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FUbW 33o G,Po. li �PE2GoLATtOtJ RATE j.. i''IN 2MW o>`.<rESs CZ' - .� rovNO�Tto,a IGS• V KTCR RICHARD N ...SULLIVAN A. = No. 3 � •� Ov o. . Bi4X7ER H, 94 v No,24048 Te- ON �I TE'�T P'30M. 00 TOP FWD lco. . i. . HOLE 3-1gd- �� 1 9 q F1 �� ^ . ^ r'raw v/• LoAHc loov I - i 3soIc. sspT 91' , IOdd INV. Q"l,v TANK �n Go►L. `. c L6AG11 PIT INV. INV. SA�41 dL Al 6TaN6 G61ZTIr-IGD . PLdT PLAID' h O G 4-T 10 tJ CE13 i`tsi �f l Z N o• 5 6A•LE . . .`. ... g7 1 GEcZTt�Y 'THAT 'fNta �avN 'C'toi� :twoµ wREPERENGE NER�.o1J GoMC�I.`($ 1nitTN ZHE S I oEl1t�1� i• _ I S S � AI.iD 56'C<�.GK 2sQt)IQ�M�N'T> o��'Cµt=- �o�" • ZowN of Alz,a�-rA�c.,3ANv IS 14or G . 7 LOGA�.TED •WITFIIW 'r%4*'s GLOOD PL.AIM i L DAT>✓ Z BAxT6cZa myt- INC. REG I SZ 1✓QF�'D'I.A►.I D S u eN RYcZ' Tt115 PL&tJ t5 NOT (31,5�b GW AN dSTfCiZ.ViLLE • �KA55 I Ills-r9uMENT 411dV1;V Town of Barnstable uwaysr�sce Post This Card So That it,is Visible From the Street-Approved Plans-Must be Retained on_Jo this Car&Must be Kept Shed r "^- Posted Until Final Inspection Has Been Made. ' ` �' �' '" . IWtiere a Certificate of Occupancy is Required,such Building shall Not be Occupied.until a Final Inspection has been made. �`segistra ion _ :».•._ . Registration Number: B-20-1127 Applicant Name: Mary Franchot Approvals Date Issued: 05/12/2020 Current Use: Structure Permit Type: Building-Shed- Residential-200 sf and under Expiration Date: 11/12/2020 Foundation: Location: 113 COTTONWOOD LANE,CENTERVILLE Map/Lot: 252-036 Zoning District: RD-1 Sheathing: Owner on Record: FRANCHOT,CHARLES J& MARY J TRS Contractor Name: McGRATH POST& BEAM CO. Framing: 1 PINE HARBOR WOOD PRODUCTS Address: 113 Cottonwood Lane j 2 Centerville, MA 02632 -Contractor License 132935 Chimney: Description: 6x10 shed to be build in backyard by Pine Harbor Wood Products Est. Project Cost: $3,000.00 Permit Fee: $35.00 Insulation: Project Review Req: 6'x10'shed located as shown on submitted plot plan. Fee Paid: $35.00 Final: ' Date:y{' 5/12/2020 ' Plumbing/Gas Rough Plumbing: i _ Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is'commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for whichthis permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-lawsand codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. ? -~ Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. - Service: Minimum of Five Call Inspections Required for All Construction Work:; Rough: 1.Foundation or Footing —" 2.Sheathing Inspection Final: 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 Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation ' Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site 7(t` Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �� " T Town of Barnstable BuildingrTs"^' d, ,,.' .a '.�,' -`✓�` �'"`„ ",•'` ., k ` %�` L,3 ` ,sue, t tea ; Post:This Card�So>That�t;Isbw�s�ble From,the Street :A roved plans,Mustbie Retained O Job antl this Card Must be'Kept E.. i. � DPP �� i +as Posted Until Final Inspection lias;,Been Made r � ?k xµ s Where a'Certificate of Occupancys Re'qulred,suc�hBu►Idmgshall Not:beiOccupied,unt�l a F.malJnspectionhasbeen made ! er Permit No. B-18-973 Applicant Name: CAPIZZI HOME IMPROVEMENT, INC. Approvals Date Issued: 04/04/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/04/2018 Foundation: Location: 113 COTTONWOOD LANE,CENTERVILLE Map/Lot 252-036 Zoning District: RD-1 Sheathing: Owner on Record: FRANCHOT,CHARLES J&MARY J TRS ContractorName: .CAPIZZI HOME IMPROVEMENT, Framing: 1 a �• ZINC. Address: 244 GODFREY DRIVE ' `' 2 Cori�tractorUcense.1111 �100740 NORTON, MA 02766 , it Chimney: Est Project Cost: $2,000.00 Description: replace 1 window.26 u-value bathroom veluz sun tunnels _ � Insulation: r Perrnrt Fee: $35.00 Project Review Req: Fee Paid: $35.00 Final: ' Date:° 4/4/2018 Plumbing/Gas �. 