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0033 JOYCE ANNE ROAD
`33 Coke n e , t� i ©� Y12.2-11Y Town of Barnstable Permit# sue $ Regulatory Services 60 Richard V.Scab,Interim Director Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMIT APPLicAmN - RESIDENTIAL ONLY Not vaW witkaur Red x-Press r Vrw Arlap/parcel Number Property Address 3 �OCC titi R lj�j(Tr��U,W—F RResidential Value of Work$ 191 O06 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address J O f4i �ijLu ZZ-l 3 J � ,4iu v 3 R/A �A45CZ) Contractor's Name S'cu4Ker p uew 6LYl lAiu4 W/lUel0t ys Telephone Number'90I uf _p&DD Home Improvement Contractor License#(if applicable) 73 ZY�5'— Email: Construction Supervisor's License#(if applicable) 0 9`5-70 orkman's Compensation Insurance .. \\ Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance e Insurance Company Name uACT ' 4) �J p Workman's Comp.Policy# �('I �7 a 797o'3r2-3 9Y Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side [$Replacement Windows/doors/sliders.U-Value ' 3 0 (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town deportment 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 wired. r SIGNATURE: T:\KEVIN_PNBWding C SS PERNti11EXPRESS.doc Revised 061313 -o. l The Commonwealth ofMassachusetts Department of Indwidfal Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lea-iblv Name(BusinesOOrganization/Individual): ALGC Address: City/State/Zip: I-!A/e,D/A/ ,./e, ,o r Fb Phone#: 0- ?YDO Are you an employer?Check the appropriate boa: Type of project(required): 1.1 I am a employer with A D 4. ❑ I am a general contractor and I employees(full and/or part time).* have hired the sub-contractors 6. ❑New construction2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. [1 Remodeling ship and have no employees These sub-contractors have 8. rl Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers'comp.insurance comp.insurance.t ❑ g required.] 5. ❑ We are a corporation and its 10.Q Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself.[No workers'comp. right of exemption per MOL 12.❑Roof repairs insurance required.]t c.152,§IN,and we have no employees.[No workers' 13.ff Other to/JJOD� comp.insurance required.] to *Airy applicant that checks box#1 must also tin out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they am doing all work and then hire outside contractors must submit a new affidavit indicating such. #Coirtactors 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 dm sub-connectors have employees,they must provide than.workers'comp-policy monber. I am an employer that isprovi ft workers'coatpensatfon insurance for ray employees: Below is thepoUcy and job site information. Insurance Company Nam 0AIWAStir edl Policy#or Self-ins.Lie.#:� g� Expiration Date: cZ Job Site Address: 33 � 445 AA-)A City/Statemp: Ul yI 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 ofa STOP WORK ORDER and a fine Df up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification 'do hereby ceiWb under the pains and penalties of perjury that the information provided abov is and correct �Qnature: Date: 'hone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 0 Southern New England Windows d.b.a Renewal by Andersen of SNE Massachusetts Departme,n#of P,ub1lc�Safety Soard of BuikJing Regulations and S#andartls< Construction Sopetl"icon' r License CS-04707 BRIAN:D DENMSdN` - '%, _ '7 LAMBS POND EIR C6ar[ton MA.b1Sb7 .. Expratlan Commissioner .09%08l2014. fow & aWo% of o�tii[�eu L �Consumer A alrsBusiness tton 10 Park.Plaza=Suite 5170 Boston,Massachusetts 021'16 .Home Improve m''.ent'ContractocRegistration :Regiitia0cn: 171246' _y Type; -SUpplement C&d SOUTHERN NEW ENGLAND WINDOWS L-L '-,, D 37 N 1 PARK EAST DRIVE 9 G?