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0238 HUCKINS NECK ROAD
y a • n . a • t t. •r � • a U .. .. � - ._ .. v .-, - �. ,. f _♦ � ', e .:- � - .. ., - �.,. r O � � .N .. ,. s �. , C� � ` � , .. .: � �.. e - •• - w .. � u .. � .. .. � e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION o-Z4TOWN OF EARNSTABLE Application �Map #l/ Parcel / Health Division 1013 ►M Y -8 AM 10: 0 7 Date Issued C5 a Conservation Division Application Fee Planning Dept. D I Vp r. R E Permit Fee Date Definitive Plan Approved by Planning Board S12,6113 Historic - OKH _ Preservation/Hyannis Project Street Address �Jg 4UC�ka rzS eQZ_ V_Ju c�- Village e u-N 4 ye"_L Owner ba_o 1_ C t wa e 1 k Address �CUb ns WQ_Q C'\__1 Telephone,nL - -7 4 -`15LU Permit Request"YyZ C�Q Y\Jax-0 ,.upn':�\alCbuSn Q111._t&-0L& Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family &r" Two Family ❑ Multi-Family (# units) 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 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name R0 LA X1aP.N1I T( ) Telephone Number Address &Yirn .. License # l RN% 2L s YA Home Improvement Contractor# f tece,.3)1 Worker's Compensation # T N ti)C_3 H4�S f ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO H I o 62rmy p n-i- r a u YZtV2 9�; yY-"`� SIGNATURE �� ' DATE 51 t 10 f I FOR OFFICIAL USE ONLY I � APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE _ OWNER DATE OF INSPECTION: FOUNDATION j FRAME INSULATION f � FIREPLACE- ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL } GAS: ROUGH FINAL FINAL BUILDING II` . DATE CLOSED OUT ASSOCIATION PLAN NO.- f Office of Consumer Affairs and usiness Regulation--,,'• 10 Park Plaza-°Suite 5170 Boston, Massachusetts 02116 Home Improvement,G. tor Registration Registration: 166311 = =w = Type: DBA. Expiration: 5/11/2014 Tr# 222532 INSULATE 2 SAVE :===''Y- 'M - 4 :µ�,a ROLAND LANGEVIN 410 GROVE STREET FALL RIVER, MA 02720 J Update Address and return card:Mark reason for change. r i ❑ Address Renewal (].Employment [].Lost Card DPS_cA1 car 50M•0004-C101216 Gf ,Pana�rusea o ✓ raauc�'•!°ela License or registration valid for individul use only Office ofonsumer Affairs&B mess Regulation MENT CONTRACTOR before the expiration date. If found return to: HOME IMPROVE - ;EE Type: Office of Consumer Affairs and Business Regulation Registration: 10 Park Plaza-Suite 5170 Expiration: .5W.2Z.014 DBA Boston,MA 02116 TE 2 SAVE, ROLAND LANGE" 536 EASTERN AVE,.,,- FALL RIVER,MA 02f! Undersecretary ~' Not valid without signature. ' , 113••achu.ett,- Denarta"t of Public Safety Bii'ard of Building Re%ulatitMl and Standards - Construction Supervisor License License: CS 103861 . Restricted to -00 ROLAND ANGEi` N r 536 EASTEM AVE ' FALL MVER,:MA 027M ` Expiration: 812412013 Tr#: 103961 . <.rftttni•ci.aur . r The Commonwealth of Massachusetts Department of Industrial Accidents ®ffce of Investigations , a d 600 Washington Street Boston,,MA 02111 www.mass.gov/dia ~ Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information _ 1 Please Print Legibly Name (Business/Organization/Individual): i �j.I c, 4c p �� Address: City/State/Zip: g&aO/YN Phone#: P 7— to7d(.,a Are you an employer?Check the appropriate box: Type of project(required): 1.Q/I am a employer with 4.. ❑ I am a general contractor and I . employees(full and/or part-time).* have hired the sub-contractors 6 —1 New construction 2.❑ I.am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub.:contractors have g, ❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9: ❑ Building addition ' [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself [No workers' comp. 'right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.LKOther_ff)5�)IG41 comp. insurance required.] # *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. - �Contractors 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. olicy number. I am an employer that is providing workers'compensation_ insurance for my employees. Below is the policy and job site information. Insurance Company Name:(S-u a YC4 l hSUY�n CD C:�,rol'jp ` Policy#or Self-ins.Lic.#: C 1-13 I Expiration Date:�� �� _�Ck-i►'1SCo., Ci /State/Zi • F Job Site Address:a ty p:OQY��ry i P 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 Pine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under theepppains and penalties of perjury that the information provided above is true and correct. Signature: �' ( i�-- Date: ;!5:1 Phone#',50a •5C6`1 Cp-tMO ' ' ,Official use only. Do not write in this area,to be completed by city or town offciaL City or Town: . Permit/License# Issuing Authority(circle one): x 1.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other' Contact Person:.- Phone#: f OWNER AUTHORIZATION FORM Fray Ja A is 4 to (Owner's Name) t owner of the property located at ; (Property Address) (Property Address) hereby authorize L I (Sub ntractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. )C Owner's Signature r a Date F r DATE (MMJDWYYY) AC40 CERTIFICATE OF LIABILITY INSURANCE - 12/11/20.12 TH CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTI11 FICATE HOLDER:THIS CERTIFICATE DOES NOT AFFIRMAT VELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AI40 THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED;the policy(ies)must be endorsed. If SUBROGATION 1$WAIVED,subjeetto 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 endomement(s). PRODUCER ONE ANTHONY F. CORDEIRO INS. �,GCY. , INC. (A/"cC, E,lr_(508) 677-0407 —�(AIC, No):1509) 677-0409__ E MAIi 171 Pleasant Street ADDRESS: PRODUCER - CU_STOMER"ID, N: . .