4",2 Rough Plumbing: A Final Plumbing: -a Building Official g Rough Gas:. This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six monthks after issuance. Final Gas: All work authorized by this permit shall conform to the approved application and the approved construction documentsfior which this permit has been granted. All construction,alterations and changes of use of any building and str"<uctlll&k hall be in compliance with the local z rnng by laws"and codes. This permit shall be displayed in a location clearly visible from access street o�road andsshalhbe maintained open fo��public inspection for the entire duration of the Electrical Service: work until the completion of the same. F The Certificate of Occupancy will not be issued until all applicable signatures by the Bu�Iding�and;Fire Officials are proved d;on 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 h oFt ,q,. Town of Barnstable *Permit# - / ?3 Building Depart. Ent ETere 6monhsfr issue date BARNSTABLE, * Brian Florence, Co ! ((� I 9cb 16 y; `m� Building Commissionera�J. a iOrEn MA'I°' 200 Main Street,Hyannis,MA 026q� www.town.bamst ma.us�pR.0 Office: 508-862-4038 "��1��� 3 2018 'Fax: 508-790-6230 n/V,S f EXPRESS PERMIT APPLICATION - RESIDENTK'hf%&LY -2 � Not Valid without Red X-Press Imprint Map/parcel Number . Property Address y 1 —3 C &N IV IA10°y 1 LA AJ r✓ C e- n R V 1dResidential Value of Work$ 2 O ba- 0 d Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address C NA P, 1 e 5 51- 11 AI-j FAA ICJ GB t Contractor's Name 6R g- 6 d -tAf o Bel Telephone Number �(� Y(:� 9 141 C, 11 p i"zzi' l one T- m r Vm vP o-4IJ4-' Home Improvement Contractor License#(i applicable) 16 e'1 Y e Email: `'� � �Ah l 22 t �!(J6'[Q C 0.41 Construction Supervisor's License#(if applicable) C S 0114 Y 4workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ am the Homeowner [�I have Worker's Compensation Insurance u Insurance Company Name A� 04 RD Z/J j UotA-UC-e C-011A Al q Workman's Comp.Policy# 2" b✓ G 37 2t Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side [Replacement Windows/doors/sliders.U-Value D-2 6 (maximum.32)#of windows A' W V OD4{ J L)tot 1 U,iN e L_ #of doors: *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 quired. SIGNATURE: 4rN : C:\Users\decol I ik\AppData\Local\Microsoft\Windows\fNetCache\Content.Outlook\9NNOKXYW\RESIDENTILONLYEXPRESS.doe 09/26/17 Construction.Supervisor Restricted to: '' "Massachusetts De artment of Public S Unrestricted-Buildings of any use group which contain P. afety less than 35,000 cubic feet(991 cubic meters)of Board of Building Regulations and Standards enclosed space. License: C.S-074640 Construction Supervisor GARY GUSTAFSONR 8 SHORT WAY SANDWICH MA 02563 , J 1. Failyre to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit: WWW.MASS.GOV/PPS �rGn�— Expiration: _-..--.------- ---- �Commissio er 11/29/2018 R t . a :'.!A:• r>r:uair�iriicvr///�� ":!/tiJ;ar/�[Nr/!.t .r ;� �:.�. u-•�ffice of Consumer Affairs Bosiness giegaeYatio�p b OWIE IMPROVEMENT CONTRACTOR Registration: 100740 Type: Ucense of registration valid for individ®1 use only - Expiration: 6/23/2018 Supplement Card before the eupir ation date. If found ret ro to: CAPIZZI HOME IMPROVEMENT,INC. Office of Consm aer•AgOr•s and Barshiess RegaWow � 10 Fsilk?IBM-mete 5170 GARY GUSTAFSON Isoston9 iKA 02fl36 1645 Newton Rd. — Cotuit,MA 02635 Undersecretary � J Mot v� out signature fff . I •. a Page 7 of 7 Capizzi Home Improvement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT UWE, N7/'L P''t� r ®� OWN THE PROPERTY LOCATED AT l� L� � C IN MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT JO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PE T IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING DE. SIGNATURE OF OWNER: OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE- LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: A(cb" CERTIFICATE OF LIABILITY INSURANCE °ATE`MMI°°""Y' 12/27/2017 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 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: Rogers and Gray Processing ROGERS&GRAY INSURANCE AGENCY INC A"oN o . (508)398-7980 Fn/c No: E-MAIL ADDRESS: mail@rogersgray.Com 434 ROUTE 134 INSURERS AFFORDING COVERAGE NAIC# SOUTH DENNIS MA 02660 