� WOONSOCKET,RI 0.2895 Update Addreaped ress"card.Mirk ixaxao for chauga SCA1 C 20M�t Addres Renewal Employment Q tmt:Card <ofCoaav rARainh Bvsiem flegdadm. Lirevse or registrrtlon ealld for indlrldul me.only NE tMPROVFJAENT CONTRACTOR 6Na�Yhe ecplretwo date.Ufoued retuni to: Office ofCommmerAfrairs i ad Rusiaess Regulation don 173245 Type. 10 Park Place-Suite 5170 EUP 0i1lon 9FI9201'4 - SupDlenentf;ard Bostuo,MA 02116' SOUTHERN NEW EN 01 q WWINDOWS I.I.C.. RENEWAL BY ANDERSON, ,. DENNISR BRIAN 11J79AfiK EAST DRIVE WOONSOCKET.RI 02M Undersecretary Not valid wMeut signature Client#:30124 SOUTNEW DATE Irumonn'" ,.ACORD,. CERTIFICATE OF LIABILITY INSURANCE U61M13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLI)M 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($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer lights to the certificate holder in lieu of such endorsement(s). PRODUCER NAAAE: Artii�Little Willis of New Jersey,Inc. PHONN S56 914-4660 Fnrc ; 856-914-1881 1015 Briggs Road,PO Box 5005 !EA : anits.Uttls@wi{Iis.com PO Box 5005 MURERM AFFORDING COVERAGE NALC s Mount Laurel,NJ 08054 INSURER A;selective insurance Co of the S 39926 INSURED INSURER B1 Argonaut Insurance Co. 19801 Southern New England Windows LLC LNsuRSRc:Beacon Mutual Ins.Co. 24017 D/B/A Renewal by Andersen INSURER D, 26 Albion Road Lincoln,RI 02865 INSURER E INSURER F t COVERAGES CERTIFICATE NUMBER: i I 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 fNDICATED. 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 BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSRTYPE OF INSURANCE L�SUBR� POLICY NUMBER WOLDIB POUC LOMITS A GENERAL LIABILITY S202945900 081.1012.013 0811012014 EACH OCCURRENCE S1,000,000 Dr A G-E7 �ELATED X COMMERCIAL GENERAL LIABILITY ! !!IISES�Ea�tlnratu� $100 000 CLAIMS-MADE t ^;OCCUR f MED�EXP(Arty one person $1 O 000 i1 PERSONAL.&ADV INJURY $1,000,000 I t GENERAL AGGREGATE $3 000,000 GEWL AGGREGATE LIMIT APPLIES PER: { IPRODUCTS-COMPIOPAGO $3000,000 POLICY 7 PRO LOC I $ A AUTOMOBILE LIABILITY S202945900 8/10/2013 08/10/201 tEa accident) E LIMIT 1,000,000 X ANY AUTO _ BODILY INJURY(Per person) $ ALL OWNED SCHEDULED I BODILY INJURY(Per aaidenl) $ AUTOS AUTOS PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS fPer accident) A X UMMELLA LIAR OCCUR S202945900 8110)2013 08/10/2014 EACH OCCURRENCE $ 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE s5 000 000 DED t RETENTION $ C WORKERS COMPENSATION 0000068026-RI W112013 08121/201 X '"CsrATLf oTI+ AND EEOPLOYERV LIABILITY + B ANY PROPRIETORIPARTNERIEXECUTIVE�YI-N'� t 1 AIC927818352394 8/;1/2013 08121/201 E.L.EACH ACCIDENT $1 000 000 OFFICERIMEMBER EXCLUDED? I N f NIA (Mandatory In NH) ` ! I i ;E.L.DISEASE-EA EMPLOYEE $1 000 000 If Vas describe under DESCRIPTION OF OPERATIONS below !E.L.DISEASE-POLICY LIMIT $1 000 O00 I ! i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N more apace R required) CERTIFICATE HOLDER CANCELLATION Southern NE LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 26 Albion Road ACCORDANCE WITH THE POLICY PROVISIONS. Lincoln,RI 02865 AUTHORIZED REPRESENTATIVE C IM-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 oil The ACORD name and logo are registered marks of ACORD #S215109/M215088 AX4 Apr.077,2014 16 t 27 PAUL CCMGY RZMEW4.G 2UNDER 1191 54: L293 _AG?. 6/ T Renewal c[ T m[ �`z7 t b( 7CrF]r t writ r 171 1U40 rn.0 F R��'Nz i A .jay:_NTDE.[ SEti p t e1400Y OVl6aCYtti; _.a-aA�.:4}!. WQ:llC,itt.It liszul B.RIEtI�I],jl l! � ? t':A°tiEm t?S:un - th10i1k"'akcfz�r3.�ZnJ��:i�`sE�F.4.�,rJ�i1�' Sauih"4 New rngund N7ndumw%I.LC dybya ^ Rene,�•a16r Sntdvrsgn of,SeaNteso Ne,.:>mgland n/�(J` CUSTOM NVI-I DOWANDD0ORRMIIDDEIJNGAGREF.%tE:V1'. v/�J � ��I� /j ZG__-• _ 'rttttAe"Crec //G"Z / Ctiri+7C4s�Q'e �-oTau+vne ti^:r..?T`✓�r/P._1/ ifQicrarryr� h5,=lire ...