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0167 PRINCE HINCKLEY ROAD
v p rt R Jet,.. � .: ,• n 5 t t � u : r , 9 • r r :a 64, r ,. � . u r .: Y ,. �, , � ,. i ,< ,.. - .. _ - � - Y� - - 9 � r ,_ .. e= o _ ,. _ � ,. ., =. i :, a � � � F.' � �.. :. a .. .- c - s ... . s x � A _ a ... �._.. ... - r 0� t a- .� C .: u a, 1 u r.. � � � _ .� .. � .' r � d _ �; I ' - it - �. t _. .. .. - _ a. e :. �� � t. �.. .. „. .. '-. �. � .' - _ .; y, o :, �, j;, o c - _ � .. a .:� ». ,. ,. .. .. �. .. Town of Barnstable HuIl��IIlng . Post�,This Card So Thaf) is Visible From the Street-Approved Mans Mtist be Retauied`on Job and this Card�Musf bye Kept „ ,tt . �. . 1' Posted.Until'Final Inspection Has Been Made ��pICIl11'Il"� • Where a Certificate of Occupancy:is Required,such Building shall Not be 1..Occupied*until a Final Inspectio�Y,has been made. ��VV 1111 Permit No. B-20-2151 Applicant Name: ANDREW SWEET Approvals Date Issued: 08/21/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 02/11/2021 Foundation: Location: 167 PRINCE HINCKLEY ROAD,CENTERVILLE r--�M—a-p/Lot172-235 Zoning District: RC Sheathing: Owner on Record: SULLIVAN,DENNIS FRANKLIN&AEKYONG Contractor N e -HOME DEPOT USA INC Framing: 1 Address: 167 PRINCE HINCKLEY ROAD Contractor License: 11.2785 2 CENTERVILLE, MA 02632 Est. Project Cost: $ 1,752.00 Chimney: Description: INSTALL( 1) REPLACEMENT ENTRY DOOR NO STRUCTURAL Permit Fee: $35.00 1 1 Insulation. Project Review Req: Fee Paid:/ $35.00 Date. 8/11/2020 Final: �-- Plumbing/Gas Rough Plumbing: d \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved appl cation and the pproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zo6ing by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road a�d shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this;permit. Minimum of Five Call Inspections Required for All Construction Work: " Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection _ �_� _• �. ,,,� 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) _ Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: ` "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �w Final: _ Town of Barnstable anhNSreet. '. PostThis Caj"d So That rt isVisible`From the Street-Approved Plans Must be Retained on job and this Card Must be Kept Shell M^S& Posted Until Final Inspection Has BeenMade. . ' •e3v ,� Registration en Mxc° Where a,Certificate of Occupancy is Required,'such Building shall Not be Occupied until a•Final Inspection has been made ;. Registration Number: B-20-1048 Applicant Name: Dennis Sullivan Approvals Date Issued: 04/28/2020 Current Use: Structure Kermit Type: Building-Shed-Residential-200 sf and under Expiration Date: 10/28/2020 Foundation: Location: 167 PRINCE HINCKLEY ROAD,CENTERVILLE Map/Lot 172-235 Zoning District: RC Sheathing: Owner on Record: SULLIVAN, DENNIS FRANKLIN&AEKYON Contractor Name''-,Tuff Shed Inc. Framing: 1 Address: 167 PRINCE HINCKLEY ROAD ) Contractor License: 192914 2 CENTERVILLE, MA 02632 } - Est Project Cost: $4,100.00 j Chimney: Description: Replace astorage shed damaged during the I ast wind storm Permit Fee: $35.00 Insulation: Project Review Req: - �� Fee Paid: $35.00 ` Date, 4/28/2020 final: Plumbing/Gas Rough Plumbing: __;Building Official Final Plumbing: This.permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within`six months after`issuance. All work authorized by this permit shall conform to the approved application and theFapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by=laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. F ; � — Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing pp � �` Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage_,Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "P sons co cting 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: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT I Town of Barnstable Building s - Post This"Card So'That ibis Visible From`the Street-Approved'Plans`Must be Retained`on Job and this Card'Must be Kept , MA nr Posted Until Final Inspection Has Been Made.' ��g17�� m e::of Occupancy is•Req,uired,such Building shall Not be Occupied,until a Final Inspect�ion�has been,made Where a Certificate ' Permit No. B-19-3720 Applicant Name: Nathan Hindemith Approvals Date Issued: 11/08/2019 Current Use: Structure Permit Type: Building-Stove Expiration Date: 05/08/2020 Foundation: Location: 167 PRINCE HINCKLEY ROAD,CENTERVILLE Map/Lot: 172-235 Zoning District: RC Sheathing: Owner on Record: OBRIEN,ALICE T ;Contracto`r Name: .,NATHAN J HINDEMITH Framing: 1 Address: 167 PRINCE HINCKLEY RD Coitracto'rLicense: CSFA-049288 2 CENTERVILLE, MA 02632 a Est 'Project Cost: $4,600.00 Chimney: Description: Installing a wood burning insert into an existing masnry firplace. k Permit Fee: $35.00 Lining chimney to the top with a stainless steel liner and cap. " a Insulation: Fee Paid:, $35.00 Project Review Req: Date; F 11/8/2019 Final: ( G' ' y Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is'co4mmenced within six months after iss ange yfficia final Plumbing: All work authorized by this permit shall conform to the approved application and the�approved construction documents1orwhich this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and-Fire-Officials-are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing F Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: E4-1 ftS L— S sib . .� Town of Barnstable Building MATtiVS CABLE Post This Card So That it is`Visible From the Street-Approved'Plans Must be Retained=on.Job and this Card Must be Kept 1 Posted Until final Inspection Has Been Made. ° Where.'a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has"been made. ` e1 1t Permit NO. B-19-2276 Applicant Name: JONATHAN M TYLER Approvals Date Issued: 08/29/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 02/29/2020 Foundation: ,Residential Map/Lot: 172-235 Zoning District: RC Sheathing: Location: 167 PRINCE HINCKLEY ROAD,CENTERVILLEm� .