLICY EFF POLICY EXP LIMITS- LTR POLICY NUMBER MMIDDIYYYY '. MMIODIYYYY A X :COMMERCIAL GENERAL LIABILITY MWZY 314574 0310112019 03/01/2022 EACH OCCURRENCE b 1.000,000 NTED CLAIMS-MADE . ,( OCCUR PREMISESAMAGE O'Ea occur ante • 5 1.000,000 X i SIR:S1,000.000 MED EXP jAny one person) i EXCLUDED - PERSONAL 3 ADV INJURY 5 1,000,000 "GEN'LAGGREGATE!IMIT.APPUES?ER: i GENERAL AGGREGATE S 1;JOOA00 ?OLICY 1E0 IOC PRODUCTS-COMPIOPAGG 5 I,J00.000 OTHER: a A AUTOMOBILE LIABILITY M!NTB314573 0310112019 03101i2022 i(Ea rcEIINED idenqSINGLE LIMIT i 1J300.000 _ Ea cc X :ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED SELF INSURED AUTO PHY OMG BODIL`!INJURY(Per accident) 5 _ .AUTOS ONLY Auros HIRED —�NON-OWNED PROPERTY DAMAGE S _ .AUTOS ONLY —.AUTOS ONLY " Per accident i5 f UMBRELLA LIAR OCCUR EACH OCCURRENCE i EXCESS LIAR ' CLAIMS-MADE` .AGGREGATE S ` DIED RETENTION S i B €WORKERS COMPENSATION !INC 012717099(AK,NH.NJ,/T) i 03/01/201903101/2020 X ;EARTUTE ORH B ;AND EMPLOYERS'LIABILITY YIN ' NC 012717100"!NI 03/0112019 03I01I2020 'ANYPROPRIETOR/PARTNERIEXECUTIVE ( ) E.L.EACH ACCIDENT ':b 5.000,000 '.OFFICERIMEMBEREXCLUDED? N - (Mandatary in NH) E.L.DISEASE-EA EMPLOYEE 5 5.000.000 DESCRIPTION OF OPERATIONS below I Continued On Additional Page E.L.DISEASE-POLICY LIMIT 3 5.000,000 C Excess Auto 297110011002019 031010019 03/01/2020 Limit: 4,000,000 A Excess General Liability MWZX 314580 • 03/01/2019 03/01/2022 :':Limit: 3.000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Addltlonal Remarks Schedule,may be attached if more space is required) EVIDENCE OF INSURANCE , CERTIFICATE HOLDER CANCELLATION HOME DEPOT USA,INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2455 PACES FERRY,ROAD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING C-20 ACCORDANCE WITH THE POLICY PROVISIONS. ATLANTA,GA 30339 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Nlukherlee _.WU%Aa*" ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • • AGENCY CUSTOMER ID: CV101342069 _- • LOG#: Atlanta ACC)RDO ADDITIONAL REMARKS SCHEDULE Page 2 of 3- AGENCY - NAMEDINSURED MARSH'JSA.INC. rHE HOME DEPOT.INC. HCME DEPOT U.S.A..INC. PouC•r NUMBER $' 2455 RACES PERRY ROAD 361LOING C-20 ---.--- --- _. ACLANTA.GA 30339 CARRIER NAIC CODE EFFECTIVE DATE: - ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Cartificate of Liability insurance ' j Workers Compensation Continued: { } Carrier:Indemnity Insurance Company of:Noah.America Policy Number:''NLR C65890549(AL.ARPL.ID.IA.XS.XY.LA,MS.,HO.,VE.NM.ND.OK,SCSO.rN,!NV•N() Effective Date:031010019 Expiration Date:031012020 (EL)Limit:S5,000,000 Cartier:New Hampshire Insurance Company Policy Number:WC/112717098 (DC.7E.HI.iN.,MD.,NN.MT.;VY.HO Effective Date:03101019 Expiration Date:03101/2020 (EL)Limit:55.000.000 Carder:ACE American Insurance Company Policy Number'NCU 055890586(OSI) (AZ.C.A.IL.NC.OR,'/A.'NA) Effective Date:03101 019 + , Expiration Date:0310112020 (EL)Limit:34.000.000 f SIR:31.000.000 31R for the dales of AZ,CA,IL,NC.OR.YA.'NA ' Carrier:National Union Fire Insurance Company Policy Number:XWC 3565596(DSI)(CO.CT,GA,ME,MI.NV.OH,PA.UT) Effective Dale:03/01/2019 Expiration Date:0310112020 e • (EL)Limit:S4,000,000 S1.000,000 SIR far the stales jf CO.ME,,VV.MI.OH,PA.UT 3750,000 SIR for the,late of GA 1350,000 SIR for the Stale of CT _ I Carder:National Union Fire Insurance Company Policy Number:XWC 5565597(OSI)(MA) , Effective Oats:03101/2019 Expiration Dale:03/01/2020 (EL)Umil:W.500.000 SIR:3500,000 rX_mployers XS Indemnity: ' Cartierlllinios Union Insurance Company Policy Number TNS C65221019iTX) • s - Effective Date:03101/2019 Expiration Date:11/0112011 (EL)Limit:310.000,000 _ .. SIR:S1.000,000 ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. . The ACORD name and logo are registered marks of ACORD �: . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel I I B Application # Health Division Date Issued Ir�— Conservation Division Application Fee � o Planning Dept. Permit Fee Jr� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Co npP,w Q\, C, I, Village Owner �_CL� Address � -Vl1 Telephone 7 11 -'a k as- 5�.o3 5 Permit Request Q \Ck C i ° X 52'*' V U tJ 1,AA i A) �� L Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new 1`� -94 Zoning District Flood Plain Groundwater Overlay Project Valuation COD Construction Typed_ cVdctsy\&�� 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 4 Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: O:existing O new size_ 1 Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: "'e -° .7 r. :Z] Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # ? W ;:- M Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Ci��UcfC- `7��Scm Telephone Number 7 ?y -3 1 3- O:3s Address C`Mt,N 1,J C rC�e, License # Home Improvement Contractor# 1 7 0 3 Email C ��Z`(V,"o 0-c on Worker's