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V,1iy�,�'� 01 1" , ,,I � , , . - , ,� , . ,�,' ? ,� vr, ;'U:m1;`1i1R1 'It, , ., , . �I �, , "R, � t I . , 0, , n / , li"A "1� , 0 flopelp IN , � 1 6� 'ID'I R', ��, ,'�, � , .,!� ' ,�, _ 1 -'2, . _14 1., .,�', ,�, ; it _�,�,;il,,6, ,4'4'�� �i�11,1 �, 7, , � "'' . ,�7"�",4� , � 'y nE ��_11�11�1i` t", � , , , , R@y , ,, ''I __ , I , a I ffi, , � I 1g.1y. 7 , � It"I , " " , F g , g a, ,,� I , , , �r,T:t.� ft.,V,4. 41 qWf#',0."igff- �, 0 ,� � ,gT� . 3 P 1411`.��',S ,�.v ,� S . A ,1 P1,; I , , a, wmwz y"sm T '41, 1 ,�� . t.� i !-g k­M"-- Ru Y I , ­Wl, li, tr 11.1 1 'I , , . 11 I " � . .� , , , , ; .10 ,�,Y 'D " �� ,. � ,�!,�'�4,.Jji`tit�&1'7?,�,�!;J�J.ji X ZWOUSHOMWI W"Un-wfii..rl�11,W�P;i�3-M�,.,i, '­'k �t wg;&qjjM­ , , �� �. I '. r,, �1"RM, k W. �, i,W.1,,, 1;��05 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 4 Parcel ` $D Application # , V0 ?,(Off Health Division Date Issued . v Conservation Division Application Fee . Planning Dept. Permit Fee 001 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village CPA try i Owner V11 c 4z:g r,'r, SA -F Address Telephone 5 g 4 a 5 5 g b Permit Request AJ� lk' 30 ce h�ds-fe- ±o' c, ke Eal c n Ini urn fie M Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing 0 new size _ Other: Zoning Board of Appeals Authorization ❑ AppeaI # Recorded ❑ Commercial ❑Yes XNo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Q Name 1'► Telephone Number 5 O 0 316 639 Address License # J B t*6 Ya f me hMb 0 19 6�1 Home Improvement Contractor# Email Worker's Compensation # W w C 3 6$S ELI ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Y,r m e h SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE Sn OWNER f DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r The Commonwealth ofmassachusetts Department of Industrial Accidents Office of Investigations ,4 _ 1 congress Street, Suite Kill r LJ t Boston,.MA 021,14-2017 www.mass:gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print.Ledbly Name'(Business/Organization/Individual): Cape Save Inc. " Address: 7D Huntingtori Ave City/State/Zip: South Yarmouth.MA 02664_ Phone'#. 508-398-0398 Are you an employer?Check the appropriate bole Type of project(required) 1.. ✓� 1 am a em loyer with 4• ❑ 1 am a general contractor and 1 p 5. New.constnaction employees(full and/or part=lime);' have hired the sub-contractors 0 2 ❑ I am a sole proprietor or partner listed on the attached sheet. 7. [].Remodeling ship and have no.employees These sub-contractors have g• ❑Demolition workin for me in ail ca1. aci employees and have workers' o addition g Y P ry 9. ❑ Buildin, [No workers'comp insurance- comp.insurance 4 required.] 5. We area corporation.and it 10.❑,Electrical repairs or additions 3.❑ 1 am.a homeowner doing all.work. officers have exercised their 11 ❑;Plumbing repairs or additions m self. o workers'corn :; right.of exeri ption per MGL. y [N p 12.❑Roof repairs insurance required.]t c. 152,§1(4);and we have no employees. [No workers' 13.❑:Other insulation , comp.insurance required.j. *Any applicant that checks box#f must:atso fill out the section below shoving their.vorkees'compensation,,polacy information. f Homeowners who submit this aFfidavii indicating they-are'dtiing.all work and then hire outside'cont.ractors mutt submit a new Aidavit indicating such. "Contractorsahat check,this box must attached an additional sheet sho�vin the:naine of the:'sub-contractors and state Nvl eiher or not ihose'enfities b6ve .elnpioyees. If the sub-contractors have eiiiplovees,they must:provide their workers'comp:policv.numbe I:anr an employer drat is providing workers'compensation insurance for my employees. Below is the poftc v:und job site information. Insurance Company'Name: Wesco Insurance Company _. —. Policy#or Self--ins.tic.W., ._:W-WQQ856.33,._ Expiration'Daie: 04/09/2015 I Job Site Address: _ __ _. Wki City/State/Zip; re nie(y L I I e . Attach a copy of:tbe workers'compensation polic d la atit on page(showing the policy number and expiratiomdate).:. Failure.to secure-coverage as required tinder.Section 25.A of MGL c. 152 can lead to the imposition of`criminal penalties ofa tine up to 1,500:00 and/or one=year imprisotirnent,.as.well as civil penalties in.the.form of a.STOP'WORK.ORDER:and a fine of up to$250.001 a day against the violator. 13e advised that a copy of this statement may be fmwarded,to the Office of lnvestigalions of the D[A for insurance coverage.