Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0008 EASTWOOD LANE
� EAS�I�/o�� ��t2� � / -- - \ CAPE COWiti Off INSULATION P, o I ,f "A' - IIYEN 0LAY3 SLAML[33 SPYAT FOAM 7U31[NDED YAKS 00REY3 INSYLAi1PN C1I1IN03 - - 1-800-696-6611 Gtt3 Town of Barnstable RegUtatory Services Building Division 200 Main St Hyannis, MA 0260.1 Xr t Date: /9 Av Dear Building lnspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. perfornied &. completed the insulation and weatherization wprk at the property listed below: Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by'a certified Building Perfgrmarice.Ins titute (8P•1) inspector. All work,preformed meets or exceeds Federal & Mate Requirernents. Property Owner Property Address Villag)e Ph,I/p XARE.� 10A&A, 41 S—rWa6 o Ce Insulation Installed- Fiberglass Cellulose -•R=Value Restricted Unrestricted Ceilings • Slopes Moors Walls ) ( ) ) ) ( ) Sincerely He ry L Las. dy Jr, President (' eC.o i dlt � � nlati o Inc TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map. Qq 6 a D S�� p Parcel App i`I cation # Health Division Date Issued Conservation Division Application Fee � V Planning Dept. Permit Fees Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Stree Addres 6r, 6 Village Owner I` Address Telephone ,Permit Request COAL k/AXW A M c6y#7 �b IZo afw WM5 ::Square feet: 1 st floor: existing - proposed 2nd floor: existing proposed Total new :Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type VV ��Tp Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family V./ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing ' new o a Number of Bedrooms: existing _new a Total Room Count (not including baths): existing new First Floor Room CoWt fo Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other -- Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: W-Yes ❑ No Detached garage: ❑ existing,, ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes YN 0 If yes, site plan review# Current Use r Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) b Name Telephone Number Address Ul% License# V v b rYv Home Improvement Contractor# Email Worker's Compensation #w11 ��jZS 61 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WI L By TAKEN TO SIGNATURE DATE a FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED 4 ` MAP'/PARCEL NO. t ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION w FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL CAS: ROUGH FINAL FINAL BUILDING r DCLOSED OUT ASSQ(W,- ION PLAN NO: OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at g ItAs T woo D �-11 (Property Address) e o►T cv, (Property Ad ress) hereby authorize G A Pt COD r,.I O / (Subcontractor) an authorized subcontractor for RISE Engineering;to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signa bre /Z,7> Date V � Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-100988 } HENRY i C CASSI10 ;. 8 SHED ROW Csf WEST YARMOUTH 2 '7 cs, s Expiration Commissioner 11/11/2015 4 , t U. Cl ��ra.a<rc/�!•IFJI,f��J i. t.111i��� c)) �_,i.)C1tiliCTlt;l' .�(1•�lirti �lr)i113usu]�as 1��.�;t.11�l(i'< li { i 10 I' 1.1h l?la4i Suite j 170 1 Boston Mtts54t�ll�lactCS U"1 l b 1 Home e 1111proverile.flt (:011Crutor RegiStl'iltiorl i 1 R .)islralic�rl: '1535 6'1 Tvped F Iiv�.itr; C o11..)C)rcltrl.)11 k.xpir,alian: 12/1`)/:'''b 141, I'rtf :iau�l 'I'I 11 )1-) IN iI..JI. A ( O I N, INC I I\'I Al\'l )(.)N hlllt:'I...I f Updalc,`1dtlrc» and rulw'll ('Ards loll c Iviouu lilt dliluvr; 1 lddress Rtncwnl 1!:nlplu}ulunl I I Lu,l Lord 'l ni \lLuu .1 Ito li)t ys t eil,,uhlllgll LIccIISc U11 b151fdlIUl1 1'illlll )llr ilidiylllij) ItSc oil ly . d , 'tj ri Ir lil I 1 11: N I (:C)N t hA(_ 101� I •lu c.lhc crl,ualluil dale. 1C luuutl rctill n tu; }F h;•,"u„hv, I',`,i!:,r.i% l Yl)e 011iic ul CL-suinwr Allitirs uutl tSusint s kcN;ulullV/, , F'I I tll4 l orpurralual 111 Park Pl,rc,l-SUIN 500 y liuswI1,6'1,1 U?116 l lutlui v l t t'1ni 1' �74i1 t;ll y I't F1'I1hi) I will The C,orrzmorl�vealth 0f111'assuctruserts Departrrrent of 1`ndustrial Accidents ( 0J)1ce of Investtg4tions i -- 600 Washington Street 130Ston, MA 02111 www.rrnass.govIdia; ��U1'l:orS' LuYnxyY r� OtttY�tt iIusu anceAfid;atvit: t�ildeY�/�C�Yt ra�� ars/.I )tecVrd� t 31 'YaYYYY�cr,4 t il,t.,u1Mt llY911Y Y1.11�&tYdYYY ,.ttti� �11u;,,,cy:;/Orbalti�atiotc/l.udivi<itktl '. r/�' %'� ,� ' it �- — Phony - j ej1q)1oYei ? t:hec is the 41pproprjAre boY: T ypeCpru�e t (rt:clnxirr.d): I ,ut, a cltt llUycI' W IC.11- �� 7 4 ❑ I au7 a general conaactor and I 1 ,:iuplugL:cs tir11 alzclsof al-t-6me .- have hired the sub-conrnactots ew consu-faction l proprietor uc p4mier- listed on rho attachcd sheet. enioclCliiab ,lip a-nd havc C10 clliployee;x These sub-connectors have l &. Q Demolition wutklrid for ntc La a:tay,capacity. employees and have workers' woikcrs' comp. insurance tramp. insurance.t 9. ❑ Building addition We are a corporation and its 10.