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0996 MAIN STREET (COTUIT)
I I � t Town of BarnstableBuilding 4 .».,. ,,..w ..«.. ...x, w,. q 'sE y• s, l h _ it.Card So That it is Visible From the Street ApprovedP.lans Must be;Retamed on Job and this Card Must.be Kept z * MASS. %Posted Until Final Inspection Has Been Made Permit h eo�uct" Where a Certificate of Occupancy js Required,such Bwldmg shall Not be Occupied until aF�nal Inspection has been made Permit No. B-19-3849 Applicant Name: Robert Rostocka Approvals Date Issued: 11/i4/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 05/14/2020 Foundation: Location: 996 MAIN STREET(COTUIT),COTUIT Map/Lot: 034-062 Zoning District: RF Sheathing: Owner on.Record: HALLISSY,REBECCA Contractor Name; ROBERT A ROSTOCKA Framing: 1 Address: 996 MAIN STREET Contractor License: 113252 2 COTUIT, MA 02635 Est:Project Cost: $5,707.00 Chimney: Description: Insulation&Air Sealing. 'Permit Fee: $85.00 Insulation: Project Review Req: Fee Paid'!` $85.00 ,."Date 11/14/2019 Final: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work auth8hi cl by Yn s permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved applicat on andsthe;approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shaI be in compliance with the local zoning'by=laws aril codes. This permit shall be displayed in a location clearly visible from access street orroad and shall be maintained open for public mspectidn 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 thhe Building and Fire ffic Oials are provided on this°permit. IM Service: Minimum of Five Call Inspections Required for All Construction Work " �?12 y > 1.Foundation or Footing K 2.Sheathing Inspection ', .y Rough: 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...... ......... ......... Rsuivar�itr� :nsnss. Pem it Fee......... /d:. . Other Fee........................ FD MIS� TotalFee Paid................................................................ TOWN OF BARNSTABLE -1 PermitApproval by... . ..................on....... ..................... BUILDING PERMIT Map.....G..3..q............ ..Parcel....... .. ... ....... APPLICATION Section 1 — Owners Information and Project Location k �� r Project Address a 4 00f- Village � (�G $[J11 �,,�,,, Owners Nam Qo �� - ��� ? 2 - 017 Owners Legal Address_ �� TOWN Or BAM,3Tq$LE City (?� y� State zip oi- ! o Owners Cell# �� � _��-/� E-mail t c;L t LQ Section 2—Structural Use Single/Two Family Dwelling ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Section 3—Type of Permit_ ❑ New Construction ❑ . Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar , ig Renovation ❑ Pool ❑ Insulation Other—Specify. Section 4-Detail Cost of Proposed Constructions �f C� x-4� Square Footage of Project Age of Structure /9�l Dig Safe Number -r # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design E Last updated-1012017 � 1 I Section 5 -Work Description Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage . ❑ Smoke Detectors ❑ Plumbing ❑ Fire Suppression ❑.Heating System ❑ Masonry Chime ElAdd/relocate bedroom Chimney Water Supply ❑ Public ❑ Private, Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway ,r C Debris Disposal Facility: G �y�-cl���t �G��� I amusing a crane Yes No � i 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. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed '. r Side Yard Required Proposed i Has this property had relief from the Zoning Board in the past? ❑ Yes 0 No Last updated:-I InI2017 I Town of Barnstable Building �..,°a�€a�-� au.� � "�Er,�'sv^m :. ��asa�,� ,�: r-^ fie..+...,-: 4 t �`.� �� �� `�i's' 5°+' �r�. • T" �c'.` �,. . ""h -�. � '.: S A Post This Card So That rt is Visible„From the Street,,,Approved-,Plans Must be Retained on lob and his Card Mustxbe Kept ��� MASS. Posted UntilFinal Inspection Hasf3een Made a 1 639, � c � s> z v."d �F� , k �"'%�� ���� �`��" � � s &fit. - Mo:+° Where agCertificate°of Occupancy is Required,such Building shall N�otbe Occupied until a F�na!Inspection has been made Permit Permit No. B-17-4397 Applicant Name: DAVID F OHNEMUS Approvals Date Issued: 12/22/2017 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 06/22/2018 Foundation: Location: 996 MAIN STREET(COTUIT),COTUIT Map/Lot 034-062 Zoning District: RF Sheathing: cr�M Owner on Record: PROCOPIO FAMILY LLC I Contractor`Name 31 D.F.OHNEMUS HOME Framing: 1 SOLUTIONS, INC. Address: 996 MAIN STREET 2 Contractor;License 181429 COTUIT,MA 02635 Chimney: Description: remove damaged 2nd floor deck on rear of house _remove wood Estmproject Cost: $7,650.00 cedar shingles and install new. install new azek trim on windows, Permit Fee: $ 178.04 Insulation: doors and rakeboard on rear of house. 