__..—_. _:.._.. ..._................. ---... Fall River,_ _ MA 02 72l _._. _ INSURERIS�AFFORDING COVERAGE _— _ NAIC N _. . — ------- INSURED INSURER A Atlantic Casualty Ins. Insulate 2 Save Inc. INSURER B :Torus _Specialty Ins. Co. _._ ....... -. 410 Grove St INSURER c :Great American Ins. INSURER D :Guard Insurance Groin__- _.. r INSURER E Fail River MA 0.2720- IINSURER 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. _ EXP POLICY INSR MI � ITS �� TYPE OF INSURANCE INSk '.5�I POLICY NUMBER .(MDDIYY'/Y) (MMIDDIYYYY) L1L1 A GENERAL LJAelun y ! y M 081000174 !06/12/2012 06/12/2013 1 EACH OCCURRENCE $ 1,000,006 / / / •/ ,oAMAGE TO 1WNTE6 100.,00.0 X COMMERCIAL GENERAL LIABILITY PREMISE$_(Ea occurrence $..-__. _ ._. -- _ CLAIMS-MADE X.-OCCUR MEDEXP(Arry-one.person)_..__$_.. 5,000 _. — PERSONAL&ADV INJURY .. 1,0__. ,0.00 . 2,000,0010 GENERAL AGGREGATE $ / / / / PRODUCTS-COMP/OP AGG $ —2 000,OOO__. --- _ GEN'L AGGREGATE LIMIT APPLIES PER. �LlMrr X POLICY PRO-JFCT LOCAUTOMOBILE uABIIJTY COMBINEDSING $ < (Ea acc dent) _ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS / / / / BODILY INJURY(Per accident) $ -- SCHEDULED AUTOS - / /- / / I PROPERTY DAMAGE 'S .HIRED AUTOS ' (Per axiownt)-- -- NON-ONMEDAUTOS $ X UMBRELLA UAB X OCCUR Y Y I78264D120ALI - 6/12/2012-O6/12/2013 ,EACH OCCURRENCE $ 2,00.0,OOO $ _.._- - _._._ / / AGGREGATE $ EXCESS WB __.:.. _ _____... _"- --'- ----' --CLAIMS-MADE. � i. . _._.._ —. $ DEDUCTIBLE X RETENTION $ lO OOO $ �12/10/2012 12/10/2013 ! WC STATU- OTH D WORKERS COMPENSATION INWC311431 I X_T0 I _ -AND EMPLOYERS' LIABUJTI' ANY PROpR1ETOgIPARTNER/EXECUTIVE YIN; / / / / E.L.EACH.ACCIDENT _ S S_OO,000: oFFlCERn�ER EXCLUDED? C:N f A E.L DISEASE-FA EMPLOYEE$_ _ 500,_OOO (mandatory in NH) Ifyeis,describe under / / / E.L.DISEASE-POLICY LIMIT i,,s 500 000 DESCRIPTION OF OPERATIONS below 06/12/3012 06/12/2013 C Equipment Floater nAP 3759976 Stop Storaye.LmiR 75 r 3SQ Vehicle Storage Limit 76,150 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Anach ACORD 101, Addiuorrel Remerin Schedule, it mare speu is rsquhed) proof of Insurance. itesidential Insulation Contractor. CANCELLATION CERTIFICATE HOLDER; ( ) ( )• SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED.BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Barnstable 260 Ma1n St AUTHORIZED REPRESENTATIVE Hyannis Ma 02601 ACORD 25;(2009/09) Oc 1988-2009 ACORD CORPORATION. All rights'reservod. INS025(200909) The ACORD name and logo are registered marks of ACORD RISE ENGINEERING Federal iD'#05-M.5629 jF RI Contractor Registration No 8186 jt A division of Thieisch Engineerul" MA Contractor Registration No 120979 CT Contractor Registration No 620120 1341 Elmwood Ave ue,Cranston,RI 02911) ' (401)784-3700 FAX(401)784-3710 CONTRACT , Page 1 R I J E {'ItOGitnM THIS CONTRACT IS ENTERED INTO BETWEEN RISE - CLC-RCS ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW �'. CUSTOMER e�,.,.PNONE i DATE Clieirt4 Frank Cuphone (508)74,4Q7506 04/25l2013 143E90 SERVICE STREET 7 < „,.f�) BILLING SIRE 238 Hackins Neck Road 238 E-lu�e ins Neck Road ___. SERVICE CITY,STATE,ZIP ° BILLING CITY. TATE.LP Centerville, MA 02632 Centervi le, MA 02632 JOB DE..SCRIPTION Provide labor and materials to seal areas of your home aeainst wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will he left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can include caulks.I'uams,weatherstripping and other products.,Primary areas for sealing include air leakage to attics,basements.attached garages and other unheated areas(windows are not generally addressed.) (2>)man hours. $1,925.00 Provide labor and materials to seal heatine and/or cooling ducts within designated unheated areas. This work will he performed at the - raw of S75 per roan per hour,which includes materials. (3)man hours. $225.00 Provide labor and materials to install 2"FSK faced semi-rigid fiberglass.board insulation to(275)square feet of kneewall rafter.area. S759.00 Provide labor and materials to install ventilation chutes in(58)rafter bays to maintain air flow. 5202.4-2 I lomeowner is responsible ror the removal of the stored items blocking the installation of w•eatheriiation work in the kneewall areas. Removal must occur prior to the scheduled work start. / S0.00 Provide labor and materials to install an 8"layer of R-30 Class 1 Cellulose added to(431}square feet of floored attic space. $646,50 Provide labor and materials to install a 12"layer of R42 Class i Cellulose added to(724)square feet of open attic space. S 1.057.04 Provide labor and materials to insulate the back of the attic door with I"rigid Thermax board and seal the door's edge with weatherstripping to restrict air leakage. f S 144.44 Provide labor and materials to install(1)insulated exhaust hose to existing bathroom fan(s). $50.00 Homeowner is responsible for the removal of any ceiling tiles blocking access to the sills. $0.00 Town of Barnstable Geographic Information System New Search H� Parcel Viewer] Custom Map IF Abutters I Map Size I E] Zoom Out fl fl I flIn R. JPG Map: 252 Parcel: 024 F Location: 238 HUCKINS NECK ROAD 4, Owner: GARBER, HAROLD & HARRIET M 252134 N 278 Z Location Information 252135 252136 Map &Parcel 252024 N 258 Location 238 HUCKINS NECK ROAD Acreage 0.77 acres OR AM X Current Owner Mailing Address GARBER, HAROLD & HARRIET M 4248 66 ANDREW ST 262024 252137 B NEWTON HIGHLAND, MA 02461 E N 238 52130 IN- 273' Appraised Value (FY 2009) 2 $16,20 Extra Features 0 262131 Out Buildings $52,500 4 N263 Land $313,800 252130 252132 N 21 Buildings $259,100 N 26 .1 414 Total Appraised $641,600 252140 Assessed Value (FY 2009) 262141 Extra Features $16,200 262120 J, ?62�Zl N 40 25211 1 37 Feet. N 226 Out Buildings $52,500 Land $313,800 Buildings $259,100 Total Assessed $641,600 Set Scale 1." =FLT I IAFrTi Photos — MAP DISCLAIMER Copyright 2005-2008 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS BarnstableMA v1.2.3357 [Production] a� s13�11?