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0229 FULLER ROAD
_ .. _ �: ,. w r :: .. .' - r 'V _ C � _ - 1 .,' ,. ,, a �i. _ � -, - _ � ,. . � . r .. _ ,.. .. .. � � ,� ,. ,� ... .. � � _ .. .. _ _ . . � � � r. o . � � r� .. - � � �. e S �,� � '� . + r. '� � _ � � � . � � .. ., �. a ., .i .. .- I' ., ., .. .� � . . � - r - .. i fir. � Y' • � ' n ,� .. o ' . i � � � � .. � r i j • . . .. .. _ ./ n r J` r n , V 1 "J y. �' . 1 �{ _ .. ♦ 1 i � �• � r r r r ' r� .- ry � i - O r V 1 _ _ - n a � O. n ♦� .. .. r. .. _, w � n r � , .. .. ... _ � � � l.a . .. ' r r i . - > .. ., i. �� �— � Town of Barnstable *Permit#S Regulatory Services wee 6 snxrtsras .; 9� mass. " Richard V.Scali,Director �FDs wilding Division JUL 9 3 2� Paul Roma,Building Commissioner T 1 \� �A } 16 200 Main Street,Hyannis,MA 02601 I il��� _ www.town.barnstable.ma.us Office: 508-862-4038 RIVS/ABLE Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number I Property Address Q a F-U I er Ro" Cze.wk r V! l It., A4 4- o a -3,;t-- [Residential Value of Work$ , U Minimu��m�� fee of$35.0,/0 for work under t6000.00 Owner's Name&Address C't Y y1t �`�)'1-� L 1�E(ti�C��L a awl F� �, 1'��� L&K vi I L� Fti A" Contractor's Name J • S C /'1 rP C-L.C7C *_ Telephone Number. Home Improvement Contractor License#'(if applicable) 151 P 5� 3 Email: te.00t (le Construction Supervisor's License#(if applicable) Vorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner fZI have Worker's Compensation Insurance /1 Insurance Company Name C Tron► k 5 f1�p_ 7�s, Workman's Comp.Policy# W Cs dQ d (Plf Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) , 1 �] Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to r rnal,� ❑ ��� Re-roof hurricane nailed)(not stripping. Going over existing layers of roofl ❑ Re-side r ❑ Replacement Windows/doors/sliders.U-Value - (maximum.32)#of windows #of doors: *Where required: Issuance ofthis 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: . S QAWPFILES\FORMS\building permit forms\EXPRESS.doc 01/25/17 r , f( ' The Comwaniwa th qfMassachmseff,� Deparhuent of butrrslial Accidents O-&e of investkw ions 600 Washirigtm&-reef Boston,,MA 02 wm.7nasmgovldia Workers' Compensation Insurance Affidavit-Builders/Contractors/Electricians/Plumbers Applicant Infarlmation Please Print LteibTy Name(Bttsineas/OrganIIafionflndividttalj_Sccu t-!' R E�t.a�%i-ic �v I(�;t�l. '�' Re 1'Y1Cded fill Address-. 0, ►r✓L#b "C-( )Y-1 5 S LI {e CifslzipSterV) J IF M OG.S — any 47 Are you an employer:'Check the appropriate box; T of project x uire 4. I am a general contractor and I ) pr (r� d) I_�T am a employer with ❑ g oo�Ectsction, employees Grill andlorpait-time)* havebireAthe sub-contradocs. 6_ ❑New 2-❑ I am a sore proprietor orpartner listed on the attached sheet 7- ❑Remodeling s and have no employees These sub-contractors have �' �P y 8_ ❑Dem,olitiorr wark no forme in any capacify. F-roplayees and have wori ess'[No wort rs' comp_insurance comp-msurarectl-t 4_ ❑Building addition reT°ued_) x 0 '%Te are a corporationand its 10-❑Electrical repairs or additions 3°_❑ f am a homecmmer doing all work offir n have exercised their 1 LO Plumbing repairs or additions. rnysel£ [No worke n'comp- right,f enzemptiou per MGL 1�Roof repairsinsurance required.] E c_15..,§1(4),andwehmmno employees-[No workers' 13❑Other .. comp-msararice _ *An.`avpUumf dL%t checks box al=ast 815o fin out the 58ChOIIbe1OW Sh..iag ffi II wa&em,coIDpeDsshou pnhcy u&mm tw1 Hnmeaarnecs arho subtait this sr-fdavii L-jfiatag they are dmag aR uu,&ma t¢ea hire o=de conZrecmrs rrm submit anew affldsvk mdicsting such_ Cont�crois thst chary this box must stteched as additional sheet showing,the name of the mk-cmijbr3ctcxs=d state whet w orxwt Chase entiries have amplayees'If the sub-contmctats hss•e emolbfexs,they m=pmvide thEir wariaKe comp_poi:c3-maaber_ .Tam an Rmpinper ilea#isprntria>yrag rtrorkers'cotrrpartsrrtinn irrsatrruaca for nib:empl�yeecs Betotf is tilepolicy andjob site in formadOIL TU-sm-once CompanyNarne. -—6111 i!t✓ S�afe.: 4 :tit Is �� , Policy#or Self ins Lim' I I-, = dC)� .� "1 �v L F�cgirationDate= o��- Sob��Adcitess: ��: 1 ►�1.�,l�ir ►��- Cifyr''StafelTp_C�C',V)�1�yi 1 I'P �na� Attach a ropy of the workers'compensation polies declaration page(showing the policy number and expiration date). Failure to se cnre•coverage as required under Section 25A of MG-L c. 152 can lead to the=Position of criminal penalties of a fine up to S1,50100 and/or one pearimprisonment,as well as civil penalties in the form of a STOP WORK ORDEItand 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 Iurestigations of the DTA for insurance-coverage vaffication_ I do F:er-eby rho under thepains net pe 'es of PerjMYdrattlte informadioa prm�ct aboue is frua and-correct Sitntatixre: Date: -7 (}- 1 Mon,A_5 R' Y.- (D OCR Ph - - --- C}!."� C'irT rise out -Da Itotwrits iti flri�urerr,#a bg crr ar totcn L • City or Town. PermitlIlicense# Tssuing Authority(circle one)e 1.Board of Health 2.R u`Iding Department 3.Cltf-/rower Clerk 4.Electrical Inspector S.Pltttrrbing Inspector 6.Other Contact Person.- Phone#.- 6 TE ,aco O® CERTIFICATE OF LIABILITY INSURANCE DA0622/2018Y) os/22no1a THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO'RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME: Germani Insurance Agency PHONE (508)428-9194 FAAiC No)* (508)428-3068 908 Main Street ADORIEss: certs@ ermaniinsurance.com INSURERS AFFORDING COVERAGE NAIC# Osterville MA 02655 INSURER A: SAFETY INS CO INSURED INSURER B: Granite State-AIU Holdings Scott Peacock Building&Remodeling,Inc. INSURER C: P.O.Box 171 INSURERD: INSURER E: Osterville MA 02655 INSURER F: 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 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 SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD MM/DD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS MADE X OCCUR PRE ISES Ea occurrence $ MED EXP Any oneperson) $ A BMA0022118 07/05/2017 07/05/2018 PERSONAL a ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS ( ) HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per acddem $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 4EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY B OFFICERIME BER/EXCLUDEI)?ECUTIVE ❑ N/A E.L.EACH ACCIDENT $ 500,000 WC 005-81-5464 06/22n018 06/22/2019 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Scott Peacock Building&Remodeling,Inc. ACCORDANCE WITH THE POLICY PROVISIONS. P:O.BOX 171 AUTHORIZED REPRESENTATIVE Osterville MA 02655 Fax:508-428-7625 Email:scott_peacock@vedzon.net ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constr;pctinn'Sbpervisor CS=094500 EXpires:07/22/2020 JAMES S PEACOCK: 1046 MAIN ST;UNIT 7 ' P.O.BOX 171 OSTERVILLE M4-,02656 Commissioner C��e hanvaaa�ecoet�tl�ry�C-�i�jaaaac�iiweC7a Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Corporation Registration:-N Expiration 151853_,__,.,rr=;07/O6/2020 SCOTT PEACOCK BUILDING,&REMODELING INC JAMES S.PEACOCKS,- «LCGPx�� 1046 MAIN STREET OSTERVILLE,MA 02655'' '" Undersecretary h o Barnstable Building ui i g