-- l/ct�e 1P%t44 c" l �rrz IxtcCt,pane ctd �e:Jh-s�mra tnpictsh�sc to }�ttuPucn:ndlnr miPSS ear Svr>Sitcm'&es+Eng-1 c d jrda,,.,e,LC c31h.,^td CI t.tci::,F By rindctss•t f atit!+i+r�c:�Fsr_nd Gina aeir_,r"J,in atYotelet a sei:llt.tits r a��n cotsdaticrsL :e r1,t l nl,r I_�nt aeta3 t%i:tv vim r._s u6c:L,nccQ�_�4 yri o e ctv:utaai cd n' tT xitt,�:_txrry t[ 1PectitrlY ilu cee�sn€'- C M Wric M Como 0 HQA? t . TonsJo6Anrur��d�• !fi rx:�xxa5t,car�oxac M,tdwd©EPs}rna,e OCh ,Cads i:n:ed es�Recek �c 5,6'dr6: !� _�-PJE Gj(s _ Cr:atCv&ate xcept_-3�mrdaE J'-rcnxlcxan,tl2cEtha Uanm at S art&Pb'(11M SGTJ:I�Ccm�C_J6G'Q1COr War=tons- tMe Set Cr_dt Ca nw.t hem,4 sk 4� p$Et`t6't~You.�4�Gw�Ed�ta d4tt It'drrrce:i:e:rcaEJv;;,and tEx &e re c5t�,5Sp t�1 ri�'t eX 9 Ibhrtca anSube=-W CorrpWva Job carstet be rea&trt useGI t ledcaoEjab[33�,k � --- card and Mu=berrcdebyperae, 9ct.**.ta*!r ,korwy Buyer(tsg agrees atstd understands that this Agreement eonstitvtes the entire staderstanding ea the parties,and dhat there arc no verbal understandings changing any of the terms of ibis AgreemtmL Boyet(s)PA awledges that Buyer(s) (1).has vv,%d this Ageeeme et,andenetantbt the terms of thisAgmemcrst,and:has received a tort} leted,Signed,and dated co"ofeh Agmemem,including the two attached Notices ofCaneell2tioaa,on the date flares aboveandQ2JWasorally inf=mcdofBn}eeerigbttece3>%cetebisAgietment.UONOTS1GATTHBCOS''TA&CTIFT1�YtE` Al`Y1%LLKSPACE& (ModyvfalandSales Only)Notice voSuyerc(1)Da not sign this Agreement if any of the space slate ed for theagreed:terms to the r-teas of tliea:.atila&!e.nforivatioaare lsfi blank.t^2p You are caLitled to a cappof this lgre Drat at.the tLue you rigs Yoea-0ay at:URY time Payoff the Gdit unpaid bulance sine snider This Agreement,and m so d g yqo may be entitled to retewe a partial rebate of the Raxxce and Insurance clams,(41 The seller has**right to &odor ro—p-emiwe's or commit am breach of the peace to tepossess goods purchased under this Agreement,(8)Yee cancel tkia Aget&m—t if it has not been.signed at the main olTce or a branch office of the xeller,provided)ron notify eb s4cr at iris or her maw office or branch offtceshown in the Agrecmontbyregiaueredor certified n ail which;shalibe.pes not4ur than midAght of the third calendar day after the day an which the buyer signs theAgreement,cmduding Sandal any belbday on nisich rcgialar mail deliveries are not made.See the aceompanybg notice of cancefladoaftroa fov an cup] tlmofbuyerN;right. _ Ui f r _;p—rd W thr RJ Rsnei►al blr a or so ew tutu-,land uy - Bray g9. fly: •• ` - ,2iurrf11f jEotd.'u�\d'i�n Sao 'r•.... SRv'�miYr nf3Lt tvarn,e❑d'PdkitIM-1 1.%U qvr' ' Nint Nil w l'rnit\:]enc YOU, THE B1bYER(S),MAY 413IVCEL THIS TRALNSACVON AT At TOM PRIOR TO b=IGHT OF THE TfMW RUS1111M IIAY.AFM THE DATE OFT,EMS TRANSAMON'.SEE.THE AlIfTACIM K&nCE OF,4&NCB.I.ATIOX EO)k�,:IS FOR AN MIM NATION OF THIS RIGHT. Y- - ------- -- - - --Sc- - - - - - --•- -- - - - y maltcIi OF CAMC(U TION A NATICE OF - - -_ _ _ Date of Tramaction F' C .you may cancel & Date of Trarisacdon I --you tttay cancel' this MAsaeillon,without any penalty or ebrigatim%within this transaction,widtout any ty or obligation,within three business days from the above date.If you cancel,any 1 three business days iron►the . dates,ifyeti cancel.any property traded in,any payments made by you under the t property traded in,any payments made by you under the Contras;or Sale,and any negotdable ft nru,ntent cateitrteu t c oniract or Sale,wW any negusi le instrument executed by you wilt be returned'within ten business days following t by you will he aretx]rrted within business days following., recei4t fry the Salter of your cancellation notice,an any o recelpt by the Seller of your _ ellatlon nott4C,and any iecunty interest a 4d