� Contractor Name: JONATHAN M TYLER Framing: 1 c� Owner on Record: OBRIEN,ALICE T Contractor License: 106627 2 Address: 167 PRINCE HINCKLEY RD Est. Project Cost: $25,000.00 Chimney: CENTERVILLE, MA 02632 _ .Permit Fee: $ 177.50 Description: Open Walls to allow open floor plan to kitchen/"Dining Room (install Insulation: t " Fee Paid:.' $ 177.50 d co lambbeam) remove and replace cabinets anunter tops:Sand Final: Finish Hardwoord floors. Install tile to Bath floor."Painting Date. ,� 8/29/2019 1 �llg throughout. s Plumbing/Gas Project Review Req: NEW BEAM TO BE PROPERLYSUPPORT DOWN TOA Rough Plumbing: FOOTING. Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized.by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for�which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or,road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. t " Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building andlFire Officials°areprovided"on this"permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing " Rough: 2.Sheathing Inspection �� "" 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame inspection Final`. 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: ............. APPlication Number...................... ... EARNMLE, MAS&AB Permit Fee-J......... ....-5..... 6 Other Fee:..................... s6 9. .. TotalPee Paid!.......... ............................................... I...... TOWN OF BARNSTABLE Permit Approval by...... ...................... BUILDING PERMIT Map........................................Parcel.........215.7.................... APPLICATION Section 1 — Owner's Information and Project Location Project Address N� W\1\1(y, Village CF-:1 Owners Name Owners Legal Address N\%-� '771 City I State M /zh,, ZiPq2,(,0 .0 Owners Cell # 1'7 7:Z - E-mail Section 2 —Use of Structure Use Group--:-- ❑ Commercial Structure over 35,000 000 !qg cu 1 &*G' o I D16pr 11 Commercial ' 35,000,4i(Iflet 201,9 Single/Two.Family Dwelling OF 'Section 3 — Type of Permit New Construction r Move/Relocate ❑ Accessory Structure El Change of use ❑ Demo/(entire structure) El Finish Basement El Family/Amnesty El Fire Alarm Rebuild ❑ beck Apartment El Sprinkler System ❑ Addition E] Retaining wall E] Solar R-Renovation ❑ Pool El Insulation Other-Specify_ T-�C. V..S 6-%X 1 Dff Section 4 - Work Description el, L9crf /A ge, A—IL ZLL,57 —1-0 F L.,00 A 67LL—6 L5T a! A-/A Last undated: 11/15/2018 Application Number...................................................... Section 5—Detail Cost of Proposed Construction 251, Square Footage of Project Age of Structure_ tj�@ 30 4 JZ% Dig Safe Number Q # Of Bedrooms Existing 2- Total#Of Bedrooms (proposed) Z 110 MPH Wind Zone Compliance Method F! MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics 1 .[] Wiring ❑ Oil•Tai Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ 'Masonry Chimney ❑ Add/relocate bedroom Water Supply ❑ Public _ ❑ Private Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane Yes .No - Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. 1 Total Frontage Percentage'of Lot Coverage "" #of Dwelling Units(on site) Setbacks Front Yard' Required Proposed Rear Yard Required Proposed F 6. - '' r i 111111 * .=`, Side Yard` a Required '�• Proposed .Has this property had relief from the Zoning Board in;the past? ❑ Yes . No - Last updated: 11/15/2018 Application Number........................................... Section 9.- Construction Supervisor Name �5 Iv p.l Telephone Number S S ' 3 C. �� -,R S 1 Address �_ (Q� City W T►State w\ Zip QZ(oZ Z License Number © License Type Expiration Date I ' \ 2() zc Contractors Email Ve SS a)Cc��¢2d Cell # 65'OP I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentati re ed by 80 C and a Town of Barnstable.Attach a copy of your license. 's Signature Date 60 ZO Section 10 Home Improvement Contractor Name_ To N LQ Z Telephone Number O 7 S Address, City�3, 4 q A State M Qt Zip O Z-6-7 z j Registration Number O 1p L!2j Expiration Date 2- Z-7 \ ZO Z I I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation raquired by 78'i CMR d the Town of Barnstable.Attach a copy of your H.I.C... L2=0 Signature Date �o 2 Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number. I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Si Date ?n ,mod 1 Print Name 3 �{'Number hone G Tele � M - 7 -1 S . ►� p � E-mail permit to: Q` SC co Last updated: 11/15/2018 Section 12 —Department Sign Offs Health Department ❑ Zoning Board(if required) , Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑= , : : ., Conservation ❑ .; For commercial work,please take your plans directly to the fire department for approval ' 8 Section 13— Owner's Authorization as Owner of the subject property hereby authorize ^'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 Last updated: 11/15/2018 EXISTING refrig. s EXISTING BATH. BATHNEW . 33" vanity A = 260 t SF. EXISTING..[ . R D N EW I I KI BEDROOM r: II I SEE LAYOUT P N .: ° o NEW A = 166 t .'SF I I 74" vanity - TH Y 0 E B IDS y �� — — — — 14, ° FL 0 l LAUNDRY s i - -t � =_NEW DOUBLE 1 " x 16" LVL BEAM SET ABOVE CEILING r JOISTS IN ATTIC I HALL W SIMPSON H8 TIES A = 127 t SF. {" I SMOKE down existing ceiling height Rayi table Bldg.Dept. by: 7,-6 1,.t p V@d t9 -,2 7(o �. SMOKE # EXIS71NGi EXISTING ` LIVING a► BE®R( Mr ROOM A = 197 _ A ice' i t1la f F A — 212 S NG 12 -6" �FpT 13'-7- c1. �U� 15'-2"t TQ �J9 �LY ILLa Vv\ N �E F p: w ' II -45„— 45 z" — - — f a 833 f ;x W1833L t. W3012 W1833 -- M ao a�v _ a ,iV 80342� Q w w� DT760SS �� 830RT 4DB18 i ,¢TOPS: w �� t w - r - - -_ i PHS920SFSS GREY EXPO I � SB33 TOEKICK + FA30 F330 � 3 HEATER ` ,. C-TOP: GRAY EXPO—---- 0 --- ~:a VANITY O a TOEKICK.... p A RECESS VALANCE BY 3"AND, HEATER rco -ADD TEP1296WD HORIZONTALLY.Lo 4 111 BEPWD- BEPWDco D� ._ t M Q' g BW821FHI B27RT DBRiMUD ?y j w 5� w • ` '' _RECESS VALANCE BY 3"AND ,' �^ N -39 % °' _ ADD TEP1296WD HORIZONTALLY. .