Town arns 'n Post 9This Card So That it is Visible Fromathe Street Approved k ris,Must tie Retained on Job and this Card Must be Kept t�kNSTwef E S - , Posted Until 11 l'nspection Has Been Made - fi Permit •uet• Where a Certificate of,Occupancy is Required such Buildingshall Not be' 61!ed'until a it al Inspection has been made v�. a - 1! a, .. Permit No. B-18-2053 Applicant Name: Michael Ferullo Approvals Date Issued: 07/25/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 01/25/2019 Foundation: Residential Map/Lot: 233-059 Zoning District: RD-1. Sheathing: Location: 10 HOLLY POINT ROAD,CENTERVILLE Contractor N rineMICHAEL FERULLO Framing: 1 Owner on Record: Amy Thomas a'. Contractor License CS-107347 2 Address: 10 HOLLY POINT RD j Est Project Cost: $40,000.00 Chimney: CENTERVILLE,MA 02632 _ Permit Fee: $254.00 a Insulation: Description: Renovate two existing bathrooms �'' ax � Fee Paid: $254.00 Project Review Req: f Date 7/25/2018 Final _ Plumbing/Gas i Rough Plumbing: - r '~Building Official ^~ Final Plumbing: '=3k r FY Rough Gas: - This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within siz months ,issuance. _,: , ... . All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structuresshall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street oc road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. _ Electrical Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Bwlding and Fire Officials-are provided on this permit. 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) Low Voltage Final: 6.Insulation g 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 Town of Barnstable �E` EiP�T "* 200 Main Street, Hyannis MA 02601 508-862-4038 ,Application for Building Permit 2 7a! ;;, Application No: TB-18-2053 Date Recieved: 6/26/2018 " y00 5. Job Location: 10 HOLLY POINT ROAD,CENTERVILLE _ cn Permit For: Building-Alteration INTERIOR Work Only-Residential co Contractor's Name: MICHAEL FERULLO State Lic. No: CS-107347 Address: Yarmouth Port, MA 02675 Applicant Phone: (508) 801-3532 (Home)Owner's Name: Amy Thomas Phone: (508)353-9887 (Home)Owner's Address: 10 HOLLY POINT RD, CENTERVILLE,MA 02632 Work Description: Renovate two existing bathrooms Total Value Of Work To Be Performed: $40,000.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Michael Ferullo 6/26/2018 (508)801-3532 Applicant . Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost $40,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $254.00 6/26/2018 j $204,.00 i XXXX-XXXX-XXXX- Credit Card + 1353 ...... _._._..., _ :: ...._.,. _ ._._,..,_.. _.......,., ., Total Permit Fee Paid: ` $254.00 6/26/2018 $50.00 ?XXXX-XXXX-XXXX- Credit Card 1353 ...r� yd"y t.��� ,, :i.."' .�.'i3`• ' k i..,y r 1.��5'Z. � � t -y^.�'" a.. �' 2. "4 � '�."e�.. ;�.. �, .. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , Mapes— Parcel 0TD Application# Health Division Ofs- Date Issued (� Conservation Division p Application Fee Tax Collector -Permit Fee o� ` Treasurer > Planning Dept. Date Definitive Plan Approved by Planning Board . Historic-OKH Preservation/Hyannis f I Project Street Address < < Village ` �Owner Address Ile- � c��S �fy'1t � ��Z2--..__ _ r., ,-, Telephone -�_W _ o,_7 . .-. Permit Request 7�N -twd—,0.9 ,- •.'." W Square feet: 1st floor:existing I proposed 2nd floor:existing I_o proposed © Total _ Zoning District Flood Plain Groundwater Overlay Ln r` Project Valuation" Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 0N_0_ On Old King's Highway: ❑Yes ❑No Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) c�_0 0 4ZJ- K Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new O Half:existing / new O Number of Bedrooms: existing 3 new Total Room Count(not including baths):existing g new_� First Floor Room Count S� Heat Type and Fuel: M,6as ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 0446--Fireplaces: Existing L--�New Existing wood/coal stove: 3-Yef-_❑No Detached garage:&6 risting ❑new size d-6�; Pool:❑existing ❑new size Barn:U existing ❑new size Attached garage:3-exrs`6g ❑new size 22x'6 Shed: xC�-6isting ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No p If'yes, site plan review# Current Use ��^^�' Proposed Use B ILDER INFORMATION Name( C 5 r1C. Telephone Number Address License# Home Improvement Contractor# �'�, -) Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO OrMPI SIGNATURE DATE ��3 1. FOR OFFICIAL USE ONLY APPLICATION# f DATEISSUED MAP/PARCELNO. r , ADDRESS VILLAGE { F OWNER ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL s . GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO.. - 5, °FINE Tpk, Town of Barnstable Regulatory Services * * * * BARNSTABLE, 9 MASS. �, Thomas F. Geiler, Director 39. 0. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 July 28, 2008 James Peacock F r � PO BOX 171 . Osterville, Ma. 02632 RE: 229 Fuller Rd., Centerville Map: 189 Parcel: 070 Dear Mr. Peacock: This letter is to follow-up on an application submitted to do work at the above referenced address. Unfortunately, the application can not be approved at this time because of incomplete construction documents. If you decide you would like to proceed with the project, you must first reapply for a building permit. If this office can be of any further assistance please do not hesitate to call. I may be reached at (508) 862-4034. Sincerely, de . Lauzon Plow b,►...�1 y Local Inspector Q:zoning5 ' The Commonwealth ofMassachusetts Department of Industrial Aecidents Office of Investigations 600 Washington Street Boston,M4 02111 , ' www.mass.gov/dza Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LedbyY Name (Business/Organization/Individual):artT4dra)�TIulldlm, Address: I Ll , � 1.n ST. SUAL City/State/Zip: 06daylile , M14. 02&wPhont.#: Are you an employer? Check the appropriate box: Type of project(required):, 1. I am a employer with 4. I am aeneral_ ❑ g contractor and I 6. ❑ ew construction . employees (full and/or part-time).* have hired the siib-contractors 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' 9 ❑Building addition [No workers comp.. insurance comp.insurance,$ com d-] re 10. Electrical repairs or additions wire 5. ❑ We are a corporation and its ❑ P - q � 3.❑ I am a homeowner doing all work officers have exercised their I1.❑ Plumbing repairs or additions myself [No workers' camp. 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#1 must also fill out the section below showing their workcrs'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. �C6ntractors 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. lam an employer that is providing workers' compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: LA AA i 11-7 Policy#or Self-ins.Lic.