'install azek trade"mark! . Fee�Pard: $ 178.04 Final: railing system in from of all sliding doors Date. 12/22/2017 Project Review Req: Plumbing/Gas k Rough Plumbing: Final Plumbing: FBuilding Official Rough Gas: This permit shall be deemed abandoned and invalid unless the work a6thonz6&byJhis permit is commenced within six m onths after issuance. Final Gas: All work authorized by this permit shall conform to the approved application and the approved construction d ntsocume for wMch this permit has been granted. All construction,alterations and changes of use of any building and struttures shaft be in compliance with the local zoning by taws and codes. This permit shall be displayed in a location clearly visible from access street orroad and shall.be.maintained open forpublic inspection for the entire duration of the Electrical work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials a e provided o this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work:. 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "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 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IM ^�c� C DATA �\� .�{���z ����y��:\ . /�\��d\` . y�\^` � �� ����m«® § ����\\>« �/§���i� ������a� �����`t 2 � . �z . «:. . �. � . �,�° . . »w «s«^ � . . w. .�2° �� �� � { . ���`��y\ �. A���l �w �/ , �y . �:� 2 � ; ?» � 3�dam: . �, � ^ \ » ���r I Contractorbuddy@gmail.com LUIZ ABREU (508)237-1520 Home Improvement phone line is open 24/7. 107 Forest Rd, S.Yarmouth MA,02664 Rebecca Hallissy 996 Main St. Cotuit,MA 02635 -General Construction -Demolition -Painting -Landscaping. -Carpentry -Floor -Roof Job location Estimate # 1652 -Tile 996 Main St. Date 12/8/2017 Cotuit,MA 026353 Description Total REAR HOUSE REPAIRS Demolish upper level suspended deck Strip all shingles ' Remove rotten wood Replace all trim boards with Azek material Install"ice water" material around windows and doors to prevent water infiltration Install aluminum flashing on top of windows and doors to prevent infiltration . Install 6 square feet of cedar shingles Type A to cover the whole wall Install Azek railings outside second floor sliders Labor and Materials ' 7,650.00 Thank you for choosing CONTRACTOR BUDDY - Total $7,650.00 .00,4� LUiz Abreu RebeccaMallissy f - s D � CONTRACTOR BUDDY - 107 Forest Road South Yarmouth, MA 02664 contra ctorbuddy@gmaiLcom (508)237-1520 elaa • fi f K7 The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street - Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/PIumbers Applicant Information A Please Print Legibly Name(Business/orgmizafion/Individval): �d2� j' ��✓ ens /o yam' Address: I City/State/Zip: 4 rA,4Cr,l--L D �4 Phone#: 7 l Are y a an employer? eck the appropriate box: . Type of project(required): 1. I am a employer with 4..❑I am a general contractor and I employees(full and/or part-time).* have lamed the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.$ 9• ❑Betiding addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself- [No workers'comp. right of exemption per MGL 12.❑Roofrepairs insurance required]t c. 152, §1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required] *Airy applicant that checks box#1 must also fill out fbe section below showing their workers'compensation polity information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sob-contractors and state vybether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that isproviding workers'compensation insurance for my employees Below is the policy andjob site information. Q Z—C C Ins ran.ce Company Name: / W e/2 f X �b U Policy#or Self-ins.Lic.#:Z&o Z2 C 7 Expiration Date: ' l OC /9 Job Site Address:,./TC,�f City/State/Zip: �G 'Iy r 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 hIGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: Date: Phone Official use only. Do not write in this area,to be completed by city or town official City or Town' Perhiit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of him, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more th m three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." ML chapter 152, §25C(6)also states that"every state or local licensing agency shaIl withhold the issuance or G . renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checldng the boxes that apply fA your situation and,if necessary,supply sub-contractors)narno(s),address(es)and phone ni mber(s)along with their certificates)of Companies insurance. Limited Liability Co or Limited Liability Partnerships(LLP)with no employees other than the (L� members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,apolicy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents far confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate lime. City or Town Officials Please be sure that:the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/Iicense number which wM be used as a reference number. In addition,an applicant that must submit multiple permitllicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or ' town)."A copy of the affidavit that has been officially stomped or mar