-. ,n .. f 38 a o IJ w ' ,s ~ A �—_`I j u ...aljy �IJ;;;,... ?���CR'�'�T .. �,fl.�,, • `` sue_ ,• ' ~AW C-TOP:.. .. I Q C TOP: I CALACATTA GOLD V CALACATTA GOLD' IN / TO APPLY TALL FILLERS w A TO DRESS UP ISLAND 00 V TO APPLY TALL -> �0/�]�A' l 6�O FILLER AEKYONG'S KITCHEN ON BOTH SIIDESY - "`''V ,O �FBq��sT m - . _.__ µ Jonathan, See beam calculation attached.This should work ok. Andr,gs f p7 Oft40: rW- - Io t' #..frig-\.*er SY_. DDD 31a3cy ft- r _ t _ �PA t is t 4, ft !, IN 1 ''' it �• -... 2887 = e C FRv, k � r 85 nve_rMew 16.1 °t�i f�►.C� J�N Itil . Y C itt vifie,NSA 02632 �5d18;�9t3�924 � :... • aStrti�aS�uttitaii Cotffi'. cn c ti _ vnas: nauuer¢BY BUILDING DEPT, AUG 2 3 2019 TOWN OF BARNSTABLE .77:Jonathan See beam calculation attached.This should work ok. Andr,gs t} ' s CAF CfTy OF F 3rz�1 p lea ILv16 �aa — ¢ Eder'' ow u. i 201P „ L: - Furl ILI iiJr �D � 23487 m l �i ;RACE� 1 w 1 Ill}�sG pcaarT' j _ C ERVS � !' �Xi s R Sys^ ' 85 Fivei Mew f CcMmvxiie,NIA 02632 j508;79920 a9dkis1a- aii CQIti: ��ye�R i vitas �sinrrrsv BUILDING DEPT. AUG 2 3 2019 F TOWN OF BARNSTABLE Town of Barnstable Building Department Services * ELAMMBLE * Brian FCorence,CBO MASS. i639• �� Building Commissioner �Fo �s 200 Main Street,Hyannis,,MA 02601 www.town.barnstabW.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using; A Builder I, as'Owner of the subject property hereby authorize 3,0 N to act on my behalf, in all matters-relative to work authorized by this building.permit application for: VI(I ( C a�v��G (Address o Job) ® �7_6 **Pool fences'and'alarms-are-the responsibility of the'applicant.Pools -are not to be filled orutilized before -fence is installed and all final-.. inspections are rf rmed and accepted. Signature of Owiley ignature of Applicant s �� L4 "5oN�ok 7SLa �Z' Print Name Print Name -7/1 /if Dat a.' ... Q:FORMS:O WNERPERMIS SIONPOOLS Rev:081.16117 e , n - - to , 0 b (4 3 N _ . x V z z z A -4 a o y Z-K-f a I Office of Consumer Affairs&Business Regulation y 0 y c v n HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only rD 3 r z <_;o = TYPE:Individual before the expiration date. If found return to: ac,o.3 RepisEiation Expiration Office of Consumer Affairs and Business Regulation H n z C `I 106627 9 02/27/2021 1000 Washingto treet-s 'e 710 . _ % - Boston,MA 02 1 �-. M �o 'v JONATHAN M 4t,.,Y . i I X1,, O JONATHAN M.TYLER 4 67B CRANBERRY LN b v�,� Not valid without signature < WEST HYANNISPORT-MA 02672 Undersecretary; 0 c, A H • N O r The Commonwealth of Massachusetts Departinent of Industrial Accidents Office of Investigations 600 Washington Street 10 Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Bwlders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): c r Address. C.) �1 City/State/Zip: W .` N� �� Phone#: �� ".3 -I ' S-7 Are you an employer?Chec a appropriate box: l.❑ a of project(required): I am a employer with 4. I am eneral contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.P I am a sole proprietor or partner- listed on the attached sheek 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity.acitY• employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance.: . 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions required-] officers have exercised their 11. Plumb' 3.❑ I am a homeowner doing all work ❑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 most 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-contractor;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.Lie.#: Expiration Date:- Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the,policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby u er air�andp�enahla�ofperjury that the information provided above is true and correct Si store: Date: 2 1. 2 Phone#• �z5 36 7C OJf`xial 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 M Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to ' statute,an employee is defined as"...every person in the service of another under any contract of hire, express or imp led ral or written." An employer is as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing%the in a joint enterprise,and including the legal repres `'ves of a deceased employer,or the receiver or trusteindividual,partnership,association or other legal entity, loying employees. However the owner of a dwell a having not more than three apartments and who res' therein,or the occupant of the dwelling house oan who employs persons-to do maintenance,constin on or repair work on such dwelling house or on the ground �1 appurtenant thereto shall not because of such ployment be deemed to be an employer." MGL chapter 15 (6) o states that"every state or local licens' agency shall withhold the issuance or renewal of a lic perm to operate a business or to construct u�ldhW in the commonwealth for any applicant who h produ acceptable evidence of compIian with the insurance coverage required" Additionally,Mpter 152, SC(n states"Neither the commo ealth nor a�of its political subdivisions shall enter into any cofor the p ante of public.work until table evidence of compliance with the ins�nce requirements of pter have presented to the contractin authority." Applicants Please fill out the workers'compensatio affidavit completel ,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)nam ,address(es)and hone number(s)along with their certificate(s)of insurance. Limited Liability Companies(L )or Limited iability Partnerships(LLP)with no employees other than the members or partners,are not required to workers'co peeration insurance. If an LLC or LLP does have employees,a policy is required. Be advised this affi vit may be submitted to the Department of Industrial Accidents for confirmation of insurance cov be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application or a permit or license is being requested,not the Department of Industrial Accidents. Should you have any questio . the law