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Cape Save Inc.
7-1) Huntington Avenue
South Yarmouth, MA 02664
Tel: 508-398-0398 Fag: 508-398-0399
11/11/2014
Thomas Perry CBO ,
Town of Barnstable
Building Division
200 Main St.
Hyannis,MA 02601
RE: Insulation Permits x
Dear Mr. Perry
This affidavit is to certify that all work completed for 61 Clifton Lane (#201404779) has been
inspected by a third party Certified Building Performance Institute(BPI) Inspector.
All work performed meets or-exceeds Federal and State Requirements.
' Sincerely,
William McCluskey
01
c,
1OV5MV
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel 5 U A lication #
pp
Health Division Date Issued I�1
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address 61 C L
Village g� wl� De,
Owner Vi r+o r Ya,c6p+ Address SA�I(1 ei
Telephone OR 5 3 L0 1 5 a
Permit Request add a.aj R,-34 Ce166 * +he a,4L, Md R-14 cahtda,so
-0 * e 104,l l S ; N1� R- 19 �1 E%Its --fy -}IMP 6=Mai+ box
r e�A E 11G G/� f�! 4 �
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation b® Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
® N
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King'ks Highway: ]Yeso❑ 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 ne
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑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 ;XNo If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
� 6cQ
Name 1 U V Telephone Number 508 313 039
Address "` U P Kve• License # -1-C o ��4 h
50 -TY&tMO14AV-� OW Home Improvement Contractor# 38D
Worker's Compensation # t c 3 D 8S 633
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �&,MM4
SIGNATURE DATE l
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
t-
Y
DATE OF INSPECTION:
;&FQ.UNDATTJONvuftl,I-'VN)y. OVUM!1) y t
FRAME
INSULATION;1i.t i.,• . t_n
FIREPLACE
ELECTRICAL-_,,ROUGH .FINAL
F PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
s:
FINAL BUILDING'
7
DATE CLOSED OUT
ASSOCIATION PLAN NO.
t
I
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
_h r i Congress Street, Side 100`
Boston,MA 02114-2017
www.massgov/dia
Workers'Compensation.Insurance Affidavit: Builders/Contractors/Electeic anslPlumbers
Applicant Information Please Print Legiibiv
Namie(Busint s5%Qrgani atioNlndividual) Cape Save Inc.
Address: 76 Huntington Ave c .
City/State/Zip: South Yarmouth, MA 02664 Phone#:, 508-398.0398
Are you an employer?Cheek the appropriate.box: Type of project(required):
4. 1 am a e'neral contractor and I
1.�✓ I am a employer with g 6. ❑New construction
employees(fnll and/or part=time):` have hired the sub-contractors
2.El the attache
l am a sole proprietor or partner- .
listed on d sheet. 7. Q Remodeling.
ship and have no employees These sub-contractors have g. Q Demolition
workingfor me in an ca aci employees and have. workers' a
Y p ty: 9. ID.Building addition
[No workers' comp.insurance: comp.insurance=
5. We are a corporation and its I0.[�.Electrical repairs or additions
required,] .
3.❑ 1 am a homeowner doing all work. officers have.exercised their 11,E].Plumbing repairs or additions
myself. [No workers', comp::. right of exemption per MGL. 12 M Roof repairs
insurance re wired. t c. 1"52, 1(4),:and we;have rip
q i3,.Q Other Insulation:.
employees. [No workers'
comp. insurance required:]:
*Any applicant that checks box av 1 must also fill out Ehe SteiionL below sfiowingLLtheir workers'compensation policy infonnat ion.
t Homeowners who.submit this:aMdavit in iicating e.VL are doing all work and then hire outside contractors must suhmii a new atTi6'r t indicating such.
aContractors:that check this box must attached an addhional sheet showing the natne c f the sub-contractors and state whether or not lhoii enfiftis hive
employees. If the sub-contractors have employees,they must provide their vmrkers'com,p policy number":
1 aril an employer that is providing workers'cnrnpensation insurance for iriy.employees. Below is thepolicy and job site
information.