cedby the city esA now or town may be provided to affidavit must be fiIled out each applicant as proof that a valid affidavit is on file for future pamits or year.Where a home owner or citizen is ob inm a a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hke to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fhxnumber. na Commanwealth of MassaoliuwW Dgmt n ea of Iudusfrial AOCA-dents Off m oflAwstigatims 600 WasbiagWrL W=-t Dostm,MA 02111 Tel, 617-727-4900 ext 406 or 1-877-MASSAM Fax##617-n7-7749 Revised 4-24-07 wwwm=,gov/d}a ? ® DATE(MMJDD1YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE 1 2/1 312 0 1 7 �4� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Phoenix Insurance LLC PHONE - - Fax - - A/C No Ext): (A1C,No): 8 Wyman St E-MAIL kthomasphoenix@gmail.com Stoughton, Ma 02072, ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC p vans on nsurance o INSURER A: ` INSURED INSURERB: rave ers- Contractor Buddy, Inc INSURERC: 107 Forest Rd INSURERD: South Yarmouth, Ma.02664 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 2,494REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCEAVUL SUM POLICY EFF POLICY EXP LIMITS LTR INSD VWD POLICY NUMBER MMIDD MMIDD COMMERCIAL GENERAL LIABILITY 3EJ5748 2/19/2017, 2/19/2018 %HOCCURRENCE $. 1,000,000 Itu CLAIMS-MADE OCCUR - PREMISES Ea occurrence $ 100,000 A MED EXP(Anyone person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,00 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS-COMPIOPAGO $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ ° HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- . AND EMPLOYERS'LIABILITY 1 KO 19977 X STATUTE ER YIN � 11/01/2017 11/01/2018 ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 100,000 B OFFICERIMEMBEREXCLUDEI NIA (Mandatory in NH) } E.L.DISEASE-EA EMPLOYEE $ 100000 Ifyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ san non DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) - For jobs normal and usual to insured's business and operations as described on insured's policy CERTIFICATE HOLDER CANCELLATION REBECCA HALLISSY •'SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 966 MAIN ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. COTUIT,MA 02653 AUTHORIZED REPRESENTATIVE t BELA Cy412 OSO ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD -� C���.� ��0��2/1'YGfl�!'l,'G(J-PC?Jli�t'G ���(/[�'�1!1-C.��/I'!iU/.�Pr✓� �- Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement�Contractor Registration Type: Corporation Registration: 181429 D.F: OHNEMUS HOME SOLUTIONS, INC Expiration: 04/01/2019 .. .r M. „ 11 Grist Rd Orlean, MA 02653 Update Address and return card. Mark reason for change. SCA 1 -t+. 20M-05111 - • 0 Address. ❑ Renewal [l I;mplayment f_7 Loct Card - Office of Consumer Affairs&Business Regulation his HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only (, TYPE:Corporation _ before the expiration date. If found return to: i i-t Registration Expiration Office of Consumer Affairs and Business Regulation X 10 Park Plaza-Suite 5170 181429 04/01/2019 BostO A 02116 D.F.OHNEMUS HOME.SOLUTIONS, INC. DAVID OHNEMAS 11 Grist Rd '(Z Orlean,MA 02653 Undersecretary of valid without Signa e �e - `i - - �� ��_. �, - h C.' 1- 1 1 I CONTRACTOR BUDDY 107 Forest Road South Yarmouth, MA 02664 contractorbuddy@gmail.com (508)237-1520 -P 'Op0 Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constw.Ctiori'StSpervisor CS-036775 Expires: l2/02/2019 s DAVID F OHNEMUS 11 GRIST ROAD ORLEANS'MA„02653 Commissioner CJ, Section 9— Construction Supervisor Named Cl/ Telephone Number �f�6 �� D Address 40-0 cvl City 0rCeae,, State Zip License Numb e{ Aso`77, License Type Expiration Date 1�Z6 L, //5P Contractors Email7/ic ,4 Cell# snb 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 by 780 CMR and the jTo le.Attach a copy of your license. Signa e Date Section 10—Home Improvement Contractor F Nam vj �� /'�F�-� Telephone Number Addres ��.c City_ (���z State c; Zip .C�=26-c5_.as Registration Number Expiration Date L61 C q s` 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 inspecticn procedures,specific inspections and documentation re by 780 CMR an7the To Barnstable.Attach a copy of your H.I.C... Si a Datev��G-//1 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 _ by 780 CMR and the T n of Barnstable. Signatir v� D o2I APPLICANT SIGNATURE F Si afore J� � Date l7 r` t Print Nam e_b z-C--CA- Telephone Number E-mail permit to: Last updated: I In/2017 a I Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ I Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval i i Section 13— Owner's Authorization L de-e-�,��� �- Cl��s y , as Owner of the subject property hereby authorize? t?TU!;- to act on my behalf, in all matters relative to work autho ' d by this building permit application for: � r /�� (Address of job) / Zxo-L-C /7 Signature of Owner date Print Name ..