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0380 PHINNEY'S LANE
3$D �� v�t'1� �� ����J�. r _ .. �,: . � _. ,. a ,, , , � _ .,., .n- p- ... :.,li, � ,. .n., � _ ,.. ... `yam. � � .. .. �. � _ � .._ .. � - '. - t. � � � .i Town of Barnstable Building Post This Cafd So That it5w �Uis�ble From�the Street-ApprouedPlans Must�be Retained on:Job ands#his Car"d"Must;be Kept i3A7)Sdfi'['At31.�:. " � MASS. Posted UntilFinal Inspect onHas Been Mader ° ifica -of Occu anc -is R"e' uredsuch Biiildin shallNot beFOccu `ied untila Final ins"`ectEonhas"been made Permit Where a Cert Permit No. B-19-101 Applicant Name: Paul Eaton Approvals Date Issued- 02/06/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 08/06/2019 Foundation: Location: 380 PHINNEY'S LANE,CENTERVILLE _ Map/Lot 230 145 Zoning District: RD-1 Sheathing: fT Owner on Record: JUNKIN,JAMES M&MAUREEN Contractor Name.;�4 TRINITY HEATING &AIR INC. DBA Framing: 1 " TRINITY SOLAR • _, Address: 380 PHINNEY S LANE � �� �;. � � 2 . >�Contractor License 470355 CENTERVILLE, MA 02632 E Chimney: Est Project Cost: $3,000.00 Description: Install 12.6kW solar panels on roof. Will not exceed roof panel,but IX, will add 6"to roof height.40 total panels. } Permit Fee:' Insulation: g p $85.00 Project Review Req: Fee�Pad: $85.00 Final: 2/6/2019 Plumbing/Gas Rough Plumbing: i KKg Building Official Final Plumbing: ' Rough Gas: This permit shall be deemed abandoned and invalid unless the work authonzedby this permit is commenced within six months after Issuance. g R : All work authorized by.this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures 9hhalLbe in compliance with the local zoning by law and codes. This permit shall be displayed in a location clearly visible from access s#reet�or load and shall be maintained open for public Inspection for the entire duration of the gf work until the completion of the same. r M , Electrical Service: The Certificate of Occupancy will not be issued until all applicable signature th Building and Fire Officials are provided ont his permit. Minimum of Five Call Inspections Required for All Construction Work.;! Rough: 1.Foundation or Footing " 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. - Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: 6 All Permit Cards are the property of the APPLICANT=ISSUED RECIPIENT ON LT�N Town of Barnstable *Permit# Regulatory Services Fee'b m�►�t fr Rae d snnxsrasM i6S9 A�� Richard V.Scali,Director �Fp UAA'� Building Division Tarn Perry,COO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 2 _-�o I� Property Address 3 So rT t 6 t l Residential Value of Work$ /1 y,3 6 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address _.-YI V7 'JU I Contractor's Name Ae-r L. WO ll>el'. & Ili LpPosw Telephone Number��� Home Improvement Contractor License#(if applicable)/T 32'{S Email: Construction.Supervisor's License#(if applicable) 0jt6-76 7 Workman's Compensation Insurance ® � Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance p - : Insurance Company Name `'// /1I`-I� � n�►11 OA BC Workman's Comp.Policy# VM 315 9-72—9 Z� Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side Replacement Windows/doors/sliders.U-Value - 30 (maximum.32)#of win #of do s: oaa� ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical& Fire Permits required. `Where required: Issuance ofthis 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&Construction Supervisors License is requi d. + r SIGNATURE: e ��\ - C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOI DHR\EXPRESS.doe Revised 040215 Renewal Agreement Document and Payment Terms Andersen. dba:Renewal By Andersen of Southern New England Maureen&Jim lunkin Legal Name:Southern New England Windows,LLC 380 Phinney's Ln. RI #36079,MA#173245,CT#0634555, Lead Firm#1237 Centerville,MA 02632 wisoow NE iaces,Exr 10 Reservoir Rd I Smithfield,RI 02917 H:(508)737-3675 Phone:866-563-2235 1 Fax:401-633-6602 1 sales®renewalsne.com C;(508)790-1019 Buyer(s)Name: Maureen &Jim Junkin.. Contract Date: 01/13/18 Buyer(s)Street Address: 380 Phinney's Ln.;Centerville, MA 02632 Primary Telephone Number: (508)737-3675: Secondary Telephone Number: (508)790-1019 Primary Email: mjjunkin@eomeast.net Secondary Email Buyer(s)hereby jointly and'severally'agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively, this "Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: $111,436 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $5,718 Balance Due: $5,718 Estimated Start: Estimated Completion: 6-10 weeks 6-10 weeks Amount Financed: $11,436 Method of Payment: Financing We schedule installations based on the date of the signed contract and secondarily on the date in which.we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later date.Rain and extreme weather are the most common causes for'. delay. . Notes: 50% deposit-GREEN SKY, 50% balance due upon completion-GREEN SKY ' Buyer(s)agrees and understands that this Agreement constitutes:the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the.terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s) and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME NOT.LATER THAN MIDNIGHT OF 01/18/2018 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, . WHICHEVER DATE IS LATER.SEETHE ATTACHED NOTICE OF CANCELLATION FORM FOR AN t