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HomeMy WebLinkAbout0555 OLD STAGE ROAD � �. P I ITOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ParcelZ � Application # 72-0 06(CW Health Division Date Issued Conservation Division Application Fee Planning:Dept. _ Permit Fee, Date Definitive Plan,Approved by Planning Board b6 Historic - OKH Preservation /Hyannis Project Street Address 55 CA 1':; bQ 9_ gat Village �JZW J r ,B Owner y P , - Address v+1� Telephone 'Sow Permit Request bnso Lokt o vN 11063VA �✓� Q�I� ��c��, �,-,_V A, 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 ❑ 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 A "=, CD 2 CD Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stave: 0 Yes ❑ No " � CD Detached garage: ❑existing ❑ new size Pool: ❑ existing ❑ new size _ Barn 6 existing--❑ n size_ CID 4'b Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ d CD h"'6 7 Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use - APPLICANT INFORMATION -- -' (BUILDER OR HOMEOWNER) Name Telephone Number r,,Ma 2A 4(o3 Address License # � 'Loo✓L`•1..c �l� Home Improvement Contractor# l V6 Worker's Compensation # 5 ee�o(S7- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �� �� i�-� sccu �✓ � ��o� SIGNATURE DATE r I �r5 -i 1 FOR OFFICIAL USE ONLY "y Y r t' APPLICATION# 4 t� DATE ISSUED z. T '# t • MAP PARCEL NO. • t 1 ADDRESS VILLAGE OWNER • DATE OF INSPECTION: t: FOUNDATION' f { FRAME INSULATION:- s FIREPLACE ELECTRICAL: ROUGH FINAL t t PLUMBING: ROUGH FINAL ; E { GAS ; ROUGH FINAL FINAL BUILDIN:Ga f ,:s4 : .. -M, i DATE CLOSED OUT ASSOCIATION PLAN NO. s� The Commonwealth of Massachusetts Department of Industrial Accidents t T 1 Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AIplicant Information Please Print Legibly NaM (Business/Organization/Individual): ✓ 1-ri OeWall (sV LL � Address: �� o C7�t� kip— C i tl/S tate/Zi t �r7I p: cc t� . �/ a Phone # L9,K0 s (,6G� Are u an employer?Check he appropriate box: Type of project(required): 1. 1 am a employer with 4. ❑ I;am a general contractor and I 6 New construction tmployees (full and/or- rt-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t 7• ❑ Remodeling ship and have no employees These sub-contractors have $. ❑ Demolition working for me in any capacity. workers' comp. insurance, 9 Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its nquired j- officers have exercised their 10.❑Electrical repairs or additions 3.❑ Iam a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions rnyself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ R of repairs. insurance required.] t employees. [No workers' 13. Other comp. insurance required.] 64 *Any applkant that checks box#I must also fill out the section below showing their workers',compensation policy information. t Horneowiers who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContracton that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 1 am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: G�GF' Policy # or Self-ins. Lic. #: � �- Expiration Date: Job Site Address: �!-5-_!s— nWe S-t* n 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. 1 do hereby certify a de the pains and penalties of perjury that the information provided above is true and correct. Sir nature: Date: Phone#: `'O�i ' o� 1� - q, C�; Official:.u ly. Do not write in this area, to be completed by city or town official. City or Permit/License icense# Issuing rity(circle one):1. Boardalth 2. Building Department 3• City/Town Clerk 4, Electrical Inspector 5. Plumbing Inspector 6.Other Contact : Phone#: Information and I /structions klassachusetts General Laws chapter 152 requires all employers to rovide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person ' the,service of