#: 81 4"l- Expiration Date: ZZ ADA Job Site Address: City/State/Zip: 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 hereb c rd ' der the p in -an penalties of perjure that the information provided above is true,and correct: Sienature; Date: 3`6 _ Phone#: y� L28' %oo Official use only. Do not write in this area,'to be completed by city ar town a Icial City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town CIerk 4,Electrical Inspector 5.Plumbing Inspector 6,Other Contact Person: Phone#: �dZJHE T° 'Town of Barnstable. Regul.atory Services BARNsrABLE' } Thomas F.Geller,Director y mss. $ AIFD;p�N1 Building Division , Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Dust Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorizee- t 5 � j k1C- to act on my behalf, in all matters relative to work authorized bythis building permit application for: . (Address of Job) ;nature of Owner Date Print Name Q:FORMS:OWNERPERMIS SIGN License: CONST RUCTION SUPERVISOR Number: CS 094500 F CI tTy"I� Birthdate: 07/22/1962 Expires: 07/22/2010 Tr.no: 94500 Restricted: .00 JAMES S PEACOCK PO, JY.171 OSTEVILLE, MA 02632.. Commissioner J" Board of Building Regula ons and Standards One Ashburton Place - Room 1301 ' Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 151853 Type: Private Corporation Expiration: 7/7/2008 SCOTT PEACOCK BUILDING & REMODELI JAMES PEACOCK PO BOX 171 OSTERVILLE, MA 02655 rn card. Mark reason for ehaw,, .Update Address and retu J Address Renewal l Employment Lost a . DPS-CA1 0 5010-05/06-PC8490 _ __A �., �/1LG' "�/�Cil/LIIGCYI/GI.L'CG(�� l.�a.%l/GQJJCY.Cf2Gld6�d Board of Building Regulations and Standards License or registration valid for individul use only _ HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: - Registration: 151853 Board of Building Regulations and Standards Expiration.:. .?/7/2008 One Ashburton Place Rm 1301 Boston,Ma.02108 Type: Private Corporation SCOTT PEACOCK BUILDING&.REMODELING INC JAMES. PEACOCK 1018 MAIN STREET SUITE 7 '> OSTERVILLE, MA 02655 Deputy Administrator Not valid without signature . s . ........ IJAlt:lIMMlWDK 9/14/2007 41 I r[Ai-da-,h"', THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS No RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 908 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. - COMPANIES AFFORDING COVERAGE OSTERVILLE, MA 02.855 F—COMPANY A SAFETY INSURANCE INSURED COMPANY AIG AMERICAN HOME ASSURANCE CO. scoTT PEACOCK BUILDING&REMODELING —.8 . .... . .. PO BOX 171 COMPANY OSTERVILLE, MA 02655 c COMPANY D X vi (per �ST THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTVVITHSTANDINr,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 6 Y 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. _7 POLICY EFFECTIVE POLICY 1;_APIRATION LIMITS CID TYPE Of INSURANCE POLICY NUMBER DATE(MMIDO") DATE jMMlDOfYYl LTR I GENERAL AGGREGATE 3 2,000,000 GENERAL LIABILITY CPOOOO1 152 07/05107 07105/08 A — PROCUCTS-COMPIOP AGG $ X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PERSONAL&ADV INJURY $ OWNERS&CONTRACTOR'S PROT EACH OCCURRENCE 4 1,000,000 — FIRE DAMAGE (Any one nre) MED EXP (Anyone Parson) AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO AUTOMOBILE FAN AUTO LIT ALL OWNED AUTOS BODILY INJURY (Pqr person) SCHEDULEDAUTOS HIRED AUTOS BODILY INJURY (Par acclde6t) r 40 OA 4ON-OVYNED AUTOS PROPERTY DAMAGE 5 AUTO ONLY-EA ACCIDENT GARAGE LIABIUTY _OTHER 1:�tN.AUTO ONLY: ANY AUTO EACHACCIDENT S AGGREGATE 6 EACH OCCURRENCE EXCESS LIABILITY UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND WC 687-44-42 06122/07 YO(i _ EMPLOYERS'LIABILITY EL EACH ACCIDENT 6 1001000 I .-- EL DISEASE-POLICY LIMIT 11 500 THE PROPRETOW INCL _,.gpp . PARTNERSILIXeCLITIVE FL DISEASE-EA EMPLOYEE $ 100,000 0011MR8 ARE H_ EXCL L OTHER DESCRIPTION OF OPEFtATIONSILOCATIONS/VEHICLF-S/SPECIAL ITEMS L- .......... 61 SHOULD ANY Or THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, TH19 ISSUING COMPANY WILL ENDEAVOR TO MAIL TOWN OF BARNSTA13LE 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. FA)(#:$08-428-7625 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE No OBLIGATION OR LIABILITY OF ANY KIND PON THE ANY. ITS AGENTS OR REPRESENTATIVES. AUTHOPW REPRESENTATIVk mv TOWN OF BARNSTABLE LOCATION pga'dSEWAGE # 5�� g G� VILLAGE LylolvvjCG) ASSESSOR'S MAP 6z LOT INSTALLER'S NAME 6z PHONE NO. SEPTIC TANK CAPACITY �Q LEACHING FACILITY:(t Pe) ( �'l,Q Q� size) � y Y r NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER T otdw,-c, BUILDER OR OWNER MJW � DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes NoI Ar.;. G / a n � Ex Ts :rN Ca I � a 6+ € j To I ��w fR 1 C:3 ------------------- � s? W U FMCIETECTCRS REVIEWED d S f UIL_ ING EPL DATE 41RE 0EF°AOT ENT DATE I 6G i hl SlGNArUAt,5 AqV P50UIRED f0R PERMITTING CARBON MONOXIDE ALARMS MUST BE INSTALLED MASSACHUSETfS BUILD�G R CODE .' 7 L I .c i K- e t � ::.w.s...-..w ....c. .r-ra n. .,.m�+......u..:...••'•,,,.w�°.....r.r..�.,..:.,.Wo.m�_ �� .!� l§6`.'���Y �� V§ ,{ 3�4•..�A' �i^�' � . , N 08 09:20 FAX 5084283068 GERMANI INSURANCE 0001 M!Tl�lilll DATE(MMIDDIYY) nz, 3/21/2008 ti I- 1®r. 'if wjmw- • q All: C-0 N20'DIJCER THIS CERTIFICATE IS ISSUED AS A MATTER OF.INFORMATION ONLY, AND. CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND-0 N:.�\ 908 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES 136CO CISTERVILLE,MA 02655 COMPANIES AFFORDING COVERAGE COMPANY A SAFETY INSURANCE INSURED COMPANY SCOTT PEACOCK BUILDING&REMODELING B AIG AMERICAN HOME ASSURANCE CO. - ------ PO BOX 171 -------OSTERVILLE, MA 02655 COMPANY C ----------- ...... ........... 'COMPANY D i liN 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 B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ----------------- Co POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER LIMITS DATE(MMIODfYY) DATE(MM1DDfYY`j GENERAL LIABILITY GENERAL AGGREGATE s 2,000,000 A CP00001 152 07/05108 07/05/09 X]COMMERCIAL GENERAL LIABILITY PRODUCTS,-COMPIOP AGG _$ CLAIMS MADE OCCUR PERSONAL&ADV INJURY OWNERS i CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) S MEDEXP (Anyone person) S AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS I (Per Person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS I (Par accident) PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE $ EXCESS.LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WC STATU. - WORKER'S COMPENSATION AND WC 696-76-62 06/22/08 06/22/09 ITORY LTIMITS OTH EMPLOYERS'LIABILITY EL EACH A CIDENT $ 100,000 THE PROPRIETOR/ INCL EL DISEASi-POLICY LIMIT. $ 500,000 PARTNER&'EXE..IVE OFFICERS ARE: H_ EXCL, EL DISEASE•6A.EMPLOYEE $ 100,000 OTHER sw < CJ DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS 2; COVER PROPERTIES AT;MARCEL R, POYANT 269,274,282 BARNSTABLE RD. HYANNIS, MA 02601; 16ZD-72 FA OUTH RD.-CENTERVILLE, MA 02 j PLAZ TWENTY-EIGHT NOMINEE TRUST, 181-195 FALMOUTH RD.HYANNIS, MA 02601;CENTERVILLE SHOPP LIN CENTERA,,,NOMINEE TRUST, .1676-16§8-FALMOLITH RD.CENTERVILLE,MA 02632:20-30 OPECHEE RD.CENTERVILLE, MA 02632 'Ah "M 11,111 '11"'1 Elk h 111i SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL TOWN OF BARNSTABLE 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TOTHE LEFT, SLIT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY FAIX#: 508-790-6230. OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHOpWp REPRE$ENTATIVrb I AN (I�N �; q � � ;f. •. ,N - � %_ - _�a-�ni.f�°rt u*icvr'pvsvi. , — +�U Ipyyi,u� - - - � o r .......... wowev,. - .tiXiHwx, _ hvrntloN I vah ti v�� Pee, r v.vmon�s g !o a O IV -- -. I .