Compensation # UJ W e\\-3 6?5 7 I 1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO � C a SIGNATURE DATE 41 Z a a / /6 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED I .MAP/PARCEL NO. ~ ADDRESS ' VILLAGE OWNER s, 't '7 DATE OF INSPECTION: FOUNDATION FRAME } INSULATION { FIREPLACE S j ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL i FINAL BUILDING 1Q IS �id�Is DATE CLOSED OUT r - ASSOCIATION PLAN NO. K y r the c;ommanweaim vimassaenuseus Deparhnent ofndusfrid Accidents i Of`•ace ofbtvesfigakons ` 600 Washington Street " Boston,MA 02111 www.rrwss gov/dia Workers' Compensation Insurance Affidavit:B Uders/Contractors/Elecfricians/Plmnbers Applicant Information Please Print Legibly , I b Name(Business10Taairaiion&&viauan: �j C i�CC� \�e.o�\ (N C�,f Gt S� 7-�pi T-P-6—e 3 Address: G M��N'\ C� t'L�-Q; ?-d Nc, C 1 - �f -�- � ik*0717�. City/StaWZip: 1'.0 `)Phone#: 513 0 35 Are you an employer?Check the appropriate bpiK Type of project(required): 1. A I am a employer with 4 4. OIamageneralcontractorandi + employees(fall and/or pait finne). ,. have hired the sub-cm t actors 6. ❑New construction listed on the attached sheet 7. Remodeling 2.❑ I am a sole proprietor or parer- ❑ � ship and have no employees Tie sub-confracfars have 8. ❑Demolition working for me in any capacity. employees'and have workers' [No workers'comp.insurance comp.insurance 9. El Building addition r �] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 3. am a homeowner doing all work ' 11.❑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 employee's.[No workers' 13.❑Other-AlI fOVQ-.G comp,insurance required.] sut:)0- Pip y„ *Any-applicant that checks box#1 must also fill out the section below sbowmg theirworkers,compensation policy inhimation. t Homeowners who submit this affidavit indicating they are doing all woiic and then hue 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 stair whether or not these entities have employees. If the sub-contractors have employees,they mast provide their woikc rs'comp,policy number. I inn an employer that is provuUng workers'compensation insurance for my employees Below is the porky and job site informatiom Insurance Company Name: ��- (ZZ �/ W n q NO Policy#or Self-ins.Lic.# V� (� 1 Expiration Date: Job Site Address: MGM,. A11J l �� �e - 1 City/Staff:CAA) odw 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 e. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year'imprisomnent,as well as civil penalties in the form of a STOP WORKORDER 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 DU for insm-amce coverage verification. I do hereby certi under thepains andpen ofpm jury that the information provided above is true and correct S' Date: O -2 Phone#: r Official use only. Do not write in this area,to be completed by city or town official City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PIumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 mgrdres aTemployers to provide work-m'compensation for their employees. Pursuant to Ibis 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,asso on,corporation or other legal entity,or any two or more of the foregoing engaged m'a joint enterprise,and incl the legal representatives of.a.deceased employer,or the receiver or trustee of an individual,partnership,associate or other legal entity,employing employees. However the owner of a dwelling house having not more than three ap ents and who resides therein,or the occupant of the dwe house of another who employs persons to do tenance,construction or repair work on such dwelling house or on a grounds or building appurtenant thereto shall n because of such employment be deemed to be an employer." MGL ter 152, §25C(t7 also stains that"every or local licensing agency shall withhold the issuance-or renewal a license or permit to operate a business r to construct building in the commonwealth for any applicant ho has not prodnced.acceptable eviden of compliance with the insurance coverage required." Additionally, GL chapter 152, §25C(7)states"Ne' er the commonwealth nor airy of its political subdivisions shall. enter into any for the performance of public ork until acceptable evidence of compliance with the in��?�„ce requirements of chapter have been presented to e contracting authority." Applicants Please fill oiA the workers' ens rip ahon affidavr completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contr s)name(s),addr s(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Co anies(I.LC)o Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not r d to carry w leers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be a vssed affidavit may be submitted to the Department of ladustrial Accidents for confirmation of insurmG ov e. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the ap n for the peffiit or license is being requested,not the Department of Industrial Accidents. Should you have any scions regarding the law or if you are required to obtain a workers' compensation policy,please call the Departm at the number listed below. Self-insured companies should enter their self-insurance license number on the approp ' e. City or Town Officials Please be sure that the affidavit is comple and pri\d *ly. The Department has provided a space at the bottom of the affidavit for you to fill out in the ev the O In .patrons has to contact you regarding the applicant Please be sure to fill in the permit/license ber which)NU be ed as a reference number. In addition,an applicant that must submif multiple perait/license lication given ar,need only submit one affidavit indicating current policy information Cif necessary)and urnd "lob Sitress"the ap bunt should write"all locations in (city or town)."A copy of the affidavit That has b en officiaped or marke by the city or town may be provided to the applicant as proof that a valid affidavit is n file for permits or licens Anew affidavit must be filled Dort each year.Where a home owner or citizen is o taming a or permit not relat any business or commercial venture (i e. a dog license or permit to bean leave etc.)said is NOT required to co lete this affidavitThe Office of Investigations wound lake thank youance for your cooperation should you have any questions, please do not hesitate to give us a call The Department's address,telephone afp nnnber: ommont�ealth of Massachusetts artmQnt of Industrial Accidents 0-Me-e of kvestiptiom 604 washivan St=t- Bost .,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-1v1ASWE Revised 424-(?07- Fax#6 17-727-7749- Town of Barnstable Regulatory Services P�optHE Taty,� Richard V.Scali,Director Building Division Tom Perry,Building Commissioner 16.39- ��� 200 Main Street, Hyannis,MA 02601 iOrEO eta - www.town.barnstablema.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: 1 ja2 G- Please Print I JOB LOCATION: 69 t1(�N N.` c k_� u rV k C number ' sheet village name home phone# work phone# CURRENT MAILING ADDRESS: C k !CAQ., ODG 3- city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to"the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures requiremen d that he/she will comply with said procedures and requirements. Signature of HAleowntr Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see.Appendix Q,RuIes&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILFS\FORMS\building permit foims\EXPRESS,doc ' Revised 061313 ' Town of Barnstable Regulatory Services sexiv SS. Richard V.Scali,Director 0,39. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,\MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 4 Property Own r Must Complete and Sig This Section If Usin This a ll as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work au orized by building permit application for. (Address of Job) *'."'Pool fences and nns are the responsibility of the applicant. Pools are not to be fille or utilized before fence is installed and all final inspections are p rformed and accepted. Signature of Owner Signature 4Applicant Print Name Print Name Date QTORMS:O WNERPERMISSIONPOOLS A• T" T 3 I �� L �� I 1 t 1. �' � 4. I I-- _ �. � V�� I , .I 1 F /. F-v. ..,tom. a• t -44 :t4:'{ • _.�.._._ ..._. .�� _... ��' r •-----ter-'_'",- i 1 _ " �.{ } I-IT ra-t 5 -i {i l-� 4 r { ' I I t .i. } i_�-$_t ! t _ T L r-.a +" "• 71 .ILL •--r- i , 1 { , t t ` t f f 1 I L ' - I -44 L. 1v 4. 4.1 77+ tt t ' 40 r I-t-j i ' .. r AaZ O t. 3HU 3Orr.Ia Q 3H3NA9.I>,Z,.", .! •'-.3 f3_JA4 IU3N- _ HONI 3HT OT OL X Of _ . .f Nuance depliant_Mise an page 1 11-10-19 16:29 Paget —�— . - uarian POOLSq ��i""yrvtiL���� �I uarian OOLS aquarian-pools.com ,"'«,, - ` 9,• - ; e :rv: ,;w': "gy-A, 1��+` t +',`'f � `.. , �f # � ✓ ► F fJ QZ .. c r } A: ,... /'.,. ' T ,, r'� • ,",. M�-.�' � �"' - Round Nuance- Tuscan wall offered in 52 inches Nuance depliant_Mise an page 1 11.10.19 16:30 Page2 --�— ^ 00 » � .,\fix✓ f e ...�d A —�cii'tw.",.w""' :!"' - ,.� wry -' '�� x � . . t is ,n ►a" "�. ,� '.�, '� ,�°#� 4�{#� d �" f,f Why and cram a whole summer of fun into one or twol,hort weeks? a "� 1 r t t� r * A new NUANCE Aquarian pool makes your summer fun last all " �+* " k , e e for over yt+ summer. It's like one endless summer of cool fun for the whole family. 'M t sty• 45' LASTING STYLE AND VALUE FOR YOUR BACKYARD , e " OGq YROo�y. a _ - ciry P 1 A NUANCE pool brings unique style and beauty to your yard with design inspired walls. Color co-ordinated Khaki posts and top ledges add a ` SIZES(FEET) graceful touch.This look compliments any backyard and any taste.And Round A-Brace Oval N135 Oval this new NUANCE pool looks beautiful year after year,while it adds value NBS oval Nuance Khaki Maya wall offered in 52 and 54 inches 12 12 x is-. : to x-16 to your lifestyle. : - 15 12 x24, 10 x 21 - 18 DURABLE AQUARIAN POOLS LAST SUMMER AFTER SUMMER 21 16 x 32 t2'x 24 24 18 x33 ,.16 x26 O.ur,NUANCE pool stands up.to whatever kids can dish.out while it ����, � 27 18 x 38 16 x 32. -- _ �_ __ .. a'' 30 18 x44 18 x33 : v handles.:any weather with ease. Our:extruded'.7"resin,ledge resists y' - �' •-,- `"sr .