ng out of the transaction wig be security interest arising out of he trmsactlon will be eancele4..lf available to rite Seller I canceled.lf you cancel,you must in ke available to the Seller you tarleel,yy0on must rrtakt at your reudc,rce,in wbitantially as gvvd condition as when at your residenm.In substantially good;condition as when received,ate rgooefas delivered to you under this Contract or l received,any goods delivered to under this Contract or Salo;or you may.if you vrfsh,comely wkh the Instructions of I Sale:or you mays it you wish;tom with tdtc immuctiorts of the Setter regarding the return.hipmerit of'the goods at the the Seller regarding dte return sh ent of the goods at the SellerIs expense and risk.If you do matte the tends amiable � other's expense and risk.lfyou do _a_ke the goods available to the:Seller and the Setter does not pick Obenu up within to the Seller and Hoe Seller 461e�� t pith them up within twenty days of the dace of cancellation,.you may retain or l twenty days of the Oft of cancel on,you may retain or dispose of the goods without any further obligation:If you i dispose of the goods without any etrtfter obliyatdon If you fail to make the goods available to the Seller,or if you agree I fall to make the goods available td a Seller,or If you agree tv return tho goods to the Sonar and fail to do so,then-you t to return the goods to the Seller, d fail to do so,then you remain liable far performance of all obligations under the remain liable for performance of I obligations under the ComractTo cancel this;tra macdon.retail or deliver a signed t'ContracLYls cancel tdtis transactio mall or delfrer a signed and dated copy of this cancellation notice or any oilier and dated copy of this cammella notice or any other writ"riatickor send atllegrm,to Renewal by,anderseisof t writtennoticeoraendatclegritm Renewal byAndersen of' Southern New England at 26A1bion Ron in n, 865. p South:am New England at 24Aibfo (loads,Lfatcofn,RI 028ES. NOT I.ATER'THAN MIDNIGHT OF "!® _ I (NOT' I TER THAN MIDNIGHT F f )EBY CANC LTHISTRANSACTIGN. I i HERE HER i BY CANCELTHISTUN CTIGN i 8trytr't51¢9teli PN'ieltrrn' one.. Osyee'safflahm _Aff kNaM Osre RM CcpY White Buyer Coop-Yellow Buyer Cogr Abx. Town of Barnstable zoG& # Fxpires 6 months from issue d e Regulatory Services Fee Thomas F.Geiler,.Director Building Division o!� oI1 L/b J1111, Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstab le.ma.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIA.L ONLY L� Not Valid without Red X-Press Imprint Map/parcel Number '0 9 114, Property Address 33 `�J C� ��- f�CL (` V � (1 n [Residential Value of Work e,C� v . lyYinimum fee of$25.00 for work under$6000.00 Owner's Name&Address ��► 1� 1 .v �'rB �f I .Z Contractor's Name � C Telephone Number "L Home Improvement Contractor License#(if applicable) V Construction Supervisor's License#(if applicable) cj ❑Workman's.Compensation Insurance �kone: OCT 1'5 2008 L_I 1 am a sole proprietor ❑ I am the Homeowner ®� �ARNSTAi3LLE ❑ I have Worker's Compensation Insurance �®\NN Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) [`(Re-ronf(stripping old shingles) All construction debris will be taken to '� �� .� D�y ' cR ❑ Re-roof(not stripping, Going over existing layers of roof) b tee: ❑ Re-side is ❑ Replacement Windows/doors/sliders. U-Value (maximwn.44) C-� r� *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic, onservati�O 3 etc. I71 ***Note: Propeny weer tsign Property Owner Letter of Permission, copy of Home provement Contractors License is required. SIGNATURE: - Q:Forms:expmtrg Revise061306 1 A . The Commonwealth ofAfassachtisetls Pepartntint oflndustrial',lccidents Office af.l"nvestzgations 600 Washington Street Boston,AM 02111 ` wlww.mass..gov/dia Workers`Compensation lusurAnce_Affdavit: Builders/Contractors/Electricians/PIumbers Applicant Information Please Print Le 'bl Name(Business/Organizotiowhdividual):• \ WY •Address: 0. yC 431, r City/StatdZip: o�5, 1Y)o .0au O 1 phone.