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oFar Town of Barnstable *Permit#C;b (�j — �T
SSExpires 5 m th m issue date
PEA ( Regulatory Services Fee
(.
sntuvsrnstE,
v� $ �Y ���� Thomas F..Geiler,Director
i6;9. ��
OF BARNSTAS Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601=
www.fown.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230 _
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number 71Z 4A,
Property Address CEMT��B�OQK L;4NE ' OW7eX VILLE
Residential Value of Work � ,3'QD., ,Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address !��}U� lit/ ie• 'c E y/yDNI� SP/�L`E 7-
Contractor's Name M,�iex > V/G/�E�2t$ON. Telephone.Number .�Q, 'a��Q
Home Improvement Contractor License.#(if applicable) L3 L�
Construction Supervisor's License#(if applicable) /U
MWorkman's Compensation Insurance ..
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner �.
[� I have Worker's Compensation Insurance ,,•'
Insurance Company Name Z/6Z-K7y //(/T I L .'6k,061�o
Workman's Comp.Policy
Copy of Insurance Compliance Certificate must accompany each permit. ' E
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 .�
' #of doors
Replac
ement ement Windows/doors/sliders.U Value ,30 (maximum'.44)#of windows S
*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.
A copy of the.Home Improvement Contractors License&Construction Supervisors License is
required.
SIGNATURE: �—
C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\C6ntent.Outlook\4STGU5QO\EXPRESS.doc
Revised 090809
- 0- i`lassachusetts- Department of Public Safety
Board of Building- Red-uiations and Standards'
Construction Supervisor Specialty License
License- CS SL 101185 e
Restricted to: RF,WS,DM
MARK NICKERSON
r
321 RED TOP ROAD
BREWSTER, MA 02631
Expiration: 10/26/2011
t..'�nxui�z i x�cr Tr#: 101155'
,per fieo�g`/�aaaac,<'uae License or registration valid for individul use only
Office of Consumer Affairs& usiness Regulation g y
- = HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
- = . Office of Consumer Affairs and Business Regulation
Registration:.,--133851 10 Park Plaza-Suite 5170
Expiration: 8/17/2011 Tr# 287107 Boston,MA 02116
Type,[— Pnvaate Corporation
NICKERSON HOME IMPROVEMENT
MARK NICKERSON i f
1.2 COMMERE DRIVE - - �r
ORLEANS,MA 02653 Undersecretary Not valid without signature
I ® DATE(MM/DD/YYYY)
A�o CERTIFICATE OF LIABILITY INSURANCE 3 10 2 10
PRODUCER ROGERS&GRAY INS AGCY INC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
434 RTE 134 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
SOUTH DENNIS, MA 02664 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(508)398-7963
INSURERS AFFORDING COVERAGE NAIC#
INSURED MCAS LLC INSURER A: Liberty Mutual Group
DBA NICKERSON HOME IMPROVEMENT INSURERS:
PO BOX 2476 INSURER C:
ORLEANS MA 02653
INSURER D:
INSURER E:
COVERAGES
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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR D• TYPE OF INSURANCEPOLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE IMMIDONYYY) DATE(MMIDDrYYYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ _
D MAGE TO RENTED
COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $
CLAIMS MADE DOCCUR MED EXP(Any one person) $
PERSONAL&ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPlOP AGG $
POLICY PRCT F
6 LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
ALL OWNED AUTOS BODILY INJURY -
$
SCHEDULED AUTOS - Per person)
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS -
(Per accident) $
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY - EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
$
DEDUCTIBLE $
RETENTION $ $
A WORKERS COMPENSATION WC2-31 S-360989-01 0 3/1/2010 3/1/2011 `/ WCSTATU-LIMITS OTH-
AND EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N - E.L.EACH ACCIDENT $ 100000
OFFICERIMEMBER EXCLUDED? ❑Y
(Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 100000
If yes,describe under
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500000
OTHER
DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS "
Workers Compensation Insurance:Part One of the policy applies only to the Workers Compensation Law of the State of MA.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
BARNSTABLE/BLDG DEPT . DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
200 MAIN STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
HYANNIS MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Jeff Eldridge j
ACORD 25(2009/01) C 1988-2009 ACORD CORPORATION. All rights reserved.