another under any contract of hire, cxpress,,or implied,oral or written." An empl yer is defined as"an individual, partnership,associatio , corporation or other legal entity, or any two or more cF the foregoing engaged in a joint enterprise, and including the egal representatives of a deceased employer, or the nceiver or trustee of an individual, partnership, association or o er legal entity, employing employees. However the owner of a dwelling house having not more than three apartme s and who resides therein, or the occupant of the dwelling house of.another who employs persons to do mainten ce, construction or repair work on such dwelling house of on the grounds oT building appurtenant thereto shall not bec use of such employment be deemed to bean employer." NGL chapter 152, § \'((6)also states that"every state,or to I licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to c nstruct buildings in the commonwealth for any applicant who has not produced acceptable evidence of co pliance with the in coverage required." Additionally, MGL chapter 15-,2, §25C(7)states"Neither the ommonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work u til acceptable evidence of compliance with the insurance requirements of this chapter have.been presented to the con acting authority." Applicants Please fill out the workers' compensation of avit compl ely, by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),a ess(es)a d phone number(s) along with their certificate(s)of insurance. Limited Liability Companies (LLC)or imite Liability Partnerships(LLP) with no employees other than the members or partners, are not required to carry worke s' c mpensation insurance. If,an,LLC or LLP does have employees, a policy is required. Be advised that this a vit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also e sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the e it or license is being requested, not the Department of Industrial Accidents. Should you have any questions regal-din the law or if you are required to obtain a workers' compensation policy,please call the Department at the nui iber h ted 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 le ibly. The Depa ent has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has\f- ou regarding the applicant. Please be sure to fill in the permit/license number which w 11 be used as a refber. In addition, an applicant that must submit multiple permit/license applications in an given year, needt one affidavit indicating current policy information (if necessary) and under"Job Site Add ess"the applicant "all locations in (city or, town),"A copy of the affidavit that has been officially sta ped or marked byo may be provided to the applicant as proof that a valid affidavit is on file for future enmits or licensesidavi ust be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or ommercial venture (i.e. a dog license or permit to burn leaves etc.)said perso is NOT required to complete this affidavit. The Office of Investigations would like to thank you in ad ance for your cooperation and should you have any questions, please do not hesitate to.give us a call. t The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext'406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 5 26-OS www.mass.gov/dia „ . `�JyV� T1l� �Ert v'icSL Ma__1 5rree I�,yjanni_s, IkU 02601' 7J AS S I ZED`TAN(CE ENERGY & HOME REPAIR _ .m (508) 771-5400 7 1508) 790•_ FOR ORATION ?42 5 HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE: PLEASE FILL OUT AND SIGN THISFORM IF YOU ARE THEAPPLICANT HOMEOWNER. I ic=jR4 hereby consent to and agreethat weatherization work may be done by the Weatherization Program of Housing Assistance Corporation ( herein after referred as "Agency”) on