#: - l 0 Are you an employer? Check the appropriate box: 1.❑ I am a employer with 4. 0 I am a general contractor.and I 'Type of project(required):. (full and/or part time).* have hired'the slab-contractors 6. ❑New construction 2.[�I am a'sole proprietor or partner- listed on tha'attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have working for me in any capacity. employees and have workers' 8' Demolition [No workers'comp.insurance comp.insurance.$' 9. C]Building addition required_] 5. [] We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their . myself [No workers' comp, right of exemption per MGL 1 l. bing repairs or additions insurance required.]t �. 152, §1(4),and we have no 12 Roof repairs employees. [No workers' ..13.0 Other comp. insurance requ. e . *Any applicant that checks box#1 must also fill out the section belowshowing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then lure outside contractors must submit a new affidavit indicating such. (Contractors that cheek this box must attached an additionalshect showing the name of the sub-contractors and state whether ornotthose entities have employees. If the sub-contractors Ian employees,they must providC their Workers'comp.policy number. lam an employer that is providing workers'compensation insurance Information for my employees below islhe policy and job site Insurance Company Name: Policy#or Self-ins.Lic.#: • Expiration Date: 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 ofMGL c. 152 can lead to the imposition of criminal penalties of a fine lip 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 Investi a=1DIAinmncpvers a verification. Ido hereenaldes of perjury that theinformation provided abe i true andcolrectSienature (p Date:Phone #: Official use only. Do not wrRe in this area Yb be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): L Board of Health 2.Building Department 3. City/Town Clerk 4;Elect 6. Other rical Inspector S.PlumbingInspector Contact Person: Phone#: t Jhti�FYHe,p�y� Town of Barnstable. .� Regulatory Services + MA"STABLE, MASS 1� Thomas F. Geller,Director Building Division Tom Perry, Building Commissioner 200 Main Street Hyannis,Mk 02601 WWW-town.barnstable.ma.us . Office: 508-862-403 8 Fax: 508=790-6230 PrOpetty Owner Must COMplete and Sign This Section If Using A Builder as Owner of the subject property herebyauthorize "� to act on rn behalf Y , in all matters relative to work authorized b building permit application for: (Ad dress of Job) Signature of Owner VV Date VWtri C .1UzzI Pnnt Name QTOR-MS:OWNERPERM1S SJON z , Uj - Board of Building Regulations and Standards License-or regisiration.v'alid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registeation-__ 1-24310 Board of Building Regulations and Standards Ex iration One Ashburton Place Rim1301_ P 6/1/2009 Tr#I 130873 Boston,Ma.02108 Type lndi, idual James Curley James.Curley s 287 Fuller Rd. Centerville, MA 62632 Administrator Not valid without re' - Massachusetts- Department of Public SafetN Board of Building Regulations and Standards NW Construction Supervisor Specialty License License:.CS SL 99138 • Restricted.to:,,.RF,WS.. i JAMES CURLEY f 287 FULLER ROAD. CENTERVILLE, MA 02632 i Expiration: 1/28/2012 Commissioner Tr#: 99138 z ' Assessor's map and lot number .... ...../.............. .1........ t - �oF THE toy Sewage Permit number ..... . J. ................................... f w� ♦� ?? SYSTEM UST B • BAHH�SeTABLE,D IN COpPLIANHouse number .............. ................................. i co i639 X. WITH TITLE 5 - T L 'ODE AND TOWN OF BAR _ IONS BUILDING INSPECTOR C6�s ,- APPLICATION FOR PERMIT TO ..........................t C,t" .