CERT NO.: 6993491 CLIENT CODE: 1228681 Deb Derochemont 3/10/2010 7:20:51 AM Page 1 of 1 -
r
?Tee Commonwealth of Massachusetts
Departineat of Indushial Accidents
afftce.of Investigations
WJ 600 Washington Street
Boston,MA 02111
tvrrmmas�govl is
Workers' Compensation Insurance Affidavit:Birders/Contractw-JEEteclricians/Plumbers
Applicant Information / Please Print Lezibly
Natne 4 k
Address: /a CIAZ r_�2� Z�,ei v� �°0. Bo x o2�71�
City/Sta&Zip: 0AI-E'i+1VS M4 dad 53 Phoneik
Are ou an employer?Check the appropriate boa: T of project
4. I am a general contractor and I Type P�J (required):
1.I I am a employer with ❑ 6- ❑New coast nwfion
employees(fill and/or pact46me).& have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet- 7. ❑Ring
ship and have no employees These sub-contractors have & ❑Demolition:
wonting for me in any capacity- employees and have worms' 9. ❑Budding addition
[No workers'camp.insurance comp-insurance-,
required.] 5. ❑ We are a corporation and its 14.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their I Ln Plumbing repairs or additions
myself[No workers'comp- right of exemption per MGL 12_[_1 hoof repairs.
insurance required.]I c- 152,§1(4� and we have no
employer[No workers" 13.�tither lij///1/DOGVS .
camp:insurance required.] (51 D/A/(5--
'Aay app that checks boat#1 tr :3t dso fill out the section helm showing their wor tern'campensatim policy iofatmatiML
I I�rmeaw- who s btuet ibis afi5devh indicating they axe doing all wow and&m hire oum&coutntcm s nosh submit a new aff davat indicating such..
tConitactors that char&than box most attached am additional sheet showing the name of the and state whether or not tbase entities have
employees. If the sub-coatasctaas have einplagees,the3*umst provide their workers'comp.policy number.
I arm an employer that is promi tirg workers'con9wnsaIhm insurance for may emplopmm Below is the polic3+Bird job sLs
information.
Insurance Company Name: L ZJ,6-k7-yA[JTUsf G CTieO LIP -
Policy*or Self ins.Lie.4/: GV C2-c3A5-J6 /O J99 9-O/O Expiration Date:+
Job Site Address: t S[�'/1/7� �ie0� Z4-AIE CitytState/Zsp: (�Al76ZVILL r /t�4 iU7 3A
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 a 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 agar the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the D1A for insurance coverage verification.
I do hereby cer#iify under tka pains curd pennies of peejury that lire information protgdedd abbvve is true a/ndd correct
Sienatiue: Date:
Phone M S770 -42�40-3o e l
Official use only. Do not write in this area,to be completed by city or tol m offici aF
City or Town: Permit/Ucense
Issuing Authority(tdrele one):
1.Board of Health 2.Building Department 3.City/Fown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
OF THE
+ BARNWABLE,
69. ,,� Town of Barnstable
Regulatory Services
Thomas F.Geiler,Director
Building Division
Thomas Perry,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
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:
S CENTEkB.�ii C�iyT�;e✓ic�E
(Address of Job)
AZ61ASe 544 A-464.05151) 4�5WZD CON7X4c7
Signature of Owner Date
ffrUl� �dGl/E,2 -c�'/�2LE�'
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\4STGU5QO\EXPRESS.doe
Revised 090809
zi
PROPOSAL N cKERWN ,
HOME IMPROVEME i51
•;ROOFING •SCREENPORCHES
SIDING •SECOND STORIES 50S. . 5880 P O BOX 246
DECKS = RENOVATIONS 508 255 5107 FAX HYAIVNIS,MA 02601
ADDITIONS • INTERIOR/EXTERIOI PAINTING �mckersonhome�mprovementcom
SKYLIGHTS •WINDOWSMOORS E Mail rnark1.202653@yahoc .com .