❑ Electrical repairs or additions (J I .un a hornao�":ier doui ig MI work ofiicet-s have exercised their ;1�(..,[❑ Pliu-nbing repairs or udditions lily-ictf. [No worlcurs' camp. right of excniption per MGL iu:u„anG[ r u'cqu cd.] .r C. 152, §1(4),and we have no 12,0 Roof repairs �J I ant u hcuncuwncr acting as aemployees. [No workers' 13. OtheY !tea .5µ.� ,%' r t:ul.ltracCgC (rctc:r Co >$$4) ` Gonlp.insurance required-] that chcc" box l l must also till out the section bcloW showing IAclr rot crs'compensutiotlpoliey infonrLudotL. - t(�IIIGU«IIC{)Who Yubiug Uliz rt.ttl(111Y1[ [zaiciitLng Lhcy lifc doing all wotl"nod thca hirc out3idc conlr,1ctor3 must submit it new utb1Uvlt IL1 illCtltllr�l,'YUcl1.uuu.:,ucy u�L yhc k tails box cr,LLLxt ucucc hcd au ndditauuat sheet showing the¢tuna of the sub-coua-Actols anil uato�vhcchcr or not dloxc culitica fwvc y,i t• li we sul,-u„,truu:furs 11ave employees, they must provide their works,-3'comp.policy ullLubcr. s t,err err urit,ldycr Brat l t prt�victifrr�,r' ►vufkers'<orrrperrscttion iruurunce for my errrployerx Vdlow is the policy acid job site iu:7u,an c l.:untptuAy Nuia]c: I /r1 Z Llc. ff: / ,,.'�,/. /� ✓�) . / a �/ Exptraticla Date: i�!i?1tic.Alldl'c�tY: O� , L " W �l \Hl: a �upy of Ole rYuck,er3' cotrnpicusadout policy declaration page(Showing the policy utrrnnber and expiration daw). I litre to se.urc Govcfagc as rcgt.tircd u-nddr Section 25A of hIGL e. 152 can lead to the unpoaition of c1-41ai1a<11 penalties of a liu�t,lr tt,S000-00 arlcUcar Katie-ye'ar imprisonment,' as well as civil pcaalties in the Form of a STOP WC)lZ-C ORULR.and a tine of up to S-LAWO a tray against the violator. Be advised that a copy of this statement may be forwarded to the Offic; of In�csnyluons of Cl1G DI Iur U] LLtiWi C COV fit t'. VNfl1`1CatlOn. ! tin ncrrby i'crfrfy!, nctlt'r llrc �c 4,ad penaldes of perjury that the information provia!ed awe s true and correct. Data tldiii,c/arc ualy. Do noll write in (leis area, lv be completed by6c4 or town affrcial -- - city l,r 1'orr'tr - - .• Perrtlit/l.icense# - ltsulllgAuthority (circle oue): - t.tto rLi ul Building Depurtu eut J. CitylTowu Clerk 4. Electrical lu5pector S. PluinYt111Yg' ltlapector , outuLI l'cr)U41 __ _ Phoae . �. — ► CAPF-COD-27 MYOUNG ':'k d (.,11'/.,•d � � , CERTIFICATE OF LIABILITY INSURANCE. un n INmrnolrvrYl 71U11U 13 tat l ll IC A l i IS 1S$UED AS A NIATTER OF INFORMATION ONLY AND C014FERS NO RIGFITS UPQN T I I CLI:711=1CA1 L IIOLUER.1'IIIS t L.kIfFI:Al'I_ DOLzS N(D I' AFFIRMATIVELY OR NEGATIVELY ANIFND, EXTEND OR ALTER THE COVIERAGE AFFORDED B THFPOLICIE-S Llkl-(JvV- MIS CERTIFICATE: OF INSURANCE DOES NOT CONSTITUTE A CONTRACT QETVVEEN ThtE ISSUING INSURER(S),AUTHORIZL•D KL I'ftf.iSLNTATIVE OR FIRODUCI R, AND THE CERTIFICATE HOLOCR, u:u'uR I AN I': If (hu Cul tillc.aLLT 1101del Is an ADDITIONAL INSURED,ilia policy(les)must be endorsed. If SUF IK0GA`I*QN IS VVAIVI D,�iuUldcuu uIu Iona:, .nliJ candrLiana c)f tllu policy, curtain policies may require an.ondorsenLant. A statement an this cnil'il`icate dpea naL CO-Id\J1 1191115 fulfill �,nlilk:.IlU IWltfur in lieu L1I;IICh GI1dQf5rJ1'11UIIC�B�.. - � .. '. L.":ull:iu M i1C..S 14062 -T CONIACI NAME'TMar aret Yo L119 _ lilsktIV11r.0 Agvncy, Ir1C. PNONI F1��. :11 NW I.Sa _ _(AIC o Ea'uth Uenul;,.IVIA 02660 k•MAIL AooRI! myoungL@rogersgray.cold ' INSURERS AI'FOkOINI.i COvL31tf\6L NA144 _...:...._._..........._._ A___ ______-INSURER A:PEERLESS INSURANCE_ COMPANY INsuP,ERe:COMMFRCE INSURANCE COIVII')ANY ,,I- GULL IIIaUTALI01I, Inc. INB1ll1ERQ:Evanston InaL1l.aI1C0 C01111ar1V ._,........ III 1-W,krl.lon oil C.I uvsuREleQ.ATLANI-I(:CHARTER IIVSUIi.ANCI; Ci:QUF' >uutll Yarnlol.l(h, (VIA 0"66<I' NSURERc.�^,_ — -- - _...._.JFn...:..:.............___.__....,__._..,.-...._....—__..-._._:__._- ..,__....._-�. INSUR@RF: "...__.......... ......._...._..- ...._...-.-._.-_-_.__._..�._.._.......�__..- —..___.._..-...1._ t'i:a .1c;t.', Ck:h'rIFICA TE NUMBER: RIzVISi(DN NUIVIOCR: c tit '.:Lk III_y I'I IA 1 I 1(L POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED rU THt;INSURED NANIE0 ABOVE FOR II11 F'ULIt,Yl lltl00 l,;ult:PlU l.) NU I'VA 111STANbING, ANY REQUIREMENT, TERM-OR CONDITION OF ANY CONTRACTOR OTHER DOCUMF.N r 1NITH k!1=SNEic l IQ vvlrI1Crl L1113 :ICII;I\AIL MAY GL IS�1P_O OR MAY PERTAIN, THE INSURANCE AFFORDEQ,6Y THE POLICIES 4l SCRIBED HEREIN IS'8U0JCC"r TOAL.I IHETCRMS, C:UNOITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. A — _ I]pl'.SIJE]R-"'.._..._-_ i, , lit t tJI IN riJI'U>NL E ICLSI. .kYtQ ...LINIII S. ... _.....-_. _._.-._.._ .-,.,,,-_.-.. POLICY NUIIaL-R Inp1Y � A MIO 1 _. 404 rtrU..IJI{tJlLll\ � --_ .