°verification: I do here-b ce!4 under,the sins and enulties o er" that the in orrnation provided above is true and.correct Signature: Date 6 3 Phone#s . Official use only.: D.anot write in this area,to be completed.by ejty or tower o ciel:' City or Town:;. Permit/License# Issuing Authority(c'►"rcle one); l..Board of Health 2 Building Department 3::City/Town Clerk; 4 Electrical Inspector 5.Plumbing Inspector 6..Uther Contact Person ;. AC. tU� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDJYYYQ 4/14/2014 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(SL AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate.holder is an ADDITIONAL INSURED,the!policy(ies)must be endorsed. if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies;may require an endorsement. A statement on this certificate. does not:confer rights to the certificate'holder in lieu of such endorsement s PRODUCER C0 Colleen Crowley NA11 Risk Strategies Company PHONE (781}986-4400 FACNo;QU).963-4420 15 Pacella Park DriveE-MAIL ADpgEss. Suite 240 INSURERS AFFORDING.COVERAGE -_... NAIC# Randolph MA 62368 rNSURERA;:Selective Ins. of America INSURED NsuRERB-SafetyInsurance_ CcmpanV 33618., Cape Save, Inc iNsuRERc,:Weseo Insurance Company 7 D Huntington Ave INSURER D:. INSURER E:: South Yarmouth MA 62664 1INSURERF: COVERAGES CERTIFICATE NUMBER:CL1441475243: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES'OF INSURANCE:LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE:POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,.TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS;SUBJECT TO ALL THE TERMS; EXCLUSIONS AND CONDITIONS OF SUCKPOLICIES.LIMITS-SHOWN MAYHAVE(8EEN REDUCED BypAID.CLAIMS. POLICY.NUMBER MMIDD MMI ILTRNS TYPE OF INSURANCE POLICYEFF POLCY. XP ....:. LIMITS ' GENERAL LIABILITY EACHOCCURRENCE. $ 1,000,000 X COMMERCLAL GENERAL LIABILITY URJVVkLt A CLA1M5-MAPE ❑X OCCUR 1994480' PREMISES.(Ea oau rence ._ $: _ 100-,000 0/16/2013 0/16/2014 AME7EXP(Any one oerson} $ 10,000 PERs0KAL.6.ADV II UJRY:,.. .:$. ..... 1,000,060 GENERAL AGGREGATE_... . $ 2,0D0,600 GEI AGGREGATE LIMIT APPLIES,PER: PRODUCTS-COMPJOPAGG `$ 2,000,.000 POLICY X pEC X >LOC 4 AUTOMOBILE LIABILITY .-. -_... ..-.. E acx�11 I...L LIMIT .._. 1 000 -:000 cle B ANY AUTO BODILY INJURY(Per person) $- ALG WE OS T X SCHEDULED- 208200 . 1/6/2013 1/6./2014 AUTOS ,AUTOS... .... � ;. BODILYINJURY(Peraccident.)- $ X X NON-OYt Eb . PROPERTY DAMAGE HIRED AUTOS AUTOS P I'Ijl dant $ X UMBRELLA LIAB X 'OCCUR: EAt:N OCCURRENCE $ __ 1,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ '1,000,:000 QEG RETENTION$.. >rx" 1994480 0/1612013 0/16/2014 C WORKERS COMPENSATION Officers Included For V�CSTATU- I OTH- AND EMPLOYERS'LIABILITY Y J N; - X tTrRYLIMITS ANY PROPRIETOR/PARTNERIE)ECUTIVE Overage ELEACHAGCIDENT $: 500,000 OFFICERJMEMBEP.EXCLUDEDT I; N/A (Mandatory in NH) 3085633 - /9/2014- /9/2015 If yes,describe under ..E;L.DISEASE.-EA EMPLOYEE $ 500,000 DESCRIPTION OF OPERATIONS below _._ . _ E;L.DISEASE POLICY LIMIT $ 500: 000 DESCRIPTION.OF:OPERATIONS I LOCATIONS I VEHICLES'(AtWchACORD:101,AddttI6neI Remarks':Schedule,.Irmore space-::is required). Issued as evidence 'of insurance-. :Issued as evidence of :insurance-: Thielsch Engineering.; Inc. is listed as additional insured as respects General Liability as required by written contract. - - CERTIFICATE HOLDER CANCELLATION msong@cape'lightcampact.Org: SHOULD ANY:OF`THE.ABOVE DESCRIBED POI,BE CANCELLED BEFORE THE EXPIRATION DATE: THEREOF, NOTICE WILL ,BE DELIVERED :IN Cape. Light Compa'Ct ACCORDANCE WITH THE'POLICY.PROVISIONS, Attn:- Margaret song PO BOX 427/SCH AUTHORIZED REPRESENTATIVE 3109 Main Street Barnstable:; MA.. 02630 chael Christian/CLC <-- ^� ACORD (2 25 f)10I05) ©198Ii-2010 ACORD'CORPORATION Ali rights reserved. INS025(201oo5)a)1 The A.CORD name andtlogo are registered marks of ACORD _ Office of Affs and _ Regulation :4 1O.Pwk Plaza- Suite 51 11 . Ham e11t CQI-O##tCtOP Re 171 Try' $t$ Tt# 2 CAPE SAS.W. WILLIAM Y 7-1) HUNTil �` E SOUTH H r A OM 3 •.�.. ?' z 4'" a f V00*00"and mmm car& fw d . scn 1 0 a ny El LNtCWd o� Qw. n date.. t�T�tacTo�e " 7 e; 4Ce r Aff*s ilie d . N -Sgite Sl'9i1Comotation //������p����//����//�� - �;, - I rMA®2116 CAPE SAVE INC. '• IJ- Vi1ILLIAM 1 =;j_.%3P�.. Gar 7-0 HUNTINC3TO+1 A1/ Ia1V� r SOUTH YARMOUTH,ice► ssa u lit Massachusetts-Department of Public spy ' Board of Building Regulations and Standards Construction Super%isor Specialty Licenser Its( t WII.I dMC 37 NAUSUT ROA8 Nest Yarmema Expiration corrrnissioner tl6l15 1 4 i Housing � Assistance Corporation Cape Cod HOMEOWNER I RESIDENT WEATHERIZATiON WORK PERMIT&FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. ct L.) t" hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation {herein after referred•as "Agency*)on the property looted at: The weatherization worst done wail be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping&caulking of windows and doors, insulation of attics, sidewalls&basements,attic and other ventilation measures and possibly replacement of badly deteriorated windows. In consideration of the weatherization work to be-done at my home I agree to the following: 1. I give permission to.the"Agenq(its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. 