•� �� �— --- 7 F" /---------- ...._. ..-------'----'"---'-- :�xt➢[Iµ 4�-tJ'- tx�5nnl g�t�ovei:.cn ....2'1-O t'R�P.►�"' �}+; SM KE DETECTORS X. .. : v, �;�, BARNS ABL E BtJff.®fP1P OF-PT. 11 5•' • I tin . c . Gi2��. • "15�0 � II�$� �gl � L :1— c i w v -.a "HOW op 17. IT 00 aty17 � +�'�i' � \' .yr ..�., t� t.�„•, a ,:+ v , s. 'W. t ^• �+ ." b•� ri .I I.� r 1A .. - I 1,° =:'L 4 •` n + +F qt < V � r �, 4 i / .-,P L ��...�r i� ..�Aa S ..,(•t l.: �0'. '',.1. .'�`�a' .Y:�, if',P'♦ .✓. .J'nJc1H , `J '� @f. . } _ .. - _.c. �ti. � s _ _ .. -- •�a.nF tlr_: �4�F. >%+t�aa. 4#:....•B'.:.1Y. ...sr.x \... .. ..,� ... ,.,� Lip _ g � :� • . - �; - -71 i rb pi . o � 'a,� �, ��_ ,��� ,�"� �; M• I _ N� ' • of + - • L CA XCIV, �� y r e e �:1 1 — b ' I 1 .- 17 • i� __ 1 v�� • s 1; 3l- , t - lb m � i - 4:-s el ..a, _ .. 7` 1 * Wvclf.T. F�uery,2x�' - iI �4Z"UU LIEN ¢xln}yy Fes. r r• P- SieP --- �eavrr5._Ae ._ . -� 0 � �_ _ �°�O` ��°''O �'� I 'f �K.I+y cw�"!�c•Po�w.E M1 , _ ' .rAr,. >- -I i I '*: L TFFE EwsTlrlc, oK. i 7e"x''n"x la" I lA ICU 1� L►au56 Wml no FvN: ` " p17N '...a*' KP.4 Fr. C4)KC.P14, I fl Tn.TM1' EXVJY'�+�,~TINUE - I� �tl0 . \ 1 �. Vw C�.M� I IF SWITCHIrIc, fV-�►•t 2,�8FI..ISTs. f y� a �i °q5. `\ - - ri � -�.N• ,' - _ 2XIU ►..�`s.(W�t�11tt,1r.TNz�_ R F \ —j TeNkFeF-�hY," - pDNt. .� [ , Wq� � \ ` coMc. I �tFar,�i If�cue�s -1sLp. .- 51Z�E'�T+E t�iyr�y��u: - 45 �� ON Ild'X9y .I TO CxHnr�Llr�wK; I I Ir1Ll HA` .4t/� `�}'�.OW'O .TiN'j• I I ' 2-Fwsw 1�.60TRhT,Itte . 1eop!�o�x- C(lt'L.XI6TINC1, IekstanroN- . 4RS f'k.pm7 -� -----, of.N¢g.. HAW HovK . I- .:I I IF Rgqvi� ten' I I IXIN( fPi� ? x t t I :yip - IF imt tiOyLIL i l'O1wM F f A _ L ' - --- - - - -- - ,w� T Zip- O pAT10.H P( .I-Q t?2 q;o+"nmalg 0 0 To �'Yi, .=1hG.uvrS.ah4..Fl�t�. • 11!4, 229 . o....,......, yas- 9/s3 TOWN OF BARNSTABLEE BUILDING PERMIT APPLICATION 4rPMap 4 Parcel 7 ® Permit# 1 , Health Division ��= q�S yG 9� 9 Date Issued .. Conservation Division ] . t � Fee w Tax Collect = SAP 1 IC SYSTEM MUST BE Treasurer INSTALLED IN COMPLIANCE ` f WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AND - 'TOWN REGULATIONS Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis 4 , 'Project Street Address ,Village Owner �,Glwti.QD c? Address Telephone ge-F-69057_ ' s , Permit Request c y t9ffe- Square feet: 1st floor:existing 12490 proposed 60 2nd floor: existing proposed Total newµ— Estimated Project Cos ® Zoning District Flood Plain Groundwater Overlay P;t Construction Type Z�e FX4.1'a - Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family W��wo Family ❑ Multi-Family(#units) Age of Existing Structure 0 , Historic House: ❑Yes ` C 416 On Old King's Highway: ❑Yes Q-N Basement Type: OW61-1- IlIr 4awl ❑Walkout ❑Other Basement Finished'Area(sq.ft 7W Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new / Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas i ❑Electric '❑Othe r Central Air: ❑Yes UA_0 Fireplaces: Existing _Z New Existing wood/coal stove: ❑Yes ®'_J Detached garage:l existing ❑new size -Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:W existing ❑new size Shed' xisting ❑new size /!7 ( Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ro If yes,site plan review# Current Use To Proposed Use . BUILDER INFORMATION Name Telephone Number Address 11 z N License# 0 Y,?5_�5—K Home Improvement Contractor# Worker's Compensation# 1 0"'9 Do Y0 9 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Jla-L � SIGNATURE DATE FOR OFFICIAL USE ONLY - PERMIT NO. DATE ISSUED . MAP/PARCEL NO. .i€.' '. +— _i. t + , .L k F 7 !�Ik / .. - e a y,.. _ •• • w +• ., 4 . ADDRESS '"rF t VILLAGE OWNER `. �`� `- ., ', ,•'s• ' ,t - . '" � •fir ` • '. T • 1 ��, .. -DATE OF INSPECTION FOUNDATION ` i 'g _ ' • r FRAME INSULATION og /�CXkc� k iTce nz _ wt _~ FIREPLACE ELECTRICAL:'" ROUGH FINAL ' PLUMBING: ROUGH FINAL` GAS: ,'ROUGH-i 0 . FINAL + " FINAL BUILDING' _ [ ` A _ • T �� fin. r a t - • 1. F • F ''� {r ,. ° DATE CLOSED OUT ASSOCIATION PLAN NO. {' W x � t A aticrntt✓: e=01Q 1Qca -property. eeyctervi l � us2eaitz"s et ux. M ,, 38162� gs� ` - Ae i z staNy d�vetl � � �f 1NGcital¢t>r ,� q�ecla. , 4i11 900t 0 s 229 4%4 yL� •SGt�GEYL2q, > f 7/45 56 flood pcnu 15000/ 0015e flood gone: C ��11+ of v r s ?�♦ PAUL' cG hereby certi�j'that tfus mortgage ins lion was-pmpar a—;f or T. Y.S'�• (, c�i GROVE -" W i ft�+(A.Ae rstm e,:gve Cent k� Sall 3*,,4 .� No 313I t y t7�1e thXweUtiig shown. eon. does NOt�a�1, irL cL special �lqood. ham area wi6 an,e4ei ct:ive daze �o y° o f 8 -19-E�Smrt.d, nhe loca�ton. o�F �t, the dwelling- woes,,--Gonfonnrt'o th.e locaL �on.ing 6y-taws in,e C� -� at the tlx w oFc"tructwn wit�t. rye Wtto hort2ontut, ditn '1�Slona� • setback UTM nts or is ew m. Uwlattom mf o3 Scale: 1^ - 4- =Lon, under' A� =. GeneratJ.aws � 40X- 5 1'C;et'YLetL't"' Date: 8-24 93 — eCtt 1'ti '?: File No. Z 4/ 3 PLEASE NOTE: The structures as shown on this plot plan are approximate only. An actual survey is necessary for a precise determination of the building location and encroachments. if any exist, either way across property lines. This plan must not be used for recording purposes or for use in preparing .deed descriptions and must not be used for variance or building plan purposes. This plan must not be. used to locate property lines. Verification of building locations. property line dimensions, fences or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what is shown hereon. Please note that this is "NOT A BOUNDARY SURVEY" and is "FOR MORTGAGE PURPOSES ONLY". COLONIAL LAND SURVEYING COMPANY, INC. 269 Hanover Street Hanover, Mass: 02339 . Phone: 617-826-7186 - Fax: 617-826-4823 AppU.ca-( = P. :oGlQ loca� of-property: Ce`ctervi a �� �Cuszcaitz5 et ux. MA M 3816Z� Oed z stony d6ea 4Vf Wh4t.,A- V r-�4 c=41,900'' 0 229 f 714515 .hod pdrie�: 50 ooi 00/ good zone.. C I" of y+1P r PAUL' hereby certi 'tl1Qr U u,7 mortgQge Im on wQ$-p red, r T. �,��¢¢cc c�a GROVER A , Louis .Sor i, Dui.Otte $ 5x3rve Cats SaVI y She Oux Aowty nexem ar7 mt a 1 ?O 31J t l�0 J `1� lYL(L S�e�''1.�' `�'�4�'�7��,000� ha; ar& =cc witK am e{f'ectiVe daze of 8 -19-85an qhe location, op U y° the dwelling- Zxs..,-conForm.rto.jhe loca.b Wrung 6y-laws in,ef{eCe, wtfhetuneoFcowtnxtim with. mpeaty horizEnfrd dimernsiona� scale: 1^= 60' SQtba.ClZ t�etLU,�Or is QXti111Pr fvtn V1olat'ton, en+oreernenr-' Date: 0-24.93 cZtioti, under 2A=. Ga carat JAws chapter 40X-_SectLor1✓ '7. File No. (g7gi 93 I PLEASE NOTE: The structures as shown on this plot plan are approximate only. An actual survey is necessary for a precise III determination of the building location and encroachments. if any exist, either way across property lines. This plan must not be used for recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan purposes. This plan must not he, used to. locate property lines. Verification of building locations. property line dimensions, fences or lot configuration_ can only be accomplished by an accurate instrument survey which may reflect different information than what is shown hereon. Please note that this is "NOT A BOUNDARY SURVEY" and is "FOR MORTGAGE PURPOSES ONLY". COLONIAL LAND SURVEYING .COMPANY, INC. 269 Hanover Street Hanover, Mass: 02339 - Phone: 617-826-7186 . Fax: 617-826-4823 �0FTHe, � Town of Barnstable *Permit op y�Q Expires 6 months-from Issue date s Regulatory Services Fee B���B , g rY v Thomas F. Geiler,Director q �ArFD MA't a1� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 - Fax: 508-790-6230 EXPRESS PERNHT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number gr1 y Property Address ❑Residential Value of Work Owner's Name&Address Contractor's Name n1O* il`7�in e 0 L 600 Home Improvement Contractor License#(if applicable) 15 Construction Supervisor's License#(if applicable) o !q,,5 no ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ve Worker's Compensation Insurance Insurance Company Name &6zZ, all iLc Workman's Comp.Policy# t? 