�' .- .-----.•.- --,_ EACH 0CCURRLNCC $_....._ I DAMA'_QF TO'RENTI-D ii ! A I,,gtlhlhl(L:FU_I.FNkhAL I.IAUILI'I'Y' GE3P82fi3063 411/2013 41'l121114 NI3CmI:Ls 'u u....i nnn,;a L 'IOO,000 w1',MAUL- x. o(:(:tltt _ :., ;drM1; ML:,O . ......_.. - . ._._._. ._._.._ PERSONAL a,N)V HWURY it I j - CifNERAL AGGRCQATIG Y Prc�0uu1,,•coml�rul�AVC a 2 UUU U00 r,;."d,Lt,r1lal t.IMll{\I't'I IkS('L^R. n n C gMDINt fi SINGI l lIMl T' 1000,00 -- — ----- VrdVUiL!LlAG1LIIY' - 000 13MNIBCKVMK 411I2013 411120-14 UQDILY'INJl114Y(Parpulsu(l) II u•,VIvt.A.I X SCi I6UUL1-'D 1100ILl'INJURY(PUI ut,G(1041l) $ NRUIV,p'1?AMAG. ' Al IDL' - N CIN�IWNI:U - NLN 1 A I ua 1 US X HU _=._11 U r111 _.._ ------------- unllmu I A I:.IA tl cul� ." VACI-I OC.CUI.RENCL 1 I UUU UUU t'. LIAu LAImS-N1Anc XONJ4535.12 11.1120'13 4/1/20'14 AGGI:EGArC G 1110UUU I n!u I X r.E,lt=NnuN� - 10 000 : . _._.. 0.11IY Tl l tNR'i .A'nOV y1�a,11 1Is11 L.. t vu ull't UI L.125 0At11LIlY, 9t � J _ 1,000,000 ". n:n rtic li,nlV AltINQ"OLALC U FIVE Y 1 N WCAU0525904 6/301_0'13 61301_0'Id k,L.t AL I I Ac(.iuf:N1, b I l ti M1It NIFl t=1l C\(.I.UDI I.I'1 I I N I A __-._.......•_.._........_.. I Q��iQ�O alwlw IUI;In NLI) E.L.OISL"ASL-17A I:MI'LOYLI,. S „moo,uu�urnlvt - L.L-L)I$FAtik t'OLIL.I LINIII Y . I UUU UUU ' Ir:i.Iiil'nUN Or:OP'l=1tA I1 C.11`Ib bglUw ...._,.-._.__._._ .._ NUNS I I_OCA(IONS I.VCh lCL:kS (Atmoh ACORQ 101,Agwlm,ol li.w rks Schutlulu,If Moto sNu,,c Is icyulfua) ' - - ."v,�i nor C,�nlllc•n�:atlQll lrjcludo,i Officurs cir Propirletol-5. iFicatcJ hloldUr. !A(ldin�ual Irloul1 Ld sta Lils Ito pruvidad under'thu General Liability when required by wrilteu contract or agreement with thL:Coct CA ELLAIION _..._..... L::.ii I I I IL:i;1 i- I I O L D F I� ---_---=-_— _.__.. __. .. SHOULD ANY OF THE ABOVE DESCI;IQEO IaC)LICIES Of CANCI:LI Cl)t)EFQRE THE EXPIRATION (DATE YI-ICRI QF, . IVOTlc.k VVILt_ UL DELIVEIiEo 1N LIJu Cod Iiaulallun, Inc ACCORDANCE WITH THE POLICY PROVISIONS. - ©'1917E3-2010 ACORD CORPOI:ATION, All rights rl truutl. LIIIu zj(`0I U/05) 1'llo ACORD nama and lagu are registered nlarlts of ACORD of `own of Barnstable - T V j��� �`� � n u s f,-r� rr::e r%,fr i A` _ I'Vii J Fee \ ot7- x° Orr,us Gei%er, Director ATE•]MA'(�''� - Division Tom Pe ry, C-080, Bui.diri;Cernirrissioner- 'i? zet• ,'-Ir rFra,. f� v72JJi OT ce. %4i3 862-=CF1 Fax_- 508-790-4230 E::�s: It S' P :��>zIl'. FFIIC x t }\ RESID I C� r1 ' Uf Y rlsin!�rl,•'le:it Reif Y p e s In:�r of . 6,3 Addres, � J ��/�4 � . - -- '_iFl:.'it..:e. J�.nt, s \arr ,,: C r2Ss �orira i r J' ?4iar. rr'iCao SiapervI'so! Licer«s,,-1,; 1p!3 c 're? 70077 !°s Compersa<lon �P — --- a sole(:r ool'ie Ur F haw, 'Norte. C mce,:sa.;c:! il;s :;srce �® se Co!-r_Farny N an e /VEGU �� j_>� /E.�_u/ ®�n/ 84 Copy of:nsuraliu Co-T;r,.ai`1CC Cer"tif!Me TJIJUSr QCCOn1 i71ny er ch Permit. �'7QU St (Chef. UX; ?U--UOj hr!rf1 2,I1� 7731rEd� jSiflPp:no Ui0 s!i)f1 )ESl All C6TSffUC6Un G;i1riS wJiE be id if it to J Re-roc.'(hurricaa T!r2fiCdJ,�!70f sir;r pir 30tflJ 01' " Ro `3`f'L'IS Or r0 fist. on i r D. ..] V r'Oft�COrS _(. CP} .`GCB re,lC :Y!^Q'JLV;:d00f5Ja1: <5 -lr at 1 nJ f_1aX uut�;e: iSS!3J":0 Jf GliS 17Gt au C t 5 x cxvri ,�Ogt�t..u....,r O! .'F...'� r - - . _ / !-:. ;(it h�"iC;�; -7E:f:gl�tt.` - ..... ,.1__.5,�„IMF-ope:.v' Own,ar t.eticro Pefr7.aSl�Jn. CJO Ur .. .�, .; . .. � U' iL'Cf10Q SlljGi'Y1SO;s �� 1C2tiSE15 ,T'TE: The Commonwealth tof Massachusetts Department of IndusNal Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.rnass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers „,Al p cant Information Please Print Leaihly Name (Business/Organization/Individual): 0 M�s Addres &ce,:5 CerrV City/State/Zip: Gtl�1 �o - 3° Phone#: � Are you an employer? Check the Appropriate bo . Type of project(required): 1: I am a employer with �ti� 4. am a general contractor and I 6 construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. emodeling ship and have no employees These sub-contractors have g• []Demolition working for mein any capacity._ employees and have workers' 9 0 Building addition (No workers' comp.insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their I LM 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"Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. who submit this affidavit indicating they are doing all work and then hire outside contractors must submit-&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.It: W D -( 7 3 6 Expiration Date: ` Job Site Address.• "+ City/State/Zip: �4 �1 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 ptnaalties.of 4 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I de hereby certify under the airs and penalties of perjury that the information provided ab a is true and correct. Signature: Date• ® ` Phone#• brcial use only. Do not write In this area,to be`completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Office of C011sumer l$usigess Regulation 4 A40ME iMPROVEMENT CONTRACTOR Type: ry, Registrafton: :_i26893 C s" = Expiration. 