or if you are required to obtain a workers' compensation policy,please call the Department at number listed below. Self-insured companies should enter their self-insurance license number on the appropriate e. City or Town Officials Please be sure that the affidavit is complete printed\1ehe. The Department has provided a space at the bottom of the affidavit for you to fill out in the event a Officeestigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense n ber whica used as a reference number. In addition,an applicant that must submit multiple permit/license lications inany' year,need only submit one affidavit indicating current policy information(if necessary)and and "Job Site A " a applicant should write"all locations in (city or town)"A copy of the affidavit that has b officially d or ed by the city or town maybe provided to the applicant as proof that a valid affidavit i on file for futmits licenses. A new affidavit must be filled out each year.Where a home owner or citizen is btaining a licepermit of related to any business or commercial venture (i.e.a dog license or permit to burn lea es etc.)said perNOT to complete this affidavit. The Office of Investigations would 1 to thank you ince for your operation and should you have any questions, please do not hesitate to give us a The Department's address,telephon and fax number: ' The Commonwealth of Massach tts - f Department of Industrial Accideu ep Office of Investigatio ns 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877-MASSAM Revised 4-24-07 Fax#617-727-7749 www:maw.gov/dia Lauzon, Jeffrey From: Lauzon,Jeffrey Sent: Tuesday, August 06, 2019 12:03 PM C To: jtegress@comcast.net' ° Cc: Lauzon,Jeffrey Subject: ViewPermit, Permit No:TB-19-2276 Applicant, Please be advised that the above application has been reviewed and the following is noted: 1) Design as submitted requires engineering which has not been provided. The application is denied pending the submission of the required documents.And, if aggrieved by this notice;you may file a Notice of Appeal (specifying the grounds thereof)with the State Building Appeals Board within forty-five (45) days of the receipt of this notice. Respectfully, Jeffrey Lauzon Chief Local Inspector (508) 862-4034 jeffrey.la uzo n O)town:barn stable.ma.us 1 .,,,;i,-PX;cel Detail Page 1 of 4 © xwt � Z M Logged In As: mm Parcel Detail Friday,July 12 2019 Parcel Lookup Parcellnfo Parcel ID 172-235 Developer Lot.k O 85A; LOT 526 I Location 167 PRINCE HINCKLEY� Pri Frontage;94� � ��— Sec Road 5ELIJAH CHILDS LANE .1 sec Frontage 81 Village Centerville 7771 Fire District Town sewer exists at this address ENO Road Index 1314 ' Asbuilt Septic Scan: 172235_1 Interactive Map ; 172235_2 � 172235 3 Owner Info ............ ....._... + .....:... ......... ...... owner OBRIEN,ALICE T I owner %OBRIEN,ALICE T ESl streetl g167 PRINECHINCKLEY�streetz city 1,CENTERVILLE ( state PMA �zip 02632 country Land Info_ Acres 0.41 Use Single Fam MDL-01 zoning RC � �Nghbd 0105 Topography � Road Utilities , ...�. I Location • Construction Info ..... .......... ........... ..................... . ......... . ........................................................................ ...................... ......... Building 1 of 1 Year , Roof ; Ext I" M �x Built 1980 struct IGable/Hip wall Vinyl Siding LArea 32 cRoof Ph/F GIs/Cmp Type Non— . Style Ranch wall FD all 7 Rooms.2 Bedrooms Model Residential Int FCaet Bath2Tull-O Half Floor Rooms Grade fAAVerage Plus Type rHot Water Rooms 5 Rooms Heat Stories, $tOry, Fuel lI c F anon 1Poured4Conc dips Gross i3584 Area Permit History Issue Date Purpose Permit# Amount Insp Date Comments 6/30/2016 REPLACEMENT 1/6/2016 New Windows 20160091 $17,625 12:00:00 AM WINDOWS UVALUE .30 (10) http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=11980 7/12/2019 Parcel Detail Page 2 of 4 � Visit History........ ............. . ... ................................___....._.......................:......:.................. . Date Who Purpose 6/6/2019 12:00:00 AM Colin Keohane Change of Address 3/2/2016 12:00:00 AM Anne Leonelli In Office Review 3/26/2015 12:00:00 AM Susan Ricci. Cycl Insp Comp 9/4/2008 12:00:00 AM Paul Talbot Cyclical Inspection 1/4/2000 12:00:00 AM Donna Dacey Meas/Listed-Interior Access 9/15/1992 12:00:00 AM IML 1 Meas/Listed-Interior Access Sales History__...... ___._____.___ Line Sale Date Owner Book/Page Sale Price 1 3/15/1994 OBRIEN,ALICE T 9095/21 $1 2 4/15/1980 OBRIEN,.GEORGE C'&ALICE T 3088/348 $60,000 SULLIVAN, DENNIS_FRANKLIN &AEKYON.G__ -� 3 ( 2/14/2019_ CHANG 34 37/45 $330,000 4 11/19/2018 OBRIEN, ALICE T ESTATE OF 31837/42 $0 Assessment History Save year Building XF Value OB Value Land Value Total Parcel # Value Value 1 2019 $168,500 $41,200 $11,300 $103,800 $324,800 2 2018 $134,100 $41,700 $11,600 $109,300 $296,700 3 2017 $124,300 $42,900 $11,700 $109,300 $288,200 4 2016 $124,300 $42,900 $11,700 $110,200 $289,100 5 2015 $117,100 $40,500 $2,100 $107,300 .$267,000 6 2014 $117,100 $40,500 $2,200 $107,300 $267,100 7 2013 $117,100 $40,500 $2,200 $107,300 $267,100 8 2012 $117,100 $39,800 $1,900 $107,300 $266,100 9 2011 $156,900 $3,300 $800 $1,07,300 $268,300 10 2010 $156,800 .$3,300 $900 $107,300 $268,300 11 2009 $151,200 $2,600 $400 $144,200 $298,400 12 2008 $179,900 $2,600 $600 $150,300 $333,400 14 2007 $178,800 $2,600 $600 $150,300 $332,300 15 2006 $163,300 $2,600 $600 $153,800 $320,300 16 2005 $152,500 $2,600 $600 $139,600 $295,300 17 2004 $124,1.00 $2,600 $600 $118,700 $246,000 18 2003 $112,500 $2,600 $606 $46,400 . $162,100 19 2002 $112,500 $2,600 $600 $46,400 $162,100 20 2001 $112,500 $2,600 $600 $46,400 $162,100 21 2000 $85,700 $2,500 $300 $31,900 $120,400 22 1999 $85,700 $2,500 $300 $31,900 $120,400 23 1998 $85,700 $2,500 $300 $31,900 $120,400 24 1997 $92,700 $0 $0 $28,400 $123,500 25 1996 $92,700 $0 $0 $28,400 $123,500 26 1995 $92,700 $0 $0 $28,400 $123,500 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=11980 7/12/2019 Psircel Detail Page 3 of 4 27 1994 $85,300 $0 $0 $31,900 $119,600 28 1993 $85,300 $0 $0 $31,900 $119,300 29 1992 $97,000 $0 $0 $35,500 $134,700 30 1991 $96,100 $0 $0 $56,700 $155,000 31 1990 $96,100 $0 $0 $56,700 $155,000 32 1989 $96,100 $0 $0 $56,700 $155,000 33 1988 $73,300 $0 $0 $20,800 $96,200 34 1987 $73,300 $0 $0 $20,800 $96,200 35 1 1986 1 $73,300 $0 $0 $20,800 $96,200 Photos ... ... ...... Y H i ' 3 7 3 Y http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=11980 7/12/2019 E C14Application n.umbe ...J..1... CS Fee.................. ............. 