*GARAGES KITCHEN &'BATH REMODELING
PHONE.. DATE
To: Paula Power.Spinet
45 Centerbrook Lane
J N- i ON
Centerville MA 02632 : Same:
':508 428-09Q9
JOB'NUMBER JOB PHONE
We hereby submitspecifications'and estimates-for:::,.
>
:..,-Strip clapboard s>dewall from front of structure. , , h
Cover stripped area,with Tyvek or equivalent house wrap
Supply and instate:sidewall as listed below
S all labor,material and.debris removal
`1: u 1 and install rimed fin er-'omted cedar cla boards; t$2680
pP y p g J p
2 Supply and install pruned natural cedar clear vertical grain c ards at $3445
Remove and dispose of front picture window and 2 Hankers
Supply and install windows as listed below
Supply all int6hor:and ektenor'trim as required
!7M
alT labor,material and.debrisremovalupply and install:2 Harvey or Andersen white vinyl double flankers and 1 picture,window'with
SolarBan.70 glass and 0 grills between glass(rated U.30) $2640
2. Supply and install 2 Harvey Tribute or'Andersen white vinyl double=hung Hankers and l picture window with
grills between lass anddi a teguard trip. l.e ane glass (r.ated U.21)at$2830
_
ZArW, single window; same specs as above, t $78 `-�.
L,iQ double window, same specs as above;:a 1490
Price does not include any.finish.paint or stain
All windows quoted with standard hardware
Note: Grills are exterior color(planned as white)
We Propose hereby to furnish material and labor complete in accordance with the above specifications,for the sum of.
dollars($ )•
Payment to be made as follows:
$750 deposit requested with returned proposal
Progress payments upon request
All material is guaranteed to be as specified.All work to be completed in a professional -
manner according to standard practices.Any alteration or deviation from above specifications Authorized
involving extra costs will be executed only upon written orders,and'will become an extra Signntu '�
.charge over and above the estimate.All agreements contingent upon strikes,accidents or
delays beyond our control.Owner to carry fire,tomado,and other necessary insurance.Our N e:This prop
workers are fully covered by Worker's Compensation insurance. withdrawn by us4_riot a e ted within S.
3
Acceptance of Proposal —The above prices,specifications and.
conditions are satisfactory and are hereby accepted.You are authorized to do the work
as specified.Payment will be made as outlined above. Signature
Signature
Date of Acceptance:
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Town Of Barnstable *Permit#
�.e Expires 6 months from issue date
BaaxsrasTV # Regulatory Services Fee
Mass.
163 10� Thomns F.Geiler,Director
Building division ;�.P PERMIT
Tom Perry, Building Commissioner
200 Main street, Hyannis,MA 02601 N 0 U- 19 2003
Office: 508-862-4038 0
Fax: 508 790-6230 TOWN OF BARNSTABLE
EXPRESS PERMIT APPLICATION - RESIDENTIAIJ ONLY
Not Valid without Red g Press Imprint
Map/parcel Number i
Property Address �1� \'9 kQ1I \z_ �A.
in Residential Value of Work'I I J
Owner's Name&Address J Q Lit)0 - A if (l�
Contractor's Name-U ow SW kn(1 amomu-MU* Telephone Number D�d�-, ��
Home Improvement Contractor License#(if applicable) tj
Construction Supervisor's License#(if applicable)
[ orkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
PI have Worker's Compensation Insurance
Insurance Company Name l 't bA
Workman's Comp.Policy#
Permit Request(check box)JYP ,
Re-roof(stripping old shingles) All construction debris will be taken to �1
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side �,,,
Replacement'i��ows S aloe Q. (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 Improvement Contractors License is required.
Signature
Q.Forms:expmtrg
Revise053003
{'r, ao.a nrcli License or,registration valid for Individul use only
B+rc�ot�himing cgu ati sa
before the expiration date. if found return to:
HOME IMPROVEMENT CONTRACTOR Board of Building Regulations and Standards
I``a��J`� � • .Registration: 133851 One Ashburton Place Rm 1301
X Expiration:• 8117/2005 Boston,Ma.02108
Type: Private Corporation
NICKERSON HOME IMPROVEMENT
MARK NICKERSON
I 12 COMMERE DRIVE - Not va without signature
ORLEANS,MA 02653 Administrator
0
+� V
Page No. `_ i of pages
NICKERSON HOME IMPROVEMENT, INC. - -
P.O. Box 2476
HYANNIS, MA 02601
�o (508).790-5880 Fax (508) 5-5107 �! PHONE
.- 1?a l.I a �r r'�3� - - ('. DATE
�5 renter rc,o,K SGo-4�Fi 09Gg i011(5 uG-
Lane JOB NAME!LOCATIlie 111�
ON
,-ame
{Gt .'6 9
.J.