2. The Housing Assistance Corporation reserves the right to inspect the fuel 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. r. (Signature) g.Home Owne7 �z hate: �f f / l Agent (signature) Date: HAG approved Weatherization'Company �Q �'�V ex Adam T Incorporated ' All Cape Energy Alternative Weatherization Building Performance Contracting LLC Cape Cott Insulation Cape Save Frontier Energy Solutions Lohr Home Improvement Resolution Energy isle:....:-tiiii43�':.'-gib`-:':�i7sF..�<;;,5'r .:.,c vi*r... "F• •.la ii-ti f::j-i:�i:e,'.t, oh 7/ �I y C� Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 7-15-14 Town of Barnstable --�' Thomas Perry CBO Building Commissioner o 200 Main St. Hyannis,MA 02601 �n W ME -- en RE: Building Permits �".. cn Dear Mr. Perry, This affidavit is to certify that all work completed for 275 Patriot Way, Centerville has been inspected by a certified Building Performance Institute(BPI)Inspector. Ceiling: R-30 cellulose Walls: R-14.4 (2")Thermax on knee walls and attic/cathedral parting wall All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey r r ZI71b� Town of Barnstable *Permit � Expires 6 months from issue date Regulatory Services Fee bb Thomas F.Geiler,Director PERMIT Building Division Tom Perry,CBO, Building Commissioner NOV 3 O 2006 200 Main Street,Hyannis,MA_02601 fj L www.town.bamstable.ma.us TOWN OF BARNSTABLE Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY C, Not Valid without Red X-Press Imprint Map/parcel Number Property Address j& 51 r e T l.�J �i j+'A. .;Y\•{` ,Residential Value of Work ? 7 60 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address v u(c .S�,t, t 75� ,�'� r��T LA..) 6 y enleet,t Contractor's Namefj, o 7p, �6vu. �,- t e-e Telephone Number f-0 r n I f Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: Eli I am a sole proprietor - ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name &F L- W6 4N Q S e y Co . 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-side VReplacemen Windows ors/sliders. U-Value 0-S 3 (maximum.44) *where required: Issuance is 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: 1 Q:Forms:expmtrg Revise061306 The Commonwealth of Massachusetts Department of Industrial Accidents . Office of Investigations 600 Washington Street Boston, .MA 02111 w;i;u.mass.;ovidia Workers' Compensation Inst:ra ce, Affidavit: Builders/Contractors/Electricians,'Pluribers A,pplic:aut Inform tion Please Print I ecibly Name (BusinessiOr2snization/Individual): Hc,I+'V— e.. Address: `�5 _ Pet,:' L�L�� �F}-[� �'`' City/State/Zip: 5-3— Phone #: Are you an employer? Check the appropriate box: Type of project(required): . 1.X I am a employer with / 0 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in an capacity. workers' comp. insurance. Y P tY• 9. ❑ Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its ' officers have exercised their 10.0 Electrical repairs or additions required.] of 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152,.§1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers'. 13.© OtherGV/4-"-., .T U/,.Ij h comp. insurance required.] *Any applicant that checks box:#1 must also fill out the section below showing their workers'compensation policy information. 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 their workers'comp.policy information. . 1 am an employer that is providing workers'contpeitsation insurance for my employees. Below is the policy and job site information. , t Insurance Company Name: i qa44ip5ii-tle- s C c Policy #or Self-ins. Lic. 09 5 Expiration Date: % L� Job Site Address: e 75 ��Rio e (.d rt�f City/State/Zip: 1`1�.0�,rtr i /e V 02 6 3Z 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 D[A for insurance coverage verification. 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Sienature: �' /^! �-C � � Date: //— 20 -0 4 Phone Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: r °{I199E Town*of Barnstable Regulatory Services 3ARNSPAaLE ' Thomas F. Geiler,Director 9 MASS' �plED Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I L 6 c, s S�.0 �'f ,as Owner of the subject property hereby authorize Arc b ru 1 lloen e A42 o/- to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name Q:FORMS:OWNERPERMISSION Ze�„s ,` CERTIFICATE NUMBER I' R f �RT �tcatrE aNstR ��E ATL-000915907-11 PRODUCER THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS MARSH USA,INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE ATTN:BRENDA BOOKER (404)995-2594 POLICY.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE MAYA MCCLURE(404)995-3206 OR AFFORDED BY THE POLICIES DESCRIBED HEREIN. J TAiMI ROUSE(404)995 343C FAX(404)760-5663 J 3^75 PIEDMONT ROAD UITE "I200 _ COMPANIES A=FQRDINu COVERAGE A.LANTA,GA 30305 cc�;�„I• I'i;C432-IF:JS.4 Gtl+i.