wsURERA: AMGUARD INSURANCE CO 42390 INSURED - - INSURER B CAPIZZI HOME IMPROVEMENT INC INSURERC: INSURER D: 1645 NEWTOWN ROAD INSURER E: COTUIT MA 02635 INSURERF: COVERAGES CERTIFICATE NUMBER: 225463' 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 CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICYNUMBER. MM/DDPOLICYIYYYY MM/DDI EFF POLICY EXP LTR LIMITS { COMMERCIAL GENERAL LIABILITY. EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGES(TO RENTED PREMISES Ea occurrence) $ MED EXP Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO- JECT ❑LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY•(Perperson) $ ALL OWNED F SCHEDULED N/A BODILY INJURY(Peraccident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ LiEXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION - X STATUTE OERH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/DCECUTIVE YIN E.L.EACH ACCIDENT $ 1,000,000 A OFFICERIMEMBEREXCLUDED? WA NIA NIA R2WC863728 12/25/2017 12/25/2018 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) - - Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/: CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE l DanielCr ey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD CAPIHOM-01 CLEDDUKE A►COI2O' CERTIFICATE OF LIABILITY INSURANCE DATE lMMl0OR1 YY) CERTIF 06 2812017 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 pollcy(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 endorsements). CONTACT PRODUCER N E: Rogers&Gray Insurance Agency,Inc. aHc°No,Ex#. (AtA�c No:(877)816-2156 434 Rts 134 South Dennis,MA 02660 A E❑❑MAIL Ems,mail@rogersgray.com INSURERS AFFORDING COVERAGE NAIC it wsURERA:Arbeila Protection Insurance Company,Inc. 41360 INSURED INSURERS: Capizzi Home Improvement,Inc. INSURERC: Capizzi Enterprises,Inc. 1645 Newtown Road INSURER D Cotuit,MA 02635 INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: 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 DESCRIBE[!HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL SR ADDL UB POIJGYEFF POLICY EXP LIMITS TR TYPE OF INSURANCE N D WVD POLICYNUMBER pDryYM A X CpMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS MADE ]X OCCUR 8500067380 06108/2017 06/08/2018 DAMAGE TO RENTED 500,000 PRE ISES E occurrence) $ MED EXP(Any oneperson) 10,000 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 POLICY�j� �LOG' _ PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: $ COMBINED SINGLEDMIT 1,000,000 A AUTOMOBILE LIABILITYacctde $ ANY AUTO 1020064960 0610812017 06108=18 BODILY INJURY Perperson) $ OWNED LY x SCHEDULED AUTOS ON AUTOS BODILY INJURY Peracrident $ X �IRED NON ST&D PROPPEERT RAMAGE $ AUTOS ONLY AUTOS ONLY $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE 4600067381 06/0812017 06=12018 AGGREGATE $ 2,000,000 DELI I X I RETENTION$ 10,000 $ KE WORRS COMPENSATION PSTATUTE ER ER OTH- AND EMPLOYERS'LIABILITY ANY PROR/PMMREMBERIPARTTNEEWID�CUIVE Y� NIA EL EACH ACCIDENT $ {Mandat cry(n NH} EL DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) WORK'COMP CERTIFICATE TO BE ISSUED DIRECTLY BY THE CARRIER CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD - , ` The Commonwealth of Massachusetts 3 Department of Industrial Accidents . O, ce of I>rrvesa�rons 600-AW hington Street B®sto�t,ltlA 0lli " 1WWW nurss.�r�v/rlra Workers' Compensation Insurance Affidavit:BuflderslContr�ctors/Electricians/Plumb' 1. ADDUCant Information Please Print Le ibly ome !izzVHrn rovelnerlt Name(Business/Organization/Individual): Ca p� p, Address: 1645 Newtown Road City/State/Zip: Cotuit, MA 02635 pbo "# 50&428-9518 ;. Are you an employer?Check the appropriate box: Type of project{required}: 1. I am a employer with 40+ 4. I am a general contractor and I 6... New construction employees(full and/or part-time).* have hires the sub- ,gtracfors 2. I am a sole proprietor or partner- listed on the attached sheet; 7. 'Remodeling ship and have no employees These sub-contractors have $. Demolition workingfor in an capacity. employeeshave workers' Y 1? tY 2 9. Building addition [No workers'comp.insurance cemP msurance., required] 5. We area e,oporittign and ts: . 