�4 .Uw......... .. ................................................... TYPE OF CONSTRUCTION ..........,U-A 0. .... JkAl. .?.........................:..................................:......... ......................... f. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for 'a permit according to the following�infformation: Location .......�...`:..L. ......... ... �C� < ............`-�!I o .............................. ProposedUse .... . . ...: .( (.41....... C.T . .i......................................:........I......................... Zoning District ...... ............................................:....Fire District ........C.°� ........................................................ Oq Name of Owner '............................................... . :... (2 .Address ...... CQIUI..... ....i............................................3 V7 Name of Builder ..\�I.. e s.[.aQ !lS�....0 .�ddress ....D�.�.....-�..d... ..� ................... Nameof Architect ................................._ .................. .Address ........... �_............................................................. , Number of Rooms ` ...'Foundation ... o u r &—ovicir.,o .......... f Exterior ........C- Q hJdG�!. .................... 1.` .,.........Roofing 7. Y!4 ` ......................................... Floors ......... .....................................lnte'rior .:..:.:..... � C�?. h...................................... Heating !!. 1 ...... . .. .L .............Plumbing ........... ........... CL 11..-:y......................................... Fireplace .............�..... ....... ..................................................Approximate Cost ................�.C�( : ..-......................... . . ,_.,Defi.njfjyp-Plan•,Approved by Planning Board ------------------------- � -------19--------. Area ........:...,.....�........................ Diagram of Lot and Building with Dimensions Fee ...........7!_.n SUBJECT TO APPROVAL OF BOARD OF-HEALTH IZ ( q t l � � > I hereby agree to conform to all the Rules and Regulations of the TownAofrnstable regarding the above. construction. Name .............. I .................. ......:. S ;'IA STON REALTY TRUST t; , t 23034 One /2 Story [ No ................. Permit for ................ ................ .. j Single Family Dwelli g location Lot...r 15...3 3 oy...y .................... Anne Rd. Centerville T Owner "Marston Realty Trust v , Type of Construction Frame . .t....�.'.................................. ........................... + �^ ,.� _ ..p ' ' Plot .............. .:. . Lot • ' nril 23, 81 Permit Granted .................. ......... .19 -• Date of Inspection .................. 19Ile Date Co leted ,... � T.19 � � f ' RERMIT REFUSED ' 01 t. ... ..... .a .......................... 19 ................................................... ti a J ` •t r .........................................• i �' ' .A f ^. {•'' �s + ............................ r i ........................ r _ ................ r ...............r ......................................... 'Approved ................................................. 19 .................... d �" 10C 41 Assessor's map and lot number ..... �>.. ."'...�.! ... THE Sewage Permit number ......�. ........................................... � - 33 BARNSTABLE, i GHouse number /m s Mara �p 2639• 9� U B MAY a\ TOWN OF BARNSTABLE p BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............................................ TYPE OF CONSTRUCTION ........ . ..................................................................... .............. t �' ......................19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ' location ....... S........