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 roofl - RESS PERMIT ❑ Re-side SEP 17 2007 Replacement Windows. U-Value. (maximum.44) TOWN OF BARNSTABLE ❑ Other(specify) _ . ~'st`•c onservation etc. e ations i.e Fii on C , flier town artme t regulations, , *Where required: Issuance of this permit does not exempt compliance with o �,ep gu Signature L C\ Q:Fornvs:expmtr Revised121901 09/14/2007 10:24 FAX 5084283068 GERMAN I INSURANCE 0001 V.0111 lie.. • iTl� DATEJ114.111J.1",1 71 911412007 Zia: 14 h: G It 1. Mir ACORD THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS No RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR r ALTER THE COVERAGE AFFORDED BY THE POLICIES BE 908 MAIN'STREET, COMPANIES AFFORDING COVERAGE CISTERVILLE,MA 02855 COMPANY SAFETY'INSURANCE A, INSURED COMPANY AIG AMI:-:RICAN HOME ASSURANCE CO. SCOTT PEACOCK BUILDING&REMODELING —.8 ..-- . ...- .. PO BOX 171 COMPANY OSTERVILLE,MA 02655 C COMPANY D ez .5 R MEN,! 1:411EW I W I THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED B Y 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- T co POLICY EFFECTIVE POLICY 12-MRATION LIMITS LTIR TYPE OF INSURANCE POLICY NUMBER DATE(MMA110") DATE IMMICOMY) GENERAL AGGREGATE ;L000.000 GENERAL LIABILITY 07105/08 --- -- --- 3- CP00001 152 07105/07 PRODUCTS COMPICIP AOG S A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ]OCCUR PERSONAL 8 ADV INJURY s OWNER'S A CONTRACTOR'S PROT EACH OCCURRENCE FIRE DAMAGE (Any one rife) MED EXP (Anyone qwson) AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO ALL OWNED AUTOS BODILY INJURY p6m SCHEDULED AUTOS ( on) HIRED AUTOS BODILY INJURY s (Per o=Id0nlI) NON-OWNED AUTOS PROPERTY DAMAGE 5 GARAGE LIABILITY LAUTO ONLY-EA ACCIDENT I H OTHER THAN AUTO ONLY. ANY AUTO EACHACCID5NT 5 ATE $AGGREGATE EXCESS LIABILITY ..EACH OCCURRENCE--- - — i- ---. i UMBRELLA FORM AGGREGATE $ F-1OTHER THAN UMBRELLA FORM WC STAW. —IOT14.1 m mms WOWORKER'S0011PENSATION AND WC 687-44-42 06122/07 061MO8 To nL—1 !!t� —�0-0—015- EMPLDYEFW LIABILITY EL EACH ACCIDENT -Lo-- EL DISEASE-POLICY LIMIT 5 50 THE PROPRIETOR! INCL 0,.000 . PARTNERS"VUIIRIVE EL DISEASE-EA EMPLOYEE 5 100,000 opp"RSAF*-. HEXCL OTHER DESCRIPTION Of OPERATIONS&OCATIONSNEHICLMSPECIAL ITEMS A25MTM lk " E,R A SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL TOWN OF BARNSTABLE 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE NO' NAMED TO THE LEFT. FAX#;508-428-1625 BUT FALURETO MAIL SUCH NonCE SHALL IMPOSE NOOBLIGAIJON CRUABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. ALITHO REPRESP.NTATPJ§ P� 41m .Mll. Ml�lllm 1 2-1-11 ffiimm gN .700 !v qll 4".r M �9 _ � � y � ,.� e�.. t L l-y✓1��� 1.%'o '�„ ".."(.,li�ai�i� t.=:1'%/ L-''/�"'L 4"�..3�,4�1�c'4..."F�t't..,..�_ � �!.Jsr+ 13om. o113u11.di«b Regulat ors and. Standards i; One Ashburton Place - Room. 1301 Boston, Massachusetts 02108 H-onle Improvement Contractor Registration Registration: 151853 Type: Private C;or poratio;, Expiration: 7/7/2008 SCO-TT PEACOCK BUILDING & REMODELI JAMES PEACOCK PO BOX 171 OS'-ERVILLE, IVIA 02655 Update Address and return card. (�'Yael: reason li+r ciu+s ::. r...� Address Idenewal lsmploynieni ?,osi 1.... lto;u d or 1wildul" IRc'-olations and Standards License oi•registration valid for individul use only HOiNIE IMPROVEMENT CONTRACTOR before the expiration date. If found rchu n'lo Registration: 151853 Board of Building Regulations and Stand:)rds Expiration: 7/7/2008 One Ashburton Place Rm 1301 02108 Ma. Type: Private Corporation Boston, - i i PEACOCK BUILDING & REMODELING INC Nn PEACOCK b IV3\11V ;REE I SUITE E i i+�- ri �r "J, 5 fL.RVILLE N1A 02655 Ucputy \dmiuish alor Not valid without signature I .7 ( License: CONSTRUCTION SUPERVISOR ;Y Number.—CS 094500 Birthdate 07/22/1962 Expires 07/22%2010 Tr.no: 94500 Restricted JAMES S PEACOCK-,� PO J:!171 OSTEVILLE, MA 02632 Commissioner x Town'of Barnstable regulatory Services 9DARNABLE'$ Thomas F. Geiler,Director Fn 9.,a`0 wilding Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-79076230 Property Owner Must Complete and Sign This Section If Using A wilder 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: (Address of Job) Signature of Owner Date r oC- Print Name Q:FORMs:OWNERPERMISSION TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel C") Q(0 Permit# l� Health Division 0 Date Issued `� oo Conservation Division Q Feeo2�S�e�c� Tax Collector Treasurer ' I °�I SYSTEM UST BE INSTALLED IN COMPLIANCE WITH T=E ar \ ENVIRONM '1'A 40DE AND TOWN REGULA110NS Historic..rOKH Preservation/Hyannis -- - Project Street Address 21 �t��`-eY' ` Pu, l 04,c, V-U,J�e, Village �4n-1 Owner Stl_11�94� Q �dffZ Address Telephone / Permit Request —J Rer vt !h Square feet: 1st floor:existing proposed 2nd floor: existing proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type r Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family Cl Multi-Family(#units) j Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ' ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new 4 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 ❑No If yes,site plan review# Current Use Proposed Use i BUILDER INFORMATION Name Telephone Number Address "tj�,A " 'IS License# u Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �� DATE # FOR OFFICIAL USE ONLY r RMIT NO DATE ISSUED _ MAP/PARCEL NO. - ADDRESS VILLAGE �',� r t OWNER • - '� DATE OF INSPECTION r FOUNDATION FRAME INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH - FINAL FINAL BUILDING A& DATE CLOSED OUT ++www ASSOCIATION PLAN NO:. I • I / A ' _�T .♦ 1 ..� 1 .1 I J� 1 1 1 1 11 1 � 1 �/ 1 1 •111 .. •' /a Iid•1/1.11111 _ I ••11•. 11 ` u • •1 • 111 .n . 1 ' I "' '• I 1•�11 1� " <:> ""'!•'�.i�r,r��///.,�i�r//////////%i////�/i///%/////�/////////////////////////////////%//////G/////%//////////%/%////////////// .....!/<"'<'%'/r'''''' ..1 •:q I1 11I 11 /1 uu •.-i•..ww .uln1 al �:11 u1 111 11 .,Iln 1 •�... _ ,may' }:'Y.':w�i�:}y?'::.., {.'.�:�. ..{• :. • rj;^•tii':''+ii:tW.��{•{;.r:•Y+:C••;4,;:?v'?}•r::'v..;:.v:?':::�} �•�'�� 1 11 , r• // / I 1 ��/ �. • I ..I 1 ■ • 11 111• �.111 '1J1 J ,111 1 ' • � • �• 11 1 •..-Iw t�/11111'.+1 •%11 111 r. •'^ .. ,.} t . +..vr`4,3,0,;-0 SK%4';":Y.