Insurance Company Name: WeSCO Insurance Company
Policy#:or,Self--ins.Lic.#E WWC3085633. .. Expiration Date: ,04/09/2015
Job rSite Address: r I , I
6 l l All �-4XA e_- Ci /State/Zi ;
ry p C e n-�r�r�
Attach a copy.ofthe 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 S 1,500..Oo 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 OlTice:of
InvestigationSr of the DIA for insurance coverage verification:
L do hereby certi under thepaihs and: enalties ofpfr' that the in orination provided abo is pui and correct.
Signature: _ Date -1
Phone#:
Official use.only. Dv not fvrite in this'arep;.to be completed by cit}i or tower official
City or Town Permit/License:#
Issuing Authority(circle one):
1.Board of Health 2;Building Department 3.City/Town 4.,Etectrical Inspector 5.Plumbing Inspector
6.Other
Contact Person:. _ Phone#ts__
/ACORV DATE(MMIDDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE 4714/2 0:%4
THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF'INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE=ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER;AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be.endorsed. If.SUBROGATION IIS WAIVED,subject to
the terms and conditions of the policy,certain policies may requlre an endorsement. A statement an this certificate.does not confer rights to the
certificate holder in lieu of such endorsements.
PRODUCER NAME:iONTAC T Colleen Crowley
Risk strategies Company PHONE IAIQ No.Ex (7$1)9$6-440.0 FA1 NIlao:(781)963-4420
15 Pacella Park Drive E-MAILccrowley@risk-strategies.com,
$111te 240 INSURERS`AFFORDING COVERAGE NAICt .
Randolph Z� 02368
P INsuREaA:selective. Ins.. of America
InIsuREo WSURERSSafety.,Insurance CcftaLTiy 33618
Cape Save Inc _.
� INSURER Iiisuraace Company
7 D Hunt ngton Ave INSURERD
INSURER:E '
south Yarmouth i 02664 iNSURER'F:
COVERAGES CERTIFICATE NUMBEA:CL1441475243' REVISION NUMBER:.
THIS IS TO CERTIFY THAT THE POLICIES OF'INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT;TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN:,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS,SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONSOF SUCH POLICIES.LIMIT$SHOWN'MAYHAVE BEEN REDUCED BY PAID•CLAIMS.
ILTR TYPEOFiNSURANCE. POLICY'NUMBER MMIDD EFF MPM/ICYEXP -- _- LIMITS
GENERAL.LIABILITY _. -.
' FAGH OCCURRENCE $ 1,000,006
X COMMERCIAL GENERAL LIA&ILffY DAMAGE TO RENT
PREMGES Eaoccunance $ 100,000
A CLAIMS-MADE. Fx]OCCUR S1994480 0/16/2013 0/16/2014 MED EXP IAny one person) $ 10,000
PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE- $ 2,000,000
GEN'LAGGREGATE'LIMIT APPLIES PER: PRODUCTS-CUMPIOPAGG $ 2,000,000
POLICY X IIECT PRO X,.LOC �.
AUTOMOBILE LIABILITY _. E accident COMBINED
nf L : )L 1 000-000
ANY AUTO BODILY INJURY(Per person) $.
B ALL OSIED X SCHEDULEDT4 208200 i f612o13 1/6/2014 .BODILY WJURY(Per axidanq $
NON-OVMIED PROPERTY DAMAGE- -
HIRED AUTOS X AUTOS Peracct
Ix
$
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000
.EXCESS LIAB CLAIMSRADE`
A _ AGGREGATE $ 1,000,000
.si S1994480 '0/16/2013 0/16/2014 --- - -- - -
i�ED RETENTION : g
C WORKERSCOMPENSATION fficers Included For WCSTATU- OTH-
AND EMPLOYERS'LIABILITY .YY N-. X. T OR
I S R
.ANY PROPR_IETORJPARTNERIEXEC 1TIVE overage E.L.EACH ACCIDENT $ 50.0 000
OFFICERIMEMBER EXCLUDED? N❑ NIA
(Mandatoryin NH) ' - 3085633 ' /9/2019 /9/.2015 E,L.DISEASE_-'EAEMPLOYE $ 50.0. 000.