JOB NUMBER
98 pHONE
` -, _L l±iilt�ie?, off eIlF L roof
r.enaii all loose sheathing
Install S" v%h i to aluminum drip edge .
� g� on all lot-Ter edges
instal! ice &
z' Pater shield on all loner edges
instali Mack underia-vment felt paper on entire roof
Install nec-T flanges around all vent pipes
�L.all
Irl�.� '�.ra21d Man-or Shangl_es on entire roof•— i Q bye.,.
-All trash and debris will be removed and disposed of properiv
materials, labor and debris removal
_--ase ?rldl t$ Milt -1 e color
<�� on 1-etUrlied proposal
r'n1Y items specified above are included in this prop,>.�_ ,
Rotted wood is i _ 03al NOT inr;luded ?n this.. priaf�osal
kl'ate--ials guaranteed by manufacturers
14ickerson Home Improvement Inc. uarantees c,� g orl-;mansl-:ip for 5 --ears
02 vt'.lulu 50ce
f1tiox 4�0& o" 18514 aul
t
WE PROPOSE hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of:
Payment to be made as follows: _ dollars(S f
deposit upon signing, progress pa-kn.tents upon request, bc0R'Pletion lanc_ upon,
All material is guaranteed to be as specified. All work to be competed in a profession Tanner twm according to standard practices. Any alteration or deviation from above s)ecUica- Authorised
ng extra costs vfil be executed only ufurn written orders,and will become an 5grature
extra drarge over and above the estimate. All agreements contingent upon sinker accidents or
delays beyond our control. Owner to carry rife,tornado,and other necessary inswar Our Ice
wodcers are fully covered by Workers Compensation Insurance. :This proposal may be
withdrawn by u within
ACCEPTANCE OF PROPOSAL_ ``ons days.
and conditions are satisfactory and are hereby amepted. You priceareautspecifhorirized Signature
to do the work as specified. Paymen ill be Taf as outlined above.
Date of Acceptance: b Signature
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cernant le
Pour:,tous:. ensel nements:con s
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Mats Unis et Canada
r >�Q w 25 60 O$,00 d VELUX
1-800-88-VELUX
iss
VELUX America Inc: VELUJX America Inc.
NFRC Model VS/VSE (75), VEL-N-002- NFRC Modele VS/VSE (75), VEL-N-002
Tempered, Trempe, double couche d'enduit a faible
LowE2 Argon Gas-Filled
NatRatingCoun it 0.04 LOW-E2 National Fenestration 6mISSIVIt6, injecte d'argon
Rating Council 0.04
0.437-Gap - Double couche d'enduit a faible emissivite
RE597
•=- 0:437- Espace
R,- E597
ENERGY PERFORMANCERATINGS,,_ EVALUATION ®U REN®EMEINT ENERGETIQUE
U-Factor (US/IP) Solar Heat Ggin CO@fflCleClt Coefficient (Syst6me M6trique) Coefficient d'apport par rayonnement
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solarre _ �
ADDITIONAL PERF®RMAIVCE TANGS' `7 sY �'; EY'ALt,D1Tw®NI SUl'P!LEfViENT ,It ®iU REN®EMEIVT
71,
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Manufact i user stipulates that these ratings conform to applicahle NFRC;procedures for determining whole 5elon,le#abricolit ces cotessont;confromes oux rocodures
product performance.NFRC ratings are determined for a fined set ofenvuonmerifal eondiTlons and'o` <' lobol?d p applicobles du NFRC servant d 8tobllrle rendemeni
g .. u produit%Les:cotes du,NFRC'sont ktoblfes salon les conditions environnementales'etdes dimens ons de
Specific product size.Consult manufacturer's literature for other [oduit performance Informatloft r : I: .p produit spBclfigUes Consulfea to litt8rnture du manufacturier pour de('information sur Ie rendemeni de toutputre
www.nfrc org :' produit. www.nfrc.ag
Meets or exceeds C.E..C. Air Infiltration Requirements. Satisfait ou excede les exigences du C.E.C.quant crux.normes'cJe I'rnflltrohon de l air.