~ y 33 18 x 38 weather,water and wear:Durable 6"steel upright osts with unique. * I, P q ^, x 18 is44 interlocking resin caps and resin foot collars give the whole package t th,support and style.Galvanized steel frame components have 3/25 pro-rated warranty strength, PP Y P polyester paint finish and KrystalKote®sealant to provide years oflasting beauty and quality.Heavy-duty tracks,oversized connectors and oversized fasteners add strength for a pool that will last for summers to come. "gas ;1 "� � �� YEARS OF_EASY MAINTENANCE It A NUANCE oval ool brings the ultimate in style to our and with a fun, P 9 Y Y Y ' a;l 7Y '[.`, gr flexible sha .Added engineering means lon 'life easy care and more '' 4 fle pe e g g g. y Useable yard space.Available,with traditional angle bracing or a space saving Narrow Buttress System(NBS).Your NUANCE pool in easily. Round Nuance-Kakhi Venetian wall offered in 52 inches < Ledges, caps and posts fit snugly im and-securely.Skmer-:and return p � utl"et unche P I :outlets come p re-p d DO IT YOURSELF INSTALLATION - ; sw - STEEL WALL COMPONENTS If you're handy with a screwdriver,then you can easily assemble your 1.Plasticized SP.coating own Nuance pool.,We ve designed each pool to make installation 2.Molter,zinc coat problem-free—no multi-s¢ed+washers or nuts to worry about.Just one ::' ✓ x a 3.Primer coat large screw type is used to assemble the entire pool and we provide 9 YP P P 4.Application of an alkaline P Ilk easy-to-follow instructions r '•" solution to cleanse the oxides ::.'""•+ y^" -"j 5.Ultra-resistant polymer e• '' # 1 -O 6.Heat-hardened inlay he-piece resin foot collar Ledge,cap and post Heavy-dutyangle 7.Primer coat designed for a secure fit brace system 8.Chromate anti-rust coat r uanan 9:Steel wall core POOLS 10.Application of an alkaline solution to cleanse the 1 aquarlan-poolsxom e � Yak oxides NUANCE uarian POOLS WALLS 02>y � Khaki Maya wall 52" &54" Tuscan wall 52" Khaki Firenze wall 52" h Khaki Venetian wall 52" Sosua wall 52" & 54" SHAPES & SIZES F ROUND '° A-FRAME OVAL 8'(2.44 m) 24'(7.31 m) 0 NBS OVAL 12'(3.66m) 27'(8.23m)15'(4.57 m) 30'(9.14 m) 10x16 ( 0 ' ' 304mx4.87m) 0012'x24'(3.66mx7.31m) 18'(5.48m) 33'(10.06m) 010'x21'(3.04mx6.40m) 0016'x26'(4.87mx7.92m) 21'(6.40m) 0012'x18'(3.66mx5.48m) 00 16'x 32'(4.87 m x 9.75 m) 012'x21'(3.66mx6.40m) 0 0 18'x 33'(5.48 m x 10 m) 0018'x38'(5.48mx11.06m) 0018'x44'(5.48mx13.4m) aquarian-pools.com e� F R 4 Office of Consumer Affairs and Business Regulation;. ! to Park Plaza - Suite 5170 Boston, Massachusetts 021.1.6. Home 1mprovemezit.Contractor Registration Registration: 117031 Type. Private-Corporation s= Expiration` 8ti7/ m Tr# 255M NARCISO ENTERPRISES, INC CARLOS NARCISO P.O. BOX 680 EAST FREETOWN 'MA 02717 . Update Address and return card.*Mark reason for:changc. •- `� Address 171.Renewal f--J Employment 0 Lost Card SCA 1 v 20M-W11 ire a���r�aoreie�i�(f-'x/,'f�+1'�si•:��c� /1'-. inS, O-ice:of Consumer Affairs&8usibess Regntatio<tscn License or registration valid for individul•use only { �— OME IMPROVEMENT CONTRACTOR before the expiration date if found return to: eBistration: i 17031 TYPE= -Ex Ofice ofConsumer Affairs and Business Regula ton ; piration 81t712616 Private<Corpotattion 10 Park Plaza-Suite 5170 Boston.MA 02.116. NARCISO ENTERPRISES NC CARLOS NARCISO 9 EDNA CIFL FREETOWN.MA 02717 Undersecretary Piot valid AtAout signature, 6 "r A - CERTIFICATE OF LIABILITY INSURANCE 03131/01iDDmrr) 03l31/2014 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 cerdficate`hoider IS an ADDITIONAL INSURED,the poltcy(les)must he 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 endorsemen s. PRODUCER CONTACT PNAMr- aythexinsurance.AgenCyInc PAYCHEX INSURANCE AGENCY,INC. 150 SAWGRASS DRNE PHONE ` 877-266-6850 F 585 3s9 7426 ROCHESTER,NY 14620 E-MAIL Certs@paychex.com INSURERS)AFFORDING COVERAGE- NAIL# INSURED INSURER A Wesco hmrance.. ompanIy 25011 NARCISO'ENTERPRISES-INC. INSURER B: PO BOX 680 EAST FREETOWN,MA 02717 INSURER C. INSURER D'. INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER- THIS IS TO CERTIFY THAT.THE POLICIES OF INSURANCE USTEO RELOW 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. NSRI TYPE OF INSURANCE ADDL UBR POLICY NUMBER PoucY:EFF POLICYExP TR NSR D _ LIMITS (MwDOIYYYY) D GENERAL LIABILITY - COMMERCIAL GENERAL LIABILITY - EACH OCCURRENCE S.DAMAGE TO RENTED - [=CLAIMSAIADE=�CCUR. MEO EXP(Any one paisc.) $, PERSONAL 8 ADV INJURY GENERAL AGGREGATE $: L AGGREGATE LIMIT APPLIES PER PRODUCTS'-COMP{OP AGG g POLICY =RtOJECTO LOC -. b AUTOMOBILE LIABILITY - ._ - COMBINED LIMIT g ANY AUTO (Ea eadder r) . ...".._..:. :ALL OWNED SCHEDULED BODILY INJURY AUTOS AUTOS ^ (Per perSOflj. .. HIRED AUTOS �.aIITD : .. -BODILY INJURY PROPERTY DAMAGE: $ (Per accident) . ._.:. . UMBRELLAUAe -_OCCUR: EACHOCCURRENCe. -.