If yes describe under '
DESGRIPTIONOFOPERATIONSbelow E.L.DISEASE-:POLICY LMIT '$ 500,000
DESCRIPTION OF OPERATIONS LOCATIONS GVEHtCLES(Attach ACORD 101,Additional Remarks Schedule,H e, more _
space is reQuired)
Issued as evidence .of insurance. Issued as evidence of insurance.
Thielsch Engineering, Inc. is listed as additional insured as resp®dts General Liability as required by
written contract..
M
CERTIFICATE HOLDER CANCELLATION
mSOnCJi3CapellQhtCOIGp3Ct.Org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Cape Light Compact
ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: Margaret Song
PO BOX 427/SCH AUTHORIZED REPRESENTATIVE
3195 Main Street
Barnstable, M& 0263.0
-chael Christian/CLCr`
ACORD 25,(2010/05) 01988-2010 ACORQ CORPORATION. All rights reserved.
INS025(201005):01 The ACORD name an&logo are registered marks of ACORD
Office`of Consumer-Affairs and Business Regulation
F 10 Park Plaza=Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
_ .
»� Registration 171380
� »
;Type. .Corporation -
"" Expiration: 3114/2016 Tr# 249649
INC.
CAPE SAVE
�y
WILLIAM Mc.CtUSKEY "
7-b HUNTINGTON AVENUE
SOUTH YARMOUTH, MA 02664
Update Address apd return card.Mark reason for change::
Address �-Renewal Q Employment Lost Card
SCA 1-0 20M 05/11.
�' V/ae tpomvinRncuercLC�afC�/�avtc� u�eltl € 777777¢ t
Office of Consumer Affairs&Business Regulation 7
License or registration valid for indrvidul use only
OMEIMPROVEMENT CONTRACTOR befo 146 expiration date. If found.return to i
egigtration: 380' ';:Type Office of Consumer Affairs and Busme§s'Regulation t
10.Park Plaza-Suite.
OgExpiration:,��3/44/201.& Co-rporation �
Boston,MA 02116 i
CAPE SAVE INC. I" t
5_ WE "
"WILLIAM McCLUSKEY k,'U
7=D HUNTINGTON AVENUE f
SOUTH YARMOUTH,MA 62664 `
Undersecretary Not vali ►thout signature
z
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supers isor Sperialri
License. CSSL 102776
WILLIAM J MC C USKEY
37 NAUSET ROAI)
West Yarmouth AU ,02'
J,.(..• JyJr . '� is' Expiration
Commissioner 06/28/2015
s
P
R
�t
`i
Building Permit Authorization
I, Victor Yachot as owner --
hereby give my permission to
Cape Save, Inc.
7-D Huntington Avenue
South Yarmouth, MA 02664.
Office: 508-398-0398
to take all necessary steps to obtain a building permit to
perform work at my property located at
Lao g
61 Clifton
Centerville, MA
Signed
Date 07 as f
w u�a Town of Barnstable
Regulatory Services
�YTNETor,�
W Thomas F.Geiler,Director
snxivsTasi.e,
Building Division -- -
Tom Perry,Building Commissioner
.16
A 9. �0 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee:
Permit#: 3?g a C-,6
HOME OCCUPATION REGISTRATION
Date: 1( 10'g1n'3
Namecnn Av t�. hone#:
Address: j!�:-4 o I_ r n C-- ` Village:- Fn�e,(y i
Name of Business:
Type of Business: �Cn Map/Lot:
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity
shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the
premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;
and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located within
that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there is
no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,
odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of
normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
• There is no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
I,the undersigned,have read and agree with the "bove restrictions for my home occupation I am registering.
Applic Date: 11 108[65
Homeoc.doc Rev.5/30/03
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by.M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1st FL., 367 Main
Street, Hyannis, MA 02601 (Town Hall)
DATE; ) )
Fill in please:
� s
im
APPLICANT'S YOUR NAME: n
BUSINESS YOUR OME ADDRESS:r,.t 0 I! c c t^c�,nc-
�`�sc, �� TFzt ONE # Home Telephone Number_(5'c� a 1 '-1.� �
W �.() (Ai C-1 .S/U%/V 67
NAME OF NEW BUSINES TYPE OF BUSINESS 'T i Gy
IS THIS A HOME OCCUPATION? E NO J
Have you been given approval fr6m the building division? YES NO
ADDRESS OF BUSINESS MAP/PARCEL NUMBER
I
\� When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable.