10. Electrical repairs or additions 3. I am a homeowner doing all work o have exercised their., 11 Plumbing repairs or additions myself.[No workers'comp. right of ex=mphonper MGL 12. Roof repairs insurance required]t c. 152,§1(4),and we have_no employees':.[No workers:' 13. Other . comp.insurance required] 3 U *`U "Any applicant that checks box#1 must also fill out the section below showmgtherr workers'-compensation policy information. t Homeowners who submit this affidavit indicating they are doing awwork and':then hire_outside contractors must submit a:j",i affidavit indicating such. tContractors that cbeck this box must attached an.additional sheet shawmg 16,name of t>e;sub-contractors and state whether or not those enttties have employees. If the sub-contractors have employees,they must provide;ibeir workers'comp pohcy number I am an employer that is providing workers'compensatron:uiaurance for nty,employees: Below-is the policy andlob stte information. Insurance Company Name: AMGUARD INSURANCE COMPANY :5 Policy#or Self-ins.Lic.#:R2WC863728 ExpirationDate- ate: 12/25/2018 f Job Site Address: ,�xf 16 6-4 City/State/Zip: C e lo4la✓y J A)'a Attach a copy of the workers'compensation policy declaration page(showing.the;pohcy number and egpuat3on clafej; RA"', Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition ocriminal penaliea fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties inA form of a STOP WORK tJRI33L ar u y of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the(?gce gf Investigations of the DIA for insurance coverage verification. 1 do hereby certify under the pains andpenaldes ojperjury that the informrtiogprovided above is true and correct P Si tore: Date: Phone#: 508 -95 8 Offkiul use only. Do not write in this area,to be completed by city or town officid City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfl'own Clerk 4.Electrical Inspector 5.Plumbing Inspector } 6.Other Contact Person: Phone#• a, f or 19/0s OpTNET Town of Barnstable *Permit# Expires 6 jronr issue date tRNsTABLY- Regulatory Services Fee M & 1�$ Thomas F. Geiler, Director 3 h Building Division Tom Perry, CBO, Building.Commissioner a 6 200 Main Street, Hyannis, MA 02601 www.town.barnstab l e: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 Property Address L " sidential Value of Work V^A Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address //16.s Contractor's Name Telephone Numberi�7l�S Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) Oil 71 ❑Workman's Compensation Insurance Chec e: -PRE Priam a sole proprietor N09 ❑ I am the Homeowner SEP 9 ❑ I have Worker's Compensation Insurance °(�W bF $ARNSTAt3� Insurance Company Name 't"(��r�`v l e✓S. Workman's Comp. Policy# /1�1 `7 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) / Re roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum .44) *Where required: IssuaCpertywner es not exempt ' cc with other town department regulations, i.e.Historic,Conservation,etc. ***Note: P st sign Propert r tter of Permission. Hat Cont tcense& Con truct Supervisors License is required. SIGNATURE: Q:\W PFILES\FORMS\Express\EXPRESSPERMIT.DOC Revise060409 i t. CHARLES . COREY . i TU Rx-oo,,fre--er-r"s,,. Romfe-wrl"' Supply and Install AIR VENT SHINGLE VENT II RIDGE VENT on the Three Ridges. TOTAL INVESTMENT with New Ride Venting g ---------------- $ 8950.00 Supply and Install SMART SOFFIT VENT SYSTEM on the Four Eaves. http://www.dcii)roducts.com/html/smanvent.htm TOTAL INVESTMENT with New Ridge and Soffit Venting --- $ 9450.00 POSSIBLE EXTRA CARPENTRY:Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing, Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus Labor at the Rate of$ 60.00 per Hour P PAYMENT SCHEDULE: 'A Deposit of One Half is due at the Signing of this Roof Proposal and the_ Final Payment for the Balance is Due Immediately Upon Completion. 