the property located at: Theweatherization work donewill be based on programmatic prioritiesand availability of funding and it may includeall or someof thefollowing measures: Weather-stripping& caulking of windows and doors, insulation of attics, sidewalls& basements, attic and other ventilation measuresand possibly replacement of badly deteriorated windows. In consideration of theweatherization work to bedoneat my home agreeto thefollowing: 1. I give permission to the°Agency" its agents and employees to travel onto or across said property with such equipment and materialsas may be necessary to perform weatherization work on said property. 2. The Housing Assistance Corporation reservesthe right to inspect thefuel or utility bill for the weatherized unit on an ongoing basis for no more than five(5) years after the weatherization work is completed. I have read the provisions of this agreement as listed and freely give my consent. Home Owner: {ggnature) Date: r. ii z-D Agent: (signature) Date: HAC approved Weatherization Company : Caliber Building&R modeling Cape Cod Insulation Cape Save Creswell Construction Frontier Energy Solutions Lohr& Sons Peter Smith Resolution Energy Rock Solid Construction. ; Sprinkle Home Improvement DATE(MM/DD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE o9/1s/2o1a PRODUCER S08.94S.0393 FAX S08.94S.4048 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eldredge & Lumpkin Ins. Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 697 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Chatham, MA 02633 INSURERS AFFORDING COVERAGE NAIC# INSURED Caliber Building and Remodeling LLC INSURERA National Grange Mutual Ins Co 14788 INSURER B Commerce Group CIG001 147 Ridgewood Ave INSURERc: Granite State Ins. Co.-ARWC 1310.2 Hyannis, MA 02601 INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR' DD'4 TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE POLICY EXPIRATION LTR NSRD DATE EFFECTIVE DATE MWDD/YYYY OMITS GENERAL LIABILITY MP027360I 09/1S/2010 '09/15/2011 EACH OCCURRENCE $ 11000,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence) $ SOO,0O CLAIMS MADE Fx—]OCCUR MED EXP(Any one person) $ 10,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: !PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO- LOC -- - JECT i AUTOMOBILE LIABILITY BBNVCS 02/16/2010 02/16/2011 1COMBINED SINGLE LIMIT ANY AUTO I(Ea accident) $ 11000,000 ALL OWNED AUTOS BODILY INJURY $ B X SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS j(Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LUIBIUTY EACH OCCURRENCE S OCCUR 171 CLAIMS MADE AGGREGATE $ HDEDUCTIBLE Is RETENTION $ $ WORKERS COMPENSATION WC742540S 03/02/2010 03 02 2011 AND EMPLOYERS'LIABILITY Y/N / TORY LIMITS ER C ANY OFFICEOPRIE ER EXCLUDED?ECUTIVE❑ E.L.EACH ACCIDENT S 500,00 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ SQO,00 If yes,describe under -- ---- SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ SOO 1 Q0 OTHER I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS arpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL � DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Town Of Barnstable IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Attention: Building Department REPRESENTATIVES. 