\, This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. -(corner of Yarmouth Rd. & Main
Street) to.make sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING COMMISSIONER'S ICE
This individual has been ' f ied of any emit requirements that pertain to this type of business.
uth riz Sign ure** '
( � COMMENTS:
2. BOARD OF HE
This individ I has o ed of the perm uirements that pertain to this type of business.
, �Authorized Signature** ` J
COMMENTS:_�1't�
\1 3. CONSUMER AFFAIRS (LI7Pn,"1nf0rmjadAAJhe_IiGe
�ISi�NG AUTHORITY' ---_
This indlvldual.has berr iryg ✓eme nts that pertain to this type of business.
Authorized Signature**
COMMENTS:
- �- ,
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by.M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1st FL., 367 Main
Street, Hyannis, MA 02601 (Town Hall)
DATE: J jOS r 0_5
Fill in please: 11
AN RA In APPLICANT'S YOUR NAME.
BUSINESS YOUR SOME ADDRESS: A 0 I1r can LcQ60t
TELEPHONE # Home Telephone Number snt 1 _,H 52-C
NAME OF NEW BUSINESS YPE OF BUSINESS
IS THIS A HOME OCCUPATION?
Have you been given approval from the building division? YES NO
ADDRESS OF BUSINESS MAP/PARCEL NUMBER 044 4 .i 2?
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable.
This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St.—(corner of Yarmouth Rd. & Main
Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING COMMISSIONER'S ICE
This individual has been ' f ed of any mit requirements that pertain to this type of business.
ut rize ign ure**
COMMENTS:
2. BOARD OF HEALTH
This individual has been informed of the permit requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
A THORI
. CONSUMER AFFAIRS LIC G U
3 U ( kF�1Stl��Q
This individual has be i r i i ements that pertain to this type .
on ed S.ignature**
COMMENTS: 81 I! WV t 1 AON 9099
f 'kfl J 5NMV 8 40 riM0.s
.► Town of Barnstable
Regulatory Services
�ptHE?
a Thomas F.Geiler,Director
Building Division
v KAM Tom Perry,Building Commissioner
Main Street,
200
fp Mp. t, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee:
Permit#:
HOME OCCUPATION REGISTRATION
Date: 1 f l0'RL'3
Name:eQ-'Sr-nA'n htc C'r Phone#: 3 Z 3 GG_-4 S13
Address: (►F.kno rAn Q- Village: C, rc nA-2r y f I C—
Name of Business: A (D
Type of Business: e Cn -,9 c�t C o-r ca Map/Lot. 0 580
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity
shall not be discernible from outside the dwelling: there shall be no increase in noise or odor,no visual alteration to the
premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;
and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located within
that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there is
no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,
odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of
normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• `There is no exterior storage or display of materials or equipment.
• There is no commercial vehicles related to the Customary Home Occupation,other than one van or one
pickup truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires;parked on the same lot containing the Customary Home Occupation. '
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering.
Applica Date: - 11 108/8S
Homeoc.doc Rev.5/30/03
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by.M.G.L.- it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1st FL., 367 Main
Street, Hyannis, MA 02661 (Town Hall)
DATEU.log �OS
San,
n'OWN '! Fill in please:
MM0 .
APPLICANT'S YOUR NAME:L 'CLS-9aMAca I�Sc:C`i r=F_
' BUSINESS YOUR OME ADDRESS:,c,p Q i c4r--in 1-
oW n 7 LFQ ,33G_7508• c� crr, f v rl i , t f� �6'
TELEPHONE # Home Telephone Number Cat) �7 i L-4 �
i°
WNAME OF NEW BUSINESS vn TYPE OF BUSINESS +` Gy
IS THIS A HOME OCCUPAT-1 N? =E N.O: o
Have you been given approval from the building division? YES NO
ADDRESS OF BUSINESS MAP/PARCEL NUMBER aLl � .S 52
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable.