� 1 Weatheriz ,tion & Insulation 410 Gr ve St.Fall River,Ma o2723 Insulate=aveMet i _ o May 6,2013 I = C -� NJ Town Of Barnstable � 11omas Petry, CBO 200 Main Street Hyannis,MA 02601 . M RE: 238 p,Ruckins Neck Rd C`re i/ € Dear Mr.Petty, This Affidavit is to certify that all work completed lat 238 Huekins Neck Rd has been inspected by a certified .BPI Inspector. R30 Cellulose was added to attic fl ored.space.R42 Class 1 Cellulose was added to the open attic space. All Work Performed Meets or exceeds ederal and State Rcyuiremets. Sincerely, i Roland Langevin 1 Insulate 2 Save, Inc President CSL 103861 i WC 166311 i W;1 e a Town of Barnstable �oFrttt rok *Permit# ti Expires 6 mouths ronL sae date Regulatory Services Fee swRvsn►Brs. + Thomas F. Geiler, Director -Building Division ' Tom Perry,CBO, Building Commissioner F� 200 Main Street, Hyannis, MA 02601 1,1rV ; .'tJ: www.town,barnstab le.ma.us Office: 508-862-4038 l l'YN OF BA°�FaxOr8F79.0 6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL .ONLY Not Valid without Red X-Press Imprint Map/parcel Number j y Prop Address G Al .kj e �i) Residential Value of Work gp, Minimum fee of$35.00 for work under$6000.00 Owner's Name & Address Contractor's Narne 14UA/ > /� Telephone Number_ �-� 7/ 7'CI)o Ho/uction ovement Contractor License #(if applicable) Con Supervisor's License#(if applicable) Ile�0 . Workman's Compensation Insurance Check one: ❑ I m a sole proprietor am the Homeowner I have Worker's Compensation Insurance Insurance Company Name e6cla1 f Av�ij/ J Workman Comp, Policy ! 8 1�1 9C Copy of Insurance Compliance Certificate must accompany each permit. Permit Request (check box) ❑ Re-roof(hurricane nailed) (stripping old shingles) All construction debris will.be taken to ❑ Re-ro (hurricane nailed) (not stripping. Going over existing layers of roof) ❑ -side #of doors Replacement Windows/doors/sliders: U-Value 33 (maximum .35)# of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: -Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License & Constructio required. n Supervisors License is SIGNATURE: r l QAWPFILESIFORMSIbuilding permit forms\EXPRESS:doc Revised 072110 ` < The Commonwealth of Massachusetts Department of fndustrial Accidents f ' Offece of Investigations 1 _ _ 600 PVashin ton Street Boston, /l7A 02111 ` 1V1v1V.111.ass.goildia Workers' Con-tpeusation Lisurance Affidavit: Builders/Contractors/Electricians/Plumbers. Applicant Information Please Print LeVibly Dianne (Business/Organizatio ndividual): P AI Aclo Address:13 � City/S e/Zip:U/01 N. 1%-4- O 93 Phone #: o�-�'?�(;We Are y t an employer? Check the appropriate box: Type of project(required): 1. 1 am a employer with �-O ' 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner_ listed on the attached sheet. . 7. ❑ Remodeling These sub-contractors have ship and have no employees8. ❑ Demolition working for me in any capacity. employees and have workers' Building addition [No workers' comp. insurance x comp. insurance.$ , 9. ❑ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1.1.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number-. I ant an employer that is providing workers'compensation insurance for riry employees. Below is the policy and job site information. e /� a 1 Insurance Company Name: 10- / Policy#or Self.-ins.Lic. #: I zpiration Date: Job Site Address: J I/CC 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.imprisomnent,as well as civil penalties in the forth of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un r the pains and pen alties.of per jtcry that the information provided/above is tr and/correct. Signature: �'`� Date: r/ /0 Phone#: Official use only. Do not write in this area, to be completed by city or•town official.; s . City or Town: Permit/License# Issuing Authority(circle one): f A.-Board of Health2.Building Department 3. City/Town Clerk 4. Electrical Inspector S._Plumbing_Inspector _ 6.Other Contact Person: Phone#: r CERTIFICATE OF LIABILITY INSURANCE OP ID SR 7EfWDDNYYY) MOONA-10/05/10 PROD cER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hunter Insurance, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 389 Old River Road, P.O. Box 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Manville RI. 02838-0001 Phone: 401-769-9500 Fax:401-769-9502 INSURERS AFFORDING COVERAGE NAIL# INSURED Moon Associates Inc. INSURER A: .National Grange Insurance,co 14788 DBA Gutter Helmet DBA Renewal by Andersen of RI INSURER B: Beacon Mutual DBA Gutter Helmet Roofing DBA Moon Works INSURER C: 1137 Park East Drive INSURER.D: Woonsocket RI 02895 INSURER E: COVERAGES THE.POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH. POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDNYYY) DATE.(MMIDDNYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY MPS26619 09/16/10 09/16/11 PREMISES[Ea occurencel $500000 CLAIMS MADE X]OCCUR MED EXP(Any one.person) $10 0 0 0 PERSONAL&ADV INJURY $10 0 0 0 0 0 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000 POLICYF—j jEC7 LOC AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT A X ANY AUTO BIS26619 0.9116110 09/16/11 (Ea accident) $1000000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident)_ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $10 0 0 0 0 0 A X OCCUR El CLAIMS MADE CUS2 6 619 0 9/16/10 09116111 AGGREGATE $ $ RDEDUCTIBLE $ X RETENTION $10 0 0 0 $ WORKERS COMPENSATION X ITORY LIMITS ER AND EMPLOYERS'LIABILITY Y I N B ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ 28586 10/01/10 10/01/11 E.L.EACH ACCIDENT $500000 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500000 If yes,describe under SPECIAL PROVISIONS below E.L_DISEASE-POLICY LIMIT $50 O 0 0 O OTHER i DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I-EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MOONASS DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR' REPRESENTATIVES. AUTHOR ZED REPRESENTATIVE S�ww ACORD 25(2009101) ©1988-2009 ACORD CORPORATION. Ali rights reserved. The ACORD name and logo are registered marks of ACORD a Ni95 1321. : CALL T _: $ 8 .. im t mom - : �-z # _ ;�.7:- IMZ supmisof Specialty j1' A, ES MOON 4-3 PAUN ' ROB �r` NOV=14-2010 SUN 10:47 Rig Danny Griffin, con • FAX NO. 508 362 1437 P. 03 w*vra1aerak*A*ww0 Rt lut r'tinw/rost:tMeieluewd�enlK.i �� Cad.H1LOSrt7t5 iMwon A4lK�Ntl Ittcl FtGOers'a566 �+ Ntnt ro s utsas ltswa.ssmam ety `n*duser(strtenre:,� C�t,c•���a,c: _ briroEadom Addrera: u��� � — � �L e.'i." ,his IAWIsrg Adgrett: 2 Itante '7 SG• Pitarte: . can Ptroara 'E Year Now Mr1t_j6LS;A _Cuiterter ttktt� Ta=NW kt ttswrr oh .•w sL , a/lave,tiro spore purchaser{s}{'P,ueraser{s}'}end the rnnror(st�the prrrpotrir ksated a thw store Insgllatlon add►w,hef�r Jektdp>tn4 senmraip agrw to t;marut wfth Moon Auodatot,Inc("M=twwW)to fumish,delver,and WWI of NI aartGNb M deaWbod in ttdt areeinent}"Agreement's,Lie AVAKt ad fpec if+eelb)and disg vmW whkn are k=fparated herein by rererenre uod made a part hereof:A Completon CortiFlmm will be etrecuted fo,all �at the red of the Inswllagmt. 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Tb tant;er this tttal dW% mall or ddw a ell W and dated an of.ft blvrraaft%.map to debar a silted wW dam spy of this twasenadon aotiss any trtlwrtrrKtan notko,a send a taktaram tb pttaiisdai ootkn or any.ather w ittim roodtte,or send a tavam,to MOONWORA 1137 Part East bt^ Rhods brirraf Nbamrerlo, IM Park bit Drive, Weansedwt, Mode islarul 0WS,act tAWIt7HM MWWri fir OF-k�Natak ozor.,NoT u init dr m mwwan of lQase}. tHEPDYCAMCO.THISTRAN&UTM tht: -WWICKYHISTWARSA[Ttofs. •> Date Cored%Faaa+@ Rea 09 Whw(',gt. UA.eumia t_')v W.Coon-Camwtwr P-A0-py-15e•r.r:51wt,, 4 TOWN OF BARNSTABLE BUILDING PERMIT"APPLICATION . { Map J Z© y Parcel Application # �!b-7 Health Division t'''° "-Date Issued Conservation Division ,',Application Fee V Planning Dept. '.Permit Fee / S Date Definitive Plan Approved by Planning Board + 313��b`1i�6L� Historic - OKH _ Preservation/Hyannis Project Street Address a2- 3 du Village , "T��✓ �-►'� Owner 04 .7 �s � Z Address r61 ,"A"101, ./V��is Telephone 6 / 7 r9 f `/- `7 16. Permit Request /W 2 e �—!STc0/9COE j"20c1971 t.)i7Ei-l 'TC7 66 r. C1- a5 �F_% TT?-ym 60 /(C195riv, D P4lYr/1(G- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new w Zoning District Flood Plain Groundwater Overlay Project Valuation 9 ®o 0 Construction Type 0-.)F Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Q Historic House: ❑Yes ❑ No . On Old King's Highway: ❑Yes ❑ No Basement Type: d Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sgft)l 7-o Basement Unfinished Area (sq.ft) 50 Number of Baths: Full: existing 3 new Half: existing new Number of Bedrooms: J existing _new Total Room Count (not including baths): existing new First Floor Room Count S Heat Type and Fuel: IdGas ❑ 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: Lr*existing ❑new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes dNo If yes, site plan review # Current Use _Proposed Use_ _ x _ �1 co - _V APPLICANT INFORMATION r` (BUILDER OR HOMEOWNER) cn CO �� -- M Name ,��i¢Y / �, Telephone Number _76/ V 7 7 c/ `�- Address E 7 License# G -5 e P �ra �y/-,-7 avT.74 Z22d ©� / d Home Improvement Contractor# f S E Q Worker's Compensation #,Y,6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1&�2 - /V-Z)✓27/e.-a t/iy E f z 5 U� riY� 5-5 `7 0/775-f e"_c (5To v G1Y.7-6W SIGNATURE �/�'� DATE 3 / 7Zo 2 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. 3 ADDRESS VILLAGE 4 OWNER { s DATE OF INSPECTION: i FOUNDATION I FRAME C INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING `l y1(3q 4 DATE CLOSED OUT ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations• ' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): y��9 y 6 /� )� fP d a AID id!rz�-5,,w/ T� Address: 5^-7 2 � �✓ City/State/Zip:(J&eym ov7d,1�,4 r,5-�t o Phone.#: z/ - 7-7 y-z Are you an employer? Check the appropriate box: Type of project(required): 1.El am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors . 2. I am a sole proprietor or'partner-' listed on the-attached sheet. T. [ Remodeling ship and have no employees These sub-contractors have g••❑ Demolition workin for me in an capacity. employees and have workers' g y p �'• $ 9. ❑Building addition [No workers'-comp.-insura:nce comp.insurance. '10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ P �.3.