$ .. ExcEssum =cLAiMsmAw AGGREGATE. g DED RETENTIONS WORKERS COMPENSATION AND - - .... - X WC STATIF -. OTH• -. EMPLOYERV LIABILITY WWC3085711:. 04l04l20'14 0410412015 T04 -- . EL EACH.ACCIDi:NT b 100,000.00: ANY PROPRIET'ORfPARTNERlEXECUTNE _ OFRCERIMEMSEREXCLUDEDY � E.L DISEASE-EAEMPLOYEE b 100,000.00 (Mama"In NN) I ,• i N/A E.L.DISEASE-POLICY LIMIT n ym,a ,ma OESCRIPTION OF OPERATIONS I LOCATIONS.I VEHICLESIAttach ACORD/01,Additlonai Remarks Schedule,irmore space to required)- CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF TH£ABOVE DESCR(BED POIJC[ES BE CANCEL.IED BEr-ow THE EXPIRAITON DATE THEREOF,NOTICE NALIAE DEINEREA"IN ACCORDANCE Wmi THE POLICY PROVISIONS,BUT FAILURE TO MAiLBUCN NOTICE SkALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY;ITS AGENTS OR REPRESENTATIVES: AUTHORIZED REPRESENTATIVE ACORD 25(2010105) o!Ow2010 ACORD CORPORATION. All r(ghts;reserved. The ACORD name and logo are registered mirky of ACORD'. TOWN OF BARNSTABLE BUILDING.PER'MIT APPLICATION Map ii �G, Parcel Permit# kDU h „ "110 OF "A�NSTABLVate Issued Health Division a Pei �� ���� 4- - Conservation Division 3 SL ?0 �i;PR — PH l: ` ee �5� Ov Tax Collector 0 k L — 2r1(Z1 � L Iblp _, _� SEPTIC SYSTEM MUST BE Treasurer I'-ISIo_N IN COMPLIANCE Planning Dept. ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address Village r.e,4C ✓('ffe Owned y2 i ���fi�v Address Telephone Permit Request ✓ v-1k 1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new V61uation yS,3(6® Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Y1 Two Family ❑ Multi-Family(#units) Age of Existing Structure AlT S Historic House: ❑Yes VNo On Old King's Highway: ❑Yes LkNo Basement Type: A 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 y Heat Type and Fuel: ❑Gas A Oil ❑ Electric ❑Other Central Air: ❑Yes ! No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing Xnew size vo P Barn:❑existing ❑new size Attached garage: existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Zd No If yes, site plan review# Current Use Proposed Use r-- BUILDER INFORMATION Name L i/L�sr� Telephone Number Address License# J C/�✓� ��— Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE .— /` DATE —/ �'� FOR OFFICPAL USE ONLY z s PEIMIT_NO. DATE ISSUED MAP/PARCEL NO. r / ADDRESS r. VILLAGE + l OWNER X DATE OF INSPECTION: 3 FOUNDATION FRAME INSULATION t� 4 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH ;.- FINAL =— �u.. GAS: ROUGH " FINAL FINAL BUILDING - ol ` DATE CLOSED OUTif -- ? 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Ilu•••w •• • 1 \ . _• ae-• w.r au/e •w 1 i••. 1 9-1 a Siegel We . 1 1 • e e • . - ! PLASTISOL COATED 30 vr. FXTEN NIlly Hot-dipped Galvanized Steel AQUASPORTS POOLS ROUNDS OVALS RE ETTE " 3 A B R �., StructurafEngineenng$•�uperior Distinctive • Extra wide 8"Top Seat,Hot Dipped Galvanized 48"High Wall,superior exterior look. Layered Designer Styling Embossed: Copper Bearing Steel G90. Bonded with 6 mil Resin Pool Wall extra protected with Hot Do Not Jump, PP g P vinyl-tex leathered grain finish. Dipped Galvanized Copper Bearing Steel,G90 2 Piece Contour Do Not Dive,4 Feet Deep • Extra wide Upright Hot Dipped Galvanized Trademarked, Copyrighted Sandstone Wall Engineered Do Not Stand, Copper Bearing Steel G90. Bonded with 6-mil Pattern on Face Side. Epoxy Coated on inside Wrap Around Do Not Walk Curled Returns PP 9 P y Locking Seat vinyl-tex leathered grain finish. for additional rust resistance. Clamps, • Caps, Snap Sets, Polymer Resin, with Stain- Deep Ribbed Corrugated Wall for increased Polymer Resin vinyl-Tex less Steel Screws for Fastening. strength and flexibility during and after instal- Extra Wide • Large Top and Bottom Curved Wall Rails, 1" x lation. vinyf-Tex , e^Top Seat 3/4" encircle entire Wall,Top and Bottom. Easilv assembled Wall Bar Connectors with Rugged 6" '` • Extra Wide Bearing, Polymer Resin Top and reinforcedAlurrjinum Bars affixed—joined with Ribbed Bottom Joiners, affording increased footing 28,'1/4"—20 x 5/8"Truss-Head Bolts and'1J4„ upright spread supports for Uprights and Curved Rails 20 Nylon Nuts for additional fixed fastenings. Vinyl-Tex Wall Skimmer and Re- Sandstone Exclusive where joined. Pre-Punched Thru the W < 3/4 x 1"-Hdg. • Aluminum Extruded, Curved Bead Receptor turn Outlet openings for ease of installation and Patterned Wall r Both Top& Track supplied with all Beaded Liners (Hung liner protection. t' a: Bottom Wall