11 O , \) NAM Building Inspectors=Initials...... :. ..... ......,........., 9• Date Issued. .. .. `?� Ma /Parcel. . 1�.. ..0... ................ ........... TO" OF BARNSTABL. EXPEDITED PERMIT APPLICATION. ROOF/SIDING/WINDOWSTDO.ORS/'TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION L Address of Project: ?' (t--( . GT ✓LC, C 1C' C NUMBER S ,T` VELLAGE Owner's Name: 1Y►Vt( LL I c/Cy�. Phone Number Email Address. t U—V Ca--Cell Phone Number a, Project cost C> o Check one Residential!/ Commercial $ � U OWNER'S AUTRORIZATIQN As owner;of the above property web autho to make application for build' g p in rd 'ce with 780. CUR Owner Signature: I' Date:: 7 �� TI'PE OF WORK Idoo.d 5-We. 1450 •11- Siding :0 Windows (no header change)#. Insulation/Weatherization q P 0Doors(no header change)# Commercial Doors require an ins ector s review 0 Roof(not applying'more than°i layer of shingles) Construction Debris will be going to w„wn� - � %cY-''`- 3 f' `" S bev t2" CONTRACTOR'S INFORMATION _ ffl Contrac'tot's name Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License,#_ (attach:copy) Email of ContractoreyocES k .��Phone number �� qk7--& '3, ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 AARS OLD OR IF THE SUBJECT PROPERTY 1S IN A HISTORIC DISTRICT.`YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. t� APPLICATION NUMBER, .... *For Tents Only,,* Date Tent will erected. Re ved on number of tents total Does the tent have 'des?Yes No,, (If yes please attach floor plan:with exits marked) Dimensions of each Tent X. X X. . Additional tent dime 'ons can ttached on a separate piece of paper. Purpose of Event .Check one: event is a: for.profit non profit event . Check.one• ood served Yes No Fl a Spread Sheet of'each tent:must be attached. Prove a-site plan with the location-.(s)of each tent Fuel.source being used LP tank 20 lbs. or>:Yes No ,if yes,a gas permit is required. Natural Gas Yes No ,if yes,a gas permit is required. If food is being served at-your event please obtain a Health Department approval between:the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval *WOOD/COAL/PELLET STOVES Manufacturer# Tt>Fu l Model%I.D. OCIC Fuel Type, �fijh d Testing Lab,, -4Ln r f- Offsets from combustibles-.front I(p back N 4 left side is " right side irc HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number -Cell or Woik'number. I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the.Massachusetts State Building Code.. I understand the construction inspection procedures,specific inspections and documentation required,.by'780` CMR and the Town of Barnstable. Signature Date } I: TySIGNATURE IA- Signature, i `l/ Date 7 � NV 7WifAl All permit applications are subject to.a building official's approval prior to issuance. The Commonwealth ofMassachusetts PnntForm Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100' Boston, MA 02114 2017 www.mass:gov%da Workers.' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers .Applicant Information Please Print Legibly Name (Business/Organization/Individual): Woodstoves and Fireplaces Unitd./Nathan Hindemith Address: 193 East Grove St City/State/Zip: Middleboro,MA 02346 Phone#:508-947-8835 Are you an employer? Check the appropriate box: Type of'project(required): 1.❑✓ I I am a employer with 2 4. am a general contractor and l employees(full and/or part-time). have hired'the sub-contractors 6, ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet, 71. ❑ Remodeling, These sub-contractors have ship and have no employees 8. ❑ Demolition workingfor me in an capacity. employees and have workers,' y P ty 9, ❑ Buildmg'addition [No workers' comp.insurance comp msurance. ' required.] 5. ❑ We area corporation"and its ME] Electrical repairs or additions 3.❑ I.am a homeowner:doing all work officers have exercised their I I.'[:]Plumbing`repairs;or additions myself. [No workers' comp. right of exemption.per MGL 12 ❑ Roof repairs insurance required.]t " c: 152, §1(4),and we have no woodstoVe insert. employees. [No workers' 1;3.❑✓ O comp.insurance required,] *Any applicant that checks.box#I,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 niust.submit a new affidavit indicating such: tcontractors that check this box must attached an additional sheet showing the name.of the sub-contractors and state whether or notthose 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:=Cove.Risk. Policy#or Self--ins.Lic.#:014000500748112 Expiration;Date:never lapses. Job Site Address:. Prince;Hinkley Rd City/State/Zip:CentervilleMA.02632 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 G. 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 hereb certi under the ains and enalties o er'ur that the in ormation provided above is true and correct. Si ature: - - Date;i07 17 .19 'Phone#t 508-947-8835 Offcial use only. Do-not write-in this area;to be:completed by.city or4own official City or Town: Permt/License# Issuing Authority(circle one): 1.Board ofHealth .2. Building Department'.3.City/Town Clerk 4.Electrical Inspector"5.Pl'umbing Inspector, 6.Other Contact Person:. Phone#c_ Office-of Consumer Affairs and Business_Regulation 1000 Washington Street - Suite 71'0 Boston; husetts 0211& Home Improueme, �o.ptr"actor Registration . Type. Corporation WOODSTOVES&FIREPLACES UNLTD.