❑ I am a homeowner doing all work officers have exercised their 1 LE]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#:_ C 576 F3,5�%$ Expiration Date: cp✓ ®/'C� Job Site Address: /uG/c /�5 J��e/c I v /f A6 City/State/Zip:67/V - 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 crimirial penalties of a fine tip 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 maybe forwarded to the Office of Investizations of the DMA for insurance coverage verification. I do hereby certify under theepp-aiinss andpenn�alties ofperjury that the information provided above is true and correct Signature: Date: ��%•�� � _ Phone#: 7(9 / _ y Z`/— 7 `2 Official use only. Do not write in this area,to be completed by city or town official ..City or Town: Permit/License# Issuing Authority(circle one): 1.Boa id of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: _ Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their.employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as "an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an.individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the er who employs persons to do maintenance, construction or repair work on such dwelling house dwelling house of anoth or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, it necessary,supply suh-conti actor(s)name(s),addresses)andphone number(s)along with their certificate(s)of . insurance. Limited Liability Companies*(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions-regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. ' City or Town Officials .Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for firture permits or licenses. A new affidavit must be filled out each year.Where a hone owner or citizen is obtaining a license or permit not related fo any business or commercial venture (Le. a dog license of permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number. The Commonwealth of Massachusetts Department of lndustrW Accidents Oflxce of Investigations. 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSA.FE Fax# 61 T-727_J749 Revised 11-22-06 www.mass.gov/dia , oFTa�,� Town of Barnstable -' Regulatory Services . SAMMAMM w►es $ Thomas F.Geiler,Director En; '�� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstab l e.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder O L7P (r�9�C�� , as Owner of the subject property hereby authorize ���}7 / �� to act on my behalf, in all matters relative to work authorized by this building permit application for. �38 A��l�iS (Address of Job) 01 -9 // � v Signature of Owner Da �. ► 6 rent Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERM ISSION k Town of Barnstable Regulatory Services y .w iuvsrisr�. : Thomas F.Geiler,Director 16,19. .�� Building Division PjED Tom Perry,Building Commissioner 200 Mairi.Street, Hyannis,MA 02601.. www.town.b arnstabl e.ma.us Office: 508-962-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: eity/tovrn 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. DEFINMON OF HOMEOWNIER Persons)who owns a parcel of land on which helshe 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 building 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 undersigned"homeowner"certifies that_helshe understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and ' requirements. Signature of Homeowner Approval of Building Official -, r 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 bomeowmer perfuming work for which a building permit is required shall be exempt from the provisions of this section(Section I p9.1.1 -Licensing of constriction 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 assurning the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness bflen results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it wrould with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensues that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homcowncr certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently.used by several towns. You may care t amend and adopt such a form/ccrtification for use in your community. Vomu:homcexempt vuaeC registration valid for individul use only p License or reg' �ae �on and Standards before the expiration date. If found return to: Board of Building g TRACTOR Re ulations and Standards Board of Building g 1301 HOME IMPROVEMENT CONTRA One Ashburton Place Rn, Reglstr0on\151606 267822 Boston,Ma: n 61 02108 Expiratiolug 152010 Tr# '' Type DBAh HOMESMITH Not valid without signature RAYNER TODD 57 REED AVE Administrator SO WEYMOUTH,MA 02190 - f Al.tssxchusetts- Department of public SafctN Boni d of Building Regulations and Standards g Construction Supervisor License Licens CS 68545 Restricted to 00 x "RAYNER K 76D6 s REEDAVE• R; a; S.WEYMOOT", MA 02190 f ` t Expiration: 8/9/201 C ommi siuncr Tr#: 1106� - A. - SST. CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES 1875 Route 28•Centerville, MA 02632-3117 1926 508-790-2375 x1 • FAX: 508-790-2385 John M.Farrington,Chief Martin O'L. MacNeely, Fire Prevention Officer Craig E.Whiteley,Deputy Chief Francis M. Pulsifer, Fire Prevention Officer March 13, 2009 Mr. Thomas Perry Building Commissioner- Town of Barnstable 200 Main Street Hyannis,MA 02601 Dear Commissioner Perry: Pursuant to MGL Chapter 148 Section 28A, I am making you aware and request your interpretation of three finished basement bedrooms without proper egress at: 238 Huckins Neck Road Centerville, MA During a,sale and transfer inspection at this address, I observed three(3)rooms in ,!1` a finished basement set up as bedrooms, without adequate secondary means of egress. The Town of Barnstable has the property listed as a three bedroom residence. I observed two (2)bedrooms on the second floor, one(1)bedroom on the first floor, and three (3) bedrooms in the basement level. We are holding the compliance certificate pending investigation