Liners), .020" Virgin, Winterized Grade, All Structural Painted Parts are electrostatically " Channels Marbleized Bottom and Sides of Pool polyester dry powder coated with minimum ' E P Y Y € Polymer Resin • Warning Notice embossed and stampedStainless in 1" 015".thickness after final fabrication. `�'��` "�� Bearing + high letters on every Cap set. "DO NOT JUMP, All Hardware is Stainless Steel fi: Steel Screws Plates DO NOT DIVE, 4 FEET DEEP." Oval Buttresses, Braces,are Aluminum Extru- sion. Electrostatically polyester dry Powder CAUTION: ALL POOL USERS SIGN Coated High Gloss Finish. SUPPLIED WITH EVERY POOL. SAFETY PROGRAM SANDSTONE - OVALS Gallons' WARRANTY Each pool is supplied with an array of safety SANDSTONE - ROUNDS Gallons' Model Size Capacity' Usage' Limited 30 yr.warranty and customer related pamphlets,signs and stickers.This Model Size Capacity` Usage" SA121 SR 12'xI 8'x48 5,875 5,140 service policy on pool wall and frame. material is provided to educate and remind SA12RT 12'x48" 3,384 2,960 SA1221 RT 12'x2l'x48 6,019 .5,266V all pool users of the extrem A • SA15RT 15'x48" 5,224 4,570 SA1224RT 12'x24'x48" 9.056 7,925' � Distributor importance o arawwWaftWo6wn�n rss safe conduct onrarnr , r SA18RT 18'x48" 7,469 6,535 SA 1524RT 15'x24'x48" 9,882 8,650 in and ----""""'�"•'� SA21RT 21'x48" 10,191 8,916 SA1530RT 15'x30'x48" 14,088 12,330 Failure to comply with all safety around �,, SA24RT 24'x48" 13,337 11,670 SA1833RT 1Tx33'x48" 17,511 15,320 signs and all pool safety rules ~ a� SA27RF 27'x48' 16,984 14,860 SA1839RT 18'x39'x48" 20,338 17,796 may result in serious nam =F: Approximate calculations permanent body injury. ••eery r'^'x"�aA �' w Based on use of thru will skimmer,water depth 42' OPTIONAL DECKING Product Safety is the joint responsibility of OPTIONAL' 4 X 5 Rectangular Deck the Manufacturer and End User(Consumer). �= Failure to comply with all caution signs and 6 X 9 Rectangular Deck Coordinated carpeted aluminum decking and _ g Zia all pool safety rules may result in serious = modular aluminum perimeter tubular picket fenc- 6 X 14 Rectangular Deck permanent body injury.These products are wl-_,: in . Made to fit above sizes. Consult catalog. in conformance with the voluntary — •--- 9 9 2 pc. Patio Deck _ Approved Standards for Aboveground/On Ground Residential Swimming Pools. ` "`" �•• "�"°°• WARRANTY NOTICE ANSVNSPI-4 1996 All products depicted are supplied with a limited warranty. All size, weights, measurements, illustrations and other Issued by the Company.Copies of which are available for specifications are approximate.The company reserves the nnennaen inspection at all authorized dealers,distributors. right to make changes without notice at any time in color 0 CAUTION:These pools are designed for swimming specification, prices on models, and also discontinued Aq&aSPORTS only they are not designed for diving or jumping, models. m— Do not stand,sit or walk on fence rail Specifications subject to change without notice. ,,,r, ' sP,.o *PoaE P.O. Box 7203, North Brunswick, N.J. 08902 (732) 247-6134 p e SUSTIEP '. T it 1� low 77 wra •-..r r - k A a . Y W a _ • „ Y , 4' s A Xj xis A -'•v- C r- r j� ����� ,,, .,24° f r _ 44 oil vu Ve 44 s r_ f r , r z r � , er RUFFCOATE _ 3�Y�'AR. Hot M I O 52 y�.���D� �n'-� Galvanized -dipped --- -- -- --- -- WAR ;��D AQUASPORTS POOLS ROUNDS OVALS ARE BETTER!! I: • Extra wide 8"Top Seat, Hot Dipped Galvanized •52"High Wall.. superior exterior Iook.layere structural Engineering a Superior Distinctive Designer Styling Ik Copper Bearing Steel G90. Bonded with Resin Pool'Nall extra protected with Hot Embossed:Do Not dump. ruffcoate finish. Dipped Galvanized Copper Bearing Steel. G90 2 Piece Contour Engineered Do Not Dive,4 Feet Deep, • Extra wide Upright Hot Dipped:Galvanized Trademarked,Copyrighted Wrap Aroung Locking Seat Do Not Stand,Do Not Walk Copper Bearing Steel G90. Bonded with Wall Pattern on Face Side. Epoxy Coated on Clamps,Polymer Resin ruffcoate finish. inside for additional rust resistance. urged Returns Caps, Snap Sets, Polymer Resin,with Stain- • Deep Ribbed Corrugated Wail for increased less Steel Screws for Fastening. strength and flexibility during and after instal • Large Curved Wail Rails. 1"x 3/4"encircle entire lation. 'Extra WideRuffcoate pool wall Easily assembled Wall Bar Connectors.with Patterned WallpS aide • Extra Wide Bearing. Polymer Resin,Top and einforced Aluminum Bars affixed-joined with �` Bottom Joiners,affording increased footing 2, 1/4--20x 5/8"Truss-Head Bolts and 1/4" spread supports for Uprights and Curved Rails -20 Nylon Nuts for additional fixed fastenings. where joined. "• Pre-Punched Thru the Wall Skimmer and Re- Aluminum Extruded,Curved Bead Receptor turn Outlet openings for ease of installation and Track supplied with all Beaded Liners(Hung liner protection. Liners).Virgin,Winterized Grade, •All Structural Painted Parts are electrostatically Marbleized Bottom and Sides of Pool. OPTIONAL polyester dry powder coated with minimu • Warning Notice embossed and stamped in 1" .015"thickness after final fabrication. high letters on every Cap set.