1. WORK SCHEDULE.: All Roof Work is Normally Scheduled for Completion Within 30 Days of Acceptance and Receipt of Deposit providing the Materials are Available. Please Make Checks Payable to: CHARLES COREY CHARLES COREY Warranties the Shingles and Labor for 5 years. � CERTAINTEED Warranties the shingles and labor 100% for the First 5 Years and the Shingles your 30 Years if the shingles becomes defective. CERTAINTEED Warrants the Shingles up to a y h CATEGORY II HURRICANE-110 MPH WIND WARRANTY . CERTAINTEED Warrants the Shingles to be Algae Resistant fora Full 10 Years. This Proposal May Be Withdrawn By Us If Not Accepted & Deposited Received Within Thirty Days Or Before The Next Price Increase In Materials. ' CHARLES COREY carries Workman's Compensation and Public Liability Insurance on the above work DATE OF ACCEPTANCE: ACCEPTED BY: SUBMITTED BY: CHARLES FRANCIIOT CIIAAL IS COREY HOMEOWNER ROOFING CONTRACTOR r r, . ✓it2C/)O J�1/IYt4'JZCIJC2LClL O•y✓l�CQ46p�lyC(QP, r Board of Building Regulatio sand Standards I Construction Supervisor License License CS 2881 i Explration 2/14/2010 Tr# 18106 Restriction 00 j CHARLES E CO REY 1694 FALMOUTH RD#1~15 - - i1 CENTRERVILLE,MA 02632 Commissioner G/ze F'�m�no,ulea�/� o�✓�aaaac�ucae�Ca Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registrations,. 136066 Expiration 0/2010 Tr# 268785 ^ Type ,DBA, COREY&COREYLHOME IMPROVEMENTS CHARLES COREY 1694 FALMOUTH CENTERVILLE,MA 02632' Administrator i License or registration valid for individul use only before the expiration date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston,Ma.02108 I • Ie . 1, Not valid without signature . _ ,t �'!e -[!�o�nimo�.uueal� a���aaaac�iuQetta i s ;Board of Building Regulations and Standards Construction Supervisor License License: CS I' 2881 i u Expiration :.2/14/2010 Tr# 18106 '�;, Restriction 00 �' CHARLES E COREY. 1694 FALMOUTH RD#115 --�- i5 CENTRERVILLE,MA 02632' Commissioner `P� �ze �orrvnwruuea�l�i o�,/�aoac�ivaell6 �\ Board of Building Regulations and Standards lug HOME IMPROVEMENT CONTRACTOR Registrations: 136066 Expiration =616/2010 Tr# 268785 COREY&CO EY HOMEIMPROVEMENTS CHARLES COREY F r 1694 FALMOUTH RR #115 � CENTERVILLE,MA 026322 Administrator - License or registration valid for individul use only f before the expiration date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston,Ma.02108 —Cla Not valid without signature i r The Commonwealth of Massachusetts Department of Industrial Accidents �--�� Office of Investigations 600 Washington Street f ;l Boston, MA 02111 ` www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/Individual): Address: ity/State/Zip: (LAinAPhone #: 7 t Ar you an employer?Check the appropriate box: Type of project(required): 1. am a employer with 4. .�m a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7.-❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp, insurance.$ 9. ❑ Building 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 I LF] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t, c. 152, §1(4),and we have no employees. [No workers'. 13.❑ Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for any employees. Below is the policy and job site information. Insurance Company Name: V 1. VS Policy#or Self-ins. Lic.#: °� S/��t/�` Expiration Date: 9 Job Site Address: ��`3N�j(y City/State/Zip: RnAiv W, 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 certify nder t pains a 1 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: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions .. r 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 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 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 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 checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s) name(s), address(es)and phone number(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,a policy is required. Be advised that this affidavit maybe 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 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 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 permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license 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 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 filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a'dog license or permit to burn 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 # 617-727-7749 Revised 4-24-07 www.mass.gov/dia ®/7D CEt6Fi(�ATE OF. 