200 Main Street AUTHORREDREPRESENTATIVE Hy nnis, MA 02601 lAlan R. Lon_q, Presiden ACORD 25(2009101) 01988-2009 ACORD CORPO ION. All rights reserved. The ACORD name and logo are registered marks of ACORD I Massachusetts- Department of Public 5afet� Board of Building Regulations a.nd Standards Construction Supervisor License License: CS 95038 Restricted to. 00 STEVEN WHITE 147 RIDGEWOOD AVENUE HYANNIS, MA 02601 1 a— ��'may! Expiration: 2/28/2012 ('nnmi�si"n�'r Tr-": 19311 �/e -t°ir»ximancuealtY o�./�avaacltuael7d � Board of Building Regulatio and-Standards HOFAE IMPROVEMENT CONTRACTOR Rego`:-:,154359 812011 Tr# 280764 fiyptg .1mbility,Cw0ration CAUSER BUILDWS '.RLIWG,LLC. STEVEN WHITE 147 RIDGEWOOD HYANNIS,MA 02601 Administrator License or regestration WN for individul use only before the e10ration date. If found return to: Board OfBt N►ft"I"RePlations and Standards One Ashburton Pbce Rut 1301 Boston,Ma.02108 Not'valid without signature Efficient Buildings, LLC October 31, 2011 Town of Barnstable Attn: Thomas Perry, CBO 200 Main Street Hyannis, MA 02601 re: 555 Old Stage Road, Centerville, MA 02632 Dear Mr. Perry: This affidavit is to certify that all work completed at 555 Old Stage Road, Centerville, MA 02632, has been inspected by a certified Building Performance Institute (BPI) inspector. Work included air sealing, weatherstripping, and installation of 555 sq. ft. R-38 cellulose, 144 sq. ft. of R-30 cellulose, 90 sq. ft. of R-18-20 cellulose in attic, 360 sq. ft. of reinforced poly/R-20 in kneewall rafters, 1040 sq. ft. of dense pack in exterior walls, 84 sq. ft. insulation in interior of garage, 58 sq. ft. R-19 on sills, and 244 sq. ft. of 6-mil poly. All work performed meets or exceeds Federal and State requirements. Sincerely, Steve C. White k Owner/Managing Member Efficient Buildings, LLC j� co CPO 8 Jan Sebastian Drive, Unit 10, Sandwich, MA 02563 Tel: 508-888-1110 Fax: 508-888-1109 a °FzK r Town of Barnstable *Permit 060 10 a5 Expires 6 months from is date Regulatory Services Fee � r BARNSTaBL6, : Thomas F. Geiler,Director y Mass. i639. A,� Building Division rFb MP't Tom Perry,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 l` r Not Valid without Red X-Press Imprint Map/parcel Number 1 Oy2- �b ! Property Address ® n s esidential Value of Work 00CI - Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address CI' �� � S Kvp,-, o/n /V Contractors Name S <r�y✓�� Telephone Number `' /.-Q/— �'V00 Home Improvement Contractor License#(if applicable) ��� �6 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor X E S S PERMIT ❑ I pi the Homeowner have Worker's Compensation Insurance `�U f� L.00' Insurance Company Name �� � V ARNSTA.BLE t�� O 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 ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-si enlacement Windows/doors/sliders. U-Value e (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. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit formsTXPRESS.doc Revise020108 The Commonwealth of Massachusetts - Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information /_ Please Print Legibly Name(Business/Organizatio vindividual): I ' /�'�SoGt4-4-6 1lJ C_ Address: City/State/Zip: WoVNS 6�,��� d a�Y Phone#: yo/ - 6 7/ Are you an employer?Check the appropriate box: 4. I am a general contractor and I Type of project(required): 1.91 am a employer with & ❑ g have hired the sub-contractors 6. []New nstruction employees(full and/or part-time). i. 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. emodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp.insurance.* 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I ain a homeowner doing all work officers have exercised their I I.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] c. 152,§1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also till 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. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: DO 0-6,0 V 1 't i) Policy#or Self-ins.Lic.#: S J �b Expiration Date: © / b Job Site Address: S e 1� City/State/Zip: � �"VY�I °e- Vp �/ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a - fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties ofperjury that the information provided above is true and correct: Si mature: -' i— Date: Phone#: Official use only. Do not write in this area,to be competed by rite 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#: f -- "le.LrIG`Jt%tG t 1,to rv:� rays. w rL r f ;?