`'DO NOT JUMP. •All Hardware is Stainless Steel. DO NOT DIVE.4 FEET DEEP" •Oval Buttresses, Braces, are Aluminum Extr' Rugged sion. Electrostatically polyester dry Powder Ribbed DANGER: ALL POOL USERS SIGN Coated High Gloss Finish. upright SUPPLIED WITH EVERY POOL SAFETY PROGRAM 52 ROUNDS Gallons' 52 OVALS Gallons" - -- _._ _— _— _ I' with f safety Each pool is supplied wr an array o Model Size Capacit,v' Usage Model Size Capacity' U WARRANTY related pamphlets,signs and stickers.This --- - - - - Limited 30 yr.warranty and customer material is provided to educate and remind M 12 12'x 52" 3.665 3.243 M 1218 12'x 18'-x 52 Tonn f,t service policy on pool wall and frame. all pool users M 15 15'x 52" 5,72T i 5.893 M 1221 12'x 21'x 52" 8.167 — 7.220 of the extremeIN _ - importance of M 18 18'x 52" 8.247t 296 M 1224 12'x 24'x 52" 9.334 8,250 Distributor _ _.___ -__-.__ safe conduct p wlrtwa ftAM,pAN,Ly" M 21 21'x 52' 11,225'' M 1524 15'x 24'x 52" 11.667 10,314 in and N av Failure to comply with all safetyaround pY FJI 24 24 x 52 14.662 70 M 1530 15'x 30'x 52" 14,584 12,890the pool.. „� - - -- - --- - - -M 27 2r x 52 18.555 16.415 M 1833 18'x 33'x 52 signs and all pool safety rules 19,252 17;020 . •--= may result 1n serious - M 30 30'x 52" 22,900 20 265' .839 18'x 39'x 52" 22,752 20,115 permanent body injury — — — Apprnximats r,iru4,ti�rs ,. ,�,,. _ K��'^� rxes ,• {r Based an Use of inru wall.,k mme.�Vnter depth 4c - _OPTIONAL DECKING 4 X 5 Rectangular Deck Product Safety Is the joint responsibility of Coordinated carpeted OPTIONalurnouAL dCkitig and fit M y — the Manufacturer and End User(Con- � 4 o x 9 Rectangular Deck modular --- ----9---- -- sumer).Failure to comply with all caution $ ^w f aluminum perimeter hil)ular prCIEe4 fencing t7)adr to fit _ _�x 14 _ Rectancidar peck signs and all pool safety rules may result above sizes.Consult Catalog. ?pc 3oc.4pe, Patio Deck In serious permanent body injury.These _ T - products are in conformance with the e+` WARRANTY NOTICE Voluntary approved Standards for ,, ..+.e..d.., . Aboveground/On Ground Residential _ .,,� �;,.,� All.poducts dcpictcd are supplit d with a li do d warranty, All size,weight measurements.illustrations and other Swimming Pools.ANSI/NSPI The Swimming Pool and Spa Group Issued by the Company.Copies of v.hrt:h are available for specdicationa ere app,oximatet The company eserves.the latest revision. inspection at all authonzed dealers— oistn'.'ittcrs. right tr,make changes v,ithout notice at any time;r color Route 28 435 Waquo i t Hwy CAUTION:These pools are designed for swimming sl. c f,c ation.prices on models.and also discontinued only-they are not designed for diving or jumping. models East Falmouth, MA 02536 f Do not stand,sit or walk on fence rail. Specifications subject to change without notice. ��A"r�u (508) 4 57-7800 ( 'INC. V: • Web: www.poolandspagroup•com P.O. Box 728" 3134 .I _:. L_� _ , .. _ � _� •� r-} _ --tom, I 77 , I i, + - -( i fir • - ° . i L LL — - IN r � a i ' 1 +'.L ' r.. •I -I--. I tI �t ti +-'1 77 I ` ! - r , l 1 r_ I I j. r _ I 14 I L , 1 i : I � , { i # f ? { Li ::A- ,.�.:: 7 .lr.#,. I�.c...�:: �:�.•n 1`�:::I .r � ';�t i S � + .I � I 17— r ,E1..c�c.Yj Cif✓ ; p�t� p , + -_ I- r ' I , � L 1 zu at eX l �; ;.�] 8_J:'1'i-lU3?I - V48a Or, 3vu 3OIU.7 @aWWAB.1T WJW 3HT OT.01.X Of 7n..ar ld'f .2 7 Assessor's office-,'(1st floor): . / [v THE T� 'Assessor's- map and lot number ............... SEPTIC SYSTE�l1 MAUST �♦ l... . Board of Health (3rd floor): INSTALLED PLC : �4. IN CONi Sewage Permit. ;number ............ ..^ 2��.... t'IT�0 TITLE 5 i BAHd9TADLE, Engineering Department (3rd`floor): ,n E11 :. s House number_ ... :...... �L........ p REGULATION Y.'�0� 0 t��9E(dTAL COD , TOWN EG ONE� o YA Definitive Plan Approved by Planning'Board __7-_,�3_--:_.---_--19---- -- APPLICATIONS PROCESSED, 8.30-9:30 A.M.. and °1:00.2:00' P.M. only TOWN OY -BA6RNSTABLE . . BUILDIH-.G- ,INSPECTOR ` . APPLICATION FOR PERMIT TO ... .�? � �r.....�...C''� F�.�/? TYPE OF CONSTRUCTION ...:....W.0..... ..:.........................::..:.....:................................. ' 1 A ................./...... 19.....b.. TO THE INSPECTOR OF BUILDINGS:,- The undersigned hereby applies for a permit according to the'.'following information: _ Location ... 7 M ! f Cl �'�V7;�'"........ Proposed Use .....SA.�.:�a'.`e-,.... 1.... !' :!. ........../..�Q: ... ....: :................... •• 7 ,Zoning District ......A..�........ ...:..., . ......._ ................Fire District":...'�.C... �. 