EXPLANATION OF THIS RIGHT. Legal Name:Southern New England Windows,LLC. dba:Renewal By Andersen of Southern New England Buyers) t Signature of Sales Person Signature' ` Signature Chris Hutson Maureen Junkin Jim-Junkin Print Name of Sales Person. Print Name: Print Name "UPDATED: 01/13/18 Page 2 / 11• i Office OfConsurner Affairs and Business Rebulatiorl 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Horne Improvement Contractor Registration - Registration: 173245 Type: Supplement Card Expiration: 9/19/2018 SOUTHERN NEW ENGLAND WINDOWS.LL, BRIAN DENNISON 26 ALBION RD LINCOLN, RI 02865 = Update Address and return card.Mark reason for change. j Address Renewal Employment =i Lost Card �nffice of Consumer Affairs&Business Regulation Registration valid for individual use only before the expiration date. If found return to: _HOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation :'Registration: .173245 Type: 10 Park Plaza-Suite 5170 Expiration: gj j g/201 8 Supplement Card Boston,NIA 02116 SOUTHERN NEW ENGLAND WINDOWS LLC. RENEWAL BY ANDERSON BRIAN DENNISON 26 ALBION RD d4 c"t LINCOLN, RI 02865 C�dersecre6ry Not valid without signature ;y Massachusetts Department of Public Safety Board of Building Regulations and Standards 9 License: CS-095707 C 'S� iCtlrJrl Supervlsor BRIAN D DENNISON 7 LAMBS POND CIRCLES" _ CHARLTON MA 01607s o-&A Ex p i r atio n Commissioner 09/08/2018 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Co ng ress Street,Suite 100 Boston,MA 0211 4-2 017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Le 'biv Name (Business/Organ ization/Individual): Address: 2& Ad,[isL{p) :KA City/State/Zip: p Phone#: *1 _ 2>-g= Q� Are you an employer?Check ibe appropriate bog: Type of project(required): 1 XI am a employer with employees(full and/or part-time).* T.❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 3.�I am a homeowner doing all work myself.[No workers'comp.insurance requlred.]� 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.[�Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet 13.❑Roof re irS These sub-contractors have employees and have workers'comp.insurance.+ p 6.F1 We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other 152,61(4),and we have no employees.[No workers'comp.insurance required.] 01 'Any applicant that checks box#ti must also fill out the section below showing their workers'compensation p licy ormation. r 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 employees- If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my emplovees. Below is thepolicy acid job site information. nn Insurance Company Name: 'lre, h1Qa�S I-D[7l _ Policy#or Self-ins.Lic.#: W CA-31-5 87 Z q — 2-0 Expiration Date: ! l 1 I Job Site Address: G� City/State/zip:& 0;Ato Attach a copy of the workers'comp nsation poli4 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 S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.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 th�nspenaldes ofperjug that the information provided above is true and correct Si attire: V Dfte: / Phone#: QD 1- ZZ e I qfV 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- b.Other Contact Person: Phone#: ACo 12/29/2017 P CERTIFICATE OF LIABILITY INSURANCE DATE . /2017 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 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 NAME: CoBiz Insurance, Inc.-CO E -988-046 JC -988-0804HAX 303 No:303 1401 Lawrence St, Ste. 1200 E-MAIL Denver CO 80202 ADDRESS: COMail cobizinsurance.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance Company 31325 INSURED ESLERCO-01 INSURER B:FlremenS Insurance Company of WA,D.C. 21784 Southern New England Windows, LLC. INSURER C:Homeland Insurance Company of New York 34452 dba Renewal by Andersen of Souther New England 10 Reservior Rd INSURER D Smithfield RI 02917 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1252851165 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDDfYYYYI (MMIDDNYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CPA3158728 1/12018 1/1/2019 EACH OCCURRENCE S 1,000.000 DAMAGE•TO RENTED CLAIMS-MADE I OCCUR PREMISES Eaoccurrence $WD.000 MED EXP(Any one person) S 10,o00 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.000.000 X POLICY JECOT LOC _ PRODUCTS-COMP/OP AGG I$2.000.000 $ OTHER: A AUTOMOBILE LIABILITY N CPA3158728 111/201B 1/112019 COMBINED SINGLE LIMIT $ Ea accident 1 000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDAUTOSULED BODILY INJURY(Per accident) $ AUTO AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Per accident $ A X I UMBRELLA LIAB X OCCUR CPA3158728 1/1/2018 1/1/2019 EACH OCCURRENCE $10.000.000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10.000.000 DED X RETENTION$ $ B WORKERS COMPENSATION WCA3158729-20 '1/1/2018 1/112019 X STA LITE ERµ AND EMPLOYERS'LIABILI Y Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $1.000.000 OFFICERIMEMBER EY.CLUDED? NIA E.L DISEASE-EA EMPLOYEE $1.000.000 (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT 51.000,000 DESCRIPTION OF OPERATIONS below C Pollution Liability 7930073340000 1/12018 1112019 Each Occurrence S1,000.000 Claims-Made Policy Aggregate S1,000.000 Retroactive Date 0512012013 Deductible 510,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. For Informational Purposes AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD ' l TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map '' Parcel w Application # Health Division 4Y - Date Issued i 4 � Conservation Division ' Application F Planning Dept. Permit Fee COZY Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis N JAi Project Street Address 4 ` <✓a�ty=� i � Village 0 t,-'r\U01-( Owner o4w � n a*r Address Telephone �(� ,-7} I`3� "T• - Permit Request Q Iti i A h AAO G/ fJ-S/-4-19 ✓1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type WOO-0 Lot Size Y2_. A-Cjk< Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ,21**' Two Family ❑ Multi-Family (# units) Age of Existing Structure 3 5_11 k I Historic House: ❑Yes ;Wo On Old King's Highway: ❑Yes Flo Basement Type: L&<uII ❑ Crawl W Walkout ❑ Other Basement Finished Area(sq.ft.) ® �� Basement Unfinished Area(sq.ft) Number of Baths: Full: existing L.- new C; Half: existing i new Number of Bedrooms: _ 3 existing _new Total Room Count (not including baths): existing 7 new First Floor Room Count Heat Type and Fuel: ,OrGas ❑ Oil ❑ Electric ❑ Other Central Air: des ❑ No Fireplaces: Existing ( New _ Existing wood/coal stove: ❑Yes U No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ ex sting ❑ new siig_ f Attached garage: misting ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ �a Commercial ❑Yes ❑ No If yes, site plan.review # `Current Use _ Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Ak hAf I IIPA,Z \ Telephone Number [) -7 2 7- Address 3 �S' ?44 1A'A-,,f V•J License# e� 7 ( � U/ Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r � SIGNATURE DATE i J FOR OFFICIAL USE ONLY f APPLICATION# ' DATE ISSUED >c Y MAP/PARCEL NO. :. ADDRESS VILLAGE OWNER 7 , DATE OF INSPECTION: -, 'FOUNDATION, � 9//fI/! FRAME INSULATION' `t3 FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL—'. GAS: ,_ ROUGH FINAL ! FINAL BUILDING'"' DATE CLOSED OUT, - t ASSOCIATION PLAN NO. Hof IHE Town of Barnstable y�P Regulatory Services r BARNSTABLE Thomas F. Geller, Director SASS. ' 639, 9, Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 • wwvv.town,barnstable.ma.us • Office: 508-862 '4038 Fax: 508-790-6230 PLAilT REVIEW , Owner: Map/Parcel: Project Address 3$D -pAziJNEY'3 LAJ Builder: The following items )were noted on reviewixig: 10„ s oN oS 13 DEEP RX-Q?uZeIE.D A-r - LO G�'T>o rrs Z EA3u*-e RQA=La-A G 5 7 EM CO MPLZES WZTN T. 4E=GffT PD SPad Asap Lof+b 1P QU�X*X-n SfWn`' Re-viewed by: - 00,— Date: Q:Forms:Plnrvw 2. The Commonwealth of Massachusetts Department of Industrial Accidents W Office of Investigations ' 600 Washington Street Boston,MA 02111, . wrvw.mass.gov/dia ' Workers` Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/organization/Individual):, l �l Ae O_fZ4,4)1,` Address: 3 > WAWJ City/State/Zip:.'e aehfd, I It Phone.#: Are you an employer? Check the appropriate box: Type of project(required):. 4• I am a general contractor and I . yP P ) 1.❑ I am a employer with ❑ employees(full and/or part-time) * • have hired the sub-contractors 6. ,❑New construction . 2, am a'sole io rietor or artner- listed on the-attached sheet. 7. ❑Remodeling ®'� P P P ship and have no employees These sub-contractors have g• ❑Demolition yorkin for me in an capacity. employees and Have workers' g y P comp. insurance.$ 9• ❑Building addition [No workers comp,insurance. P required.] 5• ❑ We are a corporation and its 10.❑-Electrical repairs or additions officers have exercised their '3.❑ I am a homeowner doing all-work . 11:❑Plumbing repairs or additions . myself, [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required,]t c. 152, §.1(4), and we have no employees, [No workers' 13 ther { 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 ornotthose entities have employees. If the sub-contractors have employees,they must providt their workers'comp,policy number. I atn an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site' information. Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: � 1 w� ���4's`/; City/State/Zip: 0'� 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 maybe forwarded to the Office of. Investigations of the DIA for insurance coverage verification, ' I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Si ature: % Date: - Phone#: 1© , l—i7 Official use only. Do not write in this area, tb be completed by,city or town offcciaL 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#: Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "_every person in the service of another under any contract of hire, express or implied,oral or written." An employer,is defined as "an individual,partnership, association, corporation or other legal entity, or any two or more of the foreg engaged in a joint enterprise, and including the legal representatives of a-deceased employer, or the receiver or tee-of an individual,partnership, association or other legal enti employing employees. However the owner of a dw •` g house having not more than three apartments and who resi es therein, or the occupant of the dwelling house other who employs persons to do maintenance,constructio or repair work on such dwelling house or on the grounds building appurtenant thereto shall not because of such e oyment be deemed to be an employer." MGL chapter 152, §2 (6)also states that"every state or local licensing age cy shall withhold the issuance or renewal of a license or ermit to'operate a business or to construct buildi gs in the commonwealth for any Ili applicant who has not pA.duced,acceptable evidence of compliance with t e insurance coverage required." ' a subdivisions shall Additionally,MGL ehapteL. 