�'u [ Registration: 109696 m 1.93 E GROVE ST _ N:: _ Expirations 09l20f2020 MIDDLEBORO,MA 02346 Nt r Update Address and Return Card', SCA 1 G 2OM•05/17 - ;TP �`o..i.�aru�ruF1'�n{.�i: rili4sPlly Office of ConSUmerAffairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registratio n valid for individual.use,only TYPE:Cornoration before the expiration date. If found return to: Regrsfratlon Exoiration Office of Consumer Affairs and Business Regulation, 10960 09120l2020 1000 Washington Street'-Suite 710 WOOOSTOVES&FI 'fACE9 UN LTC). Boston,MA 02118 NATHAN J:.HINDENITH' 193 E GROVE ST MIDDLEBORO,MA 02346" Undersecretary, Not valid'Without;signature Commonwealth of Massachusetts Division of Professional Licensure Workers COITT}? nsuran ,ce Info: Board of Building;Regulations and Standards " Construction-,S4etu def'I &2,F2mily Cove"Risk ln5u'r"ante CSFA-049288 F Aires;o9122t2020 POliCy# `014000500748112 NATHAN.J HINDEMITH_ � � E*Never Lapses 193 EA sr GRoyE STREEz " 781 353-2.110"An n MIDDLEBORO MA 02346 Note: Form To Request inf Sent To::. Commissioner r r � Town of Barnstable aramitor ZEV&ad I b Rectory Service o ee 6, fmmisstteaate tKASS �� Richard V�Sca- (fib $�aA� h,Interim Director 4V Building Division T®''AA/' JAN p�? 3'om Perry,CBO,Building Commissioner e►/��F 016 200 Main Street,Hyannis,MA 02601 /q���r = ti«;,iitto,,vn.bamstable.ma.us Office: 508-862-4038 Fax 508-790- 30 PRESS PRRMITT APPLICATION - RESIDENTLAL ONLY Not VaNd vfthour Red X-Press Imnrinr Map/parcel Number /72 "oL 35- Propel Address_ /& 7 i7r; l P Yesidential Value'of Works 7 1pa S —" Minimum fee of S35.00 for work underS6000.00 Owner's Name&Address_ t c e. /6 7 i,•rice /l,n e�% R� ��,n�,���al(e N( c�Z� z Contractor's Name�xr(dtern al.�_ r,�n,__ f�,,, jQ n i 4,n Telephone NumbFL[ c)03-2 --9 kz—o Home improvement Contractor License=(if applicable)��_q 5- Email: Construction Supervisor's License a(if applicable)_p ci S 7 n (gWorlanan=s Compensation Insurance Check one: ❑ I am a sole proprietor " ❑ I-am the Homeowner I have Worker's Compensation Insurance Insurance Com Name p� Ara.,r,Gur - nsntatnc� Worlanan's Comp.Policy Tr WC`t 7-8D S 13 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 ofroof) D,Rieside _ Replacement Windows/doors/sliders.U Value • 3 C� (maximum 15)of windows /O I of doors: - ❑ Smoke/Carbon Monoxide detectors d floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. ''than required: issuance of this permit does not exempt comoiiance with other tmvn depawnent regulations,i.e.Histodr,Conservation,etc. s`Note: PrWertyipwner must sign Property owner Letter of Permission.. A copy it the Home Improvement Contractors License&Construction Stpervisors License is required. r - SIGiNATURR: Q.-MVPFiLESWORM5 WAd'mg permit forntslEXPRESS.doc Revised 061313 .�` Renewal at Liaenx'#76079 Andersen. RENEWAL BY Az�DERSEN 17Z/.Z3S Cr,�#0634555 wr■ao _ wnm��r 26 Albion Road�e Lincoln,RI`02865 i.caa.rnn++iasv Phone B6ti 563 2235 Fax 401 633 6602- redml Tax m#46 0566630 1�\� Southern New England Windows,,=d/b/a C� Renewal by Aadeeeen of Southern New England - CUSTOM WQVDOW-AND DOOR REMODELING AGREEMENT' eYVI4lwVm &ice` OSR►En% oauurapaemenc eatysviftAweess:ag mez4icoae rra,Ram' 167 -fVrNIC iNCKUY. _ �FNr>:ieVi tcf=_ �A •Daly 3a- ,F /�^'���� y, p p - EM411AEdreri .ROB>Zl .,�24GO[J'/e`IAIL (J_M_►larrieTeEepAmle Numtim SOB=Y, 7S/6�/ 14i6*Teleyh..i ..ber. W73 job 94Y (Rtcl:-sou) _ RKK-Sea 'b$yu yAenr(ds)erhseene boyfj Sooinutthye arnnd\s°eeivve rEanitgylaa n.d(`C too npturracchtoasre")tme paccdordance dw/uohr thore:terms,anod oncbtiori;,f ScthetnNe W /a lteneiSaC'. described on ttie:front azid.the reverse-of' hills agreement and on file attaehed speeificaiion°sheet(s�.(c4iQedtivcly,`tliis`4lgreernent', O'Ifiist6kit-I3 CoaAo O"iiOAfi l7 Estimated Starting Dace Method of pay- �-k O Total JobAmount E ZS` f ! _ O Cash Financed Ueposk RNed ece (33Xj � _5�: ) ' WkS' Credit Cards are attepced for deposh why=maximum I/3 of the Batarice at Starc'ot Jots proiea rose(fieose,see Gedrt Cord Poymo+t Form)By signing this, eas}l tstlmatea Eongiletion.Dates A�eemeiu you aekrwwledge ti�ac the Baance az Srartof job and the Bahiae`on Substaritia{ �{ /Q GIBS; Balance on Substantial Compledon of Job cannot be made by credtc. Completion of job. card and must be made by personal check bank check ar lash 4, Bu er a y ('a) grew at}d anderstaads that ehrs.Agreement eonadttntes the en���e.nnderstaadmg,between:the parties,and tbat" there are no verbal nnderst'an d>ugs chaagtag any;of the terms,of thu AgreementBnyer(s)acknowledges tl><at Buyer(a), (!)has-read thid:Agre" m sfehiarenenadLsvdt he rmA e a completed,signeel ;and'dated copq of flue Agreement,ioeinding the tiVo'attached Niotrces'of Cancellation;on the,dii'first wefttea'above end(2)_was orally' informed of Buyer's.right to cancel this Agreement."DO NOT SIGN THIS CONTRACTIFTHERE ARE ANY BUNS SPACES: (RlFode lalaxd Sa/aa On[yJ,Nobce=to Bayern(I}Do not saga this Agcecmeat>f any of the-spaceia intended for"the;agreed:terms: to the'eiitent of then available informabon'are left blank.(2)Yon are entitled to a copy of ii",Agr ,!zi a*at the tune you sign; is:(3)Yon may at any tame pay off the full unpaid balance due etader.'this Agreement,;Bad m so doing you mar be`entitled:to, receive a partial re6afe of the 6a and inenr ance chare 4 The isl no eight t .Ymon wmfayll cya.enceel t.:you:r. gprree�mmi6esgs % ahisAf-torcommtanybreahofthepeacetorepossesgods puhd under"Agreement.(s) if it It"not been sigiaed.sit the theta oti&ce or a branch office of the ell pri vided you notifgthe seiier at Karl or her inaia' office or-branch office.showa m'the Ageeetthent•by registered or certiSed mail,whtchaEsll be'po4 i d not,later rhea aadnigl►t; of the thud calendar dayafter the day oiz _' ih the buyers+gns•theAgreementy acclndiei,Snnday and:any boh_day on which' regales mail deliveries afire not made Seethe atxompaoymg aobce of cancellation form for an taplanatioa of'buyer's rigbN:, Buler(s) eceived the consumer educadoii materials provided by the Rhode island Contractors Regisirauon Board ,(Buyo's linnets) Renewal terse o thern New England- Buyers) Buyer(i) .. 