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05/26/2003 21:36 915OB7906230
Town of Barnstable
Regulatory Services
Thomas F.Geiler,Director
`°�0'• Building Division
Tom Ferry, BuOding Commissioner
200 Main Sumt, Hyannis,MA 02601
office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I, 4 �� c Q��1,�0 r C l�1 C�Q ,as owner of the subject property
hereby authorize ►U1 C� (SM I�{1Q X� ��� .1�'l to act on my behalf,
is all matters relative to work authorized by this building permit application for:
dyCS- 'of-Job)-
!iina of Owner Date
Print Name
Q-F0RMS-.0WNMtPSLtMSX6N
Liberty Mutual Group
PO Box 7202
Portsmouth,NH 03802-7202
W'Lberty_
Telq?honc(800)653-7893
Fax(603)431.-5693
November 14,2003
TOWN OF BARNSTABTE
BUII_D.iNG DEPT '
367 h•1Ai ti'STREET
I3YANNUS. MA 02601-
RE: Cerlit'icate of Workers Compensation Insurance ,
Insured: NICKERSONBOME IMPROVEMENT INN
FO BOX 2476
ORLEANS,MA..02653
Policy Number; WC5-3-IS-3'18102-023 F:fft ctivc:` ..1:1I612003 •`.Eepiratidir '''I•I;*'s"lUU4'`'
Coverage afforded under Worker Compensation Law of the following state(s): MA
Employers Liability:
Bodily Injury By Accideux: $ 1,000..000 Each Accident
Bodily injury by Disease: '$ 1,000;00U Each Person
Bodily Injury by Disease: S 1,000,000 Policy Limits
As of this date,the above-referenced policyholder is insured by LM Ittsurance Corporation under the policy i
listed above. i
The insurance afforded by the listed policy is subject to all the terms,exclusions and conditions_and is not
altered by any requirement,term or condition of any or other docuincnts with respect to which this certificate
may be issued.
This ecrtificate is issued as a matter of information only and confers no right upon yot:,the cerdficttte' holder.
This certificate is not.an insurance policy and does not amend, extend.or alter the coverage afforded by the
policy listed above.
If this policy is cancelled before the stated expiration date.Liberty Matual will endeavor to notify you of such
cancellation.
AUTHLDR21;11 RE•PMENTAT►VE
LIHLRTY MUTUAL INSURANCL GROUP
0,;,ccniiit:atc is.;XtCV td by 1,1,MR Y LNtUTUAL IINSIURANC&(;Rot?P u mnp-as su;h Witrocc Sb is�lb'eed Sy Lhmt companin. f
i
cc: Insured; Producer at Record:
NICKERSON HOME 1NvIPROVEMENT INC PIKE LR'SURANU AGENCY NC
PO BOX 2476 P O BOX 1659 '
ORLEANS..MA 02653 p12L1;ANS;MA 02653
' r
SHED REGISTRATION
location of shed(address)
property owner's name
x f C�
size of she
MO
signature date
Old King's Highway Historic District Commission jurisdiction?
THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN
shed
CLI��I'�: r, ra_ss Associate- o_ _'pLFtPt b(
OWNER Raymond & Paula Soirlet ASSESS(
APPL 1 CANT: Same
aa r
O R T G A G E I N S P E C T I 0 N �,: h
+ 1 M Y R a fie
tL§'.r�" t S{.Sri V-1 ''Y'`''• -$",i,`Y: d,n ;Y 4.`
I Pv
BARNS A B L I
+ t
SCALE: 1 = 30`
i
z 7c t
,{ 4✓M
000
Lj
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s? n
/O
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c MASS
SENTRY FEDERAL jSAVINGS BANK, ' r
I CERTIFY TO APPRAISAL ASS
OCIATE, OFx '
AND ITS TITLE INSURANCE COMPANY, THAT
tT IATHTHISAPL_ANCI4JAIS IPREPAREDOUNDERNMY`
s s
OR EASEMENTS EXCEPT AS SHOWN $
IMMEDIATE SUPERVISION ----- "
r' }
THE LOCATION OF DWELLING AS SHON'n' .1 S I N: pi`Ma` \ r�r t , tl
COMPLIANCE WITH THE_LOCAL ZONING ' LAWS
WITH RESPECT TO HORIZONTALS DIMEiSIONAL' (;o� r«nINETn
a i!