813�"072 supoment The Home DePot i: a ®:Services 2694 CUNiBERi.ANL?pAR1VAY S q" !' GA 30339 Undersecre Y License or registration valid for iudii durn ul a Only before the expiration date, If found 'Regulation Office of Consumer Affairs and Business 10 Park Plaza-Suite 5170 ;are Boston,MA 021.16 Not valid without signature i U4 - of nstamcd Affairs azdlsines5 rR,-gu-1 tics Office s f Park Plaza - Suite 5 PG : astern,I��assac sets 02 1 i.6 am,e improvementCt�ntr'�.ctnr RegistredOrhh - : registration: 132349 TYPE': Partnership Tr# 207392 Expiration: 1/1 V2D13 J & RemodelingAi - - Joseph Duarte .. - - — -— -- 15 Fall St. L - - Wareham, ma 02571 Update Address and return card.Mark reason for change ` Address .❑ ReweVOI Employment [] Loci Card 7P5 GAt o 5OM44/04-0101216 License or registration valid for individut use-only ��6f,1��oo4r Brine"siKc$u a oa > Office ot"consnm betare the expiration date. if found return to: HOME IMPROVEMENT CONTRACTOR Type:, pf!'ice of Consumer Affairs and Business RegulationTgmo Registration: - 132349 10 park Plaza-Suite 5170 Expiration, :1/11/20t3 Partnership Boston,MA 0211ti tleling. Joseph Duarte 15 Fall St. z of V d without signature Wareham,me 02571 Undersecretary llasiatchusett•-Dcp.t�tnnct►t of Puhlic .tfa > . Board of Buildiin°Redit'131iun::tnd titand;trQ: Con&truttion Supervisor License License: CS 70077 JOSEPH C DUARTE 15 FALL ST WAREHAM,MA 02571 Expiration: 1y34(2012 Tr#: 77048 (.,nult.ciKcY _ _ - • - ZSL6S6Z 65:IZ IIOZ/ZO/I0 Y I0 39Vd /26/20a.2 6.30—.117 AIA PST it,-MT-8I FRU`-°.: 100005-TO: "150873,02085 Page 2 otf 2 CERTIFICATE OF LIABILITY INSURANCE oAeE preaais6rrrm; THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATNELY OR NEMTNELY AMEND, EXTE10D OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES ITT CONSTITUTE A CONTRACT. BETWEEN THE LRSU{NG ttOURERIS9, AUTHORIZED REPRESENTATIVE OR PRODVCER,AND THE CERTIFICATE HOLDER. ;I IMPORTANT: it the certificate holder is an AODMOO INSURED,the policy(les)must be endorsed- it SUBROGATION 9 WARM,satsjEcl to 1 the terms and conditions of the Policy,certain policies Tray require an endorsement. A statement an this certificate dose not confer rights to the 1 certificate holder in lieu of such endorseme2ssl. moouCER PAUL B SULLIVAN INS AGCY INC CONTACT 1467 S MAIN ST PNONE ' FALL RIVER, MA 02724 0499RE APED COVMG-f _ NAIL A wSURER A: INSURER INVOKED JOSEPH DUARTE&JOHN DALEY NsuaERC DBA J&J REMODELING RISURERD: 15 WILSON WAY MIDDLEBOROUGH MA 02346 OSUPERE COVERAGES CERTIFICATE NUMBER: R REVISION NUMBER: OD THIS 1S TO CERTIFY THAT THE P&vu OF INSURANCE LISTED BELOW HAVE SEEN MSUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERT INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE NIAY 13E ISSUED OR MAY PERTAIN,TFIE)NSURANCE AFFORDED BY THE POLICIES OESCRIBEO HERE IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMPS. LmAtt3 TN3R TYPE OF NSURANCE PoL1Cr McLe)ER LTR EACHoctttRpEMCE _S GENERAL LIARkITY ` IS a acarrenee S COMMERCIAL CENC-RAL LIABILITY LED OtA o ana person) i CLANS-MADE M OCCUR PERSONAL B ADV INJURY S GENERALAGOREOATf S PRODUCTS-COMPIOPAGGG S GENL AGGREGATE LIMIT APPLIES PER: i POLICY PRO LOC as S F-TA-wousimmLwa6nV _ BODILY Iµ uw{Per i WY AUTO e00ILY INJURY(Per acrilaA) A1UTO$ O AUTO$SCHEO I£D A GE AUTOS rgNAWA!>Rf S 0IREO AUTOS AUTOS S i EAGftOCCURFIENCE S LMaBRELLA LY1e .OCCUR I AGGREGATE S EXCESS LIAa CLAAISIAADE I i OEO RETENTIONS }Ik S 3 woRlcERscoaPENSArION WC5-31S38A1100-012 2t2/2012 212t2013 we I 10400 A AW fapLOYfATUA6LLnT YIN E.L.FACM ACCIDENT t ANY PROPRIE70"ARSNEMxErluTry: NIA E.L.DISEASE.EA EMPLOYEE YS 1 OFFICERIMEMSER FXCLUDE07 50000 (Manogary in NMI E.L.DISEASE•POUGY LIMT f It rrea,dasabe under EcCRIPTION OF OPERATIONS bWw DESC►nPT10N OF OPERATtOMB/LOCATIONS/VEIeCI E3 IAttreh ACQA0161,AOJ bond Remark*6eMduM,N moron ra9rrtndl Workers compensation insurance Coverage applies only to the work comPe^saGon laws of the state of MA- Workers PARTNERS ARE COVERED BY THE WORKERS'COMPENSATION POLICY. \ E C T I F 1 P_A_T D BEFORE SHOULD ANY OF THE ABOVE DEt�NtB(rA ppl�S�CJINCELI-E THE EXPIRATION DATE THEREOF, NOTICE MOLL BE DELIVERED IN TOWN O N OFIN B STREET T ABLE ACCORDANCE WITHTHF POLICY PROVISIONS- HYANNIS MA 02601 ,U,TNORI EgR®RESENTATNE , Jett EkIr a reserved. ®,W-201D ACORD CORPQRATION. All r19M ACORD 25 12010XIS) Ttw ACORD name and(ago are registered marks of ACORO this NO.. 1295122 cancels andrsuPersede s,ALL Pz eviovslpr i0eued2 CeztLficateegl M Page 1 or l THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) M A , -,C(� -7. / \ �� L DATA tr� HOMB IMPROVEMENT COIVTRACT ` - PLEASE READ THIS Sold.Furnished and Installed byo\ rz ( � aX ?