•:• :Z;:hYVr;Y: L. S lots • }.:. '�w'.:;ati}Y; ..,h,;i:{{ a.: �'ti. rr:v.:v,.Un::}:n.:::i:?�:4::::;:J:;�:�:�T:;: C�"^•Kv..;.T:. .. is ... 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Il '40 • 11fWr7, - Arm rill affldd �1 ■ ■ Board city or tovnr. ■ ofna is requft"che&ifiugnt ■ h ■ _ . Ia T .:\:.,{!-�.,;...\V\K•N:`)`::.M/.�%`44�FF>.F(MVLCWr:KtSCC�'7]CA^rY:w:. W`O^C^VOG\\.\f..vaN.V. \ ... I I r MOVING A HOUSE REQUIRES 2 SEPARATE PERMITS 1. PERMIT TO MOVE A BUILDING FROM A LOT. Map/parcel number for site building is moving from sign-offs frorx - h iol con�on trhist ;preserva do�'1 tax tor 4 , street a dress who ismo g the building where the build' g i" s being moved from and to cert' ication that the following utilities are shut off- le ciric QJ LA._ n > er If,on wn sewer-sign off from Engineering that sewer has been capped If septic s stem-no certification required wo an_s comp.-information if more than 1 person is to be involved in the move �e hap "cant paperwo kmust also beobtamed from he Town Manager's office allowing the building to be moved over-town-roads Sfee-=-minimum ? SEE NEXT PAGE FOR PERMIT TO INSTALL EXISTING SINGLE FAMILY HOME ON NEW FOUNDATION Q q-forms-PERMITS I _ Rev 6/2/98 Building Dimian 367 Main Street,Hyannis MA 02601 fEce: 508-862-4038 Ralph Crosses ax: 508-790-6230 BuiIding'Conunissio::e- ' fw Permit no. i Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal, demolition,or construction of an addition to any pre-euisting owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Ucr� Estimated Cost S�t7 Address of work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): . It Work excluded by law C]lob Under$1,000 Building not owner-occupied QOwner pulling own permit Notice is hereby given that.- OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME ZIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I he by apply for a permit as the agent of owner �C� D D Conu=or Name Registration No. OR Date, Owner's Name q:forms:Affidav u r::a 600 1'►'ariz nston Street Y, _ •.=' Boston,Mass. 02111 Workers' Compensation Insurance Afridavit location. �. LAP A Citv hone� � I am a omeotvner performing ail%vork mysei Q I am a sole aroarietor and bane no one working in anv cavacitv "///G////.O Q I am as employer providing tivorkers' compensation for ray etaplavees working on this job. com inv name: address: (/ . . �.. ... ... CitV! »... ^-�- hone#- 'insurance en. 7 p iaai�v a oiicv# - G �d [l I am a sole proprietor, general contractor, or homeowner(tsrcle one)and I>ave hired�sro ai e ntbelowors listed below who the foIlolving workers' compensation polices: ° cmonnv name! '•IU�MP�W4wwr hone#- ' • .aw.. . .;,�....;.; ..�..... ,....<. sarnnce cn. ^.nanvnsme. .. ..,. ,. ... •^•.�;�2cw>..v :�.�?�a::.:;.,:;5�;�,� ..:: hove a. Llrnnce CO. M1... . ••I:57:•My�yvIJY.•'r!M1O.%:ti'JYS••A vYw • 7.wrwnv. Ure to secure coverage as required under Section ZSA of MGL I52 can lead to dw Impeaitioa of vezms tutprisonment an well as civil penaides in the form of a STOP WORK ORDER and a iloe C '"'ad P a�of n�up to SIMUC andfor r of this statement may be forwarded to the OMce of Investigations of the DIA for t�vaage•eeti9eado� doy aSfu�t tne. I mrderstand thu a hereby cr ify!ruder the alas prnaltier of p"*7 that the information prvv'&d aboar is t�mrd cvrrta .attire - Date r) ^71 _ Mt name ��r�C°cc Phcme# 09 0`3 )IMCW use only do not Write in this area to be completed by City ortown oME611 itp or town: � Q C3Building Department check if lzzitediate response is required ❑Licensing Board ❑Sdeearten's omm ntact person: MeaithDepartment phone#; ❑Other FY'95P]Aj emplovees.. As quoted from the "law", an ernpioyee is defined as every person is the service of another under=,v 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 the foregoing engaged in a joint enterprise, and including the legal representatives of deceased employer, or the:ccr tnvstee of an individual, partnership, association or other legal eatiYy, employing employees. However the==of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grc r: building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance air rere- of a Iicense or permit to operate a business or to construct buildings in the commonwealth for any applicant who c not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither-the commonwealth nor any of its political subdivisions shall eater into any contract for the performance of public work,^-' : .acceptable evidence of compliance with the insurance requirements ofthis chapter have been presented to the cc=-i authority. Applicants PIe:se fill in the workers' compensation affidavit completely, by checiong the box that applies to your situation and suppivmg company names, address and phone numbers along with a=d&=of mince as all affidavits may be submitted to the Department of Industrial Accidents for confirmation afhzmaace coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that thee application for the permit or li=c is being requested, not the Department of industrial Accidents. Should you have any questions regarding the `law"or if c are required to obtain a workers' compensation policy, please eail the Department at the number listed below. City or Towns Ple:se be sure that the affidavit is complete and printed legibly, The Depz==has provided a space at the bottom of affidavit for you to fill out in the event the Office of Iavesnigatiams has to contact you regarding the applicant Pl=r. be sure to fin in the permitlliccase number which will be used as a sefua=number. The affidavits may be rct rnid ro Ir. Depar==t by mail or FAX unless other arraagemeats have been madL The Office of investigations would Bice to thank you in advance for you goopera =and should you have any questions. il=e do not hesitate to give us a call. Che Departtneat's address, telephone and fax number. The Commonwealth Of Massachusetts Department of Industrfat Accidents Once of imrestl0�tloas 600 washingm Street Boston;Ma. 02111 far#: (617) 727-7749 • phone #: (617) 727-4900 ezt 406, 409 or 375 I ., �, 9 j {{ 3..:t s.`t`k��.�j����1 r:� .L�A.A J.•. i i "csiptire PxckR es far Ong and Tws•Fam*Rnidea W Boildbw Emoted with Fond Fum MAXIMUM MQITIblIJ113 �$ �I1aria8 Ceiba$ Weu Floor e..tenrat Sfab �iaglCo0liag Atesr(•A) U valuer R valatj R.vatuat Rrwwitm� Walt F, Egrapm= Ei&=Cl? Pacfaae Rrvalwa~ Brveittar 5"1 to 6600 HntiaS peatee pays' Q 1211. 0.40 38 13 1 19 10 6 Normal R 12% QS2 30 19 19 10 6 Nattaai s 12•/. 030 3E 13 19 10 6 U AFUE T 159A o36 38 13 2S WA WA Ntmaa! U IS'/. 0.46 3E 19 l9 10 6 Nound V IS•/. 