2 §25C(7)states `Neither the commonwealth or any of its political enter into any contract for,th ,� ormance of public-work until acceptable erence of-comaauee with*tlie insurance- requirements of this chapter hav een presented'to the contracting authority.' Applicants Please fill out the workers'Co „a affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contcao tor (s)nam , address(es) and phone numbe s) along with their certificate(s)of insurance. Limited Liability Companies C) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to�c orkers' compensation ins "once. If an LLC or LLP does have employees, a policy is required. Be advised a affidavit may be sub 'tted to the Department of Industrial Accidents for confirmation of insurance coveNge. Also be sure to sign end date the affidavit. The affidavit should be returned to the city or town that the apphlatlln the permit.or license is being requested,not the Department of Industrial Accidents. Should you have an ues ons a ardin the law r if you are re aired to obtain a workers' Y Yq g g Y q compensation policy,please call the Department at the umber listed be ow. Self-insured companies should enter their self-insurance license number on the appropriate,, City or Town Officials Please be sure that the affidavit is complete and panted 1-gib l . The Department has provided a space at the bottom of the-affidavit for you to fill out in the event the Offi el, Inve tigagons has to contact you regarding the applicant. Please be sure to fill in the permit/license number which: be e1 as a reference number. In addition,an applicant that must submit multiple permitllicense applications m any given ear,need only submit one affidavit indicating current policy information-(if necessary) and under"Job Site Address� the pliant should write"all-locations in city-or town)."A copy of the affidavit that has been officially stamp�ed�Vnr ked by the city or town may be provided to the applicant as proof that a valid affidavit is on e for future permits!or li,enses. A new affidavit must be filled out each fil year.Where a home owner or citizen is obtaining a license or pert not .elated to any business or commercial venture (i.e; a dog license or permit to bum leaves-etc.)said person is NOT`require a to complete this affidavit. The Office of Investigations would like to thank you in advance or�,,our coo ,eration and should you have any questions, please'do not hesitate to give us a call. . The Department's address,telephone_•and fax number:. The Com ouweaith bfm .sschase Department of.Industnat A peid mts Office of bavesdga US 600 W77- ,�� Street Bost02111 . - TeL # 617-'27 4 900fi or 1-877-�IASSAFE Fax# 7-7749 Revised 11-22-06 Wov'/dia Massachusetts- Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License License: CS 58266 Restricted to: A G. a '' MICHAEL J RENZI Y' y 387 PHINNEYS LN CENTERVILLE, MA 02632 Expiration: 1/30/2012 ('ummissi„ner Tr##: 13520 t�anvnzoizuieall� °�. g License or registration valid for individul use only Office of Consumer Affairs&B smess Regulation before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR p Registration 1,,11859 Type: Office of Consumer Affairs and Business Regulation i 10 Park Plaza-Suite 5170 € Expiration: <12-%4k2013 DBA 3 Boston,MA 02116 'j MI AEL RENZI F60NSTRUC-TION MICHAEL 'Y'RENZI - i 387 PHINNEY S LN,a, CENTERVILLE,MA 02632- '~ Undersecretary I Not val' thout signature i Town of.Barnstable • Regulatory Services � .rtia[�n LL8a.1 � ' MAB¢ Thomas F. Geiler,Director Building NVis1011 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.to w n.b arnstab 1 e.ma.us Office: 509-862•-403 8 Fax: 508-790-6230 Property Owner Mus t Complete and Sign This Section If Using A Builder as Owner of the subj'ect•property hereby authorize / to act on behalf my , in aft matters relative to work authorized by this building permit app}ication for. .3g I/V)v 44 dCE b vCiA ' � ss of J ) 5' � I�gnatrTrn of Owner Date Print Nazne If Property Owner is ap 1 ' ' for permit ` P Ym9 p please complete the Homeowners License Exemption Form on -the reverse side. Q:FORMS:0 WNERPERMISSION THE Town of Barnsta e hw� .yT Replato�ry Se , ces . Thomas F. Geiler,D ctor �PrEo 16 Building Division ' Tom Perry,Building�IS mrnissioner 200 Msiri•Street; Ayann ,MA.02601 RWW.town.b table-ma.us Office: 509-962-403 3 Fax: 50g-790-6230 aohu_MW ER Li 'SE F.XI h=ON • Pleas Print DATE: JOB LOCATION: numbs t village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: �tY�wn states zip codc`� Tie current exemption for"homeowners"was des to include owner-Dccupied dwellings of six units or less and to allow homeowners to engage an individual f - hire does not possess a license,prppded that the owner acts as supervisor. �' D ON OF OMBOwh'ER Persons)who owns a parcel of land an which efshe resides or intends to reside, an which there is, or is iatcu&d to be, a one or two-family dwelling, attached or tached itructttn•s accessory to such use and/or farm structures. A person who constructs more than one home ' a two-year periD shall not be considered a homeowner, Such "homeowner"shall submit to-the Building O cial"on`a foim acc table to the Building Official, that he/she shall be res onsible for all such'^4vork' crfarmed undue the buildin 'exmit (Section 109.1.1) M The undersigned"homeowner"assumes resp ibility for compliant with the State Building Code and other applicable codes, bylaws,rules and rcgulatio The undersigned"homeowner"certifies tha e/she tmderstands the Town pfBarnstable Building DcpartmcntN --11 minim inspection procedures and rcgvire 'nti and that he/she will co with said procedures and requirements. 