% t ina irgin� r� `ftmi�r tS xa c� At:Hunter lrl:s "ance,[rc.. >'3*bU: 7"0:Dew--"' _.. _-------- -- OF I'D S . � CERTIFICATE OF LIABILITY lNSUR�A��E ���� -, 09e����� Tli CER71FiCATE iS ISSUED F43 A MATTE UPON THE CERTIFICATE�ON Ftt 3G1,a F.Pi ONLY AND CONFERS N4 R1GkIT3 Inc- OLDER.THIS CERTIMATE DOES Hill'AMENt�,EXTEND IC _ Hunter Insurance, OR ALTER TH,E COVERAGEAFFOI�DED B1'THE POLICES�3EL��t 389 Old River Etoatd, P•0- Box 1 _ Manville M, 02838-0001 _� .� 92 �INSURERS AFFORE)INGz OVERAGE �P�A1t; Phones 44i-`769-9S00 Fax:401 t 89 35 4 _..•,.,- tr«,�,�iE'A lv ytstLaneS Geu.q truatxx x�c EC aa3Ltn£f;+ Hoon Associates rnc. - Da2k, autter 'Kelmat DSA Renewal bV An dq:�rsen of RI DSA CiU tcx Hel-met Roof'" �d t '._ __�•_ . _....... 1137 park East Dtivc ;r xtE3ad COVERAGES ANY 6e J`u>'1i~!�M'Tk Cori) ' Gr PSY•f..CXiTFtt•„„ CX2 .i 1 13(lCk ft3'WE3�r.#wECY .0di Ck fl�CERTCI1 ATE A BE ANY=�f::€ir'�Sr..7� .a:.4i st'si-ri;.£:ff' r3r!C2`•�3 EtY T31fz F=rxi..+ �u. 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SUILDIN smocrco Aw OF nab�G��t�sc �n Qvtacti���+&�arac.�too��cxe� airsl;Y{WFIa�'+T SYTt iAL Building Cont. Reg board ta€:,ncr TC CER'WICAT'E aiM �c ,�YF�LEFT z:d�ar�FAEL t 3��"rya GE-.T OR Dept. of .A.<imi ni,stra t ion nat r.�'r�OSUGAT*N on 1,0AW%7Y�star na+o r sa,ca�z.€t� � .rrYw�aK Providence RI 02908 1 One Capitol, Hill pE-PAESEt1TAnVkS,»r5. � Gw=ar«,didr Ac0RD 25(LttMIDS) .._a„,- ...: � _„ova•;==+i.ax. ..,.. ..^,-..-....._, t2estrted46Y RFAS NO*## trarai � t3ettf t'rrbtK s,tto it � it4ra di1€4 E,trria lA Masonry rm '. V F Hof Coveritr� Do. "A Stnisogpee#city I1. n VVS Wiiadovra cind Sidtt : . Gy S1 ,. x 4 SF l'rd l;�urnitr�r�evla ' tcda� � r DM ileinolltion'only failure ta.pcaasess a vnrratitlnti.Ql � fi�� Massackusetts State�nlldiod cause for revocption ttf.ltls lln§ y gums Ret'er to: WWVY.Mass. aYl� . 0 zd o lu�ld �gLegula ons and Standards. One Ashburton Place Room.1301 ` 'oston Mas achusetts Q2I $ o e I prs vemer t contractor Xe strAtio r Ristr�tt�n 9 � � T* PriVlti�t�Pppt�ti®n A 13 `, F ExpiM�ticn :7/2 12�QE Tff OWN MOON ASSOC g M IU JAS O , 1.137 PARK EAST OR. Update Andreas aad retaga curd:iYldrk tm" !t=li ops-ca,'ca sonrvwas•Pcsaeo I Addit [� lRenewo I:' Emplayf@lt ciifil®9f k4 of Btiildia0ltegttiatfoao.ou&Standards t iceute®r registratiaaYalid,forinlv)du1u� Uttl Nam€91�Plttl1MT tti�Rlfi before the expiratlan data 1f tati»d: oitli` t 4 s �iell�llii?fr3 q ���� ,:' r 1Boarr�of IittNdin�Ji�e�t�latlants a fttd3iddttl§ C1se As Uurtoa Oct Mtn 1 Ot r 7tt (2W Trlf 13Ui8b F«= Boston,MA 0110ii N 4 � i l �to�oeptfon 5' • �S�N.����iFl���.�x s x WWWO T,R!NO Administr4top }Vat vatld lti autslgeafttre eJ —jA r3 Customcr Name: �r W!A 0- —D.S.il PP/i Year Built. Renewal by Andersen of RI&Cape Cod Ln Renewal 1137 pazlr East Drive Sales Agreement Adar�d: �-s� a 1_n S7�f f Yt t Customer Ind: Andersen. 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ToW R-p-in g this transaction at any time s, r too mfdaieht of the third businees day after �p 7 the date oo thi etrahis a s ase see sttached notice of canmilatioa for an _ i �Z� { /�. raolMlscellaocouserodivarF.�tpenw �� 8 Sde:T>,s anr.a.wanry A—p.d -O tit 11 j!�—! c�7 a+er mnl m mt><QadEt f espms miumn a Ylbtk PM CAM / �r t NS PaneMbAaA o A—p d Spedal Order Noce Toeet AretdtMt of Apteetmtrt tow.poor smr.rdo. m _ ts.0 B.�o...tbr --.nr.n,s.asisaeaa.a �d Oepodtseadred y c2 spedtlgrow N manyypdtteip,staW4v taRwalbrMfe¢n Renoaal anp lNerldMlal Plemd aal that we aA dlnleemtls on npaelihe Jo wr�padiy rMid.np• doer rot9ur thr Nri'itra t�aremid� o dowyn FkaatotcHary utamtdanq�e Ralettse Due m completion d Ee net�dkiot daddded flt o<odiytW mMtdew „�r ec Na hatmiwwdudnp tsotddmwndt aagtrY nn m.