and approval from your department. Please call me with any questions you have relative to this issue at 508-790-2375. Thank you for your anticipated assistance with this matter. Sincerely, Francis M. Pulsifer Fire Prevention Officer G 0' 70 N) co 01 Cc: Robin Anderson "Commitment to Our Community" Page 1 of 1 Anderson, Robin From: Pulsifer, Francis [FPulsifer@commfiredistrict.com] Sent: Wednesday, March 11, 2009 2:54 PM To: Perry, Tom Cc: Lauzon, Jeffrey; Anderson, Robin; Pulsifer, Francis; MacNeely, Martin Subject: 238 Huckins Neck Road, Centerville Good afternoon Tom: I went to 238 Huckins Neck Road, Centerville for a sale and transfer inspection this afternoon. The property is a two story wood frame residential structure with a finished basement. The town has the property listed as a three bedroom house. During the inspection I observed a total of six rooms set up as bedrooms with made beds, associated furnishings and closets. There are two bedrooms on the second floor and one on the first floor. The three bedrooms in the basement have issues with secondary egress. have made the agent aware of the issue and advised her that your office will be notified. I urged her to contact your office to have an inspector evaluate the property. We are holding the sale and transfer certificate pending your departments intervention and approval. The agent is: Adriene Seigel Strawberry Hill Real Estate West Main Street, Hyannis 508-775-8000 Ext.2 Thanks for your help. Any questions, please call me. Frank Pulsifer 25 � � 3/11/2009 W. o Asseor): Asse�ssor s mp nd lot number .....� �r..../.. � ....... � oFTHE IL Board of Health (3rd floor): �i d � Sewage Permit number ...... '...!d.d.�?... .:. ........:..:. BAH1639 LE. • Engineering. Department (3rd floor): # +o S 0� 2 � Housenumber ........................................................................ �'°�e�aY a'` Definitive Plan Approved by Planning Board _ _____________________________19________ . APPLICATIONS PROCESSED 8:30 9:30 A.M. and 1:00-2:00 P.M. only ' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .................O&A............................................................................................................ TYPE OF CONSTRUCTION ( .. (X� f�aqKc-->................................................................................... ....................... .... S.)....... � TO THE INSPECTOR OF BUILDINGS: { The undersigned hereby applies for atpermit according tto�the �f`ollllowing(information: Location .v.. l.(.I.G ti!n. ..� d.<�.G 1� !.ep VC.�.�J.l.`1.Q.. � ... �T.- IOZ,n,..... ............... i°N lO VLa Proposed Use .... .f.... ............................!................................................................................................................................. J � M Zoning District ....,..!.., .............................:........................Fire District ...................................?...... .............................. ......QName of Owner-A `� ���,,,, ..{ ........ ..... J-...."i � . ............Address ....................... Name of Builder 'lzx"-"�-- ........Address Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ...............°'.................................................Foundation .................................................................. Exterior .............................................................................:......Roofing .............................................................................�...... Floors '......................................................................................Interior Heating ...................................................................................Plumbing ...................... .. Fireplace .....................Approximate Cost ................................................ ................... Area ...... �.................................... Diagram of tot and Building with Dimensions Fee __.- 1 o oS ;IIWD i 0 J 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. 1���/ `7G9 Name ...............�.....�......�.:......�......,.��.................. Construction Supervisor's License .............D.^'� l.................. GARBER, HAROLD .A=252-024 X No;..3.1946 Permit for ..Addition to Sun Deck ................. Single_ Family. Dw6llin� ation ..238,,,Huckins Neck Road Centerville ............................................................................... Owner ....Haro,ld..Garber ............................... Type of Construction ....ZrAme......................... ..........................................................:.................... Plot ............................ Lot ................................ Permit Granted ...May 31.,...................19 88 Date of Inspection ....................................19 Date Completed ......................................19 0 Ass ffice•-(1st floor):•- • ,,// - Ass ssor's ap and lot number ..... ��. �.�T...;;...��; ��, THE Tod` Board of Health (3rd floor): AAPL CO fi , Sewage Permit number V.Y'..C1.....�2...�F ....,.. (T ! TAX s - .. �.TITLE � BABdS L.. So Engineering Department (3rd floor): QQ ,' �I a-' tiB, 'y f,�� C®® KA8 0� a House number .:...........::................:... V. ff�aaaar f�C U TIO Y a\ Tv vY �7G� LA N,S YA Definitive Plan Approved by Planning Board "____ _____________________ ____19____ . �: APPLICATIONS 'PROCESSED`8:30-9:30'A.M, and 1:00 2:00 .P.M. only M1 kpppoau]JOWN JOF BARN STABLE ..' ' D•IN{G INSPECTOR t ion SUc� Sittaad N ' "to O. ..... .........q. ..... ...... .............. -- TYPE OF CONSTRUCTION i',�1,) 1:. ......... ................................... ................................................ r. ....... .......... 1........19... TO THE INSPECTOR OF BUILDINGS: , The undersigned hereby' applies for a permit according to the following information: . Location ..1.k��.... G!��•1�5..��f..�"�.:...���...:���4r.v.9Go.......�..V!'.4�::.. �.(..........��.�... } Proposed Use ... .t.� .t�-I.. .............. .............................................. �. 0,D^ Zoning District ...... ....................:...........................................Fire District .......... ..(. .1 ................................. ?s7Name of Owner . ... "U ..... .. .... /� � . :�.. Name of Builder .. •G. .. . . Address '.................4. ........ Name ............... .............:............... . Address .....................................................................................of Architect Number of Rooms ............. :,. ........Fou'ndation .:.: .... . Exterio. ........... ... Roofing .. ............... Floors .'- :......._.................................................................Interior ....... ` Heating .........:.........................................................................`Plumbing .... ..................................................... Fireplace ....................................................................................Approximate Cost .... �....�. ............0................ Area .......................................'.,. Diagram of Lot and Building with Dimensions Fee .......... ®.r-.. .� OCCUPANCY PERMITS REQUIRED FOR NEW'DWELLINGS , I hereby agree to, ,to oil the Rules and Regulations of the Tow_ n of Barnstable regarding the above construction. Name ............................ ' Construction;Supervisor's License ...... ........ GARBER, HAROLD '` 31946 Permit for ..ABDIZ's ON...T.O...SUN DECK t .S-incfle Family• wel Ong 238 Huck ins deck Road -' Location .. ... .. ..... . ... .. ....... ., cc r....i Centervil7 - . .. a< . Harold Gae� - '` 1 -s Owner t, Type of Construction ...........F.. e Ir ' Plot .... ' ........ ...... `' Lot~ _ ........ n. ` Permit Granted ..........M. :y....�.l.,....�.....f 88 (x Date of Inspection .`..... i Date Completed .................................._ `5 ifs 1 11�1 •%�+�:�t�: .. - _ � 's y': Sewage Permit: number ....ell- 00 0 4� TOWN OF BARNSTABLE BUILDING �� 0 �� INSPECTOR �� �� -- -- - ---- - -- _- ~ ~~ .- ~ ~~ ~~ ~~ APPLICATION � -� \~,APPLICATIONFOR PER&�U� ��� -`!���!�.~�'T.�-.�l�=�.L-.--.----------.--_...-.--._-.- TYPE OF CONSTRUCTION - ---.---------.------------- �' . �---^...--..-'-l6\/��[ v } � / TO THE INSPECTOR OF BUILDINGS: � The undersigned hereby applies for o permit according to the f�|ow�ng information: Location .......� -L i `{l _..\ {� ' _�� °-�__. q.`.1� - ....................... ProposedUse ... � '-----------'-----------------'r-----`--------' � �� h Zoning District -.�1'��-�-..X................................................Fire District ... \ ~ Nome of Owner ----------A66rex - .��l.. -. ............................ � ' n �~ �2; Nome of Builder -i.]���Y��3����'�.������!��. 6>exx ..1���"��-.���1-:=. .-- .. . . . ---. . Name of Architect � L\� .----..A66ress -n,�... � l [- ------ Number of Rooms ..F� !.1�' --------------'Foun6otion -.y`°`� �!~-.-.~..---------.- . �� � Exterior k�' 't-�J-��g'� K�{\-.C�A.F�\ '- RnoGng .���� ��\l-----------------.-'/ Floors -1 0.{- -----------------.|nte,iur .75LJe��.-. ............................................ � ' /- Heatingl �5,�:-----------------.F1unn6ing . --�-n.---------------. � Fireplace --------------------ApprovimoheCos -- -PP Q...................................... � Definitive Plan 6v Planning Board lV----. Area -------------- � � . � ' Diagram of Lot and Building with Dimensions Fee _______________ SUBJECT TO APPROVAL DF BOARD OF HEALTH � L4 !O � �� � 0 ' � ' � ' ' t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ' | hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' No -��.� ............................. - [��`� Construction Supervisor's License -^��..����--- -- ^ ~ K � r' LEBEL, DOUG A=252-24 1 - story No ... 1�z... Permit for .................................... i Single Family Dwelling ..................:. ........................................................... Location ...Lot 102, 238 Hyckins Neck Road ............................................... Centerville . ............................................................................... Owner ... Frame Type of Construction .......................................... ................................................................................ ([[Fj Plot ............................ Lot ................................ f J 84 Permit Granted October 16, Date of Inspection ....................................19 Date Completed ...................I...................19 ' TOWN OF BARNSTABLE Permit No. ----— Building Inspector cash --------------------- All -J! OCCUPANCY PERMIT Bond Issued to Dow Label Address Trit 102,1 23B fhid-dzis raw—* Rnad-, Centerville Wiring Inspector �' � - Inspection date Plumbing Inspector - C,L,7` Inspection date Cxas Inspector _ f ' " — 14-r Inspection date r 1 7 �j!f 4. jEngineering Department ,f t,� � Inspection date? J �' ej Board of Health Inspection date lG' err r O 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. Building .........Inspector _ � I t SITE P4 A lU SHEET OF? SCALE. / _ ¢o �,EW.4taB O/SLi�B.gL '3Y�'TEM . 3UEliJEGT__T�PG,?C�1.QTLo,V:.TC3T". I�NdF:f�4.12L?'soF.VE..