0.44 3E 13 23 WA WA aS AFUE W IM 0.32 30 19 19 !0 6 O AFUE X 19% 0.32 38 13 2S WA WA N0tma1 Y 18% 0.42 3a 19 2S WA WA Notami Z 19% 0.42 3E 13 19 10 6 90 AFEM AA Ia'/• 040 30 19 19 10 6 9pAFtJE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: D b 3. SQUARE FOOTAGE OF ALL GLAZING. t rx) 4. %GLAZING AREA(#3 DIVIDED BY#2): t a� S. SELECT PACKAGE(Q—AA-.see chart above): l �� NOTE: OTHER MORE INVOLVED METHODS OF DEIERMMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a ' Glazing area is the ratio of the area of the glazing assemblies g g (including sliding-glass doors, skylights; and . basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the grass wail , area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirerent: For example,3 ft of decorative glass may be excluded from a building design with 300 fl of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with. the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-:8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavin, insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. `Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing Of used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry, log)wall constructions,but do not apply to metal-frame construction. e The floor requirements apply to floors over unconditioned spaces(such as unconditioned craw aces basements, or garages). Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R Z for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J521a NOTES: a) Glazing areas-and U-values are maximum acceptable..Ievels.Insulation R_values,are.minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in.the.building envelope must-ha ye.a U-value no greater than 035. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J 1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and'use`the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling, wall, floor, basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). 43 t 0 Tr.no: ,,548 o: 0.0 6 say. QiS RV ' ►' y i , GS ,Q I Assessor's office(1st Floor): IF � 70 l9 SEPTIC SYSTEM MUST BE ? E H � Assessor's map and lot number U / INSTALLED IN COMPLIANCE Wo''0F — Board of Health(3rd floor): V J WITH TITLE 5 d . Sewage Permit number � Q _ ENVIRONMENTAL CODE AND t HAB L MAO& House number Engineering Department(3rd floor): TO�!!I� REGULATIONS , ryes °o peso• Definitive Plan Approved by Planning Board 19 �o MAI d• APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF-r BA`RNSTABLE BUILDINfG INSPECTOR �J A ! -1 APPLICATION FOR PERMIT TO . 0 f G TYPE OF CONSTRUCTION 4 34f � 19 _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use Zoning District RUJ A Fire District �►'W Name of Owner V Address 100 Name of Builder Address Name of Architect Address --�►--� Number of Rooms (r� Foundation e'YtPh OAP• Exterior Roofing , Floors Interior k1J Heating Plumbing 0 Fireplace Approximate Cost Area Diagram of Lot and Building with Dimensions Fee Q y" 1� 3.0 , oar T_ I ayI O« 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 co truction. Name Construction Supervisor's License IJ 11 J PEACOCK, JAMES - No -346-1-4-- Permit For Build Garage Accessory to Dwelling Location 229 -Fuller Road Centerville ' Owner James Peacock ' Type of Construction Frame Plot Lot ` Permit Granted March 26 , 19 . 90 '. Date of Inspection 19 rl WON Con.pleted 19 44 M , ,r �*, �; D cr to r p. • I 3 r • j e Assessor's office(1st Flo Assessor's map and lot number D a [ b G you THE o` Conservation Board of Health(3rd fbor): n a SEPTIC SYSTEM M Sewage Permit number -Y INSTALLED IN COM L Engineering Department(3rd floor): WITH TITLE �o�i630'`��� House number ��. ENVIRONMENTAL.COD Definitive Plan Approved by Planning Board 19 ® N REGULATIONS APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1 00-2-00 P.M.only .TOWN OF BARNkSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO aZt /at A a I TYPE OF CONSTRUCTION TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for pa permit according to the following information: Location Proposed Use Zoning District Fire District l d Name of Owner---I - �, pkd Address -10 Name of Builder eq-t�kAddress g auk K aol Name of Architect Address Number of Rooms f Foundation VC Exterior V)° C ° ' Roofing Floors ��nnS� Interior Heating I Vyt Plumbing Fireplace Approximate Cost /. ®®L���� 6 3' Area10 7� -201� Diagram of Lot and Building with Dimensions Fee .r CA qs : a tJpLK 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 d / 3 5So PEACOCK,//JAMES S . I Now-' Permiffor BUILD ADDITION 1 } Single Family Dwelling Location" 229 Fuller Road Centerville Owner James S.. Peacock ! Frame Type of Construction Plot! •Lot Permit Granted January 3Y, 19 94 Date of Inspection 19 �w r i • r a. Date Completed �16,/�S 19 l _ F. 10 it ! 3 COMMONWEALTH OF MASSA.o(�HUSETTS =A I MENI' OF INDUSTRIAL ACCIDENTS .� 600 WASHINGTON STREET games.: Ga^tooei BOSTON, MASSACHUSETTS 02111 i WORKERS' COMPENSATION INSURANCE AFFIDAVIT (licensee/permiacc) !I with a principal place of business/residence at: (City/State/Zip) do hereby certify, under the pains and penalties of perjur)•, that: I ( J ] am an employer providing the following workers' compensation coverage for my employees working on this )ob. ZC00Y 2 - ]nsura+company Policy Number i II j ]4 1 am a sole proprietor and have no one working for me. i ( ] 1 am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below � who have the following workers' compensation insurance policies: Name of Contractor Insurance Company/Policy Number i 4 Name of Contractor lnsuranee Company/Policy Number :I II Name of Contractor Insurance Company/Policy Number Q 1 am a homeowner performing all the work myself. NOTE: Plcasc be aware that while bomcowacrs who employ persons to do maintenance,construction or repair work on a dwelling of not more tba.n three units in wbicb the homeowner also resides or on the grounds appuruaaat thereto arc not generally > considered to be employers under the Workcrs'Compensation Act(GL C. 152,sect. 1(5)). application by a bomeowner for a license or permit may evidence the Icgal sutus of w employer under the Workers' Compensation Act 1 understand that a copy of this statement will be for•.•ardcd to the Dcpa;c::cnt cf indus:ri:l Accidcnu'OFce of Insurance (or.coverzgc verification and that failure to secure coverage:s required under Seeuon 25A of MGL 152 can lead to the imposition of-rtiminal penalties consisting of a fine of up to S)500.00 and/or imprisonment of up to one year and civil penalties in the form of:Stop Work Order and a fine of S100.00 a day agai t me. " Signed this < �0 day of r 119 Licensee/Pcrmituc ' ' x Licensor/Pcrmitror.- i A)0V Apptuane.- ` &T-coek location, of.property: Ce`tarvi (z , 4� 5ZLL1'ICAitt ,4 et fey'.. Ki t 38/6 Z' �. Ad I * -ql,900_ a, ' t• mac C �YW 229 ram.,: . f 7145156 hod�crru�; 250 o01 ooi5c foods tow. C `" °F��s,, r ?� PAUL' .J her�e5y eerCL �thutttuS 1YlOr Qge w t1oYL�1�+VCM-PtV arTA�Ol' a GROVE y G`ozdls ..SOr {,j�`• Q,u�, e / j� TI ve �•WttS Sale t4 .� No 31311 �J W C(%Q S}1oWtL �OYL. cee, wt im a S �c a. E $An 1�.111.J �. �Ct 1�"� � sT-E +off fumcq-� =a with am e4T'ecttve, daft of 6 -19-65,an4 rdw locafion �, o �/Su . the dwellirl� a'oes�am�#orm,rto�-h,e local $011i -laws trl,e c� at-the time oFconstrucrion, with; respectto hortsontld dtmert Lio aO setback uvm.ents or is ¢ Scale: 1" = 4 Y''e� t?1�'C ft�om, VtOlati.Ori eri�orCeYYtieri�"' Date: 8=Zg 93 crown, under Mass. Gene rat l.ccws ChctptW40X•_SQ,ctlo' tV 7. File No.