0 1�r ........... ...... ....... Y_' ............... Name of Owner .. ........:/...►.° ..�: ..:...:.....:..............:..Address .. ...:. ..dt ... :�.: ..... � �r'•0.1 Name of Builder'...:: ............. ....Address Name of Architect .................................. ......... .................Address ........ Number of Rooms .:....... .:........'.. . :.:...............;.. ......Foundation �.a t,.C.a:..✓.. +......... .................... t Exterior ......:.. .Q.t�.. ......,s . ,..!. .�.:1. ........: ........Roofng .'... ,�. L .................................. .. Floors i.:.. d" .........................................::.....;...Interior ...:......« ..> .! �� Er�C.. Heating' ......... .I:. A. ./...:.. ....`.... ........ ........Plumbing �a /.. . Fireplace ....:. �.>r !..�...�c........ ..;`... ................:Approximate,Cost .. .©fit � �.©............... Area .. . Diagram. of Lot and Building with Dimensions Fee 9"7� ....:..... ar �L01-10-il'� ," as, . s MA 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 ..............• , .......... MANNI, R. ;ho ..32.2.66... Permit for .....I.a...S.;:Qz.,y............ - r• Sim.9J..4�...Zamilfir...Awed,l.in.g........... Location L"Ot• #47•, 6 • Mann Circle E - c Centerville .. .�...„` ............ ... .............. .......: ... OwnerR. . Manni...................................................... .. _.Frame Type of Construction ................ .................. ` ....................... . Plot .. '` .............. Lot � Permit Granted .....September"•••15,•19 88 y Date of-Lrispection ../ �.�.............19 Y Y> Date Completed ... .......l .r�.r...............19 9 ..S, � j.' av ram'. � - + •.. w � .. -. s fro 000 a 0 y 1 I -{ - - -- _ —t I i I , I i - 1 , I { � I j f 1 . ., ! ij� ! _ A 1�- •�/ i �- I � I i _ 1 YJ L_. —1,71 ZD t 11 1 r 17 Tr , 1 t , lj • i a t ',`. } � y. . S y>..� ' I �tl 1' 1 t '� 4 i J t'Y... �'� , ;� � .+ I�.. _ _ 1 .�.��' l ;..._ ! ! .-.!.•-C• _ I _.t , , + _ I `�',_�_ l ., 1 yr�_�-!r7_�- ► �.1� :�•-- , , .. L' 01 I I i I I �i 6 .1_-VI U3>4`. � - taae'or 31AIJ.301 UO 3A3`41A9JA n .,v-N4 d4An. MJNI AFMOT'Of xOt f J TOWN OF BARNSTABLE 3 66 . '.Permit No. ................ BUILDING DEPARTMENT { ""n I TOWN OFFICE BUILDING Cash ,...:.......... 7 .Y� HYANNIS,MASS.02501 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to R. Manni Address Lot #47, 6. Manni Circle Centerville, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD 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 AND,IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. A r 1 10►. .. 19 89......... ................ .. .. Building Inspector a'fy��•: TOWN OF BARNSTABLE BUILDING DEPARTMENT _ rseaarAn. ' TOWN OFFICE BUILDING rut 9' t6S9' �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy!Permit has been issued for the building authorized by BuildingPermit #.................3..2 2l ........................................................................................................_................................_.._ issued to � �✓� !P/1...................4...��� ..... .... 1 Please release the performance bond. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M A(, :Cz�-� L DATA h . TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PERNIF DATE —4_ 19 PERMIT NO.'' (7 APPLICANT ADDRESS .;i,; ! < i I IJ 11,! 1`•urrr 11 (rt�ulli•., tlf_I:u51 NUMUEII uI' PERMIT TO I STORY - DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) ZONING . (NO.) (STREET) _ 0 1 S 1-R I C T BETWEEN AND _ (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT .BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCT TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: -- AREA OR VOLUME i— - ESTIMATED COST $ I / '% FEE PERMIT $(CUBIC/SQUARE FEET) OWNER ADDRESS iitlL; \i.... ..1. L`:-.._-..I: ' .. B DING DEPT. BOIL Y a'r ,l J THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING A BE PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE CODE, MUST ST A FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIO OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ELECTR CAL, 1. FOUNDATIONS OR FOOTINGS. PLNG MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL I STALBL)ATIONS.D 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL IN fRE INSPECT TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CAR® SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS __ — PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS V-.-,L. PD ---- - 2 Z �� z .___ "»'Z 3 I HEATING INSPECTION APPROVALS ENGINEER( DEPARTMENT OTHER _:.—_-:-.- —--_--- — BOARD OP HEAL i i SL ` Ltf-710 WORK SHALL NUT PRUCLLD UNIIL IHL INSPLC�y PERMIT N!LL BECOME NULL AND VOID IF CONSTRUCTION INSPII IIUNS INDICATED ON )HIS CARD CAN HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TLLEPHONE UP, lNRII CONSTRUCrON. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION.