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HomeMy WebLinkAbout0079 HALYARD WAY 79 n r � � } d . Uzi r�� c�-wc — J05;ZPw D.DALuz TEIEPHONEt 775-1120 ' Building Comminionn - EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: y. An Occupancy Permit has been issued for the building authorized by Building Permit issued to � / e ,1 Please release the performance bond. f o w Town of Barnstable ermit: -3q �N Y BARNSTABLE Regulatory Services ate:. Richard V. Scali, Director. • sA STARL41639. • ee: _ 22 Pik . -) l Building Division Paul Roma, Building Commissioner ... ,��,. 200 Main Street, Hyannis,MA 02601 r)T i1 T S 10 N www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT owner: �/ Phone: ' Install.at° 71 �qz Y4/W k)4 y Village:--) Cr-4 to/y//le- Map/Parcel: g I - 065 tStove A. New/ B. Type: Radiant/� s C. Manufacturer:4//q4r ja le SyyC. 0-0 F Lab.No. D. Model No.: X1MVe-45f2F/r Chimney A. New/F6Qg (If existing,please note date of last cleaning B. Flue Size C. Are other appliances attached to Flue? /yp D. Pre-fab Type and Manufacturer E. Masonry: Lined/Unlined Hearth A. Materials: B. Sub Floor Construction: F?I . e_ aile- c M Installer Name: Address Phone: Location of Installation: H.I.0 Registration# Construction Sromleowner isor OR.check Installing, no license required LICENSED INSTALLERS SIGN_A AP-PLICANT-S-SIGMA APPROVED BY: Please—make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,'photographed, and approved by the Building Inspector Q:forms:stove Rev:06/20/16 The Cornmompeaitli qfl fassadinsdts . Department cr,flrrrd=trialAcrid= . Office of Im*%4a.ions - 600 Warsihington Street Boston,1MA 02111 wipm- mamgor/dia Workers' Con3pensafion Insurance Affidavit:Btilder-JCantractursMec tdcians/Phunbers AppEcmt Please hint 1 ityta& p_ C e P17��vr Are yiiix an employer?Check the appropriate boss: T of project r 4. I am a general coatzsctpr and I FIB F ] ( egnired}: 1.❑ I am a employer with ❑ 6. ❑New construction! employees(full andfor part-time)-* have hired the sob-coaitmctms 2.❑ I am a sale proprietor orpartuer- listed oathe attached sheet. 7. ❑Remodeling ship and have no employees These sob-contractors have, g.,❑Demolition Wcozing, forme in employees andhave iwpdess' �y capacity- _ $ 9. [—]Building addition ' 1)06 workers'comp_insurance Camp.fimx x:e 5- ❑ We are a r nporation.and its lO-❑Electrical repairs Cr additions 3. I am a homeowr doieigg all�arlc of have exercised their 1L❑Plumbing repairs or additions myself[No worloers'comp- i*o §1{ a per MGL h 1?ElRoof repairs insurance required-] weave no 13.❑Other employees.[No wow' camp.insurance mquired_] •tiny g9Kc &acc1Ledmhas#l—st Elsa fiIIaa the secdon below show ttieirvo6erecompeasa_ po&yiuFcmafiaL Rommvoners who submit iris dfidaval iudi'xatimg they are domg all ward-sad dies hire ents de coubmaors wm Y submit a new affidaeb indirsa ag SMCB IContta=m ffn a cbea this bur mast sttarhxT m sdditiaaal sheet s owing&a name of ire sab-cc=miom aad state whethet or not those aiddeshzve employees.If the sob-car %haveemployee%dLeyamstgmvide&&workMe-c=p.p01icy.411nher. I ant an sntpLayer that is pranzriing workers compemdivn inmirmwe for my empTFynees. Below is Etta ptr8cy and job site informdiam Insurance Company Nam: > policy or Self-ins.Lic_ Expiration Date: Job Site Address: cityfstatefttp: Atbch a copy of the workers'coanpensationpolicy declaration;page(showing the policy number and expiration date). Faihue 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$0.00 OD anVor one-year imprisonnerk as well as ciO penalties.in the form of a STOP WORK ORDER and a fine' of up to$250_DO a day against tolator. Be advised that a copy of this statemed may.be forwarded to the Office of Imves igations o€tie DIA f e coverage vedffcation- 1 do herc&y certify attar ' s andparnahVes ofperjujy tlnatthe injbrwur€wspr oii&d ahm%it barn and carrect Si.�ature '� - �DFate: � 02icid use only. Do not write in fftas area,to be campfeted by city or town ofrciat City or Town: FermitUcense k Issuing Anthor4(circle ore): L Board of Healtli 2.1JnTtlmg Department 3.City1Fowa Clerk 4.Electrical Enspet for S.Plumbing Enspector 6.Other Contact Person: Phone#: 6 ormatian and Instructions t Massachusetts CTeberal Laws chapter I52.requires all employers to provide wogs'compensation far ffit it emplayees. purscranttD Phis statute,an employee is defined as-"-.every person in.fhe service of another under any comtr a.ct of lip-., express or implied,oial or wriften." An e npILyer is defined as"aa individual,partnership,association,corporation or other legal eutty,or any two or more of the foregoing engaged is a joint a tmpodse,andinclnding fhe legal representatives of a deceased employer,or the receiver or trastee of an individual,parh=rship,association or other legal entity,employing employees. However fhe owner of a dwelling house having not more than three apartments and who resides fherem,or the occupant of the - dwmaing house of another who eznploys persons to do mai ce,constrac tion or repair work on such dwelling house or on the grounds or budding appm t=;ujt thereto shall not becanse of such employment be deemed to be an employer." MOL chapter 152,§25C(6)also sibs that every sty or local licensing agency Shan withhold the issuance or renewal of a license or permit to operate a business or to construct buildings not the commonwealth for any applicant who has not produced acceptable evidence of c6mpfianm with the insurance_cover-age required." Additionally,M(iL chapter 152,§25C(7)states'Neither the coamm W-Calth nor wry ofits political subdivisions shall enter info any contract for the pmformanct,ofpubho wm k until anceptabla evidence of compliance with the insura„cm& m TirPm e�of this chapter have lien present!.,to the confracfing authozity." AppHcaats Please fill out the worb='compensation affidayit completely,by cht-,c g the boxes ffiz±apply to your sitnation and,if necessary,supply sub-contractor(s)name(s), addm ss(es)and phone nTmmbmr s)along with their oertfficate(s) of insu:ra„ce. Limited Liability Companies(LLC)or Limited Liability-Partam hips(LLP)withno employe=other than the members or part acrs,are not rbec d ed to carry workers'compensation insurmce. If an LLC or LLP does have tmployees,'a policy isrequired. Be advised that this a$tdayk maybe submifiodto the,Department ofIndustrial Accidents mr conf=Afion of ms=m=coverage. Also he sure to sign and date the affidavit The affidavit should be-r­e,trmmed to the city or town that the application fur the permit or Ece:ose is being requested,not the Department of Trd„stria A c dmts. MumIdyou have any question regarding the:law or ifyou are required to obtain a workers' compensation policy,please call the Department at the number listed below Self-insured companies should enter,rein self-insurance license number on the appropriate line. City or Town Officials t . Please be sure that the affidavit is complete,and primed.legibly. 'Ihe Department has provided a space at the bottom of the affidavit for you to fill out in.the event the Office of Inver o s has to contact you regarding the.applicant Please be sure to fiA in the pen�jit/licrose number which will be used as a reference member. In addition,an applicant that must submit multiple peMWHcense applit atiow i a any given year,need.only submit one affidavit indicaiing current policy information Cif necessary)and under`Job Site Address"the applicant should wrhe"all locations in (city or town)_"A copy of th6 aff davit 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 fle for frdm a pemitr or licenses. A new affidavit must be filled out each year.'Where a home owner or oitizen is obtaining a license or permit not nslated to any bn sim=or commercial vtnt> m (i.e. a dog license or pemik to burn leaves etc.)said penon.is NOT rujaired to complete this affidavit The Office of Investigations would hke to thank you in advance for your cooperafion and should you.have any,questions, please do not hesitate to give us a call The Deparimmfs address,telephone and fax number. Tht Gnat!of .chests = Deparamt of hidustial Accidents f ie of jvegtikatiw� �oI f�ll� T(L 4 617-' -49OG Qt 4€6 car i-M-MA SSAFE Fax 9 617 727 7M R.eviscd 4-24--07 -ma s -ggd Q. ho is responsible for making application forth �ermlt? . -- --j J Application for a permit is required to be made by-the owner or lessee or their agent of the building (e.g.; the HIC registrant), if application is made other than by.the owner, written authorization of the owner must accompany the application. Such written authorzabon'shall be signed by the owner and shall include a statement of ownership and shall identify the owner's authorized agent; o*r shall•grant permission to-the lessee to apply for the permit. The full,names and addresses of the owner, lessee, } applicant and the,responsible officers, if the owner or lessee is a corporate body, shall be stated in the application. Please note;-It is the res onsibili' of the regisfiered HIC to obtain all . Permit; for work covered by the Home Improvement . Contractor Registration Law, M.G.L. c 142A.' An owner who secures his or her own permits for such shalt be excluded from the guaranty fund provisions as defined in M.G.L. c. 1.42A. Back to Top Q. llrly contractor- told me 1 need to obtain the�permits foconstruction. Ma I obtain the relevant pmits from, Amy local building• department or. is the contracto -- or is t (required to do that? - - —. While you may certainly obtain your own permits' be aware that ifyou do, You will fall into.a homeowner exemption that'will disqualify you from being eligible to receive recourse through M.G.Lc. 142A the HIC Laity, or the statutorily authorized Guaranty Fund, should a problem arise,. It is the responsibility of the registered H1C to obtain al] permiRs nedessary for work covered by the Home Improvement Contractor Registration Law M.G,I_c, 142A. IT the HIC you are contracting with refuses, you may wish to reconsider using that contractor's services. �W ToWn Of Barnstable Regulatory:Services nAM ' ' Richard V.Scali,Director., - ►`� Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.ns Office: 508-862-4038 Fax 508-79M230 J Property Owner Must Complete and Sign This Section If Using A Builder. as Owner of the subject proPerty hereby authorize to act on my behalf, ; in all matters relative to work authorized by this building permit application fore . >y (Address of Job) **Pool fences and alarms are the responsibility of the applicant'Pools ' } are not to be filled or utilized before, fence is installed and all final _ inspections are performed and accepted. Signature of Owner Signature of Applicant ; t Print Name Print Name ; Date QTORMS:OWNERPERMISSIONPWI S Town of Barnstable Regulatory Services dETME Richard V.Scab,Director ? ` Building Division • s . ' Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 i www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE F.RENIPTION Please Print DATE: ` / �/ J JOB LOCATION:' �% //q z y,'1 l P.1,y C_e*t e d j11'1 n ber street village "HOIvIEOWNER^: t:;e/'STyy�C k C Z11 '7*-ej�-D.3pp z _ name home phone# work phone# CURRENT.MAILING ADDRESS: /`► /Ya �e 4 re Ui lie 6Jx city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildmg_permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The unders' ed o eo er"certifies that he/she understands,the Town of Barnstable Building Department minimum inspection pro ced and is and that he/she will comply with said procedures and requirements. L Si ature of Hom wrier.1 Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State-Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION ' The Code states that: "Any homeowner performing work for which a building-permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such-work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot P proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully.aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\wPFa ES\FORMS\building permit fbrms1EXPRESS.doc 0620/16 CONSTRUCTION CO_LLC 546A Higgins Crowell Rd,WEST YARMOUTH,MA 02673 PHONE: 508-778-0111 FAX: 508-778-5010 WVVVV.TUPPERCO.COM Date: j 1 Town of Barnstable Thomas Perry CBO 200 Main Street ro Hyannis, Ma 02601 (508) 790-6230 fax Re: Insulation Permits =p Dear Mr. Pent' This affidavit is to certify that all work completed for permit application Issued on �-�1 G��I 'has been inspected by a certified Building Performance Institute (BPI) inspector. All work performed meets or exceeds Federal and State requirements. Sincerely, Permit * Address: Richard Tupper License # CS-69058 TOWN OF BARNSTABLE BUILDING PERMIT>PPLICATION iggMap parcel Application # Health Division Date Issued /''15 Conservation Division _ Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village OwnerTeh�xAddress L Mai Vl C—,)T,--, w & I Vl t—zwle- Telephone — �J Permit Request I UJ'o s eil'i Air Seal I via f �1 Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation l(MO,12� Construction Type Y? CD Lot Size Grandfathered: ❑Yes ❑ No If yes,Aattachorting docun- tation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure 6 Historic House: ❑Yes ❑ No On ghway�..❑Y ❑ 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 Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: '4 Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes 14 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name JTelephone Number Address 1 f;�T License #Warwadh Home Improvement Contractor# Worker's Compensation #�u50055`l"�� ALL CONSTRUCTION DEBRIS RESULTING FROM THI PROJE T WILL BE TAKEN TO V).�—:) ao W tYA '_J_J'111) SIGNATURE DATE FOR OFFICIAL USE ONLY b e- Z APPLICATION# DATEISSUED MAP/PARCEL NO. { ADDRESS VILLAGE t. OWNER DATE OF INSPECTION: rFOUNDATION UAlk! � } ...wK FRAME jINSULATION w . FIREPLACE ELECTRICAL: ROUGH FINAL -- PLUMBING: ROUGH FINAL GAS: ROUGH FINAL { FINAL BUILDING DATE CLOSED OUT :a3 ASSOCIATION PLAN NO. r 4, , - Town of Barnstable Regulatory Services AM asav �, Richard V.Scab,Director 1h9• � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,IX4A 02601 vmw.town.barnstable.ma.us . Office: 508-8624038 Fax: 508-790-6230 Property Owner Mus t Complete and Sign 7nis Section If Using A.4 r 12 as C"mer of the subjecr proIx�n. herchy authorim T to act on my behalf, in all matters relative to Ivor authorized by-this building permit application for. A . -- I- � `f ('A,als f Job) 'Pool fences and alarms are the responsibility of the applicant. P(x)ls are not to be filled or utilized lx:fore fence is installed and all final inspe performed and accepted nature of Owner �. 7 Signature of Applicant /ert.". Print dame Print Name —- Date I Q:FORMS:OVrN''FRPFAM1SS1ONPO)IS f A r e + Y The Commonwealth 6f.Massachuselts :tDepail sent ofitadustridal Accidenis Wce.of lnvestigcat ons 606 Washington Street- Boston, MA 0211. Wlvw.anass.gov/d,l a Workers'Compensation Insurance:Afflidavit Builders/Contractors/Electrici nstPltalitebers Aunlieant Information Please Print Legibly 'Name(Business/chganiiation/Iedividual); . Tupper Construction Co_ , L' L:C Address: 546A Biggins Crowell Rd City/State/Zip: West Yarmouth, kA 02673 Mil 50 7778-a11� . . i Are,you.an employer?Check the.appropriate box: Type of project(required), .1 1 am_a employer with 4. 0.l am,a general.contractor and l 6. ❑New construction t employees(full and/or part-time): have hired the sub-contractors 2.0 l am a sole pcvprietoror partner- listed on the attached sheet,t` 7. ❑Remodeling ship.and have no employees These.sub-contractors.bave 8. D,l3ernolit on working for me in any capacity: workers'comp: insurance 9. ]33uildittg addition [No workers'`comp.insurance -5 0.We area corporation and Its. required..] of icers have exercised.their 10.[]Electrical repairs or additions 3.0 3,am a homeowner doing all work. right of exernptian per MGM: 'I].0'Plumbing repairs or additions { myself. [No:workers'comp. c. 152,.§1(4);and we have no i2,0 Roofrepairs i.rtsurance required.]t employees. lNo workers' 13. Other 1Ne8tllerizatirl comp.insurance required: *Any applicant that checks box#1 t must also-Fill out the action belotiy sbowing their workers'compensation policy°information. [ic�meotvners whu submit this affidavit ind`eaating they are duiri�a!1 Mork and then hire outside wntractors must submit:a netir arfadavit indicating such,. -Contractors that check this box must attached an additional sheet showtng.the name of the-"sub-contractors anti their utirlters'comp;potier inrormatian: I am gat employer that h provi atg workers'cotnpensabon ua uranee for my ettilplayees i�eltiw is the policy andjob site +ra,�vr►:rativta. Insurance Company Name AE I C Policy#or Self-ins."Lic,# MCC 50'05593 QI2 014A expiration 17ate: 10/3/15 ff . ioo Site Address CitylStatelZip� ed�1 Attach a copy of the workers'compensation poll dklaration page::(showing;the policy number and expiration date). Failure to secure coverage as required under Section,25A,ofMG1,c. l52 Raft]ead`'to the imposition of criminal;penaliies of a fine up to$I,5©0.00 and/or'one-year yin, 'son ment.,as well as civil penalties in the fot-tn of a STOR WOkK,ORDER and a fine. of up to$250.60 a day against the violator. $e advised that a copy of this:statementmay be#'onvarded to the Office of Investigations of the DIA for insurance coverage'verificator.. I rtn here4v certify;urailer.the pains nod a allies f�erjr�ry that ire era,fordrtrattcrn prov I d rdbove is trite and correct Si�naYtare � 1 i' Date' pllorie#:. (508). 17 8 Clfficial rase only DO-not write an this area,to lie completed by city or tott'n offliciaZ City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Cleric 4. Electrical.Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i A CERTIFICATE OF L�A��L' T1� ��� r� DATE( -NODIYYYYI C� 12/1I2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOK ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND; EXTEND OR ALTER THE COVERAGE AFFORDED BY THE=POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES,140T CbNSTiTUTE..A CON RACT iBE3WEEt+4'THE ISSUING:INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE-CERTIFICATE HOLDER. IMPORTANT: N the certificate holder is an ADDITIONAL INSURED,the"olic I the tetTrls and conditions of the policy, Y 9 D 9.0es)must 00 endorsed. If SU8fZOGATION IS WAIVED,subject to. P CY,.certain policies`ma re wire an endorsement. A statement on this-certificate does:nOt confer rights to the Certificate holder in lieu of such endoisement(s); PRODUCER FACT LOr� I`12Ger&$tt.... Southeastern Insurance Agency PHONE rax {509)997-6061 No_;150a 99c=2731 439 State Rd. IL lfitzsoutheasternns.com `ADDR P.O. Box 79398 INSURER(S AFFOROING COVERAGE YAIC North Dartmouth MA 02747 wSURERASArbella Protection Insurance.. 41360 INSURED _ �.� _a tmsUR1:RsAssociated E to ers Ins. Ca: Tupper Construction Co LTC INs1iRERc:. 79 Mid Tech Drive Unit g West Yarmouth MA 02573 . _ INSURER F COVERAGES CERTIFICATE NUMBER 2015-1 REVISION NUMBER. THIS IS TO CERTIFY THAT THE POLICIES:OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE[3.NArvIEO ABOVE FOR"THE POLICY PERIO,3 INDICATED. NOTWTHMNDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT)AATH RESPtG T TO rP4(iCH TH y CERTIFICATE MAY BE ISSUED OR MAY PERT1lIP THE INSURANCE AFFORDt76 BY THE POLICIES DESCRIBED HEf}EIN iS.SIfBJLCt YO AL( TTIt TER.t E Ct USI0t3S;AND COIdDITiOidS OF SUCht 4�OLiC(ES.LIMITS:SHOUVN iPAY HAVE BEEN REi3lICED SY PAID CLAIMS: IusRWO LTR - TYPE OF:INSURAWCE A L -i+(yI,fCY rdlliblBER: {{ POUCY EFF -.POUCY EXF i ,hVOD/ wkl7oo/Y . .... LINIITrS OENERAL:LIABILITY .. . �� . ... .. ))[[ /.��.�w1� /� ((�� tt EACH OC'CURR_P&� -Z. i,Q60,odo 4 X COMrAERCiAL GENERAi,ukelsTY 1 A CLAIMS-MADE II l pz e�[5<Szame I s. i00,000 � . X OCCUR 11/I/2o14 1/1/2015 htEOEiP(�n ai v�rsc,i 5 S,Ot)4 l �. �'"RSO��kLS,'U3YIIJJRY � i,QQQ QQ;Q 5 1 C KSRALcC,C.RECnT 5- 2,;0QO,QQa GEN'L AGGReGi TE LIWT APPLIES PER. M I. —^----- f X POLICY PR0 AUTOMOBILE LIABILITY r EEat F1En21 - S: �.-,;QO0-1-0 00 A ANY 'ANE BODILY INSURY(Pta P san 5 ALL (X¢�TbSI� 020009389 2%2.%20142/1%2015 {- I NON-OWNED ( #0 ILY k�tIIJR�(Pe 2euc�trY) AItr2Ei:r AUTz 4 fiUFt�S Sl?'E�f6?RY Oh :.GE _77- S . i' -1 . UMBRELLA LV i9, OtGJR I d Lk ed msrrsc 61 s wi S EACH-g NtECESS LU C A11AA SOE 280 OOtI III AGGREGh7c S OEO RE:i'FNriON S 60005836$ 11/1�2024 (1�2��./2DIr3 .'....... B. N10RICERSCOtaPENSATION " . kC YYA,U- vTtS L AND MPLOYERS'UAOILITY Ph'ti PROPRIETOPIPkR NERtE7CECt/T1YE Y i li [[ R !11_ OFFICERt SMSER EXCLUDED? :NIA .t E L.EACt-kCCPDEN•.!• S OQ Q 00:0 t:(rJ(atldatory in NH) �' CC5005593012014A. 0/:3/2014 4/.3j2015 Ilqq v,a85 Cunda El.DISEP.SE-IEAEMPLOYE S 1 QQO Q00 OESCR7PIiL1NC OPER[ATXWR-aai F.L17aEASE-NQC?CY ttfF 5 $ OQQ O(30 — �- DESCRIPTION OFOPERA-noN3 I LOCATIONS!VEHICLES - - - - - "- - IJtttacli;ACORD t01;Ad&wo.at�Rwvwlk Schedule.V more SPace 1s reQuiredj: CERTIFICATE HOLDER CANCELLATION 'SHOULD ANY OF THE ABOVE'DESCR(SEO POLICIES BE CANCELLED BEFORE THE -EXPIRATION DATE THEREOF, 'NOTICE 1NiLL BE DEC(1t-' "I r,li INFORMATION PURPOSgS: :bN y ACCORDAN.r WtTt4THE POLICY PROVISIONS: TUPn;;R CONSTRUCT:I014 Co LLc: 546 A HIGGINS CROWELL ROAD :AUTHORiZEDREPRESETlTATtttE WEST YARMOUTH, MA. 02673 Lora Fit2"rald/LHL ACORD 25(2010/05) b 198&2010 ACORD CORPORATION, All rights reserved.. INfi025nnfrznSinT TF14 ar.hon HaR1P?hIt II IfA 1l�PAIYIGI�Tpfj ae-npn i , 1(tre of COlh-un arAffRin Sf.$fts'lntsa riff y ��3C�+t�►�#���1��r1€ivZ`C�t�'3"ftkf��"+�6� f tttfar�ifree��rsss� T�t�. �tuutt�trttiiztxa; v"� iitr�fnten ryjz : °3Rfieu.tt ►t��satxe £hsfr tatt'1iu.tttesa32�itat iGs1 xptrfiosi: 016111:016 Mt YtF3'ttyi,�ire�n $t:id �3;tt: RICHARD .ftttft'r�errefe=fie ... YrC�-�;t�,?�etl+�ftxsi�rtft�t"e yy� fr>i t*i s1�s3�� A.? e 11 a *•. e�tct f•tea Mitt 3i .,tt. fly. ip.�3 S. r . < 4ta f t.�ratr�cti:+ft>4t�scxi'wEt2 '�` ,- -�*=•—ar-_ ...+ert,�...svet=wcs�-, ,<er.... w t..,. '� ,�2''�� s•.`y-��ruu a i�Fr_N �a.rc""C1FLS ..sftf'PS v ;r, �cs. ' ft PxcpAe,HelpingPeaple"id a SaferWarid—, �rnescnrxcfr_ €� per.Go Isbruction �tt?txrr SefEt`p^^8158119 3 1 t Y - - rTf• ll. TOWN OF BARNSTABLE - 27579 Perm -- --- `� .'Bu kiln._- s ktor �', y, It N I uux.n P Cash' --- °"" OCCUPANCY PERMIT- Bond + - X • - Issued to, Jd1TE0S K. S�llitll, Address a , Lot 31,' 79.Halyard ';Way,.: -Centerville Wiring Inspector ' Y` Inspection date .06 Pl'uinbing Inspector .,_Inspection.date•1 ' Ga Inspector `J ' ^� 'r ' Inspection date *XEnglneering Department �i✓mr' ^iy°�: d� Inspection date Board of'Health mpectien date.