--&- 4i93 PLEASE NOTE: The structures as shown on. this plot plan are approximate only. An actual survey is necessary for a precise determination of the building location ,and encroachments, if any exist, either way across property lines. This plan must not be used for recording purposes or for .use in preparing deed descriptions and must not he used for variance,or building plan purposes. This plan must not be used to locate property lines. Verification of building locations. property line dimensions, fences or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what is shown hereon. Please note that this is "NOT A BOUNDARY SURVEY" and is "FOR MORTGAGE PURPOSES ONLY". COLONIAL LAND SURVEYING COMPANY, INC. 269 Hanover Street Hanover, Mass'. 02339 • Phone: 617-826-7186 • Fax: 617-826-4823 SPILLER'S 363603 p'4v t s m OOMMONWRI LTH p W.TFI A1OIL OF wA/iAOHUsrTTsTOet�MA On LICE S E CAUTION 1� EXPIRATION DATE C d M S T R• .'$U F'E R V I iil FOR PROTECTION AGAINST EFFECTNE DATE LIC-N0. THEFT,PUT RIGHT THUMB AE%f { 4i PRINT IN APPROPRIATE NONE , a r• 11/30/1992 063S56 1 BOX ON LICENSE. � �0ty C RC I � bs 5 BLASTING OPERATORS It o C a Y y MUST INCLUDE PHOTO. Sg 'A. 012-5�-�b358. OSIEROLLE M � r T To leue�wo vP�csrxrl F6f= ': + Q Narwu,o ,w uNTwmbr�oartaaw►ur �v+D ' H E C3t�lT�V x ;n�►weo ca.s11p1MT{AI�CF Tl!ooErr�aionEn ' i Is4l HOLDER WHEN tH, t ` 1 1 ! 9 A TVpE INE MT rBr �11�C�UMf TNT pT1ENA-wafITIMUYBVAIMf OAIJEONITMIBOGCUPATIWI y , IIIpROVE%E%l CONIRACIOR . Replatretion 103562 1YPe - DIA 07/09/94 Expitetion peacock tr CrosbY Builders .ti �, a y� � •: Scott E CTosby 62 CTosby ostetviile 10 02655 • - - ,1.�' .• y{dAT S q �Y i ; ; I I 1 JL ff f ' 1` I � _OWN am 9sw { I f 1 9 r S r : ^ _T 1 I I _ r .._. :.�Y ...�. '7'� ,,�,y�s�"�' �,_D,.,�.�". �i.r� -. •�. .-,;ri .,... _ L'1u: �. i _ i �'' _..L_ r ...a..:,;,s��•,.c ?^:�`-;c. s� t�.r p�' �-.,t'>.° ��a� �'--:is-. taels �e'^.r- `'-b`� .tom •., r4°'�' ::3�-y"Y�!' .' 1 :t _.. .- _,__._.1- ._I_ sr'� ..;a:'• u. -. - �•" � iF'.a"''4'?'t ,_.�,., -_ @'. - - lry Z' _ti :i,�:. F,.�:,X-» ' : I r f . Assessor's Office;(lst floor) Map Lot ' 0 7 IL& ermit# Conservation Office 4th floor)) Date Issued /af —9 Board of Health(3rd floor)(8:30-9:30/1:00-2.00) i • Fee G� r Engineering Dept.(3rd floor) House#1 / Planning Dept. (1st floor/School Admin. Bldg.) SEPTA SYS . Definitive P n App ved by Planning Board 19 INSTALLS® IN WITH"TI'P�, � `APIC--; TOWN OF BARNSTA19 01y"EN -A, p Building Permit Application Project tre t Add ss �a l f u%A LER RD . Village C ENT&_KVJ L( t: MA O OwnerSGOEd Pe Address _��R Fvc-�EK Al Telephone Permit Request C#IglvG E 11 00r G /tip' ON f X 1 $ "r I M& 14 E D ., Total 1 Story Area(include 1 story garages&decks) /6o square feet Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ 600. Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of AUeals Authorization Recorded _ Current Use Proposed Use Construction Type / h4e2� Commercial AAr— Residential Dwelling Type: Single Family // Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool �!— Attached Barn None Sheds Other Builder Information Name 6tifiCC/� Telephone Number T— Address JV License# D y 3�_r G Home Improvement Contractor# ZQ I$ o�., Worker's Compensation# /— C O 01V�11 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE _q b BUILDING PERMIT DENIED FOR THE OLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. " DATE ISSUED MAP/PARCEL NO. " ADDRESS VILLAGE F i OWNER ` r 7 DATE OF INSPECTION: FOUNDATION FRAME 4 INSULATION FIREPLACE ELECTRICAL: ROUGH .FINAL PLUMBING: ROUGH `FINAL'. GAS: ROUGH `FINAL FINAL BUILDING DATE CLOSED OUT I Z $' r ASSOCIATION PLAN NO. a Alt, .Your Alwms f� l."OGA�E D i� :.._ ��1>1YE�/I l. l:�: ' h��P�: • v��v . ,•�:.��.,- ,--.. . .�. -,..- �. PAT OD ' b3 0 � �Ia1JC�l�IS _ 5a Zy2gmy i IloO.85 ' 3.53' ' f t t Art ��) /1 4I Z M t WIN y 1alp� ► s;'� S °'`y�n� "��CAr7+`�a1Vfi'eS74A�':t S�P rw� Z�N;fc. H. . t 3'� n•�tiJ l�it t tY/ 1� f !�A g r c' r ";�,.� • d P mot' � ... s,;,`+%�v,x� 1��"' � *r � �� •'sue y '�,.:.- .�' 6. �a a a d' M1 �l liiriy M� n COMMONWEALTH OF MASSACHUSETTS =�c i]EI'AIr:I.17 OF INDUSTRIALACCIDENT'S `-w 600 WASHINGTON STREET ames. Car ��er BOSTON, MASSACHUSETTS 02111 �e�m:ss,one WORKERS` COMPENSATION.INSURANCE AFFIDAVIT: . Peacock & Crosby Builders,. Inc. (licensee/permincc) L : with a principal place of business/residence at: `f i z 381 Old Falmouth Road, Marstons Mills, Ma Ci /State/Zi do hereby certify, undcr the pains and penahics of perjury,that:' ,Yn 4 O l am an employer providing the following workers' compensation coverage for my employees working on this k ` } job*• ITT Hartford 7 WZ ZC0042 rid Insurance Company Policy Numbct. O 1 am a sole proprietor and have no one working for me. ( ) 1 am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed.-below who have the following workers' compensation insurance politics: ,. Name of Contractor Insurance Company/Policy'Number ` S Name of Contractor Insurance Company/Polrcy Number t Tnsurancc Q. an /Polr Number > Name of Contractor p; - y eT; :1 0 1 am a homcowncr performing all the work myself.` NOTE: Please be awarc that while homeowners wbo employ persons to do mainteninec,construction or repair work on a dwelling of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto arc not gtncra y considered to be.employers under the Workers'Compensation Act(GL C. 152,sect. 1(5))1 application by a bomeowner fora license or permit may evidcncc the legal sutut of an employer undcr the Workers'Compensation Act. I understand that a copy of this statement will be forwarded to the Dcparimcnt of Industrial Accidents'Office of lnsurancc for eoyerate verification and that failure to secure coverage as required under Section 25A of MGL'152 can lead to the imposition ofsusntn�,penalaes consisting of a fine of up to S1500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop'Work Ordct ar?d a" fine of S100.00 day again c. Y 0� � Signed this dayof i 3 t - + z LicensceRcrmiucc Licensor/Permittor Uy t z � �a►srsresrE. The Town of Barnstable KM& �0 Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or-to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: r0 al dgJ Est.Cost QQr Address of Work: '-.aa f UA4 IC•d Owner Name: J r s4er &46c e� Date of Permit Application: I herebv certifv that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hcreby apply for a permit as the agent of the owner: S/ � Wa—tcT Contguor name Registration No. - OR Date Owner's name b AI 10 • a F St C V RE f . • Ste' : � ., � i f I t fir, .r R or, x_ j � y v PLAt11 OF Lor I N CENTERVILLE , ' MASS. E3 S.LONpING To J0$EP;4 Q k,. CECyA K. SAPIENZA c.f%a3�d Es/p/e S c ,LF-1 IN=40 fir.' Meer 25,196•S o � �/3/ NELso.J 8eNzeC•R,cw.Ro Lew Svpvcyoa.V ��; .s '/O E rn , A/v:n C.All Yokes rJ �ti i �0 • � nj•���rsf� � 4/,900 ry CQ _3G ti .�e C � Qo,q��O •.'�',��`'S3•a6'� 7i,';R_'VS i,1 i3�LF.._. ,.•EEi,s • � r• ��6�c ,_ Jim J • 'x7 3. -.� "°f0 Al 1___RECCR_DF.D__J .'•�� � ,�a , i• +�•w�+t�•� APPROVAL ROVAL NOT RFQUIRtD UNDER . Mc �r THE SUBDIVISION CONTROL LAW. 3 suRsc wcKAW i�• TOWN OF BARNSTABLE o - 3 L e w PLANNING BOARD Pw LZY76 . do sum 4 �+id► w1 G 1 OX 2462 - 19 4 3 9