4 Signatizre of Homeowner Approval of Building Official Note: Three-family dwellings cD fairing 35,0D0 cubic feet or larger will be rcq ed to comply with the State Building Code Section 127.0 Co lion Control. HOhWvwER,s EXEMP-CION .The Code states that: "Any bomeowa�r m=ng work for which a buiilding permit is required shaIl be e • t from the provisions of thin section.(S=6on 1 D9.1.1-L icansiag of tin Supervisors);provided that if the homeosyner engages a pas (s)for hies to do such wart,that such Homeowner shall art as supervisor.". )many homeowners who use this rxcnvtioa are unaware that they are assuming the of r;stipervi r(see Appendix Q. Rulcs&Rcgblations for l iearsing Cmrb•nction Supervis=,Section 2.15) This lack of awareness b8err results in serious prob)cros,particularly when the homeowner hires unlicensed persons. In.this case,our Board cannot proceod against the unlicensed person as it Would with a licensed Supervisor. Tho homeowner acting as Supervisor is ultimatc)y responsib)e. To ensure that the homeowner is fully zwm-c of his/her rhspotrs�bilities,many convrrunitirs rrquire,as part of the pamit app8cation, that tho homeowner certify that belshe understands the rcaponsrbilities of a Supervisor. On the last page of this issue is a form currwrt)y used by several towns. You may care t amend and adopt such a fonn/ccrtification for.use in your community. Q:forrns:hom=cmpt Qw 2 0 ry d2� 1 d Uf dx►u Al l.J 0 AJ(4 Town of Bamstable Geographic Information System August 15,2011 230125001 2300940D2 #414 #10 230092 #387 #371 230207 . *402 _ 230091 #365 Q a 230090 230145 #363 #380 # t rz Say 230208 #398 Rg �•` 230167 #0 230127 .. #358 230146 230128 #.19 #360 230205 nn #57 230161 24 Feet 230147 #35 230 Parcel:145 Map: El This map is for planning purposes only. It is not adequate for legal Ma � Selected.Parcel N ' boundary determination or regulatory interpretation. .Enlargements beyond a scale of Owner:DORRER,ELAINE H Total Assessed Value:$327300 1-100'may not meet established map accuracy standards. The parcel lines on this map- - are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: - Acreage:0.48 acres Abutters boundaries and do not represent accurate relationships to physical features on the map - Location:380 PHINNEY'S LANE - - / �:- such as building locations. Buffer, �/ Town of Barnstable Regulatory Services �'THE rp� Thomas F.Geiler,Director Building Division 1AMSTABLE. •' Tom Perry,Building Commissioner 16 9 ON 200 Main Street,Hyannis,MA 02601 ArFO MA'S Office: 508-862-4038 Fax: 508-790-6230 August 6, 2012 - Michael Renzi 387 Phinneys Ln Centerville, Ma. 02632 RE: 380 Phinneys Ln, Centerville, Map: 230 Parcel: 145 Dear Mr.Renzi: This letter is to notify you that a frame/final inspection was conducted at the above referenced address for permit application number 201104347 and the following deficiencies were found: 1) Deck ledger not properly attached to existing house based on prescriptive residential deck construction guide. 2) Improper beam to post connectors used. 3) Improper joist to beam connections used You must correct the above deficiencies and arrange for a new inspection. Thank you for your immediate attention in this matter and do not hesitate to call this office with any questions. Respectfully, M�f�Lazon Local Inspector (508) 862-4034 Town of Barnstable *Permit# 71 Expires 6 months from issue date Regulatory Services Fee Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION_ -_ RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number I L4 5 Property Address A yQ ❑Residential Value of Work -cc6l an Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address R O�e%4 N f e 'v t^ t h? Telephone Number so Contractor's Name � r'/" � � n p Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance PERMIT Check one: - PRESS❑ I am a sole proprietor I am the Homeowner JUN 19 2007 I have Worker's Compensation Insurance J� TOWN OF BARNSTABLE Insurance Company Name , Workman's Comp.Policy# I &C,S c) a Wit`try. sFv I g2o 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 Q f h.l C9 tz ty t -fp ❑Re-roof(not stripping. Going over existing layers of roof) s ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value *Where required: Issuance of this permit does not exempt compliance with other town department regulat ho ,•it�Olistoric,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter c6(Eer/ni ssion. A copy of the Home Improvement Contractors License is regai;ed6/ SIGNATURE: G, J Q:Forms:expmtrg Revise061306 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations n` a + d 600 Washington Street r Boston,MA 02111 e _ s�. www.mass.gov/dia Workers' Compensation Insurance Affidavit: ]3uilders/Contractors/Electricians/Plumbers Applicant Information / Please Print Ise 'blv Name(Business/Organization/Individual): �-�eqq •P J Cdj pl ty 1r 06 A n I Address 9 (9 r �b A-t'� City/State/Zip: o-e r,�3�l,r vt (110. 