This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St.—(corner of Yarmouth Rd. & Main
Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING COMMISSIONER'S 91,410E
This individual has been ' f ed of any emit requirements that pertain to this type of business.
lZi
jff
ut rize ign ure"*
COMMENTS:
2. BOARD OF HEALTH
This individual has been informed of the permit requirements that pertain to this type of business.
Authorized Signature''"
COMMENTS:
3. CONSUMER AFFAIRS(LIC" G AUTHORI
This individual has be i r i i ements that pertain to this type of business.
yvC on ed Signature*
COMMENTS:
us mares. df &S w �
THE 1p��
Town of Barnstable *Permit# c> 0
p� Expires aroWlss front issue date
Regulatory Services Fe��6
gib 639;. 1,� Thomas F.Geiler,Director
A'fD1A0'`a Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601 X-PRESS PERMIT
Office: 508-862-4038
Fax: 508-790-6230 MAY ? 3 2002
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLX_
Not Valid without Red X-Press Imprint F BARNSTABLE
Map/parcel Number 0& 7 7
Property Address
❑Residential Value of Work
Owner's Name&Address
Contractor's NamePecs-'
" Telephone Number,�D, 'y
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
P- am the Homeowner ,
❑ I have Worker's Compensation Insurance 4
Insurance Company Name a�� 'Jae—
Az
Workman's Comp.Policy#
Permit Request(check box)
❑ Re-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-s'
Replacement Windows. U-Value (maximum.44).
❑ Other(specify)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
Signature 1,146--la
L-
Q:Forms:expmtrg
Revised 121901
JCL/E T Security Federal Savings & Loan (8478) CHARGE L I FILE g
54876
DEEDBK. PG. 26821165 PLANBK./PG. 13915
ASSES-01O 'S`�PLAN/PLOT TYPE OF BLOC 1 1/2 stor
`GWNERPaul W. Healy Jr. et al APPLICANT same as owner
N/F Beals
S� .6
1�
Lot 73A
19,390+ S.F. ' N/F Cannata
Lot 72A
+1 4t�"
k
DI C T21
#6I �r� �ranaay
DATA :�r �;MES
CENsus TRACT
A `® 36" �� �
ROT t! a
I CERTIFY�TNAT THE LOCATION OF THE DWELLINGS)SHOWN QN
'�•_vs't'z I
THIS PLAN MNFORM(S)TO THE LOCAL ZONING kAW:B. '
l 75.001
CL/FTON LANE
The , dwelling shown on this plan„doles) not fall within a Th"' zxac4 loca4icn a3 Abe buildings shown
� � l 'atAr zone as delineated on.a.map.oP cominuru can nit' be dntormi �r3d wit gout are
Bated is accurate on Ore ground survey.
4%3/78 by the F.f.A.-
ZZo C MORTGAGE PLOT PLAN OFLAND
NOTE• THISPLOTPLANWASNOTMADEFROMAV S7RUMENT
MRVEY. THESE CERT/F/G4T/ANS AREMADE TO THEA80VE /N
NAMED CLI£N T AND ARE FOR MORTGAGE R'JRPOSES OAE Y. ,�ARII lS TAIL E
aVDERNO CIRCUMSTANCES ARE TH£DISTANCES SHOWN TO
BED-549rOarABL/SHPROPERTYLIN-'S OR FOR CON- SCALEI"- 40` MAY 22, 1985
STRI/077ON PURPOSES,THIS PLAN IS NOT TO BE HAYWARD -80 YN TON B WIL L TAMS, INC.
USED FOR OR DEED DESCRIPTIONS AND APPL IFS ONLY 70 SURVEYORS C/VX ENGINEERS
CONDIT06 EXISTING AS OF THE DATE SHOWN HEREON. 7 BROADWAY TA UN TON MASS.
r �
AMRE
BUILDING
SYSTEMS, Inc.
May 9 , 1989
Mr . Bears
c/o Building Department t
367 Main Street
Hyannis , MA 01904
Dear Mr . Bears :
This letter is regarding the phone call you had with the
secretary of this office .