/ v TIID At-Hume Services,Inc liraneh Name: Roston Date: . / 1 d/bla The 1lome Depot At-Home Services 345A Orcenwtrcxd Strcct,Unit 2.Worucstcr,MA 01607 Branch Number:31 Toll Free(800)657-5182: Fax(508)756-8823 Federal ill,#75-2698460:ME Lic#C.02439;Rl[font Lie#16427 �i CI'Lie ri 5(i5522;MA ome Improvement^Co'ntractor Reg.#126991 Yk lnstallat:on Address: City State dip 4 r Purclwscr(s); Work Phone: home Phone: Cell Phnnc: t Home A•:Idress: City Slate yap 0 1 P (If differ.:nt.from inxt:allalian Address) i �J E-mail;lddrrn..(it)receive Ir.i)jcet COTHIMMicadons and Honte Depot updates): ❑I DO NOT wish to receive any marketing emajis from The Home Depot Project Information: Uftd,:rsigned("Customer'),the owners of the property located at the above installation address,agrees to buy, and'lilt ,tt-Home Services.inc•..("The home Deprrt")agriecs to furnish,dt:liVCr and:orange.for the.installation("Installation")Of all mat,r(tl=.de,cribcd on the below and on the referenced Spec Shect.W,all Of which are incorporated into this Contract by this refereui:r,moue +'ilh;mv:II'pi C;1blc State Supplement and Payment Summary attachud hcn:to and any Change,Orders(collectively, "COntra,a"): I 1 ctc: S Sheet(s)It: 1'ro ect.Amount 1 kuufmg ❑Sitting Windows ❑insuliliun $ / 7 /Covers ❑F;II[ry Doors ❑ J 10 L ElWitedOwt ❑InStdAliOn ❑Gmce;:S!Covers ❑Entry Doors ❑ l .. ---- I 1-iiZdt,li;iit ❑$idil,e ❑Windows ❑inl:ulAl.rOn I I I (_l(iw:,,1 s!Covets ❑Entry Doors[]_-_,.•_.-_-__- —� t� ---1 j_' ❑tiiding ❑Windows ❑Insulation l -. ❑Ci11ItB1'S I CDVer3 []Entry Doors ❑ � Milli un,u_=S Dq rAtofcu,dodd.Arnuunl.(fueulxuexrxarlionufthisountrm9. rolal Contract Amount hlni,u•.ltnrh:tv-nns,y::,!Io,-;".niI gMjetfulltow:-third u(the Cun(tm.lAmount_ completion of the work fnr.each Product,Customer will execute a Completion Ce.nilicatc Custoair.: (one fur mach Pnxluct ;is ti,linc:l by an individual Spec Sheet)and pay any balance due. As applicable,each CustoiliCr under this Contract a^_rr--es to Ili .iw;w,, ::•;:I r:crcraily obligated and liable hereuntrr. The Ilon;l l t:;xx 2,;ri:'s t``,''+"!+t to iswc a Change Order or terminate this Contract or any individual Products)inelutdcd herein.at Q Its d�:c.tc ll '! i' .I t ur iIS aut}tor 7,Cd service provider determines that it.cannot perform its Obligations due It)a struc•.turll problrtn nh tha bu,+l i;,u,nicntal h:ezanis such as mold,asbestos or lead paint,other safety concerns,pricing errors or because work rehired to Catnpleta Ili::job was not included in the Contract. PAculrli_ I:.;+uulCc: I'Li i',n',nent # included AS part Of th15 Contract. 5t S forth the fatal Summary C(nu ;,,;;,,,;,,;;,;,,I II::I,;:,,:.•:.'+luircil lily tic.deposits and final payments by Product(as applicable). NOTICE TO CUSTOMER YoU a,"i niJttid to:,i:+tl;..:• i filled-in copy of the.Contract at the time you sign. Do not sign III Completion Certificate(note: there i ,nr e;ite.far tacit listed Product aq defined by individual Spec Sheets)before work on that Product is aln;tx�to. .o:lu:u3 Customer agrees to pay The Home Depot the costs of materials,labor,expenses Inlhi I' r;;'. ! t,:'nli:n;ti::.; C g Depot or Authorized Service Provider through the date Of termination.plus any other Itmnunt:.s,d forth it)lilt:;t t:r,•,':neut or allowed under applicable.Iaw. '1'lil HOME DEPOT.MAY WITHHOLD AMOUNTS Owta) ',O r11F ututl.' 1_nSP0T FROM THE DEPOSIT PAYMENT OR OTHER PAYMENTS MADE, WITHOUT l,l�lrr:vi: - tlilitl±':1 +:PCtT'SOTHERREMEDIESFORRECOVERYOFSUCHAMOUNTS. agrees and understands that this Agreement is the entire agreement between Customer and'I he it; I}—,• (,W u l t i a to the Products and Installation services and supersedes all prior disc ussiuns and agreements.either oral or, 1:1 .:n.;_:I:uln,_,::::....: !,;0ducts and Installation.This Agreement cannot be assigned or amended except by a writing signed by Ct,:,: fa;'i. ... „ .Cost,;ucr acknowledges and agrees that Customer has read.understands,voluntarily accepts the (ei;lli,.? f:::.. .`Ci is .:.: •;hl `?;tCl:ntclnt. I Sul) led by: (. ,�:�_ - --�/— — X • Cu.,:,n :'. ;.,nr Date,. Sales C e»rsultanl's Signature Datr ' Telephone.No. t Cu,c D;tte Sales Consultant License No. (is applicable) (_.A`+4 1 ;R A7:S5' CANCEL THIS IALTI, OR OBLIGATION ►tt I)1'_ .. M ti,: JOIIt t. .1.0 TIIE HOME DEN)i it'i }IUNtC:I!:` '`N' THE; 'I'lilltl) BUSINFSS till' ';.y .A(.:izi-CMENT, THE Dnt' 1 Hl,'RETO I C.U:" :::ti > t:},.,.,. 4;i till; It ONE 4S Si't;Cit IC::cI.: �' t't<t•:r+ t,MED ttY LANV 1N CC1J ft,',ts: :il'a'Ct'.. „� ,; I,1;;r;,..