< 7 THIS'PERMIT WILL NOT 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:' ' / . ......................................................... n • - � - I3uildino Inspector N- . a : S/N6L_E F�Iiy/L Y 3 BE0.2oOM GA oP_&AGE // OA/L Y �L_O!.r/. . . _ O X 3 - 330 G.P.O. _ _ SEPT/c T,4.c//l el9 G.P,00 SE /OUO GAG 2 Q' t • 31 t t Ff_ _ t p G - ToT4 TOT.4L. .�d/LrFL4N/-' 34G: 4Vv .. . Co r Ohs/G•c/ �.E.2c�L4T/opt/.�JT�' � � �-�'� OF � a �tti.OF At,Ast ! r PETER. RICHARD SULUVAN A No.29.733. o BAXTER N _ No.24046� • 7"E,ST i i �-FG. �l ,•� ��; C 2 woa01577 /.v✓ - • . 6.aG.' /�Yl� BOX � /�"'�& •, '` ��a sir� p� /�j•'G .E'Pn'G S ' C"LEi�I W-/.._7Ny /rVV /wl/ t .-. . _ .�AN.Q •; .Srz.�E �. . ' ; G'E,2T/F/EO PG OT pL.4�t/ - LOG,G -eW jl.,4LE/ ' Gd E ,� � . Pl..Q.V �E,2F .T x�6'v^o►.�Gr /-�LiC/, .. .37 c�GE Ica: ,yE�Eov caMP�Xs �v/rs/Th�E SioE�i�E 49.4x75e€.VYE /tic. A.,vv.0�FrgAe` ,2E4v/�Ek1ENrs o� T,�/� ,e.EwsrS,ec'p,�,�ivo svevEYo,Ps TOWit/ OFI�4�'il�s?ALE AVV /.S Nar- C�STE.21i/GGc �- til,�.� 41 LaC.4rE.O W/T.'/iiS/ Tf/E �LcevOt�4iiti USEp . t AsAssor'svJmap and lot number /........ ypF THE o le- cT(. -M MU T Sewage Permit number ....... ..................... .................... SEPTIC SYSTE S cc- "LIA' INSTALLED IN COMF NCE t 33AUSTABLE. House number ................................#...... ..................... WITH TITLE 5 ',6"3'gL. E E , 0 ENVIRONMNTAL M1�` TOWN- Of BAMNS,TyABLE BUILDING INSPECTOR Construct Dwelling APPLICATION FOR PERMIT TO ...................................................................... .... TYPE OF CONSTRUCTION ......................Woo...d..Frame........................ ................................................................. ...... ........... .......Feb.1mary..Z5.................193a.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........W.t..#31..Haly.ard.Way.,...Centerville........................................I................................................................ ProposedUse ................Single...FaMil.y..........e..................................................................................................................... Zoning District ..............Pe.5idential..................................Fire District t ..........Cen.ter.vj.jje.-.0&ter.v.jjjp.................... Name of Owner ............Jamea..K....Smith...........................Address ................Barnatabde.............................................. Name of Builder ..........JaMe_S..1....SMj_th...........................Address ................Ba-im&tab-1,e............................................... Nameof Architect ..................................................................Address .................................................................:.................. Numberof Rooms ........Fivie.................................................Foundation ..........POU.T42�d--C'mc.rete................................... Exterior Clapboard & W.C.S. Roon M PA�!L� ral�s....................................................... : Hardwood Dr....y.�v�jj............................................... Floors ......................................................................................Interior ................ ...... Heating ........................Gas..warm...air................................Plumbing ..............2...Baths..................................................... ...... ........ ...... . .... . .... Fireplace .......................One .. ....................................................Approximate Cost ......................................... .... Definitive Plan Approved by Planning Board -------------------------------19--------- Area ......... 60 Diagram of Lot and Building with Dimensions Fee ............ ...... SUBJECT TO APPROVAL OF BOARD OF HEALTH 28 x 38 18 x 24 . r 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 ........... . . ....../Z.....ILZA........ Construction upervisor's License ...