4 jpatuij ctif j?rodtict iVianager Signature Signature: z� �>/it-�S •tit Pr�/cam oB�%en%' �� Punt i\ame of product Qfagager: Print ibatne Pnrit dame z. YOU; THE-BUYER(S), MAY.CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO htlDNiICHT OP:THE THIRD.' BVIlum3 DAY AFfBR.THE DATE OF THES TRANSACTION SEE THE ATTACHED IVOTIEE OF CANCELLATION FORMS..; FOR'AN.EXFIe►NATION,OF THIS RIGHT NOTICE OF CANCELLA ON. NC ICE'OF CANGEu erenu }` t thisf Transaction =/� y` .You mar cancel I Date.of Transacbon /a- / You may cancel this trarisaetion;without-,Any perialty'or. obhgabora,witlnri t this tiansaebo,'n,with am penalty or obligation;within three business days from the:above date.I/you cancel,airy three.busirtess da)rs from the above date.H you:cancel;anyr Property"traded in.ally`"payments mada.by you under the I property traded m,ally payreiete�made 6y'you and ' the Contract or Sale;and'anp negotiable m;frument executed 1 Contract or,Sale,and:any,negotiable-instrument executed by you+will,tie returned witeln ten business days;foUowitig I by you will tie retumed withimien.business days follovrtiig' receipt b)r flee Seller:of your cancellaton notice;'artd"airy I receipt by the.Seller o/your`eancellation notice,and'any security interest arising out of.the transaction will be security.,interest arising' out of the'transat tiort will;be canceled.ltyoy cancel,yy-oo_u must make available_io the Seller i cancgled.if you cane-1--u must make available bo the wile!" at your residence;m substandalfy as good condition as when I nit your residence,ln-sub_standalfy a;good condition as when received,any goods delivered to you under_this Contractor I received,any goods delivered to you under this Contractor Sale;.or•you rnay,tf you wish,compfr with:the instrticdons of I Sal or yoy may,if.you wish;wmply with the.instrucEion`s;of the Seller regarding the return shipment of•ehe goods at tiie the Seller rogarding the rewnn shtprrient of the,goods at the! Sellerrs'expeuse aced risk if you do make the good-a awadable X Seller's nee and risk.if you-1"melee the goods available° to the Selfei and the Seller does.not pick"t€ rn up withiin to the Se�rand the Seller does not pick them up within+ twenty, of the date;of cancellation,you may retain o"r I twenty d s of the data of cancellaton,you mar retain or � d _-. ay dis�ose of die goods;without any further obhgabon tt you I dispose of die goods`withotit any further obligabon.if you fah to.make the goods availabie.to tree Seller,or.if you agree I fail to make tfee goods available to.the Seller,or-it you agree to.return the goods to tfie Seller_and tail.to dci so,:then you 1 to retum the Cods'io the.Seller and fail to do so,then you ►emain liable for performance of.all obligations under the 1 remain liable for performance of all obligations under the. Contract To cancel this transaction;mail or deliverei signed Coritract:To cancel_this transaction,mail or deliver a signed and'dated copy-of this cancellation notice__or arty other 1 and'dated copy of-this,cancellation,notice or any other wrtiten hot iceior send a t�eiegram Oo Renewal byAndersen of I written nutic_;or send a telegram to Renewal byAnderserh:of Southern New England at 2 AlDton Road;Lincoln;Rl 02845, I Southern New England at 26 Albion Road,Lincoln,R102865, NOT LATER THAN MIDNIGHT OF _ 11=/7-/SS.. ( NOT LATER THAN MIDNIGHT.OF (Date). I HEREBY CANCEL.THISTRANSACTION. I HEREBY:CANCELTHISTRANSACTION, I Burarti siratum. -"t Naini 'Oats. euriA tiyiatum, po t Kwm Date tibA Copr.White Buren Copy:Yellow Buyer Copy:Pink: i nu Town of Barnstable *Permit# Expires 6 months from issue date ROMA" : Regulatory Services Fee i Thomas F.Geiler Director QED�AA`� Building Division Tom Perry, Building Commissione 200 Main Street,.Hyannis,MA 0260 -PREP: - w Office: 508-862-4038, OCT Fax: 508-790-6230 ) � EXPRESS PERMIT APPLICATION - RESUD Not Valid without Red X Press Imprint ' dap/parcel N=iber l ?roperty Address Ao c e- 0 B4l F.Al T Residential Value of Work 0 0 Minimum fee of•$25.00 for work under$6000.00 owner's Name&Address /&7, H�xk(IX AD -, V/C-C,6 Contractor_s_Name . y���L Telephone Number y /� ------ --- - ------ ---— ------- Home Improvement Contractor License#(if applicable) ® (9 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ahave Worker's Compensation Insurance Insurance Company Name PTLAN7-!C e If&R7 F,4 Workman's Crimp.Policy# we q3 co 0 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 0 Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,.etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home License is required. Signature ` ��1 Q:Farms:expmtrg Revise063004 TYNDALLA00FING LJ� �ccs f o,uy proposat (508) 420-4456 x Page'No. of Pages PROPOSAL SUBMITTED TO . t PHONE DATE i at_; C .STREET JOB NAME CITY,STATE AND ZIP CODE JOB LOCATION 1107 JAR Nef RP, ARCHITECT - DATE OF PLANS: JOB PHONE K' va'GCf; La �W7 �9 We hereby submit specifications and estimates for: 1J6USF 9- E79 " D Furnish and install new Class-"A"Roofing as Follows: A. 'Strip existing roofing and remove debris. B. Check all boarding and nail as necessary. C. Check all flashing. D: Install aluminum drip edge. UFt�l7 E. Includes ice and water shield to be adhered to.roof 18" along entire lower edge of roof to prevent ice leaks also around chimneys;skylights, roof stacks,and oof valleys F. Apply shingle under layment- ("felt paper): G. Includes new flashing around all roof stacks. !=?Ww-6" CULUR H. Apply customers choice of shingle. T I V;rrn W60 b SCAP 1 3 D"�r/1• ' 1�R C'tYi TACT�f�¢L I: Apply continuous ridge ventilation. 