11`—1 A Phone Are you an employer? Check the appropriate box: Type of project(required):. 1 I am a employer with 4. am a genera I l contractor and I � 6. ❑New construction T . employees(full and/or part-time).* have hired the sub-contractors 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 workingfor me in an capacity. employees and have workers' Y P tY• 9. 0 Building addition [No workers' comp.insurance comp.insurance.$ required.] 5. 7 We are a corporation and its. 101-1Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 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 employees. [No workers' .13.❑ Other comp. insurance required.] . *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $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 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: Policy#or Self-ins.Lic.#: l /CG�c (,t�. l�LY'S'7 Expiration Date: Job Site Address: p,S e© Nm t`'S L.Y\j City/State/Zip: OP �yy ic°✓%91lr�#p Attach a copy of the workers' compensation policy declaration page(shoving 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 nder the gins a d penalties of perjury that the information provided a ove i true and correct .Si ature• Date: l 4 . Phone#: 5 0 V;�—�'6 Official use only. Do not write in this area,to be completed by city or town of iciaL City or Town: Permit/License# d Issuing Authority(circle one): 1 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions �. Massachusetts Gener aws chapter 152 requires all employers to provide workers'compensation for their employees: Pursuant to this statute, employee is defined as"...every person in the service of another under any contract of hire, v express or implied,oral or tten." An employer is defined as"an dividual,partnership,association,co oration or other legal entity,or any two.or more of the foregoing engaged in a jo' enterprise,and including the leg epresentatives of a deceased employer,or the receiver or trustee of an individual, artnership, association or other egal entity,employing employees. However the owner of a dwelling house having no more than three apartments d who resides therein,or the occupant of the dwelling house of another who emplo persons to do mamtenan ,construction or repair work on such dwelling house or on the grounds or building appurtena thereto shall not becau e of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that' very state or loc . licensing agency shall withhold the issuance or renewal of a license or permit to'operate a siness or to c nstruct buildings in the commonwealth for any applicant who has not produced acceptable a ence of c pliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states' 'ther th commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public ork o ti1 acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the o tracting authority." Applicants Please fill out the workers' compensation affidav/hd letely, checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), addand phon number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)od Liability ' erships(LLP)with no employees other than the members or partners, are not required to carry woompensation urance. If an LLC or LLP does have employees, a policy is required. Be advised that davit maybe su tted to the Department of Industrial Accidents for confirmation of insurance coverage be sure to sign a d date the affidavit. 'The affidavit should be returned to the city or town that the applicatio permit or license i eing requested,not the Department of Industrial Accidents. Should you have any questiarding the law or if y are required to obtain a workers'compensation policy,please call the Departmentumber listed below. Se ured companies should enter their self-insurance license number on the appropriate City or Town Officials Please be sure that the affidavit is complete�an printed.legibly. The Department has provi d a space at the bottom of the affidavit for you to fill out in the event e Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license nu er which will be used as a reference number. In addition,an applicant that must submit multiple permit/license app cations in any given year,need only submit one affida t indicating current policy information(if necessary)and under'7ob Sile Address" the applicant should write"all locatiorrs ' (city or town)."A copy of the affidavit that has bee officially stamped or marked by the city or town maybe pro ' ed to the applicant as proof that a valid affidavit is o file for future permits or licenses. Anew affidavit must be f e ut each year.Where a home owner or citizen is ob ining a license or permit not related to any business or commercial nture (i.e, a dog license or permit to burn leaves c.) said person is NOT required to complete this affidavit. The Office of Investigations would like t thank you in advance for your cooperation and should you have any questi ns, please do not hesitate to give us a call. The Department's address,telephoneIdax number:. Commonwealth of Massachusetts partment of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. -727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax#617-727-7749 www.rnass.gov/dia z ' THE, yo . Town of Barnstable h Regulatory Services rB AQQ ' M $ Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-403 8 Fax: 50.8-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I �Lbt)dte_Ie_ as �� Owner of the subject property herebyauthorze eg t le'velllo VQ to act on my behalf, is all matters relative to work authorized by this building permit application for: . (Address of Job) 1: ignature er ate Print Name Q F0 RM S:0 W NERP ERM IS S I0N i L ,t a .