�,. a a 1 Last updated.11/7/2017 `oFn+e►o,; Town of Barnstable _ Regulatory Services BARNSTABLE. t639. Building Division p�EO MPy s 200 Main Street,Hyannis,MA 02601 + Office: 508-862-4038 Fax: 508-790-6230 '.. �' ; Inspection Correction Notice Type of Inspection Fi� yP P Location �(v li�t�t-CT/�/K�zs� let Permit Number "Q _� O �� c3O Owner " ��`2 O Builder �G�7�ce� One notice to remain on job site, one notice on file in Building Department. e 1 4' The following items need correcting: ` ' Z/V //J-;� LOK C 0-z"- . t 2 �J ���-�� D P L/C r or 7 /1 a 7-0 A- AC 9--ram c /4 7"2:!� -� Iri <<- s (u f Please call: 508-862-405? for re-inspection. p Inspected by P�G (� Date 6 -Z-.3 ro S TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ®. Parcel Y+Application 6 Health Division Date Issued t d Conservation Division Application F Planning Dept. ` Permit Fee Date Definitive Plan Approved by Planning Board - Historic - OKH Preservation / Hyannis Project Street AAddress 71g6 n2a/l2. S I Village Owner ��('j�tc UC°er_L �! - � `GtS�f Address' �� Q(y( �7` Telephone `, d • ZZ y - �! 7c1 Permit Request i( /02 Square feet: 1 st floor: existing O��proposed 2nd floor: existing proposed`:ww Tota_G newer Zoning District Flood Plain Groundwater Overlay Project Valuatio yU UUU Construction Type iMo Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting dopumenration. Dwellin TY e: Single Family . J' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes &Iqo On Old King's Highway: ❑Yes 2-60 Basement Type: ❑ Full 0`6awl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) - Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: 3 existing _new Total Room Count (not including baths): existing 7new First Floor Room Count Heat Type and Fuel: ❑ Gas �il ❑ Electric ❑ Other d7 Central Air: ❑Yes No Fireplaces: Existing_/New Existing wood/coal stove: ❑Yes O'1lo Detached garage: UYexisting ❑ 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 C<o If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name .� �s �lf�lX. F Y Telephone Number Address License# /1V1 ��y1Pi2 (,GC. Home Improvement Contractor# _ g (���✓<'LlQ✓ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Sovro tac SIGNATURE DATE 1.2`/Ile k 3 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER _. DATE OF INSPECTION: FOUNDATION r s p FRAME �BCa/Q�. - AW / Z to�ix INSULATION �� (�(0/� � Ok co FIREPLACE ELECTRICAL: ROUGH FINAL Y PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT" ASSOCIATION PLAN NO: The Commonwealth of Massachusetts Department of Industrial Accidents ! _ Office'of Investigations, Y 600 Washington Street c •Boston,4MA 02111, ywww.mass.gov/dta Workers' Compensation Insurance Affidavit: Builders_/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/organization/Individual). l Vl M / Address: I- 1A il(�,G wl l��' CO— G City/State/Zip:- ,' ,pvt0Vf11 Ag . 2teV Phone #: �� V�F Are you an employer? Check the appropriate box: r. 6. pe of project(required): I.-El I am a employer with 4: ❑ I am a general contractor and I E]New constructionmployees(frill and/orpart-time).* have hired the sub-contractors _.2.CQ�1 I am asole proprietor.or partner- ` '=listed on the attached sheet. . emodeling � + These sub-contractors have g., El Demolttion ship and have no employees f employees and have workers' working for ine in any capacity. 9: [] Building addition comp. insurance [No workers comp. insurance• 10.❑ p Electrical're airs or additions required.] � E S• 0 We are.a corporation and its . 3.❑ I am a homeowner doing all work officers.have exercised their ' E 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t= r c. 152, §1(4),and we have no 13.❑'Other employees.-[No workers' . . comp. insurance required.] - "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. - t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached ad 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. lam an employer that is providing workers'compensation insurance for my employees.•Below is thepolicy and job site information - Insurance Company Name. Policy#or Self-ins.Lic.# Expiration Date: s Job Site Address:q d✓l�l((/I" ��= o 7 V f - City/State/Zip: •mk 62 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 certi r the.pain nd of perjury that the.information pro vcded above is trite and correct St ature; Date: s~ t ZLO Phone# �ZQ, 7-6 r t/� k Official use only. Do not write in this area, to be completed by city or to}vn official City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and. Instrueti®tis Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person*in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual,partnership, association, corporation or other legs] entity, or any two or more and.including the legal representatives of a deceased employer, or the e oin engaged in a 'oint enterprise, g , of the for g gJ receiver or trustee of an individual, partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,.or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment-be; deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to. construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." •Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the perforinance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants ,. Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s), address(es)and phone munber(s)along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, e policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pennit or license is being requested,not the Department of Industrial Accidents: Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy;please call the Department at the number listed below: Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly, The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permi0license nu tuber which will,be used as a.reference number. In addition, an applicant need only submit one affidavit indicating current that must submit multiple permiUlicense applications in any given year, n y policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be fill6d out each e it not related to an business or coxumercial venture ' 'zen is obtaining a license or rm Y year. Where a home owner or city g P (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance'for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-72.7-7749 Revised 4-24-07 www.mass.gov/dia ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR -ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION- (780 CMR 61.00) Applicant Name: Site Address: q6 e yylt(� print Town: ( p(-u C Applicant Phone: 6;7a'Fd� Applicant Signature: Date of Application: /d NEW CONSTRUCTION: choose ONE of the following-two o tions 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA-FOR NEW ONE- AND TWO-FAMILY BUILDINGS - MAXIMUM MINIMUM Ceiling or - Slab Basement Option 1: Fenestration exposed Wall Floor Wall Perimeter AFUE HSPF SEER U-factor floors R-Value R-Value R-Value R-Value h and Depth R-Value li National Appliance Energy R-10, Conservation Act(NAECA)of .35 R-3$ R-19 R=19 R-10 4 ft 1987 as amended,minimums or greater as applicable -------------- Note: This form is not required if you choose either of the two versions of REScheck as listed below. Option 2: REScheck Version 4.1.2 or later variant software analysis must be completed (780 CMR 6107.3.2) REScheck—Web which can be accessed at htti)://www.encrgycodes.�ov/rescheck/ ADDITIONS OR ALTERATIONS,TO EXISTING BUILDINGS OVER.S YEARS OLD* *Buildings under 5 years old must use option#1 or 42 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b _ a) ` SF 100 x' - _ % of glazing (b) Glazing area equals SF b a If glazing is:< 40% use the chart below, If glazing is> 40.0proceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM Slab and.. Slab Perimeter Fenestration Exposed floors Wall Floor Basement,Wall R-Value U.-factor. R=Value R-value R-Value and Depth R-Value. .39 . R-37 a R-1'3 R-19 R-10 R-10,4 feet e over the entire ceiling _ 'eves the full R-valu g insulation achieve a R-30 ceiling insulation may be used in place of R 37 if the rns , , area(i.e.not compressed over exterior walls, and including any access openings). SUNROOM—An addition or alteration to an existing building/dwelling unit where the total 0 glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note: Owner to fill out Consumer Information Form (found in A endix 120.P) i 05/24/2010 20:54 5084205378 POH 90487 P. 001/001 •�r IV VW-JVP rniiujammei nu::-je pUugln9 b08-394-6832 p.1 �►� Town of Barnstable ,.r . Regulatory Senvices • 1AANSTAH{.B. MAea Thomas F. Geiler,Director ''�FdMac•�� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 vYv+vWAa wn.barnstable.ma.us Office: 508-862-4038 Fax: 508-'7 90-623 0 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property herebyauThorize ,�/ ,,� „4_�vtia�l 2 _� p iVS„ to act on my behalf, in all matters relative to work authorized by this building pernvt application for. #6--AAj-,i, S� C o tV l—f Oa-3-9-- (Address of Job) Z• el A A&iL ' Signature of Owner Date �.Cc�4 Print Name If Property Owner is applying for permit please complete the Homeowners Liwense Exemption Form on the reverse side. Q:FOR;1S:0VJNFRPEFMtSS10r, RightFax N1-1 5/26/2010 6:52 :01 AM PAGE 2/002 Fax Server ACORD. CERTIFICATE OF INSURANCE DATE(MMIDDXYY) 05-26-10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LOVEQUIST-MURRAY INS HOLDER- THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO BOX 38 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 296 MAIN STREET COMPANIES AFFORDING COVERAGE WEST DENNIS,MA 02670 COMPANY 75SCH A TRAVELERS INDEMNITY COMPANY INSURED COMPANY B WINDJAMMER HOME BUILDING& REMODELING LLC COMPANY 2 WINDJAMMER LANE C SOUTH YARMOUTH,MA 02664 COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMODWY) DATE(MMIDDIYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO. $ CLAIMS MADE