^-,-03iO4 a _.ca.l: :-`.ST INSUR tl�t:,= .,Ct IP ah•iY INSURED I COMPANY THD AT HOINIE SERVICES INC. 3 Z.URICH.ANIER.ICAiN 1NS11JR NCE CCiM?,,!1 iY CBA.THE HOME DEPOT AT-FICNIE.SERVICES,INC. - HCNAE DEPOT USA, !i•I, COMPANY 2=55 FACES FERRY a ICA.D.\NV C I1\ ,, HANI?SI-:IRE IINS'CNIPANY 1 BUILDING C-8 - - ATLAi JTA,GA 30339 COMPANY D ANIERICAIN HOME ASSURANCE COMPANY C0�/ERAGES `> �fiis certLfcate supersedes antl replaces any previously Issuedlcertlficate forsthe;poflcpenod noted below K. ,: 3 a THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MWDD/YY) DATE(MMIDD/YY) LIMITS A ; GENERAL LIABILITY IPR 3757 608-01" 03/01/06 03/01/07 GENERAL AGGREGATE $ 4,000,000 X COMMERCIAL GENERAL LIABILITY 'LIMITS,OF POLICY ARE EXCESS' PRODUCTS-COMP/OPAGG $ 4,000,000 CLAIMS MADE �OCCUR 'OF SIR:$1,000,000 PER OCC' PERSONAL 8 ADV INJURY $• 4,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 4.000,000 FIRE DAMAGE(Any one fire) $ 1,000,000 MED EXP(Any oneperson) $ EXCLUDED B AUTOMOBILE LIABILITY BAP 2938863-03 AOS 03/01/06 03/01/07 COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) X SELF-INSURED AUTO PROPERTY DAMAGE $ HYSICAL DAMAGE GARAGE UA131LITY AUTO ONLY-EA ACCIDENT $ _ ANY AUTO OTHER THAN AUTO ONLY u EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ G WORKERS COMPENSATION AND 6610998(AZ,ID,MD,VA) 03/01/06 03/01/07 X ORY LIMITS I ER� 3 a EMPLOYERS'LIABILITY. C 6610995(AOS) 03/01/06 03/01/07 EL EACH ACCIDENT $ 1.000,000 G THE,PROPRIETOR/ X INCL 6611326(OR) 03/01/06 03/01/07 ELDISEASE-POLICYLIMIT $ 1,000,000 PARTNERS/EXECUTIVE 6610999 NY,WI E OFFICERS ARE: EXCL ( ) 03/01l06 03/01/07 EL DISEASE-EACH EMPLOYEE $ 1,000.000 OTHER WORKERS E COMPENSATION CONTINUED 6610997(FL) 03/01/06 03/01/07 D 6610996(CA) 03/01/06 03/01/07 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS CERTIFkCATE HOLDERr �� n CANCELLAIOM0,�- � 2 �s W zn }�........ ,,'z 4 r. .:s-a '� ,r.sq...,�` • '� $ x• 'e: `x " 3>; ,•� 4 a, �' `'. r`4 .,-s ..-.%. az,:X,:: cWzc .�..A-. .,11"' Y`x"''.'vac.. "r':..a... ,.., ,M,cu....,.szw..;.:.0.,�::•:m.::•«,u...,:�.,:,. ., a..�`au.�.-.a... .,�w7kkt.. ............�:.�,.'.s.. 3a ,;,kt.'_�..., ,.-. aaas..wazM.aax SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL AA DAYS WRITTEN NOTICE TO THE FOR INSURANCE PURPOSES ONLY - CERTIFICATE HOLDER NAMED HEREIN,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE,ITS AGENTS OR REPRESENTATIVES,OR THE " ISSUER OF THIS CERTIFICATE. - MARSH USA INC. BY: Walter Gilstrap . � .�;. � �€ �„� ��,. t�� � �� �< : � � � MM1(3102) ����� , ��•t �� VALID AS OF 02/27/06 � -��� ��4f.`��f ��,.�;� 5.�.�,�,�'��'� �Pti^, k�','�•>e�'...7's�,ax.�.s�1 �� G' a Ss �� 4'w.F`� ' y�� � � � t��g`�'x rZ �::'. � ,�._...� �-...�. ?• x� � 7 �'•�3 rk, ��,-� t,�a i �" .t v.-_� r.'� � � .-.u.u�{.,�, ..�; -�`"�s.;, %�' "`��', s �.��.kr � 2•r�.�sa .,..3..,s ate..,,.?, . R DATE MMlDDIVN t ( 1 , Aa �`IC1iAFQO�f � ��� ATL 000s5947 t1 02/27/06 PRDDUCER - COMPANIES AFFORDING COVERAGE MARSH USA,INC. COMPANY ATTN:BRENDA BOOKER (404)995-2594 MAYA MCCLURE(404)995-3206 OR E ILLINOIS NATIONAL INSURANCE COMPANY TAMI ROUSE(404)995-3430 FAX(404)760-5663 3475 PIEDMONT ROAD,SUITE 1200 COMPANY ATLANTA,GA 30305 F 100492-I P U SA-G W A-03/04 INSURED CCMPANY THD AT-HOME SERVICES INC. G NATIONAL UNION FIRE INSURANCE COMPANY DBA THE HOME DEPOT AT-HOME SERVICES,INC. HOME DEPOT USA,INC. 2455 PACES FERRY ROAD NW BUILDING C-S COMPANY ATLANTA,GA 30339 H I y r � � �. �, N a xxr'^'.. �ti + ,a° �� y �. , d i �+�� ER71F,lCATFtOLDER. z � 4 ,. '..,. ,< ._ ,. ,.. :. �� s G� ,x._ ..�: - .. ......r. vx FOR INSURANCE PURPOSES ONLY MARSH USA INC.BY Waiter Gllstrap fie -�om�mroouuecz�i o��!�ac`ivael� Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: <:�, Board of Building Regulations and Standards Registration:, 126 One Ashburton Place Rm 1301 pirat�on $/3/f2008 Boston,Ma. 02108 'Type Supplement Card THE Home Depot AtHome Servic - FACHAEL BEDARD ' ' GALLERIA,PKWY#20 3200 COBB ' / -� 4A Tea2 AtIANTA, GA 30339 Administrator Not valid without signature 063-A-038 40-45 DH cum NFRC 6100 Renovations Double Hunq - Vinyl Argon/Low E SC Natlxuxal Ferreshatiat SS With Grids 1-800-746-6686 NFRC 2001 ENERGY PERFORMANCE RATINGS U-Factor(U&A-P) Solar Heat Gain Coefficient 0 . 36 0 . 27 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0 . 44 Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance.NFRC ratings are determined for a fixed set of environmental conditions and a specific product size.Consult manufacturer's literature for other product performance lnfonoation. www.nfrc.org bomb NM SW Unit qualifies for Energp Star Region(s): North Central, South Central, Southern DP : 30 INP: REIN 00/GLASS 33/11—R30 Test Size: 44 x 6o Order f#:3744748030001 40260 HS Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 126893 Expiration:,8/3/2006 Type:°Supplement Card LW THE Home Depot..At4H me.Ser,J6 WCHAEL BEDARD 3200 COBB GALLERIA PKWY#20 -� ALTANTA,GA 30339 Administrator Soil 6CR -7 7 ( )4X)"SAb ./ Home Address: State Zip (If different from Installation Address) City E-mail Address(to receive updates and promotions from The Home Depot):�J�i� Proiect Information: I/We/You.