#§190 ............................. 1 _ ( TH, JAMES K. L: R rw -44, .27579 .. Pe'rmit fo. .... Q..S o '........... y s....:.Single. Fam Y.J?...Q.11ijg.................... Location ....?O.t..�J. .....7.9..JjaIys;k::d..Way.......... Centerville ...................................:........................................ ... Owner J 5..K.,..,5Wi th..................... Type.of Construction ....Frame........................... Plot ............................ Lot .` Permit Granted March-- 5, ...........19 85 ............... ..... Date of Inspection ....................................19 Date Completed ...Z.r ...............1 � � F F . �9,�/ �3 Assessor,.s-map and lot number .......... .. .... ............ ...,..... . THE Tory �1L JG Qy�� Sewage Permit number .......%:5... .. . ............:....... Z BAUS'TAMLE, i House number .............................. ......79..................... y MM6 pp 2639. C lip MPY TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... Construct Dwelling TYPE OF CONSTRUCTION .Wood Frame ; ......FPh aly..2.s.................1935.. `TOTJHE INSPECTOR OF BUILDJNGS: ` `"` The undersigned hereby applies for a permit according to the following information: Location ........LQt..k3l..I l.V x&Way.,. .CRT h ai.1..1P................................................................. ProposedUse ................&JI TXgIP..FM. i v ............................................................................................................................. / 9 Zoning District ..............R?SidPDJ,1a1.................................Fire District ..........Ge te7.:a.ri.l.e-Os.tP7:!^.Ile................... Name of Owner ...........:.T:aMe$..K.,31d1h............................Address ...............Bam.stBb;l.e.... ..... /.... Name of Builder ..... :.Tame.S 4...�ni..th...........................Address ................Bad'd:steb e.............................................. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ........FiLTe........ ............:... . ..:.....:............: .FoundatiaWn '�.`! C�:,1,rda.-cone eu................................... r _� .•,�' Exterior Clapboard W.C.S.. ........Roofing ...............Asphalt shings ........ .....Floors Hardwood Drywall ..........................................................Interior .................... ............................................................... Heating ........................Ga5 warm air..........................................................Plumbing .............2 BathS..................................................... Fireplace .......................Oi?e....................................................Approximate Cost$55,000..00............................................... Definitive Plan Approved by Planning Board -----------_-------------------19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 28 x 38 18x24 f { T 15 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 ........... ....*......(`�.... .has►:1 ........ •j #5190 Construction Supervisor's License .................................... SMITH, JAMES K. A=194-2-3' (08 No .27579..._. Permit fob ..�.Story ; Single Family Dwelling Location .....Lot. 31r... 79„Halyard.Way,....... Centerville ............................................................................... Owner ...... ames K. Smith .................................................. Type of Construction .Frame...................,.......... ................................................................................ Plot ............................ Lot ................................ Permit Granted March 5, 19 85 ...................... Date of Inspection ....................................19 Date Completed ......................................19