OCCUR. PERSONAL 88 ADV.INJURY $ OWNER'S!18 CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY(Per Person) $ SCHEDULE AUTOS BODILY INJURY(Per Accident) $ HIRED AUTOS PROPERTY DAMAGE $ NON-OWNED AUTOS GARAGE LIABILITY ANY AUTOS AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGREGATE $ EXCESS LIABILITY UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ WORKER'S COMPENSATION AND A EMPOLYER'S LIABILITY UB-0112NO36-10 02-08-10 02-08-11 STATUTORY LIMITS X THE PROPRIETOR/ EACH ACCIDENT $ 100,000 PARTNERS/EXECUTIVE INCL DISEASE-POLICY LIMIT $ 500,000 OFFICERS ARE: X EXCL DISEASE-EACH EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIRESTRICTIONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTM,CATE HOLDER AFFECTING WORKERS COMP COVERAGE CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MJ NARDONE CORP DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE 947 RTE 6A SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. YARMOUTHPORT,MA 02675 AUTHORIZED REPRESENTATIVE ACORD 25-5(3193) Charles J Clark I ti'lassuchusetts- Uepurt►nent of Public SafetN Board of Building Regulations and Standards ;ram Construction Supervisor License P License: CS 96548 Restricted to: 00R. JAMES BIRD 2 WINDJAMMER LANE SOUTH YARMOUTH, MA 02664 Expiration: 1/26/2012 Commissioner' Tr#: 14209 7 c J u valid for,individul use p°ly � or registration If found return 1 _x License iration date. a ulatio>t o� before the eXP Affairs and Business R g ulation Consumer A Affairs g�.BysinessReg Office of Suite 51'10 Corisumer A 10 parkPiA 02116 Office Uf VE►NEN-r CONTRACTOR Boston,l\1 HOME IMPRa ;�.• n 58989. Try "294305 Registration'312412 -� ; Expirat► y�0orporation TYPe ltLLiab�(t &REMODELING LLC HO�ME NT _G with nature. l WINDJAMMER Not valid out sign !TOP ES BIRD �\< JAM MMEn`���x Undersecretary 2 WINDJA MR'O�C64 SO.YARMOUTH . - -"' � 3 4.- - - x e x � f , 4 q# #� R4y. 06/01/2010 20:44 5084205378 POH #0503 P. 002/002 C-Y- Z-� 1 I t , A i Z00/I00 'd 6090: HOd 8LCSOZ0809 CV:OZ OIOZ/IO/90 ty 6?5. � a, Assssor's map-and lot number ............................................ FteeT + Sewage SEPTIC SY$i � AISH Permit number .. . 12!� INSTALLED I �P o�o� 1:0 COMPLI WSTADLE, i 4 House 'umber ......................................................................... : WITH TITLE 5 'o ,,"e ENVIRONMENTAL 0 39 �0 � CODE A oMAY.a. TOWN OF BARNS BUILDING 1,NSPECTOR APPLICATION FOR PERMIT TO ....13,c�.� :....x ............C�a':� .. .... ........................................................ �� . �TYPE OF CONSTRUCTION .......................... ................ ...........................:..............................................:........... ............. 19.. TO"THE'INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....: cJ 1 ................................... ProposedUse c................ ....................................................................................................................... Zoning District ......... ,C................... ....... v Fire District ............. .......:......................................7 Name of Owner ...... ..... ...:. ... .... ................Address .. ....... ......... Nameof Builder ..............<�..........:........:.................................Address :.............:..... .....-:..:.............:.............................. Name of Architect ......:..........Address ' ......... .... ..... - UGc`. Number of Rooms /�� Foundation .............(..�`� G?.. .14 CM .. .........Exterior .... ..........ry ......Roofng .......... ... ... . :......... Floors G 944ol. Interior.Plumbin Heating f g Fireplace ..................................................................................Approximate Cost ..........."7e.. V........:. Definitive Plan Approved by Planning Board ________________________________19____+___. Area Ur. ..v<........-......... Diagram of Lot and Building with Dimensions S0 y g g —� Fee .�..�.`..f............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 0 3G � l I hereby agree to conform to all the Rules and Regulations of the Town of Bar table regardin above construction. 7V'Name ......................................................:... .PROCOPIO,- B. J. Permit for ..ADDITION .......................... GARAGE TO DWELLING .......................................................... ; Location .....996 Main Street ........................................................... Cotuit ............................................................................... B. J. Procopio Owner .................................................................. Frame Type of Construction ........................................... ................................................................................. Plot ............................ Lot ... ............................ Per.mit,?Granted ........ 80 4 Date of Inspection ........................... Date Completed ............