("Purchaser"),the owners of the property located at the above installation address,offer to contract with Home Depot U.S.A., Inc. ("-10 c,�I, of"} io furnish, deliver and arrange for the installation of all materials as described on the attached Spec Sheet# VJ�` `1'7 , incorporated herein by reference and made a part hereof. Home Depot reserves the right to cancel this contract if,upon re-inspection of the job,Home Depot determines that it cannot perform its obligations due to a structural problem with the home, pricing errors or because work required to complete the job was not included in the Spec Sheet or Contract. DEPOSIT PAYMENT OPTIONS (Subject to fund verification and/or credit upproval.) ^� t� 1. Check,Cashiers Check or US Postal Service Money Order \ { , CONTRACT AMOUNT $ 2l l)P-- (Made payable to The Home Depot). t �V 2 Credit Card*and%or other payment options-Circle One Below V *LESS DEPOSIT $ t V Visa MasterCard Discover .American Express BALANCE DUE 1 The Home Depot Home Improvement Loan The Home Depot Credit Card ON COMPLETION $ 11�l • !.!Ncw Account ">'�C-isting Account (H[L&HDCC ONLV) *Minimum 25%of Contract Amount due upon Available Credit:S ;/oD (HIL&HDCC ONLY) execution of this contract. Acct1:: Exp.Date: fikf_ .. Dame as it uppears on card: L OW& 13 'AI Indicate Payment Method For *By my/our signature below,I/We agree to allow Home Depot to BALANCE DUE ON COMPLETION**: c a hg above referenced credit and for the deposit indicated. (� l y/1 L. holder's Signature Dale HIL or HDCC Authorization Codes \ **May be subject to Credit Approval, Fund a osit F' Payment Verification and/or Credit Card Authorization # # ,� Purchaser agrees that, immediately upon completion of the work, Purchaser will execute a Completion Certificate and pay any balance due. Purchaser also agrees to be jointly and severally obligated and liable hereunder. Entire Agreement: This agreement and its attachments, iMitiding anyofinaWcii1ty agreement, contain the complete agreement between the parties and can not be amended or modified unless in writing in a separate agreement signed by both parties. NOTICE TO PURCHASER Do not sign this contract before you read it. You are entitled to a completely tilled-in copy of the contract at the time you sign. Keep it to protect your rights. Do not sign a Completion Certificate before this project is complete. Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner prior to the actual completion of the work to be performed under the contract. You may cancel this transaction any time prior to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of this right. There will be a service charge equal to 10% of the contract amount if job is cancelled by Purchaser AFTER the third business day,but BEFORE materials are ordered.There will be a service charge equal to 25%of the contract amount if job is cancelled by Purchaser AFTER materials are ordered. By BY THE TERMS OF THIS CONTCT. I/WE ND ACKNOWLEDGE RECEIPT OF A COPY OF TH SUR SIGNATURE BELOW. L,WE AGRECCONTTRACTO BEOTLAND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION. BY MY/OUR SIGNATURE B UNDERSTAND THAT THE AGREEMENT IS SUBJECT TO REVIEW OF MY/OUR CREDIT HISTORY V AUTHORIZE HOME DEPOT TO VERIFY AND REVIEW MY/OUR CREDIT RECORD WITH AN INDEP T IT REPORTING AGENCY AND RELEASE THEM FROM ALL LIABILITY INCURRED FR 1NADV; NT ISSIONS OR ERRORS. SUBMITTED BY: Date: �dC? Consultant r { v! ACCEPTED BY: Date: �� > Homeowner Date: Homeowner NOTICE: ADDITIONAL TERMS AND CONDITIONS ARE STATED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRACT , 10-24=06 C-SC White—Branch File Yellow—Customer Pink—Sales Consultant S •d �,E00E2EbLL goyeW eRuea � Engineering Dept.(3rd floor) Map 3 Parcel l kQ Permit#'� House# 7 Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee Y.3 7,rao Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) tid Planning Dept.(1st floor/School Admin. Bldg.) SY BE S E�, Definitive Plan Approved b Planning Board 19 INSTALLED ANCE A. :WIT TOWN OF BARNSTABL °1Ie�oNME '° E AND TOWN REGU IONS Building.Permit Application Project Street Address 2—(Si^i Village Owner 4 O v/S ,su v h` Address 2 T & r v Telephone Permit Request I A2 el .First Floor - square feet Second Floor square feet r Construction Type i if—1t U Estimated Project Cost $ U0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count J Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: 9f)etached(size) Z'�� Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name !'ey,e cA Telephone Number Address �� �d� License# UId©. Jd•>c � / Home Improvement Contractor# !