02 - Li4Y " CAN s1tF,6 w;T% 14 fb trf UE/Ur Any unforeseen rot that may be uncovered during construction, the owner will be informed and made aware of the'extra cost. P� dollars ($ O. 000-106 t ayment be made a;follows: ,/ . v All checks to be made payable to TYNDALL ROO ING All work to be completed in a sub- stantial workmanlike manner according to speclfications submitted, per standard Authorind � practices. Any alteration or deviation from'above specifications involving extra Signature costs will be executed only:upon written orders,and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or Note:.This"proposal may be delays beyond our control. Owner to carry fire, tornado and other necessary in- surance.Our workers are fully covered by Workmen's Compensation 1nsurance.. withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL The-above prices, specifications and cond i- `^ tions are:satisfactory and are hereby accepted.You are authorized to,do the work as specified.Payment will be made as outline above. Signature_- -._:P! ` •: Date of Acceptance: Signature i THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) A , 11-1 I m / IL DATA 7 � .?gyp TOWN OF BARNSTABLE permit xo. ______-____ i { »n.0 Building Inspector � rua � Cash ------------------------- �Ow t6Jq. jr 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 REQUIREMENT$. ................................................. 19 ...._ ................................................................._........................................_... Building Inspector L— or—Ist(" l UQ.TA v�' , "� f- St�.IGL� trav�tt_� - 3 �t�tzr�oNc S7.. ►,10 GAIZB,0Gt= bRl i�7D�3Z t>&1 u4 t`LAMA./ : t tb 4 '3 = 330 G.P•v -S-eEsrl c T�t IC = 330,E t5o % • d�S 6:t?o. --- - us�- t o0o E„4L. C�XtSTt 1.ar LiN� .�� ?LAW 8aP4 ao41/2z. A� ;2tSPaS,a,L toc)o G&J-. STGWA L A1ZI✓A = t5o S.F. �rL \� �-yZ4• 2.S • 7S Cs•P.D. ` TOTAL 'D 6Sl6Q = 42S —r&L t>,&l t_.`( Ft..04v z 33D 6.1?D. p `i�•c `o p�,�r ro�r.c PtWC-DLQTloQ tz&rE : C iw 1-m i o• Otz L--%. iuND/tTlDM f9: 0- / �F Jr e v .r Top Fwo LoQM Q P.vE t000 ilh/ 'A S1J8S0►l. ( Pwa ���- IL1/. GAL. qlA? "Box 4G G Sc-Qnc I o r F luv t 5 t►tv. FW4 ,-A�e►c r.h,,� 1000 Q&.o J.iv,f� t_.GA. q�•Z q�'� ':. VP T . t � • W i T�tJ •i � lVLtf►I�D � � Mom. STou6 QOrp +'A►'b /o /.o' o C.S TtFtEL7 pLd-r PL.QU toCAT101.4 �5L1AU5 AT M Jl•7/S'o LGtvriF,( THAT Tt4F-- 1-vu0t>A-noN 5"oww A Rrpv-_-V-E►.iGa t4V-.Qt=L5t.1 60&%PLYS \,l/ITI-A T►-i` A1.1-6c> SETLl ACIG I;GQUII~E/vtcuTS OF TNf= To w u Ov- sAv4ym CJA7G .� Cj C I.tY� IQC-. t2EGlS tt2i=D LAWC.) SUZvEyov-S T1415 PE-AW 1,S WOT U2ASCLa V" AN 05?EZV%U 1-- o MASS, IIJS("l�tJ�triC=W� ��Ut_�/t,�( � Tt�L- UFt-:���"�, S►-IGWL•� �}.�Iat_l C_At�.JT _. '.� >r- t✓c �,1•;�c 1, r�, t�l=_t�r. tit t Lca c' t_t I.l; •� -------- (,.Aa E• '�MAu.. �uC.. ��.: J� �� �Y i �� °.9 �� C ��a � � � � � � �. j � ,� �- �. �� _ - t i Assessors ma and"lot numb, r. .........1....../............... C� �FTHETQ SN011Vjn Sewage Permit number .. ......../,J ............................... f GNV 3p0� �bl 3 0� N , �� • 3�N"7dWQ� M House number .................................. ............... .............. 039. TOWN OF BARNSTABL�"' ���►s BUILDING INSPECTOR APPLICATION FOR PERMIT TO,�6 . TYPE OF CONSTRUCTION ..... <: :.................................................. ..... ...............19�I..[J. TO THE INSPECTOR OF BUILDINGS: The undersigne hereby app�liaes`for a permi ccording to the following information: Location .. .... ....... . ......... ... ..... .� � ............. Proposed Use ZoningDistrict ........................................................................Fire District .............................................................................. Nameof Owner .......` . ................. .....................................Address .......... ............ ....................�... Nameof Builder F....... .....................................Address ....... ........................................................................... .Name of Architect ..................................................................Address .................................................................................... Number of Room .......................................................Foundation ... .: ..........e ,& Exterior ........�. ................................................... '.. .. ...`....... .............................................Roofing .......... ��- - Floors !` Interior ......... .....::............................................ Heating ..... ........ ..... . .... ...............................Plumbing ... 1'.......... ....................................... Fireplace .....� �FY.... . . ...............................Approximate Cost ... .( ................... ........ Definitive Plan Approved by Plan ' g Board ---------------______-__ .../.� ,� ------�9--------. Area ....��. ................. Diagram of Lot and Building with Dimensions. Fee. . .............. ..... ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH Q I hereby agree to conform to all the Rules and Regulations of ATooBarnstable rgarding the above construction. Name ............................................................. (SMALL, ALAN ! No 2 0 9 Q.... Permit for 01le...S.tQ.r.y.......... ......... Family..Dwelling............. � location Lat...#.85A..1b.7....Px1r ce"Hinckley Rd. 'r Centervi.11e.................................... Owner .Alan...Sma.l1....................................... - t Type of Construction ....Yra,me......................... 'Plot ............................ Lot ................................ - Permit Granted ...A r il_ 3 i................19 80 Date of Inspection ............... ....................19 Date Completed . . i .................19 I a 1 PERMIT REFUSED ................................................................. 19 Lis Y ...... ................................................... ?:Y.� �................................................... ..... . ....... .�,................................................. o Approv il?) ..�. ..... 19 ... . ........ .......��-, ........ . .............