REQUIREMENTS.
1'
THE DWELLING SHOWN HERE DOES N O i FALL
WITHIN A SPECIAL FLOOD HAZARD LINE AS 5000�C•, eras tax?.; sfi
DELINEATED ON A MAP OF COMMUNITY 1`=%
DATED 8/19/85 BY THE F, I ,A,
N l_E:nd surveyors
Civil Enpinears
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House number .........................................................................
9
�O 1639• �
am p.
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO �� � C. t ,�
TYPEOF CONSTRUCTION .....................:............................ ''�Z...:l............................................................................
........4 Al. .....................I 9�K;.3
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location �Zr ................... !�!........L,,,(`?i........... ......................
ProposedUse ..... y� r.. ....e!"( ..r!'�!j,/.'/ .................................................... .......................................................
Zoning District .................................................Fire District
......:................. ...............................................................................
l`)c-��n r �'..... C ��1� l G�c /
Name of Owner ..................................................................�...Address ..................... ...........................
Name of Builder /"> ) ..........................Address ....................................................................................
: ..........................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ............(0................................... .............Foundation ...
Exterior ...... 1r t'l,i i'tC �.... /..� �L'! e �.Roofing , �,� ...........................
? fA/ f �r'e,� �� .Interior ........�.. �.f'. t � .
Floors ..........�T .......`......../.: ...f...,. ..................... / )_ ....... ........... .............................
Heating .........................�.........................................Plumbing ...........i....._....�.......�...... .
Fireplace ........................................✓•`' ..........................Approximate. Cost ........... � J ...........................
Definitive Plan Approved by Planning Board ______- :5� _� ___19__ ( Area
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH l f
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.
ti Name ....................... ., .................... ,.. ..............
n r� (
Construction Supervisor's License ........... ....;...•......... ..
GREENBRIER CORP. A=i mac
No 27 9�9 Permit for One Story u
................. ....................................
Single Family Dwelling
...............................................................................
Location ....L.ot. ...7.,.......4.5...Centerbrook. . . . . . . ..La n e
.. .. .. .. . . .. .. .. .... .. .... .. .... ..
Centerville
...............................................................................
Owner ......Greenbrier Coro*
Type of Construction Frame
................................
................................................................................
Plot ............................ Lot ................................
April 24,
Permit Granted ........................................19 8 5
Date of Inspection ....................................19
Date Completed ......................................19
•TOWWOF BAkkSTABLE �7799
Permit No�
*B di 913is Uil-.M pector
OCCUPANCYPERMIT:
- .- ':- RM IT' Bond 'x
Yl
----------
Gre it -CorpIssued to .�:Address
-
45 �rbi k Cdut*) r66 -LAiie Cantetyllre,
Wiring InspectorInspection
.'Pluinbine Inspector _,
,
Inspection clate le-
- .
Gas-liipector 2Z�= Inspection i—on, �te a- 'e6tibn.dat,&',t
-,�,jnp Engineering erin
Departure`
"XV
-:'A A,
,�,Ip§pecti Board o f.Helalth, Zq
tv
THIS-PERMIT Y ILL•NOT. BE VALID,--AND t-THE BUILDING:?SHALL' NOT BE 'OCCUPIED uNuL '—,
SIGNED',BY'-THE.-BUILDING. INSPECTOR;UPON. ,SATISFACTORY COMPLIANCE WITH ITOWN
-
REQUIREMENTSAND IN ACCORDANCE:.WITH SECTION,A 19.0 OF THE MASSA CHUSETTS STATE - -
BUILDiNG:CODE;
t ....... .......................................... 19
Building Inspector
I 'A'
1_.,. _ .. ,.: .. � +i - - '.'i, ': - i � �. _ •.. � {, r .i r ?tea""- .-icy ✓�'y •
—4
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
2-sssaqr = TOWN OFFICE BUILDING
MYL
HYANNIS, MASS. 02601
MEMO TO: Town Clerk
FROM: Building Department
S
DATE:
An Occupancy Permit has b/eeeen�. issued for the building authorized by
BuildingPermit .-4-1 ...................... ..............................................._.. »._ ..............»................