/S /�L r e'-1X® Worker's Compensation# 41C3 —02,9-31,3 J NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CON TRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE T BUILDING PERM T DENIED FOR THE OLLOWING REASON(S) a 117- ._..., s FOR OFFICIAL USE ONLY 'PERMIT NO. DATE ISSUEDs h e MAP/PARCEL NO. ... ,. r , 'i r . ♦ _ - - - .eta-"•'..yK�'. 'ADDRESS a s r f VILLAGE ' '�. � w♦ i DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH �� FINAL'? 'f GAS: ROUGH Lc FINAL FINAL BUILDING: m tc - DATE CLOSED OUT F* mi s`.`i ASSOCIATION PLAN NO or W .. r £'! ' rl i The Town of Barnstable Department of Health Safety and Environmental services BuiIding Division 367 Main Street,Hyannis MA 02601 Ralph Ctossen Office: 308-790-6227 BuiIding CommissIXI! Fax: 309-790-030 i For office use only Permit no. Oate AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c- 147A requires that the "reconstruction, alterations, renovation, repair, modernization. conversion. improvement, removal, demolition, or construction of an addition to any pre-existing ore than rour r to owner occupied re adjacent to such residence or building b containing at least one but not e done by registered lcontraling torsits ,with structures which are � certain exceptions,along with other requirements. Type of Work: A4`'��'� Q- Est.Cost Address of Work' Owner's Name Date of Permit Application: 1 hereby certify that: t.a Registration is not required for the following reason(s): __Work exciudei by law _Job under 51,00L 1BuiIding not owner- occupied Owner pulling own permit Notice is hereby given that: OWNERS .PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE PROG:2Ahi OR IMPROVEMENT FUNO�UNDER MGLORK DO O 142A� ACCESS TO THE ARB SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a. emit as the agent of the owner. Registration No. 0 Contractor lame OR Owners Name Date I.D. sz LOT k 49 LOT 50 c` _HSE. -, �� W �0J s4� ----- - � ----- ti N cfl �\ — — — — - - - - - -- - - - - - - �� DRAINAGE N88 49 06 E D ; 135. 00' ' D EASEMENT p -- - - - - - - - - - - - - - - oo'g�o0 ��� LOT 48 RES ZONE- "RC" This MORTGAGE INSPECTION Plan is For FLOOD-ZONE.- "C" Bank Use Onl TOWN: -CEIVTERVILLE ____-------- REGISTRY OWNER: LOUIE &-VICTORIA SAULT______________ DEED REF: - CTF_613082BUYER: REFINANCE -------------------- DATE: _5Z20�98 --------------- PLAN REF: _38507 B SHEET_2____SCALE:1"= 40' _FT. I HEREBY CERTIFY TO PLYMOUTH MORTGAGE CO A-- YANKEE -SURVEY ___THAT THE BUILDING �` OF SHOWN ON THIS PLAN IS LOCATED ON THE GROUND ASyH , . . CONSULTANTS SHOWN AND THAT ITS POSITION DOES ___- CONFORM PAULs 40B (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE a t1�ERA. �- INDUSTRY ROAD TOWN OF _BARNSTABLE_____________AND THAT Pin 32i13 IT DOES— NOT- LIE WITHIN THE SPECIAL FLOOD HAZARD f° MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED1985 _ .... .,�; TEL: 428-0055 Community-Panel ,250001 0015 C "��'�a az3�� ,;; FAX: 420-5553 _ _____ THIS PLAN NOT MADE FROM A IMI UMENT 23899 DPG PAUL A. MEI3ITH PLS SURVEY NOT TO BE USED FOR FENCES ETC. L v v �r pf pG _ 7- • S r z o f a r OS/.3 i ' /_jS2 i /ol �y, En'gineen-og De;t.(3rd floor) Map Parcel Permit#= .� ' House# 1Z 25, Date Issued L l0 Ll Board of Health(3rd floor)(8:15•=9:30/1:00-4:30) � /:�Fee. a Conservation,Office(4th floor)(8:30-9.30/1:00-2:00) 42�zy � Planning Dept.(1st floor/School Admin. Bldg.) SEPTIC S MUST BE NSTALL LIANCE Definitive Plan Approved by Planning Board 19 ®g®gyp ON ND TOWN OF BARNSTABLE TOIN , ATIONS Bui ing Permit Application Project Street Address 1 dv 2 � , Village [_0s7P V%l/e ; Owner_ L__ 0!//,s �e�� Address Telephone Y240 SS * Permit Request af //Q ZY�J First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ ?Jo VV Zoning District Flood Plain /Vy Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No.of Bedrooms: Existing *17 New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil p Electric ❑Other Central Air ❑Yes ❑No Fireplaces:Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name ,�e- , i"" Telephone Number Address Ytri�" License# ® C7 ®�-• Home Improvement Contractor# ®� Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO GNATURE DATE BUILDING PERMI DENIED FOR THE FOLLOWING REASON(S) p4q . vim.... FOR OFFICIAL USE ONLY _ PERMIT NO. '� ,•° s - y ,� y. DATE ISSUED' MAP/PARCEL NO. '�• ,..1 irn # d -.. yam., F{ c ,..� � k " ` -' .• _• A` '1�` Ar ADDRESS _ ? !` VILLAGE 'I OWNER to w, r . .ly '-`i � ' i •- .., } - � : ' F ' 4 ,J -" � a r i t DATE OF INSPECTION:, FOUNDATION FRAME . i INSULATION rt FIREPLACE t ELECTRICAL:, ROUGH = + ,x%j FINAL` PLUMBING: ROUGH. i. FINAL ' GAS: , # -ROUGH FINAL t FINAL BUILDING . ` >rl .. 1 , ✓„' E DATE CLOSED OUTru ASSOCIATION PLAN$NO. ? r^ f f l0 ' 2y o� 0 4-0 ywv,l�' 410 yxy �7s Lj y , CI��SBY ��p t .. LOT 49 LOT 50 il cu --_275-_�• - W 6 r� cfl DRAINA CE N88 49'06"L' ` \� 135. 