'LIABILITY INS NCE OP ID C DATE(MM/DDIYYYY) COREC50 08 04 09 PRODUCER THIS CERTIFICATE IS ISSUED.AS'A MATTER OF INFORMATIONw ;a - GOLDMAN & ASSOCIATES INSURANCE ' ONLY AND CONFERS NO RIGHTS,UPON THE CERTIFICATE FINANCIAL SERVICES INC' HOLDER.THIS CERTIFICATE DOES:NOT AMEND,EXTEND OR 933 FALMOUTH. RD. =*" ALTER THE COVERAGE AFFORDEDBY THE POLICIES BELOW. HYANNIS MA' 02601 e Phone: 508-775-601,0- Fax:508-790-0249 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: WESTERN':WORLD" INSURER s: ST PAUL TRAVELERS CHARLES. COREY-_DBA COREY-& COREY,.HOME IMPROVEMENT` INSURERc 1684 •FALMOUTH .ROAD #115 " CENTERVILLE MA 0263 INSURERD � ,INSURER E: COVERAGES: 'THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ' ANY,REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECRTO WHICH THIS CERTIFICATE MAY BE ISSUED OR 1 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: POLICY EFFECTIVE POLICY EXPIRATION LTR INSRE TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MMIDDIYY "v LIMITS GENERAL LIABILITY EACH OCCURRENCE $1.000000 - X , C782 '06/06/O9 06/06/10 P (Eaoccurence) $50000A REMISES t!; r ' CLAIMS MADEFK OCCUR MED EXP.(Any one person) $.5000 PERSONAL&ADV INJURY $I;000OOO ` "µ GENERAL'AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS=COMP/OPAGG $1000000 POLICY JECT LOC ) ± AUTOMOBILE LIABILITY COMBINED'SINGLE LIMIT ., Ea accident $ } ANY AUTO'"• ( R. ) f : ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) . HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE ' (Per accident) $ GARAGE LIABILITY s AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO., NLY: AGG '$ 'EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 7-1 OCCUR CLAIMS-MADE AGGREGATE $ $ DEDUCTIBLE g RETENTION $ $ WORKERS COMPENSATION AND NVT TORY LIMITS ER B AMPLOYERIETORPART #0241M37 09/14/08 09/14/09 L.EACHACCIDENT $100000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? u E.L.DISEASE-EA EMPLOYEE $100000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500000 OTHER q M- DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION FOREVID SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION- ti. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN FOR EVIDENTIARY PURPOSES <ONLY `NOTICE TO THE CERTIFICATEHOLDER NAMED TO THE LEFT,BUTTAILURE TO DO SO,SHALL,, IMPOSE NO OBLIGATION OR LIABILITY.AF ANY KIND UPON THE INSURER,ITS-AGENTS OR ;? REPRESENTATIVES.'<, r y} - "NA AU D REPR VE' Ty; ACORD 25(2001/08) ACORD CORPORATION 1988 TOWN`OF BARNSTABLE Permit No. ______�7b16 supra i Building Inspector Cash wa OCCUPANCY- PERMITBond `_____�__03 �_ Issued to Joe & Joan Howley Address lot #155 � - 113 Cottonwood .Lane. Centerville Wiring Inspector Inspection date Plumbing Inspector/ / t` L Inspection date7`/�.; S� Gas Inspector p� //�� � �a /J Inspection date - Engineering Deparanent` ram -�4/1� /t' Inspection date -/ r ; Board of Health /��Ji Inspection date j- THIS PERMIT WILL OT BE VALID AND .THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. U Building Inspector ���,,� �•.ew TOWN OF BARNSTABLE BUILDING DEPARTMENT t ssHaaTAK : TOWN OFFICE BUILDING � rua 9► i639' HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department � �'`` DATE: 12 j u l..l' An Occupancy Permit has been issued for the building authorized by Building Permit #._ . .... .7C/lr ....... ....... .... ............__..._...... .... issued .to aW.... 7Y 01V L.eV........................ ........ l Please release the performance bond. ,� J 3� r' 4 Assessor's,imap and lot number .._ ..�...... ..........s............,...... _ ;w Q�oF THE roe♦ _Sewage Permit number ............ ......�. ....`.,.! d� �� # Z BARNSTABLE. i / // /�� �, House number .............../..1 4............................................ v rhea r` 1639. �o war a• TOWN OF BARNSTABLE I BUILDING INSPECTOR APPLICATION FOR PERMIT TO ?. � ...J�. � .. !{:..N... ��y� C............................................................... U�OCa� �r� M TYPE OF CONSTRUCTION ..........................�C.....�................................................................................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Ccy Location .... ` r....... ��oJJOO�... J ........:.....D. .v....i.........v..i..�....c..r................. .9..� '`-^...........: .... ... ProposedUse ...51t.....JCrI..G..... t.... C�..................................................................................... Zoning District ... .... ..................... Fire District .. EfUTiel!/. [ ...........................i �Y�G� ............... Name of Owner as.. ?!. !Ofl�tl..... Af. .............!.....Address .......N©4IVOD� Name of Builder MILK,.....E- g.\-�..........................Address .........W..!.V.�.ti...Z.!`'�!°C`-' ................................... Nameof Architect ........................r.........................................Address .................................................................................... v Number of Rooms .........F.\. .E........<��.`............................Foundation .....)�Eb......CQ!U � ........... ............. Exterior �f�l :... '.... ! L._. ...Roofing . /............................................... Floors (� -�............................................................Interior - -+Gw! C'Ur�1 1��% .................. .............................. ?�....................... Heating . ''^ ..KD� /'f�..... .... ....................Plumbing ......!:..�,��......... !/G��..................................... ............... • Fireplace .........��/1.� s.........�,.'...�.............................................Approximate. Cost J� 06 -. .......................................... Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH a ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable"r garding the above construction. .. Name�l ..E...... ..... .....T...e.► r.:.....1'1................... Construction Supervisor's License c/� 9.5S" .. ............................... HOWLEY, JOE & JOAN /A=252-363 4asp 6 No ...27616... Permit for .999-aWKY.............. .............. ..We. --jzg................ Location ...Lot..155......UI.Cottonwmd..Lane ..................cmte�W.Ule..................................... Owner ...JQe...&..JQan..HW.1ey......................... Type of Construction Frame!............................. ................................................................................. Plot ............................ Lot ................................ March 19, 85 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 MA Assessor's map and lot number .. r...�.J �..... SEP1 SYST ! 9S`� THE ~ / INSTALLED l.ED IN CO440' j.A, TOE, Sewage Permit number �! �V� � WITH TITLE 5 / w ENVIRONMENTAL COD t eesasTSDCE, • House number ... ..../... =,.............................................. a�e�*e��� ppgg ��{. , rasa 1639. L / a MAI TOWN 0Fr,BA.RNSTABLE BUILDING;, INSPECTOR r APPLICATION FOR PERMIT TO `� 3 V#...w� ° ..... . .... TYPE OF CONSTRUCTION ...tA�© 4�..... ..�� �''M ...................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: C�,�/U�Vj LmJ— Location .....�-4 ..��. ....... ;t'`�ot�V.�UC2G�... 1,?. —........I..................................................y...��f. ProposedUse ....S..`iJfsL-E..... '.................................................................................... . Fire District ..................... Zoning District .. /....................................:.......... COY/L � ...............:... .. Name of Owner � . `�.�!� .....�74FVfr .....................Address iov©Kwe9 ..� ��- ....................... Name of Builder .W.kkAl . ..........................Address Nameof Architect ....................................................................Address .................................................................................... Number of Rooms ......... �.V E........