I state that the footings holes at Clifton Lane are 4 feet
deep with pre-cast footings in the bottom of the hole .
If you have any further questions , please do not hesitate
to call this office at (617) 849-3112..
Thank you ,
KevinnEllis .
K & M Construction t
Enclosure
Mr . Paul Healy
Clifton Lane
W . hyannis , MA 01904
I .
Corporate Offices P.O, Box 152088 • Irving,Texas 75015-2088 • 214-929-4088
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f3 r's:~' Te .- i 7 y •},P +e,�u x c r ,h #r r7,
' ter}fit r„�z + cy .
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.x P ure woo+ ,used in,the Designer-Deck,,1,
°�" Terra Deck,' and Strato Dec as, manufactured bye
k series '
a Champion Building Systems, Ir s various o�cesithmughout the (
,gym ,,.r -x K country, is exclusively the high duality Osmose`brand pressure': lei` ,
h } d
F treated wood product. The Osrnose lumber'used , �� F
in this deck" � ,x ' ,�"
e t is treated to a muumum
a' retenuof� of 0.40 � .,
x. pounds(oxide bass)
s
f of Chromate d Copper Arsenate,(CCA C) per cubic.foot, in full - '
compliance with all a Amen a
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: aAssociation AWPA) treating stall ' ;_product jsaLso
i� T11LS imi
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- hcable mndel bwlaing des►
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or norm residential deck construction.ThP specvfi c eondrtions
w L of the warranty ane`provided by the`W Certificareas ar " ,
b Osmose Wood P , arrant}► issued ,.� �
Y reserving, Inc (P.0 Drawer s0E " �.
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ors' =the'de&owner shoald•contact '`` �� � �
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_ Champion Building,Svster �
\ YI
t 'aa*�`'".L1`at -' •a3 +l r tL # -^ p•, i -: y
ate` r ~' + r 0'D'I.uCkt�ort PL3ce 1or'o N'ugi.cua '• -
h�uFINi��o Inc. PO. ?t� v r 0 Grits GA9a
OS� k.' wr,
OS OSE WOOD PRESERVING` � f
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"� i9lii'J'�'' .� �yf' tits -�.��oq, ..r���.�'y/ i►:: ?�zq/��:�, y�y ;Q„+v'�, • .w}}✓��✓/'�'��` s �. #. �a: .� �,,�aafe.
� � �� ti •.n� .'/�� r.. +�� 'y,��� �. ,�yrxx���� ��• � f_`'. ��y ����4� 3'• +�r ; is ; .r���h*.
" 'AssJe or's office (1st floor):' ��, ' '•��•�/e�ii+i�lMUSTBI OF TME,T� s
Assessor's map and' lot number ... .. . �.�...'.......,... ....
Board of Health (3rd floor): c� d� o"
Sewage Permit number .........�..^..�.�-..... .1.... a ...... i Basa9TODLE,
AW
Engineering Department (3rd floor): S NAM \0�
Hose number ..................... ......... o''�Fo rpY a•
Definitive Plan Approved by Planning Board ---------_--------------_-------19______ .
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only,
TOWN OF ' -BARNSTABLE: �
BUILDING AASPECTOR
APPLICATION-FOR PERMIT TO ........xe.:.. ...: "............. ............:.....................
TYPE' OF CONSTRUCTION ........060.......................... ..............:.........................................................
........................7...1...........19.. �
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following informat n:
Location C� n- - ............C ....... ..:............:...................:.:.........
...
e p�Ac c'MYrrr-�
Proposed Use �C� o? �' rX/ � / / .X�� 6f C./in.& .........
Zoning District .................:..(..: .... .....................................Fire District �� /' !
Name of Owner`... /f�R4 f Address /. ,Sk;1d�LL/FF.. N...:J `/.tSI—Q�l..i.mlq
/�y C
Name of Builder ..��... / ........... ...............Address V ....zllz-us.... ?.......... .......IM.'.Pfl1 2� MR
Name of Architect .........:....:.......:.......................:-..................Address
Number of Rooms ................................ ...................Foundation ........... .
Exierior ................................................................. ....................Roofing• .................... ....
Floors ........................:.........:.............................:.....................Interior '................................................. :. .