issued to -
fPlease release the performance bond.
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rougNT . dIIER
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1
CF 7N E TO
y Sewage Permit number - '.....: SEPTIC SY
�/S INSTALLED IN COL,. �NAR33 ULE.
A
House number .................................0.AV f..................7.............. IT14 TITLE 5 °o rb 9. \0�
r� ENVIRONMENTAL CODE AN,' �Mp'`
TORN OF BARNS, % , �R �EPalcros
BUILDING - INSPECTOR
APPLICATION FOR PERMIT TO ........ � �1..... .... .......................................
TYPE OF CONSTRUCTION .......LJJD.0.(�....7 n f..............................................................................
1••• •..(.......................
I9Z 45/
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ......... ..... 1/44v1 .14.../!I.a.......C(f ...�` /.. / .....................
ProposedUse ..... ,f^ 1. :..Tl.�l.... ...................................................
\ Zoning District .....�..........................................................Fire District ....... ..... ....................................................... .........................
Name of Owner .... ...(fQ�.,Address ........d. .... ...F..0......(f�.Ax./C.§:.vl..f
Nameof Builder ..............��1.Y1.�..........................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
��
Number of Rooms ............6................................... ... .........Foundation ...�/P..... �. .. .....
.............................
......
Exterior ......! ,!�4r... �` .. .� .J.... ! ��'J.".Roofing ..... ..... . . .. ...... c�.......!.... ,�. .....................
�5
Floors ..... s. ... ..l.... ....C_(X��.C'1.........................Interior .......S �..... .. O. C.k..............................
v
Heating ........... .'=?.... ....... -,..................Plumbing .......�.. �, ...ha 4
Fireplace ........................................ 0..........................Approximate Cost .......... ...... on.......
r
Definitive Plan Approved by Planning Board _____ __ ___ ________19__ � Area 1.`9 ..... f.. �....
Diagram of Lot and Building with Dimensions Fee .........................s... --------- �
SUBJECT TO APPROVAL OF BOARD OF HEALTH
Al/ A4
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable rdin t -above
construction.
Name ............... .... .. .................. .... ..............
Construction Supervisor's License ........... ..(�. .../..
E'EN BRIER CORP.
27799 One Story
N6 ................. Permit for ....................................
......Single...Vaai.l��... ...............
..... .. . .. ...
Location Lot 7.., 45 Centerbrook Lane
............ .................................................
Centerville
...............................................................................
Owner ............................................ .....................Greenbrier Corp.
Type of Construction ......Frame.........................
....... ....
. ................... .......................... ................................
Plot ............................ Lot. ................................
Permit Granted ....April 24,...................................1.9 85
Date of Inspection .....................................19
Date Completed .......19,95
' /2� �yl ... TIC SYSTEM MUST BE
Assessor's map"and lot number ...... ...............
N h�tia�0 ® IN C®MPLIAN C CF TH E TO
/� WITH TITLE 5
Sewage Permit number ..: .7.'.:7..1�J�............................ :+ y ��;rl
�NMENTAL CODE A 't B�BasTanLE,
Ia�773LL�u 10•I MA86
.. House number ................................................:....................... C�C�iL R 90o t639. ���
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATIONFOR PERMIT TO .............................................................................................................................
TYPEOF CONSTRUCTION ... ...... ................................. .. ..................................................................................
..... ........ . �. ...........19-V
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...... r�....... .14.J41. /V i" ..............................................-..4?r,.. ... .1. ............l..l..� ......