�:da lra oewu,tra x.aewi.r utts and G W. Prta ladudts 66ot maeedals.btsmHatlon, t6CD tpootloaln�a0wn an uadael odwaoe rased ,a rhrdM otthepb at oaeandm dh�b aAl be daMraer Casmreq / Gntatrtr tle Ymamb.:wll d.siAanax nlndewa and. White-Reraeiby*Wer n Yellmv-MsWdtiot Dirk.Mmeo-w Roaywl,and disposal afprodotae Mplaoed. tN4ala: a c 1NUdkyLU K b�alalt:ch C�JH - . N laeas.t y+�da..•.edde ReirA y d.be 4ne•�d t..aaet:w.+e•eams.e®�da+T�^°•.+i,a.em.a.zsJdafn FTHE Tp Town of Barnstable *Permit# Expires 6 months from issue date ti • BAgPISIAB � : Regulatory Services Fee 95a �G v� Ass $ Thomas F.Geder,Director i639• �0 '�Eo t�+' Building Division �, Elbert C Ulshoeffer,Jr. Building Commissioner -PRJ� 367 Main Street, Hyannis,MA 02601w �t� �� Office: 508-862-4038 Fax: 508-790-6230 TpVVN OF Z��� EXPRESS PERMIT APPLICATION Not Valid without Red X-Press Imprint ARNST,q e Map/parcel Number / / )a 2 00/ Property Address / Reside ntial OR ❑Commercial Value of Work ��l� o Owner's Name&Address 0/ Contractor's Name- n Ji -, *.,-�-�'o-- 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 ❑ am the Homeowner II have Worker's Compensation Insurance . Insurance Company Name 2hh�Lr Workman's Comp.Policy# Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re- f(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations.i.e.Historic.Conservation.etc. sigynature4.e 7 expmtrg Assessorsoffice(1st Floor):. yaE Assessors map and.lot number U�' �� / ��SEP,'r!C 'S ��� 7 INSTALLED IN CCNN, ��ANCE Board of Health (3rd floor): d Sews/ Permit number v�� - �/� WITH TITLE 5 Engineering Department(3rd floor �`J' r ENVIRONMENTAL CODE AND = Dsae9foDLL y rus ,House number 6 J TOWN REGULATIONS °o t639• Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO BUJiWD ADJ2IJ:nfd4)Ail& A `�,Yd MWA98420fS TYPE OF CONSTRUCTION A& Aaw, i 19 i TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit according to the following information: Location `�' � d L) WA-.",hip% cey`�.�" L-- r Proposed Use bd,--)?J10 9,k4 ON 15T Ft-CV R-*� j NVICAp2e! ja 1. U-20C-A iJSe, Zoning District (� C Fire District A• ��Y Name of Owner AP-AP - ��Tl�ty j nT_ Address '�N!J%i 5 A&g—; 4420, Name of Builder CW?�eI2-4,Nla 5c2LI f2.12, Address 5 � 02 j /_S F/?Aroy1-j 10 ►�i�3�.% ,j, Name of Architect Address -- Number of Rooms ` Foundation /0 �rcw4( e--r t2&05}�t-Z-. Exterior G�1f111!-C�,�Ar�. `a /Is�LF� Roofing �74�— I)3625 511J1IG9i Floors P j=,J1jr/a0 JCZ6 CJJ/2.rP$,r k"-1-&Kf-erior Heating,F— <612,y > &1Ke—a 4t)2— Plumbing Fireplace Approximate Cost �j Area s. • �6 00 Diagram of Lot and Building with Dimensions Fee _Q o PP�Ot b`7 d ADIP111eAA I , `v OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS a—�p I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name '�a Construction Supervisor's License rx, JONES-HENRY, ARTHUR E. No- 2 6 7 Permit For Add To T)wP l Z i„g „Y Single Fam; 1 )z nwe'lln; Location 555 Old Stage Rnarl Centerville �- r Owner' Arthur E. Jones-Henry - 3 YP r' Frame Type of Construction - i Ids • r� - ' a ' Plot :L Lot + i Permit Granted Apr il116;- ,19 Date of Inspection 9 _ 19 ©ateturn ted // ' 19 F yr' S _ •' •/. ' fe } ----- J1 oJ 04 so sb 36 57 39 40 41 -42 43.. 44 45 46 47 48 49 50 51 52 53 54 55 56 58 59 60 61 6 2 (-?3 64­ ------ 2 J— 'IL 5 tL:-- 7 8 14 10 7 12 —— ——- --------- 4AJ Nk,(o .I -AMA L- --A-1 4— i p 12- uw ep aae -------- F"r fy 5T -L-r-All bf-W A 401- --------- 1r-A 71 ....... Aj PIA !J TO �A- r-C. w V Ft-o)1/4 ------ -L-J 4v FvI: ildWo Mid *Ic, 6n-Drep'aMneot—I -6 1 Ba i- 4-1 J i L& T--, ('I" New U�na ',d-srl 33 3 9 t> 0 5-`hr.;. _7ff t eIT4 ITS-rz-v k 49 L �a .> « .O i