�:shatiorr llul foria>dt�uiuI �— = '• tOMe ln1?ROVEMENT Cvi.° ,;(�t ', r ` r+ �,���,e can rat►on d ete: If found t etu _tu it QUII.�tn�Re�utat-ons aac�St luUt ds t \. Regtstiatiah 148111 ; , b e ' ExpicaUcn :,9/7/2007 ' L is n }i1a.0510,8 3 ; T,/ne DBA -0s .r�.Gr'cR^07 81:t J'CTION Pr MO THY 415ASI1ER l7 RD �- �'�` r Let 3/19/2007 Tzluer 1:56 PM To: 0 7,1508790623C Dowling & O'Neil Page: 002-003 CI!6nt#: 16665 2M EAG H ERCO ACORD. CERTIFICATE OF LIABILITY INSURANCE 0DATE 3/19107DfYYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION DOWing"8&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St. PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# . INSURED !NSURER A: Acadia insurance Timothy Meagher DIB/A INSURERB: Associated Employers Insurance Compa Meagher Construction ENSURER C 49 Guildford Road iNSJREP C: Centerville.MA 02632 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWI7H5TANDING ANv REO'UIREMENT,TERM OR CONDITION 0=ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO'JVHICH THIS CERTIFiCATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN iS SUBJECT 70 ALL THE TERNS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHGWN MAY HAVE BEEN REDUCED BY PAID CLAWS. LTR NSR TYPE OF INSURANCE POLICY NUMBER pCY EXPIRATION AIEYMM!DO!Y'I'E PRATE 1AWDOf") LIMITS A GENERAL LIABILITY BCA016357211 09/02/06 09/02/07 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABII-rr� DAMAGE TC RENTED AID- qn $50 QOQ CXA MS fA.ACE. a OCCUR MED EXP(Any one parson) $5 000 FERSOVAi&ADV INJURY $1 000 000 j GENERALAGCREGATE s2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIUP.AGG s2,000,000 PCLICY FI.SET LOC AUTOMOBILE LIABILITY COMBINED SNGLE LIMIT ANY AUTO I (EaacddeN) $ ALL C%NNED AU fO3 ECGILY INJURY $ SCHEDULED AUTOS (Par person I HI RED AUTOS EnDILY INJURY $ NON-ObM IED.AUTOS (Per accident) FROPERTY DAMAGE $ (Per accident) GARAGE IJABLJTY AUTO ONLY-EA.ACCIDENT $ ANY AUTO EA ACC $ - OTHER THAN AUTO ONLY: AGG $ EXCESSAIMBRELLA LIABILITY �— EACH OCCURRENCE $ OCCUR CLAIMS MADE I AGGREGATE $ $ OMUCT16LE $ RETENTICN $ I _ $ B WORKERS COMPENSATION AND WCC5005442012006 106123/06 06/23/07 X JVL S TATU DTH• EMPLOYERS'LIABILITY ANY PROPR!ETOWF'ARTNEWEXECUI IVE F.L.EACH ACGDFNT $100 000 OFFICERiMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $100,000 fyyees descrbeuncer - FECIALPP.OVISIONSbelow E.L.DISEASE-POLICY LIMIT $500000 OTHER I I DESCRIPTION OF OPERATIONS!LOCATR')NS 1 VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT i SPECIAL PROVISIONS Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL __Jft_ DAYS WRITTEN Building Dept. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SOS HALL 200 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,FTS AGENTS OR Hyannis,MA 02601 REPRESENTATIVES. A.U'TIIOR ED REPRESENTATIVE zTI tip, ACORD 25(2001106)1 of 2 W883 L.SII 0 ACORD CORPORATION 1988 =' Assessor's map and lot number .....-+�.�.... ........................: � Bpi TH E r0� Sewage Permit number ,c, 2 Id- ���j�� g v py 'STABLE, i House number - ......................... e' r s63q. `0 iNS ALLED IN COMPLIA oNoya' TOWN OF BARNS�''A LE 5 i'. �� 'Ii ` L cODE AND TOWN REGULATIONS BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...:.....ai!O��ra ......... /, %Ml ....... ...................:.......... TYPE OF CONSTRUCTION ............ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....`:16P............. .��!fli� . �.............��/ ......................... /!d.��.f ............. Proposed Proposed Use ... 1" ./!`lt .............. .............:................................... ........................................... ZoningDistrict ........................ ...............................Fire District ........... ......................................... Name of Owne .1 �!��.... ..D. ./���t�1�.........Address :... . o.... ..��•+�i�®� ..�.. �� Name of Builder ....... .. . L 0........Address ....... .. . .. .. ..... .,. . ...... Name of Architect. ..................................................................Address Numberof Rooms ..................................................................Foundation .............................................................................. ExieriorRoofing ..... ........... ......................................................................... .................................................................... Floors ....................................................................................:.Interior ........................................................:............................ Heating .................................................................:................Plumbing .................................................................................. Fireplace :.Approximate Cost ................. ............................... Definitive Plan Approved by Planning Board -------------------_-----------19________. Area Diagram of Lot and Building with Dimensions Fee . SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS .REQUIRED FOR NEW DWELLINGS I hereby agree to :conform to all the Rules and Regulations of the Town of Barnstable regardi the above construction. 41T Name ,10 P Construction Supervisor's License-..... ....... .......... ORRER, ROBERT 26600 Build Swimring Pool No ................. Permit for .................................... Accessory to Dwelling.................. Location .3M Pk3?:3-QY.I...................................... � s ................ =t.Kvilllp................... . ................ i `f Owner ,: Robert••Q.orrer.................................. .� ' Type of Construction .... GL1xl?: A..................... t ` .....'......{. ................................. ........:.................. Plot ... ..................... Lot ................................ �t J Permit Granted ....June 201.......• .., ....1984 .. 4 Date of Inspection �.,19 Date Completed ................. .4 Z.•"...........19 h e 1� leyf i ` ' 7i t .1. yoF7NEtp�i TOWN OF BARNSTABLE P 33UNSTAHL$ 9� layM � fy DUILD'ING INSPECTOR �. J� APPLICATION FOR PERMIT TO .:...................Z:. ''" TYPE OF CONSTRUCTION ...................,/ .A. ...+ ........°�.. .: ........... ............................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: -* C The under ' hereby applies fora perms a ding to the following information: s Location ..c.... . 1.r.. ...... ...... ........ ....4. f........... ..... .... [ . ............. Proposed Use ........... ..../! . ...... ....!.. ..... ...... Zoning District ................. ............�....................................Fire District ..................�atl.!. . .................�............... ..... Name of Owner .. Q.!-'..'�"�� °� �� .°��................Address �C3 ® ►i ��`PT ��e ..... .....................I......................... .................................... /9 ....................... �� '� Name of Builder ......................................�......„............. ................. Name of Architect 5 ��`.... ...... ................................Address ......................................�.......................................... /N � Number of Rooms / .................. ..............................................Foundation ........... . �.�....�.�.......1...`�............................. Exterior ....:A04 1P:®.....�� 4 ..... x....f®.$.......Roofing ......... � .° .. .............................. �Q .�,,// Floors ................6.` .� ......................................................Interior ............c°...�... ��� ........ q.�� .:4......................... Heating .............9. :;�.... ...............................................Plumbing ...........................�� � i..'.�J�'...................... ' . "� / Fireplace ................... ......... ..............................:..............Approximate Cost .............. j.....10 ............. ` ............ ....... . Definitive Plan Approved by Planning Board ---------------____-----------19--------. Diagram of Lot and Building with Dimensions l=P e- SUBJECT TO APPROVAL OF BOARD OF HEALTH C) Uj ® , P � V) LLJ �® w- q ,�I* � : �fz,W. ass V ' iL`'- W 4, r ter. CL,tj.d ;4 Q: r 0� L E' F'' 'mot,' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... G....:"7/.:..—k........ ...... .:T.l.................. � Dorrer, Robert ' one No .���zJ�— Permit for ---- ...o ........ \ ----.. p����� f --- � .. Location --. ........................ / - -------- ---------- / | Owner ---..&b#;d. ........................... ' Type of Construction —.----fr.ame............... ` -----^--------------------'' ^ . | Plot ............................ Lot ---' ................ i / October ^ Date of " sp=`""'' = , Dote Completed ~ ( ^ ' ~ [» P(_ ' PERMIT REFUSED l� K ` � -----_--------------.. -------.'~^-----------------' 0 | ^--`----^--~---------------'''' K � � ----.---.------.—.--.--.—.—.—.. � -----.--~—.--------.------.— � . . . Approved ................................................. lV � ^ . ---------------......--..----- � , �������.............................................'.........''' � ' . | - � i i i � r .� ����•r� 53 Or pap � J t t� ' NAME ROSEIZT DO2RE9Z tog 0 FIl�. SHE" - $---a Cora Ca=r s—. 1,045 NOW I*AiNWK LE .4a OAY$P"iFKLt CO icy OARNSTABLE R AC) 14YANNIS, MASS. 02601, • .. � .-------_ If '_.�^� ��., i =•Aid -- ' *r , i o. r^ wr Trir A i T FILTER U). FT VAt,:6:+1Mi_tNV ale"aK �.x,,4_ E. zM VF P St 9. fir '. � , , °-; •�V,��,..{ r�} p t >� r, .. ,y yyyy t�fy�^�g� �1:'lfE t»'Jf,.)I'f aa)T-i t.C'_ n { t f v, ROr>E RING. Vie;, ,. � iit�l�� � r't.�)1�T' a 9 I a"CK)Vi 5ww 9L r ct.tJCK BTU. y r v r a " GASE:ltuF BY. . " e N !Y/'4 S fY.�1 l+ .7 t1y') _,.� •, TT1'���'ANf :. • f , `+C S , k ' k 6 , -T19f;:fkZ. 3014i3ifsi>, a NOTES OWNER: w jy, ..a.et":•gym+ ra++d:'c` xz�dhac,:,r.J y } , � r i ..... _.....- ....rv. ..:..-. r y 0, Vy'N E R l { f, r Gj OWNER r ` 1 P , q a� i � ! r ; jC t ,. �+ 4MING x NO GnA UNLESS SPEOFIED U N t A Emma man" R wvv 2 i,) ) Frti j . �7 N ! sa@ a�HONW PC F�di,Ji6�PENT Esti Lr-- �'19f . J E31 +-r� f Fi. MA "