•,. ,,.i<slti,\rvura>nr»'I'rputiAltF:ti't'A'l'.Ell UN THE REYER.SLtSIDT ANY)AHN:PAK'1'OP'THLSCONT'RA(".f ��. ;7 awcu « �IL�iL5iS805 - 3NON'SiG032692 Z0:00 LO-90-ZLOZ L � Assessor's I map and lot number ....... sir ��QTHE ypF Sewage Permit number //5- .. .......... .... DARISTIBLE. House number .......................... ............................... .. r rasa DaG moo,1639- 0 TOWN OF1BARNSTABLE BUILDING JASPECTOR YTOR .. .................... APPLICATION FOR PERMIT TO ... TYPE OF CONSTRUCTION ...... . ................................ ...................... ................................. ................d�.../.2........i 9$3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... . . .............. -/.......a................................................................................................... Proposed 'Use ep.�/Cc�............................................................................................................................... Zoning District ........................................................................Fire District .................C ............ ..................... ................. Name of owner .'KhAj......tn.n,r-.e-r................................Address ..�e ....... . ..... ....... ...... ............................................................................. oa4t,76.a n 6-1014 Name of Builder ......Address LFA ..................................................... Nameof Architect ....................................................................Address .................................................................................... Number of Rooms J............................................................Foundation 4507.17.Cr .............................................. Exterior ....4000.10....cl�e,911t,...✓, /..........................Roofing ...................................................................... -N Floors ... .............Interior ............................. Heating ...... ...............Plumbing .................................................................................. Fireplace ...............................................................Approximate Cost ......144 .............................. Definitive Plan Approved by Planning Board ---------------------------- Area ...6700.....00................ Diagram of Lot and Building with Dimensions Fee ..... ................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 2 04.4 Dr— , 4L 00 00 Jt_ ek 0- /0-0 - OCCUPANCY PERMITS REQUIRED FOR NEW DWELLIN6S I hereby agree to conform to all the Rules and Regulations of the 4Townof rn:stable eregardin e above construction. Name ... .... .. .. .... .............. Construction Supervisor's License g. .lay............ MAKER, PHIL ' C - ' t No ...�5435 Permit for ...U.110...aDD.ITION Sing]e..Eami•1• 13w�1� �r r Location A...9.astW.O d...Lan.e....................... ! ' ... ............CAtuit............................................ Owner Phil,-Maker................. - ,. _ r Type. of Construction` ...FKA- me.......................... r F ...... .............................................�.................... , �./ ,i. , ` Plot ...: .:.................... Lot o� August 18,• - O ` Permit. Granted ....................:19 Date of•Inspection ...............................r19 f r 1`0 Date Completed ............... ....19 - •_•__ { Assessor's map and lot number Sewage Permit number ........., w Z BABB3TAELE, i House number '. ........... .... `N 9 Masa aT)G oO 1639• 9� TOWN OF BARNSTABLE BUILDING, INSPECTOR , le rO APPLICATION FOR PERMIT TO �.... :. ......................1. ��:'�:v !Ca p.. �• TYPE OF CONSTRUCTION .........::... ? .................................................................................... TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit according fo the following information: Location .... ...... � .f„C,JC7U .....�{t t ✓.. ... ........ .: ..................... ProposedUse ... �?�5 `.. !...:,::}............. .................................................................................................................................... Zoning District .................................................. ,D'istrict .................00'7~U j.. r............................. Name of Owner .!.... ..............................................................f l o_ife�" Addr ss ... /f _d.�t��J t� . .. . ` .........` '!. `:.`.', . Name of Builder ,t'E .. Y!ff A'zotl 6rJe"a. ... �. Addr ss .� ,`3 � ...�. �ti ��d....- ......`................. Nameof Architect ................................. ..................... .........Address ......... ......... ............................................................. Number of Rooms .............Foundation el.*'�.O.K/`4:- e Exterior ... � 3 ��� '. ' ..+. ....... ..............Roofing ...�✓ 5s? ......... ............... ................. Floors Interior .