�!no`;2.......19 PERMIT REFUSED > 1.9 V&.........cc ............;........................ Cj 4 07, g- ..s.......................... ...................... ..............................I............I....... ............................................... (�.. .... .................................................. . Approved.......... ............... 19 ...................... ............................................................................... ............................................................................... fti f _ Ass jssor'§ipap and lot number ..`......................................... oFT"ETo Sewage Permit number !>!r . ice EAHB$TADLE. i House number 9 MAS& fps,t639. 9� 'FD p0 a\ TOWN OF BARNSTABLE =� BUILDING INSPECTOR APPLICATION FOR PERMIT TO ................................................ .......................................................................:.. TYPE OF CONSTRUCTION ......... ....'. ....�.�.L)............. '....`-.... .......................................................................... ................................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... �..:�.... r1.!.i.............. .�..( ............. ' . .'� f'c/.......... .�� -............... :.: ......:. ProposedUse .........rl�l 1 �........... ....................................................................................................................... ZoningDistrict .......................................:...... ..........Fire District .................. ........................................................... Name of Owner ......r:.......... ......... L�C3C�? ...v......Address ...?.............k........... ................................................. Nameof Builder ...........g ...1.................................................... Address .................n. .?. ....................................................... Name of Architect / . .�.............. .. ....................................................Address .................................................................................... X, Number of Rooms .. ..............................Foundation I�;( , ........................................................... I ti,'n _ r" f `� Roofing f1 ,�,r: r,, T Exterior .................................. ............................................. ............ ..................................................................... Floors C �' �'�✓ !t�f��r-� Interior ....................:�. ..................................................................................... ..........................................I................ Heating ...........................Plumbing .................................................................................. .......................... /................... Fireplace ..................................................................................Approximate Cost ............/...`J. ...................................... Definitive Plan Approved by Planning Board ---------------_---------------19--------. Area ..... .....-. .0 .................. Diagram of Lot and Building with Dimensions ... Fee v..........f.�.............................. . . ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH �G wzl— I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. - '' Name .... .... .......................................................... I PROCOPIO, B. J. 0 .2-24-7.I... Permit for ...ADDITION ADD GARAGE TO DWELLING .k.......................................................................... Location . 99.6„Main 5t;xeet...................... Cotuit ............................................................................... Owner ......B.....:?-...PrOGQB.7,A...................... b Type of Construction ....Frame......................... .................................................... .......................... Plot ............................ at ............................... Permit Granted September 3i.19 80 Date of Inspection ............................. ........19 Date Completed ......................... ............19 PERMIT REF,SED ................................................................ 19 "r-e.......... ............................................................................... . ............. M Approved .................. 19 .............................. .. ............... .�..... .... ,, ........... ,NE Town of Barnstable BARNSTARLE.p' Regulatory Services 7 MASS. 0 1639. �0 Building Division prFO MAy a, 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection zz,— 6 mJ 5 YP P Location 26 /t4 'f rAJ ST- e Permit Number Owner P((,)C` y Builder Z One notice to remain on job site, one notice on file in Building Department. The following items need correcting: C2-) T(,Pq cE�7� e3 U7Zf—� /Z V LA,3 t-� 0 Please call: 508-86�2-4Mfor re-inspection Inspected by Date lD l0 d