Proposed Use ....... �Q.!,. .. _ .......4.1. 4 .................................._ _
Fire District ............................................................../V � t r�s '(.!!
.............................
.
Zoning District .... . .X�l4l..��. ..:.!:.e°..1..(.`�'�J...................
Name of Owner �! .............................. .� ./ ''/.Address ..�.� 7"�2b,�oQ
�° �p _ - ,��v�
Name of Builder�Q.SFr .-t.L.;r.....J.a.?� iCd .........Address .+'1......... �.. 9•`� ........
Nameof Architect ..................................................................Address .............................,......................................................
d�
Numberof Rooms ..................................................................Foundation ....................,.........................................................
Exterior ....(,o.h.cF)t4&......1.r'ed.!.i........................Roofing .....L../. h%.!.../.'✓......................................
Floors .........�!..1..4 ../141..�.��` �''..........................Interior ...........,...:....................................................................
/� V
Heating ........�/`�.�s1..�.1.�...................................Plumbing ............ !:....... ......:...............................................
Fireplace .............................................................Approximate Cost ................ ®�.4 .0............................
Definitive Plan Approved by Planning Board -------------------------------19--------. Area
and Building with Dimensions , ..
Diagram of Lot a g Fe
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .............,.....................................................................
Construction Supervisor's License .®. ..�..I...�...G.......
J SPIRLET, PAULA POWER
30971 Add Dormer
No ................. Permit for ....................................
Single Family Dwelling
... ...............................................................................
45 Centerbrook Lane
Location ................................................................
,4 Centerville
...............................................................................
Owner ......Paula,Power Spirlet
............................................................
Type of Construction ...........F r a..........m.-.�!..................
". ...........
Plot ............................. Lot ................ ...............
Permit Granted ........JMIN 10.............19 87
Date of Inspection ...I................................19
Date Completed ............./... ..................19).
r
I j
L.
Assessor's map,and lot number ..... ........... I E
Sewage Permit number ...9.7.-..: ..................... .....
MAR33TABLE,
House number .........................................................................
pow 1639-Ar
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION.-FOR PERMIT TO...........................................................................................................................
TYPE OF CONSTRUCTION ... .............7. ....................... .................
........ . ............ ..... ............19..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
6 (21
Location ...... .................................................... ...... .........._f..... ...
Proposed Use .....6_� dlnd ,-lc ellu4�
...................................................................... y................... .......... ...................................
Zoning District ..... ...... ...............Fire District .. ..........
. ......... ............................ ................................... ��f4.......
Lj /U 61
e.h,..fAddr 4.f�.............. ...........�6.......
Name of Owner ....... ............................... ess ..
Name of Builde� r
,j,l�.4./............ .. ...........Address ....... .... ..... ..........
'Name of Architect ..................................................................Address ............................. ......................................................
Number of Rooms ......... ..................Foundation ........................................................... ...........
ExierExterior .... .......61to. 9 ....
...................................Roofing ............ .....................................
Floors .. oz... .... .................�z....... ......:..Interior .......................... ...............!.........T..........1.........................
.........t
Heating ........ ...................................Plumbing ............ ....................................................
............................................ ...... ........
Fireplace 4..^.............. Approximate Cost ......... .............
Definitive Plan Approved by Planning Board -----------------------
----19--------- Area VjO
��� ;E� . .
Diagram of Lot and Building with Dimensions
Fee :6T),.0...........................
- SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby ag"ree to conform to all the Rules and Regulations of the Town of 136_rnstable regarding he above
consttuction. i rN
Name .... 4,V/
. . ............ ............................. .......................
Construction Supervisor's License .&P... ...........7
b
SPIRLET„ PAULA POWER A=172--241
aye
No ...3 0 9 71 Permit for ...Add Dormer
SincJle Family Dwelling
Location .,,45 Centerbrook. . . . ...Lane. . ...........
.... .. .... .. .... ..... .. .. ~
Centerville
...............................................................................
Owner . Paula Power Spirlet
..... ..................
' b
Type of Construction ....Frame
................................................................................
Plot ............................ Lot ................................
Permit Granted ......_July...l....!
...........19 87
Date of Inspection .::..................................19 -
Date Completed
1
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