�7L.7?�r.APP.Q�±✓.!i;L L L O / O4./ . (A Coee,4T P041AD W 4.I qW� ow'4.9•�IG' /94rJP m u1 WrTGAN0.:2.9oo ' {,I 7,0 r L L oT /D/ 3s46 S ,CDT /03 N. f�1 ¢� lock.e&r kv.4LL b_Nst.L 443 Dt�CI�`► ¢4 m . NEP_EeAl W45 4,0e- ;rAD. .. 4e. Ort17AE6Z2WAW dV 91ZS164. ��_ - _ 4, 4,,VV I.V Co,".nZ/AAJC ' p 4� o io s ^ edr_� a 47.o� e" �48 P.LIaN S,UB,a�iT_TEO.B%Zol6� za.. 49 , Fr�r�a 5p y �C . ;f=loc`/C T.9.V.tt I /OQO G,oL. mo TPi H EC.Soi CH BF�OiV- pl,AbeP,4 — ♦ ./ a eOGE==44e7' �,WlLLIAM M. MT1`� 49 U WARWICK No, 19771 S 0 RPoo ���� o°®� * �/�►� FOR ®06/laA.S .L EBEZ REGISTERED LAND SURVEYOR ZONE PLAN REF. �G 2023� 1/i. 2 DATE /9�¢ .efy: BLzo,�/B4 R BENCH MARK DATUM U�C�_5 �oru�,�' WM.:M: W RW CK 8 ASSOC., /NC. DOMESTIC WATER SOURCE " r'Q w U ' 1!:SeA? , 8OX 80/ NORTH FA L MOUTH ° FLOOD ZONE. A/aa✓- /gzp ,ea a MASS. 02556 - (6/7) 563 -2638 • � - - - .�-� !'ate \/ R i SI TE PLAN SHEET l Of 2 SCALE: 1"= ¢o- AVOTB: S.Ew.A�E O/.3Pos.�7G SY.�T�•N .SLJOc/ECT To P�eC�LAT/o V re-ir /JiVO �,C�O o,�.!/E.9L TN APPRO✓,q,L poAjo) NiATE,E� EL. 34.64.1 N .LOT /02 �'f ►� W M Up-LIPA1,0 /9Q004!Il Q W wErLA.vo 145401 3 G07- /D/ ra rAc 33546 CDT /03 R 9y v %sr zlsTrl�rn NA�'rLcs CrOL/J.eolp.J BEO Eac.< �E7 WgLL N � s 42 -- - a Y ,E'oct eEr. WAvLl. — — 47, N 44 CK �J -- - ..44 m 4Z 44 Ul 0 -97 'o W 14 3 �5 2 7dWL 49 I 0 I / SOxZ /OD 7o exR �!n494 �C d iP N59' !' a EDGE EXT3T• F�YMT✓! \; WILLIAM qq y o W.ARWICK e - ' 1 No: 1977 y iUECK R0.40 (4a wry;-) ,a w FERN, ANDERSON, DONAHUE, JONES & SASATT, P_ A_ ATTORNEYS AT LAW DANIEL J. FERN P. O. BOX SIB RICHARD C.ANDERSON 43S MAIN STREET ROBERT J. DONAHUE HYANNIS, MASSACHUSETTS 02SOI STEPHEN C. JONES CHARLES M. SABATT AREA CODE 517 77S-SS2S September 6, 1984 Joseph Daluz, Building Inspector Town of Barnstable Town Hall Hyannis, Massachusetts 02601 Re: Lot 102 Huckins Neck Road, Centerville Dear Joe: Please be advised that I represent SIS Realty Trust, owners of the above entitled lot, and that in connection with an examina- tion of title I determined that said lot was in separate owner- ship, owned by James W. Hardy, Jr. et ux, as of the date of the zoning change affecting said premise Therefore, said lot is entitled to grandfather protection p ov' ed by the Town of Barn- stable zoning by-laws. Very ruly_ u s,- _ S phe C. n s f SCJ/nef oyj Assestsor's map and lot number,. `raga ' THE p (jN, ' -:CC M )l yOF tp�♦ Sewage Permit number ....o...y:.........d... ........................ -,- nl"c81d Q °* 2 BCIv�lidad �iq $I AUSeTLBLE, i • ss Z B I'Iouse number ..............................3-5................................. yp�, y j� ,o,NAM 0� ��1 IS AS 31 �F� 39-Ar TOWN OF BARNSTABLE BUILDING INSPECTOR ..............................................................................:.. APPLICATION FOR PERMIT TO ......4�°1.�+f:... TYPE OF CONSTRUCTION ...W-OAZ-)A.....--e n:Me ........................................................................... a ..............................19 .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 1 Location ..�LRf... ...:.I�. ........ !'.S.....kap. ...! , ........ .......M........... ProposedUse ... .................................................... ...... ............................................,.. ZoningDistrict .... ................................................Fire District ...\.5: .......................................... T �1 Name of Owner ...�1!Q��..... .... ........::.Address ........... ........ Name of Builder ...7.C—. eXn..c�5o�. �. Mess ...64.5. R �.....:�....................... 1 I A nn Qn �. Name of Architect � �n CAfj.( . .. ...K.� .1.' C'�Y1n.:t ... ..:r ................. ..... ......... .............Address ....... ........ Number of Rooms .. i. .� ..............................................Foundation ..... O.!r? .e . Exierior .... . .. ..,..... . ... CO.-0...Fi6SRoofing .. �. .A\ ......................................................... Floors ....C.fac.�e........ ..........................................Interior .�.�.e ...\..�.sJ�G......... .............................. Heating t `�r-�e� .................... ....... ....Plumbing .C:.og�?.......e.Y.. '....................................... QQ Fireplace ...k7r.!. ............................................................Approximate. Cost ... vD0.......... ... Definitive Plan Approved by Planning Board'e�---------____-----------19________. Area ................................ . Diagram of Lot and Building with Dimensions Fee ! SUBJECT TO APPROVAL OF BOARD OF HEALTHg�F39 IA� n 1 L4 60 ZccA 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. Nam ............................. r Construction Supervisor's License 13©1 C�Q LEBEL, DOUG 27101 12 Story .................. Permit for .................................... . C, S ........... Fa.?.ly..weujrlg..................... D Location ...Wt-10.2......2 38..Huckins..Neck.-Road 7N ..................Q.Q]atexville..................................... Owner .....PQ!49JP-be1. .................................. Type A;i Construction ......Frame........................ .. 2.......... .... ..... ....................... ............................... - Plot .............................. Lot ..................... .............. C. N Permit Granted ..... ......i 9 84 Date of Inspection .......................... ........:1�9 Date Completed3A. ......................... . 4,1, Own( _74 0 fi A Av NJ C L U) 711;7 t f s l ; ld \A OD cA 1 ' A t a -�- j 4 ZT, t rig } � o � I r1 4 ti w7 FO rn • 1 - c� r- nv - - - Go (30 Q J 0 n � � 1 P 1 " I S n Co LA.�> Csa- - tj - r - _ t>