�,/,t"1°"! r r2 .f.% ^y,<;iC .............................. Heating. ..................f' ..'�- .......... .........e.........Plumbing .................. .............:::.............: .... ..........`............. Fireplace ...............................................................Approximate Cost .:t;�+�,�Q................... ................. Definitive Plan Approved by Planning Board ________________________________19--- . Areas=' f ... ................. Diagram of Lot and Building with Dimensions t` Fee } ✓� �. `.I.. !............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH � --� SM� � r � a10 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding-the above construction. ` Name_.. ,,;;.:R '..... -.............. Construction Supervisor's ,License Q.,.q...m a �............. MAKER, PHIL =A--2 5 3 5 25435 BUILD ADDITION No ................. Permit for .. ............................... ......... Pme.1.1 kng............ Location E1..ZAS.tW.Q.Qd..Lane.......................... cotuit ............................................................................... Owner Phil Maker .................................................................. Type of Construction' ....:F.Ka,m.e......................... ................................................................................ Plot ............................ Lot—';............................. Ugust..:.18, 83 Permit Granted ,,;August" ..'\.....................................19 Date of Inspection,',.....................................19 .....................Date Completed ....... .............19 (DO. 1 f 81, lz 37 p } 2y 49 i / L Z- ,/�j A10 V. l�, 19 1- c E e r�F Y rlaA r r1-16 FooAAPA rira� /.S 7. �F `'S�l ,14 Of,Hq. ?, cfo T�L A nr LOW, r.y �►'�STE��''{poet-/ d- ?F` C3rac7C7v O SV Rv� •i�✓ 4'/6'.�/�► �"V I�Pw lam+'+ �!P. �w/F�+'-' ±1 (J7,7a. R sessor's map and lot.number ... .✓.V-,,*�''...0...4,, i (a/N• 7) IN$TAI LED Sewage Perrzait number ..6 ...... . .... ` ...... ................ . "E_t: �l M �,...i � 'SANiTARi( CON i L, TOWN OF BARNSE.- LE CF?NE tO� 0 i --. T'. ' r t 30STOHLB 9 BUILDING ' INSPECTOR rti �O 039. h �DYPYa' M"� �4± ' -i APPLICATION FOR' PERMIT TO ...........1,� ..................... ......................................:........:.......... C+ c� `< a u TYPE OF CONSTRUCTION ........ ... nr 1. . !:G"X M..P.......................................................... ............. � � 7 ...... . .......C.?.... .....4a...g. .........19. . TO THE INSPECTOR OF,.-BUILDINGS; The undersigned hereby:applies for a permit according to the following information: Location ........,/............�.....1..: ...:..........�.�<�r�l�f�S?.(?nr�.... �, ... .................f.. .7 Nr..�.................................... ProposedUse .....................C✓.Luaz,i .. . .... .. .........................................................I......................... Zoning District .............. ......................................... ...Fire District ` G �.0 Name of Owner T/�JPc:.. �C�:z''...�T sc.�:.:. s,.f......Address ...i&...........Z2 3........ P°7,.1.P�FI:..� ....... Name of Builder, ! `lF? Pv►................................Address .......................!�q:e7f'.............................................. Name of Architect ........... i?.................................AddressCt�'! .....................................Q........................................... Number of Rooms .................... ............................................Foundation ...1..A...........42c2 u!;elf...... Exierior �5,/ .. �`�...... /1 ...5.1dcosvtirt.Me,LRoofing ...... A........... �5�/>Lc4!..�.......................... Floors /4......... ......1..... .,V.e-en .......................Interior ........ .�......:Sl!L ? 1^C}�:K . Heating F- 1-6v..........al. ...................................... :..`Plumbing ....J'... C..-..... .� ....:.... Fireplace ......1 ...........................Approximate Cost 6 0 �. .............................................. Definitive Plan Approved by Planning Board ------------------—-----------19--------. Area .......!e ... ..... Diagram of Lot and Building with Dimensions Fee �— SUBJECT TO APPROVAL OF BOARD OF HEALTH / 1-3 ! 1 � 7 L1i 1 �P JA0 5Fq LcJe// I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. NamCe% •¢':?�'.. !..1.7-7 ............. Tellegen-Ferrone Associates, Inc® `1 19459 1 1/2 story " No .....:......... Permit for ............................ ...... dingle,"'family, dwelling .........Location ................ Cotuit ..... .............. ................... a Owner .......... ll eeen-Ferron "associates, Inc. f .............. r! L Type of Construction ...............ame ................................................................ .. .......... Plot .......................... Lot ......... .#�13.............. k -' _' 1 N Permit Granted ...........August................19 77 o Date of Inspection .. ......19 Date Completed',.../..lA Z7eF ........19 ,%-PERMIT-REFUSED r^ .. h� C. ..................... ......................................................... ........................ .:.......... .. ... ........... ................. G L a :' ................................................ 4� .......................... .................................................- r y ro Approved ................................................ 19 ai t Assessor's map and lot number .... ...........I............ 7)Sewage Permit number .........../,v,' ........................................... yOFTH E TOWN OF BARNSTABLE BJSHSTAIILS pYae`� M1BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............................ c .......... ............................................................................. ...... TYPEOF CONSTRUCTION ............. ....... ........................................................................... ................. ...........19........ TO THE INSPECTOR OF 'BUILDINGS: The undersigned hereby'appliesfor a permit according to the following information: Location ......... ......:?T....../. ..............................I............. .... ................................................................................ Proposed Use ...................... -)P J4_ -% ...........1�t........................................................................................................I......................... a Zoning District .............. .................................................Fire District ................ .............................................................. Name of Owner ......Address ...,460,0.............. 411>00#*A" ............ ........................................................... Name of Builder ............ . ..............................Address ........................1�42.in.e............................................. ...... ..... .. Name of Architect ........... ................................Address ........................ we z elle 4 Number of Rooms ..................................................................Foundation ... ...... . ...... ........................ P....... Exterior 7-.......///.......C.1A.... Roofing ....... A........... 1 ,- ....y.......................................... Floors 4A , X/ 14) lel 'A )�req e_&............................... ...................................../........ .......................Interior .............. ................................. Heating .....)!:7�w........... t......................................Plumbing ..... eo opor .............. .. .. ... .........................V..;....................................... Fireplace ...... ...... ...........................Approximate Cost ...... .................................. Definitive Plan Approved by Planning Board -------------------—-----------19--------- Area ....... ............ "I ........... Diagram of Lot and Building with Dimensions es--J, Fee ..............n............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH ee o IXP��QS�rvel� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ......... 4............. .........-7 ...................... Tellegen-Ferrone Associates, Inc. A=25-35 19459 1 1/2 story No ................. Permit for .................................... single family dwelling ................. .... ............... S*ndalweed-Dr-l-v Location .............................................e ................... Cotuit ............................................................................... Owner Tellegen-Ferrone Associates, Inc. .................................................................. Type of Construction .......................frame................... ............................................................................... Plot ............................ Lot .......... #13 V ...................... August 2 77 Permit Granted ........................................19 r li Date of Inspection, ....................................19 re Date Completed ......................................19 d. PERMIT REFOSED .Y.......... 19 0 ..................... ..........7 ............................................ ............................................................................... .............. ............. . ............................ - 77 Cl: ............ . .... ............ ...... 01. Approved ... . ... .. . ......................... 19 ................. ..... ....................................................... ................................................................ ..............