00' p --- - - -- - - - - - - - - -- - oo.alo5 �// r 15J'1q /I� LOT 48 4E.S ZONE.' "RC" This MORTGAGE INSPECTION Plan is For TLOOD ZOAIE- "C" Bank Use Only f'OWN: _CE1vTER ULLt' ________ REGISTRY OWNER: LOLjIE._&_ D AT REF: �T1'_�13Q��---------BUY-,-----BUYER: �11YAN_CE--------- ------- - ---- -- --- DATE: _5�20198 --- - --------- FLAN REF: _38507 1� SHEFT_2 SCALE: I"= 40 HEREBY CERTIFY TO I'LYMD_UjH_ Q '2AC YANKEE SURVEY THE ,f-IOWN ON THIS PLAN IS LOCATED ON THE GROUND BUILDASD �!��� OF �'v . , CONSULTANTS o� ^` ;I-iUWN AND THAT ITS POSITION DOES CONFORM AUL � P A. INDUSTRY ROAD ,� -_ 40B (SUITE I) '0 THE ZONING LAW. SETBACK REQUIREMENTS OF THE a MEFI = 'OWN OF ___BARNSTABLE-------------AND THAT No. =K; T DOES_ NOT __ LIE WITHIN THE SPECIAL FLOOD HAZARD o o �' MARSTONS MILLS, MA. 02648 ►REA AS SHOWN ON THE H,U.D. MAP DATED 8f�/� ` _ TEL: 428-0055 t — a 1950001 0015 C ' '�'�'a�A �i(1 •'yt FAX: 420-5553 THIS PLAN NOT MADE FROM A UMENT 23899 DPC PAUL A MEI�ITH PLS SURVEY NOT TO BE USED FOR FENCES FTC. The Town of Barnstable NAM ��$ Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 0260I Ralph Crosson Office: 508-790.4M7 Building Commission: Fax: 508-790-Q30 For office use only F. Permit net_ Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL a 142A requires that the "reconstruction, alterations, renovation, repair, modernization- conversion. improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: e Est.Costl C2 S 06, 00 Address of Work: Owner's Name Date of Permit Appli=tion•'A f�- I hereby certify that: Registration is not required for the following reason(s): Work excluded by taw _ _ ob under SI,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS .PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGZAM OR GUARANTY FUND UNDER MGL c- 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: a 9 A& e'0 Date Contractor Name Registration No. OR Owners Name Date �Jrr 2 Assessor's Office(1st floor) Map I q3 Lot ` Permit# o� conservation Office(4th floor) � ��� Date Issued (AAoard of Health(3rd floor)(8:30-9:30/1:00-2:00) C SI-25'4 ee aEngineering Dept.(3rd floor ouse#1 Planning Dept.(1st floor/School Admin. Bldg.) , BARNSTABLE. Definitiv proved by Planning Board 19 f, fD MKS� TOWN OF BARNSTABLE Building Permit Application Project ddress Village C e •e Owner 7� , °f y t o t, ti C �S a„1 r Address "1 S :Al LQ Telephone L-L ), o S7,5 7� p Permit Request �D v�, l�` .->,` �_ Qr -c(„ b e s k:. , ^S(A e rr Total 1 Story Area(include 1 story garages&decks) ! 10 square feet Total 2 Story Area(total of 1st&2nd stories) — square feet Estimated Project Cost $ t S' J 0 , Zoning District Flood Plain Water Protection Lot Size 5 ff c Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure k 0 �u, Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths .2 No.of Bedrooms a Total Room Count(not including baths) 6 First Floor Heat Type and Fuel W. w 2T.,_-0,( Central Air Fireplaces i Garage: Detached. N Other Detached Structures: Pool �! Attached K( Barn N None Sheds Other p Builder Information Name j vN$ z vAz o r v o c u`l S Telephone Number `► -1 t S^o o ­7 Address I `��f `/ r, V"'t 0 cal L1 License# t74 I d5: 2��. . S �`1 a s S, d o t Home Improvement Contractor# ��q- Worker's Compensation#A8 n I ca 4;t LO LO l Ua NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN.(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE " Ll — BUILDING PERMIT DENIED AR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. 9721 } DATE ISSUED 8/15/9 5 } MAP/PARCEL NO. 193 180 ADDRESS 275 Patriot Way ,- VILLAGE Centerville _ OWNER Louis & Vittori Sault - DATE OF INSPECTION: FOUNDATION FRAME" r INSULATION FIREPLACE -, ' r ELECTRICAL: ROUGH FINAL T PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. r ASPN R►-r 77 J12 i . S1DiNG � x 1 I ' C d PzAelrp— l3LoCK: - CSO L.l D) ND-TE, u A'-L WOnb 15 f yLL ZXN 2AFTE'-S DiMENS)DN►14 i — ILL. .SHCD-S 4AV6 I j rI S A N LDU ICE RS D t LLl4•R% I CIVUi SFtawN, 'fX�l TUP: PI.RT� . I 2-x4' Pv.e��us 2 PlyK)ooa ! ; 2X(e'j FL00� i S,TS j i 2 i2 �� e) gi ► _.r CAP sz LOT 49 LOT �3s 50 � . � N -_-275 ti N c9 �\ - — — — — — — — — — — — — — — — — — — r DRAINAGE N 135. 00' Q - EASEMENT p - - - - - - - - - - - - - - �5q 1 / LOT 48 RES. ZONE 'RC This MORTGAGE INSPECTION Plan is For FLOOD ZONE.- "C" Bank Use Only TOWN: -C'EM R_1LLE__-__________ REGISTRY OWNER: -tQ�EPIJ w_- e_.,IAN '.�e_��-NwO_�1'.--.._... .. DEED REF'- _�%� 07------------ BUYER: 0_(1LS - __VI Z'Q81A_�_�SAU ---------,----- -- DATE: .-IIf1 /93 __.- ---..