�`-�J............................Foundation ..... �U ......COfU��.........�........................ At Exterior ...Roofing /WfAL% Floors (5 ................................................Interior 456/, � '� J f?'.................. '?......... . ✓.. ......................... . Heating .... ......./!e..... Y...... ....................Plumbing ...... r ......,.�..-�...� ... .........................ta`' Fireplace D/!' ..........................Approximate. Cost .............��.� ............................. .. ............................1.'. Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area .......................................... Diagram of Lot and Building with Dimensions Fee 6 �....5....... SUBJECT TO APPROVAL OF BOARD OF HEALTH JOY a //ays,� GAS£ a ® Ile 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. , wj� Name ?. .. ... Q .................. (249.Y '- Construction Supervisor's License ................ •t� HOWLEY, JOE & JOAN No 27616 Permit for .....One, Story,.......... ..........Single..Family. e�,],?�la .............:..... - Lot 155 - Location ..................�.....].�.�..CC1��x1�lood..Larae - . .................................. �Z.................... Owner ........Jam...&..�TQs�r1..Hp�eZle. Type of Cc)nstruction ;... .Frame........................ ! ............................................. ............................. ♦ t I Plot ............................ Lot .........:...................... , Permit Granted ........March..l9.................19 85 ............ .... Date of Inspectiq .! 3... .... .. ....19� ;r S .' Date mplet d ... .�� - f v.. . .......19 i i GA pt= SlGi.l DATA 51►-16U- FAMILY - 3 Br-0200M �:(I ►J� GA¢gAGEr �j21NDER. � SI I! DAILY Flow - 110 X 3 Z306.Pq 96• q I! SEPTIC, TAsvK = 33ox15o% =,4976.P o 1n la 3 9 U$E 1 000 (SAL. 9 015P05AL PIT v5E 1000 6AL. R o %D1 ALL Azs== 1�05.� Q PUP 91 �xP 15 5• . x . 2.5 375 6.Po 97 8 0 Pir • +� BOTTOM AREA= .. j�c.S,F. 5o . . - � `�. Ra� 5� S.F X I• p � G PQ, 98,lrcr . (� PrzoP 'TOTAL. 171:15I6N = .425 G.PD• . TANit TOTAL TDA I Ly FLOV4 +T14 . of >Jj `.PEZCOLATIO}J GZATGs I''IN 2MIN OPLLG5S 1 ow►J A'.WT YL_ AUAt[.�a,(3t.0 , 2�0 t 01�IJi�(a'I"1O1S 47 ti iws• r ti > RICHARD SULLIVAN T A• .� o BAXTER No. 29733 � O c�STEfl `� Ttl Z"Tt AL 4-4 boa r/v' TOP FNO=Ioo.5 4'8' 00 �; �I Sv3Sp�L , ►oov INV. DtST. INV. GA1.. 177,E IOdd 9o�C Q7 $6PTIG LOT s INY. •rAW14 10 �t Gal.. c PIT INV. INV. 6TaN� G>=R.TI FIGD i ' PLOT ,PLA1J PROPILt~ l Z !J p':.5 gip, E L o C t o tJ : I C�►:���.'�t V AT to 1 GE czTIFY THAT TNta �avNt�ra� toll 5}1aµfN 1pLAN RE1=626t4 CS KEREo W GOMPL\(5 WITH THE s l o�L1N I S S AuD SE-c GK 26c1�12�M>rN't'> o THE -�own1 os~ 't3�ar�a�ra3c�3aNv 1S ��" G LOGp.TED •WlTN11J T1d•� GLOdD PLA.IF.I i �d'Z 3� DAT 1✓ z` Ct I L G G BAxTEcze T1A15 PL&1J 15 MOT (3t-15FrO ok1 AN ' REGIS" F--ZGrD'LAW DsUmyDybzl$ 1).4 ENT Sv2v Y -rHE o1:1✓SETS out, dSTC-ZVILLE - MSS. MYCOCK, KILROY, GREEN & MCLAUGHLIN, P.C. ATTORNEYS AT LAW 171 MAIN STREET BERNARD T. KILROY HYANNIS, MASSACHUSETTS 02601 OF COUNSEL ALAN A. GREEN AREA CODE 617 EDWIN S. MYCOCK CHARLES S. MCLAUGHLIN. JR. MICHAEL D. FORD 771-5070 ADDRESS ALL MAIL ANITA J. MCCARTHY-DREW P.O. BOX 960 JAMES M. FALLA HYANNIS. MASS. 02601 MARK D. CARCHIDI REFER TO FILE III March 19 , 1985 Mr. Joseph Dalira;-• Bui=1d-ing• Inspector- Town of Barnstable Main Street Hyannis, Mass. 02601 Re: Lot 155, Cottonwood Lane, Centerville Joseph J. Howley, Jr. et ux Dear Mr. Daluz: As you know, the above lot does not meet the current dimensional requirements of the Zoning By-Law as to width. From September 3, 1971 to the present the above ,lot has been in ownership separate from that of adjoining lots. On that date the lot was buildable by virtue of the former grandfather clause in our By-Law. Because of the above, our current By-Law .grandfather clause gives the lot building protection.. If you need any further information.,. please feel free to contact me. Very truly yours, &4Wa,46) ,_1_ Bernard T. Kilroy BTK/vj cc: Will Everett I