................................
Heating, ..................................................................................Plumbing, ................:...........—.................................:..................
Fireplace ..............._.........................:........................................Approximate Cost .............'../..
�. 7c/ .......
Area ....._5 .....cll......................
Diagram of Lot and Building with Dimensions: Fee ........ .....0"
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.
c ,
' Name ......j./-:�.-!1 ..... .......... ............. ..... .
Construction Supervisor's License, ....L .74�5
HEALY, PAUL
y
61` . ".. w
Yo ................. Permit for u.�,1 d...Aadits Addition
.. Single...Fami1-Y...D.WP.J."J Lng..........
t" Location. .6.1...C.1.ft;.Q.n...Lane..........!'.........
Cen
Owner :.Paul HealY.................." ..................
.. .
r . .
y Type of Construction ...............r..........
`....r' .......... ... ...............� ........ y .... i e
` Plot ..
........................... Lot ...........
January-- 2 `
Permit Granted ........................:...L...=......19 89' Date of Inspection
Date Completed ...? ..,, a.. .. ....19d �
.r{_:x`-r .,t�`i._s ,,.I:�.».-�k'Idi''. �} �. .. A . a>.^�, 3. '.i^.`�;i ��*��. .3.�'';K�Wit. r Y.K ys= ..,,�i�( 1- +:r J�d'� � �;�.y 9 _w..��„ ,4,y ;r.^'d;i•-ih3.��..'r�-R'.'
s.. L�+va. '�� ... .1'��w'rr.:,,jw,•' - E;{,yy�g%• ,��...'. , <W,•:. st-�`. � '+i.-�. ..,.i 4. e'er-_'
Assessors map' and lot number .'.....................! �oFTHETo�
Assessors office.(1st floor) {�
�P f4w
Boarclpf Health"(3rd floor):
-''�� d
Sewage Permit number ^.' -.^..g. .. s.� vl....... '
Z HAH35TADLE,
AB
Engineering Department (3rd floor): �e 9•
Houa number ....................... ................................................
Definitive Plan Approved by Planning Board ------------------------_-------19________ .
t,
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
j
APPLICATION-FOR PERMIT TO .....4:71) .9............7��..:......�� ......................................................
TYPE OF CONSTRUCTION ........(J.40..... .1 Kf).M.e............................
........................t.........f ....19...
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following informati n:
Location ...................!...............C.............................. ... n..................................r..........1.......................................................
Proposed Use i 7�) l��C� ..K. ( ........ f. .� ,� /C:.t I T n!1C� /
�.-....... ......... .../...................... .Y)..s'...........I.........................
/ %� n
l !/ .....................Fire District ..............C�....0 1"
Zoning District .................... ... .... ................... ..........M...................................
L /. ,<i r ��
v Name of Owner Pf LJ .V�� ,� �5' LL/ /tJ. /`.D�(./,SJC�1
................... ................................Address .................... ............................................................�
Name of Builder " -S
...�?....�.C.-5.....Y..7>....�--�..-...................................Address .���...../.`�7�....(/;1/=1......f.Y........
�.�!�,11�II'2'L�
Nameof Architect ................ .................................................Address ....................................................................................
Numberof Rooms ..................................................................Foundation ..............................................................................
Exterior ....................................................................... ...Roofing
Floors ......................................................................................Interior
Heating ..................................................................................Plumbing
Fireplace ..................................................................................Approximate Cost .............:..1.�.... ............I........... ..............
/_
Area ................(fir'......................
Diagram of Lot and Building with Dimensions Fee O'
I,
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 .... . f V
.............
.......... J .....................
%LJ y
Construction Supervisor's License ..... . /.. � J - ....+,
HEALY, PAUL A=247-158 s
No 32561 -Y► rmit for ..BuV45
' /on
Single Family
Location 61 Clifton L................... ....
Centerville
Owner ....Pau.l.....H.ea. ly
.. . .. ..... ....................................
Type of Construction ......Frame
. ..........................
...............................................................................
Plot ............................ Lot ................................
Permit Granted ......January 12 , 19 89
Date of Inspection ....................................19
Date Completed ......................................19