___-- -- -__-- PLAN REF: ..38, Q-7.._l ,SfIFI �------ SCALI : 1 I HEREBY CERTIFY TO 0 p ____ __ ________ _______ rs Y ANKEE SURVEY _--THAT THE BUILDING q� SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS >�PAUL \5< CONSULTANTS SHOWN AND THAT ITS POSITION DOES ___ CONFORM $ A 40B SUITE 1 TO THE ZONING LAW SETBACK REQUIREMENTS OF THE I MERITHEW N ) --- _____________AND THAT. \\ No. 32098 e , TOWN OF BA ,, INDUSTRY ROAD IT DOES— NOT — LIE WITHIN THE SPECIAL FLOOD HAZARD <o\E��ST't�E%� MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE N.U.D. MAP DATED_8/�9z�1_.-_ �<%a�<in�.;: TEL: 428--0055 Cora nuriil ---Panel ,?50001 0015 C FAX: 4.20-5553 ��� _ _____ THIS PLAN NOT MADE FROM AN INSTRUMENT , PAUL A. MERITH . PLS SURVEY NOT 'r0 BE USED FOR FENCES ETC. 13272 DPC t - i 9 4, P. \ No.01420 O CERTIFIED PLOT PLAN NEW CONSTRUCTION ONLY �" hF� v TOP OF FOUNDATION 18 5 FEET IN ABOVE LOW POINT OF ADJACENT aAW11SlAaJa4, AV ASS* ROAD. SCALE: / N= 6G DATE /y, 1991 (EILDREDGE ENGINEERING CO.IN CLIENTS-fit 6c � i CERTIFY THAT THE EGISTERED REGISTERED �G 3 S CIVIL LAND JOB NO. ON THE GROUND AS INDICATED AND HOWN ON THIS PLAN IS LOCATED ENGINEER SURVEYOR DR.BY: CONFORMS TO THE ZONING LAWS. OF BARNST BLE , MASS. 712 MAIN ST. CH.8Y, HYANNIS, MASS. SHEET-LOF-j- DATE REG. LAND SURVEYOR Assessor's map and lot number ..� ..� �. /�..j e . �: . .• THE t0♦ L \ �%,Sewage Permit number ... ..G.���...o�...C?..�............................. r � ea, o�� « "^"� SEPTIC SYST � � t BAHHSTADLE, House number ............... d....d .. ....,............... ��r��L�� �� �w '.STp���r� 90� M679 WITH, �'{rOMPLIANC11 �C MAY A\ TOWN OF BAt � BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....6!.4r ..e .... CN /....t�7 U.. f..IQ.I.Y...... ............................... TYPE OF CONSTRUCTION .....LC°�� .... ./.:../. .......... .......................................................... ..........cLl ....................19& TO THE INSPECTOR OF BUILDINGS: The undersigned hereby app 'es for a permit accord' ,' to the following information- Location .7V....... .. ....... ...... . . ProposedUse ................................................................................................................... Zoning District .......................................Fire District .. .. ... ................................... Name of Owneros A,)".11.-1...................... ...........AddresA. �G.....XA� , ................... Name of Builder .. .... Address .....1_.1:. ............................................................. .... .......... Nameof Architect ..................................................................Address ...............................................:.................................... Number of Rooms ......................c .....................................Foundation .. ....................................................... Exterior ..... Roofing .:L4, .... .. . ..... .... .. .. .......... . ........ ................................... Floors ................. ,. .. .. ........Interior .. .................................. Heating ... ........ '. .......................Plumbing c� ........................................... -Fireplace ........� .,y��................................................ pproximate Cost ......... 71.1 =^-0.............. ....... Definitive Plan Approved by Planning Board _________ -------_-------19________. Area ......... � (..... Diagram of Lot and Building with Dimensions Fee d '. _ ...........� ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH i I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... .......... ....... Gannon, Joseph No ... Permit for ........ ......................... Location ..........275.Patriot..W-!Y..................... .........................Qm t Q r.V X.ee......... Owner ...............T.0,9PPjh..QkMQR...................... Type of Construction ...............frame................ .......................................................................... Plot............... ............. Lot ..............A.9.. ........ I'A 81 .Permit Granted ......... ................'19 D6'te of Inspection ....................................19 Date Camp ted ...19,1 ............?/.- ! 0 PERMIT REFUSED .................... .............................. 19 ..................— ........................................ ............................. ................. . ...... ................................... ............ .. .... ........ ......................... Approved ................................................ 19 .......................... .........................0.......................... ............... ............... .................................. TOWN OF BARNSTABLE Permit No. -------___---------_._-_-_- r� w Buildng Inspector / 1 I."rr.a Cash _---- OCCUPANCY PERMIT Bond "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. .....................................................1 19 ....................................................................... ....................................._ Building Inspector