�-�CSC.fC.-r✓...Q N�-��. ..r.........�. U. ,`. ....... Z........... ProposedUse ....� .......�e.C✓1. .' �.......................................................................... Zoning District ........Fire District ....... .°E U........................................................ Name of Owner .. arS 61/�..i "' .�. . ..�!�UE� .Address ...... ....... vI` .i'ZJIK ......... Name of Builder ..\" L.U. `>t 0 `ONS c.tL (3 Address .... a ....30 � '( 1� �° -'............... Name of Architect ....Address �`- .............................................................. .................................................................................... u Number of Rooms ...... (... �............................(.............................Foundation ..�.�........t.09mr�..o�`D1!? 4� ` '........... Exterior ........e \a(P 4(/Od t�GQ S VlaVldl.�!L�...........Roofing .......6(.5.Pa.` ................................................ Floors .Interior .............. .` .5. ............................................ Heating `� w ......! �r.... ..�.L............Plumbing ............�....�00.1i-.!-,........................................ ............. ............. Fireplace ............ ..................................... ..............Appt0.0..: -............................ Definitive Plan Approved by Planning Board ________________________________19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee. ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH gccr; d- I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................................. o............................................... MARSTON REALTY TRUST r A 209-114 " _ti No 23034 permit for One 1/2 Story Single Family Dwelling ....................................... Lot #15 33 Jo ce Anne Road Location ..................................... ......................... Centerville ............................................................................... Owner ....Marston Realty Trust Type of Construction ,,,,Frame ' ................. ........... ................................................................................ Plot ............................ Lot ................................ April 23' 81 Permit Granted ...................... ................19 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT RE FED .......................................... 7............... 19 ... r .................................... ...................................... .................................. . ....................................... -� ...... .61V........../ ... ..................... ' Approved ................................................ 19 ............................................................................... ............................................................................... o`TM` TOWN OF BARNSTABLE 23034 Permit. No. t »n.BL Building Inspector Cash yy .114k OCCUPANCY PERMIT ' Bond ___" _ "No building nor structure. shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor ` first having been obtained from the Building,Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Marston Realty ,Txtx�ty Address r, Centerville 1e Lot 015 33 J6ycd Anne goad 1 wiring Inspector Inspection date . j Plumbing Inspector , Inspectionfdate Gas Inspector n Inspection date VEhgineering Departmental Inspection date -� — 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. /� O` BuildingAnspector UO GAM13 i S Gtz1 Qr-m1Z } + s b&t Lam! 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OZTEQVtt..l.G- 0 11,tASy• � ' TMt5 C�t�Al-1 JS WOT UTASCdi tIJSr-`J�,�I.NT ;uc'.•/t-Y 4 TNT. Ore,! ere, SII0wta ANPt_t GAI.iT_ ,: IJvY -�i U�>�'� �C, 17L''PCt�M1Nl.: LOT l�►Fd`�a r �V►� �O1. TT1 0.